WorldWideScience

Sample records for heavily subsidized ivf

  1. Launch prices for new pharmaceuticals in the heavily regulated and subsidized Spanish market, 1995-2007.

    Science.gov (United States)

    Puig-Junoy, Jaume; López-Valcárcel, Beatriz González

    2014-06-01

    This paper provides empirical evidence on the explanatory factors affecting introductory prices of new pharmaceuticals in a heavily regulated and highly subsidized market. We collect a data set consisting of all new chemical entities launched in Spain between 1997 and 2005, and model launch prices following an extended version of previous economic models. We found that, unlike in the US and Sweden, therapeutically "innovative" products are not overpriced relative to "imitative" ones after having controlled for other factors. Price setting is mainly used as a mechanism to adjust for inflation independently of the degree of innovation. The drugs that enter through the centralized EMA approval procedure are overpriced, which may be a consequence of market globalization and international price setting. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  2. 3D electric resistivity tomography (ERT) methodologies applied on selected heavily urbanized areas of the basin of Mexico to detect buried fractures and subsidence problems

    Science.gov (United States)

    Chavez Segura, R. E.; Cifuentes-Nava, G.; Tejero, A.; Hernandez, E.

    2012-12-01

    Urban development in modern cities require of a more integral knowledge of the subsurface, mainly on those areas, where human concentrations increase. Mexico City is one of such an example, where it constitutes one of the largest concentrations of human activities in the world. Most of the urban area is underlain by lacustrine sediments of the former lakes, and confined by important volcanic ranges. Such sediments offer poor foundation conditions for constructive purposes. Therefore, high risk areas have to be identified to prevent accidents and disastrous events. Geophysical techniques can be employed to understand the physical characteristics of the subsurface. Two examples are presented in this investigation. A residential complex named La Concordia is located towards the central portion of the basin that consists of six four storey buildings in an area of 33x80 m2. Finally, a block of small houses (50x50 m2) is found to the southern limit of the basin; close to the Chichinautzin range within the town of Tecomitl. Both zones suffer of strong damage in their structures due to fractures and subsidence within the subsoil. Therefore, Electric Resistivity Tomography (ERT) was carried out to characterize the subsoil beneath these urban complexes. A special array ('horse-shoe' geometry) 'L' employing Wenner-Schlumberger techniques, in addition to equatorial-dipole and minimum-coupling arrays were carried out to fully 'illuminate' beneath the constructions. Computed resistivity models for both examples depicted the buried fracture pattern affecting the urban complexes. Such patterns seem to extend beyond the limits of the surveyed areas, and are probably part of a more complex fracture system. It is very likely that fractures have been produced due to the poorly consolidated clays that cover most of the central part of the Valley of Mexico; the intense water extraction, that form 'voids' in the subsoil causing subsidence effects and finally the existence of regional

  3. Psychological IVF

    DEFF Research Database (Denmark)

    Adrian, Stine Willum

    2015-01-01

    ’. This theoretical work has three aims. First, it seeks to illustrate how the story of psychological IVF offers a rich range of materializations of emotions. Secondly, this work proposes a feminist materialist conceptualization of emotions that is both non-representational and posthuman. This conceptualization draws...

  4. Predicting IVF outcome

    NARCIS (Netherlands)

    van Loendersloot, L.L.

    2013-01-01

    On 25 July 1978 at 11.47 PM Louise Brown was born as the first IVF baby ever. Since its introduction more than 5 million babies have been born worldwide using IVF. In contrast to patients’ perception, IVF does not guarantee success; almost 50% of couples that start with IVF will not achieve a

  5. IVF and retinoblastoma revisited

    NARCIS (Netherlands)

    Dommering, Charlotte J.; van der Hout, Annemarie H.; Meijers-Heijboer, Hanne; Marees, Tamara; Moll, Annette C.

    2012-01-01

    Objective: To evaluate the suggested association between IVF, retinoblastoma, and tumor methylation characteristics. Design: Laboratory analysis. Setting: National Retinoblastoma Center in the Netherlands. Patient(s): Retinoblastoma tumors from seven children conceived by IVF or intracytoplasmic

  6. IVF and retinoblastoma revisited

    NARCIS (Netherlands)

    Dommering, Charlotte J.; van der Hout, Annemarie H.; Meijers-Heijboer, Hanne; Marees, Tamara; Moll, Annette C.

    Objective: To evaluate the suggested association between IVF, retinoblastoma, and tumor methylation characteristics. Design: Laboratory analysis. Setting: National Retinoblastoma Center in the Netherlands. Patient(s): Retinoblastoma tumors from seven children conceived by IVF or intracytoplasmic

  7. Lifestyle and IVF Outcomes.

    Science.gov (United States)

    Hornstein, Mark D

    2016-12-01

    Whereas much has been written about the prognostic factors associated with outcomes of in vitro fertilization (IVF) such as female age, diagnosis, and ovarian reserve, relatively little attention has been devoted to patient-oriented lifestyles that may influence IVF outcomes. Patients are particularly interested in this topic because many patients wish to partner with their physicians and want to know specific behaviors to improve their chances of IVF success. This brief review is not intended as an exhaustive literature search of all possible lifestyles that may influence assisted reproductive outcome nor is it intended to be a comprehensive review of individual topics. It does give, however, a brief overview of a number of areas in which patient-specific behaviors may influence outcomes in assisted reproduction. Specifically, this review will look at the effects of smoking, alcohol consumption, caffeine, diet, exercise, and exposure to the reproductive toxin bisphenol A on IVF outcomes. © The Author(s) 2016.

  8. In vitro fertilization (IVF)

    Science.gov (United States)

    ... the vagina Blood in the urine Outlook (Prognosis) Statistics vary from one clinic to another and must be looked at carefully. Pregnancy rates reflect the number of women who became pregnant after IVF. But not all pregnancies result in a live birth. Live birth rates reflect the number of women ...

  9. Cosmopolitan conceptions in global Dubai? The emiratization of IVF and its consequences

    Directory of Open Access Journals (Sweden)

    Marcia C. Inhorn

    2016-06-01

    Full Text Available IVF in the United Arab Emirates (UAE is decidedly cosmopolitan, catering to an international clientele who are attracted to Dubai as a booming global city and an emerging medical tourism hub. Yet this Emirati state-sponsored project of medical cosmopolitanism exists in tension with another state-sponsored project, called emiratization. Emiratization is an attempt by the UAE government to prioritize the needs of Emiratis. In this article, the emiratization of the UAE’s IVF sector is explored. Since the mid-2000s, the Emirati IVF sector has undergone a series of profound transformations, involving the indigenization-qua-emiratization of IVF services in the country. Two main aspects of IVF emiratization are examined. The first involves the Emirati government’s brief experiment with IVF public financing, which started off as a generous IVF subsidization programme for all infertile couples, but ended up solidifying preferential treatment for local Emiratis. The second is the 2010 passage of UAE Federal Law No. 11, which now stands as one of the world’s most restrictive pieces of assisted reproduction legislation. Which now stands as one of the world's most restrictive pieces of assisted reproduction legislation and has fundamentally altered the landscape of IVF in the country.

  10. Axiomatic Characterizations of IVF Rough Approximation Operators

    Directory of Open Access Journals (Sweden)

    Guangji Yu

    2014-01-01

    Full Text Available This paper is devoted to the study of axiomatic characterizations of IVF rough approximation operators. IVF approximation spaces are investigated. The fact that different IVF operators satisfy some axioms to guarantee the existence of different types of IVF relations which produce the same operators is proved and then IVF rough approximation operators are characterized by axioms.

  11. Imprinting diseases and IVF: Danish National IVF cohort study

    DEFF Research Database (Denmark)

    Lidegaard, Ojvind; Pinborg, Anja; Andersen, Anders Nyboe

    2005-01-01

    The aim of this study was to compare the frequency of imprinting diseases in children born after IVF with the incidence in naturally conceived children.......The aim of this study was to compare the frequency of imprinting diseases in children born after IVF with the incidence in naturally conceived children....

  12. Conceiving IVF in Iran

    Directory of Open Access Journals (Sweden)

    Soraya Tremayne

    2016-06-01

    Full Text Available Since the 19th century the Iranian state has been concerned with the size of its population, and policies directed to its increase or decrease have been closely involved with the purpose of nation building. None of these policies have been particularly successful, except for the effective family planning campaign of the 1980s that led to a remarkable drop in population growth, which currently stands at 1.3 per annum, below the replacement level. However, all the policies have failed to address the issue of infertility, which is widespread in Iran. It was against the background of such oversight that, from 1987, some pioneering physicians introduced IVF practices to the country and engaged with the Islamic jurists, whose endorsement of infertility treatment through IVF was deemed crucial to give the practices legitimacy. This article explores the process by which assisted reproductive technologies were legitimized in Iran in all their forms and which have placed the country in the lead among the Muslim countries in the Middle East in this respect. Within Iran, following the state’s latest pronatalist policies, assisted reproductive technologies have been acknowledged as a means to help the state meet its new ambition of higher population growth.

  13. Who abandons embryos after IVF?

    LENUS (Irish Health Repository)

    Walsh, A P H

    2010-04-01

    This investigation describes features of in vitro fertilisation (IVF) patients who never returned to claim their embryos following cryopreservation. Frozen embryo data were reviewed to establish communication patterns between patient and clinic; embryos were considered abandoned when 1) an IVF patient with frozen embryo\\/s stored at our facility failed to make contact with our clinic for > 2 yrs and 2) the patient could not be located after a multi-modal outreach effort was undertaken. For these patients, telephone numbers had been disconnected and no forwarding address was available. Patient, spouse and emergency family contact\\/s all escaped detection efforts despite an exhaustive public database search including death records and Internet directory portals. From 3244 IVF cycles completed from 2000 to 2008, > or = 1 embryo was frozen in 1159 cases (35.7%). Those without correspondence for > 2 yrs accounted for 292 (25.2%) patients with frozen embryos; 281 were contacted by methods including registered (signature involving abandoned embryos did not differ substantially from other patients. The goal of having a baby was achieved by 10\\/11 patients either by spontaneous conception, adoption or IVF. One patient moved away with conception status unconfirmed. The overall rate of embryo abandonment was 11\\/1159 (< 1%) in this IVF population. Pre-IVF counselling minimises, but does not totally eliminate, the problem of abandoned embryos. As the number of abandoned embryos from IVF accumulates, their fate urgently requires clarification. We propose that clinicians develop a policy consistent with relevant Irish Constitutional provisions to address this medical dilemma.

  14. Coal mine subsidence

    International Nuclear Information System (INIS)

    Rahall, N.J.

    1991-05-01

    This paper examines the efficacy of the Department of the Interior's Office of Surface Mining Reclamation and Enforcement's (OSMRE) efforts to implement the federally assisted coal mine subsidence insurance program. Coal mine subsidence, a gradual settling of the earth's surface above an underground mine, can damage nearby land and property. To help protect property owners from subsidence-related damage, the Congress passed legislation in 1984 authorizing OSMRE to make grants of up to $3 million to each state to help the states establish self-sustaining, state-administered insurance programs. Of the 21 eligible states, six Colorado, Indiana, Kentucky, Ohio, West Virginia, and Wyoming applied for grants. This paper reviews the efforts of these six states to develop self-sustaining insurance programs and assessed OSMRE's oversight of those efforts

  15. Coal mine subsidence

    International Nuclear Information System (INIS)

    Darmody, R.G.; Hetzler, R.T.; Simmons, F.W.

    1992-01-01

    Longwall coal mining in southern Illinois occurs beneath some of the best agricultural land in the U.S. This region is characterized by highly productive, nearly level, and somewhat poorly drained soils. Subsidence from longwall mining causes changes in surface topography which alters surface and subsurface hydrology. These changes can adversely affect agricultural land by creating wet or ponded areas that can be deleterious to crop production. While most subsided areas show little impact from subsidence, some areas experience total crop failure. Coal companies are required by law to mitigate subsidence damage to cropland. The objective of this paper is to test the effectiveness of mitigation in restoring grain yields to their pre-mined levels. The research was conducted on sites selected to represent conventional mitigation techniques on the predominate soils in the area. Corn (Zea mays L.) and soybean [Glycine max.(L.) Merr] yields in 1988, 1989, 1990, and 1991 from mitigated areas were compared to yields from nearby undisturbed areas

  16. Early history of IVF in Australia

    Directory of Open Access Journals (Sweden)

    Kristina Janežič

    2014-08-01

    Full Text Available Background: The 1970s and 1980s represent the early era of in vitro fertilization (IVF research. This article is a concise review of the early history of IVF, focusing on the contributions made by Australian pioneers.Objectives: To research the history of the early days of IVF in Australia.Search Strategy: ‘IVF history’ was used as a search criteria in PubMed.Selection criteria: We selected articles that were dealing with Australian research on IVF in 1970–1980s and were also statistically sound where applicable.Data collection and analysis: We collected, processed, and analyzed the data, and summed up two decades of IVF research in Australia.Main results: The first ideas about introducing IVF research in Australia started in 1970. Years of trials and hard work bore success and the first baby was born in 1980. IVF procedures then spread quickly across Australia.Conclusions: Australia was a leading force in the early days of IVF and with many innovative approaches contributed greatly to the development of IVF as we know it today.

  17. Can IVF influence human evolution?

    Science.gov (United States)

    Hanevik, Hans Ivar; Hessen, Dag O; Sunde, Arne; Breivik, Jarle

    2016-07-01

    IVF, a procedure in which pharmacological and technological manipulation is used to promote pregnancy, offers help to infertile couples by circumventing selection at the most fundamental level. Fertility is clearly one of the key fitness-promoting drivers in all forms of sexually reproducing life, and fertilization and pregnancy are fundamental evolutionary processes that involve a range of pre- and post-zygotic screening mechanisms. Here, we discuss the various selection and screening factors involved in fertilization and pregnancy and assess IVF practices in light of these factors. We then focus on the possible consequences of these differences in selection pressures, mainly at the individual but also at the population level, to evaluate whether changes in the reproducing genotype can affect human evolution. The aim of the article is not to argue for or against IVF, but to address aspects of assisted reproduction in an evolutionary context. © The Author 2016. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  18. Modified natural cycle IVF and mild IVF: a 10 year Swedish experience.

    Science.gov (United States)

    Aanesen, Arthur; Nygren, Karl-Gösta; Nylund, Lars

    2010-01-01

    Modified natural cycle IVF (mnc-IVF) or mild IVF (m-IVF) was offered to selected patients between 1996 and 2007; 43 patients during 129 cycles were treated with mnc-IVF and 145 couples during 250 cycles were treated with m-IVF. Comparison with outcome from conventional IVF cycles during the same time period and in the same clinic was performed. Although 53.5 and 39.6% of started cycles respectively never reached embryo transfer, the ongoing pregnancy rates per embryo transfer were 26.7% for mnc-IVF and 27.2% for m-IVF. During the same time period, cancellation rate for conventional IVF was 13.7% and the ongoing pregnancy rate per embryo transfer was 34.3%. For patients > or =38years of age, the ongoing pregnancy rate per embryo transfer was 17.5% in the m-IVF group. None of the patients aged > or =38years in the mnc-IVF group achieved an ongoing pregnancy. For patients treated with conventional IVF, the > or =38years of age pregnancy rate per embryo transfer was 27.0%. Costs of medication for m-IVF and mnc-IVF were 96.3 and 97.5% less than for the least expensive conventional IVF cycle respectively. Pregnancy rates per embryo transfer are acceptable for these treatment modalities, the cost for medication is low, risks for complications are dramatically reduced, and the treatments may be more psychologically acceptable to the patients. Copyright (c) 2009 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  19. Cost-effectiveness of 'immediate IVF' versus 'delayed IVF': a prospective study

    NARCIS (Netherlands)

    Eijkemans, M.J.; Kersten, F.A.M.; Lintsen, A.M.E.; Hunault, C.C.; Bouwmans, C.A.; Roijen, L.H.; Habbema, J.D.; Braat, D.D.M.

    2017-01-01

    STUDY QUESTION: How does the cost-effectiveness (CE) of immediate IVF compared with postponing IVF for 1 year, depend on prognostic characteristics of the couple? SUMMARY ANSWER: The CE ratio, i.e. the incremental costs of immediate versus delayed IVF per extra live birth, is the highest (range of

  20. Universal coverage of IVF pays off.

    Science.gov (United States)

    Vélez, M P; Connolly, M P; Kadoch, I-J; Phillips, S; Bissonnette, F

    2014-06-01

    What was the clinical and economic impact of universal coverage of IVF in Quebec, Canada, during the first calendar year of implementation of the public IVF programme? Universal coverage of IVF increased access to IVF treatment, decreased the multiple pregnancy rate and decreased the cost per live birth, despite increased costs per cycle. Public funding of IVF assures equality of access to IVF and decreases multiple pregnancies resulting from this treatment. Public IVF programmes usually mandate a predominant SET policy, the most effective approach for reducing the incidence of multiple pregnancies. This prospective comparative cohort study involved 7364 IVF cycles performed in Quebec during 2009 and 2011 and included an economic analysis. IVF cycles performed in the five centres offering IVF treatment in Quebec during 2009, before implementation of the public IVF programme, were compared with cycles performed at the same centres during 2011, the first full calendar year following implementation of the programme. Data were obtained from the Canadian Assisted Reproductive Technologies Register (CARTR). Comparisons were made between the two periods in terms of utilization, pregnancy rates, multiple pregnancy rates and costs. The number of IVF cycles performed in Quebec increased by 192% after the new policy was implemented. Elective single-embryo transfer was performed in 1.6% of the cycles during Period I (2009), and increased to 31.6% during Period II (2011) (P IVF programme increased government costs per IVF treatment cycle from CAD$3730 to CAD$4759. Despite increased costs per cycle, the efficiency defined by the cost per live birth, which factored in downstream health costs up to 1 year post delivery, decreased from CAD$49 517 to CAD$43 362 per baby conceived by either fresh and frozen cycles. The costs described in the economic model are likely an underestimate as they do not factor in many of the long-term costs that can occur after 1 year of age. The

  1. The new Italian IVF legislation.

    Science.gov (United States)

    Benagiano, Giuseppe; Gianaroli, Luca

    2004-08-01

    Last February, the Italian Parliament gave final approval to a new Law regulating assisted reproduction technology. The new legislation fell short of the expectations of infertile couples and of all specialists in the field. There are three problems with the new Italian law; they involve social issues, human rights and the application of technology. The present paper focuses on the fact that the new rules infringe upon basic human rights and the proper application of IVF technology, because they mandate procedures that are against the best interest of the woman seeking pregnancy. The main point of controversy is the combination of a mandatory limit of three embryos for transfer, and an obligation to reimplant all produced embryos; cryopreservation of excess embryos is prohibited. Obviously, this decreases the chances of most women to achieve pregnancy, while at the same time it increases the number and complexity of procedures they need to undergo and may expose some to an unacceptable increase in the risk of multiple pregnancy. The new law is inspired by the desire to protect every newly produced embryo; this is a commendable aim, although it is in total opposition to a law passed over 25 years ago that liberalized voluntary termination of first trimester pregnancies. This means that today Italy has a law that protects every early, pre-implantation embryo, and another that allows the 'suppression' of every post-implantation one. From a technical point of view, given the low level of human fecundity, the only way to prevent the 'loss' of even one preimplantation embryo is to simply ban IVF altogether, an option that Italian legislators obviously did not have the courage to opt for. The tragedy is that Italian infertile couples are now confronted with new rules that not only severely limit the ability of physicians to correctly apply IVF technology, but are so confused that, depending on the interpretation, anyone may try to nullify the main ideological premise upon

  2. Understanding reproducibility of human IVF traits to predict next IVF cycle outcome.

    Science.gov (United States)

    Wu, Bin; Shi, Juanzi; Zhao, Wanqiu; Lu, Suzhen; Silva, Marta; Gelety, Timothy J

    2014-10-01

    Evaluating the failed IVF cycle often provides useful prognostic information. Before undergoing another attempt, patients experiencing an unsuccessful IVF cycle frequently request information about the probability of future success. Here, we introduced the concept of reproducibility and formulae to predict the next IVF cycle outcome. The experimental design was based on the retrospective review of IVF cycle data from 2006 to 2013 in two different IVF centers and statistical analysis. The reproducibility coefficients (r) of IVF traits including number of oocytes retrieved, oocyte maturity, fertilization, embryo quality and pregnancy were estimated using the interclass correlation coefficient between the repeated IVF cycle measurements for the same patient by variance component analysis. The formulae were designed to predict next IVF cycle outcome. The number of oocytes retrieved from patients and their fertilization rate had the highest reproducibility coefficients (r = 0.81 ~ 0.84), which indicated a very close correlation between the first retrieval cycle and subsequent IVF cycles. Oocyte maturity and number of top quality embryos had middle level reproducibility (r = 0.38 ~ 0.76) and pregnancy rate had a relative lower reproducibility (r = 0.23 ~ 0.27). Based on these parameters, the next outcome for these IVF traits might be accurately predicted by the designed formulae. The introduction of the concept of reproducibility to our human IVF program allows us to predict future IVF cycle outcomes. The traits of oocyte numbers retrieved, oocyte maturity, fertilization, and top quality embryos had higher or middle reproducibility, which provides a basis for accurate prediction of future IVF outcomes. Based on this prediction, physicians may counsel their patients or change patient's stimulation plans, and laboratory embryologists may improve their IVF techniques accordingly.

  3. Towards a global land subsidence map

    NARCIS (Netherlands)

    Erkens, G.; Sutanudjaja, E. H.

    2015-01-01

    Land subsidence is a global problem, but a global land subsidence map is not available yet. Such map is crucial to raise global awareness of land subsidence, as land subsidence causes extensive damage (probably in the order of billions of dollars annually). With the global land subsidence map

  4. Efficacy of natural cycle IVF: a review of the literature

    NARCIS (Netherlands)

    Pelinck, M. J.; Hoek, A.; Simons, A. H. M.; Heineman, M. J.

    2002-01-01

    Since the introduction of IVF treatments, natural cycle IVF has been largely replaced by IVF with ovarian stimulation. However, natural cycle IVF has several advantages. It is associated with a close to zero multiple pregnancy rate, and a zero risk of ovarian hyperstimulation syndrome. Per cycle,

  5. Efficacy of natural cycle IVF : a review of the literature

    NARCIS (Netherlands)

    Pelinck, MJ; Hoek, A; Simons, AHM; Heineman, MJ

    2002-01-01

    Since the introduction of IVF treatments, natural cycle IVF has been largely replaced by IVF with ovarian stimulation. However, natural cycle IVF has several advantages. It is associated with a close to zero multiple pregnancy rate, and a zero risk of ovarian hyperstimulation syndrome. Per cycle,

  6. Parenthood motives in IVF-mothers.

    Science.gov (United States)

    Colpin, H; De Munter, A; Vandemeulebroecke, L

    1998-03-01

    This is an exploratory study to answer two questions: (1) does in-vitro fertilization (IVF)-mothers' motivation for parenthood differ from the naturally conceiving mothers' motivation for parenthood? and (2) are IVF-mothers' parenthood motives correlated with their adjustment to parenthood (in the same way as they are for naturally conceiving mothers)? The study sample consisted of 31 mothers with a 24-30 month old, single-born child conceived by homologous IVF and a comparison group of 31 mothers with a naturally conceived child. Self-rating questionnaires were used. Overall, the parenthood motivation pattern was quite similar for IVF-mothers and mothers by natural conception. However, 'identity', 'motherhood' and 'social control' were significantly more important motives for IVF-mothers than for the naturally conceiving mothers. The two former motives remained more important for IVF-mothers when findings were adjusted for the influence of the mothers' age and educational level. Possible explanations for these findings refer to the infertility history. Overall, few correlations between parenthood motives and the adjustment to parenthood were significant, both for the IVF-mothers and for the mothers by natural conception. Further (hypothesis-testing) research is needed to support these findings.

  7. A randomized study comparing IVF in the unstimulated cycle with IVF-following clomiphene citrate

    DEFF Research Database (Denmark)

    Ingerslev, Hans Jakob; Højgaard, A.; Hindkjær, Johnny Juhl

    2001-01-01

    The efficiency of IVF in unstimulated cycles was compared with that following ovarian stimulation with clomiphene citrate in a simple protocol with ultrasound monitoring only. A total of 132 couples with no previous IVF attempts, selected by female age ... protocol, but not IVF in unstimulated cycles, seems compatible with the concept of `friendly IVF', yielding a fair pregnancy rate both per cycle started and per embryo transfer in selected patients. The results do not substantiate any important negative anti-oestrogenic effects of clomiphene....

  8. Recurrent IVF failure and hereditary thrombophilia.

    Science.gov (United States)

    Safdarian, Leila; Najmi, Zahra; Aleyasin, Ashraf; Aghahosseini, Marzieh; Rashidi, Mandana; Asadollah, Sara

    2014-07-01

    The largest percentage of failed invitro fertilization (IVF (cycles, are due to lack of implantation. As hereditary thrombophilia can cause in placentation failure, it may have a role in recurrent IVF failure. Aim of this case-control study was to determine whether hereditary thrombophilia is more prevalent in women with recurrent IVF failures. Case group comprised 96 infertile women, with a history of recurrent IVF failure. Control group was comprised of 95 healthy women with proven fertility who had conceived spontaneously. All participants were assessed for the presence of inherited thrombophilias including: factor V Leiden, methilen tetrahydrofolate reductase (MTHFR) mutation, prothrombin mutation, homocystein level, protein S and C deficiency, antithrombin III (AT-III) deficiency and plasminogen activator inhibitor-1 (PAI-1) mutation. Presence of thrombophilia was compared between groups. Having at least one thrombophilia known as a risk factor for recurrent IVF failure (95% CI=1.74-5.70, OR=3.15, p=0.00). Mutation of factor V Leiden (95% CI=1.26-10.27, OR=3.06, P=0.01) and homozygote form of MTHFR mutation (95% CI=1.55-97.86, OR=12.33, p=0.05) were also risk factors for recurrent IVF failure. However, we could not find significant difference in other inherited thrombophilia's. Inherited thrombophilia is more prevalent in women with recurrent IVF failure compared with healthy women. Having at least one thrombophilia, mutation of factor V Leiden and homozygote form of MTHFR mutation were risk factors for recurrent IVF failure.

  9. Coal mine subsidence and structures

    International Nuclear Information System (INIS)

    Gray, R.E.

    1988-01-01

    Underground coal mining has occurred beneath 32 x 10 9 m 2 (8 million acres) of land in the United States and will eventually extend beneath 162 x 10 9 m 2 (40 million acres). Most of this mining has taken place and will take place in the eastern half of the United States. In areas of abandoned mines where total extraction was not achieved, roof collapse, crushing of coal pillars, or punching of coal pillars into softer mine floor or roof rock is now resulting in sinkhole or trough subsidence tens or even hundreds of years after mining. Difference in geology, in mining, and building construction practice between Europe and the United States preclude direct transfer of European subsidence engineering experience. Building damage cannot be related simply to tensile and compressive strains at the ground surface. Recognition of the subsidence damage role played by ground-structure interaction and by structural details is needed

  10. Survey of land subsidence – case study: The land subsidence ...

    Indian Academy of Sciences (India)

    This is a new phenomenon and in this research the geometrical properties of the fissures of recharge ... by ground water, the creation of small sinkholes followed ... Figure 1. The location of artificial recharge plan in. Hamadan. The Gharechai River is a source of artificial .... land subsidence and shape the cracks and fissures.

  11. IVF twins: buy one get one free?

    Science.gov (United States)

    Ismail, Laura; Mittal, Monica; Kalu, Emmanuel

    2012-10-01

    There has been an overall increase in the incidence of multiple pregnancies and assisted reproduction technology is largely responsible for this rise. Although twins may appeal to couples undergoing in vitro fertilisation (IVF), they have been associated with serious health consequences to the babies, their mothers and the family unit, as well as having massive financial implications for the National Health Service. Transfer of more than one embryo during IVF is mainly responsible for IVF twins, and elective transfer of a single embryo at a time with cryopreservation of surplus embryos for later transfer has been shown to be an effective strategy to minimise the risk of twins without compromising IVF success rates. Factors that will impact on the success of the policy of elective single embryo transfer (eSET) include improvement in embryo selection for transfer, better cryopreservation techniques and adequate state funding for IVF. However, in implementing the policy of eSET it is important that each case is assessed on an individual basis since in some situations (e.g. in older women) the transfer of two embryos may be more cost effective. Adequate and continuous education of all stakeholders is essential if the policy of eSET is to be successful in the UK.

  12. Subsidizing R&D cooperatives

    NARCIS (Netherlands)

    Hinloopen, J.

    2001-01-01

    A framework is developed with which the implementation of two commonly used R&D-stimulating policies can be evaluated: providing R&D subsidies and sustaining the formation of R&D cooperatives. Subsidized R&D cooperatives can also be analyzed. The analysis shows that providing R&D subsidies is more

  13. Aromatase inhibitors in stimulated IVF cycles

    DEFF Research Database (Denmark)

    Papanikolaou, Evangelos G; Polyzos, Nikolaos P; Al Humaidan, Peter Samir Heskjær

    2011-01-01

    are available regarding their efficacy in IVF stimulated cycles. Current available evidence support that letrozole may have a promising role in stimulated IVF cycles, either when administered during the follicular phase for ovarian stimulation. Especially for women with poor ovarian response, letrozole appears...... to have the potential to increase clinical pregnancy rates when combined with gonadotropins, whereas at the same time reduces the total gonadotropin dose required for ovarian stimulation. However, given that in all of the trials letrozole has been administered in GnRH antagonist cycles, it is intriguing...... to test in the future how it may perform when used in GnRH agonist cycles. Finally administration of letrozole during luteal phase in IVF cycles offers another treatment modality for patients at high risk for OHSS taking into account that it drastically reduces estradiol levels....

  14. Emotions and Ethical Considerations of Women Undergoing IVF-Treatments

    NARCIS (Netherlands)

    Kaliarnta, S.; Nihlén-Fahlquist, J.; Roeser, S.

    2011-01-01

    Women who suffer from fertility issues often use in vitro fertilization (IVF) to realize their wish to have children. However, IVF has its own set of strict administration rules that leave the women physically and emotionally exhausted. Feeling alienated and frustrated, many IVF users turn to

  15. IVF culture media: past, present and future.

    Science.gov (United States)

    Chronopoulou, Elpiniki; Harper, Joyce C

    2015-01-01

    The advances in the world of IVF during the last decades have been rapid and impressive and culture media play a major role in this success. Until the 1980s fertility centers made their media in house. Nowadays, there are numerous commercially available culture media that contain various components including nutrients, vitamins and growth factors. This review goes through the past, present and future of IVF culture media and explores their composition and quality assessment. A computerized search was performed in PubMed regarding IVF culture media including results from 1929 until March 2014. Information was gathered from the websites of companies who market culture media, advertising material, instructions for use and certificates of analysis. The regulation regarding IVF media mainly in the European Union (EU) but also in non-European countries was explored. The keyword 'IVF culture media' gave 923 results in PubMed and 'embryo culture media' 12 068 results dating from 1912 until March 2014, depicting the increased scientific activity in this field. The commercialization of IVF culture media has increased the standards bringing a great variety of options into clinical practice. However, it has led to reduced transparency and comparisons of brand names that do not facilitate the scientific dialogue. Furthermore, there is some evidence suggesting that suboptimal culture conditions could cause long-term reprogramming in the embryo as the periconception period is particularly susceptible to epigenetic alterations. IVF media are now classified as class III medical devices and only CE (Conformité Européene)-marked media should be used in the EU. The CE marking of IVF culture media is a significant development in the field. However, the quality and efficiency of culture media should be monitored closely. Well-designed randomized controlled trials, large epidemiological studies and full transparency should be the next steps. Reliable, standardized models assessing

  16. A Picture of Subsidized Households 2009

    Data.gov (United States)

    Department of Housing and Urban Development — Picture of Subsidized Households describes the nearly 5 million households living in HUD-subsidized housing in the United States for the year 2009. Picture 2009...

  17. A Picture of Subsidized Housholds 2008

    Data.gov (United States)

    Department of Housing and Urban Development — Picture of Subsidized Households describes the nearly 5 million households living in HUD-subsidized housing in the United States for the year 2008. Picture 2008...

  18. Is the birthweight of singletons born after IVF reduced by ovarian stimulation or by IVF laboratory procedures?

    NARCIS (Netherlands)

    Pelinck, M. J.; Hadders-Algra, M.; Haadsma, M. L.; Nijhuis, W. L.; Kiewiet, S. M.; Hoek, A.; Heineman, M. J.; Middleburg, K. J.

    Singletons born after IVF are at risk of adverse pregnancy outcome, the cause of which is unknown. The present study investigated the influence of ovarian stimulation and IVF laboratory procedure on birthweight. Birthweight of singleton pregnancies resulting from IVF treatment with (n = 161) and

  19. Is the birthweight of singletons born after IVF reduced by ovarian stimulation or by IVF laboratory procedures?

    NARCIS (Netherlands)

    Pelinck, M. J.; Hadders-Algra, M.; Haadsma, M. L.; Nijhuis, W. L.; Kiewiet, S. M.; Hoek, A.; Heineman, M. J.; Middelburg, K. J.

    2010-01-01

    Singletons born after IVF are at risk of adverse pregnancy outcome, the cause of which is unknown. The present study investigated the influence of ovarian stimulation and IVF laboratory procedure on birthweight. Birthweight of singleton pregnancies resulting from IVF treatment with (n = 161) and

  20. Cumulative pregnancy rates after sequential treatment with modified natural cycle IVF followed by IVF with controlled ovarian stimulation

    NARCIS (Netherlands)

    Pelinck, M. J.; Knol, H. M.; Vogel, N. E. A.; Arts, E. G. J. M.; Simons, A. H. M.; Heineman, M. J.; Hoek, A.

    BACKGROUND: In modified natural cycle IVF (MNC-IVF), treatment is aimed at using the one follicle that spontaneously develops to dominance, using a GnRH-antagonist together with gonadotrophins in the late follicular phase only. The MNC-IVF is of interest because of its low-risk and patient-friendly

  1. Cumulative pregnancy rates after sequential treatment with modified natural cycle IVF followed by IVF with controlled ovarian stimulation

    NARCIS (Netherlands)

    Pelinck, M. J.; Knol, H. M.; Vogel, N. E. A.; Arts, E. G. J. M.; Simons, A. H. M.; Heineman, M. J.; Hoek, A.

    2008-01-01

    BACKGROUND: In modified natural cycle IVF (MNC-IVF), treatment is aimed at using the one follicle that spontaneously develops to dominance, using a GnRH-antagonist together with gonadotrophins in the late follicular phase only. The MNC-IVF is of interest because of its low-risk and patient-friendly

  2. Geospatial subsidence hazard modelling at Sterkfontein Caves ...

    African Journals Online (AJOL)

    The geo-hazard subsidence model includes historic subsidence occurrances, terrain (water flow) and water accumulation. Water accumulating on the surface will percolate and reduce the strength of the soil mass, possibly inducing subsidence. Areas for further geotechnical investigation are identified, demonstrating that a ...

  3. Innovative repair of subsidence damage

    International Nuclear Information System (INIS)

    Marino, G.G.

    1992-01-01

    In order to improve handling of subsidence damages the Illinois Mine Subsidence Insurance Fund supported the development of novel cost-effective methods of repair. The research in developing the repairs was directed towards the most common and costly damages that had been observed. As a result repair techniques were designed for structurally cracked foundations in the tension zone; structurally cracked foundations in the compression zone; and damaged or undamaged tilted foundations. When appropriate the postulated methods would result in: 1. significant cost savings (over conventional procedures); 2. a structural capacity greater than when the foundation was uncracked; and 3. an aesthetic appeal. All the postulated repair methodologies were laboratory and/or field tested. This paper will summarize the essentials of each technique developed and the test results

  4. The Psychological Impact of IVF Treatment

    NARCIS (Netherlands)

    C. de Klerk (Cora)

    2008-01-01

    textabstractIVF treatment requires the woman to undergo several invasive procedures, which are repeated in subsequent treatment cycles. In addition to the physical burden, the threat of treatment failure confronts the couple with the possibility that they have to give up hope to have a child of

  5. In vitro fertilization (IVF) versus gonadotropins followed by IVF as treatment for primary infertility: a cost-based decision analysis.

    Science.gov (United States)

    Kansal-Kalra, Suleena; Milad, Magdy P; Grobman, William A

    2005-09-01

    To compare the economic consequences of proceeding directly to IVF to those of proceeding with gonadotropins followed by IVF in patients cost and success of each infertility regimen as well as the pregnancy-associated costs of singleton or multiple gestations and the risk and cost of cerebral palsy. Cost per live birth. Both treatment arms resulted in a >80% chance of birth. The gonadotropin arm was over four times more likely to result in a high-order multiple pregnancy (HOMP). Despite this, when the base case estimates were utilized, immediate IVF emerged as more costly per live birth. In sensitivity analysis, immediate IVF became less costly per live birth when IVF was more likely to achieve birth (55.1%) or cheaper (11,432 dollars) than our base case assumptions. After considering the risk and cost of HOMP, immediate IVF is more costly per live birth than a trial of gonadotropins prior to IVF.

  6. Cost-effectiveness of 'immediate IVF' versus 'delayed IVF': a prospective study.

    Science.gov (United States)

    Eijkemans, M J C; Kersten, F A M; Lintsen, A M E; Hunault, C C; Bouwmans, C A M; Roijen, L Hakkaart-van; Habbema, J D F; Braat, D D M

    2017-05-01

    How does the cost-effectiveness (CE) of immediate IVF compared with postponing IVF for 1 year, depend on prognostic characteristics of the couple? The CE ratio, i.e. the incremental costs of immediate versus delayed IVF per extra live birth, is the highest (range of €15 000 to >€60 000) for couples with unexplained infertility and for them depends strongly on female age and the duration of infertility, whilst being lowest for endometriosis (range 8000-23 000) and, for such patients, only slightly dependent on female age and duration of infertility. A few countries have guidelines for indications of IVF, using the diagnostic category, female age and duration of infertility. The CE of these guidelines is unknown and the evidence base exists only for bilateral tubal occlusion, not for the other diagnostic categories. A modelling approach was applied, based on the literature and data from a prospective cohort study among couples eligible for IVF or ICSI treatment, registered in a national waiting list in The Netherlands between January 2002 and December 2003. A total of 5962 couples was included. Chances of natural ongoing pregnancy were estimated from the waiting list observations and chances of ongoing pregnancy after IVF from follow-up data of couples with primary infertility that began treatment. Prognostic characteristics considered were female age, duration of infertility and diagnostic category. Costs of IVF were assessed from a societal perspective and determined on a representative sample of patients. A cost-effectiveness comparison was made between two scenarios: (I) wait one more year and then undergo IVF for 1 year and (II) immediate IVF during 1 year, and try to conceive naturally in the following year. Comparisons were made for strata determined by the prognostic factors. The final outcome was a live birth. The gain in live birth rate of the immediate IVF scenario versus postponed IVF increased with female age, and was independent from diagnostic

  7. Adolescents conceived by IVF: parenting and psychosocial adjustment.

    Science.gov (United States)

    Colpin, H; Bossaert, G

    2008-12-01

    A follow-up study was conducted in mid-adolescence on parenting and the child's psychosocial development after in vitro fertilization (IVF). The first phase of the study had compared 31 IVF families and 31 families with a naturally conceived child when the children were 2 years old (Colpin et al., 1995). Of these, 24 IVF families and 21 control families participated again when the children were 15-16 years old. Fathers, mothers and adolescents completed questionnaires assessing parenting style and stress, and adolescent psychosocial adjustment. No significant differences were found in self- or adolescent-reported parenting style, or in parenting stress between IVF mothers and mothers in the control group, nor between IVF fathers and fathers in the control group. Neither did we find significant differences in self- or parent-reported behavioural problems between adolescents conceived by IVF and those conceived naturally. Comparison of behavioural problems between IVF adolescents informed or not informed about the IVF conception did not reveal significant differences. Parenting and 15-16-year-old adolescents' psychosocial adjustment did not differ significantly between IVF families and control families. This study is, to the best of our knowledge, the first psychosocial follow-up in mid-adolescence, and adds to the evidence that IVF children and their parents are well-adjusted. Large-scale studies in adolescence are needed to support these findings.

  8. The problem of IVF cost in developing countries: has natural cycle IVF a place?

    Science.gov (United States)

    Shahin, Ahmed Y

    2007-07-01

    Infertility represents a national health problem in some African countries. Limited financial health resources in developing countries are a major obstacle facing infertility management. IVF is the definitive line of treatment for many couples. Stimulation cycles are associated with risks of ovarian hyperstimulation syndrome and multiple pregnancy. This study evaluates the client acceptability of stimulated versus natural cycle IVF among couples attending one infertility clinic, with respect to cost and pregnancy outcome. Of the patients who were indicated for IVF, 15% (16/107) cancelled, due mostly (12/16, 75%) to financial reasons. The majority of patients who completed their IVF treatment (82/91, 90.1%) felt the price of the medical service offered was high, and 68.1% (62/91) accepted the idea of having cheaper drugs with fewer side effects but with possibly lower chances of pregnancy. Natural cycle IVF has emerged as a potential option that might be suitable for patients worldwide, especially in developing countries.

  9. Fertilization failure after IVF in 304 couples

    DEFF Research Database (Denmark)

    Krog, Maria; Prior, Maria; Carlsen, Elisabeth

    2015-01-01

    OBJECTIVES: To identify predictors of total fertilization failure (TFF) and thereby optimize the primary allocation of patients with no well-defined male factor to either IVF or intracytoplasmatic sperm injection (ICSI). Further, to evaluate the long-term fertility prognosis of couples experiencing...... TFF. STUDY DESIGN: A retrospective case-control study including 304 couples with TFF and 304 controls with fertilization after IVF during a 10-year period from year 2000-2010. The controls were the patients with minimum one fertilized oocyte just prior to the cases. Multiple logistic regression...... analysis was used to evaluate the predictors of TFF. RESULTS: The multiple regression analysis identified the following independent predictors of TFF: female smoking, adjusted odds ratio (AOR) 1.7 (95% CI 1.1-2.3), non-tubal factor AOR 2.2 (95% CI 1.5-3.4), progressive motile spermatozoa after preparation...

  10. Aromatase inhibitors in stimulated IVF cycles

    Directory of Open Access Journals (Sweden)

    Tournaye Herman

    2011-06-01

    Full Text Available Abstract Aromatase inhibitors have been introduced as a new treatment modality that could challenge clomiphene citrate as an ovulation induction regiment in patients with PCOS. Although several randomized trials have been conducted regarding their use as ovulation induction agents, only few trials are available regarding their efficacy in IVF stimulated cycles. Current available evidence support that letrozole may have a promising role in stimulated IVF cycles, either when administered during the follicular phase for ovarian stimulation. Especially for women with poor ovarian response, letrozole appears to have the potential to increase clinical pregnancy rates when combined with gonadotropins, whereas at the same time reduces the total gonadotropin dose required for ovarian stimulation. However, given that in all of the trials letrozole has been administered in GnRH antagonist cycles, it is intriguing to test in the future how it may perform when used in GnRH agonist cycles. Finally administration of letrozole during luteal phase in IVF cycles offers another treatment modality for patients at high risk for OHSS taking into account that it drastically reduces estradiol levels

  11. ‘Vanishing embryo syndrome’ in IVF/ICSI

    DEFF Research Database (Denmark)

    Hvidtjørn, Dorte; Grove, Jakob; Schendel, Diana

    2005-01-01

    BACKGROUND: In a Danish population-based cohort study assessing the risk of cerebral palsy in children bornafter IVF, we made some interesting observations regarding ‘vanishing co-embryos’. METHODS andRESULTS: All live-born children born in Denmark from 1 January 1995 to 31 December 2000 were...... included inthis analysis. The children conceived by IVF/ICSI (9444) were identified through the IVF Register, the childrenconceived without IVF/ICSI (395 025) were identified through The Danish Medical Birth Register. Main outcomemeasure was the incidence of cerebral palsy. Within the IVF/ICSI children we...... found indications of an increasedrisk of cerebral palsy in those children resulting from pregnancies, where the number of embryos transferred washigher than the number of children born. CONCLUSIONS: The association between vanishing embryo syndromeand incidence of cerebral palsy following IVF requires...

  12. September 2016 Bayou Choctaw Subsidence Report

    Energy Technology Data Exchange (ETDEWEB)

    Moriarty, Dylan Michael [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Lord, Anna C. Snider [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-05-01

    Subsidence monitoring is a crucial component to understanding cavern integrity of salt storage caverns. This report looks at historical and current data at the Bayou Choctaw Strategic Petroleum Reserve Site. Data from the most recent land-based annual surveys, GPS, and tiltmeter indicate the subsidence rates across the site are approximately 0.0 ft./yr. Because of this, there is no evidence from the subsidence survey to suggest any of the DOE caverns have been structurally compromised.

  13. A case-control pilot study of low-intensity IVF in good-prognosis patients.

    Science.gov (United States)

    Gleicher, Norbert; Weghofer, Andrea; Barad, David H

    2012-04-01

    Low-intensity IVF (LI-IVF) is rapidly gaining in popularity. Yet studies comparing LI-IVF to standard IVF are lacking. This is a case-control pilot study, reporting on 14 first LI-IVF and 14 standard IVF cycles in women with normal age-specific ovarian reserve under age 38, matched for age, laboratory environment, staff and time of cycle. LI-IVF cycles underwent mild ovarian stimulation, utilizing clomiphene citrate, augmented by low-dose gonadotrophin stimulation. Control patients underwent routine ovarian stimulation. LI-IVF and regular IVF patients were similar in age, body mass index, FSH and anti-Müllerian hormone. Standard IVF utilized more gonadotrophins (PIVF demonstrated better odds for pregnancy (OR 7.07; P=0.046) and higher cumulative pregnancy rates (63.3% versus 21.4%; OR 6.6; P=0.02). Adjustments for age, ethnicity and diagnosis maintained significance but oocyte adjustment did not. Cost assessments failed to reveal differences between LI-IVF and standard IVF. In this small study, LI-IVF reduced pregnancy chances without demonstrating cost advantages, raising questions about its utility. In the absence of established clinical and/or economic foundations, LI-IVF should be considered an experimental procedure. Low-intensity IVF (LI-IVF) is increasingly propagated as an alternative to standard IVF. LI-IVF has, however, never been properly assessed in comparison to standard IVF. Such a comparison is presented in the format of a small pilot study, matching LI-IVF cycles with regular IVF cycles and comparing outcomes as well as costs. The study suggests that LI-IVF, at least in this setting, is clinically inferior and economically at best similar to standard IVF. LI-IVF should, therefore, as of this point not be offered as routine IVF treatment but only as an experimental procedure. Copyright © 2012 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  14. Assisted reproductive technologies in Ghana: transnational undertakings, local practices and ‘more affordable’ IVF

    Directory of Open Access Journals (Sweden)

    Trudie Gerrits

    2016-06-01

    Full Text Available The article sketches the origins and development of IVF in Ghana as a highly transnational undertaking. Movements are from and to Africa, involving human beings (providers and users, and also refer to other entities such as technologies, skills and knowledge. None of these movements are paid for using public money, neither are they subsidized by international health organizations. Currently, ‘more affordable’ IVF is being introduced into Ghana, on initiative of the first Association of Childless Couples of Ghana (ACCOG, in collaboration with the Belgium based non-profit organization the Walking Egg (tWE, representing another form of transnational networking. The article underlines the scarcity of well-trained embryologists in Ghana, which turns the embryologists’ expertise and skills into a scarce and precious commodity and guarantees this expertise becomes a major challenge for the directors of the private clinics. Next to local Ghanaian couples, the clinics also attend to transnational reproductive travellers, including women and men from neighbouring countries and Ghanaians in the diaspora returning to their country of origin. Their manifold motivations to cross borders and visit the IVF clinics in Ghana provide insight into the structural conditions impeding or facilitating the use of assisted reproductive technologies at different local sites. Transnational movements also include the flow of new procreation practices (such as surrogacy and the use of donor material, which (re-shape existing cultural and societal notions regarding kinship and the importance of blood/genetic ties. Finally, the article lists a number of thematic and theoretical issues which require further exploration and studies.

  15. The birth and routinization of IVF in China

    DEFF Research Database (Denmark)

    Wahlberg, Ayo

    2016-01-01

    How can it be that China today is home to some of the world’s largest IVF clinics, carrying out as many as 30,000 cycles annually? In this article, I address how IVF was developed in China during the early 1980s only to be routinized during the exact same period that one of the world’s most...... comprehensive family planning programmes aimed at preventing birth was being rolled out. IVF was not merely imported into China, rather it was experimentally developed within China into a form suitable for its restrictive family planning regulations. As a result, IVF and other assisted reproductive technologies...

  16. Subsidence caused by an underground nuclear explosion

    Energy Technology Data Exchange (ETDEWEB)

    Hakala, W W [Environmental Research Corp., Alexandria, VA (United States)

    1970-05-15

    An underground nuclear detonation creates a cavity, which may be followed by the formation of a rubble chimney and possibly by a surface subsidence crater. A knowledge of the mechanisms of surface and subsurface subsidence is valuable not only because of the potential engineering uses of the chimneys and craters that may form, but also for the prevention of surface damage. Some of the parameters that are of interest in the subsidence phenomenon are the height and volume of the chimney, the porosity of the chimney, the crater size (depth and radius) and shape, and the time required after detonation for formation of the chimney or crater. The influence of the properties of the subsidence medium on the geometry of the subsidence crater must be considered. The conditions under which partial or complete subsidence is prevented must also be studied. The applicability of the relations that have been developed for the flow of bulk solids for relatively small masses and low pressures to the subsidence problem associated with nuclear explosions is examined. Rational modifications are made to describe the subsidence problem. Sensitivity of the subsidence parameters to material properties and the prevailing geometry is shown. Comparison with observed results at the Nevada Test Site is made and the variations encountered are found to be within reasonable limits. The chimney size and subsidence crater dimensions are found to be a function of the bulking characteristics of the medium, the strength parameters, the dimensions of the subsurface cavity, and the depth of the cavity. The great influence of the strength parameters on the collapse times is shown. For a given medium, the prevention of subsidence is dependent on the cavity size. (author)

  17. Internal maternal position of women who became pregnant using IVF

    Directory of Open Access Journals (Sweden)

    Vera A. Yakupova

    2015-03-01

    Full Text Available Nowadays in vitro fertilization procedure is widespread. Due to improvements in medical technology parenting has become possible for couples who were doomed to childlessness. Practical request for psychological support couples who have decided to take part in the IVF program has been raised. Shaping the internal position of the IVF parent takes place in special psychological conditions. The IVF procedure is preceded by a period of infertility, the procedure is often the last chance to have a baby alone. Participation in the IVF program involves regular contact with doctors, medical personnel access to the intimate sphere of life couples. The paper analyzes the attitude of women participating in the IVF pregnancy program, the unborn baby and parenting - the elements constituting the parent position. The study which was attended by 224 pregnant women, 62 participants of IVF program and 162 women with physiological pregnancy was carried out on the basis of Kulakov Scientific Centre for Obstetrics, Gynecology and Perinatology. When analyzing the data obtained we were able to identify features of the internal position of women who became pregnant using IVF. In comparison with a group of women with physiological pregnancy, the IVF program participants tend to romanticize the role of parent and child. IVF program participants demonstrate unwillingness to take on the role of parent. The main motivation of mothers in the IVF group concentrated on the very fact of pregnancy and childbirth, proper parenting, while care and support for children is not appealing to women who became pregnant using IVF. Important conditions for becoming a parent are the experience of motherhood and the time of pregnancy expectation.

  18. 30 CFR 817.121 - Subsidence control.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Subsidence control. 817.121 Section 817.121... ACTIVITIES § 817.121 Subsidence control. (a) Measures to prevent or minimize damage. (1) The permittee must... control plan prepared pursuant to § 784.20 of this chapter. (c) Repair of damage—(1) Repair of damage to...

  19. Protection of pipelines affected by surface subsidence

    International Nuclear Information System (INIS)

    Luo, Y.; Peng, S.S.; Chen, H.J.

    1998-01-01

    Surface subsidence resulting from underground coal mining can cause problems for buried pipelines. A technique for assessing the level of stress on a subsidence-affected pipeline is introduced. The main contributors to the stress are identified, and mitigation techniques for reducing the stress are proposed. The proposed mitigation techniques were then successfully tested. 13 refs., 8 figs., 2 tabs

  20. Perinatal outcome in singletons after modified natural cycle IVF and standard IVF with ovarian stimulation

    NARCIS (Netherlands)

    Pelinck, Marie-Jose; Keizer, Marjan H.; Hoek, Annemieke; Simons, Arnold H. M.; Schelling, Karin; Middelburg, Karin; Heineman, Maas Jan

    Objective: Singletons born after IVF treatment are at risk for adverse pregnancy outcome, the cause of which is unknown. The aim of the present study was to investigate the influence of ovarian stimulation on perinatal outcome. Study design: In this single-centre retrospective study, perinatal

  1. Perinatal outcome in singletons after modified natural cycle IVF and standard IVF with ovarian stimulation

    NARCIS (Netherlands)

    Pelinck, Marie-José; Keizer, Marjan H.; Hoek, Annemieke; Simons, Arnold H. M.; Schelling, Karin; Middelburg, Karin; Heineman, Maas Jan

    2010-01-01

    Objective: Singletons born after IVF treatment are at risk for adverse pregnancy outcome, the cause of which is unknown. The aim of the present study was to investigate the influence of ovarian stimulation on perinatal outcome. Study design: In this single-centre retrospective study, perinatal

  2. Basement tectonics and flexural subsidence along western continental margin of India

    Directory of Open Access Journals (Sweden)

    D.K. Pandey

    2017-09-01

    Full Text Available The Paleocene-recent post-rift subsidence history recorded in the Mumbai Offshore Basin off western continental margin of India is examined. Results obtained through 2-D flexural backstripping modelling of new seismic data reveal considerable thermo-tectonic subsidence over last ca. 56 Myr. Reverse post-rift subsidence modelling with variable β stretching factor predicts residual topography of ca. 2000 m to the west of Shelf Margin Basin and fails to restore late Paleocene horizon and the underlying igneous basement to the sea level. This potentially implies that: (1 either the igneous basement formed during the late Cretaceous was emplaced under open marine environs; or (2 a laterally varying cumulative subsidence occurred within Mumbai Offshore Basin (MOB during ca. 68 to ca. 56 Ma. Pre-depositional topographic variations at ca. 56 Ma across the basin could be attributed to the extensional processes such as varied lower crustal underplating along Western Continental Margin of India (WCMI. Investigations about basement tectonics after unroofing of sediments since late Paleocene from this region support a transitional and heavily stretched nature of crust with high to very high β factors. Computations of past sediment accumulation rates show that the basin sedimentation peaked during late Miocene concurrently with uplift of Himalayan–Tibetan Plateau and intensification of Indian monsoon system. Results from basin subsidence modelling presented here may have significant implications for further studies attempting to explore tectono–climatic interactions in Asia.

  3. Congenital malformations in 4224 children conceived after IVF

    NARCIS (Netherlands)

    Anthony, S.; Buitendijk, S. E.; Dorrepaal, C. A.; Lindner, K.; Braat, D. D. M.; den Ouden, A. L.

    2002-01-01

    BACKGROUND: The percentage of children born after IVF will continue to increase due to demographic changes such as increasing maternal age and new developments in assisted reproduction techniques. IVF conceptions may carry an increased risk of congenital malformations. METHODS: We compared overall

  4. Mild strategies for IVF: from theory to practice

    NARCIS (Netherlands)

    Verberg, M.F.G.

    2007-01-01

    Over the last 25 years, ovarian stimulation for IVF treatment has gradually become more complex, time consuming and expensive. Recently, the downsides of ovarian stimulation have attracted increasing attention. Currently, a shift in the focus of IVF is occurring from striving for maximizing instant

  5. Mild ovarian stimulation for IVF: 10 years later

    DEFF Research Database (Denmark)

    Fauser, Bart C J M; Nargund, Geeta; Andersen, Anders Nyboe

    2010-01-01

    Ovarian stimulation to achieve multiple follicle development has been an integral part of IVF treatment. In the context of improved laboratory performance, the need for a large number of oocytes as an integral part of a successful IVF programme may be questioned. The aim of the current debate is ...

  6. IVF global histories, USA: between Rock and a marketplace

    Directory of Open Access Journals (Sweden)

    Charis Thompson

    2016-06-01

    Full Text Available The USA has played, and continues to play, a distinctive and significant part in the history of IVF and assisted reproductive technology worldwide. American IVF emerged in the scientific context of contraceptive and fertility research, in the social context of a wealthy nation without universal healthcare, and in the political context of the abortion debate and its impact on federal versus state funding and regulation. IVF had its first clinical success in the USA in 1981. Since then, IVF in the USA has become known for procedures involving third, fourth and fifth parties as gamete donors and surrogates. The USA has also been one of the pioneers in domestic and transnational deployment of IVF for lesbian, gay, bisexual, transgender (LGBT parenthood, and a pioneer of the social egg-freezing revolution. US IVF has been marked by professional and patient advocacy for such things as the honest reporting of success rates, recognition of the risks of postponed childbearing, and the need for insurance coverage. Certain landmark legal custody disputes over IVF embryos and offspring, as well as media attention to gendered, racialized, and class-based access to and pricing of assisted reproductive technology, have also driven the development of IVF in the USA.

  7. Natural cycle in vitro fertilisation (IVF) for subfertile couples

    NARCIS (Netherlands)

    Allersma, Thomas; Farquhar, Cindy; Cantineau, Astrid E. P.

    2013-01-01

    Background Subfertility affects 15% to 20% of couples trying to conceive. In vitro fertilisation (IVF) is one of the assisted reproduction techniques developed to improve chances of achieving pregnancy. In the standard IVF method with controlled ovarian hyperstimulation (COH), growth and development

  8. Eight years' experience with an IVF surrogate gestational pregnancy programme.

    Science.gov (United States)

    Raziel, Arieh; Schachter, Morey; Strassburger, Deborah; Komarovsky, Dafna; Ron-El, Raphael; Friedler, Shevach

    2005-08-01

    The aim of this study was to retrospectively audit eight years' experience of an IVF surrogate gestational programme and to compare the outcome of surrogacy due to absence of the uterus with surrogacy indicated for repeated IVF failure and recurrent abortions. A total of 60 cycles of IVF surrogate pregnancy were initiated in 19 treated couples. Absence of the uterus was the indication for surrogacy in 10 cases: Rokitansky syndrome (eight cases) and post-hysterectomy (two cases) designated as group A. The indications in the remaining nine patients (group B) were: IVF implantation failure (three cases), habitual abortions (four cases) and deteriorating maternal diseases (two cases). IVF performance and subsequent pregnancy outcome of groups A and B were compared. There was no difference in ovarian stimulation parameters and in IVF performance between the groups A and B. The overall pregnancy rate per transfer was 10/60 (17%). The pregnancy rates per patient and per transfer were 7/10 (70%) and 7/35 (20%) in group A compared with 3/9 (33%) and 3/25 (12%) in group B. A median number of three treatment cycles were needed to achieve pregnancy. In conclusion, the existence or absence of the uterus in the commissioning mothers is irrelevant for their IVF performance and conception rates. In patients who conceived after more than three IVF cycles, an additional 'oocyte factor' might be present.

  9. Consequences of vanishing twins in IVF/ICSI pregnancies

    DEFF Research Database (Denmark)

    Pinborg, Anja Bisgaard; Lidegaard, Ojvind; la Cour Freiesleben, Nina

    2005-01-01

    Spontaneous reductions are a possible cause of the increased morbidity in IVF singletons. The aim of this study was to assess incidence rates of spontaneous reductions in IVF/ICSI twin pregnancies and to compare short- and long-term morbidity in survivors of a vanishing co-twin with singletons...

  10. Achievement test performance in children conceived by IVF.

    Science.gov (United States)

    Mains, L; Zimmerman, M; Blaine, J; Stegmann, B; Sparks, A; Ansley, T; Van Voorhis, B

    2010-10-01

    Long-term follow-up studies of children conceived by IVF are limited. We examine academic performance on standardized tests [Iowa Tests of Basic Skills/Educational Development (ITBS/ITED)] of children conceived by IVF. Parents of children 8-17 years of age at the onset of the study (March 2008) who were conceived by IVF at the University of Iowa Hospitals and Clinics and living in the state of Iowa were contacted by mail. Parents completed questionnaires on their child's health and education and parental education. ITBS/ITED scores from school grades 3-12 were obtained on IVF children and a group of anonymous children matched by grade, year, gender and school district. Scores were analyzed using linear mixed models. Four hundred and ninety-seven couples were contacted. Two hundred and ninety-five couples (463 children) agreed to participate (59.4% of parents), with ITBS/ITED scores available on 423 children (91.4% of participants). IVF children scored higher than the national mean (P divorce and child's BMI. Cryopreservation, length of embryo culture and method of insemination did not affect scores. IVF children scored higher on standardized tests than their matched peers, suggesting that IVF does not have a negative effect on cognitive development. However, long-term follow-up of IVF children is still limited. Further research should be performed on the effect of multiple gestation on academic performance.

  11. Congenital malformations in 4224 children conceived after IVF.

    NARCIS (Netherlands)

    Anthony, S.; Buitendijk, S.E.; Dorrepaal, C.A.; Lindner, K.; Braat, D.D.M.; Ouden, A.L. den

    2002-01-01

    BACKGROUND: The percentage of children born after IVF will continue to increase due to demographic changes such as increasing maternal age and new developments in assisted reproduction techniques. IVF conceptions may carry an increased risk of congenital malformations. METHODS: We compared overall

  12. Congenital malformations in 4224 children conceived after IVF

    NARCIS (Netherlands)

    Anthony, S.; Buitendijk, S.E.; Dorrepaal, C.A.; Lindner, K.; Braat, D.D.M.; Ouden, A.L. den

    2002-01-01

    Background: The percentage of children born after IVF will continue to increase due to demographic changes such as increasing maternal age and new developments in assisted reproduction techniques. IVF conceptions may carry an increased risk of congenital malformations. Methods: We compared overall

  13. The birth and routinization of IVF in China

    DEFF Research Database (Denmark)

    Wahlberg, Ayo

    2016-01-01

    How can it be that China today is home to some of the world’s largest IVF clinics, carrying out as many as 30,000 cycles annually? In this article, I address how IVF was developed in China during the early 1980s only to be routinized during the exact same period that one of the world’s most compr...

  14. Land Subsidence International Symposium held in Venice

    Science.gov (United States)

    The Third International Symposium on Land Subsidence was held March 18-25, 1984, in Venice, Italy. Sponsors were the Ground-Water Commission of the International Association of Hydrological Sciences (IAHS), the United Nations Educational, Scientific, and Cultural Organization (UNESCO), the Italian National Research Council (CNR), the Italian Regions of Veneto and Emilia-Romagna, the Italian Municipalities of Venice, Ravenna, and Modena, the Venice Province, and the European Research Office. Cosponsors included the International Association of Hydrogeologists (IAH), the International Society for Soil Mechanics and Foundation Engineering (ISSMFE), and the Association of Geoscientists for International Development (AGID).Organized within the framework of UNESCO's International Hydrological Program, the symposium brought together over 200 international interdisciplinary specialists in the problems of land subsidence due to fluid and mineral withdrawal. Because man's continuing heavy development of groundwater, gas, oil, and minerals is changing the natural regime and thus causing more and more subsiding areas in the world, there had been sufficient new land subsidence occurrence, problems, research, and remedial measures since the 1976 Second International Symposium held in Anaheim, California, to develop a most interesting program of nearly 100 papers from about 30 countries. The program consisted of papers covering case histories of fluid and mineral withdrawal, engineering theory and analysis, karst “sink-hole”-type subsidence, subsidence due to dewatering of organic deposits or due to application of water (hydrocompaction), instrumentation, legal, socioeconomic, and environmental effects of land subsidence, and remedial works.

  15. Data Acquisition for Land Subsidence Control

    Science.gov (United States)

    Zhu, Y.; Balke, K.

    2009-12-01

    For controlling land subsidence caused by groundwater over-exploitation, loading of engineered structures, mining and other anthropogenic activities in this fast changing world, a large variety of different data of various scales of concerning areas are needed for scientific study and administrative operational purposes. The economical, social and environmental impacts of anthropogenic land subsidence have long been recognized by many scientific institutions and management authorities based on results of monitoring and analysis at an interdisciplinary level. The land subsidence information systems composed of the surface and subsurface monitoring nets (monitoring and development wells, GPS stations and other facilities) and local data processing centers as a system management tool in Shanghai City was started with the use of GPS technology to monitor land subsidence in 1998. After years of experiences with a set of initiatives by adopting adequate countermeasures, the particular attention given to new improved methodologies to monitor and model the process of land subsidence in a simple and timely way, this is going to be promoted in the whole Yangtze River Delta region in China, where land subsidence expands in the entire region of urban cluster. The Delta land subsidence monitoring network construction aims to establish an efficient and coordinated water resource management system. The land subsidence monitoring network records "living history" of land subsidence, produces detailed scheduled reports and environmental impact statements. For the different areas with local factors and site characteristics, parallel packages need to be designed for predicting changes, land sensitivity and uncertainty analysis, especially for the risk analysis in the rapid growth of megacities and urban areas. In such cases, the new models with new types of local data and the new ways of data acquisition provide the best information for the decision makers for their mitigating

  16. Balancing selected medication costs with total number of daily injections: a preference analysis of GnRH-agonist and antagonist protocols by IVF patients

    Directory of Open Access Journals (Sweden)

    Sills E

    2012-08-01

    Full Text Available Abstract Background During in vitro fertilization (IVF, fertility patients are expected to self-administer many injections as part of this treatment. While newer medications have been developed to substantially reduce the number of these injections, such agents are typically much more expensive. Considering these differences in both cost and number of injections, this study compared patient preferences between GnRH-agonist and GnRH-antagonist based protocols in IVF. Methods Data were collected by voluntary, anonymous questionnaire at first consultation appointment. Patient opinion concerning total number of s.c. injections as a function of non-reimbursed patient cost associated with GnRH-agonist [A] and GnRH-antagonist [B] protocols in IVF was studied. Results Completed questionnaires (n = 71 revealed a mean +/− SD patient age of 34 +/− 4.1 yrs. Most (83.1% had no prior IVF experience; 2.8% reported another medical condition requiring self-administration of subcutaneous medication(s. When out-of-pocket cost for [A] and [B] were identical, preference for [B] was registered by 50.7% patients. The tendency to favor protocol [B] was weaker among patients with a health occupation. Estimated patient costs for [A] and [B] were $259.82 +/− 11.75 and $654.55 +/− 106.34, respectively (p  Conclusions This investigation found consistently higher non-reimbursed direct medication costs for GnRH-antagonist IVF vs. GnRH-agonist IVF protocols. A conditional preference to minimize downregulation (using GnRH-antagonist was noted among some, but not all, IVF patient sub-groups. Compared to IVF patients with a health occupation, the preference for GnRH-antagonist was weaker than for other patients. While reducing total number of injections by using GnRH-antagonist is a desirable goal, it appears this advantage is not perceived equally by all IVF patients and its utility is likely discounted heavily by patients when nonreimbursed medication costs

  17. Balancing selected medication costs with total number of daily injections: a preference analysis of GnRH-agonist and antagonist protocols by IVF patients.

    Science.gov (United States)

    Sills, E Scott; Collins, Gary S; Salem, Shala A; Jones, Christopher A; Peck, Alison C; Salem, Rifaat D

    2012-08-30

    During in vitro fertilization (IVF), fertility patients are expected to self-administer many injections as part of this treatment. While newer medications have been developed to substantially reduce the number of these injections, such agents are typically much more expensive. Considering these differences in both cost and number of injections, this study compared patient preferences between GnRH-agonist and GnRH-antagonist based protocols in IVF. Data were collected by voluntary, anonymous questionnaire at first consultation appointment. Patient opinion concerning total number of s.c. injections as a function of non-reimbursed patient cost associated with GnRH-agonist [A] and GnRH-antagonist [B] protocols in IVF was studied. Completed questionnaires (n = 71) revealed a mean +/- SD patient age of 34 +/- 4.1 yrs. Most (83.1%) had no prior IVF experience; 2.8% reported another medical condition requiring self-administration of subcutaneous medication(s). When out-of-pocket cost for [A] and [B] were identical, preference for [B] was registered by 50.7% patients. The tendency to favor protocol [B] was weaker among patients with a health occupation. Estimated patient costs for [A] and [B] were $259.82 +/- 11.75 and $654.55 +/- 106.34, respectively (p cost difference increased. This investigation found consistently higher non-reimbursed direct medication costs for GnRH-antagonist IVF vs. GnRH-agonist IVF protocols. A conditional preference to minimize downregulation (using GnRH-antagonist) was noted among some, but not all, IVF patient sub-groups. Compared to IVF patients with a health occupation, the preference for GnRH-antagonist was weaker than for other patients. While reducing total number of injections by using GnRH-antagonist is a desirable goal, it appears this advantage is not perceived equally by all IVF patients and its utility is likely discounted heavily by patients when nonreimbursed medication costs reach a critical level.

  18. Prenatal screening for chromosomal abnormalities in IVF patients that opted for preimplantation genetic screening/diagnosis (PGS/D): a need for revised algorithms in the era of personalized medicine.

    Science.gov (United States)

    Takyi, Afua; Santolaya-Forgas, Joaquin

    2017-06-01

    Obstetricians offer prenatal screening for most common chromosomal abnormalities to all pregnant women including those that had in vitro fertilization (IVF) and preimplantation genetic screening/diagnosis (PGS/D). We propose that free fetal DNA in maternal circulation together with the second trimester maternal serum alfa feto protein (MSAFP) and ultrasound imaging is the best prenatal screening test for chromosomal abnormalities and congenital anomalies in IVF-PGD/S patients because risk estimations from all other prenatal screening algorithms for chromosomal abnormalities depend heavily on maternal age which is irrelevant in PGS/D patients.

  19. Maternal death related to IVF in the Netherlands 1984-2008.

    NARCIS (Netherlands)

    Braat, D.D.M.; Schutte, J.M.; Bernardus, R.E.; Mooij, T.M.; Leeuwen, F.E. van

    2010-01-01

    BACKGROUND: We assessed all deaths in the Netherlands that might have been related to IVF or to an IVF pregnancy in order to investigate this most serious complication. METHODS: All deaths related to IVF, within 1 year after IVF, from 1984 to 2008 were collected by sending a letter to all

  20. Offshore gravimetric and subsidence monitoring

    Energy Technology Data Exchange (ETDEWEB)

    Stenvold, Torkjell

    2008-06-15

    The introduction (Chapter 1) is complemented by the introductions given in Chapters 2 to 8. I am the first author of the articles in chapter 2 and 8. For the 5 articles in between I am a coauthor, and the sum of my contributions to those articles (as quantified by the respective first authors) represents about one article. Chapter 2 contains the article 'High-precision relative depth and subsidence mapping from seafloor water-pressure measurements' by Stenvold et al. (2006), published in the SPE Journal. It was submitted in March 2005, and a revised version that also contained results from the Troll 2005 survey (August) was submitted in February 2006. The method of obtaining high-precision relative depth measurements by the use of mobile pressure gauges is presented. Intra-survey and inter-survey depth repeatabilities from six surveys are presented, and the individual contributing errors are discussed and estimated. Average reservoir compressibility for the Troll field between 2002 and 2005 is obtained by matching measured subsidence with modeled subsidence. Chapter 3 contains the article 'A new seafloor gravimeter' by Sasagawa et al. (2003), published in Geophysics. It was submitted in September 2001, and a revised version was submitted in August 2002. This article describes the ROVDOG (Remotely operated Vehicledeployed Deep-Ocean Gravimeter) in detail. Gravity and pressure repeatability results from the two first Troll surveys in 1998 and 2000 are presented. Data reduction, instrumental and environmental corrections are also presented. Chapter 4 contains the article 'Precision of seafloor gravity and pressure measurements for reservoir monitoring' by Zumberge et al., and was submitted 29 February 2008 to Geophysics. This builds on the article by Sasagawa et al. (Chapter 3). Improvements and upto date intra- and inter survey repeatability results are presented. The emphasis is on gravity results since the relative depth measurements

  1. Review: Regional land subsidence accompanying groundwater extraction

    Science.gov (United States)

    Galloway, Devin L.; Burbey, Thomas J.

    2011-01-01

    The extraction of groundwater can generate land subsidence by causing the compaction of susceptible aquifer systems, typically unconsolidated alluvial or basin-fill aquifer systems comprising aquifers and aquitards. Various ground-based and remotely sensed methods are used to measure and map subsidence. Many areas of subsidence caused by groundwater pumping have been identified and monitored, and corrective measures to slow or halt subsidence have been devised. Two principal means are used to mitigate subsidence caused by groundwater withdrawal—reduction of groundwater withdrawal, and artificial recharge. Analysis and simulation of aquifer-system compaction follow from the basic relations between head, stress, compressibility, and groundwater flow and are addressed primarily using two approaches—one based on conventional groundwater flow theory and one based on linear poroelasticity theory. Research and development to improve the assessment and analysis of aquifer-system compaction, the accompanying subsidence and potential ground ruptures are needed in the topic areas of the hydromechanical behavior of aquitards, the role of horizontal deformation, the application of differential synthetic aperture radar interferometry, and the regional-scale simulation of coupled groundwater flow and aquifer-system deformation to support resource management and hazard mitigation measures.

  2. Mild ovarian stimulation for IVF: 10 years later

    DEFF Research Database (Denmark)

    Fauser, Bart C J M; Nargund, Geeta; Andersen, Anders Nyboe

    2010-01-01

    Ovarian stimulation to achieve multiple follicle development has been an integral part of IVF treatment. In the context of improved laboratory performance, the need for a large number of oocytes as an integral part of a successful IVF programme may be questioned. The aim of the current debate...... is to summarize the studies performed during the last decade to develop the concept of mild stimulation aiming to obtain fewer than eight oocytes. Here we examine the balance between IVF success and patient discomfort, and complications and cost, and how these might improve by simpler ovarian stimulation...

  3. Current trends of reproductive immunology practices in in vitro fertilization (IVF) - a first world survey using IVF-Worldwide.com.

    Science.gov (United States)

    Kwak-Kim, Joanne; Han, Ae Ra; Gilman-Sachs, Alice; Fishel, Simon; Leong, Milton; Shoham, Zeev

    2013-01-01

    Reproductive immunology has evolved from basic research studies to clinical applications. In this study, we aim to investigate the actual application of reproductive immunology concepts and findings in clinical reproductive medicine such as recurrent pregnancy losses (RPL), repeated implantation failures (RIF), and failed in vitro fertilization (IVF) cycles. A web-based survey was performed on IVF-Worldwide.com. Collected data were analyzed by the computerized software. A significant proportion of physicians recommend thrombophilia workups (86%), parental genetic study (79%), and immunologic evaluations (69%) to IVF candidates who have a history of RPL or chemical pregnancy losses. IVF physicians consider an immunologic workup when patients have two (30%) or three (21%) failed IVF cycles. Assays for anticardiolipin antibody, lupus anticoagulant, thyroid peroxidase antibody, and antinuclear antibody are the four most commonly ordered immunologic tests for RPL (88, 84, 50, 47% each) and RIF (68, 63, 38, 38% each). Cellular immune evaluations, such as NK assay, human leukocyte antigen study, Th1/Th2 study or immunophenotype assay, are less commonly ordered. Reproductive immunology principles have been applied to the clinical management of RPL, RIF, and failed IVF cycles, and a significant proportion of IVF physicians acknowledge the importance of immunologic alterations with reproductive outcomes. © 2012 John Wiley & Sons A/S.

  4. Predicting ongoing pregnancy chances after IVF and ICSI: A national prospective study

    OpenAIRE

    Lintsen, Bea; Eijkemans, René; Hunault, C.C.; Bouwmans-Frijters, Clazien; Hakkaart-van Roijen, Leona; Habbema, Dik; Braat, Didi

    2007-01-01

    textabstractBackground: The Dutch IVF guideline suggests triage of patients for IVF based on diagnostic category, duration of infertility and female age. There is no evidence for the effectiveness of these criteria. We evaluated the predictive value of patient characteristics that are used in the Dutch IVF guideline and developed a model that predicts the IVF ongoing pregnancy chance within 12 months. Methods: In a national prospective cohort study, pregnancy chances after IVF and ICSI treatm...

  5. Effects of subfertility cause, smoking and body weight on the success rate of IVF

    OpenAIRE

    Lintsen, A.M.; Jong, P.C.M. Pasker-de; Boer, de, E.J.; Burger, C.W.; Jansen, C.A.; Braat, D.D.; Leeuwen, van, F.E.

    2005-01-01

    Background: We investigated the separate and combined effects of smoking and body mass index (BMI) on the success rate of IVF for couples with different causes of subfertility. Methods: The success rate of IVF was examined in 8457 women. Detailed information on reproduction and lifestyle factors was combined with medical record data on IVF treatment. All IVF clinics in The Netherlands participated in this study. The main outcome measures were live birth rate per first cycle of IVF differentia...

  6. Positron trapping in heavily irradiated semiconductors

    International Nuclear Information System (INIS)

    Moser, P.; Pautrat, J.L.; Corbel, C.; Hautojarvi, P.

    1985-01-01

    Vacancy processes are studied in several heavily irradiated semiconductors. Specimens are ZnTe, CdTe, CdTe (In), InP, InP (Cr), InP (Zn) and Ge. Irradiations are made at 20 K using a 3 MeV Van de Graaff electron accelerator. Doses are 4 x 10 18 e - /cm 2 . Lifetime measurements are made at 77 K at each step of an isochronal annealing (30 min 20 K). In each specimen, the results show a significant increase of the lifetime (+ 30 at + 50 ps) which anneals out in different steps restoring the initial lifetime. The steps are sharp (ΔT/T=0.3) with the exception of InP, InP(Cr), InP(Zn), (ΔT/T=0.9). Tentative interpretations are given

  7. Conductivity and superconductivity in heavily vacant diamond

    Directory of Open Access Journals (Sweden)

    S A Jafari

    2009-08-01

    Full Text Available   Motivated by the idea of impurity band superconductivity in heavily Boron doped diamond, we investigate the doping of various elements into diamond to address the question, which impurity band can offer a better DOS at the Fermi level. Surprisingly, we find that the vacancy does the best job in producing the largest DOS at the Fermi surface. To investigate the effect of disorder in Anderson localization of the resulting impurity band, we use a simple tight-binding model. Our preliminary study based on the kernel polynomial method shows that the impurity band is already localized at the concentration of 10-3. Around the vacancy concentration of 0.006 the whole spectrum of diamond becomes localized and quantum percolation takes place. Therefore to achieve conducting bands at concentrations on the scale of 5-10 percent, one needs to introduce correlations such as hopping among the vacancies .

  8. Combination of IVF and IVM in naturally cycling women

    DEFF Research Database (Denmark)

    Tang-Pedersen, Mikael; Westergaard, Lars Grabow; Erb, Karin

    2012-01-01

    This study investigated the combination of an unstimulated IVF cycle with in-vitro maturation (IVM) of additional immature cumulus-oocyte-complexes (COC) from the same cycle collected at the same time as the spontaneous preovulatory follicle. This could potentially improve rates of embryo transfer...... and pregnancy/live births compared with conventional unstimulated IVF treatment and at the same time eliminate the risk of ovarian hyperstimulation syndrome. This prospective trial included 77 women with regular menstrual cycles. Age at inclusion was between 20 and 37 years. Results showed a retrieval rate...... between endometrial factors and IVM oocytes together with unknown competence of IVM embryos is suspected. For some time, there has been an increasing interest in mild approaches for fertility treatment, in particular IVF. In-vitro maturation (IVM) of immature eggs outside the ovaries followed by IVF...

  9. GnRH antagonist versus long agonist protocols in IVF

    DEFF Research Database (Denmark)

    Lambalk, C B; Banga, F R; Huirne, J A

    2017-01-01

    BACKGROUND: Most reviews of IVF ovarian stimulation protocols have insufficiently accounted for various patient populations, such as ovulatory women, women with polycystic ovary syndrome (PCOS) or women with poor ovarian response, and have included studies in which the agonist or antagonist...... was not the only variable between the compared study arms. OBJECTIVE AND RATIONALE: The aim of the current study was to compare GnRH antagonist protocols versus standard long agonist protocols in couples undergoing IVF or ICSI, while accounting for various patient populations and treatment schedules. SEARCH...... in couples undergoing IVF or ICSI. The primary outcome was ongoing pregnancy rate. Secondary outcomes were: live birth rate, clinical pregnancy rate, number of oocytes retrieved and safety with regard to ovarian hyperstimulation syndrome (OHSS). Separate comparisons were performed for the general IVF...

  10. First Irish birth following IVF therapy using antagonist protocol.

    LENUS (Irish Health Repository)

    Mocanu, E V

    2012-02-01

    BACKGROUND: During in vitro fertilization (IVF), the prevention of a premature LH surge was traditionally achieved using a gonadotrophin releasing hormone agonist (GnRH-a), and more recently, a GnRH antagonist. AIMS: We report a case of a 37 year old treated using the GnRH antagonist in a second completed cycle of IVF. METHODS: IVF was performed for primary infertility of 5-year duration due to frozen pelvis secondary to endometriosis. RESULTS: Following controlled ovarian hyperstimulation, oocyte recovery and fertilization, cleavage and transfer of two zygotes, a pregnancy established. A twin gestation was diagnosed at 7-weeks scan and pregnancy ended with the delivery of twin girls by emergency caesarean section. CONCLUSION: This is a first report of a delivery following IVF using the antagonist protocol in Ireland. Such therapy is patient friendly and its use should be introduced on a larger scale in clinical practice.

  11. Cost-effectiveness of primary offer of IVF vs. primary offer of IUI followed by IVF (for IUI failures) in couples with unexplained or mild male factor subfertility.

    Science.gov (United States)

    Pashayan, Nora; Lyratzopoulos, Georgios; Mathur, Raj

    2006-06-23

    In unexplained and mild male factor subfertility, both intrauterine insemination (IUI) and in-vitro fertilisation (IVF) are indicated as first line treatments. Because the success rate of IUI is low, many couples failing IUI subsequently require IVF treatment. In practice, it is therefore important to examine the comparative outcomes (live birth-producing pregnancy), costs, and cost-effectiveness of primary offer of IVF, compared with primary offer of IUI followed by IVF for couples failing IUI. Mathematical modelling was used to estimate comparative clinical and cost effectiveness of either primary offer of one full IVF cycle (including frozen cycles when applicable) or "IUI + IVF" (defined as primary IUI followed by IVF for IUI failures) to a hypothetical cohort of subfertile couples who are eligible for both treatment strategies. Data used in calculations were derived from the published peer-reviewed literature as well as activity data of local infertility units. Cost-effectiveness ratios for IVF, "unstimulated-IUI (U-IUI) + IVF", and "stimulated IUI (S-IUI) + IVF" were 12,600 pounds sterling, 13,100 pound sterling and 15,100 pound sterling per live birth-producing pregnancy respectively. For a hypothetical cohort of 100 couples with unexplained or mild male factor subfertility, compared with primary offer of IVF, 6 cycles of "U-IUI + IVF" or of "S-IUI + IVF" would cost an additional 174,200 pounds sterling and 438,000 pounds sterling, representing an opportunity cost of 54 and 136 additional IVF cycles and 14 to 35 live birth-producing pregnancies respectively. For couples with unexplained and mild male factor subfertility, primary offer of a full IVF cycle is less costly and more cost-effective than providing IUI (of any modality) followed by IVF.

  12. Cost-effectiveness of primary offer of IVF vs. primary offer of IUI followed by IVF (for IUI failures in couples with unexplained or mild male factor subfertility

    Directory of Open Access Journals (Sweden)

    Lyratzopoulos Georgios

    2006-06-01

    Full Text Available Abstract Background In unexplained and mild male factor subfertility, both intrauterine insemination (IUI and in-vitro fertilisation (IVF are indicated as first line treatments. Because the success rate of IUI is low, many couples failing IUI subsequently require IVF treatment. In practice, it is therefore important to examine the comparative outcomes (live birth-producing pregnancy, costs, and cost-effectiveness of primary offer of IVF, compared with primary offer of IUI followed by IVF for couples failing IUI. Methods Mathematical modelling was used to estimate comparative clinical and cost effectiveness of either primary offer of one full IVF cycle (including frozen cycles when applicable or "IUI + IVF" (defined as primary IUI followed by IVF for IUI failures to a hypothetical cohort of subfertile couples who are eligible for both treatment strategies. Data used in calculations were derived from the published peer-reviewed literature as well as activity data of local infertility units. Results Cost-effectiveness ratios for IVF, "unstimulated-IUI (U-IUI + IVF", and "stimulated IUI (S-IUI + IVF" were £12,600, £13,100 and £15,100 per live birth-producing pregnancy respectively. For a hypothetical cohort of 100 couples with unexplained or mild male factor subfertility, compared with primary offer of IVF, 6 cycles of "U-IUI + IVF" or of "S-IUI + IVF" would cost an additional £174,200 and £438,000, representing an opportunity cost of 54 and 136 additional IVF cycles and 14 to 35 live birth-producing pregnancies respectively. Conclusion For couples with unexplained and mild male factor subfertility, primary offer of a full IVF cycle is less costly and more cost-effective than providing IUI (of any modality followed by IVF.

  13. Neonatal and maternal outcomes comparing women undergoing two in vitro fertilization (IVF) singleton pregnancies and women undergoing one IVF twin pregnancy.

    Science.gov (United States)

    Sazonova, Antonina; Källen, Karin; Thurin-Kjellberg, Ann; Wennerholm, Ulla-Britt; Bergh, Christina

    2013-03-01

    To compare outcomes for women undergoing two in vitro fertilization (IVF) pregnancies with singletons and women undergoing one IVF twin pregnancy. The concept of single-embryo transfer in IVF has reduced the risks of both maternal and neonatal complications, but there is still a discussion of whether or not twins are a desired outcome of IVF. Registry study. Not applicable. All reported twins after IVF with double-embryo transfer (n = 1,982) and their mothers (n = 991) and all mothers (n = 921) who gave birth to two IVF singletons (n = 1,842). None. Maternal and neonatal outcomes including severe neonatal morbidity. Preterm birth, very preterm birth, low birth weight, very low birth weight, and small for gestational age were dramatically increased for IVF twins compared with two IVF singletons with the same mother, with adjusted odds ratios from 4 to 16. Significantly higher rates of respiratory complications, sepsis, and jaundice were detected among the IVF twins. Significantly higher rates of preeclampsia, preterm premature rupture of the membranes, and cesarean section were observed for IVF twin pregnancies. The neonatal and maternal outcomes were dramatically better for women undergoing two IVF singleton pregnancies compared with one IVF twin pregnancy after double-embryo transfer. These results support single-embryo transfer to minimize the risks associated with twin pregnancies. Copyright © 2013 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  14. Impact of coal mining subsidence on farmland in eastern China

    International Nuclear Information System (INIS)

    Hu, Z.; Hu, F.; Li, J.; Li, H.

    1997-01-01

    This paper discusses damage characteristics of farmland due to coal mining subsidence in eastern China. The landscape of the mining subsidence trough has been divided into three zones; central zone, trough margin zone an dinner-edge zone. Each zone had a specific characteristic of deformation. The water accumulation, prone (downward sloping) land and fissures are typical damage characteristics of the subsidence landscape in eastern China. Based on soils analysis at different positions of the subsidence trough, the impact of mining subsidence on soil properties was identified. The physical properties of soil sensitive to mining subsidence were bulk density, water content and hydraulic conductivity, and they showed worsening form the top to the centre of the subsidence trough. Except for soil electrical conductivity, the tested soil chemical properties were not so sensitive to mining subsidence. They may however change after subsidence. An accumulation of salt was found in both new and old subsidence areas and the old subsidence area had a higher salt content. The soil biomass C in newly subsided land showed a decreasing trend from the top to the centre of the subsidence trough, but no obvious trend was observed in the old subsidence areas. Based on the soil analysis of subsided land, soil erosion was identified as a serious problem, most severe in the middle of the prone land. 4 refs., 5 figs., 1 tab

  15. The psychological impact of IVF failure after two or more cycles of IVF with a mild versus standard treatment strategy

    OpenAIRE

    Klerk, Cora; Macklon, Nick; Heijnen, E.M.; Eijkemans, René; Fauser, Bart; Passchier, Jan; Hunfeld, Joke

    2007-01-01

    textabstractBackground: Failure of IVF treatment after a number of cycles can be devastating for couples. Although mild IVF strategies reduce the psychological burden of treatment, failure may cause feelings of regret that a more aggressive approach, including the transfer of two embryos, was not employed. In this study, the impact of treatment failure after two or more cycles on stress was studied, following treatment with a mild versus a standard treatment strategy. Methods: Randomized cont...

  16. Robust processing of mining subsidence monitoring data

    Energy Technology Data Exchange (ETDEWEB)

    Mingzhong, Wang; Guogang, Huang [Pingdingshan Mining Bureau (China); Yunjia, Wang; Guogangli, [China Univ. of Mining and Technology, Xuzhou (China)

    1997-12-31

    Since China began to do research on mining subsidence in 1950s, more than one thousand lines have been observed. Yet, monitoring data sometimes contain quite a lot of outliers because of the limit of observation and geological mining conditions. In China, nowdays, the method of processing mining subsidence monitoring data is based on the principle of the least square method. It is possible to produce lower accuracy, less reliability, or even errors. For reason given above, the authors, according to Chinese actual situation, have done some research work on the robust processing of mining subsidence monitoring data in respect of how to get prediction parameters. The authors have derived related formulas, designed some computational programmes, done a great quantity of actual calculation and simulation, and achieved good results. (orig.)

  17. November 2016 West Hackberry Subsidence Report

    Energy Technology Data Exchange (ETDEWEB)

    Moriarty, Dylan Michael [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Lord, Anna C. Snider [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-02-01

    Subsidence monitoring is a critical component to understanding the cavern integrity of salt storage caverns. This report looks at historical and recent data from two of the three West Hackberry dome cavern operators. DOE SPR and LA Storage are coordinating subsidence surveys to create a comprehensive understanding of ground movement above the dome. Data from annual level and rod surveys, GPS, and tiltmeter data show the sites are experiencing typical ground movement. The highest subsidence rate is seen in the middle of the DOE SPR site at just under one inch per year with less ground movement around the edge of the site. A GPS and tiltmeter instrument in the northeast areas of the DOE SPR site has not seen any trend change since the devices were installed in 2013. Comparison between recent ground movement data and historical trends suggest that there is no reason to believe that any DOE SPR or LA Storage caverns have been structurally compromised.

  18. Robust processing of mining subsidence monitoring data

    Energy Technology Data Exchange (ETDEWEB)

    Wang Mingzhong; Huang Guogang [Pingdingshan Mining Bureau (China); Wang Yunjia; Guogangli [China Univ. of Mining and Technology, Xuzhou (China)

    1996-12-31

    Since China began to do research on mining subsidence in 1950s, more than one thousand lines have been observed. Yet, monitoring data sometimes contain quite a lot of outliers because of the limit of observation and geological mining conditions. In China, nowdays, the method of processing mining subsidence monitoring data is based on the principle of the least square method. It is possible to produce lower accuracy, less reliability, or even errors. For reason given above, the authors, according to Chinese actual situation, have done some research work on the robust processing of mining subsidence monitoring data in respect of how to get prediction parameters. The authors have derived related formulas, designed some computational programmes, done a great quantity of actual calculation and simulation, and achieved good results. (orig.)

  19. Subsidence prediction in Estonia's oil shale mines

    International Nuclear Information System (INIS)

    Pastarus, J.R.; Toomik, A.

    2000-01-01

    This paper analysis the stability of the mining blocks in Estonian oil shale mines, where the room-and-pillar mining system is used. The pillars are arranged in a singular grid. The oil shale bed is embedded at the depth of 40-75 m. The processes in overburden rocks and pillars have caused the subsidence of the ground surface. The conditional thickness and sliding rectangle methods performed calculations. The results are presented by conditional thickness contours. Error does not exceed 4%. Model allows determining the parameters of spontaneous collapse of the pillars and surface subsidence. The surface subsidence parameters will be determined by conventional calculation scheme. Proposed method suits for stability analysis, failure prognosis and monitoring. 8 refs

  20. Subsidence from an artificial permafrost warming experiment.

    Science.gov (United States)

    Gelvin, A.; Wagner, A. M.; Lindsey, N.; Dou, S.; Martin, E. R.; Ekblaw, I.; Ulrich, C.; James, S. R.; Freifeld, B. M.; Daley, T. M.; Saari, S.; Ajo Franklin, J. B.

    2017-12-01

    Using fiber optic sensing technologies (seismic, strain, and temperature) we installed a geophysical detection system to predict thaw subsidence in Fairbanks, Alaska, United States. Approximately 5 km of fiber optic was buried in shallow trenches (20 cm depth), in an area with discontinuous permafrost, where the top of the permafrost is approximately 4 - 4.5m below the surface. The thaw subsidence was enforced by 122 60-Watt vertical heaters installed over a 140 m2 area where seismic, strain, and temperature were continuously monitored throughout the length of the fiber. Several vertical thermistor strings were also recording ground temperatures to a depth of 10 m in parallel to the fiber optic to verify the measurements collected from the fiber optic cable. GPS, Electronic Distance Measurement (EDM) Traditional and LiDAR (Light and Detection and Ranging) scanning were used to investigate the surface subsidence. The heaters were operating for approximately a three month period starting in August, 2016. During the heating process the soil temperatures at the heater element increased from 3.5 to 45 °C at a depth of 3 - 4 m. It took approximately 7 months for the temperature at the heater elements to recover to their initial temperature. The depth to the permafrost table was deepened by about 1 m during the heating process. By the end of the active heating, the surface had subsided approximately 8 cm in the heating section where permafrost was closest to the surface. This was conclusively confirmed with GPS, EDM, and LiDAR. An additional LiDAR survey was performed about seven months after the heaters were turned off (in May 2017). A total subsidence of approximately 20 cm was measured by the end of the passive heating process. This project successfully demonstrates that this is a viable approach for simulating both deep permafrost thaw and the resulting surface subsidence.

  1. Natural cycle in vitro fertilisation (IVF) for subfertile couples.

    Science.gov (United States)

    Allersma, Thomas; Farquhar, Cindy; Cantineau, Astrid E P

    2013-08-30

    Subfertility affects 15% to 20% of couples trying to conceive. In vitro fertilisation (IVF) is one of the assisted reproduction techniques developed to improve chances of achieving pregnancy. In the standard IVF method with controlled ovarian hyperstimulation (COH), growth and development of multiple follicles are stimulated by using gonadotrophins, often combined with a gonadotrophin-releasing hormone (GnRH) agonist or antagonist. Although it is an established method of conception for subfertile couples, the treatment is expensive and has a high risk of adverse effects. Studies have shown that IVF in a natural cycle (NC) or a modified natural cycle (MNC) might be a promising low risk and low cost alternative to the standard stimulated IVF treatment since the available dominant follicle of each cycle is used. In this review, we included available randomised controlled studies comparing natural cycle IVF (NC and MNC) with standard IVF. To compare the efficacy and safety of natural cycle IVF (including both NC-IVF and MNC-IVF) with controlled ovarian hyperstimulation IVF (COH-IVF) in subfertile couples. An extended search including of the Menstrual Disorders and Subfertility Group (MDSG) Specialised Register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, ClinicalTrials.gov, conference abstracts in the Web of Knowledge, the World Health Organization International Trials Registry Platform search portal, LILACS database, PubMed and the OpenSIGLE database was conducted according to Cochrane guidelines. The last search was on 31st July 2013. All randomised controlled trials (RCTs) comparing either natural cycle IVF or modified natural cycle IVF versus standard IVF in subfertile couples were included. Data selection and extraction and risk of bias assessment were carried out independently by two authors (TA and AC). The primary outcome measures were live birth rate and ovarian hyperstimulation syndrome (OHSS) rate per randomised woman. We

  2. Long term subsidence movements and behavior of subsidence-damaged structures

    International Nuclear Information System (INIS)

    Mahar, J.W.; Marino, G.G.

    1999-01-01

    Surface ground movement related to sag mine subsidence has been monitored above Illinois abandoned room and pillar coal workings for periods of more than 15 years. The long term movement related to a specific mine subsidence is typically small relative to the initial displacements but have caused crack and tilt damage in both repaired and unrepaired structures. Seasonal variations in ground surface elevations are superimposed on the downward movement related to mine subsidence. Thus it is necessary to measure long term subsidence movement at about the same time each year in order to minimize environmental factors. This paper presents long term monitoring data from five subsidence sags in central and southern Illinois. The abandoned coal mine workings are located at depths of 160 to 460 ft below the ground surface. measured residual mine subsidence ranges between 1.4 and 3.6 in. 4.4 to 15 years after mine failure. The magnitude of downward displacement is greater than settlement design values (1 in.) and are at rates (0.0004 to 0.0056 ft/month) that cause damage to structures. Most of the damage in unrepaired structures occurs along existing cracks and separations. In all five cases, the ground movements are continuing at residual rates. Sag subsidence movement in Illinois takes place for a minimum of five years after the damage is manifested at the ground surface. A classification of say development is provided based on the displacement-time data

  3. Review of subsidence and stabilization techniques

    International Nuclear Information System (INIS)

    Fernando, D.A.

    1988-01-01

    In Britain the damage caused by underground coal mining operations approximates to about 100 million pounds Sterling per annum, most of the damage resulting from longwall mining operations. Causes of subsidence can be attributed to the following factors: (1) roof failure (2) pillar failure (3) floor movements. Currently, in Britain, the mining industry is undergoing a state of decline for economic reasons. Consequently, the number of old coal sites available for development schemes has increased. Therefore, the problems associated with subsidence can be segregated into two parts. The first being the mitigation of the effects of subsidence on structures on actively mined areas. The second being the stabilization and rehabilitation of ground over and around old mine sites for new development schemes. In the former case the stabilization techniques employed may be local or global, depending on the problems encountered in any particular area. In the latter case, generally, grouting techniques are employed. This paper aims to review the causes of subsidence and the techniques used to minimize its effect on structures. Also, more economic alternative methods of ground stabilization techniques are described and proposed, to be used in this area of ground engineering

  4. Subsidence of Surtsey volcano, 1967-1991

    Science.gov (United States)

    Moore, J.G.; Jakobsson, S.; Holmjarn, J.

    1992-01-01

    The Surtsey marine volcano was built on the southern insular shelf of Iceland, along the seaward extension of the east volcanic zone, during episodic explosive and effusive activity from 1963 to 1967. A 1600-m-long, east-west line of 42 bench marks was established across the island shortly after volcanic activity stopped. From 1967 to 1991 a series of leveling surveys measured the relative elevation of the original bench marks, as well as additional bench marks installed in 1979, 1982 and 1985. Concurrent measurements were made of water levels in a pit dug on the north coast, in a drill hole, and along the coastline exposed to the open ocean. These surveys indicate that the dominant vertical movement of Surtsey is a general subsidence of about 1.1??0.3 m during the 24-year period of observations. The rate of subsidence decreased from 15-20 cm/year for 1967-1968 to 1-2 cm/year in 1991. Greatest subsidence is centered about the eastern vent area. Through 1970, subsidence was locally greatest where the lava plain is thinnest, adjacent to the flanks of the eastern tephra cone. From 1982 onward, the region closest to the hydrothermal zone, which is best developed in the vicinity of the eastern vent, began showing less subsidence relative to the rest of the surveyed bench marks. The general subsidence of the island probably results from compaction of the volcanic material comprising Surtsey, compaction of the sea-floor sediments underlying the island, and possibly downwarping of the lithosphere due to the laod of Surtsey. The more localized early downwarping near the eastern tephra cone is apparently due to greater compaction of tephra relative to lava. The later diminished local subsidence near the hydrothermal zone is probably due to a minor volume increase caused by hydrous alteration of glassy tephra. However, this volume increase is concentrated at depth beneath the bottom of the 176-m-deep cased drillhole. ?? 1992 Springer-Verlag.

  5. Logistics of large scale commercial IVF embryo production.

    Science.gov (United States)

    Blondin, P

    2016-01-01

    The use of IVF in agriculture is growing worldwide. This can be explained by the development of better IVF media and techniques, development of sexed semen and the recent introduction of bovine genomics on farms. Being able to perform IVF on a large scale, with multiple on-farm experts to perform ovum pick-up and IVF laboratories capable of handling large volumes in a consistent and sustainable way, remains a huge challenge. To be successful, there has to be a partnership between veterinarians on farms, embryologists in the laboratory and animal owners. Farmers must understand the limits of what IVF can or cannot do under different conditions; veterinarians must manage expectations of farmers once strategies have been developed regarding potential donors; and embryologists must maintain fluent communication with both groups to make sure that objectives are met within predetermined budgets. The logistics of such operations can be very overwhelming, but the return can be considerable if done right. The present mini review describes how such operations can become a reality, with an emphasis on the different aspects that must be considered by all parties.

  6. Why do couples discontinue unlimited free IVF treatments?

    Science.gov (United States)

    Lande, Yechezkel; Seidman, Daniel S; Maman, Ettie; Baum, Micha; Hourvitz, Ariel

    2015-03-01

    Worldwide, IVF is often discontinued before a live birth is achieved due to high costs. Even when partial financial coverage is provided, often medical providers advise treatment discontinuation. In Israel, unlimited IVF is offered free of charge for a couples' first two children. Our objective was to assess the reasons couples discontinue IVF treatments before achieving two children in a completely unlimited cost-free environment. This cohort study included all primary infertile women, reason they ceased treatments. Of the 134 couples included, only 46 ceased IVF treatments without achieving two children, after performing an average of 6.2 IVF cycles to achieve their first birth. The reasons given were: lost hope of success (13), psychological burden (18), divorce (6), medical staff recommendation (5), bureaucratic difficulties (3) and general medical condition (1). The main reasons for "drop out" in our cost-free environment were as follows: psychological burden and lost hope of success. Due to high availability of treatments, medical staff recommendation was a less significant factor in our study.

  7. How should we assess the safety of IVF technologies?

    Science.gov (United States)

    Brison, Daniel R; Roberts, Stephen A; Kimber, Susan J

    2013-12-01

    Clinical IVF treatment was established over 30 years ago through pioneering work by Edwards and Steptoe and other teams around the world and is now considered routine treatment. However, the pace of scientific and technological advances means that IVF practitioners can now access an increasing array of new and invasive technologies. The examples are many but include: extended embryo culture, development of media to include growth factors, developments in genetic screening, use of time-lapse technology and the advent of vitrification of embryos and oocytes. In parallel, wider scientific and medical advances are raising our awareness of the potential impact of assisted reproduction technology on areas such as embryonic development, gene expression and genomic imprinting and the developmental origins of health and disease. A recently suggested paradigm for assessing new technologies in IVF includes development in animal models such as rodents and large animals, preclinical research with human gametes and embryos donated to research, prospective clinical trials in IVF and, finally, follow-up studies of IVF children. In this paper, we describe efforts to address key areas of this pathway, namely preclinical research using human gametes/embryos and long-term, follow-up studies of the health of assisted reproduction children. Copyright © 2013 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  8. DInSAR-Based Detection of Land Subsidence and Correlation with Groundwater Depletion in Konya Plain, Turkey

    Directory of Open Access Journals (Sweden)

    Fabiana Caló

    2017-01-01

    Full Text Available In areas where groundwater overexploitation occurs, land subsidence triggered by aquifer compaction is observed, resulting in high socio-economic impacts for the affected communities. In this paper, we focus on the Konya region, one of the leading economic centers in the agricultural and industrial sectors in Turkey. We present a multi-source data approach aimed at investigating the complex and fragile environment of this area which is heavily affected by groundwater drawdown and ground subsidence. In particular, in order to analyze the spatial and temporal pattern of the subsidence process we use the Small BAseline Subset DInSAR technique to process two datasets of ENVISAT SAR images spanning the 2002–2010 period. The produced ground deformation maps and associated time-series allow us to detect a wide land subsidence extending for about 1200 km2 and measure vertical displacements reaching up to 10 cm in the observed time interval. DInSAR results, complemented with climatic, stratigraphic and piezometric data as well as with land-cover changes information, allow us to give more insights on the impact of climate changes and human activities on groundwater resources depletion and land subsidence.

  9. Subsidence Contours for South Louisiana; UTM 15N NAD83; LRA (2005); [subsidence_contours

    Data.gov (United States)

    Louisiana Geographic Information Center — The GIS data shapefile represents average subsidence contour intervals (0.02 cm/year over 10,000 years) for Coastal LA derived from the following: Kulp, M.A., 2000,...

  10. Weight reduction intervention for obese infertile women prior to IVF

    DEFF Research Database (Denmark)

    Einarsson, Snorri; Bergh, Christina; Friberg, Britt

    2017-01-01

    in the weight reduction group reaching BMI ≤ 25 kg/m2 or reaching a weight loss of at least five BMI units to the IVF only group. No statistical differences in live birth rates between the groups in either subgroup analysis were found. LIMITATIONS, REASON FOR CAUTION: The study was not powered to detect a small......STUDY QUESTION: Does an intensive weight reduction programme prior to IVF increase live birth rates for infertile obese women? SUMMARY ANSWER: An intensive weight reduction programme resulted in a large weight loss but did not substantially affect live birth rates in obese women scheduled for IVF...... in infertile obese women. STUDY DESIGN, SIZE, DURATION: A prospective, multicentre, randomized controlled trial was performed between 2010 and 2016 in the Nordic countries. In total, 962 women were assessed for eligibility and 317 women were randomized. Computerized randomization with concealed allocation...

  11. Altered gene expression in human placentas after IVF/ICSI.

    Science.gov (United States)

    Nelissen, Ewka C M; Dumoulin, John C M; Busato, Florence; Ponger, Loïc; Eijssen, Lars M; Evers, Johannes L H; Tost, Jörg; van Montfoort, Aafke P A

    2014-12-01

    Is gene expression in placental tissue of IVF/ICSI patients altered when compared with a spontaneously conceived group, and are these alterations due to loss of imprinting (LOI) in the case of imprinted genes? An altered imprinted gene expression of H19 and Pleckstrin homology-like domain family A member 2 (PHLDA2), which was not due to LOI, was observed in human placentas after IVF/ICSI and several biological pathways were significantly overrepresented and mostly up-regulated. Genomic imprinting plays an important role in placental biology and in placental adaptive responses triggered by external stimuli. Changes in placental development and function can have dramatic effects on the fetus and its ability to cope with the intrauterine environment. An increased frequency of placenta-related problems as well as an adverse perinatal outcome is seen in IVF/ICSI derived pregnancies, but the role of placental epigenetic deregulation is not clear yet. In this prospective cohort study, a total of 115 IVF/ICSI and 138 control couples were included during pregnancy. After applying several exclusion criteria (i.e. preterm birth or stillbirth, no placental samples, pregnancy complications or birth defects), respectively, 81 and 105 placentas from IVF/ICSI and control pregnancies remained for analysis. Saliva samples were collected from both parents. We quantitatively analysed the mRNA expression of several growth-related imprinted genes [H19, insulin-like growth factor 2 (IGF2), PHLDA2, cyclin-dependent kinase inhibitor 1C (CDKN1C), mesoderm-specific transcript homolog (MEST) isoform α and β by quantitative PCR] after standardization against three housekeeping genes [Succinate dehydrogenase A (SDHA), YWHAZ and TATA-binding protein (TBP)]. A quantitative allele-specific expression analysis of the differentially expressed imprinted genes was performed to investigate LOI, independent of the mechanism of imprinting. Furthermore, a microarray analysis was carried out (n = 10 in

  12. How to deal with subsidence in the Dutch delta?

    NARCIS (Netherlands)

    Stouthamer, E.; Erkens, G.

    2017-01-01

    In many deltas worldwide subsidence still is an underestimated problem, while the threat posed by land subsidence low-lying urbanizing and urbanized deltas exceeds the threat of sea-level rise induced by climate change. Human-induced subsidence is driven by the extraction of hydrocarbons and

  13. Pregnancy chances on an IVF/ICSI waiting list: a national prospective cohort study.

    NARCIS (Netherlands)

    Eijkemans, M.J.; Lintsen, A.M.E.; Hunault, C.C.; Bouwmans, C.A.; Hakkaart, L.; Braat, D.D.M.; Habbema, J.D.F.

    2008-01-01

    BACKGROUND: The effectiveness of IVF over expectant management has been proven only for bilateral tubal occlusion. We aimed to estimate the chance of pregnancy without treatment for IVF patients, using data on the waiting period before the start of IVF. METHODS: A prospective cohort study included

  14. Perceived barriers to elective single embryo transfer among IVF professionals: a national survey.

    NARCIS (Netherlands)

    Peperstraten, A.M. van; Hermens, R.P.M.G.; Nelen, W.L.D.M.; Stalmeier, P.F.M.; Scheffer, G.J.; Grol, R.P.T.M.; Kremer, J.A.M.

    2008-01-01

    BACKGROUND: After initial years of improvement, the multiple pregnancy rate after in vitro fertilization (IVF) in Europe now remains stable at 23% with single embryo transfer (SET) constituting 19% of all IVF cycles. Although elective SET prevents multiple pregnancies after IVF, couples and

  15. 3P: Personalized Pregnancy Prediction in IVF Treatment Process

    Science.gov (United States)

    Uyar, Asli; Ciray, H. Nadir; Bener, Ayse; Bahceci, Mustafa

    We present an intelligent learning system for improving pregnancy success rate of IVF treatment. Our proposed model uses an SVM based classification system for training a model from past data and making predictions on implantation outcome of new embryos. This study employs an embryo-centered approach. Each embryo is represented with a data feature vector including 17 features related to patient characteristics, clinical diagnosis, treatment method and embryo morphological parameters. Our experimental results demonstrate a prediction accuracy of 82.7%. We have obtained the IVF dataset from Bahceci Women Health, Care Centre, in Istanbul, Turkey.

  16. Revised guidelines for good practice in IVF laboratories (2015).

    Science.gov (United States)

    De los Santos, Maria José; Apter, Susanna; Coticchio, Giovanni; Debrock, Sophie; Lundin, Kersti; Plancha, Carlos E; Prados, Fernando; Rienzi, Laura; Verheyen, Greta; Woodward, Bryan; Vermeulen, Nathalie

    2016-04-01

    Which recommendations can be provided by the European Society of Human Reproduction and Embryology Special Interest Group (ESHRE SIG) Embryology to support laboratory specialists in the organization and management of IVF laboratories and the optimization of IVF patient care? Structured in 13 sections, the guideline development group formulated recommendations for good practice in the organization and management of IVF laboratories, and for good practice of the specific procedures performed within the IVF laboratory. NA. The guideline was produced by a group of 10 embryologists representing different European countries, settings and levels of expertise. The group evaluated the document of 2008, and based on this assessment, each group member rewrote one or more sections. Two 2-day meetings were organized during which each of the recommendations was discussed and rewritten until consensus within the guideline group was reached. After finalizing the draft, the members of the ESHRE SIG embryology were invited to review the guideline. NA. The guideline provides recommendations on the general organization of an IVF laboratory (staffing and direction, quality management, laboratory safety), and on the specific aspects of the procedures performed in IVF laboratories (Identification of patients and traceability of their reproductive cells, consumables, handling of biological material, oocyte retrieval, sperm preparation, insemination of oocytes, scoring for fertilization, embryo culture and transfer, and cryopreservation). A last section provides recommendations regarding an Emergency plan for IVF laboratories. Evidence on most of the issues described is scarce, and therefore it was decided not to perform a formal search for and assessment of scientific evidence. However, recommendations published in the EUTCD and relevant and recent documents, manuals and consensus papers were taken into account when formulating the recommendations. Despite the limitations, the guideline

  17. Natural versus anthropogenic subsidence of Venice.

    Science.gov (United States)

    Tosi, Luigi; Teatini, Pietro; Strozzi, Tazio

    2013-09-26

    We detected land displacements of Venice by Persistent Scatterer Interferometry using ERS and ENVISAT C-band and TerraSAR-X and COSMO-SkyMed X-band acquisitions over the periods 1992-2010 and 2008-2011, respectively. By reason of the larger observation period, the C-band sensors was used to quantify the long-term movements, i.e. the subsidence component primarily ascribed to natural processes. The high resolution X-band satellites reveal a high effectiveness to monitor short-time movements as those induced by human activities. Interpolation of the two datasets and removal of the C-band from the X-band map allows discriminating between the natural and anthropogenic components of the subsidence. A certain variability characterizes the natural subsidence (0.9 ± 0.7 mm/yr), mainly because of the heterogeneous nature and age of the lagoon subsoil. The 2008 displacements show that man interventions are responsible for movements ranging from -10 to 2 mm/yr. These displacements are generally local and distributed along the margins of the city islands.

  18. Mine subsidence event at Washington West Apartments

    International Nuclear Information System (INIS)

    Wilson, D.B.; Weber, M.W.; Purdy, J.; Acker, P.

    1994-01-01

    A major mine subsidence event occurred in Scranton, PA in early 1993. The initial damage included breakage of gas and water lines, cracking of pavements and sidewalks, and architectural damage to the seven-story apartment building that houses about 150 elderly persons. Visible damage include a 3/4-in dilation of the expansion joint separating the building, approximately 200 interior and exterior cracks, and distress to utility lines. The Office of Surface mining Reclamation and Enforcement (OSM) funded an integrated geotechnical and structural engineering investigation to determine the cause of the subsidence, the limits of affected areas, and the nature of damage to the building. Work included interior surveys, exterior surveys, installation of crack gages, eight subsurface borings, review of building design drawings, review of geologic and mining data, and structural analysis of the rigid steel frame building. The surveys showed the building had undergone movements consisting of a lateral translation, a longitudinal differential settlement, and a transverse differential settlement. Preliminary structural analyses showed that the differential settlements had introduced significant additional stresses in some of the building columns. This paper provides a case history of the cause and effects of the subsidence event. The techniques used to collect and analyze the data are presented along with the findings of the geotechnical and structural engineering investigations. The paper also describes emergency actions that were implemented, the remedial alternatives that were considered, and the method selected as the recommended alternative

  19. IVF, same-sex couples and the value of biological ties

    DEFF Research Database (Denmark)

    Di Nucci, Ezio

    2016-01-01

    Ought parents, in general, to value being biologically tied to their children? Is it important, in particular, that both parents be biologically tied to their children? I will address these fundamental questions by looking at a fairly new practice within IVF treatments, so-called IVF......-with-ROPA (Reception of Oocytes from Partner), which allows lesbian couples to 'share motherhood', with one partner providing the eggs while the other becomes pregnant. I believe that IVF-with-ROPA is, just like other IVF treatments, morally permissible, but here I argue that the increased biological ties which IVF...

  20. The ISMAAR proposal on terminology for ovarian stimulation for IVF

    NARCIS (Netherlands)

    Nargund, G.; Fauser, B. C. J. M.; Macklon, N. S.; Ombelet, W.; Nygren, K.; Frydman, R.

    IVF is performed with oocytes collected in natural and stimulated cycles. Different approaches to ovarian stimulation have been employed worldwide. Following the introduction of GnRH antagonists and strategies to reduce multiple births such as single embryo transfer, there is a genuine scientific

  1. The Effect of Endometrial Thickness on In vitro Fertilization (IVF ...

    African Journals Online (AJOL)

    The value of measuring the endometrial thickness and studying the endometrial receptivity in the context of assisted conception remains a contentious issue. A prospective analysis was carried out to determine the effect of endometrial thickness on IVF - embryo transfer / ICSI outcome in dedicated Assisted Reproductive ...

  2. Why doesn't conventional IVF work in the horse?

    NARCIS (Netherlands)

    Leemans, Bart; Gadella, Bart M; Stout, Tom Arjun Edgar; De Schauwer, Catharina; Nelis, Hilde Maria; Hoogewijs, Maarten; Van Soom, Ann

    2016-01-01

    In contrast to man and many other mammalian species, conventional in vitro fertilization (IVF) with horse gametes is not reliably successful. The apparent inability of stallion spermatozoa to penetrate the zona pellucida in vitro is most likely due to incomplete activation of spermatozoa

  3. Optimization of IVF pregnancy outcomes with donor spermatozoa.

    Science.gov (United States)

    Wang, Jeff G; Douglas, Nataki C; Prosser, Robert; Kort, Daniel; Choi, Janet M; Sauer, Mark V

    2009-03-01

    To identify risk factors for suboptimal IVF outcomes using insemination with donor spermatozoa and to define a lower threshold that may signal a conversion to fertilization by ICSI rather than insemination. Retrospective, age-matched, case-control study of women undergoing non-donor oocyte IVF cycles using either freshly ejaculated (N=138) or cryopreserved donor spermatozoa (N=69). Associations between method of fertilization, semen sample parameters, and pregnancy rates were analyzed. In vitro fertilization of oocytes with donor spermatozoa by insemination results in equivalent fertilization and pregnancy rates compared to those of freshly ejaculated spermatozoa from men with normal semen analyses when the post-processing motility is greater than or equal to 88%. IVF by insemination with donor spermatozoa when the post-processing motility is less than 88% is associated with a 5-fold reduction in pregnancy rates when compared to those of donor spermatozoa above this motility threshold. When the post-processing donor spermatozoa motility is low, fertilization by ICSI is associated with significantly higher pregnancy rates compared to those of insemination. While ICSI does not need to be categorically instituted when using donor spermatozoa in IVF, patients should be counseled that conversion from insemination to ICSI may be recommended based on low post-processing motility.

  4. Current Internet use and preferences of IVF and ICSI patients.

    NARCIS (Netherlands)

    Haagen, E.C.; Tuil, W.S.; Hendriks, J.H.C.L.; Bruijn, R.P. de; Braat, D.D.M.; Kremer, J.A.M.

    2003-01-01

    BACKGROUND: Nowadays, the Internet has a tremendous impact on modern society, including healthcare practice. The study aim was to characterize current Internet use by IVF and ICSI patients and to identify their preferences regarding Internet applications in fertility care. METHODS: A total of 163

  5. The ISMAAR proposal on terminology for ovarian stimulation for IVF

    NARCIS (Netherlands)

    Nargund, G.; Fauser, B. C. J. M.; Macklon, N. S.; Ombelet, W.; Nygren, K.; Frydman, R.

    2007-01-01

    IVF is performed with oocytes collected in natural and stimulated cycles. Different approaches to ovarian stimulation have been employed worldwide. Following the introduction of GnRH antagonists and strategies to reduce multiple births such as single embryo transfer, there is a genuine scientific

  6. Pregnancy outcome in women with endometriosis achieving pregnancy with IVF.

    Science.gov (United States)

    Benaglia, Laura; Candotti, Giorgio; Papaleo, Enrico; Pagliardini, Luca; Leonardi, Marta; Reschini, Marco; Quaranta, Lavinia; Munaretto, Maria; Viganò, Paola; Candiani, Massimo; Vercellini, Paolo; Somigliana, Edgardo

    2016-12-01

    Are women with endometriosis who conceive with IVF at increased risk of preterm birth? Women with endometriosis who conceive with IVF do not face an increased risk of preterm birth. The eutopic endometrium of women with endometriosis has been repeatedly shown to present molecular and cellular alterations. On this basis, it has been hypothesized that pregnancy outcome may be altered in affected women. However, to date, available evidence from epidemiological studies is scanty and conflicting. Data tended to be partly consistent only for an increased risk of preterm birth and placenta previa. Retrospective matched case-control study of women achieving an IVF singleton pregnancy progressing beyond 12 weeks' gestation. Women achieving IVF singleton pregnancies that progressed beyond 12 weeks' gestation at two infertility units were reviewed. Cases were women with a history of surgery for endometriosis and/or with a sonographic diagnosis of the disease at the time of the IVF cycle. Controls were women without current or past evidence of endometriosis who were matched to cases by age (± 6 months), type of cycle (fresh or frozen cycle) and study period. Male factor and unexplained infertility were the most common diagnoses in the control group. Two hundred and thirty-nine women with endometriosis and 239 controls were selected. The main outcome of the study was the rate of preterm birth (birth IVF pregnancies only, and specific data from properly designed studies are required to support any inference for natural pregnancies. The results of our study suggest that women with endometriosis conceiving with IVF can be reassured regarding the risk of preterm birth. The observed association with placenta previa requires further investigation and may open a new avenue of research. No external funding was used for this study. None of the authors have any conflict of interest to declare. © The Author 2016. Published by Oxford University Press on behalf of the European Society

  7. Cardiovascular health of 9-year-old IVF offspring is not associated with IVF but with parental subfertility

    NARCIS (Netherlands)

    Kuiper, D.; Hoek, A.; La Bastide-Van Gemert, S.; Seggers, J.; Heineman, M.J.; Hadders-Algra, M.

    Study question: Does the in vitro procedure, ovarian hyperstimulation or subfertility affect blood pressure (BP) of 9-year-old IVF children born to subfertile couples? Summary answer: Our study demonstrates that the higher BP in 9-year-old children born to subfertile couples is not due to

  8. Flooding hazards from sea extremes and subsidence

    DEFF Research Database (Denmark)

    Sørensen, Carlo; Vognsen, Karsten; Broge, Niels

    2015-01-01

    of tide gauge records, statistics that allow also for projections of SLR, meteorological variability, and extremes with a very low probability of occurrence are provided. Land movement is researched with a focus on short term surface height variability in the groundwater-ocean interface that, together...... with longer term processes, may cause substantial subsidence and impact future water management and adaptation strategies in flood prone coastal areas. Field studies’ results from repeated precise levelling, GPS setups, and ocean and groundwater level monitoring in Thyborøn and Aarhus are integrated...

  9. Evaluation of mining subsidence using GPS data

    Czech Academy of Sciences Publication Activity Database

    Doležalová, Hana; Kajzar, Vlastimil; Souček, Kamil; Staš, Lubomír

    2009-01-01

    Roč. 6, č. 3 (2009), s. 359-367 ISSN 1214-9705. [Czech - Polish Workshop on recent geodynamics of the Sudeten and adjacent areas /9./. Náchod, 12.11.2009-15.11.2009] R&D Projects: GA ČR GA105/07/1586 Institutional research plan: CEZ:AV0Z30860518 Keywords : undermining * subsidence depression * tectonic faults Subject RIV: DC - Siesmology, Volcanology, Earth Structure Impact factor: 0.275, year: 2009 http://apps.isiknowledge.com/full_record.do?product=UA&search_mode

  10. Do Different Stimulation Protocols Effect Oocyte Quality and IVF Outcomes in IVF-ET?

    Directory of Open Access Journals (Sweden)

    Nafiye Yilmaz

    2016-04-01

    Full Text Available Aim: This study was planned to compare the effect of different stimulation protocols (hMG and uFSH on oocyte maturation and in vitro fertilization outcomes. Material and Method: Eighty-two patients admitted Ankara University Obstetrics and Gynecology Clinic- IVF Department were included in this retrospective study. All patients used long GnRH agonist protocol. Fifty-nine patients used human menopausal gonadotropin (hMG (Group 1 and 23 patients used urine derived follicle-stimulating hormone (uFSH (Group 2 for ovulation induction. Maximum follicle diameter, dominant follicle number, endometrial thickness at human chorionic gonadotropin day, duration of induction, dose of gonadotropin, oocyte number and quality, fertilization rate, embryo number and quality, pregnancy rate per cycles and transfer were reported. Results: Maximum follicle diameter, dominant follicle number, immature oocyte number were significantly higher in hMG group vs. uFSH group (p0.05. Discussion: Clinical pregnancy rate was not significantly different in hMG vs. uFSH group. In developing countries, ovarian stimulation agents should be chosen based on patient characteristics and cost.

  11. Remote Excavation of Heavily Contaminated UXO Sites. The Range Master

    National Research Council Canada - National Science Library

    Crandall, Alan L

    2007-01-01

    USA Environmental, Inc., and Timberline Environmental Services, Inc., developed the Range Master, a remote controlled scraper with an integrated power screen, to excavate and sift the top 12 inches of heavily contaminated UXO sites...

  12. Subsidence over AML and its causes - A case study

    International Nuclear Information System (INIS)

    Peng, S.S.; Lin, P.M.; Hsiung, S.M.

    1988-01-01

    Subsidence over abandoned mined lands can be attributed to several causes. For purposes of compensation and liability and developing remedial measures, it is essential to identify the real causes. The detailed procedures for a subsidence investigation and the keys to identify and determine the causes and severity of the damages are illustrated and discussed through a case study in this paper. A subsidence check list has been developed for investigation purposes. The case discussed in this paper is a mining-related subsidence. The associated subsidence index was 60%. The damage to the dwelling was due to tension. The major damage was developed within two days. A crackmeter was installed on the exterior wall to monitor the house movement. An inclinometer casing and a Sondex casing were installed in a borehole to monitor the ground movement. The results of the geotechnical instrumentation are presented to illustrate the procedures developed for investigating the subsidence cases over the abandoned mine lands

  13. Space geodesy: subsidence and flooding in New Orleans.

    Science.gov (United States)

    Dixon, Timothy H; Amelung, Falk; Ferretti, Alessandro; Novali, Fabrizio; Rocca, Fabio; Dokka, Roy; Sella, Giovanni; Kim, Sang-Wan; Wdowinski, Shimon; Whitman, Dean

    2006-06-01

    It has long been recognized that New Orleans is subsiding and is therefore susceptible to catastrophic flooding. Here we present a new subsidence map for the city, generated from space-based synthetic-aperture radar measurements, which reveals that parts of New Orleans underwent rapid subsidence in the three years before Hurricane Katrina struck in August 2005. One such area is next to the Mississippi River-Gulf Outlet (MRGO) canal, where levees failed during the peak storm surge: the map indicates that this weakness could be explained by subsidence of a metre or more since their construction.

  14. Ensemble of ground subsidence hazard maps using fuzzy logic

    Science.gov (United States)

    Park, Inhye; Lee, Jiyeong; Saro, Lee

    2014-06-01

    Hazard maps of ground subsidence around abandoned underground coal mines (AUCMs) in Samcheok, Korea, were constructed using fuzzy ensemble techniques and a geographical information system (GIS). To evaluate the factors related to ground subsidence, a spatial database was constructed from topographic, geologic, mine tunnel, land use, groundwater, and ground subsidence maps. Spatial data, topography, geology, and various ground-engineering data for the subsidence area were collected and compiled in a database for mapping ground-subsidence hazard (GSH). The subsidence area was randomly split 70/30 for training and validation of the models. The relationships between the detected ground-subsidence area and the factors were identified and quantified by frequency ratio (FR), logistic regression (LR) and artificial neural network (ANN) models. The relationships were used as factor ratings in the overlay analysis to create ground-subsidence hazard indexes and maps. The three GSH maps were then used as new input factors and integrated using fuzzy-ensemble methods to make better hazard maps. All of the hazard maps were validated by comparison with known subsidence areas that were not used directly in the analysis. As the result, the ensemble model was found to be more effective in terms of prediction accuracy than the individual model.

  15. Prediction of individual probabilities of livebirth and multiple birth events following in vitro fertilization (IVF): a new outcomes counselling tool for IVF providers and patients using HFEA metrics.

    Science.gov (United States)

    Jones, Christopher A; Christensen, Anna L; Salihu, Hamisu; Carpenter, William; Petrozzino, Jeffrey; Abrams, Elizabeth; Sills, Eric Scott; Keith, Louis G

    2011-01-01

    In vitro fertilization (IVF) has become a standard treatment for subfertility after it was demonstrated to be of value to humans in 1978. However, the introduction of IVF into mainstream clinical practice has been accompanied by concerns regarding the number of multiple gestations that it can produce, as multiple births present significant medical consequences to mothers and offspring. When considering IVF as a treatment modality, a balance must be set between the chance of having a live birth and the risk of having a multiple birth. As IVF is often a costly decision for patients-financially, medically, and emotionally-there is benefit from estimating a patient's specific chance that IVF could result in a birth as fertility treatment options are contemplated. Historically, a patient's "chance of success" with IVF has been approximated from institution-based statistics, rather than on the basis of any particular clinical parameter (except age). Furthermore, the likelihood of IVF resulting in a twin or triplet outcome must be acknowledged for each patient, given the known increased complications of multiple gestation and consequent increased risk of poor birth outcomes. In this research, we describe a multivariate risk assessment model that incorporates metrics adapted from a national 7.5-year sampling of the Human Fertilisation & Embryology Authority (HFEA) dataset (1991-1998) to predict reproductive outcome (including estimation of multiple birth) after IVF. To our knowledge, http://www.formyodds.com is the first Software-as-a-Service (SaaS) application to predict IVF outcome. The approach also includes a confirmation functionality, where clinicians can agree or disagree with the computer-generated outcome predictions. It is anticipated that the emergence of predictive tools will augment the reproductive endocrinology consultation, improve the medical informed consent process by tailoring the outcome assessment to each patient, and reduce the potential for adverse

  16. Defining poor and optimum performance in an IVF programme.

    Science.gov (United States)

    Castilla, Jose A; Hernandez, Juana; Cabello, Yolanda; Lafuente, Alejandro; Pajuelo, Nuria; Marqueta, Javier; Coroleu, Buenaventura

    2008-01-01

    At present there is considerable interest in healthcare administration, among professionals and among the general public concerning the quality of programmes of assisted reproduction. There exist various methods for comparing and analysing the results of clinical activity, with graphical methods being the most commonly used for this purpose. As yet, there is no general consensus as to how the poor performance (PP) or optimum performance (OP) of assisted reproductive technologies should be defined. Data from the IVF/ICSI register of the Spanish Fertility Society were used to compare and analyse different definitions of PP or OP. The primary variable best reflecting the quality of an IVF/ICSI programme was taken to be the percentage of singleton births per IVF/ICSI cycle initiated. Of the 75 infertility clinics that took part in the SEF-2003 survey, data on births were provided by 58. A total of 25 462 cycles were analysed. The following graphical classification methods were used: ranking of the proportion of singleton births per cycles started in each centre (league table), Shewhart control charts, funnel plots, best and worst-case scenarios and state of the art methods. The clinics classified as producing PP or OP varied considerably depending on the classification method used. Only three were rated as providing 'PP' or 'OP' by all methods, unanimously. Another four clinics were classified as 'poor' or 'optimum' by all the methods except one. On interpreting the results derived from IVF/ICSI centres, it is essential to take into account the characteristics of the method used for this purpose.

  17. Costs and outcomes associated with IVF using recombinant FSH.

    Science.gov (United States)

    Ledger, W; Wiebinga, C; Anderson, P; Irwin, D; Holman, A; Lloyd, A

    2009-09-01

    Cost and outcome estimates based on clinical trial data may not reflect usual clinical practice, yet they are often used to inform service provision and budget decisions. To expand understanding of assisted reproduction treatment in clinical practice, an economic evaluation of IVF/intracytoplasmic sperm injection (ICSI) data from a single assisted conception unit (ACU) in England was performed. A total of 1418 IVF/ICSI cycles undertaken there between October 2001 and January 2006 in 1001 women were analysed. The overall live birth rate was 22% (95% CI: 19.7-24.2), with the 30- to 34-year age group achieving the highest rate (28%). The average recombinant FSH (rFSH) dose/cycle prescribed was 1855 IU. Average cost of rFSH/cycle was 646 pound(SD: 219 pound), and average total cost/cycle was 2932 pound (SD: 422 pound). Economic data based on clinical trials informing current UK guidance assumes higher doses of rFSH dose/cycle (1750-2625 IU), higher average cost of drugs/cycle (1179 pound), and higher average total cost/cycle (3266 pound). While the outcomes in this study matched UK averages, total cost/cycle was lower than those cited in UK guidelines. Utilizing the protocols and (lower) rFSH dosages reported in this study may enable other ACU to provide a greater number of IVF/ICSI cycles to patients within given budgets.

  18. Smoking Decreases Endometrial Thickness in IVF/ICSI Patients.

    Science.gov (United States)

    Heger, Anna; Sator, Michael; Walch, Katharina; Pietrowski, Detlef

    2018-01-01

    Smoking is a serious problem for the health care system. Many of the compounds identified in cigarette smoke have toxic effects on the fertility of both females and males. The purpose of this study was to determine whether smoking affects clinical factors during IVF/ICSI therapy in a single-center reproductive unit. In a retrospective study of 200 IVF/ICSI cycles, endometrial thickness and the outcome of IVF/ICSI therapy were analyzed. Endometrial thickness was significantly lower in smoking patients than in non-smoking patients (10.4 ± 1.5 mm vs. 11.6 ± 1.8 mm). Age was significantly higher in women who failed to conceive. The total dose of gonadotropins administered was significantly lower in pregnant patients and the highest pregnancy rate was achieved with an rFSH protocol. BMI and number of cigarettes smoked did not influence treatment outcomes in this study. We showed that smoking has a negative effect on endometrial thickness on the day of embryo transfer. This may help to further explain the detrimental influence of tobacco smoke on implantation and pregnancy rates during assisted reproduction therapy.

  19. Prediction of reservoir compaction and surface subsidence

    Energy Technology Data Exchange (ETDEWEB)

    De Waal, J.A.; Smits, R.M.M.

    1988-06-01

    A new loading-rate-dependent compaction model for unconsolidated clastic reservoirs is presented that considerably improves the accuracy of predicting reservoir rock compaction and surface subsidence resulting from pressure depletion in oil and gas fields. The model has been developed on the basis of extensive laboratory studies and can be derived from a theory relating compaction to time-dependent intergranular friction. The procedure for calculating reservoir compaction from laboratory measurements with the new model is outlined. Both field and laboratory compaction behaviors appear to be described by one single normalized, nonlinear compaction curve. With the new model, the large discrepancies usually observed between predictions based on linear compaction models and actual (nonlinear) field behavior can be explained.

  20. Formation mechanism of land subsidence in the North China Plain

    Science.gov (United States)

    Guo, Haipeng; Cheng, Guoming

    2014-05-01

    Land subsidence is a progressive and gradual geological disaster, whose development is irreversible. Due to rapid development of industrialization and urbanization, land subsidence occurs commonly in the North China Plain, and has become the main environmental factor impacting sustainable economic and social development. This study presents a brief review on the current situation of land subsidence in the North China Plain. Then the hydrologic, hydrogeologic and anthropogenic conditions favorable for the formation of land subsidence are analyzed, indicating that the formation of land subsidence is mainly determined by local geological condition and enabling conditions, e.g. long-term excessive exploitation of groundwater and engineering construction. A correlation analysis was conducted in both the North China Plain and Cangzhou region, a typical area where severe land subsidence occurs, of the quantitative relationship between deep groundwater yield and the land subsidence. The analysis results indicate that the land subsidence volume accounts for 40% to 44% of deep water yield in the North China Plain, indirectly showing the proportion of released water from compressibility of the aquifer and the aquitard in deep groundwater yield. In Cangzhou region, this proportion was calculated as 58%, far greater than that of the North China Plain. This is induced by the local lithologic structure and recharge condition of deep groundwater in Cangzhou region. The analysis of soil samples in Cangzhou region shows that strong relations exist among different physical parameters, and good change laws of compression with depth and pressure are found for soil samples. The hydraulic conductivities of clay are six orders of magnitude greater than those of the aquifer, implying the strong hypothesis of land subsidence. This analysis provides data and scientific basis for further study on formation mechanism of land subsidence in Cangzhou region and objective evaluation of its

  1. The costs to the NHS of multiple births after IVF treatment in the UK.

    Science.gov (United States)

    Ledger, William L; Anumba, Dilly; Marlow, Neil; Thomas, Christine M; Wilson, Edward C F

    2006-01-01

    To determine the cost to the NHS resulting from multiple pregnancies arising from IVF treatment in the UK, and to compare those costs with the cost to the NHS due to singleton pregnancies resulting from IVF treatment. A modelling study using data from published literature and cost data from national sources in the public domain, calculating direct costs from the diagnosis of a clinical pregnancy until the end of the first year after birth. Academic Unit of Reproductive and Developmental Medicine. Theoretic core modelling study using data from published literature. The analysis was based on the total annual number of births resulting from an IVF treatment in the UK. Main outcome measures total direct costs to the NHS per IVF singleton, twin or triplet family. Cost of singleton, twin and triplet IVF pregnancies in the UK. Total direct costs to the NHS per IVF twin or triplet family (maternal + infant costs) are substantially higher than per IVF singleton family (singleton: pounds 3313; twin: pounds 9122; and triplet: pounds 32,354). Multiple pregnancies after IVF are associated with 56% of the direct cost of IVF pregnancies, although they represent less than 1/3 of the total annual number of maternities in the UK. Multiple pregnancies after IVF are associated with high direct costs to the NHS. Redirection of money saved by implementation of a mandatory 'two embryo transfer' policy into increased provision of IVF treatment could double the number of NHS-funded IVF treatment cycles at no extra cost. Further savings could be made if a selective 'single embryo transfer' policy were to be adopted.

  2. New Reproductive Assemblages: Understanding, Managing and ‘Using’ Human In Vitro Fertilization (IVF)

    OpenAIRE

    Just, E.M.

    2009-01-01

    This dissertation is a contribution to the ongoing discussion about the body and in vitro fertilization (IVF), also known as assisted reproduction or technologically enhanced reproduction. With help of empirical research on Dutch and Polish IVF-couples, Edyta Just puts into question the meaning of IVF and discusses the best way of managing the phenomenon and to use it to transform existing ideologies, norms, convictions en discussions on matters such as reproduction, (in)fertility, female/mal...

  3. Further considerations for damping in heavily insulated pipe systems

    International Nuclear Information System (INIS)

    Anderson, M.J.; Lindquist, M.R.; Severud, L.K.

    1985-01-01

    Over the past several years a body of test data has been accumulated which demonstrates that damping in small diameter heavily insulated pipe systems is much larger than presently recommended by Regulatory Guide 1.61. This data is generally based on pipe systems using a stand-off insulation design with a heater annulus. Additional tests have how been completed on similar pipe systems using a strap-on insulation design without the heater annulus. Results indicate some reduction in damping over the stand-off designs. Test data has also been obtained on a larger sixteen-inch diameter heavily insulated pipe system. Results of these two additional test series are presented. Revised damping values for seismic design of heavily insulated pipe systems are then recommended

  4. Further considerations for damping in heavily insulated pipe systems

    International Nuclear Information System (INIS)

    Anderson, M.J.; Lindquist, M.R.; Severud, L.K.

    1985-01-01

    Over the past several years a body of test data has been accumulated which demonstrates that damping in small diameter heavily insulated pipe systems is much larger than presently recommended by Regulatory Code 1.61. This data is generally based on pipe systems using a stand-off insulation design with a heater annulus. Additional tests have now been completed on similar pipe systems using a strap-on insulation design without the heater annulus. Results indicate some reduction in damping over the stand-off designs. Test data has also been obtained on a larger sixteen-inch diameter heavily insulated pipe system. Results of these two additional test series are presented. Revised damping values for seismic design for heavily insulated pipe systems are then recommended

  5. Stressful life events are associated with a poor in vitro fertilization (IVF) - outcome: a prospective study

    DEFF Research Database (Denmark)

    Ebbesen, Signe Maria Schneevoigt; Zachariae, Robert; Mehlsen, Mimi Yung

    2009-01-01

    -fertility-related, naturally occurring stressors may influence IVF pregnancy chances. Our aim was to explore the association between IVF-outcome and negative, i.e. stressful, life-events during the previous 12 months. METHODS: Prior to IVF, 809 women (mean age: 31.2 years) completed the List of Recent Events (LRE...... number of life-events perceived as having a negative impact on quality of life may indicate chronic stress, and the results of our study indicate that stress may reduce the chances of a successful outcome following IVF, possibly through psychobiological mechanisms affecting medical end...

  6. Subsidence in the holocene delta of The Netherlands

    NARCIS (Netherlands)

    Vonhögen, L.M.; Doornenbal, P.J.; Lange, G. de; Fokker, P.A.; Gunnink, J.L.

    2010-01-01

    The low-lying part of The Netherlands is very vulnerable in terms of surface subsidence due to peat oxidation and peat/clay compaction. To gain knowledge about this kind of subsidence and the factors driving it, a study was performed in which as many surface elevation data were collected as possible

  7. Comparison of clinical outcomes between in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) in IVF-ICSI split insemination cycles.

    Science.gov (United States)

    Lee, Sun Hee; Lee, Jae Hyun; Park, Yong-Seog; Yang, Kwang Moon; Lim, Chun Kyu

    2017-06-01

    This study aimed to compare the clinical outcomes between in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) in sibling oocytes. Additionally, we evaluated whether the implementation of split insemination contributed to an increase in the number of ICSI procedures. A total of 571 cycles in 555 couples undergoing split insemination cycles were included in this study. Among them, 512 cycles (89.7%) were a couple's first IVF cycle. The patients were under 40 years of age and at least 10 oocytes were retrieved in all cycles. Sibling oocytes were randomly allocated to IVF or ICSI. Total fertilization failure was significantly more common in IVF cycles than in ICSI cycles (4.0% vs. 1.4%, p cycles than in IVF cycles (17.2% vs. 11.4%, p cycle and the second cycle, split insemination or ICSI was performed in 18 of the 95 cycles in which a second IVF cycle was performed. The clinical outcomes did not differ between IVF and ICSI in split insemination cycles. Split insemination can decrease the risk of total fertilization failure. However, unnecessary ICSI is carried out in most split insemination cycles and the use of split insemination might make ICSI more common.

  8. Association between response to ovarian stimulation and miscarriage following IVF: an analysis of 124 351 IVF pregnancies.

    Science.gov (United States)

    Sunkara, Sesh Kamal; Khalaf, Yacoub; Maheshwari, Abha; Seed, Paul; Coomarasamy, Arri

    2014-06-01

    Is there a relationship between ovarian reserve, quantified as ovarian response to stimulation, and miscarriage rate following IVF treatment? There is a strong association between the number of oocytes retrieved and miscarriage rate following IVF treatment, with the miscarriage rate decreasing with an increasing number of oocytes and then levelling off: poor responders have a higher miscarriage rate across all age groups. Poor ovarian response is a manifestation of a decline in the quantity of the primordial follicle pool. Whether poor ovarian response is associated with a decline in oocyte quality contributing to miscarriage is however debated. Anonymous data were obtained from the Human Fertilization and Embryology Authority (HFEA), the statutory regulator of assisted reproduction treatment (ART) in the UK. The HFEA has collected data on all ART performed in the UK since 1991. Data from 1991 to June 2008 involving 402 185 stimulated fresh IVF cycles and 124 351 pregnancy outcomes were analysed. Data on all women undergoing a stimulated fresh IVF treatment cycle with at least one oocyte retrieved during the period from 1991 to June 2008 were analysed for their early pregnancy outcomes. There was a strong association between the number of oocytes retrieved and the clinical miscarriage rate. The miscarriage rate fell from 20 to 13% with an increasing number of oocytes before levelling off. Stepwise logistic regression identified three cut-off points (4, 10 and 15 oocytes) at or beyond which the probability of clinical miscarriage fell. There was no increase in miscarriage rate with very high oocyte numbers (>20 oocytes). The lowest risk of miscarriage (9.9%) was for women under 38 years of age, with primary infertility without a female cause and producing more than three oocytes. Although the analysis was performed only on stimulated IVF cycles (excluding unstimulated cycles), the data had the limitation that there was no information on the total gonadotrophin

  9. The effective subsidence capacity concept: How to assure that subsidence in the Wadden Sea remains within defined limits?

    NARCIS (Netherlands)

    Waal, J.A. de; Roest,J.P.A.; Fokker, P.A.; Kroon, I.C.; Breunese, J.N.; Muntendam-Bos, A.G.; Oost, P.A.; Wirdum, G. van

    2012-01-01

    Subsidence caused by extraction of hydrocarbons and solution salt mining is a sensitive issue in the Netherlands. An extensive legal, technical and organisational framework is in place to ensure a high probability that such subsidence will stay within predefined limits. The key question is: how much

  10. Family Home Childcare Providers: A Comparison of Subsidized and Non-Subsidized Working Environments and Employee Issues

    Science.gov (United States)

    Shriner, Michael; Schlee, Bethanne M.; Mullis, Ronald L.; Cornille, Thomas A.; Mullis, Ann K.

    2008-01-01

    Federal and State Governments provide childcare subsidies for low-income working families. This study compares the encountered issues and working environments of family home providers of subsidized and non-subsidized childcare. Questionnaires were distributed throughout a southeastern state in the United States to 548 family home childcare…

  11. Explosive phenomena in heavily irradiated NaCl

    NARCIS (Netherlands)

    denHartog, HW; Vainshtein, DI; Matthews, GE; Williams, RT

    1997-01-01

    In heavily irradiated NaCl crystals explosive phenomena can be initiated during irradiation or afterwards when samples are heated to temperatures between 100 and 250 degrees C. During irradiation of NaCl Na and Cl-2 precipitates and void structures are produced along with the accumulation of stored

  12. Absence from work and emotional stress in women undergoing IVF or ICSI: an analysis of IVF-related absence from work in women and the contribution of general and emotional factors.

    Science.gov (United States)

    Bouwmans, Clazien A M; Lintsen, Bea A M E; Al, Maiwen; Verhaak, Chris M; Eijkemans, René J C; Habbema, J Dik F; Braat, Didi D M; Hakkaart-Van Roijen, Leona

    2008-01-01

    To assess productivity losses due to absence from work during in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) treatment and to describe the pattern of IVF-related absence from work. Additionally, the influence of general and psychological variables on IVF-related absence from work was analyzed. Prospective cohort study. Eight IVF hospitals participated in the study. Women undergoing their first treatment with IVF/ICSI. The Health and Labour Questionnaire (HLQ) was used to estimate the costs of IVF-related absence from work (n=384). Diaries were used to collect background information and reasons for IVF-related absence. Psychological data were derived using the Spielberger State and Trait Anxiety Inventory (STAI), the Beck Depression Inventory for Primary Care (BDI-PC) and the Inventory Social Relations and the Illness Cognition Questionnaire. Regression analyses were performed using two models, one without and one with psychological data, to assess the impact of the different variables on IVF-related absence from work. IVF-related absence from work and the costs of productivity losses due to IVF/ICSI per treatment. Overall absence from work during IVF/ICSI treatment was on average 33 hours, of which 23 hours were attributed to IVF/ICSI. Costs of productivity losses due to IVF/ICSI were euro596 per woman. Significant predictors of IVF-related absence from work were the number of hours of paid work, age and self-reported physical and/or emotional problems due to IFV treatment. Women experiencing emotional complaints and women with physical complaints due to IVF/ICSI reported significantly more IVF-related absence from work.

  13. Is IVF-served two different ways-more cost-effective than IUI with controlled ovarian hyperstimulation?

    NARCIS (Netherlands)

    Tjon-Kon-Fat, R. I.; Bensdorp, A. J.; Bossuyt, P. M. M.; Koks, C.; Oosterhuis, G. J. E.; Hoek, A.; Hompes, P.; Broekmans, F. J.; Verhoeve, H. R.; de Bruin, J. P.; van Golde, R.; Repping, S.; Cohlen, B. J.; Lambers, M. D. A.; van Bommel, P. F.; Slappendel, E.; Perquin, D.; Smeenk, J.; Pelinck, M. J.; Gianotten, J.; Hoozemans, D. A.; Maas, J. W. M.; Groen, H.; Eijkemans, M. J. C.; van der Veen, F.; Mol, B. W. J.; van Wely, M.

    2015-01-01

    STUDY QUESTION: What is the cost-effectiveness of in vitro fertilization(IVF) with conventional ovarian stimulation, single embryotransfer (SET) and subsequent cryocycles or IVF in a modified natural cycle (MNC) compared with intrauterine insemination with controlled ovarian hyperstimulation

  14. Is IVF-served two different ways-more cost-effective than IUI with controlled ovarian hyperstimulation?

    NARCIS (Netherlands)

    Tjon-Kon-Fat, R. I.; Bensdorp, A. J.; Bossuyt, P. M M; Koks, C.; Oosterhuis, G. J E; Hoek, A.; Hompes, P.; Broekmans, F. J.; Verhoeve, H. R.; De Bruin, J. P.; Van Golde, R.; Repping, S.; Cohlen, B. J.; Lambers, M. D A; Van Bommel, P. F.; Slappendel, E.; Perquin, D.; Smeenk, J.; Pelinck, M. J.; Gianotten, J.; Hoozemans, D. A.; Maas, J. W M; Groen, H.; Eijkemans, M. J C; Van Der Veen, F.; Mol, B. W J; Van Wely, M.

    2015-01-01

    STUDY QUESTION What is the cost-effectiveness of in vitro fertilization (IVF) with conventional ovarian stimulation, single embryo transfer (SET) and subsequent cryocycles or IVF in a modified natural cycle (MNC) compared with intrauterine insemination with controlled ovarian hyperstimulation

  15. How to deal with subsidence in the Dutch delta?

    Science.gov (United States)

    Stouthamer, Esther; Erkens, Gilles

    2017-04-01

    In many deltas worldwide subsidence still is an underestimated problem, while the threat posed by land subsidence to low-lying urbanizing and urbanized deltas exceeds the threat of sea-level rise induced by climate change. Human-induced subsidence is driven by the extraction of hydrocarbons and groundwater, drainage of phreatic groundwater, and loading by buildings and infrastructure. The consequences of subsidence are increased flood risk and flood water depth, rising groundwater levels relative to the land surface, land loss, damage to buildings and infrastructure, and salinization of ground and surface water.. The Netherlands has a long history of subsidence. Large-scale drainage of the extensive peatlands in the western and northern parts of the Netherlands started approximately 1000 years ago as a result of rapid population growth. Subsidence is still ongoing due to (1) continuous drainage of the former peatland, which is now mainly in use as agricultural land and built-up area, (2) expansion of the built-up area and the infrastructural network, (3) salt mining and the extraction of gas in the northern Netherlands. Mitigating subsidence and its negative impacts requires understanding of the relative contribution of the drivers contributing to total subsidence, accurate predictions of land subsidence under different management scenarios, and its impacts. Such understanding enables the development of effective and sustainable management strategies. In the Netherlands, a lot of effort is put into water management aiming at amongst others the protection against floods and the ensuring agricultural activities, but a specific policy focusing on subsidence is lacking. The development of strategies to cope with subsidence is very challenging, because (1) the exact contribution of different drivers of subsidence to total subsidence is spatially different within the Netherlands, (2) there is no single problem owner, which makes it difficult to recognize this a common

  16. The interaction between land subsidence and urban development in China

    Directory of Open Access Journals (Sweden)

    Y. Yang

    2015-11-01

    Full Text Available The Yangtze River Delta and North China Plain are experiencing serious land subsidence development and are also the areas that have undergone the fastest urbanization. Rapid urban development inevitably requires more water resources. However, China is a country with small per capita water resources, nonuniform distribution of water resources, and over-exploitation of groundwater – all of which are critical factors contributing to the potential for a land subsidence disaster. In addition, land subsidence has brought about elevation loss, damaged buildings, decreased safety of rail transit projects, lowered land value, and other huge economic losses and potential safety hazards in China. In this paper, Beijing, a typical northern Chinese city deficient in water, is taken as an example to explore (a the problems of urban development, utilization of water resources, and land subsidence development; (b the harm and influence of land subsidence hazards on urban construction; and (c the relationship between urban development and land subsidence. Based on the results, the author has predicted the trend of urban development and land subsidence in Beijing and puts forward her viewpoints and suggestions.

  17. A study on the mechanism and prediction of mine subsidence

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Byung-Chan; Moon, Hyun-Koo [Hanyang University, Seoul(Korea)

    2001-06-30

    The ground subsidence problem due to the increasing number of abandoned coal mines becomes serious. Recently, the sinkhole type subsidence occurred in many abandoned mines has raised an urgent stability question on the nearby railroads, bridges and buildings. But the study on the mechanism of discontinuous subsidence has not attracted much attention in the past. This study is mainly concerned with the mechanism and prediction of mine subsidence. Analyzed and presented in this study are the maximum possible height of roof caving for various shapes of caved zone using bulking factor approach, the critical depth of protective coal seam using the limit equilibrium method, and the factor of safety of stops using the limit equilibrium method with the friction angle and cohesion of rock. As prediction tools the influence function method and the probabilistic method are presented. An empirical equation is obtained from the subsidence data in Chulam and Chungsung areas and applied to Manhang coal mine. The probability of subsidence in Manhang area turned out to be high according to the subsidence frequency of 9.66. (author). 12 refs., 7 tabs., 21 figs.

  18. An integrated assessment framework for land subsidence in delta cities

    Directory of Open Access Journals (Sweden)

    T. H. M. Bucx

    2015-11-01

    Full Text Available In many delta cities land subsidence exceeds absolute sea level rise up to a factor of ten by excessive groundwater extraction related to rapid urbanization and population growth. Without change, parts of Jakarta, Ho Chi Minh City, Bangkok and numerous other delta (and coastal cities will sink below sea level. Increased flooding and also other widespread impacts of land subsidence result already in damage of billions of dollars per year. In order to gain insight in the complex, multi-sectoral aspects of subsidence, to raise awareness and to support decision making on appropriate adaptation strategies and measures, an Integrated Assessment Framework (IAF for subsidence is introduced, illustrated by several (delta case studies. Based on that a list of 10 generic key issues and possible solutions is presented in order to further develop and support a (generic approach how to deal with subsidence in current and future subsidence-prone areas. For exchange of experiences and knowledge development.on subsidence in deltas the Delta Alliance, a knowledge network of deltas worldwide, can be supportive.

  19. Absence from work and emotional stress in women undergoing IVF or ICSI: an analysis of IVF-related absence from work in women and the contribution of general and emotional factors.

    NARCIS (Netherlands)

    Bouwmans, C.A.; Lintsen, A.M.E.; Al, M.; Verhaak, C.M.; Eijkemans, R.J.; Habbema, J.D.F.; Braat, D.D.M.; Hakkaart-van Roijen, L.

    2008-01-01

    OBJECTIVE: To assess productivity losses due to absence from work during in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) treatment and to describe the pattern of IVF-related absence from work. Additionally, the influence of general and psychological variables on IVF-related

  20. Proceedings of the 1985 conference on coal mine subsidence in the Rocky Mountain Region

    Energy Technology Data Exchange (ETDEWEB)

    Hynes, J.L. (ed.)

    1986-01-01

    A total of 20 papers were presented at the conference on the following subjects: reclamation projects; geological surveys; history and evolution of mining; essential components of mine subsidence; subsidence related damage; core recovery of poorly consolidated materials; evaluation of subsurface conditions; remote video inspection of abandoned coal mines; use of progressive failure model for subsidence prediction; chimney subsidence sinkhole development; analytical methods of subsidence prediction; monitoring networks; architectural mitigating measures; backfilling; awareness and planning; administrative aspects; mine subsidence insurance; risk management.

  1. Classification of Patients Treated for Infertility Using the IVF Method

    Directory of Open Access Journals (Sweden)

    Malinowski Paweł

    2015-12-01

    Full Text Available One of the most effective methods of infertility treatment is in vitro fertilization (IVF. Effectiveness of the treatment, as well as classification of the data obtained from it, is still an ongoing issue. Classifiers obtained so far are powerful, but even the best ones do not exhibit equal quality concerning possible treatment outcome predictions. Usually, lack of pregnancy is predicted far too often. This creates a constant need for further exploration of this issue. Careful use of different classification methods can, however, help to achieve that goal.

  2. Value of ovarian reserve testing before IVF: a clinical decision analysis

    NARCIS (Netherlands)

    Mol, Ben W.; Verhagen, Tamara E. M.; Hendriks, Dave J.; Collins, John A.; Coomarasamy, Arri; Opmeer, Brent C.; Broekmans, Frank J.

    2006-01-01

    BACKGROUND: To assess the value of testing for ovarian reserve prior to a first cycle IVF incorporating patient and doctor valuation of mismatches between test results and treatment outcome. METHODS: A decision model was developed for couples who were considering participation in an IVF programme.

  3. Vanishing twins: a predictor of small-for-gestational age in IVF singletons

    DEFF Research Database (Denmark)

    Pinborg, Anja; Lidegaard, Ojvind; Freiesleben, Nina la Cour

    2007-01-01

    The purpose of this study was to assess the effect of a vanishing twin on the risk of being small-for-gestational age (SGA) in in vitro fertilization (IVF) singletons.......The purpose of this study was to assess the effect of a vanishing twin on the risk of being small-for-gestational age (SGA) in in vitro fertilization (IVF) singletons....

  4. Effects of subfertility cause, smoking and body weight on the success rate of IVF

    NARCIS (Netherlands)

    Lintsen, A.M.E.; Pasker-Jong, P.C.M. de; Boer, E.J. de; Burger, C.W.; Jansen, C.A.M.; Braat, D.D.M.; Leeuwen, F.E. van; Kortman, M.; Velde, E.R. te; Macklon, N.; Jansen, C.A.M.; Leerentveld, R.A.; Willemsen, W.N.P.; Schats, R.; Naaktgeboren, N.; Helmerhorst, F.M.; Bots, R.S.G.M.; Simons, A.H.M.; Hogerzeil, H.V.; Evers, J.L.H.; Dop, P.A. van

    2005-01-01

    Background: We investigated the separate and combined effects of smoking and body mass index (BMI) on the success rate of IVF for couples with different causes of subfertility. Methods: The success rate of IVF was examined in 8457 women. Detailed information on reproduction and lifestyle factors was

  5. Can women have children and a career? IV evidence from IVF treatments

    NARCIS (Netherlands)

    Lundborg, P.; Plug, E.; Rasmussen, A.W.

    This paper introduces a new IV strategy based on IVF (in vitro fertilization) induced fertility variation among childless women to estimate the causal effect of having children on their career. For this purpose, we use administrative data on IVF treated women in Denmark. Because observed chances of

  6. Costs and benefits of individuals conceived after IVF : a net tax evaluation in The Netherlands

    NARCIS (Netherlands)

    Moolenaar, L. M.; Connolly, M.; Huisman, B.; Postma, M. J.; Hompes, P. G. A.; van der Veen, F.; Mol, B. W. J.

    This study evaluated the lifetime future net tax revenues from individuals conceived after IVF relative to those naturally conceived. A model based on the method of generational accounting was developed to evaluate investments in IVF. Calculations were based on average investments paid and received

  7. Costs and benefits of individuals conceived after IVF: a net tax evaluation in The Netherlands

    NARCIS (Netherlands)

    Moolenaar, L. M.; Connolly, M.; Huisman, B.; Postma, M. J.; Hompes, P. G. A.; van der Veen, F.; Mol, B. W. J.

    2014-01-01

    This study evaluated the lifetime future net tax revenues from individuals conceived after IVF relative to those naturally conceived. A model based on the method of generational accounting was developed to evaluate investments in IVF. Calculations were based on average investments paid and received

  8. An international survey of the health economics of IVF and ICSI.

    Science.gov (United States)

    Collins, JohnA

    2002-01-01

    The health economics of IVF and ICSI involve assessments of utilization, cost, cost-effectiveness and ability to pay. In 48 countries, utilization averaged 289 IVF/ICSI cycles per million of population per annum, ranging from two in Kazachstan, to 1657 in Israel. Higher national utilization of IVF/ICSI was associated with higher quality of health services, as indicated by lower infant mortality rates. IVF and ICSI are scientifically demanding and personnel-intensive, and are therefore expensive procedures. The average cost per IVF/ICSI cycle in 2002 would be US$9547 in the USA, and US$3518 in 25 other countries. Price elasticity estimates suggest that a 10% decrease in IVF/ICSI cost would generate a 30% increase in utilization. The average cost-effectiveness ratios in 2002 would be US$58,394 per live birth in the USA, and US$22,048 in other countries. In three randomized controlled trials, incremental costs per additional live birth with IVF compared with conventional therapy were US$ -26,586, $79,472 and $47,749. The national costs of IVF/ICSI treatment would be US$1.00 per capita in one current model, but the costs to individual couples range from 10% of annual household expenditures in European countries to 25% in Canada and the USA.

  9. New Reproductive Assemblages: Understanding, Managing and ‘Using’ Human In Vitro Fertilization (IVF)

    NARCIS (Netherlands)

    Just, E.M.

    2009-01-01

    This dissertation is a contribution to the ongoing discussion about the body and in vitro fertilization (IVF), also known as assisted reproduction or technologically enhanced reproduction. With help of empirical research on Dutch and Polish IVF-couples, Edyta Just puts into question the meaning of

  10. Assisted reproduction professionals' awareness and attitudes towards their own IVF cycles.

    Science.gov (United States)

    Bonetti, T C S; Melamed, R M M; Braga, D P A F; Madaschi, C; Iaconelli, A; Pasqualotto, F F; Borges, E

    2008-12-01

    Professionals involved in assisted reproductive technologies (ART) have in-depth awareness and knowledge of the risks of multiple pregnancies at the conclusion of in vitro fertilization (IVF) treatment. The aim of the study was to investigate ART professionals' attitudes towards the awareness of the risk of infertility, as well as the decision-making process in IVF issues. Seventy ART professionals answered a questionnaire covering demographic data, infertility awareness and attitudes towards IVF. Approximately half (50.8%) of the participants thought that they were not at risk of infertility. However, if they received a diagnosis of infertility, none would accept childlessness and almost all would undergo IVF. In an IVF cycle, the number of high-quality embryos transferred would be around three, but if treatment was extended to a third cycle, a higher percentage of participants would elect to transfer four or more embryos. All participants would prefer to undergo IVF and accept the risk of multiple pregnancy than remaining childless. It was found that less than a third of ART professionals considered triplets to be an unacceptable complication of IVF. Diagnosis of infertility affects all participants psychosocially, supporting the idea that the emotional aspects of wanting a biological child, and decision making about whether to undertake ART, outweigh the medical position regarding the risks and benefits of IVF.

  11. Effectiveness of indometacin to prevent ovulation in modified natural-cycle IVF : A randomized controlled trial

    NARCIS (Netherlands)

    Rijken-Zijlstra, T. M.; Haadsma, M. L.; Hammer, C.; Burgerhof, J. G. M.; Pelinck, M. J.; Simons, A. H. M.; van Echten-Arends, J.; Arts, J. G. E. M.; Land, J. A.; Groen, H.; Hoek, A.

    Modified natural-cycle IVF has a lower pregnancy rate per started cycle as compared with IVF with ovarian stimulation due to, for example, premature ovulation. Indometacin administered before ovulation prevents follicle rupture. Therefore, addition of indometacin may improve the effectiveness of

  12. a Study of Oxygen Precipitation in Heavily Doped Silicon.

    Science.gov (United States)

    Graupner, Robert Kurt

    Gettering of impurities with oxygen precipitates is widely used during the fabrication of semiconductors to improve the performance and yield of the devices. Since the effectiveness of the gettering process is largely dependent on the initial interstitial oxygen concentration, accurate measurements of this parameter are of considerable importance. Measurements of interstitial oxygen following thermal cycles are required for development of semiconductor fabrication processes and for research into the mechanisms of oxygen precipitate nucleation and growth. Efforts by industrial associations have led to the development of standard procedures for the measurement of interstitial oxygen in wafers. However practical oxygen measurements often do not satisfy the requirements of such standard procedures. An additional difficulty arises when the silicon wafer has a low resitivity (high dopant concentration). In such cases the infrared light used for the measurement is severely attenuated by the electrons of holes introduced by the dopant. Since such wafers are the substrates used for the production of widely used epitaxial wafers, this measurement problem is economically important. Alternative methods such as Secondary Ion Mass Spectroscopy or Gas Fusion Analysis have been developed to measure oxygen in these cases. However, neither of these methods is capable of distinguishing interstitial oxygen from precipitated oxygen as required for precipitation studies. In addition to the commercial interest in heavily doped silicon substrates, they are also of interest for research into the role of point defects in nucleation and precipitation processes. Despite considerable research effort, there is still disagreement concerning the type of point defect and its role in semiconductor processes. Studies of changes in the interstitial oxygen concentration of heavily doped and lightly doped silicon wafers could help clarify the role of point defects in oxygen nucleation and precipitation

  13. Influence of embryo culture medium (G5 and HTF) on pregnancy and perinatal outcome after IVF: a multicenter RCT

    NARCIS (Netherlands)

    Kleijkers, Sander H. M.; Mantikou, Eleni; Slappendel, Els; Consten, Dimitri; van Echten-Arends, Jannie; Wetzels, Alex M.; van Wely, Madelon; Smits, Luc J. M.; van Montfoort, Aafke P. A.; Repping, Sjoerd; Dumoulin, John C. M.; Mastenbroek, Sebastiaan

    2016-01-01

    Does embryo culture medium influence pregnancy and perinatal outcome in IVF? Embryo culture media used in IVF affect treatment efficacy and the birthweight of newborns. A wide variety of culture media for human preimplantation embryos in IVF/ICSI treatments currently exists. It is unknown which

  14. Influence of embryo culture medium (G5 and HTF) on pregnancy and perinatal outcome after IVF : a multicenter RCT

    NARCIS (Netherlands)

    Kleijkers, Sander H. M.; Mantikou, Eleni; Slappendel, Els; Consten, Dimitri; van Echten - Arends, Jannie; Wetzels, Alex M.; van Wely, Madelon; Smits, Luc J. M.; van Montfoort, Aafke P. A.; Repping, Sjoerd; Dumoulin, John C. M.; Mastenbroek, Sebastiaan

    2016-01-01

    Does embryo culture medium influence pregnancy and perinatal outcome in IVF? Embryo culture media used in IVF affect treatment efficacy and the birthweight of newborns. A wide variety of culture media for human preimplantation embryos in IVF/ICSI treatments currently exists. It is unknown which

  15. Cost-effectiveness of seven IVF strategies: results of a Markov decision-analytic model.

    Science.gov (United States)

    Fiddelers, Audrey A A; Dirksen, Carmen D; Dumoulin, John C M; van Montfoort, Aafke P A; Land, Jolande A; Janssen, J Marij; Evers, Johannes L H; Severens, Johan L

    2009-07-01

    A selective switch to elective single embryo transfer (eSET) in IVF has been suggested to prevent complications of fertility treatment for both mother and infants. We compared seven IVF strategies concerning their cost-effectiveness using a Markov model. The model was based on a three IVF-attempts time horizon and a societal perspective using real world strategies and data, comparing seven IVF strategies, concerning costs, live births and incremental cost-effectiveness ratios (ICERs). In order to increase pregnancy probability, one cycle of eSET + one cycle of standard treatment policy [STP, i.e. eSET in patients IVF treatment, combining several transfer policies was not cost-effective. A choice has to be made between three cycles of eSET, STP or DET. It depends, however, on society's willingness to pay which strategy is to be preferred from a cost-effectiveness point of view.

  16. Reducing twin pregnancy rates after IVF--elective single embryo transfer (eSET).

    LENUS (Irish Health Repository)

    Milne, P

    2010-01-01

    Multiple pregnancy is a major complication of IVF and is associated with increased maternal, fetal and neonatal morbidity. Elective single embryo transfer (eSET) during IVF, rather than the more standard transfer of two embryos (double embryo transfer or DET), has been shown to significantly reduce the multiple pregnancy rate associated with IVF, while maintaining acceptable pregnancy rates. Couples undergoing IVF in 2008 who met good prognostic criteria had eSET performed. Pregnancy and twinning rates were compared with those for similar couples in 2007 who had DET. Couples unsuccessful with a fresh cycle of treatment had subsequent frozen embryo transfer cycles with DET. The cumulative pregnancy rate was similar for each group. However there were no multiple pregnancies in the eSET group, compared to 4 twins of 5 pregnancies in the DET group. 96% of eligible couples agreed to eSET. ESET is successful in and acceptable to good prognosis Irish couples undergoing IVF.

  17. Tax subsidization of personal assistance services.

    Science.gov (United States)

    Mendelsohn, Steven; Myhill, William N; Morris, Michael

    2012-04-01

    Personal assistance services (PAS) is the term used to describe the range of assistance, services, and supports many people with disabilities and older Americans need to remain in their homes and communities. The Americans with Disabilities Act requires that people with disabilities receive essential services in the communities of their choice rather than in institutional settings. PAS availability often determines whether persons with disabilities become institutionalized or remain in their communities. PAS, however, are not inexpensive or broadly available. Strategies are needed to improve their availability to people with disabilities and the elderly. We sought to analyze 8 provisions of the Internal Revenue Code for their utility to make PAS more affordable and available. The authors conducted a legal analysis of 8 statutory provisions, as interpreted by regulations, court decisions, and other authoritative sources. Each of the tax provisions analyzed covers some PAS expenses incurred by an individual or family. Favorable tax treatment is impacted by the nature and amount of expenses and by the location and conditions of services. The current limitations and complexities of legal interpretations and the fact that many individuals with disabilities are uninformed about these tax provisions present challenges and opportunities. As the need for PAS grows, reform of tax policy is an important complement to health care and long-term services and supports for people with disabilities. To increase utilization of current beneficial tax provisions that subsidize the cost of PAS, individuals with disabilities and tax preparers must become better informed about using these provisions. Copyright © 2012 Elsevier Inc. All rights reserved.

  18. Heavily nitrogen doped, graphene supercapacitor from silk cocoon

    International Nuclear Information System (INIS)

    Sahu, Vikrant; Grover, Sonia; Tulachan, Brindan; Sharma, Meenakshi; Srivastava, Gaurav; Roy, Manas; Saxena, Manav; Sethy, Niroj; Bhargava, Kalpana; Philip, Deepu; Kim, Hansung; Singh, Gurmeet; Singh, Sushil Kumar; Das, Mainak; Sharma, Raj Kishore

    2015-01-01

    Doping of graphene with nitrogen is of much interest, since it improves the overall conductivity and supercapacitive properties. Besides conductivity, nitrogen doping also enhances the pseudo-capacitance due to fast and reversible surface redox processes. In this work, we have developed a cheap and easy process for synthesizing heavily nitrogen doped graphene (15% nitrogen) from non-mulberry silk cocoon membrane (Tassar, Antheraea mylitta) by pyrolyzing the cocoon at 400 °C in argon atmosphere. Further we have investigated the performance of this heavily ‘nitrogen doped graphene’ (NDG) in a supercapacitor device. Our results suggest that NDG obtained from cocoon has improved supercapacitor performance. The improved performance is due to the high electronegativity of nitrogen that forms dipoles on the graphene surface. These dipoles consequently enhance the tendency of graphene to attract charged species to its surface. This is a green and clean synthesis approach for developing electronic materials for energy applications

  19. Growth and characterization of heavily doped silicon crystals

    Energy Technology Data Exchange (ETDEWEB)

    Scala, R.; Porrini, M. [MEMC Electronic Materials SpA, via Nazionale 59, 39012 Merano (Italy); Borionetti, G. [MEMC Electronic Materials SpA, viale Gherzi 31, Novara (Italy)

    2011-08-15

    Silicon crystals grown with the Czochralski method are still the most common material used for the production of electronic devices. In recent years, a growing need of large diameter crystals with increasingly higher doping levels is observed, especially to support the expanding market of discrete devices and its trend towards lower and lower resistivity levels for the silicon substrate. The growth of such heavily doped, large-diameter crystals poses several new challenges to the crystal grower, and the presence of a high dopant concentration in the crystal affects significantly its main properties, requiring also the development of dedicated characterization techniques. This paper illustrates the recent advances in the growth and characterization of silicon crystals heavily doped with antimony, arsenic, phosphorus and boron. (copyright 2011 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim) (orig.)

  20. Superconductivity in heavily boron-doped silicon carbide

    Directory of Open Access Journals (Sweden)

    Markus Kriener, Takahiro Muranaka, Junya Kato, Zhi-An Ren, Jun Akimitsu and Yoshiteru Maeno

    2008-01-01

    Full Text Available The discoveries of superconductivity in heavily boron-doped diamond in 2004 and silicon in 2006 have renewed the interest in the superconducting state of semiconductors. Charge-carrier doping of wide-gap semiconductors leads to a metallic phase from which upon further doping superconductivity can emerge. Recently, we discovered superconductivity in a closely related system: heavily boron-doped silicon carbide. The sample used for that study consisted of cubic and hexagonal SiC phase fractions and hence this led to the question which of them participated in the superconductivity. Here we studied a hexagonal SiC sample, free from cubic SiC phase by means of x-ray diffraction, resistivity, and ac susceptibility.

  1. Vasectomy reversal versus IVF with sperm retrieval: which is better?

    Science.gov (United States)

    Shridharani, Anand; Sandlow, Jay I

    2010-11-01

    This paper will describe why this review is timely and relevant. Over the past two decades, treatment options for couples with reconstructible obstructive azoospermia have improved tremendously. Advances in assisted reproductive technologies (ART), specifically sperm retrieval techniques for intracytoplasmic sperm injection coupled with in-vitro fertilization, as well as refinements in microsurgical reconstruction have led to improved outcomes and cost-effectiveness. Providing the most up-to-date care based on the most recent data allows for better patient outcomes and satisfaction. Microsurgical reconstruction of the vas has remained a cost-effective, reliable and effective means of restoring fertility in the majority of men who have previously undergone vasectomy when the reconstruction is performed by an experienced microsurgeon. However, there are specific instances in which sperm retrieval/IVF/ICSI may be a more appropriate treatment modality as ART techniques continue to improve. Data comparing surgical reconstruction versus sperm retrieval/ICSI/IVF are neither randomized nor homogenous. Therefore, a comprehensive understanding of the factors that can affect outcomes, overall cost, and the morbidity associated with each treatment modality, respective of the institution providing the treatment, is strongly recommended.

  2. Detecting, mapping and monitoring of land subsidence in Jharia ...

    Indian Academy of Sciences (India)

    mitigation management of subsidence induced hazards. 1. Introduction ... rural areas with agricultural practices (Cao et al. 2008) ... wall mining, depillaring and caving), water log- ging of the .... accuracy trajectory determination system and the.

  3. Analysis of geodetic surveying on the margin of subsidence depression

    Czech Academy of Sciences Publication Activity Database

    Doležalová, Hana; Müller, Karel; Bláha, P.

    -, č. 273 (2006), s. 103-112 ISSN 0372-9508 Institutional research plan: CEZ:AV0Z30860518 Keywords : subsidence depression * levelling * height changes Subject RIV: DE - Earth Magnetism, Geodesy, Geography

  4. Adaptation and mitigation of land subsidence in Semarang

    Science.gov (United States)

    Andreas, Heri; Abidin, Hasanuddin Z.; Gumilar, Irwan; Sidiq, Teguh Purnama; Yuwono, Bambang

    2017-07-01

    Land subsidence is not a new phenomenon for Semarang. Some report said the subsidence in Semarang probably is occurring for more than 100 years. Based on the leveling surveys conducted by the Centre of Environmental Geology from 1999 to 2003 it was found that relatively large subsidence was detected around Semarang Harbor, Pondok Hasanuddin, Bandar Harjo and around Semarang Tawang Railway station, with the rates ranging from 1 to 17 cm/year. Results derived from GPS show that land subsidence in Semarang has spatial and temporal variations. In general, subsidence rates in Semarang have an average rate of about 6 to 7 cm/year, with maximum rates that can go up to 14-19 cm/year at certain locations. The impact of land subsidence in Semarang can be seen in several forms, such as the wider expansion of (coastal) flooding areas "rob", cracking of buildings and infrastructure, and increased inland sea water intrusion. It also badly influences the quality and amenity of the living environment and life (e.g. health and sanitation condition) in the affected areas. In the case of Semarang, adaptation and mitigation are considered very important. We have been done some investigations to this area by field observations (mapping the flooded area, mapping the infrastructure problems, interviewing people and seeing the adaptations, conduct GPS measurement to see deformation, etc.), gather information from Government, from digital media, etc., and we noticed people increased their house, and the local goverment elevated the road and the bridge, etc. regulary over less decade periode as part of adaptation. We also noticed the Central Goverment built the dyke and pumping station. Our conclusions said that the adaptation only made temporaly since significant land subsidence keep coming and worsening by the sea level which is keep rising. Another conclusion, so far we have seen lack of mitigation program, monitoring or even inevective mitigation in Semarang related to this subsidence

  5. Working to Reduce Poverty: A National Subsidized Employment Proposal

    OpenAIRE

    Indivar Dutta-Gupta; Kali Grant; Julie Kerksick; Dan Bloom; Ajay Chaudry

    2018-01-01

    Subsidized employment programs that increase labor supply and demand are a proven, underutilized strategy for reducing poverty in the short and long term. These programs use public and private funds to provide workers wage-paying jobs, training, and wraparound services to foster greater labor force attachment while offsetting employers’ cost for wages, on-the-job training, and overhead. This article proposes two new separate but harmonized federal funding streams for subsidized employment tha...

  6. Areas of ground subsidence due to geofluid withdrawal

    Energy Technology Data Exchange (ETDEWEB)

    Grimsrud, G.P.; Turner, B.L.; Frame, P.A.

    1978-08-01

    Detailed information is provided on four geothermal areas with histories of subsidence. These were selected on the basis of: physical relevance of subsidence areas to high priority US geothermal sites in terms of withdrawn geofluid type, reservoir depth, reservoir geology and rock characteristics, and overburden characteristics; and data completeness, quality, and availability. The four areas are: Chocolate Bayou, Raft River Valley, Wairakei, and the Geysers. (MHR)

  7. The diversity of regulation and public financing of IVF in Europe and its impact on utilization.

    Science.gov (United States)

    Berg Brigham, K; Cadier, B; Chevreul, K

    2013-03-01

    How do the different forms of regulation and public financing of IVF affect utilization in otherwise similar European welfare state systems? Countries with more liberal social eligibility regulations had higher levels of IVF utilization, which diminished as the countries' policies became more restrictive. Europe is a world leader in the development and utilization of IVF, yet surveillance reveals significant differences in uptake among countries which have adopted different approaches to the regulation and and public financing of IVF. A descriptive and comparative analysis of legal restrictions on access to IVF in 13 of the EU15 countries that affirmatively regulate and publicly finance IVF. Using 2009 data from the European Society of Human Reproduction and Embryology study of regulatory frameworks in Europe and additional legislative research, we examined and described restrictions on access to IVF in terms of general eligibility, public financing and the scope of available services. Multiple correspondence analysis was used to identify patterns of regulation and groups of countries with similar regulatory patterns and to explore the effects on utilization of IVF, using data from the most recent European and international IVF monitoring reports. Regulations based on social characteristics of treatment seekers who are not applicable to other medical treatments, including relationship status and sexual orientation, appear to have the greatest impact on utilization. Countries with the most generous public financing schemes tend to restrict access to covered IVF to a greater degree. However, no link could be established between IVF utilization and the manner in which coverage was regulated or the level of public financing. Owing to the lack of data regarding the actual level of public versus private financing of IVF it is impossible to draw conclusions regarding equity of access. Moreover, the regulatory and utilization data were not completely temporally matched in

  8. Modeling agricultural impacts of longwall mine subsidence: A GIS approach

    International Nuclear Information System (INIS)

    Darmody, R.G.; Vance, S.L.

    1994-01-01

    Illinois is both a major agricultural State and one of the leading coal-producing States. The future of coal mining in Illinois is longwall mining. One of the advantages of longwall mining, and the most noticeable consequence, is immediate subsidence. Mitigation of subsidence effects is the responsibility of the coal company. Research has shown that mitigation is usually effective, but may be difficult in many cases. Minimizing subsidence impact by avoiding sensitive soils in the mine plan is a possibility that should be considered. Predicting agricultural impacts of subsidence would give mine designers and regulating agencies an additional tool to use when evaluating mine plans. This paper reports on the development and an application of a predictive model of agricultural soil subsidence sensitivity (SSS). The SSS model involves integration of selected soil properties in a GIS (geographical information system) to assign a subsidence sensitivity class to a given area. Predicted crop yield losses at a proposed longwall mine in southern Illinois, using corn (Zea mays L.) as a reference, were 6.8% for the longwall panel area but ranged from 4.1% to 9.5% for the individual panels. The model also predicted that mitigation of the affected areas would reduce yield losses to 1.2% for the longwall area and to 0.5% to 1.7% for the individual panels

  9. Detecting and monitoring UCG subsidence with InSAR

    Energy Technology Data Exchange (ETDEWEB)

    Mellors, R J; Foxall, W; Yang, X

    2012-03-23

    The use of interferometric synthetic aperture radar (InSAR) to measure surface subsidence caused by Underground Coal Gasification (UCG) is tested. InSAR is a remote sensing technique that uses Synthetic Aperture Radar images to make spatial images of surface deformation and may be deployed from satellite or an airplane. With current commercial satellite data, the technique works best in areas with little vegetation or farming activity. UCG subsidence is generally caused by roof collapse, which adversely affects UCG operations due to gas loss and is therefore important to monitor. Previous studies have demonstrated the usefulness of InSAR in measuring surface subsidence related to coal mining and surface deformation caused by a coal mining roof collapse in Crandall Canyon, Utah is imaged as a proof-of-concept. InSAR data is collected and processed over three known UCG operations including two pilot plants (Majuba, South Africa and Wulanchabu, China) and an operational plant (Angren, Uzbekistan). A clear f eature showing approximately 7 cm of subsidence is observed in the UCG field in Angren. Subsidence is not observed in the other two areas, which produce from deeper coal seams and processed a smaller volume. The results show that in some cases, InSAR is a useful tool to image UCG related subsidence. Data from newer satellites and improved algorithms will improve effectiveness.

  10. The use of berberine for women with polycystic ovary syndrome undergoing IVF treatment.

    Science.gov (United States)

    An, Yuan; Sun, Zhuangzhuang; Zhang, Yajuan; Liu, Bin; Guan, Yuanyuan; Lu, Meisong

    2014-03-01

    Previous studies have indicated that berberine is an effective insulin sensitizer with comparable activity to metformin (Diabetes 2006, 55, 2256). Reduced insulin sensitivity is reportedly a factor adversely affecting the outcome of IVF in patients with polycystic ovary syndrome (PCOS) (Human Reproduction 2006, 21, 1416). Our objective was to evaluate the clinical, metabolic and endocrine effects of berberine vs metformin in PCOS women scheduled for IVF treatment and to explore the potential benefits to the IVF process. We performed a prospective study in 150 infertile women with PCOS undergoing IVF treatment. Patients were randomized to receive berberine, metformin or placebo tablets for 3 months before ovarian stimulation. The clinical, endocrine, metabolic parameters and the outcome of IVF. Compared with placebo, greater reductions in total testosterone, free androgen index, fasting glucose, fasting insulin and HOMA-IR, and increases in SHBG, were observed in the berberine and metformin groups. Three months of treatment with berberine or metformin before the IVF cycle increased the pregnancy rate and reduced the incidence of severe ovarian hyperstimulation syndrome. Furthermore, treatment with berberine, in comparison with metformin, was associated with decreases in BMI, lipid parameters and total FSH requirement, and an increase in live birth rate with fewer gastrointestinal adverse events. Berberine and metformin treatments prior to IVF improved the pregnancy outcome by normalizing the clinical, endocrine and metabolic parameters in PCOS women. Berberine has a more pronounced therapeutic effect and achieved more live births with fewer side effects than metformin. © 2013 John Wiley & Sons Ltd.

  11. Monitoring Subsidence in California with InSAR

    Science.gov (United States)

    Farr, T. G.; Jones, C. E.; Liu, Z.; Neff, K. L.; Gurrola, E. M.; Manipon, G.

    2016-12-01

    Subsidence caused by groundwater pumping in the rich agricultural area of California's Central Valley has been a problem for decades. Over the last few years, interferometric synthetic aperture radar (InSAR) observations from satellite and aircraft platforms have been used to produce maps of subsidence with cm accuracy. We are continuing work reported previously, using ESA's Sentinel-1 to extend our maps of subsidence in time and space, in order to eventually cover all of California. The amount of data to be processed has expanded exponentially in the course of our work and we are now transitioning to the use of the ARIA project at JPL to produce the time series. ARIA processing employs large Amazon cloud instances to process single or multiple frames each, scaling from one to many (20+) instances working in parallel to meet the demand (700 GB InSAR products within 3 hours). The data are stored in Amazon long-term storage and an http view of the products are available for users of the ARIA system to download the products. Higher resolution InSAR data were also acquired along the California Aqueduct by the NASA UAVSAR from 2013 - 2016. Using multiple scenes acquired by these systems, we are able to produce time series of subsidence at selected locations and transects showing how subsidence varies both spatially and temporally. The maps show that subsidence is continuing in areas with a history of subsidence and that the rates and areas affected have increased due to increased groundwater extraction during the extended western US drought. Our maps also identify and quantify new, localized areas of accelerated subsidence. The California Department of Water Resources (DWR) funded this work to provide the background and an update on subsidence in the Central Valley to support future policy. Geographic Information System (GIS) files are being furnished to DWR for further analysis of the 4 dimensional subsidence time-series maps. Part of this work was carried out at the

  12. Potential of Holocene deltaic sequences for subsidence due to peat compaction

    NARCIS (Netherlands)

    Stouthamer, E.; van Asselen, S.

    2015-01-01

    Land subsidence is a major threat for the livability of deltas worldwide. Mitigation of the negative impacts of subsidence, like increasing flooding risk, requires an assessment of the potential of the deltas’ subsurfaces for subsidence. This enables the prediction of current and future subsidence

  13. A new soil mechanics approach to quantify and predict land subsidence by peat compression

    NARCIS (Netherlands)

    Koster, K.; Erkens, G.; Zwanenburg, C.

    2016-01-01

    Land subsidence threatens many coastal areas. Quantifying current and predicting future subsidence are essential to sustain the viability of these areas with respect to rising sea levels. Despite its scale and severity, methods to quantify subsidence are scarce. In peat-rich subsidence hot spots,

  14. Long-term economic benefits attributed to IVF-conceived children: a lifetime tax calculation.

    Science.gov (United States)

    Connolly, Mark P; Pollard, Michael S; Hoorens, Stijn; Kaplan, Brian R; Oskowitz, Selwyn P; Silber, Sherman J

    2008-09-01

    To evaluate whether lifetime future net tax revenues from an in vitro fertilization (IVF)-conceived child are substantial enough to warrant public subsidy relative to the mean IVF treatment costs required to obtain 1 live birth. Mathematical generational accounting model. The model estimates direct financial interactions between the IVF-conceived child and the government during the child's projected lifetime. In the model, we accrue IVF costs required to conceive the child to the government, and then we estimate future net tax revenue to the federal and state governments from this individual, offset by direct financial transfers from the government (eg, child allowances, education, Medicare, and Social Security). We discount lifetime costs and gross tax payments at Treasury Department rates to establish the present value of investing in IVF. We applied US Congressional Budget Office projected changes in tax rates over the course of the model. An IVF-conceived child, average in every respect (eg, future earnings, healthcare consumption, and life expectancy), represents a net positive return to the government. Based on an average employed individual born in 2005, the projected net lifetime tax contribution is US $606,200. Taking into consideration IVF costs and all direct financial interactions, the net present value is US $155,870. Lifetime net taxes paid from a child relative to the child's initial IVF investment represent a 700% net return to the government in discounted US dollars from fully employed individuals. This suggests that removing barriers to IVF would have positive tax benefits for the government, notwithstanding its beneficial effect on overall economic growth.

  15. Tracking with heavily irradiated silicon detectors operated at cryogenic temperatures

    International Nuclear Information System (INIS)

    Casagrande, L.; Barnett, B.M.; Bartalina, P.

    1999-01-01

    In this work, the authors show that a heavily irradiated double-sided silicon microstrip detector recovers its performance when operated at cryogenic temperatures. A DELPHI microstrip detector, irradiated to a fluence of ∼4 x 10 14 p/cm 2 , no longer operational at room temperature, cannot be distinguished from a non-irradiated one when operated at T < 120 K. Besides confirming the previously observed Lazarus effect in single diodes, these results establish, for the first time, the possibility of using standard silicon detectors for tracking applications in extremely demanding radiation environments

  16. The development of IVF practice in Ireland: a personal view.

    LENUS (Irish Health Repository)

    Harrison, Robert F

    2012-03-01

    This paper traces the development of in vitro fertilization (IVF) in the Republic of Ireland from when the first attempts at using this technique were carried out in 1985 up to the present. Clinical changes are chronicled principally using the personal work of the author and his colleagues as representative of the day. The impact of the Catholic Church and the alterations in Medical Council governance guidelines over the years as these reflect societal changes are highlighted. The potential role of other regulators including Irish case law and the EU Tissue directive are discussed as well as the almost invariable private practice nature of the services provided and the various ways in which costs have been alleviated.

  17. Dehydroepiandrosterone (DHEA) supplementation and IVF outcome in poor responders.

    Science.gov (United States)

    Triantafyllidou, Olga; Sigalos, George; Vlahos, Nikos

    2017-06-01

    Ovarian stimulation of poor ovarian responders still remains a challenging issue. The incidence of poor responders among infertile women is reported in 9-24% IVF cycles and is associated with very low clinical pregnancy rates. Different treatments have been reported in the literature in an attempt to identify the best stimulation protocol for those patients. Administration of dehydroepiandrosterone acetate (DHEA) was suggested as a promising treatment. It is well known that androgens can influence ovarian follicular growth, augment steroidogenesis, promote follicular recruitment and increase the number of primary and pre-antral follicles. The purpose of this review is to evaluate the effect of DHEA supplementation on women with diminished ovarian reserve. Because of the uncertainty of published data, we suggest that well-designed multicentre RCTs are required to provide more insight on the effectiveness of DHEA. The absence of significant side effects should not be considered as an argument to support DHEA treatment.

  18. IVF and embryo transfer: historical origin and development.

    Science.gov (United States)

    Biggers, John D

    2012-08-01

    IVF and embryo transfer for the treatment of human infertility has now resulted in the birth of over 4 million babies. The technique did not arise as a quantum event but was built on the efforts of many earlier workers in the fields of reproductive endocrinology and development. One should remember the famous saying of Isaac Newton: 'If I have seen further than most, it is because I have stood on the shoulder's of giants'. Ethical and moral issues have always arisen when investigators study early mammalian development, particularly human development. This paper documents these earlier studies and also draws attention to the ethical and moral arguments that inevitably arose. Copyright © 2012 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  19. Traces of warping subsided tectonic blocks on Miranda, Enceladus, Titan

    Science.gov (United States)

    Kochemasov, G.

    2007-08-01

    Icy satellites of the outer Solar system have very large range of sizes - from kilometers to thousands of kilometers. Bodies less than 400-500 km across have normally irregular shapes , often presenting simple Plato's polyhedrons woven by standing inertiagravity waves (see an accompanying abstract of Kochemasov). Larger bodies with enhanced gravity normally are rounded off and have globular shapes but far from ideal spheres. This is due to warping action of inertia-gravity waves of various wavelengths origin of which is related to body movements in elliptical keplerian orbits with periodically changing accelerations (alternating accelerations cause periodically changing forces acting upon a body what means oscillations of its spheres in form of standing warping waves). The fundamental wave 1 and its first overtone wave 2 produce ubiquitous tectonic dichotomy - two segmental structure and tectonic sectoring superimposed on this dichotomy. Two kinds of tectonic blocks (segments and sectors) are formed: uplifted (+) and subsided (-). Uplifting means increasing planetary radius of blocks, subsiding - decreasing radius (as a sequence subsiding blocks diminishing their surfaces must be warped, folded, wrinkled; uplifting blocks increasing their surfaces tend to be deeply cracked, fallen apart). To level changing angular momenta of blocks subsided areas are filled with denser material than uplifted ones (one of the best examples is Earth with its oceanic basins filled with dense basalts and uplifted continents built of less dense on average andesitic material). Icy satellites follow the same rule. Their warped surfaces show differing chemistries or structures of constructive materials. Uplifted blocks are normally built with light (by color and density) water ice. Subsided blocks - depressions, "seas', "lakes", coronas - by somewhat denser material differing in color from water ice (very sharply - Iapetus, moderately - Europa, slightly - many saturnian satellites). A very

  20. Subsidence and carbon loss in drained tropical peatlands

    Directory of Open Access Journals (Sweden)

    A. Hooijer

    2012-03-01

    Full Text Available Conversion of tropical peatlands to agriculture leads to a release of carbon from previously stable, long-term storage, resulting in land subsidence that can be a surrogate measure of CO2 emissions to the atmosphere. We present an analysis of recent large-scale subsidence monitoring studies in Acacia and oil palm plantations on peatland in SE Asia, and compare the findings with previous studies. Subsidence in the first 5 yr after drainage was found to be 142 cm, of which 75 cm occurred in the first year. After 5 yr, the subsidence rate in both plantation types, at average water table depths of 0.7 m, remained constant at around 5 cm yr−1. The results confirm that primary consolidation contributed substantially to total subsidence only in the first year after drainage, that secondary consolidation was negligible, and that the amount of compaction was also much reduced within 5 yr. Over 5 yr after drainage, 75 % of cumulative subsidence was caused by peat oxidation, and after 18 yr this was 92 %. The average rate of carbon loss over the first 5 yr was 178 t CO2eq ha−1 yr−1, which reduced to 73 t CO2eq ha−1 yr−1 over subsequent years, potentially resulting in an average loss of 100 t CO2eq ha−1 yr−1 over 25 yr. Part of the observed range in subsidence and carbon loss values is explained by differences in water table depth, but vegetation cover and other factors such as addition of fertilizers also influence peat oxidation. A relationship with groundwater table depth shows that subsidence and carbon loss are still considerable even at the highest water levels theoretically possible in plantations. This implies that improved plantation water management will reduce these impacts by 20 % at most, relative to current conditions, and that high rates of carbon loss and land subsidence are

  1. Electrochemical Decontamination of Painted and Heavily Corroded Metals

    International Nuclear Information System (INIS)

    Marczak, S.; Anderson, J.; Dziewinski, J.

    1998-01-01

    The radioactive metal wastes that are generated from nuclear fuel plants and radiochemical laboratories are mainly contaminated by the surface deposition of radioactive isotopes. There are presently several techniques used in removing surface contamination involving physical and chemical processes. However, there has been very little research done in the area of soiled, heavily oxidized, and painted metals. Researchers at Los Alamos National Laboratory have been developing electrochemical procedures for the decontamination of bare and painted metal objects. These methods have been found to be effective on highly corroded as well as relatively new metals. This study has been successful in decontaminating projectiles and shrapnel excavated during environmental restoration projects after 40+ years of exposure to the elements. Heavily corroded augers used in sampling activities throughout the area were also successfully decontaminated. This process has demonstrated its effectiveness and offers several advantages over the present metal decontamination practices of media blasting and chemical solvents. These advantages include the addition of no toxic or hazardous chemicals, low operating temperature and pressure, and easily scaleable equipment. It is in their future plans to use this process in the decontamination of gloveboxes destined for disposal as TRU waste

  2. Near-infrared free carrier absorption in heavily doped silicon

    International Nuclear Information System (INIS)

    Baker-Finch, Simeon C.; McIntosh, Keith R.; Yan, Di; Fong, Kean Chern; Kho, Teng C.

    2014-01-01

    Free carrier absorption in heavily doped silicon can have a significant impact on devices operating in the infrared. In the near infrared, the free carrier absorption process can compete with band to band absorption processes, thereby reducing the number of available photons to optoelectronic devices such as solar cells. In this work, we fabricate 18 heavily doped regions by phosphorus and boron diffusion into planar polished silicon wafers; the simple sample structure facilitates accurate and precise measurement of the free carrier absorptance. We measure and model reflectance and transmittance dispersion to arrive at a parameterisation for the free carrier absorption coefficient that applies in the wavelength range between 1000 and 1500 nm, and the range of dopant densities between ∼10 18 and 3 × 10 20  cm −3 . Our measurements indicate that previously published parameterisations underestimate the free carrier absorptance in phosphorus diffusions. On the other hand, published parameterisations are generally consistent with our measurements and model for boron diffusions. Our new model is the first to be assigned uncertainty and is well-suited to routine device analysis

  3. Underground coal mine subsidence impacts on surface water

    International Nuclear Information System (INIS)

    Stump, D.E. Jr.

    1992-01-01

    This paper reports that subsidence from underground coal mining alters surface water discharge and availability. The magnitude and areal extent of these impacts are dependent on many factors, including the amount of subsidence, topography, geology, climate, surface water - ground water interactions, and fractures in the overburden. There alterations may have positive and/or negative impacts. One of the most significant surface water impacts occurred in July 1957 near West Pittston, Pennsylvania. Subsidence in the Knox Mine under the Coxton Yards of the Lehigh Valley Railroad allowed part of the discharge in the Susquehanna River to flow into the mine and create a crater 200 feet in diameter and 300 feet deep. Fourteen railroad gondola cars fell into the hole which was eventually filled with rock, sand, and gravel. Other surface water impacts from subsidence may include the loss of water to the ground water system, the gaining of water from the ground water system, the creation of flooded subsidence troughs, the increasing of impoundment storage capacity, the relocation of water sources (springs), and the alteration of surface drainage patterns

  4. Mine subsidence control projects associated with solid waste disposal facilities

    International Nuclear Information System (INIS)

    Wood, R.M.

    1994-01-01

    Pennsylvania environmental regulations require applicant's for solid waste disposal permits to provide information regarding the extent of deep mining under the proposed site, evaluations of the maximum subsidence potential, and designs of measures to mitigate potential subsidence impact on the facility. This paper presents three case histories of deep mine subsidence control projects at solid waste disposal facilities. Each case history presents site specific mine grouting project data summaries which include evaluations of the subsurface conditions from drilling, mine void volume calculations, grout mix designs, grouting procedures and techniques, as well as grout coverage and extent of mine void filling evaluations. The case studies described utilized basic gravity grouting techniques to fill the mine voids and fractured strata over the collapsed portions of the deep mines. Grout mixtures were designed to achieve compressive strengths suitable for preventing future mine subsidence while maintaining high flow characteristics to penetrate fractured strata. Verification drilling and coring was performed in the grouted areas to determine the extent of grout coverage and obtain samples of the in-place grout for compression testing. The case histories presented in this report demonstrate an efficient and cost effective technique for mine subsidence control projects

  5. What’s the Score? Walkable Environments and Subsidized Households

    Directory of Open Access Journals (Sweden)

    Young-Jae Kim

    2016-04-01

    Full Text Available Neighborhood walkability can influence individual health, social interactions, and environmental quality, but the relationships between subsidized households and their walkable environment have not been sufficiently examined in previous empirical studies. Focusing on two types of subsidized housing developments (Low-Income Housing Tax Credit (LIHTC and Public Housing (PH in Austin, Texas, this study evaluates the neighborhood walkability of place-based subsidized households, utilizing objectively measured Walk Score and walking-related built environment data. We also used U.S. Census block group data to account for the socio-demographic covariates. Based on various data, we employed bivariate and multivariate analyses to specify the relationships between subsidized households and their neighborhood walkable environment. The results of our bivariate analyses show that LIHTC households tend to be located in car-dependent neighborhoods and have more undesirable walking-related built environment conditions compared with non-LIHTC neighborhoods. Our regression results also represent that LIHTC households are more likely to be exposed to neighborhoods with low Walk Score, less sidewalk coverage, and more highways and major roads, while there are no significant associations for PH households. These findings imply that more attention and effort toward reducing the inequitable distributions of walkable neighborhood features supporting rather than hindering healthy lifestyles must be provided to subsidized households.

  6. Uninformed Decisions? The Online Presentation of Success and Failure of IVF and Related Methods on German IVF Centre Websites.

    Science.gov (United States)

    Kadi, S; Wiesing, U

    2015-12-01

    Background: Patients increasingly use the internet as a source of medical information before initial contact with doctors and during treatment. This applies to reproductive medicine too, where the internet could offer patients the chance to inform themselves in advance about specific procedures and the treatment centres that offer them. In this way it could potentially contribute to informed patient decision-making. This article analyses the web presence of German fertility treatment centres with respect to the provision of information on success rates, risks and side effects of treatment. Methods: Analysis of published success rates and information on the risks and adverse effects of IVF and related methods on German IVF centre websites. Results: Over half of the 129 centres (62.02 %) state a general success rate or their own institution's success rate. Less than a quarter (24.03 %) states their own institution's pregnancy rate and only 7.75 % their own birth rate. The published success rates are mostly pregnancy rates (pregnancy per embryo transfer), which by definition are higher than baby take-home-rates creating unrealistic expectations. Only 61 centres (47.29 %) mention risks and side effects of the procedures offered, and that in varying detail. Only 7 centres (5.43 %) provide information on the risk of psychological stress associated with unsuccessful fertility treatment. Conclusion: There is insufficient opportunity for women and their partners to inform themselves adequately on the internet in advance of treatment about available treatment methods, their success rates and associated risks/side effects; this applies both to specific facilities as well as to the procedures in general. In contrast to other countries, in Germany there is a lack of discussion on content requirements for fertility treatment facility websites.

  7. Low oocyte yield during IVF treatment and the risk of a trisomic pregnancy

    DEFF Research Database (Denmark)

    Honorato, Talita; Hoek, Annemieke; Henningsen, Anna-Karina

    2017-01-01

    A low number of antral follicles may result in the selection of suboptimal oocytes that are prone to meiotic errors. The aim of this case-control study was to evaluate women receiving IVF treatment with low oocyte yield (defined as three or fewer oocytes retrieved after ovarian stimulation) who...... are at an increased risk of a trisomic pregnancy. Data were obtained from Danish and Dutch medical registries between 1983 and 2011. Analyses were carried out in 105 cases and 442 controls matched by age and year of IVF treatment. Cases were women with a trisomic pregnancy (trisomies 13, 18 or 21) resulting from...... fresh IVF treatment and confirmed by karyotyping. Cases were included regardless of pregnancy outcome. Controls were women with a live born child without a trisomy, resulting from fresh IVF treatment. Low oocyte yield was observed in 6.6% (29/440) of the women, of which 8.4% (7/83) were cases and 6...

  8. Hair mercury concentrations and in vitro fertilization (IVF) outcomes among women from a fertility clinic

    Science.gov (United States)

    Ehrlich, Shelley; Smith, Kristen; Williams, Paige L.; Chavarro, Jorge E.; Batsis, Maria; Toth, Thomas L.; Hauser, Russ

    2015-01-01

    Total hair mercury (Hg) was measured among 205 women undergoing in vitro fertilization (IVF) treatment and the association with prospectively collected IVF outcomes (229 IVF cycles) was evaluated. Hair Hg levels (median=0.62 ppm, range: 0.03-5.66 ppm) correlated with fish intake (r=0.59), and exceeded the recommended EPA reference of 1ppm in 33% of women. Generalized linear mixed models with random intercepts accounting for within-woman correlations across treatment cycles were used to evaluate the association of hair Hg with IVF outcomes adjusted for age, body mass index, race, smoking status, infertility diagnosis, and protocol type. Hair Hg levels were not related to ovarian stimulation outcomes (peak estradiol levels, total and mature oocyte yields) or to fertilization rate, embryo quality, clinical pregnancy rate or live birth rate. PMID:25601638

  9. Live birth after IVF in a 46-year-old woman.

    Science.gov (United States)

    Dal Prato, Luca; Borini, Andrea; Cattoli, Monica; Preti, Maria Serena; Serrao, Lucia; Flamigni, Carlo

    2005-10-01

    Pregnancies after IVF have been reported in women aged > or =44 years, but nobody older than 45 years at oocyte retrieval delivered. We report a case of birth of a healthy child after IVF in a 46-year-old infertile woman. Ovarian stimulation was performed with clomiphene citrate, 150 mg daily for 5 days. Three oocytes were retrieved and one embryo was replaced. The patient delivered a healthy male infant after Caesarean section at 39 weeks. A successful pregnancy after IVF with homologous oocytes can be achieved in women older than 45 years. At this age IVF is not a cost-effective treatment compared with oocyte donation, but it may be offered in countries in which gamete donation is forbidden.

  10. Subsidence and settlement and their effect on shallow land burial

    International Nuclear Information System (INIS)

    Abeele, W.V.

    1985-01-01

    Subsidence and settlement are phenomena that are much more destructive than generally thought. In shallow land burials they may lead to cracking of the overburden and eventual exposure and escape of waste material. The primary causes are consolidation and cave-ins. Laboratory studies performed at Los Alamos permit us to predict settlement caused by consolidation or natural compaction of the crushed tuff overburden. Examples of expected settlement and subsidence are calculated based on the known geotechnical characteristics of crushed tuff. The same thing is done for bentonite/tuff mixes because some field experiments were performed using this additive (bentonite) to reduce the hydraulic conductivity of the crushed tuff. Remedial actions, i.e., means to limit the amount of settlement, are discussed. Finally, we briefly comment on our current field experiment, which studies the influence of subsidence on layered systems in general and on biobarriers in particular

  11. Study on the Rule of Super Strata Movement and Subsidence

    Science.gov (United States)

    Yao, Shunli; Yuan, Hongyong; Jiang, Fuxing; Chen, Tao; Wu, Peng

    2018-01-01

    The movement of key strata is related to the safety of the whole earth’s surface for coal mining under super strata. Based on the key strata theory, the paper comprehensively analyzes the characteristics of the subsidence before and after the instability of the super strata by studing through FLAC3D and microseismic dynamic monitoring of the surface rock movement observation. The stability of the super strata movement is analyzed according to the characteristic value of the subsidence. The subsidence law and quantitative indexes under the control of the super rock strata that provides basis for the prevention and control of surface risk, optimize mining area and face layout and reasonably set mining boundary around mining area. It provides basis for the even growth of mine safety production and regional public safety.

  12. Subsidence and settlement and their effect on shallow land burial

    International Nuclear Information System (INIS)

    Abeele, W.V.

    1985-01-01

    Subsidence and settlement are phenomena that are much more destructive than generally thought. In shallow land burials they may lead to cracking of the overburden and eventual exposure and escape of waste material. The primary causes are consolidation and cave-ins. Laboratory studies performed at Los Alamos permit us to predict settlement caused by consolidation or natural compaction of the crushed tuff overburden. Examples of expected settlement and subsidence are calculated based on the known geotechnical characteristics of crushed tuff. The same thing is done for bentonite/tuff mixes because some field experiments were performed using this additive (bentonite) to reduce the hydraulic conductivity of the crushed tuff. Remedial actions, i.e., means to limit the amount of settlement, are discussed. Finally, we briefly comment on our current field experiment, which studies the influence of subsidence on layered systems, in general, and on biobarriers, in particular. 16 references, 7 figures, 5 tables

  13. Recipient screening in IVF: First data from women undergoing anonymous oocyte donation in Dublin

    Directory of Open Access Journals (Sweden)

    Salma Umme

    2011-04-01

    Full Text Available Abstract Background Guidelines for safe gamete donation have emphasised donor screening, although none exist specifically for testing oocyte recipients. Pre-treatment assessment of anonymous donor oocyte IVF treatment in Ireland must comply with the European Union Tissues and Cells Directive (Directive 2004/23/EC. To determine the effectiveness of this Directive when applied to anonymous oocyte recipients in IVF, we reviewed data derived from selected screening tests performed in this clinical setting. Methods Data from tests conducted at baseline for all women enrolling as recipients (n = 225 in the anonymous oocyte donor IVF programme at an urban IVF referral centre during a 24-month period were analysed. Patient age at programme entry and clinical pregnancy rate were also tabulated. All recipients had at least one prior negative test for HIV, Hepatitis B/C, chlamydia, gonorrhoea and syphilis performed by her GP or other primary care provider before reproductive endocrinology consultation. Results Mean (±SD age for donor egg IVF recipients was 40.7 ± 4.2 yrs. No baseline positive chlamydia, gonorrhoea or syphilis screening results were identified among recipients for anonymous oocyte donation IVF during the assessment interval. Mean pregnancy rate (per embryo transfer in this group was 50.5%. Conclusion When tests for HIV, Hepatitis B/C, chlamydia, gonorrhoea and syphilis already have been confirmed to be negative before starting the anonymous donor oocyte IVF sequence, additional (repeat testing on the recipient contributes no new clinical information that would influence treatment in this setting. Patient safety does not appear to be enhanced by application of Directive 2004/23/EC to recipients of anonymous donor oocyte IVF treatment. Given the absence of evidence to quantify risk, this practice is difficult to justify when applied to this low-risk population.

  14. The vanishing twin: a major determinant of infant outcome in IVF singleton births

    DEFF Research Database (Denmark)

    Pinborg, Anja; Lidegaard, Ojvind; Andersen, Anders Nyboe

    2006-01-01

    This article attempts to assess the frequency of vanishing twins in assisted reproductive and spontaneously conceived pregnancies, including in-vitro fertilization (IVF), and its impact on the live-born surviving twin.......This article attempts to assess the frequency of vanishing twins in assisted reproductive and spontaneously conceived pregnancies, including in-vitro fertilization (IVF), and its impact on the live-born surviving twin....

  15. IVF for premature ovarian failure: first reported births using oocytes donated from a twin sister.

    LENUS (Irish Health Repository)

    Sills, Eric Scott

    2010-01-01

    BACKGROUND: Premature ovarian failure (POF) remains a clinically challenging entity because in vitro fertilisation (IVF) with donor oocytes is currently the only treatment known to be effective. METHODS: A 33 year-old nulligravid patient with a normal karyotype was diagnosed with POF; she had a history of failed fertility treatments and had an elevated serum FSH (42 mIU\\/ml). Oocytes donated by her dizygotic twin sister were used for IVF. The donor had already completed a successful pregnancy herself and subsequently produced a total of 10 oocytes after a combined FSH\\/LH superovulation regime. These eggs were fertilised with sperm from the recipient\\'s husband via intracytoplasmic injection and two fresh embryos were transferred to the recipient on day three. RESULTS: A healthy twin pregnancy resulted from IVF; two boys were delivered by caesarean section at 39 weeks\\' gestation. Additionally, four embryos were cryopreserved for the recipient\\'s future use. The sister-donor achieved another natural pregnancy six months after oocyte retrieval, resulting in a healthy singleton delivery. CONCLUSION: POF is believed to affect approximately 1% of reproductive age females, and POF patients with a sister who can be an oocyte donor for IVF are rare. Most such IVF patients will conceive from treatment using oocytes from an anonymous oocyte donor. This is the first report of births following sister-donor oocyte IVF in Ireland. Indeed, while sister-donor IVF has been successfully undertaken by IVF units elsewhere, this is the only known case where oocyte donation involved twin sisters. As with all types of donor gamete therapy, pre-treatment counselling is important in the circumstance of sister oocyte donation.

  16. Recipient screening in IVF: First data from women undergoing anonymous oocyte donation in Dublin

    LENUS (Irish Health Repository)

    Walsh, Anthony PH

    2011-04-20

    Abstract Background Guidelines for safe gamete donation have emphasised donor screening, although none exist specifically for testing oocyte recipients. Pre-treatment assessment of anonymous donor oocyte IVF treatment in Ireland must comply with the European Union Tissues and Cells Directive (Directive 2004\\/23\\/EC). To determine the effectiveness of this Directive when applied to anonymous oocyte recipients in IVF, we reviewed data derived from selected screening tests performed in this clinical setting. Methods Data from tests conducted at baseline for all women enrolling as recipients (n = 225) in the anonymous oocyte donor IVF programme at an urban IVF referral centre during a 24-month period were analysed. Patient age at programme entry and clinical pregnancy rate were also tabulated. All recipients had at least one prior negative test for HIV, Hepatitis B\\/C, chlamydia, gonorrhoea and syphilis performed by her GP or other primary care provider before reproductive endocrinology consultation. Results Mean (±SD) age for donor egg IVF recipients was 40.7 ± 4.2 yrs. No baseline positive chlamydia, gonorrhoea or syphilis screening results were identified among recipients for anonymous oocyte donation IVF during the assessment interval. Mean pregnancy rate (per embryo transfer) in this group was 50.5%. Conclusion When tests for HIV, Hepatitis B\\/C, chlamydia, gonorrhoea and syphilis already have been confirmed to be negative before starting the anonymous donor oocyte IVF sequence, additional (repeat) testing on the recipient contributes no new clinical information that would influence treatment in this setting. Patient safety does not appear to be enhanced by application of Directive 2004\\/23\\/EC to recipients of anonymous donor oocyte IVF treatment. Given the absence of evidence to quantify risk, this practice is difficult to justify when applied to this low-risk population.

  17. Investigation of a subsidence event near Flushing, Ohio

    International Nuclear Information System (INIS)

    Ledney, C.M.; Hawk, J.L.

    1994-01-01

    An investigation was undertaken to determine the cause and extent of events which caused problems to a number of residences along State Route 149 near Flushing, Belmont County, Ohio. The events began in 1988 and continued through 1991 and affected nine homes. The type of problems occurring, as well as surface effects, compared to available mine maps of the area, indicated the problems were caused by subsidence from coal mining. The mining occurred in the Pittsburgh seam at a depth of between 180 and 220 feet. The mining beneath the site took place between 1975 and 1977 and was of the room and pillar type. A subsurface investigation was performed, along with ''down the hole'' video camera inspections to provide necessary subsurface information for analysis of the subsidence event. Factors of safety were calculated for pillars throughout the mine. Based on this analysis, it was determined that pillar failure caused the subsidence event. Once a determination was made as to the likely cause of the subsidence, the data was re-examined to determine the possible location of pillar failure, as well as the type and extent of subsidence. This analysis involved the use of RQD versus depth plots and the compilation of isopach maps of the mine overburden and the Sewickley Sandstone. The trend of the two maps suggested that a relationship existed between the sandstone thickness, the overburden and the surface expression of the subsidence. In order to determine this relationship, the two maps were combined into a second order map showing the mine overburden--Sewickley Sandstone thickness ratios. The combination was accomplished by computer matrix operations using the grid values of the two previous maps that were generated by kriging. It was concluded that the ratio of the Sewickley Sandstone thickness to the mine overburden had a tremendous effect on the amount of damage that occurred to specific residences

  18. Land Subsidence Caused by Groundwater Exploitation in Quetta Valley, Pakistan

    Directory of Open Access Journals (Sweden)

    Najeebullah Kakar

    2016-12-01

    Full Text Available Land subsidence is affecting several metropolitan cities in developing as well as developed countries around the world such as Nagoya (Japan, Shanghai (China, Venice (Italy and San Joaquin valley (United States. This phenomenon is attributed to natural as well as anthropogenic activities that include extensive groundwater withdrawals. Quetta is the largest city of Balochistan province in Pakistan. This valley is mostly dry and ground water is the major source for domestic and agricultural consumption. The unplanned use of ground water resources has led to the deterioration of water quality and quantity in the Quetta valley. Water shortage in the region was further aggravated by the drought during (1998-2004 that hit the area forcing people to migrate from rural to urban areas. Refugees from the war torn neighboring Afghanistan also contributed to rapid increase in population of Quetta valley that has increased from 0.26 million in 1975 to 3.0 million in 2016. The objective of this study was to measure the land subsidence in Quetta valley and identify the effects of groundwater withdrawals on land subsidence. To achieve this goal, data from five Global Positioning System (GPS stations were acquired and processed. Furthermore the groundwater decline data from 41 observation wells during 2010 to 2015 were calculated and compared with the land deformation. The results of this study revealed that the land of Quetta valley is subsiding from 30mm/y on the flanks to 120 mm/y in the central part. 1.5-5.0 m/y of groundwater level drop was recorded in the area where the rate of subsidence is highest. So the extensive groundwater withdrawals in Quetta valley is considered to be the driving force behind land subsidence.

  19. The UNESCO-IHP Working Group on Land Subsidence: Four Decades of International Contributions to Hydrogeological Related Subsidence Research and Knowledge Exchange

    Science.gov (United States)

    Galloway, D. L.; Carreon-Freyre, D.; Teatini, P.; Ye, S.

    2015-12-01

    Subsidence is globally prevalent and because much of it is related to hydrological processes affected by human development of local land and water resources, "Land Subsidence" was included in the UNESCO programme of the International Hydrological Decade (IHD), 1965-1974 and an ad hoc working group on land subsidence was formed. In 1975 subsidence was retained under the framework of the UNESCO IHP (subproject 8.4: "Investigation of Land Subsidence due to Groundwater Exploitation"), and UNESCO IHP formerly codified the Working Group on Land Subsidence (WGLS). In 1984 the WGLS produced a comprehensive guidebook to serve scientists and engineers, confronting land subsidence problems, particularly in developing countries (http://unesdoc.unesco.org/$other/unesdoc/pdf/065167eo.pdf). During the IHD, UNESCO IHP convened the 1st International Symposium on Land Subsidence in 1969 in Tokyo, Japan. In collaboration with UNESCO IHP, IAHS, and other scientific organizations, the WGLS has convened eight more International Symposia on Land Subsidence in different countries in Asia, Europe and North America. The 9 published symposia proceedings constitute an important source of global subsidence research and case studies during the past 45 years, covering both anthropogenic and natural subsidence processes. Currently, the WGLS comprising 20 subsidence experts from 9 countries promotes and facilitates the international exchange of information regarding the design, implementation and evaluation of risk assessments and mitigation measures, the definition of water and land resource-management strategies that support sustainable development in areas vulnerable to subsidence (http://landsubsidence-unesco.org), and the assessment of related geological risks such as earth fissuring and fault activation (www.igcp641.org). The WGLS has become an important global leader in promoting subsidence awareness, scientific research and its application to subsidence monitoring, analysis and management.

  20. Coastal Flooding Hazards due to storm surges and subsidence

    DEFF Research Database (Denmark)

    Sørensen, Carlo; Knudsen, Per; Andersen, Ole B.

    Flooding hazard and risk mapping are major topics in low-lying coastal areas before even considering the adverse effects of sea level rise (SLR) due to climate change. While permanent inundation may be a prevalent issue, more often floods related to extreme events (storm surges) have the largest...... damage potential.Challenges are amplified in some areas due to subsidence from natural and/or anthropogenic causes. Subsidence of even a few mm/y may over time greatly impair the safety against flooding of coastal communities and must be accounted for in order to accomplish the economically most viable...

  1. Subsidence monitoring program at Cyprus Coal's Colorado operations

    International Nuclear Information System (INIS)

    Stewart, C.L.; Shoemaker, J.E.

    1992-01-01

    Published subsidence data for the western United States is limited in comparison with data for the east. This paper summarizes the results of a subsidence monitoring program above two longwall panels at the Foidel Creek Mine located in northwest Colorado. The monitoring area is characterized by overburden ranging from 1000 ft to 1100 ft in thickness. the surface slope parallels the dip of the bedding at approximately 5 deg. Average mining height is 9 ft. Smax averaged 3.4 ft. Draw angles averaged 15 deg for up-dip ribsides and 19 deg for down-dip ribsides. A site-specific profile function is developed from the data

  2. Prognosis and cost-effectiveness of IVF in poor responders according to the Bologna Criteria.

    Science.gov (United States)

    Busnelli, Andrea; Somigliana, Edgardo

    2018-02-01

    Poor ovarian response (POR) to controlled ovarian hyperstimulation for in vitro fertilization (IVF) is one of the most challenging issue in the field of reproductive medicine. However, even if improving IVF outcome in poor responders (PORs) represents a main priority, the lack of a unique definition of POR has hampered research in this area. In order to overcome this impediment, an ESHRE Campus Workshop was organized in Bologna in 2010 and reached a consensus on the criteria for the diagnosis of POR ("Bologna Criteria"). In this review we aimed to estimate the prognostic potential of the ESHRE definition, to elucidate its possible weaknesses and to analyze the economic aspects of IVF in a population of poor responders (PORs). Available evidence confirmed that the Bologna criteria are able to select a population with a poor IVF prognosis thus supporting their validity. Nonetheless, different aspects of the definition have been criticized. The main points of debate concern the homogeneity of the population identified, the cut-off values chosen for the ovarian reserve tests and the risks factors other than age associated with POR. Data concerning the economic profile of IVF in PORs are scanty. The only published study on the argument showed that IVF in these cases is not cost-effective. However, considering the potential substantial impact of cost-effectiveness analyses on public health policies, there is the need for further and independent validations.

  3. The incidence of histological chorioamnionitis in IVF/GIFT preterm births.

    Science.gov (United States)

    Williams, H; Jeffery, H

    1994-08-01

    A retrospective case control study was designed to investigate the role of subclinical infection as a risk factor for the high rate of preterm deliveries in IVF/GIFT pregnancies. The cases and the controls were identified from the records of consecutive livebirths of preclampsia and antepartum haemorrhage. As a marker of subclinical infection, the incidence of histological chorioamnionitis (HCA) in the 2 groups (as defined by the standardized, semiquantitative method of Benirschke) was compared. The matched variables did not differ significantly between the IVF/GIFT group and the control group. No significant difference in the incidence of HCA was detected between IVF/GIFT and control groups for singletons or twins. Overall 24% of IVF/GIFT and 30% of controls showed evidence of HCA, odds ratio (95% confidence intervals), 0.72 (0.40-1.31). This study showed no evidence that the incidence of HCA, is significantly increased in IVF/GIFT preterm births compared with other matched, preterm births. Therefore, we conclude that subclinical infection/inflammation cannot explain the 4-fold increase in preterm births in the IVF/GIFT population.

  4. Hemizona Assay and Sperm Penetration Assay in the Prediction of IVF Outcome: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Paraskevi Vogiatzi

    2013-01-01

    Full Text Available The limited predictive value of semen analysis in achieving natural conception or in IVF outcome confirms the need for sperm function tests to determine optimal management. We reviewed HZA and SPA predictive power in IVF outcome, with statistical significance of diagnostic power of the assays. HZA was readily efficient in predicting IVF outcome, while evident inconsistency among the studies analysed framed the SPA’s role in male fertility evaluation. Considerable variation was noted in the diagnostic accuracy values of SPA with wide sensitivity (52–100%, specificity (0–100%, and PPV (18–100% and NPV (0–100% together with fluctuation and notable differentiation in methodology and cutoff values employed by each group. HZA methodology was overall consistent with minor variation in cutoff values and oocyte source, while data analysis reported strong correlation between HZA results with IVF outcome, high sensitivity (75–100%, good specificity (57–100%, and high PPV (79–100% and NPV (68–100%. HZA correlated well with IVF outcome and demonstrated better sensitivity/specificity and positive/negative predictive power. Males with normal or slightly abnormal semen profiles could benefit by this intervention and could be evaluated prior to referral to assisted reproduction. HZA should be used in a sequential fashion with semen analysis and potentially other bioassays in an IVF setting.

  5. 40 years of bovine IVF in the new genomic selection context.

    Science.gov (United States)

    Sirard, Marc-Andre

    2018-04-10

    The development of a complex technology such as in vitro fertilization (IVF) requires years of experimentation, sometimes comparing several species to learn how to create the right in vitro environment for oocytes, spermatozoa, and early embryos. At the same time, individual species characteristics such as gamete physiology and gamete interaction are recently evolved traits and must be analysed within the context of each species. In the last 40 years since the birth of Louise Brown, IVF techniques progressed and are now used in multiple domestic and non-domestic animal species around the world. This does not mean that the technology is completely matured or satisfactory; a number of problems remain to be solved and several procedures still need to be optimized. The development of IVF in cattle is particularly interesting since agriculture practices permitted the commercial development of the procedure and it is now used at a scale comparable to human IVF (millions of newborns). The genomic selection of young animals or even embryos combined with sexing and freezing technologies is driving a new era of IVF in the Dairy sector. The time has come for a retrospective analysis of the success and pitfalls of the last 40 years of bovine IVF and for the description of the challenges to overcome in the years to come.

  6. Twins conceived using IVF: a follow-up of the family environment and psychosocial adjustment in adolescence.

    Science.gov (United States)

    Anderson, K N; Connor, J J; Koerner, A F; Rueter, M A

    2016-12-01

    Compared to families with IVF singletons, what are parental depressive, parent-adolescent interaction and adolescent adjustment outcomes in families with 11-17-year-old IVF twins? No differences were detected for any measured outcome between families with 11-17-year-old IVF twins and those with IVF singletons, despite high statistical power. When IVF twins are younger than 5-years-old, parents tend to have more mental health difficulties and poorer parent-child interactions relative to IVF singletons. By middle childhood, these differences may no longer exist and available studies with middle childhood-aged IVF twins challenge the expected long-term implications of the early concerns. IVF twins may even have more optimum adjustment than IVF singletons in middle childhood. Study of 280, 11-17-year-old IVF children (n = 122 twins and n = 158 singletons) from 195 families at a US reproductive endocrinology clinic. At Wave 1, clinic patients with an IVF child born between 1998 and 2004 were invited to participate in an online survey. In this follow-up study, mothers and fathers provided information on each of their 11-17-year-old IVF adolescents. There were no differences between 11- and 17-year-old IVF twins and IVF singletons in parent depressive symptoms, parent-adolescent interactions or adolescent adjustment outcomes. Although the family demographics are representative of IVF patients, participants were drawn from one US clinic. Study results provide reassurance that by adolescence IVF twins and their families function as well as IVF singletons and their families. University of Minnesota (UMN) Agriculture Experiment Station (MN-52-107), UMN Grant-in-Aid of Research, Artistry and Scholarship, UMN College of Education and Human Development Research Development Investment Grant, UMN Women's Philosophic Leadership Circle Award, UMN Eva Miller Endowed Fellowship. The authors have no conflicts of interest to declare. © The Author 2016. Published by Oxford

  7. Land subsidence and caprock dolines caused by subsurface gypsum dissolution and the effect of subsidence on the fluvial system in the Upper Tigris Basin (between Bismil Batman, Turkey)

    Science.gov (United States)

    Doğan, Uğur

    2005-11-01

    Karstification-based land subsidence was found in the Upper Tigris Basin with dimensions not seen anywhere else in Turkey. The area of land subsidence, where there are secondary and tertiary subsidence developments, reaches 140 km 2. Subsidence depth ranges between 40 and 70 m. The subsidence was formed as a result of subsurface gypsum dissolution in Lower Miocene formation. Although there are limestones together with gypsum and Eocene limestone below them in the area, a subsidence with such a large area is indicative of karstification in the gypsum. The stratigraphical cross-sections taken from the wells and the water analyses also verify this fact. The Lower Miocene gypsum, which shows confined aquifer features, was completely dissolved by the aggressive waters injected from the top and discharged through by Zellek Fault. This resulted in the development of subsidence and formation of caprock dolines on loosely textured Upper Miocene-Pliocene cover formations. The Tigris River runs through the subsidence area between Batman and Bismil. There are four terrace levels as T1 (40 m), T2 (30 m), T3 (10 m) and T4 (4-5 m) in the Tigris River valley. It was also found that there were some movements of the levels of the terraces in the valley by subsidence. The subsidence developed gradually throughout the Quaternary; however no terrace was formed purely because of subsidence.

  8. Is IVF-served two different ways-more cost-effective than IUI with controlled ovarian hyperstimulation?

    Science.gov (United States)

    Tjon-Kon-Fat, R I; Bensdorp, A J; Bossuyt, P M M; Koks, C; Oosterhuis, G J E; Hoek, A; Hompes, P; Broekmans, F J; Verhoeve, H R; de Bruin, J P; van Golde, R; Repping, S; Cohlen, B J; Lambers, M D A; van Bommel, P F; Slappendel, E; Perquin, D; Smeenk, J; Pelinck, M J; Gianotten, J; Hoozemans, D A; Maas, J W M; Groen, H; Eijkemans, M J C; van der Veen, F; Mol, B W J; van Wely, M

    2015-10-01

    What is the cost-effectiveness of in vitro fertilization (IVF) with conventional ovarian stimulation, single embryo transfer (SET) and subsequent cryocycles or IVF in a modified natural cycle (MNC) compared with intrauterine insemination with controlled ovarian hyperstimulation (IUI-COH) as a first-line treatment in couples with unexplained subfertility and an unfavourable prognosis on natural conception?. Both IVF strategies are significantly more expensive when compared with IUI-COH, without being significantly more effective. In the comparison between IVF-MNC and IUI-COH, the latter is the dominant strategy. Whether IVF-SET is cost-effective depends on society's willingness to pay for an additional healthy child. IUI-COH and IVF, either after conventional ovarian stimulation or in a MNC, are used as first-line treatments for couples with unexplained or mild male subfertility. As IUI-COH is less invasive, this treatment is usually offered before proceeding to IVF. Yet, as conventional IVF with SET may lead to higher pregnancy rates in fewer cycles for a lower multiple pregnancy rate, some have argued to start with IVF instead of IUI-COH. In addition, IVF in the MNC is considered to be a more patient friendly and less costly form of IVF. We performed a cost-effectiveness analysis alongside a randomized noninferiority trial. Between January 2009 and February 2012, 602 couples with unexplained infertility and a poor prognosis on natural conception were allocated to three cycles of IVF-SET including frozen embryo transfers, six cycles of IVF-MNC or six cycles of IUI-COH. These couples were followed until 12 months after randomization. We collected data on resource use related to treatment, medication and pregnancy from the case report forms. We calculated unit costs from various sources. For each of the three strategies, we calculated the mean costs and effectiveness. Incremental cost-effectiveness ratios (ICER) were calculated for IVF-SET compared with IUI-COH and

  9. Costs and benefits of individuals conceived after IVF: a net tax evaluation in The Netherlands.

    Science.gov (United States)

    Moolenaar, L M; Connolly, M; Huisman, B; Postma, M J; Hompes, P G A; van der Veen, F; Mol, B W J

    2014-02-01

    This study evaluated the lifetime future net tax revenues from individuals conceived after IVF relative to those naturally conceived. A model based on the method of generational accounting was developed to evaluate investments in IVF. Calculations were based on average investments paid and received from the government by an individual. All costs were discounted to their net present values and adjusted for survival. The lifetime net present value of IVF-conceived individuals was -€81,374 (the minus sign reflecting negative net present value). The lifetime net present value of IVF-conceived men and women were -€47,091 and -€123,177, respectively. The lifetime net present value of naturally conceived individuals was -€70,392; respective amounts for men and women were -€36,109 and -€112,195. The model was most sensitive to changes in the growth of healthcare costs, economic growth and the discount rate. Therefore, it is concluded that, similarly to naturally conceived individuals in the Netherlands, IVF-conceived individuals have negative discounted net tax revenue at the end of life. The analytic framework described here undervalues the incremental value of an additional birth because it only considers the fiscal consequences of life and does not take into consideration broader macroeconomic benefits. This study evaluated the lifetime future net tax revenues from individuals conceived after IVF relative those naturally conceived. A model based on the method of generational accounting to evaluate investments in IVF was used. Calculations were based on average investments paid and received from the government by an individual. The lifetime net present value of IVF-conceived individuals was -€81,374 (the minus sign reflecting negative net present value). The lifetime net present value of IVF-conceived men and women were -€47,091 and -€123,177, respectively. The lifetime net present value of naturally conceived individuals was -€70,392; respective

  10. How large-scale subsidence affects stratocumulus transitions

    Directory of Open Access Journals (Sweden)

    J. J. van der Dussen

    2016-01-01

    Full Text Available Some climate modeling results suggest that the Hadley circulation might weaken in a future climate, causing a subsequent reduction in the large-scale subsidence velocity in the subtropics. In this study we analyze the cloud liquid water path (LWP budget from large-eddy simulation (LES results of three idealized stratocumulus transition cases, each with a different subsidence rate. As shown in previous studies a reduced subsidence is found to lead to a deeper stratocumulus-topped boundary layer, an enhanced cloud-top entrainment rate and a delay in the transition of stratocumulus clouds into shallow cumulus clouds during its equatorwards advection by the prevailing trade winds. The effect of a reduction of the subsidence rate can be summarized as follows. The initial deepening of the stratocumulus layer is partly counteracted by an enhanced absorption of solar radiation. After some hours the deepening of the boundary layer is accelerated by an enhancement of the entrainment rate. Because this is accompanied by a change in the cloud-base turbulent fluxes of moisture and heat, the net change in the LWP due to changes in the turbulent flux profiles is negligibly small.

  11. Estimation of surface subsidence at the Waste Isolation Pilot Plant

    International Nuclear Information System (INIS)

    Givens, C.A.; Valdivia, M.A.; Saeb, S.; Francke, C.T.; Patchet, S.J.

    1995-01-01

    Subsidence effects at the WIPP site wee estimated using numerical methods as well as the influence function method and NCB method because single universally accepted method is not available for salt. The use of parallel methods and the agreement between their results greatly enhanced the confidence in the analysis because the prediction would not depend on the assumptions inherent in a single method

  12. IMPACT OF OIL ON THE MECHANICAL PROPERTIES OF SOIL SUBSIDENCE

    Directory of Open Access Journals (Sweden)

    Алексей Алексеевич Бурцев

    2016-08-01

    Full Text Available The paper studied the effect of oil content on the mechanical properties of soil subsidence - Ek modulus and compressibility factor m0, obtained in the laboratory with the help of artificial impregnation oil soil samples. A comparison of the above parameters with samples of the same soil in the natural and water-saturated conditions has been perfomed.

  13. Subsidence analysis Forsmark nuclear power plant - unit 1

    International Nuclear Information System (INIS)

    Bono, Nancy; Fredriksson, Anders; Maersk Hansen, Lars

    2010-12-01

    On behalf of SKB, Golder Associates Ltd carried out a risk analysis of subsidence during Forsmark nuclear power plant in the construction of the final repository for spent nuclear fuel near and below existing reactors. Specifically, the effect of horizontal cracks have been studied

  14. Estimating the distribution of salt cavern squeeze using subsidence measurements

    NARCIS (Netherlands)

    Fokker, P.A.; Visser, J.

    2014-01-01

    We report a field study on solution mining of magnesium chloride from bischofite layers in the Netherlands at depths between 1500 and 1850 m. Subsidence that was observed in the area is due to part of the brine production being realized by cavern squeeze; some of which were connccted. Wc used an

  15. The Opportunity Illusion: Subsidized Housing and Failing Schools in California

    Science.gov (United States)

    Pfeiffer, Deirdre

    2009-01-01

    Since the late 1980s, the Low-Income Housing Tax Credit (LIHTC) program has funded the bulk of subsidized development nationwide, enabling the construction of over 100,000 units targeted to lower income households in California alone (California Tax Credit Allocation Committee 2009c). Yet, by not encouraging the siting of projects in racially…

  16. Subsidized Housing, Public Housing, and Adolescent Violence and Substance Use

    Science.gov (United States)

    Leech, Tamara G. J.

    2012-01-01

    This study examines the separate relationships of public housing residence and subsidized housing residence to adolescent health risk behavior. Data include 2,530 adolescents aged 14 to 19 who were children of the National the Longitudinal Study of Youth. The author used stratified propensity methods to compare the behaviors of each…

  17. At whose service? Subsidizing services and the skill premium

    NARCIS (Netherlands)

    van Groezen, Bas; Meijdam, L.

    2009-01-01

    In this paper we investigate the effects of subsidizing low-skilled, labour-intensive services hired by high-skilled individuals in the presence of labour income taxation. Whether such a subsidy can be Pareto-improving depends crucially on the degree of substitutability of both types of labour in

  18. At Whose Service? Subsidizing Services and the Skill Premium

    NARCIS (Netherlands)

    van Groezen, B.J.A.M.; Meijdam, A.C.

    2010-01-01

    In this paper we investigate the effects of subsidizing low-skilled, labourintensive services hired by high-skilled individuals in the presence of labour income taxation. Whether such a subsidy can be Paretoimproving depends crucially on the degree of substitutability of both types of labour in the

  19. Subsidence characterization and modeling for engineered facilities in Arizona, USA

    Directory of Open Access Journals (Sweden)

    M. L. Rucker

    2015-11-01

    Full Text Available Several engineered facilities located on deep alluvial basins in southern Arizona, including flood retention structures (FRS and a coal ash disposal facility, have been impacted by up to as much as 1.8 m of differential land subsidence and associated earth fissuring. Compressible basin alluvium depths are as deep as about 300 m, and historic groundwater level declines due to pumping range from 60 to more than 100 m at these facilities. Addressing earth fissure-inducing ground strain has required alluvium modulus characterization to support finite element modeling. The authors have developed Percolation Theory-based methodologies to use effective stress and generalized geo-material types to estimate alluvium modulus as a function of alluvium lithology, depth and groundwater level. Alluvial material modulus behavior may be characterized as high modulus gravel-dominated, low modulus sand-dominated, or very low modulus fines-dominated (silts and clays alluvium. Applied at specific aquifer stress points, such as significant pumping wells, this parameter characterization and quantification facilitates subsidence magnitude modeling at its' sources. Modeled subsidence is then propagated over time across the basin from the source(s using a time delay exponential decay function similar to the soil mechanics consolidation coefficient, only applied laterally. This approach has expanded subsidence modeling capabilities on scales of engineered facilities of less than 2 to more than 15 km.

  20. Land subsidence and hydrodynamic compaction of sedimentary basins

    Directory of Open Access Journals (Sweden)

    H. Kooi

    1998-01-01

    Full Text Available A one-dimensional model is used to investigate the relationship between land subsidence and compaction of basin sediments in response to sediment loading. Analysis of the model equations and numerical experiments demonstrate quasi-linear systems behaviour and show that rates of land subsidence due to compaction: (i can attain a significant fraction (>40% of the long-term sedimentation rate; (ii are hydrodynamically delayed with respect to sediment loading. The delay is controlled by a compaction response time τc that can reach values of 10-5-107 yr for thick shale sequences. Both the behaviour of single sediment layers and multiple-layer systems are analysed. Subsequently the model is applied to the coastal area of the Netherlands to illustrate that lateral variability in compaction-derived land subsidence in sedimentary basins largely reflects the spatial variability in both sediment loading and compaction response time. Typical rates of compaction-derived subsidence predicted by the model are of the order of 0.1 mm/yr but may reach values in excess of 1 mm/yr under favourable conditions.

  1. Gonadotrophin releasing hormone antagonist in IVF/ICSI

    Directory of Open Access Journals (Sweden)

    M S Kamath

    2008-01-01

    Full Text Available Objective : To study the efficacy of gonadotrophin releasing hormone (GnRH antagonist in In-vitro-fertilization/Intracytoplasmic sperm injection (IVF/ICSI cycles. Type of Study : Observational study. Setting: Reproductive Medicine Unit, Christian Medical College Hospital, Vellore, Tamil Nadu. Materials and Methods: GnRH antagonists were introduced into our practice in November 2005. Fifty-two women undergoing the antagonist protocol were studied and information gathered regarding patient profile, treatment parameters (total gonadotrophin dosage, duration of treatment, and oocyte yield, and outcomes in terms of embryological parameters (cleavage rates, implantation rates and clinical pregnancy. These parameters were compared with 121 women undergoing the standard long protocol. The costs between the two groups were also compared. Main Outcome : Clinical pregnancy rate. Results : The clinical pregnancy rate per embryo transfer in the antagonist group was 31.7% which was comparable to the clinical pregnancy rate in women undergoing the standard long protocol (30.63%. The costs between the two groups were comparable. Conclusions : GnRH antagonist protocol was found to be effective and comparable to the standard long protocol regimen. In addition it was simple, convenient, and patient friendly.

  2. Investigation of subsidence event over multiple seam mining area

    International Nuclear Information System (INIS)

    Kohli, K.K.

    1999-01-01

    An investigation was performed to determine the sequence of events which caused the 1987 surface subsidence and related damage to several homes in Walker County, Alabama, USA. Surface affects compared to mine maps indicated the subsidence to be mine related. However, two coal seams had been worked under this area. The upper seam, the American seam, ranged from 250 to 280 feet beneath the surface in the area in question. It was mined-out before 1955 by room-and-pillar method leaving in place narrow-long pillars to support the overburden strata, and abandoned in 1955. The lower seam, the Mary Lee seam, ranged from 650 to 700 feet beneath the surface. The Mary Lee seam had been abandoned in 1966 and subsequently became flooded. The dewatering of the Mary Lee seam workings in 1985 caused the submerged pillars to be exposed to the atmosphere. Due to multiple seam mining and the fact that workings had been inundated then dewatered, a subsurface investigation ensued to determine the sequence and ultimate cause of surface subsidence. Core sample tests with fracture analysis in conjunction with down-the-hole TV camera inspections provided necessary information to determine that the subsidence started in the lower seam and progressed through the upper coal seam to the surface. Evidence from the investigation program established that dewatering of the lower seam workings caused the marginally stable support pillars and the roof to collapse. This failure triggered additional subsidence in the upper seam which broadened the area of influence at the surface

  3. Clinical outcomes after IVF or ICSI using human blastocysts derived from oocytes containing aggregates of smooth endoplasmic reticulum.

    Science.gov (United States)

    Itoi, Fumiaki; Asano, Yukiko; Shimizu, Masashi; Nagai, Rika; Saitou, Kanako; Honnma, Hiroyuki; Murata, Yasutaka

    2017-04-01

    In this study the clinical and neo-natal outcomes after transfer of blastocysts derived from oocytes containing aggregates of smooth endoplasmic reticulum (SER) were compared between IVF and intracytoplasmic sperm injection (ICSI) cycles. Clinical and neo-natal outcomes of blastocysts in cycles with at least one SER metaphase II oocyte (SER + MII; SER + cycles) did not significantly differ between the two insemination methods. When SER + MII were cultured to day 5/6, fertilization, embryo cleavage and blastocyst rates were not significantly different between IVF and ICSI cycles. In vitrified-warmed blastocyst transfer cycles, the clinical pregnancy rates from SER + MII in IVF and ICSI did not significantly differ. In this study, 52 blastocysts (27 IVF and 25 ICSI) derived from SER + MII were transferred, yielding 15 newborns (5 IVF and 10 ICSI) and no malformations. Moreover, 300 blastocysts (175 IVF and 125 ICSI) derived from SER-MII were transferred, yielding 55 newborns (24 IVF and 31 ICSI cycles). Thus, blastocysts derived from SER + cycles exhibited an acceptable ongoing pregnancy rate after IVF (n = 125) or ICSI (n = 117) cycles. In conclusion, blastocysts from SER + MII in both IVF and ICSI cycles yield adequate ongoing pregnancy rates with neo-natal outcomes that do not differ from SER-MII. Copyright © 2017 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  4. Lessons from elective in vitro fertilization (IVF in, principally, non-infertile women

    Directory of Open Access Journals (Sweden)

    Gleicher Norbert

    2012-06-01

    Full Text Available Abstract Background We here report the first investigation of exclusively elective in vitro fertilization (IVF cycles in women with no apparent history of infertility. Since IVF outcome in women with infertility are always influenced by underlying causes of infertility, a study on non-infertile women may offer new insights. Methods We investigated 88 females without history of infertility in 109 consecutive elective IVF cycles, almost exclusively performed for purposes of preimplantation genetic screening (PGS; i.e., elective gender selection. The following questions were addressed: (i impact of PGS on IVF pregnancy chances; (ii impact of transfer of 1 vs. ≥2 embryos on IVF pregnancy chances; (iii correlation of anti-Müllerian hormone (AMH levels to embryo ploidy (iv effect of gonadotropin dosage used in stimulation on available embryos for transfer; and (v in form of a 1:1 case control study, compared 33 elective PGS cycles with matched control cycles without PGS, performed in couples with either prior tubal ligations and/or severe male factor infertility as indication of IVF. Results The overall clinical pregnancy rate for the group was 36.7%; pregnancy was associated with number of euploid (P = 0.009 and number of embryos transferred (P = 0.001. Odds of pregnancy were 3.4-times higher if ≥4 euploid embryos were produced in comparison to Conclusions This study suggests that outcomes of elective IVF cycles may significantly deviate from infertility-associated cycles. Affirming proof of concept for PGS, utilizing day-3 embryo biopsy and fluorescence in-situ hybridization (FISH, both widely held responsible for earlier failures to establish such proof, suggests that the principal cause of prior failures were likely not insufficient laboratory techniques but poor patient selection for PGS. Such a conclusion questions the current reintroduction of PGS with improved techniques and technologies in absence of prior determination of suited

  5. The future of subsidence modelling: compaction and subsidence due to gas depletion of the Groningen gas field in the Netherlands

    NARCIS (Netherlands)

    Thienen-Visser, K. van; Fokker, P.A.

    2017-01-01

    The Groningen gas field has shown considerable compaction and subsidence since starting production in the early 1960s. The behaviour is understood from the geomechanical response of the reservoir pressure depletion. By integrating surface movement measurements and modelling, the model parameters can

  6. Stored energy and annealing behavior of heavily deformed aluminium

    DEFF Research Database (Denmark)

    Kamikawa, Naoya; Huang, Xiaoxu; Kondo, Yuka

    2012-01-01

    It has been demonstrated in previous work that a two-step annealing treatment, including a low-temperature, long-time annealing and a subsequent high-temperature annealing, is a promising route to control the microstructure of a heavily deformed metal. In the present study, structural parameters...... are quantified such as boundary spacing, misorientation angle and dislocation density for 99.99% aluminium deformed by accumulative roll-bonding to a strain of 4.8. Two different annealing processes have been applied; (i) one-step annealing for 0.5 h at 100-400°C and (ii) two-step annealing for 6 h at 175°C...... followed by 0.5 h annealing at 200-600°C, where the former treatment leads to discontinuous recrystallization and the latter to uniform structural coarsening. This behavior has been analyzed in terms of the relative change during annealing of energy stored as elastic energy in the dislocation structure...

  7. Measurement of surface recombination velocity on heavily doped indium phosphide

    International Nuclear Information System (INIS)

    Jenkins, P.; Ghalla-Goradia, M.; Faur, M.; Bailey, S.

    1990-01-01

    The controversy surrounding the published low values of surface recombination velocity (SRV) in n-InP, solidified in recent years when modeling of existing n/p InP solar cells revealed that the front surface SRV had to be higher than 1 x 10 6 cm/sec in order to justify the poor blue response that is characteristic of all n/p InP solar cells. In this paper, SRV on heavily doped (>10 18 cm -3 )n-type and p-type InP is measured as a function of surface treatment. For the limited range of substrates and surface treatments studied, SRV and surface stability depend strongly on the surface treatment. SRVs of ∼10 5 cm/sec in both p-type and n-type InP are obtainable, but in n-type the low SRV surfaces were unstable, and the only stable surfaces on n-type had SRVs of >10 6 cm/sec

  8. Einstein's photoemission emission from heavily-doped quantized structures

    CERN Document Server

    Ghatak, Kamakhya Prasad

    2015-01-01

    This monograph solely investigates the Einstein's Photoemission(EP) from Heavily Doped(HD) Quantized Structures on the basis of newly formulated electron dispersion laws. The materials considered are quantized structures of HD non-linear optical, III-V, II-VI, Ge, Te, Platinum Antimonide, stressed materials, GaP, Gallium Antimonide, II-V, Bismuth Telluride together with various types of HD superlattices and their Quantized counterparts respectively. The EP in HD opto-electronic materials and their nanostructures is studied in the presence of strong light waves and intense electric fields  that control the studies of such quantum effect devices. The suggestions for the experimental determinations of different important physical quantities in HD 2D and 3D materials  and the importance of measurement of band gap in HD optoelectronic materials under intense built-in electric field in nano devices and strong external photo excitation (for measuring   physical properties in the presence of intense light waves w...

  9. Individualized decision-making in IVF: calculating the chances of pregnancy.

    Science.gov (United States)

    van Loendersloot, L L; van Wely, M; Repping, S; Bossuyt, P M M; van der Veen, F

    2013-11-01

    Are we able to develop a model to calculate the chances of pregnancy prior to the start of the first IVF cycle as well as after one or more failed cycles? Our prediction model enables the accurate individualized calculation of the probability of an ongoing pregnancy with IVF. To improve counselling, patient selection and clinical decision-making in IVF, a number of prediction models have been developed. These models are of limited use as they were developed before current clinical and laboratory protocols were established. This was a cohort study. The development set included 2621 cycles in 1326 couples who had been treated with IVF or ICSI between January 2001 and July 2009. The validation set included additional data from 515 cycles in 440 couples treated between August 2009 and April 2011. The outcome of interest was an ongoing pregnancy after transfer of fresh or frozen-thawed embryos from the same stimulated IVF cycle. If a couple became pregnant after an IVF/ICSI cycle, the follow-up was at a gestational age of at least 11 weeks. Women treated with IVF or ICSI between January 2001 and April 2011 in a university hospital. IVF/ICSI cycles were excluded in the case of oocyte or embryo donation, surgically retrieved spermatozoa, patients positive for human immunodeficiency virus, modified natural IVF and cycles cancelled owing to poor ovarian stimulation, ovarian hyperstimulation syndrome or other unexpected medical or non-medical reasons. Thirteen variables were included in the final prediction model. For all cycles, these were female age, duration of subfertility, previous ongoing pregnancy, male subfertility, diminished ovarian reserve, endometriosis, basal FSH and number of failed IVF cycles. After the first cycle: fertilization, number of embryos, mean morphological score per Day 3 embryo, presence of 8-cell embryos on Day 3 and presence of morulae on Day 3 were also included. In validation, the model had moderate discriminative capacity (c-statistic 0

  10. The influence of IVF/ICSI treatment on human embryonic growth trajectories.

    Science.gov (United States)

    Eindhoven, S C; van Uitert, E M; Laven, J S E; Willemsen, S P; Koning, A H J; Eilers, P H C; Exalto, N; Steegers, E A P; Steegers-Theunissen, R P M

    2014-12-01

    Is in vitro fertilization treatment with or without intracytoplasmatic sperm injection (IVF/ICSI) associated with changes in first and second trimester embryonic and fetal growth trajectories and birthweight in singleton pregnancies? Embryonic and fetal growth trajectories and birthweight are not significantly different between pregnancies conceived with IVF/ICSI treatment and spontaneously conceived pregnancies with reliable pregnancy dating. IVF/ICSI treatment has been associated with increased risks of preterm birth, fetal growth restriction and low birthweight. Decreased first-trimester crown-rump length (CRL) in the general population has been inversely associated with the same adverse pregnancy outcomes. In a prospective periconception birth cohort study conducted in a tertiary centre, 146 singleton pregnancies with reliable pregnancy dating and nonmalformed live borns were investigated, comprised of 88 spontaneous and 58 IVF/ICSI pregnancies. Serial 3D ultrasound scans were performed from 6 to 12 weeks of gestation. As estimates of embryonic growth, CRL and embryonic volume (EV) were measured using the I-Space virtual reality system. General characteristics were obtained from self-administered questionnaires at enrolment. Fetal growth parameters at 20 weeks and birthweight were obtained from medical records. To assess associations between IVF/ICSI and embryonic growth trajectories, estimated fetal weight and birthweight, stepwise linear mixed model analyses and linear regression analyses were performed using square root transformed CRL and fourth root transformed EV. In 146 pregnancies, 934 ultrasound scans were performed of which 849 (90.9%) CRLs and 549 (58.8%) EVs could be measured. Embryonic growth trajectories were comparable between IVF/ICSI pregnancies and spontaneously conceived pregnancies (CRL: βIVF/ICSI = 0.10√mm; P = 0.10; EV: βIVF/ICSI = 0.03(4)√cm³; P = 0.13). Estimated fetal weight and birthweight were also comparable between both

  11. Risk of postpartum psychosis after IVF treatment: a nationwide case-control study.

    Science.gov (United States)

    Vikström, Josefin; Josefsson, Ann; Hammar, Mats; Bladh, Marie; Sydsjö, Gunilla

    2017-01-01

    Is the risk of postpartum psychosis (PPP) increased in women who give birth after IVF treatment compared to after spontaneous conception? The risk of PPP is not higher in the group of women who give birth after IVF treatment compared with women who give birth after spontaneous conception. Women who conceive using IVF treatment can experience higher levels of pregnancy-specific distress and are at increased risk of pre-eclampsia, an immune-related condition which in turn has been linked to PPP, as well as other pregnancy and delivery complications, which also serve as PPP risk factors. It is not known whether the risk of PPP is increased in women who have conceived using IVF treatment. A nationwide, register-based, case-control study of all primiparous women who had given birth after IVF treatment between 1988 and 2012. Information about 10 412 women was collected from the Swedish IVF register. A control group of women who had given birth after spontaneous conception was selected from the Swedish Medical Birth Register (n = 18 624). PPP diagnoses, identified using ICD-10 diagnostic codes F20-31 and F531 the first year postpartum, were collected from the National Patient Register. Associations between PPP and IVF/spontaneous conception were evaluated using chi-square tests and logistic regression analyses while controlling for known risk factors of PPP. There were no differences in PPP prevalence between the IVF group and the control group (0.3%, n = 29 versus 0.4%, n = 77) in the chi-square analysis (P = 0.169) or the multiple logistic regression analyses (P = 0.646; odds ratio (OR): 1.178; 95% CI: 586-2.365). No associations between pregnancy or delivery complications and PPP were found. A history of any psychiatric disorder (P IVF treatment, more studies are needed to verify these results. The generalizability is restricted to primiparous women in western countries. This study confirms the results of previous studies in showing a history of mental illness to be

  12. Making muslim babies: Ivf and gamete donation in sunni versus shi’a islam

    Science.gov (United States)

    2006-01-01

    Medical anthropological research on science, biotechnology, and religion has focused on the “local moral worlds” of men and women as they make difficult decisions regarding their health and the beginnings and endings of human life. This paper focuses on the local moral worlds of infertile Muslims as they attempt to make, in the religiously correct fashion, Muslim babies at in vitro fertilization (IVF) clinics in Egypt and Lebanon. As early as 1980, authoritative fatwas issued from Egypt’s famed Al-Azhar University suggested that IVF and similar technologies are permissible as long as they do not involve any form of third-party donation (of sperm, eggs, embryos, or uteruses). Since the late 1990s, however, divergences in opinion over third-party gamete donation have occurred between Sunni and Shi’ite Muslims, with Iran’s leading ayatollah permitting gamete donation under certain conditions. This Iranian fatwa has had profound implications for the country of Lebanon, where a Shi’ite majority also seeks IVF services. Based on three periods of ethnographic research in Egyptian and Lebanese IVF clinics, this paper explores official and unofficial religious discourses surrounding the practice of IVF and third-party donation in the Muslim world, as well as the gender implications of gamete donation for Muslim marriages. PMID:17051430

  13. Do Asian women do as well as their Caucasian counterparts in IVF treatment: Cohort study.

    Science.gov (United States)

    Kan, Andrew; Leung, Peter; Luo, Kehui; Fay, Louise; Tan, Chunyan Leeann

    2015-06-01

    To evaluate if there is a difference in pregnancy rate between Asian and Caucasian women when they undergo in vitro fertilization (IVF). This was a retrospective cohort study set in a private reproductive medicine clinic. The study consisted of a total of 2594 patients (Asian, n = 522; Caucasian, n = 2072) undergoing IVF managed by a single doctor over a 10 year period. The main outcome measures were clinical pregnancy rate and live birth rate. Logistic regression was used to control for confounding factors. Asian women achieved a significantly lower clinical pregnancy and live birth rate than their Caucasian counterparts, despite replacement of more embryos. This difference was not significant after controlling for age and duration of infertility. Despite higher doses of gonadotrophin, they achieved fewer oocytes and had resultant fewer embryos for transfer or cryopreservation. In a study designed to reduce the effect of confounding factors by looking at a large number of patients from a single IVF unit under the care of a single doctor, there does not appear to be a difference in IVF pregnancy rate as a result of race. Asian women tend to present for IVF treatment at a later age after having tried for a longer period of time and this contributes significantly to their lower pregnancy rate. © 2014 The Authors. Journal of Obstetrics and Gynaecology Research © 2014 Japan Society of Obstetrics and Gynecology.

  14. IVF, same-sex couples and the value of biological ties.

    Science.gov (United States)

    Di Nucci, Ezio

    2016-12-01

    Ought parents, in general, to value being biologically tied to their children? Is it important, in particular, that both parents be biologically tied to their children? I will address these fundamental questions by looking at a fairly new practice within IVF treatments, so-called IVF-with-ROPA (Reception of Oocytes from Partner), which allows lesbian couples to 'share motherhood', with one partner providing the eggs while the other becomes pregnant. I believe that IVF-with-ROPA is, just like other IVF treatments, morally permissible, but here I argue that the increased biological ties which IVF-with-ROPA allows for do not have any particular value beside the satisfaction of a legitimate wish, because there is no intrinsic value in a biological tie between parents and children; further, I argue that equality within parental projects cannot be achieved by redistributing biological ties. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  15. Failure mode and effects analysis of witnessing protocols for ensuring traceability during IVF.

    Science.gov (United States)

    Rienzi, Laura; Bariani, Fiorenza; Dalla Zorza, Michela; Romano, Stefania; Scarica, Catello; Maggiulli, Roberta; Nanni Costa, Alessandro; Ubaldi, Filippo Maria

    2015-10-01

    Traceability of cells during IVF is a fundamental aspect of treatment, and involves witnessing protocols. Failure mode and effects analysis (FMEA) is a method of identifying real or potential breakdowns in processes, and allows strategies to mitigate risks to be developed. To examine the risks associated with witnessing protocols, an FMEA was carried out in a busy IVF centre, before and after implementation of an electronic witnessing system (EWS). A multidisciplinary team was formed and moderated by human factors specialists. Possible causes of failures, and their potential effects, were identified and risk priority number (RPN) for each failure calculated. A second FMEA analysis was carried out after implementation of an EWS. The IVF team identified seven main process phases, 19 associated process steps and 32 possible failure modes. The highest RPN was 30, confirming the relatively low risk that mismatches may occur in IVF when a manual witnessing system is used. The introduction of the EWS allowed a reduction in the moderate-risk failure mode by two-thirds (highest RPN = 10). In our experience, FMEA is effective in supporting multidisciplinary IVF groups to understand the witnessing process, identifying critical steps and planning changes in practice to enable safety to be enhanced. Copyright © 2015 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  16. Outcomes of first IVF/ICSI in young women with diminished ovarian reserve.

    Science.gov (United States)

    Cohen, Jonathan; Mounsambote, Leonisse; Prier, Perrine; Mathieu d'ARGENT, Emmanuelle; Selleret, Lise; Chabbert-Buffet, Nathalie; Delarouziere, Vanina; Levy, Rachel; Darai, Emile; Antoine, Jean-Marie

    2017-08-01

    There is no consensual definition of diminished ovarian reserve and the best therapeutic strategy has not yet been demonstrated. We performed a retrospective study to evaluate outcomes following a first in-vitro fertilization/intra-cytoplasmic sperm injection (IVF/ICSI) cycle in young women with diminished ovarian reserve. Women with tubal factor, endometriosis or previous stimulation cycle were excluded. We defined diminished ovarian reserve as women ≤38 years with an AMH ≤1.1 ng/mL or antral follicular count ≤7. Among 59 IVF/ICSI cycles (40% IVF/60% ICSI), the pregnancy rate was 17% (10/59) and live birth rate 8.5% (5/59). Miscarriage rate was 50%. Baseline characteristics and IVF outcomes of the pregnant and not pregnant women were compared. No differences in age, antral follicular count, AMH, protocol used or number of harvested oocytes were found between the groups. A higher gonadotropin starting dose in the pregnancy group (397.5±87 IU vs. 314.8±103 IU; P=0.02) and a trend to a higher total dose received (4720±1349 IU vs. 3871±1367 IU; P=0.07) were noted. The present study confirms that women with diminished ovarian reserve have low live birth rates after a first IVF-ICSI cycle and that a higher gonadotropin starting dose might be associated with better outcomes.

  17. SULF 1 gene polymorphism, rs6990375 is in significant association with fetus failure in IVF technique

    Directory of Open Access Journals (Sweden)

    Eskandar Taghizadeh

    2015-03-01

    Full Text Available Background: Sulfatase 1 (SULF1 function is to remove the 6-O-sulphate group from heparan sulfate. This action changes the binding sites of extracellular growth factors. SULF1 expression has been reported to be changed in angiogenesis. We hypothesized that single nucleotide polymorphisms (SNPs of SULF1 would impact clinicopathologic characteristics. Objective: Study of SULF1 gene polymorphism with fetus failure in in vitro fertilization (IVF technique. Materials and Methods: We studied one common (minor allele frequency >0.05 regulatory SNP, rs6990375, with polymerase chain reaction and restriction fragment length polymorphism method, in 53 infertile women with fetus failure in IVF technique and 53 women with at least one healthy child as controls. Results: We found that rs6990375 is significantly associated with an early failure in IVF and frequency of G allele is high in women with fetus failure in IVF technique (p<0.001. Conclusion: These findings suggest that SULF1genetic variations may play a role in IVF technique fetus failure. Further studies with large sample sizes on SULF1 SNPs may be useful in support of this claim.

  18. Hysteroscopic hydrosalpinx occlusion with Essure device in IVF patients when salpingectomy or laparoscopy is contraindicated.

    Science.gov (United States)

    Matorras, Roberto; Rabanal, Aintzane; Prieto, Begoña; Diez, Santiago; Brouard, Iñaki; Mendoza, Rosario; Exposito, Antonia

    2013-07-01

    To evaluate, in patients with hydrosalpinges, the effect on in vitro fertilization (IVF) outcome of the insertion by hysteroscopy of an intratubal blocking device, in cases where laparoscopic salpingectomy or laparoscopy was contraindicated. A prospective interventional case series study was conducted in fifteen women with unilateral (N=6) or bilateral hydrosalpinges (N=9) submitted for IVF. In all of them, laparoscopic salpingectomy was contraindicated. Hysteroscopic insertion of the Essure intratubal device in a consultation room setting was performed. IVF results were compared with those of women where hydrosalpinx was treated by laparoscopic salpingectomy (48 women, 76 cycles). There were no complications during or immediately after the procedure in any of the patients. There were four pregnancies from 16 embryo-transfers with own oocytes, one spontaneous pregnancy after unilateral Essure insertion, and one pregnancy after oocyte donation. In one case the hydrosalpinx grew and pelvic inflammatory disease developed 6 months after the insertion, requiring bilateral adnexectomy. Although not of statistical significance, IVF pregnancy rates were somewhat lower than in the laparoscopic salpingectomy group, which was attributed to the lower ovarian reserve before Essure insertion. The hysteroscopic insertion of the Essure intratubal device prior to IVF is a reasonable option in cases where laparoscopic salpingectomy is contraindicated. Larger series are required to assess pregnancy outcome. Copyright © 2013. Published by Elsevier Ireland Ltd.

  19. Monitoring of IVF birth outcomes in Finland: a data quality study

    Directory of Open Access Journals (Sweden)

    Hemminki Elina

    2004-03-01

    Full Text Available Abstract Background The collection of information on infertility treatments is important for the surveillance of potential health consequences and to monitor service provision. Study design We compared the coverage and outcomes of IVF children reported in aggregated IVF statistics, the Medical Birth Register (subsequently: MBR and research data based on reimbursements for IVF treatments in Finland in 1996–1998. Results The number of newborns were nearly equal in the three data sources (N = 4331–4384, but the linkage between the MBR and the research data revealed that almost 40% of the reported IVF children were not the same individuals. The perinatal outcomes in the three data sources were similar, excluding the much lower incidence of major congenital anomalies in the IVF statistics (157/10 000 newborns compared to other sources (409–422/10 000 newborns. Conclusion The differences in perinatal outcomes in the three data sets were in general minor, which suggests that the observed non-recording in the MBR is most likely unbiased.

  20. With or against nature? IVF, gender and reproductive agency in Athens, Greece.

    Science.gov (United States)

    Paxson, Heather

    2003-05-01

    Based on ethnographic research in Athens, this paper argues that in vitro fertilization (IVF) in urban Greece does not so much make explicit the social construction of nature, as has been argued of the US and UK, but is accommodated into a prior understanding of "nature" as socially realized. Calling upon an ethic of maternal sacrifice, Athenian women see themselves taking charge of a natural process, often correcting damage done to them by nature. A sense that adults should produce children in order to realize their natures and be completed as women and men also poses particular, and gendered, ethical questions of fertility technologies: is this a proper way of realizing nature? While those who successfully use IVF depict assisted conception as "a natural" and "proper way of reproduction," some fear that others will view their child as abnormal. Contests over "normal" reproduction are articulated to a tradition/modernity dichotomy which Athenians discuss through an idiom of maturity. Believing that Greek society is not always mature enough to understand how natural IVF really is, couples turning to IVF follow one of the two strategies: to educate others or to completely hide it. Both groups want to guard against a view of IVF-in the terms of this volume-as a kind of "reproduction gone awry."

  1. Effect of metformin and oral contraceptives on polycystic ovary syndrome and IVF cycles.

    Science.gov (United States)

    Kalem, M N; Kalem, Z; Gurgan, T

    2017-07-01

    The aim of this study is to investigate the effect of metformin and/or OC added to the treatment of PCOS patients at our clinic on IVF outcome. This study is a retrospective study that assesses the data of PCOS patients who received IVF between 2005 and 2015 at a private IVF center. The study included 496 PCOS cases aged between 24 and 40. Participants diagnosed with PCOS were divided into 4 groups according to the use of metformin and OC prior to the IVF cycle: 11.1% were in the metformin group, 31.3% in the OC group, 14.9% in the Metformin + OC group, and 42.7% in the control group. No difference was found in the total gonadotropin dose and duration of stimulation between the groups. Clinical pregnancy rates and implantation rates were similar in all groups, although the numbers of oocytes, mature oocytes, fertilized oocytes, and transferred embryos were lower in the treatment groups received metformin compared to the OC group and control group. There was no significant difference in the presence of OHSS and the singleton and multiple pregnancies between the four groups. The present study established no positive role of metformin and OC use in increasing the treatment success in IVF/ICSI cycles in PCOS patients. It would be appropriate to limit the use of these agents with special indications such as decreasing insulin resistance or synchronizing follicular cohort.

  2. 24 CFR 982.521 - Rent to owner in subsidized project.

    Science.gov (United States)

    2010-04-01

    ... URBAN DEVELOPMENT SECTION 8 TENANT BASED ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM Rent and Housing Assistance Payment § 982.521 Rent to owner in subsidized project. (a) Applicability to subsidized project. This section applies to a program tenancy in any of the following types of federally subsidized project...

  3. 3D characterization of Holocene peat in the Netherlands : Implications for coastal-deltaic subsidence

    NARCIS (Netherlands)

    Koster, K.

    2017-01-01

    Human-induced subsidence threatens many coastal-deltaic plains, due to the amplifying effects it has on sea-level rise and flood risk. In the coastal-deltaic plain of the Netherlands, subsidence is primarily caused by the compression and oxidation of Holocene peat. The understanding of subsidence in

  4. Application of an adaptive neuro-fuzzy inference system to ground subsidence hazard mapping

    Science.gov (United States)

    Park, Inhye; Choi, Jaewon; Jin Lee, Moung; Lee, Saro

    2012-11-01

    We constructed hazard maps of ground subsidence around abandoned underground coal mines (AUCMs) in Samcheok City, Korea, using an adaptive neuro-fuzzy inference system (ANFIS) and a geographical information system (GIS). To evaluate the factors related to ground subsidence, a spatial database was constructed from topographic, geologic, mine tunnel, land use, and ground subsidence maps. An attribute database was also constructed from field investigations and reports on existing ground subsidence areas at the study site. Five major factors causing ground subsidence were extracted: (1) depth of drift; (2) distance from drift; (3) slope gradient; (4) geology; and (5) land use. The adaptive ANFIS model with different types of membership functions (MFs) was then applied for ground subsidence hazard mapping in the study area. Two ground subsidence hazard maps were prepared using the different MFs. Finally, the resulting ground subsidence hazard maps were validated using the ground subsidence test data which were not used for training the ANFIS. The validation results showed 95.12% accuracy using the generalized bell-shaped MF model and 94.94% accuracy using the Sigmoidal2 MF model. These accuracy results show that an ANFIS can be an effective tool in ground subsidence hazard mapping. Analysis of ground subsidence with the ANFIS model suggests that quantitative analysis of ground subsidence near AUCMs is possible.

  5. Fertility preservation: a challenge for IVF-clinics.

    Science.gov (United States)

    Dahhan, Taghride; Mol, Femke; Kenter, Gemma G; Balkenende, Eva M E; de Melker, Annemieke A; van der Veen, Fulco; Dancet, Eline A F; Goddijn, Mariëtte

    2015-11-01

    Acute fertility preservation for women is an interdisciplinary treatment that requires adequate information provision and early referral. This quality management project aimed to improve fertility preservation care by using a practical tool: Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis. Quality management project was executed between May 2011 and July 2013. This project has been executed in a university affiliated IVF-clinic in cooperation with two oncological sites and used a four-step strategy: (1) monitoring baseline referral process, (2) exploring baseline fertility preservation program by Strengths, Weaknesses, Opportunities and Threats' (SWOT)-analysis, (3) setting up a new fertility preservation program and (4) evaluating the new fertility preservation program by means of SWOT-analysis. During the three-months monitoring period, fertility preservation was requested for a total of 126 women. The mean age of the women was 33.8 years old (range 1-42 years old). Most requests came from women who wanted to cryopreserve oocytes because of age-related decline of fertility (n=90; 71%). Most requests for acute fertility preservation concerned women with breast cancer (n=16; 57%). Information leaflets and pre-consultation questionnaires for women improved the quality of first fertility preservation consultation as evaluated by final SWOT-analysis. Collaboration with oncological centres and information about fertility preservation improved the referral process. SWOT-analysis proved useful for setting up a new fertility preservation-program and can be recommended as a tool to improve the management and organisation of new types of reproductive care. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  6. Is ovarian hyperstimulation associated with higher blood pressure in 4-year-old IVF offspring? Part I: multivariable regression analysis.

    Science.gov (United States)

    Seggers, Jorien; Haadsma, Maaike L; La Bastide-Van Gemert, Sacha; Heineman, Maas Jan; Middelburg, Karin J; Roseboom, Tessa J; Schendelaar, Pamela; Van den Heuvel, Edwin R; Hadders-Algra, Mijna

    2014-03-01

    Does ovarian hyperstimulation, the in vitro procedure, or a combination of these two negatively influence blood pressure (BP) and anthropometrics of 4-year-old children born following IVF? Higher systolic blood pressure (SBP) percentiles were found in 4-year-old children born following conventional IVF with ovarian hyperstimulation compared with children born following IVF without ovarian hyperstimulation. Increasing evidence suggests that IVF, which has an increased incidence of preterm birth and low birthweight, is associated with higher BP and altered body fat distribution in offspring but the underlying mechanisms are largely unknown. We performed a prospective, assessor-blinded follow-up study in which 194 children were assessed. The attrition rate up until the 4-year-old assessment was 10%. We measured BP and anthropometrics of 4-year-old singletons born following conventional IVF with controlled ovarian hyperstimulation (COH-IVF, n = 63), or born following modified natural cycle IV (MNC-IVF, n = 52), or born to subfertile couples who conceived naturally (Sub-NC, n = 79). Both IVF and ICSI were performed. Primary outcome measures were the SBP percentiles and diastolic BP (DBP) percentiles. Anthropometric measures included triceps and subscapular skinfold thickness. Several multivariable regression analyses were applied in order to correct for subsets of confounders. The value 'B' is the unstandardized regression coefficient. SBP percentiles were significantly lower in the MNC-IVF group (mean 59, SD 24) than in the COH-IVF (mean 68, SD 22) and Sub-NC groups (mean 70, SD 16). The difference in SBP between COH-IVF and MNC-IVF remained significant after correction for current, early life and parental characteristics (B: 14.09; 95% confidence interval (CI): 5.39-22.79), whereas the difference between MNC-IVF and Sub-NC did not. DBP percentiles did not differ between groups. After correction for early life factors, subscapular skinfold thickness was thicker in the

  7. Lifting and protecting residential structures from subsidence damage using airbags

    International Nuclear Information System (INIS)

    Triplett, T.L.; Bennett, R.M.

    1998-01-01

    Conventional practice in protecting residential structures from subsidence damage concentrates on saving the superstructure. The foundation is sacrificed, even though it represents the structural component with the greatest replacement cost. In this study, airbags were used to lift a 20 ft x 30 ft structure to test their ability to protect both the foundation and superstructure from ground settlement. Two contiguous sides of the test foundation were unreinforced, and the other two contiguous sides incorporated footing and wall reinforcement. The airbags successfully lifted the structure without causing damage, even on the unreinforced sides. This paper gives a procedure for determining airbag spacing, and describes installation and operation techniques of the airbags. The paper then focuses on the performance of the airbags in lifting the structure, and shows that airbags can preserve existing foundations during subsidence movements

  8. Mechanisms of subsidence for induced damage and techniques for analysis

    International Nuclear Information System (INIS)

    Drumm, E.C.; Bennett, R.M.; Kane, W.F.

    1988-01-01

    Structural damage due to mining induced subsidence is a function of the nature of the structure and its position on the subsidence profile. A point on the profile may be in the tensile zone, the compressive zone, or the no-deformation zone at the bottom of the profile. Damage to structures in the tension zone is primarily due to a reduction of support during vertical displacement of the ground surface, and to shear stresses between the soil and structure resulting from horizontal displacements. The damage mechanisms due to tension can be investigated effectively using a two-dimensional plane stress analysis. Structures in the compression zone are subjected to positive moments in the footing and large compressive horizontal stresses in the foundation walls. A plane strain analysis of the foundation wall is utilized to examine compression zone damage mechanisms. The structural aspects affecting each mechanism are identified and potential mitigation techniques are summarized

  9. Working to Reduce Poverty: A National Subsidized Employment Proposal

    Directory of Open Access Journals (Sweden)

    Indivar Dutta-Gupta

    2018-02-01

    Full Text Available Subsidized employment programs that increase labor supply and demand are a proven, underutilized strategy for reducing poverty in the short and long term. These programs use public and private funds to provide workers wage-paying jobs, training, and wraparound services to foster greater labor force attachment while offsetting employers’ cost for wages, on-the-job training, and overhead. This article proposes two new separate but harmonized federal funding streams for subsidized employment that would expand automatically when and where economic conditions deteriorate. Participating states and local organizations would be offered generous matching funds to target adult workers most in need and to secure employer participation. The proposal would effectively reduce poverty among workers during work placements, and improve long-term unsubsidized employment and other outcomes for participants and their families.

  10. Stochastic Optimization of Supply Chain Risk Measures –a Methodology for Improving Supply Security of Subsidized Fuel Oil in Indonesia

    Directory of Open Access Journals (Sweden)

    Adinda Yuanita

    2015-08-01

    Full Text Available Monte Carlo simulation-based methods for stochastic optimization of risk measures is required to solve complex problems in supply security of subsidized fuel oil in Indonesia. In order to overcome constraints in distribution of subsidized fuel in Indonesia, which has the fourth largest population in the world—more than 250,000,000 people with 66.5% of productive population, and has more than 17,000 islands with its population centered around the nation's capital only—it is necessary to have a measurable and integrated risk analysis with monitoring system for the purpose of supply security of subsidized fuel. In consideration of this complex issue, uncertainty and probability heavily affected this research. Therefore, this research did the Monte Carlo sampling-based stochastic simulation optimization with the state-of-the-art "FIRST" parameter combined with the Sensitivity Analysis to determine the priority of integrated risk mitigation handling so that the implication of the new model design from this research may give faster risk mitigation time. The results of the research identified innovative ideas of risk based audit on supply chain risk management and new FIRST (Fairness, Independence, Reliable, Sustainable, Transparent parameters on risk measures. In addition to that, the integration of risk analysis confirmed the innovative level of priority on sensitivity analysis. Moreover, the findings showed that the new risk mitigation time was 60% faster than the original risk mitigation time.

  11. Generalization of the influence function method in mining subsidence

    International Nuclear Information System (INIS)

    Bello Garcia, A.; Mendendez Diaz, A.; Ordieres Mere, J.B.; Gonzalez Nicieza, C.

    1996-01-01

    A generic approach to subsidence prediction based on the influence function method is presented. The changes proposed to the classical approach are the result of a previous analysis stage where a generalization to the 3D problem was made. In addition other hypothesis in order to relax the structural principles of the classical model are suggested. The quantitative results of this process and a brief discussion of its method of employment is presented. 13 refs., 8 figs., 5 tabs

  12. Observation of heights on the margin of subsidence depression

    Czech Academy of Sciences Publication Activity Database

    Bláha, P.; Doležalová, Hana; Müller, Karel; Skopal, R.

    2006-01-01

    Roč. 6, č. 2 (2006), s. 9-15 ISSN 1213-1962. [Nové poznatky a měření v seismologii, inženýrské geofyzice a geotechnice/15./. Ostrava, 11.04.2006-13.04.2006] Institutional research plan: CEZ:AV0Z30860518 Keywords : subsidence depression * levelling * fluctuation Subject RIV: DC - Siesmology, Volcanology, Earth Structure

  13. Employer Subsidized Meals and FAFH Consumption in Urban China

    OpenAIRE

    Teng, Zhijing; Seale, James Jr.; Bai, Junfei; Wahl, Thomas I.

    2015-01-01

    This study investigates factors influencing household decisions on food away from home (FAFH) consumption with special interest given to the effects of employer subsidized meals on FAFH consumption. Using data from a new urban food consumption survey and collected by the Center for Chinese Agriculture Policy from 2009 to 2012 in 10 cities, a double-hurdle model is utilized to estimate the demand for FAFH as a whole and by type of facility (restaurant, fast-food outlet, and other facilities). ...

  14. Highly purified HMG versus recombinant FSH for ovarian stimulation in IVF cycles

    DEFF Research Database (Denmark)

    Platteau, P.; Nyboe, Andersen A.; Loft, A.

    2008-01-01

    The objective of this study was to compare the live birth rates resulting from ovarian stimulation with highly purified human menopausal gonadotrophin (HP-HMG), which combines FSH and human chorionic gonadotrophin-driven LH activities, or recombinant FSH (rFSH) alone in women undergoing IVF cycles....... An integrated analysis was performed of the raw data from two randomized controlled trials that were highly comparable in terms of eligibility criteria and post-randomization treatment regimens with either HP-HMG or rFSH for ovarian stimulation in IVF, following a long down-regulation protocol. All randomized...... subjects who received at least one dose of gonadotrophin in an IVF cycle (HP-HMG, n = 491; rFSH, n = 495) were included in the analysis. Subjects who underwent intracytoplasmic sperm injection cycles were excluded. The superiority of one gonadotrophin preparation over the other was tested using...

  15. Predicting IVF Outcome: A Proposed Web-based System Using Artificial Intelligence.

    Science.gov (United States)

    Siristatidis, Charalampos; Vogiatzi, Paraskevi; Pouliakis, Abraham; Trivella, Marialenna; Papantoniou, Nikolaos; Bettocchi, Stefano

    2016-01-01

    To propose a functional in vitro fertilization (IVF) prediction model to assist clinicians in tailoring personalized treatment of subfertile couples and improve assisted reproduction outcome. Construction and evaluation of an enhanced web-based system with a novel Artificial Neural Network (ANN) architecture and conformed input and output parameters according to the clinical and bibliographical standards, driven by a complete data set and "trained" by a network expert in an IVF setting. The system is capable to act as a routine information technology platform for the IVF unit and is capable of recalling and evaluating a vast amount of information in a rapid and automated manner to provide an objective indication on the outcome of an artificial reproductive cycle. ANNs are an exceptional candidate in providing the fertility specialist with numerical estimates to promote personalization of healthcare and adaptation of the course of treatment according to the indications. Copyright © 2016 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.

  16. Subsidence of the pit slab at SLC experimental hall

    International Nuclear Information System (INIS)

    Inaba, J.; Himeno, Yoichi; Katsura, Yutaka

    1992-01-01

    Detectors installed at particle accelerator facilities are quite heavy, weighing thousands of tons. On the other hand, ground subsidence caused by the installation of a detector adversely affects the beam line alignment of the collider. It becomes, therefore, very important to figure out the expected amount of ground settlement by means of adequate evaluation methods in advance. At Stanford Linear Accelerator Center (SLAC), a 1700 mT (metric tons) Mark II detector was replaced with a 4000 mT SLD detector in Stanford Linear Collider (SLC). The exchange started in December 1990 and lasted until March 1991, and the amount of ground settlement was measured by SLAC during that period. We performed simulation studies to evaluate the subsidence of the pit slab using several analysis methods. Parameters used for the analyses were decided based on the information of the SLC structure and the ground conditions at the SLAC area. The objective of this study is to verify the applicability of several simulation methods by comparing the analytical results with the actual subsidence data obtained by SLAC

  17. Catastrophic subsidence: An environmental hazard, shelby county, Alabama

    Science.gov (United States)

    Lamoreaux, Philip E.; Newton, J. G.

    1986-03-01

    Induced sinkholes (catastrophic subsidence) are those caused or accelerated by human activities These sinkholes commonly result from a water level decline due to pumpage Construction activities in a cone of depression greatly increases the likelihood of sinkhole occurrence Almost all occur where cavities develop in unconsolidated deposits overlying solution openings in carbonate rocks. Triggering mechanisms resulting from water level declines are (1) loss of buoyant support of the water, (2) increased gradient and water velocity, (3) water-level fluctuations, and (4) induced recharge Construction activities triggering sinkhole development include ditching, removing overburden, drilling, movement of heavy equipment, blasting and the diversion and impoundment of drainage Triggering mechanisms include piping, saturation, and loading Induced sinkholes resulting from human water development/management activities are most predictable in a youthful karst area impacted by groundwater withdrawals Shape, depth, and timing of catastrophic subsidence can be predicted in general terms Remote sensing techniques are used in prediction of locations of catastrophic subsidence. This provides a basis for design and relocation of structures such as a gas pipeline, dam, or building Utilization of techniques and a case history of the relocation of a pipeline are described

  18. Subsidence above in situ vitrification: Evaluation for Hanford applications

    International Nuclear Information System (INIS)

    Dershowitz, W.S.; Plum, R.L.; Luey, J.

    1995-08-01

    Pacific Northwest Laboratory (PNL)is evaluating methods to extend the applicability of the in situ vitrification (ISV) process. One method being evaluated is the initiation of the ISV process in the soil subsurface rather than the traditional start from the surface. The subsurface initiation approach will permit extension of the ISV treatment depth beyond that currently demonstrated and allow selective treatment of contamination in a geologic formation. A potential issue associated with the initiation of the ISV process in the soil subsurface is the degree of subsidence and its effect on the ISV process. The reduction in soil porosity caused by the vitrification process will result in a volume decrease for the vitrified soils. Typical volume reduction observed for ISV melts initiated at the surface are on the order of 20% to 30% of the melt thickness. Movement of in-situ materials into the void space created during an ISV application in the soil subsurface could result in surface settlements that affect the ISV process and the processing equipment. Golder Associates, Inc., of Redmond, Washington investigated the potential for subsidence events during application of ISV in the soil subsurface. Prediction of soil subsidence above an ISV melt required the following analyses: the effect of porosity reduction during ISV, failure of fused materials surrounding the ISV melt, bulking of disturbed materials above the melt, and propagation of strains to the surface

  19. Coal mine subsidence: effects of mitigation on crop yields

    International Nuclear Information System (INIS)

    Darmody, R.G.; Hetzler, R.T.; Simmons, F.W.

    1992-01-01

    Subsidence from longwall underground coal mining adversely impacts agricultural land by creating wet or ponded areas. While most subsided areas show little impact, some localized places, usually less than 1.5 ha in size, may experience total crop failure. Coal companies mitigate subsidence damaged cropland by installing drainage waterways or by adding fill material to raise the grade. The objective of this study was to test the effectiveness of mitigation in restoring corn and soybean yields to pre-mined levels. Fourteen sites in southern Illinois were selected for study. Corn (Zea mays L.) and soybean (Glycine max L.) yields from mitigated and nearby undisturbed areas were compared for four years. Results varied due to differing weather and site conditions. Mean corn yields overall, however were significantly (α0.05) lower on mitigated areas. There was no significant difference in overall mean soybean yields. Soil fertility levels were similar and did not account for yield differences. 14 refs., 1 fig., 7 tabs

  20. Modeling of flexible reciprocating compressor considering the crosshead subsidence

    Science.gov (United States)

    Xue, Xiaogang; Liu, Shulin; Sun, Xin

    2018-01-01

    Crank-slider mechanisms are important parts of heavy duty machines, including reciprocating compressors, combustion motors. This paper targets on the dynamic response of the crosshead in a reciprocating compressor, taking into consideration the crosshead deviation from the original level. The traditional model of the compressor is usually a slider-mechanism system without considering the deflection of the crosshead, thus neglecting the influence of the piston rod, which has some flexible features. In this paper, a rigid-flexible model of slider-crank is described theoretically, using the commercial software MATLAB, where the crank, connecting rod and crosshead are treated as rigid bodies, while the piston rod connected to the crosshead is considered as a flexible body. The dynamic response of the mechanism with the crosshead subsidence is discussed detailedly in this paper. After calculated theoretically, the MATLAB simulation showed that the dynamic response of the crosshead will be greatly influenced if the crosshead subsided from the original level. Also, the influence of the crosshead subsidence was also investigated, and some extra vibration of the crosshead arises.

  1. Sources of subsidence at the Salton Sea Geothermal Field

    Science.gov (United States)

    Barbour, Andrew J.; Evans, Eileen; Hickman, Stephen H.; Eneva, Mariana

    2016-01-01

    At the Salton Sea Geothermal Field (SSGF) in Southern California, surface deformation associated with geologic processes including sediment compaction, tectonic strain, and fault slip may be augmented by energy production activities. Separating the relative contributions from natural and anthropogenic sources is especially important at the SSGF, which sits at the apex of a complex tectonic transition zone connecting the southern San Andreas Fault with the Imperial Fault; but this has been a challenging task so far. Here we analyze vertical surface velocities obtained from the persistent scatterer InSAR method and find that two of the largest subsidence anomalies can be represented by a set of volumetric strain nuclei at depths comparable to geothermal well completion zones. In contrast, the rates needed to achieve an adequate fit to the magnitudes of subsidence are almost an order of magnitude greater than rates reported for annual changes in aggregate net-production volume, suggesting that the physical mechanism responsible for subsidence at the SSGF is a complicated interplay between natural and anthropogenic sources.

  2. How to subsidize energy efficiency under duopoly efficiently?

    International Nuclear Information System (INIS)

    Nie, Pu-yan; Yang, Yong-cong; Chen, You-hua; Wang, Zhao-hui

    2016-01-01

    Highlights: • This article captures the effects of output subsidy. • Firms without subsidy are not willing to improve energy efficiency. • Subsidy stimulates the subsidized firms’ outputs and deters the others’ outputs. • The subsidy intensity depends on firms’ position. • Overdue subsidy cannot reach the environmental object. - Abstract: Establishing a game theory model, this paper captures the effects of output subsidy on energy efficiency under Cournot competition and Stackelberg competition. Three types of subsidies are considered in the model, namely without subsidy, unilateral subsidy and bilateral subsidy. The findings indicate that firms without subsidy are not willing to improve energy efficiency. Also, subsidy stimulates the subsidized firms’ outputs while deters the outputs of other firms. Meanwhile, the equilibrium subsidy intensity depends on firms’ position. Furthermore, the minimal subsidy budgets under different situations are presented. Especially, given the fixed subsidy budget, the output of the subsidized firm is the highest if this firm plays the leading position. In addition, certain subsidy can reduce the total emission, while overdue subsidy cannot reach the environmental object.

  3. Is IVF-served two different ways-more cost-effective than IUI with controlled ovarian hyperstimulation?

    NARCIS (Netherlands)

    Tjon-Kon-Fat, R. I.; Bensdorp, A. J.; Bossuyt, P. M. M.; Koks, C.; Oosterhuis, G. J. E.; Hoek, A.; Hompes, P.; Broekmans, F. J.; Verhoeve, H. R.; de Bruin, J. P.; van Golde, R.; Repping, S.; Cohlen, B. J.; Lambers, M. D. A.; van Bommel, P. F.; Slappendel, E.; Perquin, D.; Smeenk, J.; Pelinck, M. J.; Gianotten, J.; Hoozemans, D. A.; Maas, J. W. M.; Groen, H.; Eijkemans, M. J. C.; van der Veen, F.; Mol, B. W. J.; van Wely, M.

    2015-01-01

    What is the cost-effectiveness of in vitro fertilization (IVF) with conventional ovarian stimulation, single embryo transfer (SET) and subsequent cryocycles or IVF in a modified natural cycle (MNC) compared with intrauterine insemination with controlled ovarian hyperstimulation (IUI-COH) as a

  4. Modified natural cycle versus controlled ovarian hyperstimulation IVF: a cost-effectiveness evaluation of three simulated treatment scenarios

    NARCIS (Netherlands)

    Groen, Henk; Tonch, Nino; Simons, Arnold H. M.; van der Veen, Fulco; Hoek, Annemieke; Land, Jolande A.

    2013-01-01

    Can modified natural cycle IVF or ICSI (MNC) be a cost-effective alternative for controlled ovarian hyperstimulation IVF or ICSI (COH)? The comparison of simulated scenarios indicates that a strategy of three to six cycles of MNC with minimized medication is a cost-effective alternative for one

  5. Modified natural cycle versus controlled ovarian hyperstimulation IVF : a cost-effectiveness evaluation of three simulated treatment scenarios

    NARCIS (Netherlands)

    Groen, Henk; Tonch, Nino; Simons, Arnold H. M.; van der Veen, Fulco; Hoek, Annemieke; Land, Jolande A.

    2013-01-01

    STUDY QUESTION: Can modified natural cycle IVF or ICSI (MNC) be a cost-effective alternative for controlled ovarian hyperstimulation IVF or ICSI (COH)? SUMMARY ANSWER: The comparison of simulated scenarios indicates that a strategy of three to six cycles of MNC with minimized medication is a

  6. Presence of bile acids in human follicular fluid and their relation with embryo development in modified natural cycle IVF

    NARCIS (Netherlands)

    Nagy, R. A.; van Montfoort, A. P. A.; Dikkers, A.; van Echten-Arends, J.; Homminga, I.; Land, J. A.; Hoek, A.; Tietge, U. J. F.

    STUDY QUESTION: Are bile acids (BA) and their respective subspecies present in human follicular fluid (FF) and do they relate to embryo quality in modified natural cycle IVF (MNC-IVF)? SUMMARY ANSWER: BAconcentrations are 2-fold higher in follicular fluid than in serum and ursodeoxycholic acid

  7. Health-related quality of life in relation to gender and age in couples planning IVF treatment

    NARCIS (Netherlands)

    Fekkes, M.; Buitendijk, S.E.; Verrips, G.H.W.; Braat, D.D.M.; Brewaeys, A.M.A.; Dolfing, J.G.; Kortman, M.; Leerentveld, R.A.; Macklon, N.S.

    2003-01-01

    Background: Specific subgroups of people planning IVF might be at risk of having more psychological or health-related problems. Identification of subgroups at risk may better enable allocation of appropriate counselling. Methods: A group of 425 men and 447 women planning to undergo IVF treatment

  8. IVF culture medium affects post-natal weight in humans during the first 2 years of life

    NARCIS (Netherlands)

    Kleijkers, Sander H. M.; van Montfoort, Aafke P. A.; Smits, Luc J. M.; Viechtbauer, Wolfgang; Roseboom, Tessa J.; Nelissen, Ewka C. M.; Coonen, Edith; Derhaag, Josien G.; Bastings, Lobke; Schreurs, Inge E. L.; Evers, Johannes L. H.; Dumoulin, John C. M.

    2014-01-01

    Is post-natal growth during the first 2 years of life in IVF singletons affected by type of medium used for culturing human embryos during an IVF treatment? The in vitro culture of human embryos in medium from Cook resulted in singletons with a lower weight during the first 2 years of life compared

  9. Influence of embryo culture medium (G5 and HTF) on pregnancy and perinatal outcome after IVF: a multicenter RCT

    NARCIS (Netherlands)

    Kleijkers, S.H.; Mantikou, E.; Slappendel, E.; Consten, D.; Echten-Arends, J. van; Wetzels, A.M.M.; Wely, M. van; Smits, L.J.; Montfoort, A.P. van; Repping, S.; Dumoulin, J.C.; Mastenbroek, S.

    2016-01-01

    STUDY QUESTION: Does embryo culture medium influence pregnancy and perinatal outcome in IVF? SUMMARY ANSWER: Embryo culture media used in IVF affect treatment efficacy and the birthweight of newborns. WHAT IS KNOWN ALREADY: A wide variety of culture media for human preimplantation embryos in

  10. A higher prevalence of endometriosis among Asian women does not contribute to poorer IVF outcomes.

    Science.gov (United States)

    Yamamoto, Ayae; Johnstone, Erica B; Bloom, Michael S; Huddleston, Heather G; Fujimoto, Victor Y

    2017-06-01

    The purpose of the study was to determine whether diagnosis of endometriosis or endometriosis with endometrioma influences in vitro fertilization (IVF) outcomes in an ethnically diverse population. Women undergoing a first IVF cycle (n = 717) between January 1, 2008 and December 31, 2009, at a university-affiliated infertility clinic, were retrospectively assessed for an endometriosis diagnosis. Differences in prevalence of endometriosis by ethnicity were determined, as well as differences in IVF success by ethnicity, with a focus on country of origin for Asian women. A multivariate model was generated to assess the relative contributions of country of origin and endometriosis to chance of clinical pregnancy with IVF. Endometriosis was diagnosed in 9.5% of participants; 3.5% also received a diagnosis of endometrioma. Endometriosis prevalence in Asian women was significantly greater than in Caucasians (15.7 vs. 5.8%, p Women of Filipino (p women, although there was no difference in endometrioma presence by race/ethnicity. Oocyte quantity, embryo quality, and fertilization rates did not relate to endometriosis. Clinical pregnancy rates were significantly lower for Asian women, specifically in Indian (p women, compared to Caucasian women, even after controlling for endometriosis status. The prevalence of endometriosis appears to be higher in Filipino, Indian, Japanese, and Korean women presenting for IVF treatment than for Caucasian women; however, the discrepancy in IVF outcomes was conditionally independent of the presence of endometriosis. Future research should focus on improving pregnancy outcomes for Asian populations whether or not they are affected by endometriosis, specifically in the form of longitudinal studies where exposures can be captured prior to endometriosis diagnoses and infertility treatment.

  11. Bivariate analysis of basal serum anti-Mullerian hormone measurements and human blastocyst development after IVF

    LENUS (Irish Health Repository)

    Sills, E Scott

    2011-12-02

    Abstract Background To report on relationships among baseline serum anti-Müllerian hormone (AMH) measurements, blastocyst development and other selected embryology parameters observed in non-donor oocyte IVF cycles. Methods Pre-treatment AMH was measured in patients undergoing IVF (n = 79) and retrospectively correlated to in vitro embryo development noted during culture. Results Mean (+\\/- SD) age for study patients in this study group was 36.3 ± 4.0 (range = 28-45) yrs, and mean (+\\/- SD) terminal serum estradiol during IVF was 5929 +\\/- 4056 pmol\\/l. A moderate positive correlation (0.49; 95% CI 0.31 to 0.65) was noted between basal serum AMH and number of MII oocytes retrieved. Similarly, a moderate positive correlation (0.44) was observed between serum AMH and number of early cleavage-stage embryos (95% CI 0.24 to 0.61), suggesting a relationship between serum AMH and embryo development in IVF. Of note, serum AMH levels at baseline were significantly different for patients who did and did not undergo blastocyst transfer (15.6 vs. 10.9 pmol\\/l; p = 0.029). Conclusions While serum AMH has found increasing application as a predictor of ovarian reserve for patients prior to IVF, its roles to estimate in vitro embryo morphology and potential to advance to blastocyst stage have not been extensively investigated. These data suggest that baseline serum AMH determinations can help forecast blastocyst developmental during IVF. Serum AMH measured before treatment may assist patients, clinicians and embryologists as scheduling of embryo transfer is outlined. Additional studies are needed to confirm these correlations and to better define the role of baseline serum AMH level in the prediction of blastocyst formation.

  12. Obstetric complications in women with IVF conceived pregnancies and polycystic ovarian syndrome

    Directory of Open Access Journals (Sweden)

    Sunita R Tandulwadkar

    2014-01-01

    Full Text Available Polycystic ovarian syndrome (PCOS is often accompanied by infertility that necessitates ovulation induction using clomiphene citrate, gonadotropins or even in vitro fertilization (IVF. These treatment methods are known to increase the incidence of multiple pregnancies as well as some negative consequences, including a rise in the risk for gestational diabetes mellitus, pre-eclampsia, etc., Furthermore, pregnancies established after IVF carry an increased risk for maternal complications. However, the increased risk of developing adverse obstetric complications has been suggested to occur independently of obesity as well as in populations without assisted reproductive techniques. Many studies have been performed to study the effect of PCOS on pregnancy and the effect of pregnancy on PCOS. The hormonal milieu that is exaggerated in PCOS women is quite well understood at the biochemical and genetic levels. The maternal and neonatal outcomes of PCOS women who have undergone in vitro fertilization-embryo transfer (IVF-ET have not been widely studied till date. This review aims to evaluate the current evidence regarding adverse obstetric outcomes of PCOS women undergoing IVF-ET. The rationale of this review is to study whether the adverse obstetric outcomes are increased in PCOS women in general, or particularly in those PCOS women who are undergoing IVF-ET. It is also important to analyze via a literature review whether the increased adverse outcomes are due to infertility in general or PCOS per se. An attempt has been made to give evidence regarding preventive strategies for obstetric complications in PCOS women who have undergone IVF-ET.

  13. Problem definition study of subsidence caused by geopressured geothermal resource development

    Energy Technology Data Exchange (ETDEWEB)

    1980-12-01

    The environmental and socio-economic settings of four environmentally representative Gulf Coast geopressured geothermal fairways were inventoried. Subsidence predictions were prepared using feasible development scenarios for the four representative subsidence sites. Based on the results of the subsidence estimates, an assessment of the associated potential environmental and socioeconomic impacts was prepared. An inventory of mitigation measures was also compiled. Results of the subsidence estimates and impact assessments are presented, as well as conclusions as to what are the major uncertainties, problems, and issues concerning the future study of geopressured geothermal subsidence.

  14. Comparison of estimated and background subsidence rates in Texas-Louisiana geopressured geothermal areas

    Energy Technology Data Exchange (ETDEWEB)

    Lee, L.M.; Clayton, M.; Everingham, J.; Harding, R.C.; Massa, A.

    1982-06-01

    A comparison of background and potential geopressured geothermal development-related subsidence rates is given. Estimated potential geopressured-related rates at six prospects are presented. The effect of subsidence on the Texas-Louisiana Gulf Coast is examined including the various associated ground movements and the possible effects of these ground movements on surficial processes. The relationships between ecosystems and subsidence, including the capability of geologic and biologic systems to adapt to subsidence, are analyzed. The actual potential for environmental impact caused by potential geopressured-related subsidence at each of four prospects is addressed. (MHR)

  15. What is the most relevant standard of success in assisted reproduction? The next step to improving outcomes of IVF : consider the whole treatment

    NARCIS (Netherlands)

    Heijnen, EMEW; Macklon, NS; Fauser, BCJM

    Changing the way in which successful IVF treatment is defined offers a tool to improve efficacy while reducing costs and complications of treatment. Crucial to this paradigm shift is the move away from considering outcomes in terms of the single IVF cycle, and towards the started IVF treatment as a

  16. Integrating wireless sensor network for monitoring subsidence phenomena

    Science.gov (United States)

    Marturià, Jordi; Lopez, Ferran; Gigli, Giovanni; Intrieri, Emanuele; Mucchi, Lorenzo; Fornaciai, Alessandro

    2016-04-01

    An innovative wireless sensor network (WSN) for the 3D superficial monitoring of deformations (such as landslides and subsidence) is being developed in the frame of the Wi-GIM project (Wireless sensor network for Ground Instability Monitoring - LIFE12 ENV/IT/001033). The surface movement is detected acquiring the position (x, y and z) by integrating large bandwidth technology able to detect the 3D coordinates of the sensor with a sub-meter error, with continuous wave radar, which allows decreasing the error down to sub-cm. The Estació neighborhood in Sallent is located over the old potassium mine Enrique. This zone has been affected by a subsidence process over more than twenty years. The implementation of a wide network for ground auscultation has allowed monitoring the process of subsidence since 1997. This network consists of: i) a high-precision topographic leveling network to control the subsidence in surface; ii) a rod extensometers network to monitor subsurface deformation; iii) an automatic Leica TCA Total Station to monitor building movements; iv) an inclinometers network to measure the horizontal displacements on subsurface and v) a piezometer to measure the water level. Those networks were implemented within an alert system for an organized an efficient response of the civil protection authorities in case of an emergency. On 23rd December 2008, an acceleration of subsoil movements (of approx. 12-18 cm/year) provoked the activation of the emergency plan by the Catalan Civil Protection. This implied the preventive and scheduled evacuation of the neighbours (January 2009) located in the area with a higher risk of collapse: around 120 residents of 43 homes. As a consequence, the administration implemented a compensation plan for the evacuation of the whole neighbourhood residents and the demolition of 405 properties. In this work, the adaptation and integration process of Wi-GIM system with those conventional monitoring network are presented for its testing

  17. Growth, psychomotor development and morbidity up to 3 years of age in children born after IVF.

    Science.gov (United States)

    Koivurova, S; Hartikainen, A-L; Sovio, U; Gissler, M; Hemminki, E; Järvelin, M-R

    2003-11-01

    To examine the long-term child outcome after IVF until the age of 3 years in Northern Finland, we conducted a population-based cohort study. First, a cohort of 299 IVF children born in 1990-1995 was compared with a cohort of 558 controls representing the general population in terms of a multiple birth rate of 1.2%, randomly chosen from the Finnish Medical Birth Register (FMBR) and matched for sex, year of birth, area of residence, parity, maternal age and social class (full sample analyses). Second, IVF singletons (n = 150) were compared with singleton controls (n = 280). Third, a plurality matched control cohort (n = 100) for IVF twins (n = 100) was randomly chosen, matched as above, from the FMBR and analysed separately. Infant mortality rate was compared with the national rate from the FMBR. Infant mortality in the IVF group was >2-fold higher compared to the national rate in the general population. The risk (OR, 95% CI) of low weight and height, below the lowest quartile, at 1 year of age (1.6, 1.1-2.2; 1.6, 1.1-2.4) and 2 years of age (1.5, 1.1-2.4; 1.7, 1.2-2.5) was significantly higher in the IVF group when compared with the general population control group. No statistically significant differences were found in the psychomotor development between the cohorts. Cumulative incidence of different diseases up to 3 years of age was significantly higher among IVF children in the full sample and singleton analyses (OR, 95% CI: 2.3, 1.7-3.2; 2.1, 1.3-3.3 respectively) especially regarding respiratory diseases (3.5, 1.9-6.5; 3.1, 1.0-9.4) and diarrhoea (3.7, 2.2-6.2; 5.7, 2.6-12.7), but not in twin comparisons. The growth of IVF children was behind that of control children during the first 3 years of life, but their psychomotor development was similar. Their postnatal health was worse, probably reflecting the problems in the neonatal period.

  18. IVF and ICSI in Male Infertility: Update on Outcomes, Risks, and Costs

    Directory of Open Access Journals (Sweden)

    Edward Karpman

    2005-01-01

    Full Text Available Assisted reproductive technology with intracytoplasmic sperm injection (ICSI is becoming an international panacea for couples struggling with infertility. The increasing popularity of these techniques and the data generated has given us a better understanding of the efficacy, consequences and costs of these procedures. There still remain many unanswered questions and controversies surrounding the use of IVF and ICSI. Increased experience, better refinement of these techniques and clearer indications for IVF and ICSI will inevitably minimize the risks associated with this procedure.

  19. Subsidence in tropical peatlands: Estimating CO2 fluxes from peatlands in Southeast Asia

    Science.gov (United States)

    Hoyt, A.; Harvey, C. F.; Seppalainen, S. S.; Chaussard, E.

    2017-12-01

    Tropical peatlands of Southeast Asia are an important global carbon stock. However, they are being rapidly deforested and drained. Peatland drainage facilitates peat decomposition, releases sequestered peat carbon to the atmosphere as CO2, and leads to subsidence of the peat surface. As a result, subsidence measurements can be used to monitor peatland carbon loss over time. Until now, subsidence measurements have been primarily limited to ground-based point measurements using subsidence poles. Here we demonstrate a powerful method to measure peatland subsidence rates across much larger areas than ever before. Using remotely sensed InSAR data, we map subsidence rates across thousands of square kilometers in Southeast Asia and validate our results against ground-based subsidence measurements. The method allows us to monitor subsidence in remote locations, providing unprecedented spatial information, and the first comprehensive survey of land uses such as degraded peatlands, burnt and open areas, shrub lands, and smallholder farmlands. Strong spatial patterns emerged, with the highest subsidence rates occurring at the centers of peat domes, where the peat is thickest and drainage depths are likely to be largest. Peatland subsidence rates were also strongly dependent on current and historical land use, with typical subsidence rates ranging from 2-4 cm/yr. Finally, we scaled up our results to calculate total annual emissions from peat decomposition in degraded peatlands.

  20. Land Subsidence Prediction by Back Calculation Method and its Effects on Sewage Network

    Directory of Open Access Journals (Sweden)

    Mohammad Mohsen Toufigh

    2009-03-01

    Full Text Available Groundwater overdraft is one of the main reasons of land subsidence. Differential subsidence leads to earth fissures and damages to structures, roads, railroads, pipelines, irrigation canals, and sewage networks. In order to simulate land subsidence due to groundwater overdraft, a fully coupled finite element consolidation model was developed. Formulation of finite element was based on Biot three-dimensional consolidation theory. Land subsidence studies inRafsanjanCitywere conducted by collecting and analyzing data on geology, geophysics, hydrology, soil properties, and observed land subsidence. Due to lack of sufficient experimental data about different soil profiles, land subsidence monitoring and back calculation were used in several spots to obtain the necessary data for use in other places. A computer model was finally developed to predict the subsidence of the city and its effects on the sewage network were studied.

  1. What is the most relevant standard of success in assisted reproduction? The next step to improving outcomes of IVF: consider the whole treatment.

    OpenAIRE

    Heijnen, E.M.; Macklon, Nick; Fauser, Bart

    2004-01-01

    textabstractChanging the way in which successful IVF treatment is defined offers a tool to improve efficacy while reducing costs and complications of treatment. Crucial to this paradigm shift is the move away from considering outcomes in terms of the single IVF cycle, and towards the started IVF treatment as a whole. We propose the most informative end-point of success in IVF to be the term singleton birth rate per started IVF treatment (or per given time period) in the overall context of pat...

  2. Structural Analysis for Subsidence of Stacked B-25 Boxes

    International Nuclear Information System (INIS)

    Jones, W.E.

    2003-01-01

    The Savannah River Site (SRS) and other U.S. Department of Energy (DOE) sites use shallow land burial facilities (i.e., trenches) to dispose low-level radioactive waste. However, at SRS and other DOE sites, waste containers with up to 90 percent void space are disposed in the shallow land burial facilities. Corrosion and degradation of these containers can result in significant subsidence over time, which can compromise the integrity of the long-term cover. This in turn can lead to increased water infiltration through the long-term cover into the waste and subsequent increased radionuclide transport into the environment. Understanding and predicting shallow-buried, low-level waste subsidence behavior is necessary for evaluating cost-effective and appropriate stabilization required to maintain cover system long-term stability and viability, and to obtain stakeholder acceptance of the long-term implications of waste disposal practices. Two methods (dynamic compaction and static surcharge) have been used at SRS to accelerate waste and container consolidation and reduce potential subsidence prior to long term cover construction. Dynamic compaction comprises repeatedly dropping a heavy (20 ton) weight from about a 40-ft height to consolidate the waste and containers. Static surcharge is the use of a thick (15 ft to 30 ft) soil cover to consolidate the underlying materials over a longer time period (three to six months in this case). Quasi-static modeling of a stack of four B-25 boxes at various stags of corrosion with an applied static surcharge has been conducted and is presented herein

  3. Coral ages and island subsidence, Hilo drill hole

    Science.gov (United States)

    Moore, J.G.; Ingram, B.L.; Ludwig, K. R.; Clague, D.A.

    1996-01-01

    A 25.8-m-thick sedimentary section containing coral fragments occurs directly below a surface lava flow (the ???1340 year old Panaewa lava flow) at the Hilo drill hole. Ten coral samples from this section dated by accelerator mass spectrometry (AMS) radiocarbon and five by thermal infrared multispectral scanner (TIMS) 230Th/U methods show good agreement. The calcareous unit is 9790 years old at the bottom and 1690 years old at the top and was deposited in a shallow lagoon behind an actively growing reef. This sedimentary unit is underlain by a 34-m-thick lava flow which in turn overlies a thin volcaniclastic silt with coral fragments that yield a single 14C date of 10,340 years. The age-depth relations of the dated samples can be compared with proposed eustatic sea level curves after allowance for island subsidence is taken. Island subsidence averages 2.2 mm/yr for the last 47 years based on measurements from a tide gage near the drill hole or 2.5-2.6 mm/yr for the last 500,000 years based on the ages and depths of a series of drowned coral reefs offshore from west Hawaii. The age-depth measurements of coral fragments are more consistent with eustatic sea levels as determined by coral dating at Barbados and Albrolhos Islands than those based on oxygen isotopic data from deep sea cores. The Panaewa lava flow entered a lagoon underlain by coral debris and covered the drill site with 30.9 m of lava of which 11 m was above sea level. This surface has now subsided to 4.2 m above sea level, but it demonstrates how a modern lava flow entering Hilo Bay would not only change the coastline but could extensively modify the offshore shelf.

  4. First trimester prenatal screening among women pregnant after IVF/ICSI

    DEFF Research Database (Denmark)

    Anne Cathrine, Gjerris; Tabor, Ann; Loft, Anne

    2012-01-01

    BACKGROUND Prenatal screening and diagnosis of chromosomal abnormalities especially Down's syndrome in IVF pregnancies are complicated by higher maternal age, a high multiple pregnancy rate, a high risk of a vanishing twin and an increased risk of chromosomal abnormalities, particularly in pregna......BACKGROUND Prenatal screening and diagnosis of chromosomal abnormalities especially Down's syndrome in IVF pregnancies are complicated by higher maternal age, a high multiple pregnancy rate, a high risk of a vanishing twin and an increased risk of chromosomal abnormalities, particularly...... in pregnancies after ICSI. The aim of the present systematic review was to evaluate the findings of first trimester screening for chromosomal abnormalities in IVF/ICSI singleton and twin pregnancies. METHODS A systematic MESH-term search in MEDLINE using PubMed and the Cochrane Library was performed until May...... 2011, with no earlier date limit. RESULTS The electronic search retrieved 562 citations, 96 of which were evaluated in detail and 57 were then excluded for not meeting the selection criteria. A total of 61 articles were finally selected for review. Our analysis of the data shows that, for IVF...

  5. A Case with Severe Endometriosis, Ovarian Hyperstimulation Syndrome, and Isolated Unilateral Pleural Effusion after IVF

    DEFF Research Database (Denmark)

    Sopa, Negjyp; Larsen, Elisabeth Clare; Andersen, Anders Nyboe

    2017-01-01

    We present a very rare case of right-sided isolated pleural effusion in a patient with severe endometriosis who, in relation to in vitro fertilization (IVF), developed ovarian hyperstimulation syndrome (OHSS). Earlier laparotomy showed grade IV endometriosis including endometriotic implants...

  6. Perception of control, coping and psychological stress of infertile women undergoing IVF

    DEFF Research Database (Denmark)

    Gourounti, Kleanthi; Anagnostopoulos, Fotios; Potamianos, Grigoris

    2012-01-01

    to control for the effects of demographic variables. This cross-sectional study included 137 women with fertility problems undergoing IVF in a public hospital. All participants completed questionnaires that measured fertility-related stress, state anxiety, depressive symptomatology, perception of control...

  7. Influence of female bodyweight on IVF outcome: a longitudinal multicentre cohort study of 487 infertile couples

    DEFF Research Database (Denmark)

    Pinborg, A; Gaarslev, C; Hougaard, C O

    2011-01-01

    This study investigated the impact of women's body mass index (BMI) on the outcome after consecutive IVF/intracytoplasmic sperm injection cycles in 487 patients initiating treatment with 5-year follow-up. The total number of cycles was 1417. In total 103 (21.1%) were overweight (BMI 25-29.9 kg...

  8. Ganirelix for luteolysis in poor responder patients undergoing IVF treatment: a Scandinavian multicenter 'extended pilot study'

    DEFF Research Database (Denmark)

    Nilsson, Lena; Andersen, A.N.; Lindenberg, Svend

    2010-01-01

    To enhance oocyte yield and pregnancy outcome in poor responder women undergoing IVF treatment, daily low dose GnRH antagonist administration was given during the late luteal phase to induce luteolysis and possibly secure a more synchronous cohort of recruitable follicles. An open extended pilot...

  9. Assisted reproductive technologies in Ghana : Transnational undertakings, local practices and ‘more affordable’ IVF

    NARCIS (Netherlands)

    Gerrits, T.

    The article sketches the origins and development of IVF in Ghana as a highly transnational undertaking. Movements are from and to Africa, involving human beings (providers and users), and also refer to other entities such as technologies, skills and knowledge. None of these movements are paid for

  10. Economic evaluations of single- versus double-embryo transfer in IVF

    NARCIS (Netherlands)

    Fiddelers, A. A. A.; Severens, J. L.; Dirksen, C. D.; Dumoulin, J. C. M.; Land, J. A.; Evers, J. L. H.

    2007-01-01

    Multiple pregnancies lead to complications and induce high costs. The most successful way to decrease multiple pregnancies in IVF is to transfer only one embryo, which might reduce the efficacy of treatment. The objective of this review is to determine which embryo-transfer policy is most

  11. Maternal XX/X chromosome mosaicism in donor oocyte in vitro fertilization (IVF

    Directory of Open Access Journals (Sweden)

    Paul R. Brezina

    2012-06-01

    Results: The rates of maternal X chromosome mosaicism noted in the cycles from women with miscarriages (3%, 4%, 4%, and 6% were not statistically different from cycles in TS-Mosaic women with normal deliveries (3% and 11%. These data suggest that the rate of maternal X chromosome mosaicism does not affect pregnancy loss rates in TS-Mosaic women undergoing donor oocyte IVF.

  12. Natural cycle IVF with and without terminal HCG: learning from failed cycles.

    Science.gov (United States)

    Lenton, Elizabeth A

    2007-08-01

    Natural cycle IVF, without the use of LH down-regulation, is difficult because women start spontaneous LH surges at any time of the day and on any day of the week. This is not readily compatible with delivery of a routine IVF service and so historically the natural cycle has been modified by the use of human chorionic gonadotrophin (HCG) to make the natural cycle fit convenient clinical practice. This report re-evaluates data collected some years ago and seeks to determine whether the use of HCG is ultimately beneficial. Two large series of natural cycle IVF where only LH monitoring was performed (534 cycles) or where this was combined with HCG as necessary (241 cycles) were analysed. In essence, the use of HCG introduced as many problems as it overcame: there was no net benefit with respect to the number of eggs collected or clinical pregnancies generated. In fact there was an overall deterioration in all indices. The principle difficulties with natural cycle IVF are those associated with the prediction of follicle maturity and hence timing egg collection, and the conflict between costly and intrusively frequent monitoring with simpler but far less effective approaches.

  13. Perinatal outcomes after gestational surrogacy versus autologous IVF: analysis of national data.

    Science.gov (United States)

    Sunkara, Sesh Kamal; Antonisamy, Belavendra; Selliah, Hepsy Y; Kamath, Mohan S

    2017-12-01

    Anonymized data were obtained from the Human Fertilization and Embryology Authority to determine whether gestational surrogacy influences perinatal outcomes compared with pregnancies after autologous IVF. A total of 103,160 singleton live births, including 244 after gestational surrogacy, 87,571 after autologous fresh IVF and intractyoplasmic sperm injection (ICSI) and 15,345 after autologous frozen embryo transfers were analysed. Perinatal outcomes of pretern birth (PTB), low birth weight (LBW) and high birth weight (HBW) were compared. No difference was found in the risk of PTB and LBW after gestational surrogacy compared with autologous fresh IVF-ICSI: PTB (adjusted OR 0.90, 95% CI 0.56 to 1.42), LBW (adjusted OR 0.90, 95% CI 0.57 to 1.43) and gestational surrogacy compared with autologous frozen embryo transfers: PTB (adjusted OR 0.96, 95% CI 0.58 to 1.60), LBW (adjusted OR 1.16, 95% CI 0.69 to 1.96). The incidence of HBW was significantly higher after gestational surrogacy compared with fresh IVF-ICSI (adjusted OR 1.94, 95% CI 1.38 to 2.75); no difference was found in HBW between gestational surrogacy and autologous frozen embryo transfers. The dataset is limited by lack of information on confounders, i.e. ethnicity, body mass index, underlying medical history, which could result in residual confounding. Copyright © 2017 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  14. Pubertal development in children and adolescents born after IVF and spontaneous conception

    NARCIS (Netherlands)

    Ceelen, M.; van Weissenbruch, M.M.; Vermeiden, J.P.W.; van Leeuwen, F.E.; Delemarre-van d Waal, H.A.

    2008-01-01

    BACKGROUND: Previous studies demonstrated a link between adverse conditions during prenatal life and the development of diseases in adult life. It is still unclear whether IVF conception could permanently affect early prenatal development in humans, with post-natal health consequences. The objective

  15. Essure (R) hydrosalpinx occlusion prior to IVF-ET as an alternative to laparoscopic salpingectomy

    NARCIS (Netherlands)

    Mijatovic, V.; Dreyer, K.; Emanuel, M.H.; Schats, R.; Hompes, P.G.A.

    2012-01-01

    Objective: To investigate the success rate of proximal tubal occlusion with Essure® devices in subfertile women with unilateral or bilateral hydrosalpinx and to observe the results of subsequent treatment with IVF-ET and/or frozen embryo transfer. Study design: Prospective, single-arm, clinical

  16. GnRH-agonist versus GnRH-antagonist IVF cycles

    DEFF Research Database (Denmark)

    Papanikolaou, E G; Pados, G; Grimbizis, G

    2012-01-01

    In view of the current debate concerning possible differences in efficacy between the two GnRH analogues used in IVF stimulated cycles, the current study aimed to explore whether progesterone control in the late follicular phase differs when GnRH antagonist is used as compared with GnRH agonist...

  17. Outcome in clients with positive pregnancy test following IVF/ICSI ...

    African Journals Online (AJOL)

    Background: A retrospective analysis of the outcome of all patients who have recorded a positive pregnancy test following IVF/ICSI treatment from June 1999 to December 2002 was done. Materials and Methods: A total of 1256 treatment cycles were carried out using the long day 1 (early follicular phase) or day 21 ...

  18. Patient-centred care: using online personal medical records in IVF practice.

    NARCIS (Netherlands)

    Tuil, W.S.; Hoopen, A.J. ten; Braat, D.D.M.; Vries Robbé, P.F. de; Kremer, J.A.M.

    2006-01-01

    BACKGROUND: Generic patient-accessible medical records have shown promise in enhancing patient-centred care for patients with chronic diseases. We sought to design, implement and evaluate a patient-accessible medical record specifically for patients undergoing a course of assisted reproduction (IVF

  19. Clinical prediction models in reproductive medicine: applications in untreated subfertility and in IVF treatment

    NARCIS (Netherlands)

    C.C. Hunault

    2006-01-01

    textabstractThis thesis deals with two prediction problems in reproductive medicine. The first is the prediction in infertile couples of the chance to conceive without treatment. The second deals with the prediction of the chance of conception in couples treated with in vitro fertilization (IVF).

  20. Comparison of IVF/ICSI outcome in patients with polycystic ovarian ...

    African Journals Online (AJOL)

    Background: One of the recognized treatment options for patients with polycystic ovarian syndrome (PCOS) is in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). Fears are however sometimes raised concerning the likely outcome of treatment in such patients compared with their counterparts with tubal factor ...

  1. First-trimester screening markers are altered in pregnancies conceived after IVF/ICSI

    DEFF Research Database (Denmark)

    Gjerris, A C; Loft, A; Pinborg, A

    2009-01-01

    .0%). CONCLUSIONS: It seems advisable to use a population of IVF/ICSI pregnancies to establish median curves for the first-trimester serum screening parameters and perhaps also for nuchal translucency thickness. However, care must be taken, as different ART treatment methods and aspects of medical history seem...

  2. The effect of G-CSF on infertile women undergoing IVF treatment: A meta-analysis.

    Science.gov (United States)

    Li, Jie; Mo, Sien; Chen, Yang

    2017-08-01

    Evidence for the effect of granulocyte colony stimulating factor (G-CSF) on infertile women undergoing in vitro fertilization (IVF) remains inconsistent. This study aimed to evaluate the effectiveness of G-CSF on infertile women undergoing IVF. PubMed and EMBASE databases were searched before August 2016. Comparing the transvaginal perfusion of G-CSF and placebo or no treatment, the available studies were considered. The pooled risk ratio (RR) with 95% confidence intervals (CIs) was used in the analysis and six studies were included. Transvaginal perfusion of G-CSF was significantly associated with a higher clinical pregnancy rate versus the placebo (RR=1.563, 95%CI: 1.122, 2.176), especially for the Asian population. Among patients with a thin endometrium or repeated IVF failure, the implantation and biochemical pregnancy rates were also significantly increased in patients with the use of G-CSF (implantation rate: RR = 1.887, 95% CI: 1.256, 2.833; biochemical pregnancy rate: RR = 2.385, 95% CI: 1.414, 4.023). However, no statistical significance in increasing endometrial thickness was detected. Transvaginal perfusion of G-CSF for infertile women may play a critical role in assisting human reproduction, especially for patients with a thin endometrium or repeated IVF failure in the Asian population.

  3. Review of Research Shows, Overall, Acupuncture Did Not Increase Pregnancy Rates with IVF

    Science.gov (United States)

    ... did seem to increase pregnancy success rates at IVF clinics with baseline pregnancy rates that were lower than 32 percent. This review, funded in part by NCCAM, was published online in the journal Human Reproduction Update. The review analyzed 16 randomized controlled clinical ...

  4. Lithosphere structure and subsidence evolution of the conjugate S-African and Argentine margins

    Science.gov (United States)

    Dressel, Ingo; Scheck-Wenderoth, Magdalena; Cacace, Mauro; Götze, Hans-Jürgen; Franke, Dieter

    2016-04-01

    The bathymetric evolution of the South Atlantic passive continental margins is a matter of debate. Though it is commonly accepted that passive margins experience thermal subsidence as a result of lithospheric cooling as well as load induced subsidence in response to sediment deposition it is disputed if the South Atlantic passive margins were affected by additional processes affecting the subsidence history after continental breakup. We present a subsidence analysis along the SW African margin and offshore Argentina and restore paleobathymetries to assess the subsidence evolution of the margin. These results are discussed with respect to mechanisms behind margin evolution. Therefore, we use available information about the lithosphere-scale present-day structural configuration of these margins as a starting point for the subsidence analysis. A multi 1D backward modelling method is applied to separate individual subsidence components such as the thermal- as well as the load induced subsidence and to restore paleobathymetries for the conjugate margins. The comparison of the restored paleobathymetries shows that the conjugate margins evolve differently: Continuous subsidence is obtained offshore Argentina whereas the subsidence history of the SW African margin is interrupted by phases of uplift. This differing results for both margins correlate also with different structural configurations of the subcrustal mantle. In the light of these results we discuss possible implications for uplift mechanisms.

  5. Land subsidence in Yunlin, Taiwan, due to Agricultural and Domestic Water Use

    Science.gov (United States)

    Hsu, K.; Lin, P.; Lin, Z.

    2013-12-01

    Subsidence in a layered aquifer is caused by groundwater excess extraction and results in complicated problems in Taiwan. Commonly, responsibility to subsidence for agricultural and domestic water users is difficulty to identify due to the lack of quantitative evidences. An integrated model was proposed to analyze subsidence problem. The flow field utilizes analytical solution for pumping in a layered system from Neuman and Witherspoon (1969) to calculate the head drawdown variation. The subsidence estimation applies Terzaghi (1943) one-dimensional consolidation theory to calculate the deformation in each layer. The proposed model was applied to estimate land subsidence and drawdown variation at the Yuanchang Township of Yunlin County in Taiwan. Groundwater data for dry-season periods were used for calibration and validation. Seasonal effect in groundwater variation was first filtered out. Dry-season pumping effect on land subsidence was analyzed. The results show that multi-layer pumping contributes more in subsidence than single-layer pumping on the response of drawdown and land subsidence in aquifer 2 with a contribution of 97% total change at Yuanchang station. Pumping in aquifer 2 contributes more significant than pumping in aquifer 3 to cause change in drawdown and land subsidence in aquifer 2 with a contribution of 70% total change at Yuanchang station. Larger area of subsidence in Yuanchang Township was attributed pumping at aquifer 2 while pumping at aquifer 3 results in significant subsidence near the well field. The single-layer user contributes most area of subsidence but the multi-layer user generates more serious subsidence.

  6. Ground subsidence information as a valuable layer in GIS analysis

    Science.gov (United States)

    Murdzek, Radosław; Malik, Hubert; Leśniak, Andrzej

    2018-04-01

    Among the technologies used to improve functioning of local governments the geographic information systems (GIS) are widely used. GIS tools allow to simultaneously integrate spatial data resources, analyse them, process and use them to make strategic decisions. Nowadays GIS analysis is widely used in spatial planning or environmental protection. In these applications a number of spatial information are utilized, but rarely it is an information about environmental hazards. This paper includes information about ground subsidence that occurred in USCB mining area into GIS analysis. Monitoring of this phenomenon can be carried out using the radar differential interferometry (DInSAR) method.

  7. Ground subsidence information as a valuable layer in GIS analysis

    Directory of Open Access Journals (Sweden)

    Murdzek Radosław

    2018-01-01

    Full Text Available Among the technologies used to improve functioning of local governments the geographic information systems (GIS are widely used. GIS tools allow to simultaneously integrate spatial data resources, analyse them, process and use them to make strategic decisions. Nowadays GIS analysis is widely used in spatial planning or environmental protection. In these applications a number of spatial information are utilized, but rarely it is an information about environmental hazards. This paper includes information about ground subsidence that occurred in USCB mining area into GIS analysis. Monitoring of this phenomenon can be carried out using the radar differential interferometry (DInSAR method.

  8. Cenozoic uplift and subsidence in the North Atlantic region

    DEFF Research Database (Denmark)

    Anell, Ingrid Anna Margareta; Thybo, Hans; Artemieva, Irina

    2009-01-01

    and the surrounding areas. (2) A regional increase in subsidence in the offshore marginal areas of Norway, the northern North Sea, the northern British Isles and west Greenland took place in the Eocene (ca 57-35 Ma). (3) The Oligocene and Miocene (35-5 Ma) were characterized by regional tectonic quiescence, with only...... localised uplift, probably related to changes in plate dynamics. (4) The second major phase of regional uplift that affected all marginal areas of the North Atlantic occurred in the Plio-Pleistocene (5-0 Ma). Its amplitude was enhanced by erosion-driven glacio-isostatic compensation. Despite inconclusive...

  9. Geothermal-subsidence research program plan and review

    Energy Technology Data Exchange (ETDEWEB)

    Goldstein, N.E.; Noble, J.E.; Simkin, T.L.

    1980-09-01

    The revised Geothermal Subsidence Research Plan (GSRP) presented here is the result of two years of research based on the recommendations of a technical advisory committee and on the DOE/DGE's wish to include specific components applicable to the geopressure resources on the Gulf Coast. This revised plan describes events leading up to FY 1979 and 1980 and the resulting research activities completed for that period. At the time of this writing most of the projects are completed; this document summarizes the accomplishments of the GSRP during FY 1979 and 1980 and includes recommendations for the FY 1981 and 1982 programs.

  10. First births with a simplified culture system for clinical IVF and embryo transfer.

    Science.gov (United States)

    Van Blerkom, Jonathan; Ombelet, Willem; Klerkx, Elke; Janssen, Mia; Dhont, Nathalie; Nargund, Geeta; Campo, Rudi

    2014-03-01

    This study reports the outcome results from a pilot clinical trial using a simplified laboratory method for human IVF. This system reproducibly generates de novo the atmospheric and culture conditions that support normal fertilization and preimplantation embryogenesis to the hatched blastocyst stage without the need for specialized medical-grade gases or equipment. Development from insemination to the hatched blastocyst stage occurs undisturbed in a completely closed system that enables timed performance assessments for embryo selection in situ that, in this study, involved single-embryo transfers on day 3. With the simplified culture system, 8/23 embryos implanted, one miscarried at 8weeks of gestation and seven healthy babies have been born. The methodology and results are discussed with regard to how this simplified system can be adopted worldwide to meet the growing need for accessible and affordable IVF. A common notion concerning the demographics of infertility is that it is largely a phenomenon associated with developed countries, where infertility treatments are commonplace. In fact, most infertile couples reside in developing/low-resource countries where infertility diagnosis and treatment is nonexistent, inaccessible or unaffordable by the vast majority of young men and women in need. The irony of this situation is that bilateral tubal occlusions, for which IVF was originally indicated and is the most effective treatment, is by far the most common cause of their infertility. We have addressed one aspect of this issue, the IVF laboratory, as part of a wider effort by the Walking Egg Project to design and establish small, dedicated centres in developing countries to provide assisted reproduction technologies that are affordable and accessible to a wider proportion of the population in need. The methods for conventional IVF designed to addresses tubal obstructions are relatively simple and free of complex instrumentation and the highly developed

  11. Individualization of controlled ovarian stimulation in IVF using ovarian reserve markers: from theory to practice.

    Science.gov (United States)

    La Marca, Antonio; Sunkara, Sesh Kamal

    2014-01-01

    The main objective of individualization of treatment in IVF is to offer every single woman the best treatment tailored to her own unique characteristics, thus maximizing the chances of pregnancy and eliminating the iatrogenic and avoidable risks resulting from ovarian stimulation. Personalization of treatment in IVF should be based on the prediction of ovarian response for every individual. The starting point is to identify if a woman is likely to have a normal, poor or a hyper response and choose the ideal treatment protocol tailored to this prediction. The objective of this review is to summarize the predictive ability of ovarian reserve markers, such as antral follicle count (AFC) and anti-Mullerian hormone (AMH), and the therapeutic strategies that have been proposed in IVF after this prediction. A systematic review of the existing literature was performed by searching Medline, EMBASE, Cochrane library and Web of Science for publications in the English language related to AFC, AMH and their incorporation into controlled ovarian stimulation (COS) protocols in IVF. Literature available to May 2013 was included. The search generated 305 citations of which 41 and 25 studies, respectively, reporting the ability of AMH and AFC to predict response to COS were included in this review. The literature review demonstrated that AFC and AMH, the most sensitive markers of ovarian reserve identified to date, are ideal in planning personalized COS protocols. These sensitive markers permit prediction of the whole spectrum of ovarian response with reliable accuracy and clinicians may use either of the two markers as they can be considered interchangeable. Following the categorization of expected ovarian response to stimulation clinicians can adopt tailored therapeutic strategies for each patient. Current scientific trend suggests the elective use of the GnRH antagonist based regimen for hyper-responders, and probably also poor responders, as likely to be beneficial. The

  12. IVF versus ICSI for the fertilization of in-vitro matured human oocytes.

    Science.gov (United States)

    Walls, M; Junk, S; Ryan, J P; Hart, R

    2012-12-01

    Traditional dogma suggests that intracytoplasmic sperm injection (ICSI) should be performed to ensure successful oocyte fertilization in an in-vitro maturation (IVM) cycle. This study postulated that there would be no difference in the fertilization rate when ICSI was compared with IVF. This hypothesis was tested in a randomized trial of IVF versus ICSI in IVM. A total of 150 immature oocytes were collected in eight cycles of IVM for patients diagnosed with polycystic ovarian syndrome (PCOS). Patients were primed with minimal FSH before transvaginal oocyte aspiration. Sibling oocytes were inseminated by 50% IVF and 50% ICSI. There was no significant difference in fertilization, useable or total blastocyst development between the two insemination technique groups. Clinical pregnancy results for combined fresh and cryopreserved transfers were identical between the two insemination techniques with a total of two fresh and five cryopreserved IVF-inseminated embryos resulting in three clinical pregnancies (42.9%) and five fresh and two cryopreserved ICSI-derived embryos resulting in three clinical pregnancies (42.9%). This research has shown IVF to be a legitimate fertilization technique for IVM oocytes in PCOS patients and provides a greater awareness of the use of a fertilization method previously not utilized with IVM. In-vitro maturation (IVM) is an alternative treatment method to traditional IVF. Due to the minimal use of stimulating hormones in this treatment, IVM has a lower risk of ovarian hyperstimulation syndrome, it can be used for fertility preservation in cancer patients and it is more cost conservative. Early research into the effects of IVM showed a hardening effect on the membrane surrounding the egg (the zona pellucida). It was initially believed that, to overcome this hardening in order to allow the egg to be fertilized, spermatozoa would need to be injected into the egg using intracytoplasmic sperm injection. Due to recent advances in hormonal

  13. Live birth and perinatal outcomes following stimulated and unstimulated IVF: analysis of over two decades of a nationwide data.

    Science.gov (United States)

    Sunkara, Sesh Kamal; LaMarca, Antonio; Polyzos, Nikolaos P; Seed, Paul T; Khalaf, Yakoub

    2016-10-01

    Does ovarian stimulation affect perinatal outcomes of preterm birth (PTB) and low birth weight (LBW) following IVF treatment. Despite no significant differences in the risks of PTB and LBW between stimulated and unstimulated IVF in the present study, the study cannot exclude the effect of ovarian stimulation on the perinatal outcomes following IVF. Pregnancies resulting from assisted reproductive treatments (ART) are associated with a higher risk of pregnancy complications compared to spontaneously conceived pregnancies attributed to the underlying infertility and the in vitro fertilization techniques. It is of interest to determine the effect size of ovarian stimulation use in achieving a live birth and whether ovarian stimulation that is routinely used in IVF, affects perinatal outcomes of birth weight and gestational age at delivery compared to unstimulated IVF. Anonymous data were obtained from the Human Fertilisation and Embryology Authority (HFEA), the statutory regulator of ART in the UK. The HFEA has collected data prospectively on all ART performed in the UK since 1991. Data from 1991 to 2011 comprising a total of 591 003 fresh IVF ± ICSI cycles involving 584 835 stimulated IVF cycles and 6168 unstimulated IVF cycles were analyzed. Data on all women undergoing either stimulated or unstimulated fresh IVF ± ICSI cycles during the period from 1991 to 2011 were analyzed to compare live birth rates, singleton live birth rates, perinatal outcomes of PTB, early PTB (IVF cycles and previous live birth. Analysis of the large nationwide data demonstrated 3.5 times (95% confidence interval (CI): 3.1-3.9) as many unstimulated IVF cycles being required to achieve one live birth compared to stimulated IVF and 2.9 times (95% CI: 2.6-3.2) as many unstimulated IVF cycles being required to achieve one singleton live birth compared to stimulated IVF. There was no significant difference in the unadjusted odds for PTB (odds ratio (OR) 1.27, 95% CI: 0.80-2.00) and LBW (OR 1

  14. Role of rescue IVF-ET treatment in the management of high response in stimulated IUI cycles.

    Science.gov (United States)

    Olufowobi, O; Sharif, K; Papaioannou, S; Mohamed, H; Neelakantan, D; Afnan, M

    2005-02-01

    Rescue in-vitro fertilisation and embryo transfer (IVF-ET) has been used in high response gonadotrophin intrauterine insemination (IUI) cycles to minimise the risks of ovarian hyperstimulation and multiple gestation. Such unplanned IVF treatment increases the cost of treatment. But can this added cost and the risks associated with IVF be justified? We present our experience with this treatment using clinical pregnancy and live birth rates as the primary outcomes. Between 1998 to 2001, 40 women undergoing IUI cycles who over responded (>3 follicles measuring >15 mm in diameter on the planned day of hCG administration) to gonadotrophin were offered the choice of conversion to IVF-ET or cancel the cycle. 17/40 declined rescue IVF/ET and had their cycles cancelled. 23/40 converted to IVF/ET and underwent transvaginal oocyte retrieval. 21/23 had embryo transferred. The clinical pregnancy and live birth rates were 52% and 48%, respectively. Rescue IVF-ET offers excellent clinical pregnancy and live birth rates in high responders. However, affordability can be an obstacle in the utilization of this treatment option.

  15. Estimating the net effect of progesterone elevation on the day of hCG on live birth rates after IVF: a cohort analysis of 3296 IVF cycles.

    Science.gov (United States)

    Venetis, Christos A; Kolibianakis, Efstratios M; Bosdou, Julia K; Lainas, George T; Sfontouris, Ioannis A; Tarlatzis, Basil C; Lainas, Tryfon G

    2015-03-01

    What is the proper way of assessing the effect of progesterone elevation (PE) on the day of hCG on live birth in women undergoing fresh embryo transfer after in vitro fertilization (IVF) using GnRH analogues and gonadotrophins? This study indicates that a multivariable approach, where the effect of the most important confounders is controlled for, can lead to markedly different results regarding the association between PE on the day of hCG and live birth rates after IVF when compared with the bivariate analysis that has been typically used in the relevant literature up to date. PE on the day of hCG is associated with decreased pregnancy rates in fresh IVF cycles. Evidence for this comes from observational studies that mostly failed to control for potential confounders. This is a retrospective analysis of a cohort of fresh IVF/intracytoplasmic sperm injection cycles (n = 3296) performed in a single IVF centre during the period 2001-2013. Patients in whom ovarian stimulation was performed with gonadotrophins and GnRH analogues. Natural cycles and cycles where stimulation involved the administration of clomiphene were excluded. In order to reflect routine clinical practice, no other exclusion criteria were imposed on this dataset. The primary outcome measure for this study was live birth defined as the delivery of a live infant after 24 weeks of gestation. We compared the association between PE on the day of hCG (defined as P > 1.5 ng/ml) and live birth rates calculated by simple bivariate analyses with that derived from multivariable logistic regression. The multivariable analysis controlled for female age, number of oocytes retrieved, number of embryos transferred, developmental stage of embryos at transfer (cleavage versus blastocyst), whether at least one good-quality embryo was transferred, the woman's body mass index, the total dose of FSH administered during ovarian stimulation and the type of GnRH analogues used (agonists versus antagonists) during ovarian

  16. Comparison on mechanical properties of heavily phosphorus- and arsenic-doped Czochralski silicon wafers

    Science.gov (United States)

    Yuan, Kang; Sun, Yuxin; Lu, Yunhao; Liang, Xingbo; Tian, Daxi; Ma, Xiangyang; Yang, Deren

    2018-04-01

    Heavily phosphorus (P)- and arsenic (As)-doped Czochralski silicon (CZ-Si) wafers generally act as the substrates for the epitaxial silicon wafers used to fabricate power and communication devices. The mechanical properties of such two kinds of n-type heavily doped CZ silicon wafers are vital to ensure the quality of epitaxial silicon wafers and the manufacturing yields of devices. In this work, the mechanical properties including the hardness, Young's modulus, indentation fracture toughness and the resistance to dislocation motion have been comparatively investigated for heavily P- and As-doped CZ-Si wafers. It is found that heavily P-doped CZ-Si possesses somewhat higher hardness, lower Young's modulus, larger indentation fracture toughness and stronger resistance to dislocation motion than heavily As-doped CZ-Si. The mechanisms underlying this finding have been tentatively elucidated by considering the differences in the doping effects of P and As in silicon.

  17. Opportunities for reproductive tourism: cost and quality advantages of Turkey in the provision of in-vitro Fertilization (IVF) services.

    Science.gov (United States)

    Yildiz, M Said; Khan, M Mahmud

    2016-08-12

    The scale and scope of medical tourism have expanded rapidly over the last few decades. Turkey is becoming an important player in this market because of its relatively better service quality and large comparative cost advantage. This paper compares cost, quality and effectiveness of in-vitro fertilization (IVF) in the USA and in Turkey. The data from Turkey were obtained from a hospital specializing in IVF services and the US data came from secondary sources. Package price offered by the dominant IVF-service provider to international patients in Turkey was used as a measure of cost for Turkey while IVF-specific service prices were used to estimate the cost for USA. To compare quality and effectiveness of IVF services, a number of general clinical quality indicators and IVF success rate were used. Indicators of quality, cost and success rate in the Turkish hospital were found to be better than the corresponding indicators in US hospitals. The cost difference of IVF services between USA and Turkey is so significant that the overall cost of obtaining the service from Turkey remains lower even with additional expenses for travel and accommodation. Cost-effectiveness ratio of IVF treatment per successful clinical pregnancy was much lower in Turkey than in the USA. It appears that cost and quality are the two most important factors affecting demand for health care services by international patients in Turkey. Like other important players in the medical tourism market, Turkey should be able to take advantage of its success in IVF, a highly specialized niche market, to transform its health system into an important exporter of general health services.

  18. Opportunities for reproductive tourism: cost and quality advantages of Turkey in the provision of in-vitro Fertilization (IVF services

    Directory of Open Access Journals (Sweden)

    M. Said Yildiz

    2016-08-01

    Full Text Available Abstract Background The scale and scope of medical tourism have expanded rapidly over the last few decades. Turkey is becoming an important player in this market because of its relatively better service quality and large comparative cost advantage. Methods This paper compares cost, quality and effectiveness of in-vitro fertilization (IVF in the USA and in Turkey. The data from Turkey were obtained from a hospital specializing in IVF services and the US data came from secondary sources. Package price offered by the dominant IVF-service provider to international patients in Turkey was used as a measure of cost for Turkey while IVF-specific service prices were used to estimate the cost for USA. To compare quality and effectiveness of IVF services, a number of general clinical quality indicators and IVF success rate were used. Results Indicators of quality, cost and success rate in the Turkish hospital were found to be better than the corresponding indicators in US hospitals. The cost difference of IVF services between USA and Turkey is so significant that the overall cost of obtaining the service from Turkey remains lower even with additional expenses for travel and accommodation. Conclusions Cost-effectiveness ratio of IVF treatment per successful clinical pregnancy was much lower in Turkey than in the USA. It appears that cost and quality are the two most important factors affecting demand for health care services by international patients in Turkey. Like other important players in the medical tourism market, Turkey should be able to take advantage of its success in IVF, a highly specialized niche market, to transform its health system into an important exporter of general health services.

  19. Can laparoscopic removal of Essure device before embryo transfer correct poor reproductive outcome pattern in IVF? A case report.

    Science.gov (United States)

    Salem, S A; Peck, A C; Salem, R D; Sills, E Scott

    2014-01-01

    This report describes a successful surgical approach to multiple in vitro fertilization (IVF) failures in the setting of hydrosalpinges, which had been previously treated with Essure inserts. A non-smoking 33-year-old Caucasian G2 P0020 (body mass index: BMI = 22) attended for second opinion. Her history was significant for bilateral hydrosalpinges having been noted on hysterosalpingogram two years earlier. This was managed by hysteroscopic placement of Essure inserts bilaterally. One year later, and now with Essure in situ, the patient completed three IVF cycles elsewhere. Her first and third IVF attempts resulted in biochemical pregnancy, while human chorionic gonadotropin (hCG) was negative after the second cycle. Upon presentation at the authors' center and before beginning a fourth IVF cycle, further testing and surgical removal of the Essure devices was recommended. Repeat hysteroscopy was unremarkable; laparoscopic bilateral salpingectomy and extirpation of Essure implants was accomplished without difficulty. Following menses, the patient initiated IVF with three embryos transferred. At day 60, a single intrauterine pregnancy was identified with positive cardiac activity (rate > 100/min). Her obstetrical course was uneventful; a healthy 4,195 gram male infant was delivered (breech) by Cesarean at 40 weeks' gestation. Essure inserts comprise inner fibers of polyethylene terephthalate, a stainless steel coil, and a nickel-titanium coil. The product received FDA approval as a contraceptive in 2002 although its use for hydrosalpinx remains off-label. While successful outcomes with IVF following Essure placement have been reported, this is the first description of pregnancy and delivery from IVF after Essure removal. Essure may be considered for sterilization when laparoscopy is contraindicated, but experience with its use specifically for treating hydrosalpinges before IVF is limited. This observed association between prior poor IVF outcomes and Essure with

  20. The cost-effectiveness of IVF in the UK: a comparison of three gonadotrophin treatments.

    Science.gov (United States)

    Sykes, D; Out, H J; Palmer, S J; van Loon, J

    2001-12-01

    The objective of this study was to evaluate the cost-effectiveness of women undergoing IVF treatment with recombinant FSH (rFSH) in comparison with highly purified urinary FSH (uFSH-HP) and human menopausal gonadotrophins (HMG). A decision-analytic model was used to estimate cost-effectiveness ratios for 'the average cost per ongoing pregnancy' and 'incremental cost per additional pregnancy' for women entering into IVF treatment for a maximum of three cycles. The model was constructed based on a previously published large prospective randomized clinical trial comparing rFSH and uFSH-HP. Where necessary, these data were augmented with a combination of expert opinion, evidence from the literature and observational data relating to the management and cost of IVF treatment in the UK. The cost of rFSH, uFSH-HP and HMG were obtained from National Health Service list prices in the UK. The model predicted a cumulative pregnancy rate after three cycles of 57.1% for rFSH and 44.4% for both uFSH-HP and HMG. The cost of IVF treatment was 5135 pounds sterling for rFSH, 4806 pounds sterling for uFSH-HP and 4202 pounds sterling for HMG. When assessed in association with outcomes, the average cost per ongoing pregnancy was more favourable with rFSH (8992 pounds sterling) than with either uFSH-HP (10 834 pounds sterling) or HMG (9472 pounds sterling). The incremental cost per additional pregnancy was 2583 pounds sterling using rFSH instead of uFSH-HP and 7321 pounds sterling using rFSH instead of HMG. These results were robust to changes in the baseline assumptions of the model. rFSH is a cost-effective treatment strategy in ovulation induction prior to IVF.

  1. Psychological functioning and predictors of father-infant relationship in IVF fathers and controls.

    Science.gov (United States)

    Hjelmstedt, Anna; Collins, Aila

    2008-03-01

    The psychological functioning of fathers with children born after in vitro fertilization (IVF) has received little attention. Among men in general, little is known about predictors of early father-infant relationship (here also defined as attachment). The first aim was to compare IVF fathers and control fathers regarding personality traits, state anxiety, depressive symptoms and early father-infant attachment. The second aim was to assess whether early father-infant relationship is explained by the father's prenatal relationship with the unborn infant, his personality traits, state anxiety and symptoms of depression. Fifty-three IVF fathers and 36 controls filled in self-rating scales measuring father-infant attachment, personality, anxiety and symptoms of depression at 2 months postpartum. At gestational week 26 their prenatal relationship to the unborn infant was assessed. It was found that IVF fathers rated more somatic and psychic anxiety, indirect aggression and less assertiveness. They were as strongly attached to their infant as the controls. Fathers, who had rated higher attachment to their unborn infant during pregnancy, who were less anxious, more assertive and less irritable, were more attached to their infants than men who had been less attached to their unborn infants and who were more anxious, less assertive and more irritable. In conclusion, although IVF fathers are as strongly attached to their infants as other fathers, they may benefit from emotional support as they have elevated levels of anxiety proneness and indirect aggression. It is important to pay attention during pregnancy to fathers who have a less optimal attachment to their unborn infant and who have high levels of anxiety and irritability, as those three factors are related to a weak emotional father-infant relationship.

  2. Granulocyte colony-stimulating factor in repeated IVF failure, a randomized trial.

    Science.gov (United States)

    Aleyasin, Ashraf; Abediasl, Zhila; Nazari, Atefeh; Sheikh, Mahdi

    2016-06-01

    Recent studies have revealed key roles for granulocyte colony-stimulating factor (GCSF) in embryo implantation process and maintenance of pregnancy, and some studies showed promising results by using local intrauterine infusion of GCSF in patients undergoing in vitro fertilization (IVF). This multicenter, randomized, controlled trial included 112 infertile women with repeated IVF failure to evaluate the efficacy of systemic single-dose subcutaneous GCSF administration on IVF success in these women. In this study, the Long Protocol of ovarian stimulation was used for all participants. Sealed, numbered envelopes assigned 56 patients to receive subcutaneous 300 µg GCSF before implantation and 56 in the control group. The implantation (number of gestational sacs on the total number of transferred embryos), chemical pregnancy (positive serum β-HCG), and clinical pregnancy (gestational sac and fetal heart) rates were compared between the two groups. This trial is registered at www.irct.ir (IRCT201503119568N11). The successful implantation (18% vs 7.2%, P=0.007), chemical pregnancy (44.6% vs 19.6%, P=0.005), and clinical pregnancy (37.5% vs 14.3%, P=0.005) rates were significantly higher in the intervention group than in the control group. After adjustment for participants' age, endometrial thickness, good-quality oocyte counts, number of transferred embryos, and anti-Mullerian hormone levels, GCSF treatment remained significantly associated with successful implantation (OR=2.63, 95% CI=1.09-6.96), having chemical pregnancy (OR= 2.74, 95% CI=1.11-7.38) and clinical pregnancy (OR=2.94, 95% CI=1.23-8.33). In conclusion, administration of single-dose systemic subcutaneous GCSF before implantation significantly increases the IVF success, implantation, and pregnancy rates in infertile women with repeated IVF failure. © 2016 Society for Reproduction and Fertility.

  3. IVF with planned single-embryo transfer versus IUI with ovarian stimulation in couples with unexplained subfertility: an economic analysis.

    Science.gov (United States)

    van Rumste, Minouche M E; Custers, Inge M; van Wely, Madelon; Koks, Carolien A; van Weering, Hans G I; Beckers, Nicole G M; Scheffer, Gabrielle J; Broekmans, Frank J M; Hompes, Peter G A; Mochtar, Monique H; van der Veen, Fulco; Mol, Ben W J

    2014-03-01

    Couples with unexplained subfertility are often treated with intrauterine insemination (IUI) with ovarian stimulation, which carries the risk of multiple pregnancies. An explorative randomized controlled trial was performed comparing one cycle of IVF with elective single-embryo transfer (eSET) versus three cycles of IUI-ovarian stimulation in couples with unexplained subfertility and a poor prognosis for natural conception, to assess the economic burden of the treatment modalities. The main outcome measures were ongoing pregnancy rates and costs. This study randomly assigned 58 couples to IVF-eSET and 58 couples to IUI-ovarian stimulation. The ongoing pregnancy rates were 24% in with IVF-eSET versus 21% with IUI-ovarian stimulation, with two and three multiple pregnancies, respectively. The mean cost per included couple was significantly different: €2781 with IVF-eSET and €1876 with IUI-ovarian stimulation (Pcosts per ongoing pregnancy were €2456 for IVF-eSET. In couples with unexplained subfertility, one cycle of IVF-eSET cost an additional €900 per couple compared with three cycles of IUI-ovarian stimulation, for no increase in ongoing pregnancy rates or decrease in multiple pregnancies. When IVF-eSET results in higher ongoing pregnancy rates, IVF would be the preferred treatment. Couples that have been trying to conceive unsuccessfully are often treated with intrauterine insemination (IUI) and medication to improve egg production (ovarian stimulation). This treatment carries the risk of multiple pregnancies like twins. We performed an explorative study among those couples that had a poor prognosis for natural conception. One cycle of IVF with transfer of one selected embryo (elective single-embryo transfer, eSET) was compared with three cycles of IUI-ovarian stimulation. The aim of this study was to assess the economic burden of both treatments. The Main outcome measures were number of good pregnancies above 12weeks and costs. We randomly assigned 58

  4. Application of InSAR and Gravimetry for Land Subsidence Hazard Zoning in Aguascalientes, Mexico

    OpenAIRE

    Pacheco-Martínez, Jesús; Cabral-Cano, Enrique; Wdowinski, Shimon; Hernández-Marín, Martín; Ortiz-Lozano, José; Zermeño-de-León, Mario

    2015-01-01

    In this work we present an application of InSAR and gravimetric surveys for risk management related to land subsidence and surface ground faulting generation. A subsidence velocity map derived from the 2007–2011 ALOS SAR imagery and a sediment thicknesses map obtained from the inversion of gravimetric data were integrated with a surface fault map to produce a subsidence hazard zoning in the city of Aguascalientes, Mexico. The resulting zoning is presented together with specific recommendation...

  5. The analysis of subsidence associated with geothermal development. Volume 1. Handbook

    Energy Technology Data Exchange (ETDEWEB)

    Atherton, R.W.; Finnemore, E.J.; Gillam, M.L.

    1976-09-01

    This study evaluates the state of knowledge of subsidence associated with geothermal development, and provides preliminary methods to assess the potential of land subsidence for any specific geothermal site. The results of this study are presented in three volumes. Volume 1 is designed to serve as a concise reference, a handbook, for the evaluation of the potential for land subsidence from the development of geothermal resources.

  6. Assessing the Land Subsidence Governance in Ningbo City: By a Close Study of the Building Collapse at the Strictly Protected Land Subsidence Area

    Science.gov (United States)

    Yu, Xia

    2016-04-01

    Ningbo is a coastal city in East China, its land subsidence problem was noticed in the 1960s. However, scientific management was insufficient at that time, so with the fast city development from the 1980s, groundwater was used by a large amount of small factories, and tall buildings were built on the land. It was in 2008, scientists predicted that if without doing anything to prevent the land from subsiding, the city will be covered by the East Sea in 2030. From then on, the local government implied several policies, such as shut down most of the groundwater pumping wells, set up a new authority to enhance the cooperation among different administration departments, and also set up a land subsidence monitoring center for the city. Recently, it is declared that a Stereo regulatory system of land subsidence governance has been achieved. However, in 2012, a 23-years old building in the city center collapsed. According to the City Planning 2009, this building is located just in the strictly protected land subsidence area. The experts, however, think that land subsidence is not the main reason, since there are many illegal changes to the building during the past 23 years. The aim of my research is to assess the land subsidence governance in Ningbo city. I studied the collapsed building, how it was built, what has changed after building, how the environment changed in this area, and how this area became the strictly protected land subsidence area, and what kind of protections have been made. Actually, during the case study I discuss the land subsidence governance design of Ningbo, and to see what practices and lessons we can learn from this case.

  7. Land subsidence of coastal areas of Jiangsu Province, China: historical review and present situation

    Directory of Open Access Journals (Sweden)

    J. Q. Zhu

    2015-11-01

    Full Text Available Surface faults related to land subsidence have been observed in coastal cities, such as Nantong, Yancheng, and Lian Yungang, in Jiangsu Province (CAJS since the early 1970s. Nowadays, increases flooding and rising sea levels are attributed to subsidence caused by groundwater pumping. In this work we present a brief description of land subsidence in CAJS, we examine the mechanisms of land subsidence induced mainly by groundwater pumping and its evolution and economic implications as well as the implemented measures by the local government to prevent new damage.

  8. Land subsidence of coastal areas of Jiangsu Province, China: historical review and present situation

    Science.gov (United States)

    Zhu, J. Q.; Yang, Y.; Yu, J.; Gong, X. L.

    2015-11-01

    Surface faults related to land subsidence have been observed in coastal cities, such as Nantong, Yancheng, and Lian Yungang, in Jiangsu Province (CAJS) since the early 1970s. Nowadays, increases flooding and rising sea levels are attributed to subsidence caused by groundwater pumping. In this work we present a brief description of land subsidence in CAJS, we examine the mechanisms of land subsidence induced mainly by groundwater pumping and its evolution and economic implications as well as the implemented measures by the local government to prevent new damage.

  9. Quantitative analysis of the tectonic subsidence in the Potiguar Basin (NE Brazil)

    Science.gov (United States)

    Lopes, Juliana A. G.; de Castro, David L.; Bertotti, Giovanni

    2018-06-01

    The Potiguar Basin, located in the Brazilian Equatorial Margin, evolved from a complex rifting process implemented during the Atlantic Ocean opening in the Jurassic/Cretaceous. Different driving mechanisms were responsible for the onset of an aborted onshore rift and an offshore rift that initiated crustal rupture and the formation of a continental transform margin. Therefore, we applied the backstripping method to quantify the tectonic subsidence during the rift and post-rift phases of Potiguar Basin formation and to analyze the spatial variation of subsidence during the two successive and distinct tectonic events responsible for the basin evolution. The parameters required to apply this methodology were extracted from 2D seismic lines and exploratory well data. The tectonic subsidence curves present periods with moderate subsidence rates (up to 300 m/My), which correspond to the evolution of the onshore Potiguar Rift (∼141 to 128 Ma). From 128-118 Ma, the tectonic subsidence curves show no subsidence in the onshore Potiguar Basin, whereas subsidence occurred at high rates (over 300 m/My) in the offshore rift. The post-rift phase began ca. 118 Ma (Aptian), when the tectonic subsidence drastically slowed to less than 35 m/My, probably related to thermal relaxation. The tectonic subsidence rates in the various sectors of the Potiguar Rift, during the different rift phases, indicate that more intense faulting occurred in the southern portion of the onshore rift, along the main border faults, and in the southeastern portion of the offshore rift. During the post-rift phase, the tectonic subsidence rates increased from the onshore portion towards the offshore portion until the continental slope. The highest rates of post-rift subsidence (up to 35 m/My) are concentrated in the central region of the offshore portion and may be related to lithospheric processes related to the continental crust rupture and oceanic seafloor spreading. The variation in subsidence rates and

  10. Monitoring ground subsidence in Shanghai maglev area using two kinds of SAR data

    Science.gov (United States)

    Wu, Jicang; Zhang, Lina; Chen, Jie; Li, Tao

    2012-11-01

    Shanghai maglev is a very fast traffic tool, so it is very strict with the stability of the roadbed. However, the ground subsidence is a problem in Shanghai because of the poor geological condition and human-induced factors. So it is necessary to monitor ground subsidence in the area along the Shanghai maglev precisely and frequently. Traditionally, a precise levelling method is used to survey along the track. It is expensive and time consuming, and can only get the ground subsidence information on sparse benchmarks. Recently, the small baseline differential SAR technique plays a valuable part in monitoring ground subsidence, which can extract ground subsidence information with high spatial resolution in a wide area. In this paper, L-band ALOS PALSAR data and C-band Envisat ASAR data are used to extract ground subsidence information using the SBAS method in the Shanghai maglev area. The results show that the general pattern of ground subsidence from InSAR processing of two differential bands of SAR images is similar. Both results show that there is no significant ground subsidence on the maglev line. Near the railway line, there are a few places with subsidence rates at about -20 mm/y or even more, such as Chuansha town, the junction of the maglev and Waihuan road.

  11. Imaging Land Subsidence Induced by Groundwater Extraction in Beijing (China Using Satellite Radar Interferometry

    Directory of Open Access Journals (Sweden)

    Mi Chen

    2016-06-01

    Full Text Available Beijing is one of the most water-stressed cities in the world. Due to over-exploitation of groundwater, the Beijing region has been suffering from land subsidence since 1935. In this study, the Small Baseline InSAR technique has been employed to process Envisat ASAR images acquired between 2003 and 2010 and TerraSAR-X stripmap images collected from 2010 to 2011 to investigate land subsidence in the Beijing region. The maximum subsidence is seen in the eastern part of Beijing with a rate greater than 100 mm/year. Comparisons between InSAR and GPS derived subsidence rates show an RMS difference of 2.94 mm/year with a mean of 2.41 ± 1.84 mm/year. In addition, a high correlation was observed between InSAR subsidence rate maps derived from two different datasets (i.e., Envisat and TerraSAR-X. These demonstrate once again that InSAR is a powerful tool for monitoring land subsidence. InSAR derived subsidence rate maps have allowed for a comprehensive spatio-temporal analysis to identify the main triggering factors of land subsidence. Some interesting relationships in terms of land subsidence were found with groundwater level, active faults, accumulated soft soil thickness and different aquifer types. Furthermore, a relationship with the distances to pumping wells was also recognized in this work.

  12. Application of InSAR and Gravimetry for Land Subsidence Hazard Zoning in Aguascalientes, Mexico

    Directory of Open Access Journals (Sweden)

    Jesús Pacheco-Martínez

    2015-12-01

    Full Text Available In this work we present an application of InSAR and gravimetric surveys for risk management related to land subsidence and surface ground faulting generation. A subsidence velocity map derived from the 2007–2011 ALOS SAR imagery and a sediment thicknesses map obtained from the inversion of gravimetric data were integrated with a surface fault map to produce a subsidence hazard zoning in the city of Aguascalientes, Mexico. The resulting zoning is presented together with specific recommendations about geotechnical studies needed for further evaluation of surface faulting in these hazard zones. The derived zoning map consists in four zones including null hazard (stable terrain without subsidence, low hazard (areas prone to subsidence, medium hazard (zones with subsidence and high hazard (zones with surface faulting. InSAR results displayed subsidence LOS velocities up to 10 cm/year and two subsidence areas unknown before this study. Gravimetric results revealed that the thicker sediment sequence is located toward north of Aguascalientes City reaching up to 600 m in thickness, which correspond to a high subsidence LOS velocity zone (up to 6 cm/year.

  13. Superior coexistence: systematicALLY regulatING land subsidence BASED on set pair theory

    Directory of Open Access Journals (Sweden)

    Y. Chen

    2015-11-01

    Full Text Available Anthropogenic land subsidence is an environmental side effect of exploring and using natural resources in the process of economic development. The key points of the system for controlling land subsidence include cooperation and superior coexistence while the economy develops, exploring and using natural resources, and geological environmental safety. Using the theory and method of set pair analysis (SPA, this article anatomises the factors, effects, and transformation of land subsidence. Based on the principle of superior coexistence, this paper promotes a technical approach to the system for controlling land subsidence, in order to improve the prevention and control of geological hazards.

  14. E-Area LLWF Vadose Zone Model: Probabilistic Model for Estimating Subsided-Area Infiltration Rates

    Energy Technology Data Exchange (ETDEWEB)

    Dyer, J. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Flach, G. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2017-12-12

    A probabilistic model employing a Monte Carlo sampling technique was developed in Python to generate statistical distributions of the upslope-intact-area to subsided-area ratio (AreaUAi/AreaSAi) for closure cap subsidence scenarios that differ in assumed percent subsidence and the total number of intact plus subsided compartments. The plan is to use this model as a component in the probabilistic system model for the E-Area Performance Assessment (PA), contributing uncertainty in infiltration estimates.

  15. IVF outcome is optimized when embryos are replaced between 5 and 15 mm from the fundal endometrial surface: a prospective analysis on 1184 IVF cycles

    Science.gov (United States)

    2013-01-01

    Background Some data suggest that the results of human in vitro fertilization (IVF) may be affected by the site of the uterine cavity where embryos are released. It is not yet clear if there is an optimal range of embryo-fundus distance (EFD) within which embryos should be transferred to optimize IVF outcome. Methods The present study included 1184 patients undergoing a blind, clinical-touch ET of 1–2 fresh embryos loaded in a soft catheter with a low amount of culture medium. We measured the EFD using transvaginal US performed immediately after ET, with the aim to assess (a) if EFD affects pregnancy and implantation rates, and (b) if an optimal EFD range can be identified. Results Despite comparable patients’ clinical characteristics, embryo morphological quality, and endometrial thickness, an EFD between 5 and 15 mm allowed to obtain significantly higher pregnancy and implantation rates than an EFD above 15 mm. The abortion rate was much higher (although not significantly) when EFD was below 5 mm than when it was between 5 and 15 mm. Combined together, these results produced an overall higher ongoing pregnancy rate in the group of patients whose embryos were released between 5 and 15 mm from the fundal endometrial surface. Conclusions The site at which embryos are released affects IVF outcome and an optimal EFD range exists; this observations suggest that US-guided ET could be advantageous vs. clinical-touch ET, as it allows to be more accurate in releasing embryos within the optimal EFD range. PMID:24341917

  16. Hysteroscopic proximal tubal occlusion versus laparoscopic salpingectomy as a treatment for hydrosalpinges prior to IVF or ICSI: an RCT

    NARCIS (Netherlands)

    Dreyer, K.; Lier, M. C. I.; Emanuel, M. H.; Twisk, J. W. R.; Mol, B. W. J.; Schats, R.; Hompes, P. G. A.; Mijatovic, V.

    2016-01-01

    STUDY QUESTION Does hysteroscopic proximal tubal occlusion by intratubal devices as a treatment for hydrosalpinges result in comparable ongoing pregnancy rates following IVF/ICSI when compared with laparoscopic salpingectomy? SUMMARY ANSWER Hysteroscopic proximal tubal occlusion by intratubal

  17. Opportunities for reproductive tourism: cost and quality advantages of Turkey in the provision of in-vitro Fertilization (IVF) services

    OpenAIRE

    Yildiz, M. Said; Khan, M. Mahmud

    2016-01-01

    Abstract Background The scale and scope of medical tourism have expanded rapidly over the last few decades. Turkey is becoming an important player in this market because of its relatively better service quality and large comparative cost advantage. Methods This paper compares cost, quality and effectiveness of in-vitro fertilization (IVF) in the USA and in Turkey. The data from Turkey were obtained from a hospital specializing in IVF services and the US data came from secondary sources. Packa...

  18. Comparison of allograft and polyetheretherketone (PEEK) cage subsidence rates in anterior cervical discectomy and fusion (ACDF).

    Science.gov (United States)

    Yson, Sharon C; Sembrano, Jonathan N; Santos, Edward Rainier G

    2017-04-01

    Structural allografts and PEEK cages are commonly used interbody fusion devices in ACDF. The subsidence rates of these two spacers have not yet been directly compared. The primary aim of this study was to compare the subsidence rate of allograft and PEEK cage in ACDF. The secondary aim was to determine if the presence of subsidence affects the clinical outcome. We reviewed 67 cases (117 levels) of ACDF with either structural allograft or PEEK cages. There were 85 levels (48 cases) with PEEK and 32 levels (19 cases) with allograft spacers. Anterior and posterior disc heights at each operative level were measured at immediate and 6months post-op. Subsidence was defined as a decrease in anterior or posterior disc heights >2mm. NDI of the subsidence (SG) and non-subsidence group (NSG) were recorded. Chi-square test was used to analyze subsidence rates. T-test was used to analyze clinical outcomes (α=0.05). There was no statistically significant difference between subsidence rates of the PEEK (29%; 25/85) and allograft group (28%; 9/32) (p=0.69). Overall mean subsidence was 2.3±1.7mm anteriorly and 2.6±1.2mm posteriorly. Mean NDI improvement was 11.7 (from 47.1 to 35.4; average follow-up: 12mos) for the SG and 14.0 (from 45.8 to 31.8; average follow-up: 13mos) for the NSG (p=0.74). Subsidence rate does not seem to be affected by the use of either PEEK or allograft as spacers in ACDF. Furthermore, subsidence alone does not seem to be predictive of clinical outcomes of ACDF. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Increased circulating cell-derived microparticle count is associated with recurrent implantation failure after IVF and embryo transfer.

    Science.gov (United States)

    Martínez-Zamora, M Angeles; Tàssies, Dolors; Reverter, Juan Carlos; Creus, Montserrat; Casals, Gemma; Cívico, Salvadora; Carmona, Francisco; Balasch, Juan

    2016-08-01

    Cell-derived microparticles (cMPs) are small membrane vesicles that are released from many different cell types in response to cellular activation or apoptosis. Elevated cMP counts have been found in almost all thrombotic diseases and pregnancy wastage, such as recurrent spontaneous abortion and in a number of conditions associated with inflammation, cellular activation and angiogenesis. cMP count was investigated in patients experiencing unexplained recurrent implantation failure (RIF). The study group was composed of 30 women diagnosed with RIF (RIF group). The first control group (IVF group) (n = 30) comprised patients undergoing a first successful IVF cycle. The second control group (FER group) included 30 healthy women who had at least one child born at term and no history of infertility or obstetric complications. cMP count was significantly higher in the RIF group compared with the IVF and FER groups (P < 0.05 and P < 0.01, respectively) (RIF group: 15.8 ± 6.2 nM phosphatidylserine equivalent [PS eq]; IVF group: 10.9 ± 5.3 nM PS eq; FER group: 9.6 ± 4.0 nM PS eq). No statistical difference was found in cMP count between the IVF and FER groups. Increased cMP count is, therefore, associated with RIF after IVF and embryo transfer. Copyright © 2016. Published by Elsevier Ltd.

  20. Multiple thrombophilic single nucleotide polymorphisms lack a significant effect on outcomes in fresh IVF cycles: an analysis of 1717 patients.

    Science.gov (United States)

    Patounakis, George; Bergh, Eric; Forman, Eric J; Tao, Xin; Lonczak, Agnieszka; Franasiak, Jason M; Treff, Nathan; Scott, Richard T

    2016-01-01

    The aim of the study is to determine if thrombophilic single nucleotide polymorphisms (SNPs) affect outcomes in fresh in vitro fertilization (IVF) cycles in a large general infertility population. A prospective cohort analysis was performed at a university-affiliated private IVF center of female patients undergoing fresh non-donor IVF cycles. The effect of the following thrombophilic SNPs on IVF outcomes were explored: factor V (Leiden and H1299R), prothrombin (G20210A), factor XIII (V34L), β-fibrinogen (-455G → A), plasminogen activator inhibitor-1 (4G/5G), human platelet antigen-1 (a/b9L33P), and methylenetetrahydrofolate reductase (C677T and A1298C). The main outcome measures included positive pregnancy test, clinical pregnancy, embryo implantation, live birth, and pregnancy loss. Patients (1717) were enrolled in the study, and a total of 4169 embryos were transferred. There were no statistically significant differences in positive pregnancy test, clinical pregnancy, embryo implantation, live birth, or pregnancy loss in the analysis of 1717 patients attempting their first cycle of IVF. Receiver operator characteristics and logistic regression analyses showed that outcomes cannot be predicted by the cumulative number of thrombophilic mutations present in the patient. Individual and cumulative thrombophilic SNPs do not affect IVF outcomes. Therefore, initial screening for these SNPs is not indicated.

  1. Successful birth of an IVF baby in a patient with Parkinson′s disease

    Directory of Open Access Journals (Sweden)

    Asha Baxi

    2010-01-01

    Full Text Available Parkinson′s disease, although rare in young patients, may be encountered in the reproductive age group. We report a rare combination of this disease with infertility, which has not been previously reported. The case record of a 29-year-old woman with infertility and Parkinson′s disease are retrospectively reviewed. An IVF indicated for tubal factor infertility resulted in a successful singleton pregnancy. She delivered a healthy male baby without experiencing any worsening of her Parkinsonism. The course of pregnancy remained unaffected by the Parkinson′s disease and anti-Parkinsonian drugs. The details of the infertility management, antenatal and postnatal course, and medications are described. With careful evaluation, counseling, and monitoring, IVF may be safely used in women with Parkinson′s disease.

  2. Emergency IVF for embryo freezing to preserve female fertility: a French multicentre cohort study.

    Science.gov (United States)

    Courbiere, B; Decanter, C; Bringer-Deutsch, S; Rives, N; Mirallié, S; Pech, J C; De Ziegler, D; Carré-Pigeon, F; May-Panloup, P; Sifer, C; Amice, V; Schweitzer, T; Porcu-Buisson, G; Poirot, C

    2013-09-01

    What are the outcomes of French emergency IVF procedures involving embryo freezing for fertility preservation before gonadotoxic treatment? Pregnancy rates after emergency IVF, cryopreservation of embryos, storage, thawing and embryo transfer (embryo transfer), in the specific context of the preservation of female fertility, seem to be similar to those reported for infertile couples undergoing ART. A French retrospective multicentre cohort study initiated by the GRECOT network-the French Study Group for Ovarian and Testicular Cryopreservation. We sent an e-mail survey to the 97 French centres performing the assisted reproduction technique in 2011, asking whether the centre performed emergency IVF and requesting information about the patients' characteristics, indications, IVF cycles and laboratory and follow-up data. The response rate was 53.6% (52/97). Fourteen French centres reported that they performed emergency IVF (56 cycles in total) before gonadotoxic treatment, between 1999 and July 2011, in 52 patients. The patients had a mean age of 28.9 ± 4.3 years, and a median length of relationship of 3 years (1 month-15 years). Emergency IVF was indicated for haematological cancer (42%), brain tumour (23%), sarcoma (3.8%), mesothelioma (n = 1) and bowel cancer (n = 1). Gynaecological problems accounted for 17% of indications. In 7.7% of cases, emergency IVF was performed for autoimmune diseases. Among the 52 patients concerned, 28% (n = 14) had undergone previous courses of chemotherapy before beginning controlled ovarian stimulation (COS). The initiation of gonadotoxic treatment had to be delayed in 34% of the patients (n = 19). In total, 56 cycles were initiated. The mean duration of stimulation was 11.2 ± 2.5 days, with a mean peak estradiol concentration on the day on which ovulation was triggered of 1640 ± 1028 pg/ml. Three cycles were cancelled due to ovarian hyperstimulation syndrome (n = 1), poor response (n = 1) and treatment error (n = 1). A mean of 8

  3. Abnormal vaginal microbiota may be associated with poor reproductive outcomes: a prospective study in IVF patients.

    Science.gov (United States)

    Haahr, T; Jensen, J S; Thomsen, L; Duus, L; Rygaard, K; Humaidan, P

    2016-04-01

    What is the diagnostic performance of qPCR assays compared with Nugent scoring for abnormal vaginal microbiota and for predicting the success rate of IVF treatment? The vaginal microbiota of IVF patients can be characterized with qPCR tests which may be promising tools for diagnosing abnormal vaginal microbiota and for prediction of clinical pregnancy in IVF treatment. Bacterial vaginosis (BV) is a common genital disorder with a prevalence of approximately 19% in the infertile population. BV is often sub-clinical with a change of the vaginal microbiota from being Lactobacillus spp. dominated to a more heterogeneous environment with anaerobic bacteria, such as Gardnerella vaginalis and Atopobium vaginae. Few studies have been conducted in infertile women, and some have suggested a negative impact on fecundity in the presence of BV. A cohort of 130 infertile patients, 90% Caucasians, attending two Danish fertility clinics for in vitro fertilization (IVF) treatment from April 2014-December 2014 were prospectively enrolled in the trial. Vaginal swabs from IVF patients were obtained from the posterior fornix. Gram stained slides were assessed according to Nugent's criteria. PCR primers were specific for four common Lactobacillus spp., G. vaginalis and A. vaginae. Threshold levels were established using ROC curve analysis. The prevalence of BV defined by Nugent score was 21% (27/130), whereas the prevalence of an abnormal vaginal microbiota was 28% (36/130) defined by qPCR with high concentrations of Gardnerella vaginalis and/or Atopobium vaginae. The qPCR diagnostic approach had a sensitivity and specificity of respectively 93% and 93% for Nugent-defined BV. Furthermore, qPCR enabled the stratification of Nugent intermediate flora. Eighty-four patients completed IVF treatment. The overall clinical pregnancy rate was 35% (29/84). Interestingly, only 9% (2/22) with qPCR defined abnormal vaginal microbiota obtained a clinical pregnancy (P = 0.004). Although a total of 130

  4. A qualitative study of women's decision-making at the end of IVF treatment.

    Science.gov (United States)

    Peddie, V L; van Teijlingen, E; Bhattacharya, S

    2005-07-01

    The decision not to pursue further in vitro fertilization (IVF) after one or more unsuccessful attempts is an important and often difficult one for couples. Relatively little is known about the woman's perception of this decision-making process. The aim of this study was to examine patients' perspectives of decision-making, including circumstances influencing it and satisfaction with the decision-making process. Semi-structured interviews were conducted with a purposive sample of 25 women who had decided to end treatment after unsuccessful IVF treatment. Interviews were tape-recorded and transcribed by means of thematic analysis using the open coding technique. Women experienced difficulty in accepting that their infertility would remain unresolved. Many felt that they had started with unrealistic expectations of treatment success and felt vulnerable to the pressures of both the media and society. Although the decision to end treatment was difficult, it offered many women a way out of the emotional distress caused by IVF; however, the process of decision-making created a sense of 'confrontation' for the women in which they had to address issues they had previously avoided. Adoptive parents perceived less societal pressure than those who remained childless. Efforts to improve the psychological preparation of couples who decide to end IVF treatment should be directed towards examination of the existing system of consultation, which has certain limitations in terms of the quality of communication and the provision of post-treatment support. Further efforts to develop strategies, which facilitate the decision-making process, should be considered.

  5. Omics in Reproductive Medicine: Application of Novel Technologies to Improve the IVF Success Rate.

    Science.gov (United States)

    Nerenz, R D

    Treatment for many infertile couples often consists of in vitro fertilization (IVF) but an estimated 70% of IVF cycles fail to produce a live birth. In an attempt to improve the live birth rate, the vast majority of IVF cycles performed in the United States involve the transfer of multiple embryos, a practice that increases the risk of multiple gestation pregnancy. This is a concern because multiple gestation pregnancies are associated with an increased incidence of maternal and fetal complications and significant cost associated with the care of preterm infants. As the ideal outcome of each IVF cycle is the birth of a single healthy baby, significant effort has focused on identifying embryos with the greatest developmental potential. To date, selection of euploid embryos using comprehensive chromosome screening (CCS) is the most promising approach while metabolomic and proteomic assessment of spent culture medium have the potential to noninvasively assess embryo viability. Endometrial gene expression profiling may help determine the optimal time to perform embryo transfer. While CCS has been implemented in some clinics, further development and optimization will be required before analysis of spent culture medium and endometrial gene expression profiling make the transition to clinical use. This review will describe efforts to identify embryos with the greatest potential to result in a healthy, live birth, with a particular emphasis on detection of embryo aneuploidy and metabolic profiling of spent embryo culture medium. Assessment of endometrial receptivity to identify the optimal time to perform embryo transfer will also be discussed. © 2016 Elsevier Inc. All rights reserved.

  6. Estimating the chance of success in IVF treatment using a ranking algorithm.

    Science.gov (United States)

    Güvenir, H Altay; Misirli, Gizem; Dilbaz, Serdar; Ozdegirmenci, Ozlem; Demir, Berfu; Dilbaz, Berna

    2015-09-01

    In medicine, estimating the chance of success for treatment is important in deciding whether to begin the treatment or not. This paper focuses on the domain of in vitro fertilization (IVF), where estimating the outcome of a treatment is very crucial in the decision to proceed with treatment for both the clinicians and the infertile couples. IVF treatment is a stressful and costly process. It is very stressful for couples who want to have a baby. If an initial evaluation indicates a low pregnancy rate, decision of the couple may change not to start the IVF treatment. The aim of this study is twofold, firstly, to develop a technique that can be used to estimate the chance of success for a couple who wants to have a baby and secondly, to determine the attributes and their particular values affecting the outcome in IVF treatment. We propose a new technique, called success estimation using a ranking algorithm (SERA), for estimating the success of a treatment using a ranking-based algorithm. The particular ranking algorithm used here is RIMARC. The performance of the new algorithm is compared with two well-known algorithms that assign class probabilities to query instances. The algorithms used in the comparison are Naïve Bayes Classifier and Random Forest. The comparison is done in terms of area under the ROC curve, accuracy and execution time, using tenfold stratified cross-validation. The results indicate that the proposed SERA algorithm has a potential to be used successfully to estimate the probability of success in medical treatment.

  7. Does the type of culture medium used influence birthweight of children born after IVF?

    Science.gov (United States)

    Zandstra, Heleen; Van Montfoort, Aafke P A; Dumoulin, John C M

    2015-03-01

    Do culture media influence birthweight of children born after IVF? Some studies have observed a significant effect of culture media on birthweight, while others have not, but since most studies compared different culture media, conventional meta-analysis was not possible. Animal studies suggest that in vitro culture of embryos can have a significant effect on the birthweight of offspring when compared with in vivo developed embryos. The type of culture medium (or certain components of the medium) used is one of the causal factors. We reviewed all available literature reporting on a relation between culture medium and birthweight in human studies and a selection of animal studies. An extensive literature search on Pubmed and Medline was performed with relevant search criteria relating to IVF, birthweight and culture medium. Eleven studies reporting on a relationship between culture medium and birthweight in human were included in this review. Five of these found significant differences in birthweight when offspring born after culture in different culture media were compared. The remaining studies did not find differences in birthweight after changing culture medium. The number of human studies is limited and different culture media with different compositions are compared which makes a comparison between the studies difficult, if not impossible. Furthermore, most study designs were retrospective with consecutive use of different culture media and limited sample sizes, which makes bias of the results likely. If it could be confirmed that the type of culture medium used does indeed influence phenotypic characteristics (such as birthweight) of children born after IVF, it would underline the importance of monitoring the health of IVF children in relation to aspects of the laboratory techniques used during embryo culture. No funding was applicable to this study. No conflict of interest is declared. © The Author 2015. Published by Oxford University Press on behalf of the

  8. 24 CFR 983.54 - Prohibition of assistance for units in subsidized housing.

    Science.gov (United States)

    2010-04-01

    ..., DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT PROJECT-BASED VOUCHER (PBV) PROGRAM Selection of PBV Owner... PBV assistance to units in any of the following types of subsidized housing: (a) A public housing... operating costs of the housing; (e) A unit subsidized with Section 236 rental assistance payments (12 U.S.C...

  9. Time-dependent inversion of surface subsidence due to dynamic reservoir compaction

    NARCIS (Netherlands)

    Muntendam-Bos, A.G.; Kroon, I.C.; Fokker, P.A.

    2008-01-01

    We introduce a novel, time-dependent inversion scheme for resolving temporal reservoir pressure drop from surface subsidence observations (from leveling or GPS data, InSAR, tiltmeter monitoring) in a single procedure. The theory is able to accommodate both the absence of surface subsidence estimates

  10. Estimating Natural Environmental Characteristics of Subsidized Households: A Case Study of Austin, Texas

    Directory of Open Access Journals (Sweden)

    Young-Jae Kim

    2015-09-01

    Full Text Available Compared to the traditional public housing program, the Low-Income Housing Tax Credit (LIHTC program has been regarded as a better tool to ensure the quality of housing structure for subsidized households and the mixing of incomes in neighborhoods. Previous studies related to LIHTC developments have solely focused on the relationships between subsidized households and socioeconomic environments, such as income, race, poverty, etc. Beyond the socioeconomic environments where subsidized households are located, there is a limited understanding about whether subsidized households experience healthier natural environments in their neighborhoods. This study aims to investigate whether LIHTC-subsidized housing neighborhoods provide adequate natural environments to the subsidized households in Austin, Texas, compared to the public housing households. We employ comparison t-tests and binomial logistic regression models. The results show that LIHTC households are significantly exposed to unhealthy natural environmental settings such as a lack of green vegetation and steep slopes while no statistical evidence is reported for public housing neighborhoods. Findings from this study may help policymakers and planners improve their understanding of whether subsidized housing developments offer better natural environments for disadvantaged populations and help them develop effective environmental intervention strategies to improve the quality of life of subsidized households.

  11. Advancing Coastal Climate Adaptation in Denmark by Land Subsidence Mapping using Sentinel-1 Satellite Imagery

    DEFF Research Database (Denmark)

    Sørensen, Carlo Sass; Broge, Niels H.; Mølgaard, Mads R.

    2016-01-01

    There are still large uncertainties in projections of climate change and sea level rise. Here, land subsidence is an additional factor that may adversely affect the vulnerability towards floods in low-lying coastal communities. The presented study performs an initial assessment of subsidence...

  12. Influence the condition land subsidence and groundwater impact of Jakarta coastal area

    Science.gov (United States)

    Rahman, S.; Sumotarto, U.; Pramudito, H.

    2018-01-01

    Jakarta has been experiencing land subsidence for ten years due toerecting weight building and intensive extraction of groundwater for society drink water through ground water wells. Many groundwater extraction for drinkingwater has caused intensive scouring of land rock and further triggering land subsidence developed widely in coastal area of Jakarta. Measurement of the land subsidence has been performed by various experts and institutes. Between 1974 to 2010 subsidence has happened between 3 to 4.1 meters especially in Jakarta coastal area. Two major causes of the subsidence are identified. The first major cause is a result of erecting weight building such as hotels, appartments, and various human activities buildings. The second major cause is extracting ground water from aquifers bellow Jakarta land due to water deep wells down to the aquifer and traditional shallow water well of shallow or subsurface uncovered ground water. Weighter building and higher debit of water flow from deep water wells has fastened and deepened the land subsidence. Continuous measurement of land subsidence by means of geodetic as well as geophysical earth behaviour measurements need to be performed to monitor the rate, location as well as mapping of the land subsidence.

  13. Compaction and subsidence of the Groningen gas field in the Netherlands

    NARCIS (Netherlands)

    Thienen-Visser, K. van; Pruiksma, J.P.; Breunese, J.N.

    2015-01-01

    The Groningen gas field in the Netherlands is Europe’s largest gas field. It has been produced since 1963 and production is expected to continue until 2080. The pressure decline in the field causes compaction in the reservoir which is observed as subsidence at the surface. Measured subsidence is

  14. Geotechnical and Geological Aspects of Differential Subsidence in the Skaw Spit, Denmark

    DEFF Research Database (Denmark)

    Andersen, Holger Lykke; Thorsen, Grete; Hauerbach, P.

    1996-01-01

    Local differential subsidence has been observed by means of repeated precise levellings in the township of Skagen at the northernmost tip of the Skaw Spit in Jutland. We have l studied the possible causes of the subsidence. Oedometer tests have been carried out on undisturbed clayey samples from...

  15. Accurate and noninvasive embryos screening during in vitro fertilization (IVF) assisted by Raman analysis of embryos culture medium Accurate and noninvasive embryos screening during IVF

    Science.gov (United States)

    Shen, A. G.; Peng, J.; Zhao, Q. H.; Su, L.; Wang, X. H.; Hu, J. M.; Yang, J.

    2012-04-01

    In combination with morphological evaluation tests, we employ Raman spectroscopy to select higher potential reproductive embryos during in vitro fertilization (IVF) based on chemical composition of embryos culture medium. In this study, 57 Raman spectra are acquired from both higher and lower quality embryos culture medium (ECM) from 10 patients which have been preliminarily confirmed by clinical assay. Data are fit by using a linear combination model of least squares method in which 12 basis spectra represent the chemical features of ECM. The final fitting coefficients provide insight into the chemical compositions of culture medium samples and are subsequently used as criterion to evaluate the quality of embryos. The relative fitting coefficients ratios of sodium pyruvate/albumin and phenylalanine/albumin seem act as key roles in the embryo screening, attaining 85.7% accuracy in comparison with clinical pregnancy. The good results demonstrate that Raman spectroscopy therefore is an important candidate for an accurate and noninvasive screening of higher quality embryos, which potentially decrease the time-consuming clinical trials during IVF.

  16. Single embryo transfer: the role of natural cycle/minimal stimulation IVF in the future.

    Science.gov (United States)

    Nygren, Karl-Gösta

    2007-05-01

    There are several good reasons to assume that single embryo transfer (SET) eventually will become the norm internationally in IVF treatments. A tendency is clearly visible, as demonstrated in the latest IVF World Report. The Nordic countries and Belgium have been leading the way. Sweden at present has 70% SET, with 5% twins and a pregnancy rate per transfer remaining constant at about 30%. As a consequence, recent data show a drastic reduction of the risk of prematurity and therefore of child morbidity and perinatal mortality. It is now time to discuss alternatives to the current clinical policy of quite an aggressive ovarian stimulation in settings where SET is the norm. When and at what proportion could natural cycle/soft stimulation be used? What group of patients would benefit? What will the consequences be in terms of efficacy, safety, cost, time and quality of life? Selection of the most beneficial, rather than the most aggressive, ovarian stimulation protocol by clinicians and by the couples themselves in the future may well include a much wider use of natural cycle/soft stimulation in IVF.

  17. [Health economic consequences of the choice of follicle stimulating hormone alternatives in IVF treatment].

    Science.gov (United States)

    Poulsen, Peter Bo; Højgaard, Astrid; Quartarolo, Jens Piero

    2007-04-02

    There is a choice between two types of hormones for stimulation of the follicles in IVF treatment - recombinant FSH and the urine-derived menotrophin. A literature review by NICE (2004) in the United Kingdom documented that the two types of hormones were equally effective and safe, which is why it was recommended to use the cheaper urine-derived hormone. Based on the EISG study (European and Israeli Study Group), the aim was to analyse the health economic consequences of the choice between the two types of hormone in IVF treatment in Denmark. In a prospective cost-effectiveness analysis (health care sector perspective), menotrophin and recombinant FSH (Gonal-F) were compared. Differences in costs were compared with differences in effects of the two alternatives. The total costs for the average patient are lower when using menotrophin compared with recombinant FSH. Furthermore, the cost per clinical pregnancy was lower with menotrophin compared with recombinant FSH hormone. Menotrophin is therefore less expensive both for the patient as well as for the health care sector. The use of menotrophin instead of recombinant FSH can result in savings of up to DKK 16 million on the drug budget--savings that could finance 1,400 additional IVF cycles. The analysis shows that urine-derived menotrophin is a cost-effective alternative to recombinant FSH with a potential for considerable savings for patients as well as the public drug budget.

  18. Long-term follow-up of women and men after unsuccessful IVF.

    Science.gov (United States)

    Filetto, Juliana N; Makuch, Maria Y

    2005-10-01

    The experience of 92 couples, who had unsuccessfully undergone one or more IVF cycles at a university clinic, was evaluated 3-8 years following their last failed attempt. One member of each couple completed a telephone questionnaire regarding life events during their last IVF cycle performed at the clinic and at the time of the interview. Some couples had continued further treatment and some had not. Multivariate correspondence analysis was used to analyse the data. Regarding the long-term experience of couples who had undergone further treatment, for men the main experiences were psychological problems and having adopted a child. For women, the main experiences were related to problems of self-image, psychological problems, loss of hope, and having adopted a child. These women also presented a strong association with problems in their marital relationship and with adoption. For the group that did not undergo further treatment, the women showed a strong association with considering adoption, and a less intense association with psychological problems and loss of hope. The men presented psychological problems and having adopted a child as associated variables. Comparison between men and women showed that recognizing the impossibility of conceiving a child and giving up treatment were strongly associated. Men and women who had not continued with further treatment were more affected in the long term than those who had undergone further treatment after IVF failure.

  19. Psychiatric morbidity in parents of twins born after in vitro fertilization (IVF) techniques.

    Science.gov (United States)

    Munro, J M; Ironside, W; Smith, G C

    1990-12-01

    A matched comparison was made of 158 parents of preschool twins conceived under three conditions; spontaneously, after infertility workup including drug treatment, and after in vitro fertilization (IVF). Indications of probable psychiatric caseness were obtained using the 60-item General Health Questionnaire. IVF parents' mean scores were similar to those of parents who spontaneously conceived, and both were significantly greater than those who conceived after an infertility workup. Mothers and fathers overall had similar scores, contrary to previous community findings of higher rates of psychiatric disorder among females. The prevalence of probable psychiatric caseness was less for IVF and spontaneously conceiving mothers, but greater for the respective fathers, than in an English community sample and greater than in an Australian community sample. The extent to which the self-reports of current psychiatric disturbance can be ascribed to any preexisting psychopathology is unknown. Indications of increased psychiatric disturbance found in this investigation warrant further prospective investigations, especially of the difficulties of rearing twins when couples are vulnerable in having this degree of psychiatric morbidity.

  20. Comparison of IVF and ICSI when only few oocytes are available for insemination.

    Science.gov (United States)

    Borini, Andrea; Gambardella, Alessia; Bonu, Maria Antonietta; Dal Prato, Luca; Sciajno, Raffaella; Bianchi, Liana; Cattoli, Monica

    2009-08-01

    The aim of this work was to evaluate the efficiency of IVF and intracytoplasmic sperm injection (ICSI) when few eggs available for insemination. A total of 601 women (group A, mean age 31.2 +/- 2.8 years) who were undergoing a total of 671 assisted reproduction cycles donated their excess oocytes to 694 patients (group B, mean age 41.0 +/- 0.2) for 1606 replacement cycles. Each recipient received three to five eggs. The recipients were divided into two groups depending on the insemination method used (IVF, group B1; or ICSI, group B2); ICSI patients were then subdivided into two further groups based on the semen parameters: B2A adequate for IVF and B2B only suitable for ICSI. The results showed that, when comparing A versus B and B1 versus B2, no significant differences were found in terms of pregnancy (28.0 versus 24.1% and 25.5 versus 21.4%), implantation (15.6 versus 14.9% and 15.9 versus 13.1%) and miscarriage (15.4 versus 20.5% and 17.9 versus 26.3) rates respectively. Comparing subgroups B2A and B2B, no significant differences were found in terms of pregnancy (20.0 versus 21.9%), implantation (14.4 versus 12.7%) and miscarriage rates (18.2 versus 28.6%) respectively. In conclusion, ICSI does not seem to yield better outcomes.

  1. The use of ovarian reserve markers in IVF clinical practice: a national consensus.

    Science.gov (United States)

    La Marca, Antonio; Ferraretti, Anna Pia; Palermo, Roberto; Ubaldi, Filippo M

    2016-01-01

    Ovarian reserve markers have been documented to perform very well in the clinical practice. While this is widely recognized, still now there is no consensus on how to use new biomarkers in the clinical practice. This study was conducted among Italian IVF centres using the Delphi technique, a validated consensus-building process. Briefly three consecutive questionnaires were developed for clinicians in charge of IVF centres. In the first rounds, participants were asked to rate the importance of a list of statements regarding the categorization of ovarian response and the diagnostic role of biomarkers. In round 3, participants were asked to rate their agreement and consensus on the list of statements derived from the first two rounds. There were 120 respondents. Consensus was achieved for many points: (a) poor ovarian response is predicted on the basis of the following: AMH  3 ng/ml or AFC > 14; (c) day 3 FSH measurement should always be associated to estradiol; (d) AMH can be measured on a random basis; (e) the measurement of the AFC with the 2D technology may be considered adequate and (f) the AFC should be measured in the early follicular phase and consists in the total number of 2-9 mm follicles in both the ovaries. The present study suggests that extensive consensus on the importance and use of new ovarian reserve markers to improve IVF safety and performance is already present among clinicians.

  2. Metabolite Profiling in the Pursuit of Biomarkers for IVF Outcome: The Case for Metabolomics Studies

    Directory of Open Access Journals (Sweden)

    C. McRae

    2013-01-01

    Full Text Available Background. This paper presents the literature on biomarkers of in vitro fertilisation (IVF outcome, demonstrating the progression of these studies towards metabolite profiling, specifically metabolomics. The need for more, and improved, metabolomics studies in the field of assisted conception is discussed. Methods. Searches were performed on ISI Web of Knowledge SM for literature associated with biomarkers of oocyte and embryo quality, and biomarkers of IVF outcome in embryo culture medium, follicular fluid (FF, and blood plasma in female mammals. Results. Metabolomics in the field of female reproduction is still in its infancy. Metabolomics investigations of embryo culture medium for embryo selection have been the most common, but only within the last five years. Only in 2012 has the first metabolomics investigation of FF for biomarkers of oocyte quality been reported. The only metabolomics studies of human blood plasma in this context have been aimed at identifying women with polycystic ovary syndrome (PCOS. Conclusions. Metabolomics is becoming more established in the field of assisted conception, but the studies performed so far have been preliminary and not all potential applications have yet been explored. With further improved metabolomics studies, the possibility of identifying a method for predicting IVF outcome may become a reality.

  3. [IVF surrogacy after embryo transfer abroad. Dilemmas of pregnancy follow-up].

    Science.gov (United States)

    Winkel, Esther; Roumen, Frans J M E; Dermout, Sylvia M

    2010-01-01

    A 43-year-old female, gravida 3, para 2, who was 9 weeks pregnant, presented herself as a surrogate mother for a 33-year-old couple at our outpatient clinic in Heerlen, the Netherlands, for pregnancy follow-up. As she had not passed the selection procedure in the Netherlands (VU University Medical Center, Amsterdam), IVF using the gametes of the prospective parents and embryo transfer was performed in Belgium. We discussed the management of possible problems and complications during pregnancy and delivery. After an uneventful pregnancy and delivery a healthy boy was taken home by the donor couple. In the Netherlands, high-tech surrogate motherhood under strict non-commercial conditions has been accepted by law since 1997. Since the inclusion criteria are very strict, some couples seem to find a way to have their wish fulfilled abroad. Uniformity of the IVF surrogacy legislation in Europe is necessary to discourage this practice. When this situation occurs nevertheless, it is important that doctors involved know how to handle the (often unknown) medical, ethical, legal, emotional and psychosocial aspects associated with high-tech IVF-surrogacy.

  4. Embryo quality and implantation rate in two different culture media: ISM1 versus Universal IVF Medium.

    Science.gov (United States)

    Xella, Susanna; Marsella, Tiziana; Tagliasacchi, Daniela; Giulini, Simone; La Marca, Antonio; Tirelli, Alessandra; Volpe, Annibale

    2010-04-01

    To compare the outcome of two different culture media marketed by the MediCult AS Company (Jyllinge, Denmark)-Universal IVF Medium and ISM1 Medium culture-which, in addition to glucose, pyruvate, and energy-providing components, also contain amino acids, nucleotides, vitamins, and cholesterol. Laboratory and retrospective clinical study. University teaching hospital. A total of 726 patients, undergoing IVF-intracytoplasmic sperm injection procedure, comparable in mean age range, oocyte retrieval, and infertility indication, were included in the study. Laboratory quality and standard procedures were maintained unaffected. Oocyte retrieval, different embryo culture media. Embryo quality, ongoing pregnancy, and implantation rate. The frequency of good-quality embryos (79% vs. 74%) and the percentages of ongoing pregnancy (27.5% vs. 18%) and implantation rate (15% vs. 10%) were significantly higher in the group treated with ISM1 Medium rather than Universal IVF Medium. ISM1 Medium culture seems to improve the performance of embryonic growth and development, as well as increasing the percentage of pregnancy. Copyright 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  5. Thicker endometrial linings are associated with better IVF outcomes: a cohort of 6331 women.

    Science.gov (United States)

    Holden, Emily C; Dodge, Laura E; Sneeringer, Rita; Moragianni, Vasiliki A; Penzias, Alan S; Hacker, Michele R

    2017-06-18

    Our objective was to determine if a correlation exists between endometrial thickness measured on the day of ovulation trigger during an in vitro fertilization (IVF) cycle and pregnancy outcomes among non-cancelled cycles. We performed a retrospective cohort study looking at 6331 women undergoing their first, fresh autologous IVF cycle from 1 May 2004 to 31 December 2012 at Boston IVF (Waltham, MA). Our primary outcome was the risk ratio (RR) of live birth and positive β-hCG. We found that thicker endometrial linings were associated with positive β-hCG and live birth rates. For each additional millimetre of endometrial thickness, we found a statistically significant increased risk of positive β-hCG (adjusted RR: 1.14; 95% CI: 1.09-1.18) and live birth (RR: 1.08; 95% CI: 1.05-1.11). There was no association between endometrial thickness and miscarriage (RR: 0.99; 95% CI: 0.91-1.07). Similar results were seen when categorizing endometrial thickness. Compared with an endometrial thickness >7 to <11 mm, the likelihood of a live birth was significantly higher for an endometrial thickness ≥11 mm (adjusted RR: 1.23; 95% CI: 1.11-1.37) and significantly lower for the ≤7 mm group (adjusted RR: 0.64; 95% CI: 0.45-0.90). In conclusion, thicker endometrial linings were associated with increased pregnancy and live birth rates.

  6. The Effect of Reactive Oxygen Species on Embryo Quality in IVF.

    Science.gov (United States)

    Siristatidis, Charalampos; Vogiatzi, Paraskevi; Varounis, Christos; Askoxylaki, Marily; Chrelias, Charalampos; Papantoniou, Nikolaos

    2016-01-01

    BACKROUND/AIM: Reactive oxygen species (ROS) are involved in critical biological processes in human reproduction. The aim of this study was to evaluate the association of embryo quality following in vitro fertilization (IVF), with ROS levels in the serum and follicular fluid (FF). Eighty-five participants underwent ovarian stimulation and IVF; ROS levels were measured in blood samples on the day of oocyte retrieval and in the FF from follicular aspirates using enzyme-linked immunosorbent assay. These values were associated with the quality of embryos generated. Univariable zero-inflated Poisson model revealed that ROS levels at both oocyte retrieval and in FF were not associated with the number of grade I, II, III and IV embryos (p>0.05). Age, body mass index, stimulation protocol and smoking status were not associated with the number of embryos of any grade (p>0.05). Neither ROS levels in serum nor in FF are associated with the quality of embryos produced following IVF. Copyright © 2016 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.

  7. An influence function method based subsidence prediction program for longwall mining operations in inclined coal seams

    Energy Technology Data Exchange (ETDEWEB)

    Yi Luo; Jian-wei Cheng [West Virginia University, Morgantown, WV (United States). Department of Mining Engineering

    2009-09-15

    The distribution of the final surface subsidence basin induced by longwall operations in inclined coal seam could be significantly different from that in flat coal seam and demands special prediction methods. Though many empirical prediction methods have been developed, these methods are inflexible for varying geological and mining conditions. An influence function method has been developed to take the advantage of its fundamentally sound nature and flexibility. In developing this method, significant modifications have been made to the original Knothe function to produce an asymmetrical influence function. The empirical equations for final subsidence parameters derived from US subsidence data and Chinese empirical values have been incorporated into the mathematical models to improve the prediction accuracy. A corresponding computer program is developed. A number of subsidence cases for longwall mining operations in coal seams with varying inclination angles have been used to demonstrate the applicability of the developed subsidence prediction model. 9 refs., 8 figs.

  8. Land subsidence threats and its management in the North Coast of Java

    Science.gov (United States)

    Sarah, D.; Soebowo, E.

    2018-02-01

    Cities on the north coast of Java such as Jakarta, Semarang, Pekalongan, and Surabaya are vulnerable to environmental pressures such as sea level change and land subsidence. Land subsidence can be caused by natural and anthropogenic processes. Geologically, the north coastal plain of Java consists of unconsolidated Holocene alluvial deposit. The recent alluvial deposit is prone to compaction, and further aggravated by anthropogenic forces such as groundwater extraction and land development. Understanding the complex interaction of natural and manmade factors is essential to establish mitigation strategy. Although the impacts of land subsidence are widely felt, many do not realize that land subsidence is taking place. This paper presents a brief review of the land subsidence threats in the North coast of Java and proposes a recommendation for suitable management response.

  9. A Mixed Prediction Model of Ground Subsidence for Civil Infrastructures on Soft Ground

    Directory of Open Access Journals (Sweden)

    Kiyoshi Kobayashi

    2012-01-01

    Full Text Available The estimation of ground subsidence processes is an important subject for the asset management of civil infrastructures on soft ground, such as airport facilities. In the planning and design stage, there exist many uncertainties in geotechnical conditions, and it is impossible to estimate the ground subsidence process by deterministic methods. In this paper, the sets of sample paths designating ground subsidence processes are generated by use of a one-dimensional consolidation model incorporating inhomogeneous ground subsidence. Given the sample paths, the mixed subsidence model is presented to describe the probabilistic structure behind the sample paths. The mixed model can be updated by the Bayesian methods based upon the newly obtained monitoring data. Concretely speaking, in order to estimate the updating models, Markov Chain Monte Calro method, which is the frontier technique in Bayesian statistics, is applied. Through a case study, this paper discussed the applicability of the proposed method and illustrated its possible application and future works.

  10. Analysis of Land Subsidence Monitoring in Mining Area with Time-Series Insar Technology

    Science.gov (United States)

    Sun, N.; Wang, Y. J.

    2018-04-01

    Time-series InSAR technology has become a popular land subsidence monitoring method in recent years, because of its advantages such as high accuracy, wide area, low expenditure, intensive monitoring points and free from accessibility restrictions. In this paper, we applied two kinds of satellite data, ALOS PALSAR and RADARSAT-2, to get the subsidence monitoring results of the study area in two time periods by time-series InSAR technology. By analyzing the deformation range, rate and amount, the time-series analysis of land subsidence in mining area was realized. The results show that InSAR technology could be used to monitor land subsidence in large area and meet the demand of subsidence monitoring in mining area.

  11. Obstetric and perinatal outcomes in IVF versus ICSI-conceived pregnancies at a tertiary care center--a pilot study.

    Science.gov (United States)

    Nouri, Kazem; Ott, Johannes; Stoegbauer, Lucia; Pietrowski, Detlef; Frantal, Sophie; Walch, Katharina

    2013-08-31

    Although most pregnancies after IVF result in normal healthy outcomes, an increased risk for a number of obstetric and neonatal complications, compared to naturally conceived pregnancies, has been reported. While there are many studies that compare pregnancies after assisted reproductive techniques with spontaneously conceived pregnancies, fewer data are available that evaluate the differences between IVF and ICSI-conceived pregnancies. The aim of our present study was, therefore, to compare obstetric and perinatal outcomes in pregnancies conceived after in vitro fertilization (IVF) versus intracytoplasmatic sperm injection (ICSI). Three-hundred thirty four women who had become pregnant after an IVF or ICSI procedure resulted in a total of 530 children referred between 2003 und 2009 to the Department of Obstetrics and Gynecology of the Medical University of Vienna, a tertiary care center, and were included in this retrospective cohort study. We assessed maternal and fetal parameters in both groups (IVF and ICSI). The main study outcomes were preterm delivery, the need for neonatal intensive care, and congenital malformations. Moreover, we compared the course of pregnancy between both groups and the occurrence of complications that led to maternal hospitalization during pregnancy. There were 80 children conceived via ICSI and 450 children conceived via IVF.Mean gestational age was significantly lower in the ICSI group (p = 0.001). After ICSI, the birth weight (p = 0.008) and the mean APGAR values after 1 minute and after 10 minutes were lower compared to that of the IVF group (p = 0.016 and p = 0.047, respectively). Moreover, ICSI-conceived children had to be hospitalized more often at a neonatal intensive care unit (p = 0.004). There was no difference in pH of the umbilical artery or in major congenital malformations between the two groups. Pregnancy complications (i.e., premature rupture of membranes, cervical insufficiency, and premature

  12. Effects of triploidy incidence on clinical outcomes for IVF-ET cycles in different ovarian stimulation protocols.

    Science.gov (United States)

    Li, Mingzhao; Xue, Xia; Zhang, Silin; Li, Wei; Zhao, Xiaoli; Ren, Wenjuan; Shi, Juanzi

    2015-10-01

    To discuss the relationship between triploidy incidence and clinical outcomes of embryos derived from normally fertilized oocytes from the same cohort for in vitro fertilization-embryo transfer (IVF-ET) cycles in different ovarian stimulation protocol. This study included 2070 in vitro fertilization (IVF) cycles with long-term protocol, 802 IVF cycles with ultra short-term protocol and 508 IVF-D (in vitro fertilization by donor semen) cycles with long-term protocol from January 2013 to September 2014. According to the different 3PN rate, patients were divided into three groups as follows: Group 1 included patients with 0% 3PN zygotes, Group 2 included patients with 1-25% 3PN zygotes and Group 3 included patients with >25% 3PN zygotes. female age, no. of retrieved oocytes, normal fertilization rate, day-3 grade I + II embryos rate, day-3 grade I + II + III embryos rate, implantation rate, pregnancy rate and early abortion rate. Triploidy cycle incidence rate in IVF and IVF-D cycles with long-term protocol were significantly higher than in IVF cycles with ultra short-term protocol (p  0.05). In three protocols, normal fertilization rate in 3PN = 0% and 3PN = 1-25% groups were significantly higher compared to 3PN > 25% group (p cycles with long-term protocol, the day-3 grade I + II embryos, implantation and pregnancy rate in 3PN > 25% group were significantly lower than other two groups (p  0.05). In IVF cycles with ultra short-term protocol, there were no significant differences found in day-3 grade I + II embryos, day-3 grade I + II + III embryos, implantation, pregnancy and early abortion rate (p > 0.05). In IVF-D cycles with long-term protocol, the day-3 grade I + II embryos, day-3 grade I + II + III embryos and implantation rate in 3PN > 25% group were significantly lower than other two groups (p  0.05). We observed that high proportion of triploid zygotes made a negative effect on

  13. Weight reduction intervention for obese infertile women prior to IVF: a randomized controlled trial.

    Science.gov (United States)

    Einarsson, Snorri; Bergh, Christina; Friberg, Britt; Pinborg, Anja; Klajnbard, Anna; Karlström, Per-Olof; Kluge, Linda; Larsson, Ingrid; Loft, Anne; Mikkelsen-Englund, Anne-Lis; Stenlöf, Kaj; Wistrand, Anna; Thurin-Kjellberg, Ann

    2017-08-01

    Does an intensive weight reduction programme prior to IVF increase live birth rates for infertile obese women? An intensive weight reduction programme resulted in a large weight loss but did not substantially affect live birth rates in obese women scheduled for IVF. Among obese women, fertility and obstetric outcomes are influenced negatively with increased risk of miscarriage and a higher risk of maternal and neonatal complications. A recent large randomized controlled trial found no effect of lifestyle intervention on live birth in infertile obese women. A prospective, multicentre, randomized controlled trial was performed between 2010 and 2016 in the Nordic countries. In total, 962 women were assessed for eligibility and 317 women were randomized. Computerized randomization with concealed allocation was performed in the proportions 1:1 to one of two groups: weight reduction intervention followed by IVF-treatment or IVF-treatment only. One cycle per patient was included. Nine infertility clinics in Sweden, Denmark and Iceland participated. Women under 38 years of age planning IVF, and having a BMI ≥30 and non-financial support from Impolin AB, during the conduct of the study, and personal fees from Merck outside the submitted work. Dr Friberg reports personal fees from Ferring, Merck, MSD, Finox and personal fees from Studentlitteratur, outside the submitted work. Dr Englund reports personal fees from Ferring, and non-financial support from Merck, outside the submitted work. Dr Bergh reports and has been reimbursed for: writing a newsletter twice a year (Ferring), lectures (Ferring, MSD, Merck), and Nordic working group meetings (Finox). Dr Karlström reports lectures (Ferring, Finox, Merck, MSD) and Nordic working group meetings (Ferring). Ms Kluge, Dr Einarsson, Dr Pinborg, Dr Klajnbard, Dr Stenlöf, Dr Larsson, Dr Loft and Dr Wistrand have nothing to disclose. ClinicalTrials.gov number, NCT01566929. 23-03-2012. 05-10-2010. © The Author 2017. Published by

  14. IVF or IUI as first-line treatment in unexplained subfertility: the conundrum of treatment selection markers.

    Science.gov (United States)

    Tjon-Kon-Fat, R I; Tajik, P; Zafarmand, M H; Bensdorp, A J; Bossuyt, P M M; Oosterhuis, G J E; van Golde, R; Repping, S; Lambers, M D A; Slappendel, E; Perquin, D; Pelinck, M J; Gianotten, J; Maas, J W M; Eijkemans, M J C; van der Veen, F; Mol, B W; van Wely, M

    2017-05-01

    Are there treatment selection markers that could aid in identifying couples, with unexplained or mild male subfertility, who would have better chances of a healthy child with IVF with single embryo transfer (IVF-SET) than with IUI with ovarian stimulation (IUI-OS)? We did not find any treatment selection markers that were associated with better chances of a healthy child with IVF-SET instead of IUI-OS in couples with unexplained or mild male subfertility. A recent trial, comparing IVF-SET to IUI-OS, found no evidence of a difference between live birth rates and multiple pregnancy rates. It was suggested that IUI-OS should remain the first-line treatment instead of IVF-SET in couples with unexplained or mild male subfertility and female age between 18 and 38 years. The question remains whether there are some couples that may have higher pregnancy chances if treated with IVF-SET instead of IUI. We performed our analyses on data from the INeS trial, where couples with unexplained or mild male subfertility and an unfavourable prognosis for natural conception were randomly allocated to IVF-SET, IVF in a modified natural cycle or IUI-OS. In view of the aim of this study, we only used data of the comparison between IVF-SET (201 couples) and IUI-OS (207 couples). We pre-defined the following baseline characteristics as potential treatment selection markers: female age, ethnicity, smoking status, type of subfertility (primary/secondary), duration of subfertility, BMI, pre-wash total motile count and Hunault prediction score. For each potential treatment selection marker, we explored the association with the chances of a healthy child after IVF-SET and IUI-OS and tested if there was an interaction with treatment. Given the exploratory nature of our analysis, we used a P-value of 0.1. None of the markers were associated with higher chances of a healthy child from IVF-SET compared to IUI-OS (P-value for interaction >0.10). Since this is the first large study that looked at

  15. Impact of rock salt creep law choice on subsidence calculations for hydrocarbon reservoirs overlain by evaporite caprocks

    NARCIS (Netherlands)

    Marketos, G.; Spiers, C.J.; Govers, R.

    2016-01-01

    Accurate forward modeling of surface subsidence above producing hydrocarbons reservoirs requires an understanding of the mechanisms determining how ground deformation and subsidence evolve. Here we focus entirely on rock salt, which overlies a large number of reservoirs worldwide, and specifically

  16. Assessing the long-term impact of subsidence and global climate change on emergency evacuation routes in coastal Louisiana.

    Science.gov (United States)

    2012-12-01

    Subsidence forecast models for coastal Louisiana were developed to estimate the change in surface elevations of evacuation routes for the years 2015, 2025, 2050, and 2100. Geophysical and anthropogenic subsidence estimates were derived from on-going ...

  17. Rapid groundwater-related land subsidence in Yemen observed by multi-temporal InSAR

    Science.gov (United States)

    Abdullin, Ayrat; Xu, Wenbin; Kosmicki, Maximillian; Jonsson, Sigurjon

    2015-04-01

    Several basins in Yemen are suffering from a rapid drawdown of groundwater, which is the most important water source for agricultural irrigation, industry and domestic use. However, detailed geodetic measurements in the region have been lacking and the extent and magnitude of groundwater-related land subsidence has been poorly known. We used 13 ascending ALOS and 15 descending Envisat images to study land subsidence of several basins in Yemen, with a special focus on the Sana'a and Mabar basins. From multitemporal synthetic aperture radar interferometric analysis (persistent scatterers (PS) and small baseline subsets (SBAS)) we examined the spatio-temporal behavior of the subsidence induced by depletion of groundwater aquifer systems from November 2003 to February 2011. In the interferometric data processing, we carefully chose interferogram pairs to minimize spatial and temporal decorrelation, because of high subsidence rates and the type of land cover. Our results show that the spatial pattern of subsidence remained quite stable during the observation period in both the Sana'a and Mabar basins. In the Sana'a basin, the maximum subsidence rate exceeded 14 cm/year in the radar line-of-sight (LOS) direction between 2003 and 2008 in an agricultural area just north of Sana'a city, where water wells have been drying up according to the well data. The subsidence rate was lower in the urban areas, or approximately 1 cm/year, exhibiting annual variations. The main subsidence was found in the center and southern parts of the city, while deformation in the northern part is less obvious. For the Mabar basin, the subsidence rate exceeded 30 cm/year in the agricultural area north of the town of Mabar during 2007 - 2011. The southern part of the Mabar basin also experienced high subsidence rates, although somewhat lower than to the north. Excessive water pumping is the main cause of the ground subsidence and it has already led to extensive ground fracturing at the edge of some

  18. Rapid groundwater-related land subsidence in Yemen observed by multi-temporal InSAR

    KAUST Repository

    Abdullin, Ayrat

    2015-04-01

    Several basins in Yemen are suffering from a rapid drawdown of groundwater, which is the most important water source for agricultural irrigation, industry and domestic use. However, detailed geodetic measurements in the region have been lacking and the extent and magnitude of groundwater-related land subsidence has been poorly known. We used 13 ascending ALOS and 15 descending Envisat images to study land subsidence of several basins in Yemen, with a special focus on the Sana\\'a and Mabar basins. From multitemporal synthetic aperture radar interferometric analysis (persistent scatterers (PS) and small baseline subsets (SBAS)) we examined the spatio-temporal behavior of the subsidence induced by depletion of groundwater aquifer systems from November 2003 to February 2011. In the interferometric data processing, we carefully chose interferogram pairs to minimize spatial and temporal decorrelation, because of high subsidence rates and the type of land cover. Our results show that the spatial pattern of subsidence remained quite stable during the observation period in both the Sana\\'a and Mabar basins. In the Sana\\'a basin, the maximum subsidence rate exceeded 14 cm/year in the radar line-of-sight (LOS) direction between 2003 and 2008 in an agricultural area just north of Sana\\'a city, where water wells have been drying up according to the well data. The subsidence rate was lower in the urban areas, or approximately 1 cm/year, exhibiting annual variations. The main subsidence was found in the center and southern parts of the city, while deformation in the northern part is less obvious. For the Mabar basin, the subsidence rate exceeded 30 cm/year in the agricultural area north of the town of Mabar during 2007 - 2011. The southern part of the Mabar basin also experienced high subsidence rates, although somewhat lower than to the north. Excessive water pumping is the main cause of the ground subsidence and it has already led to extensive ground fracturing at the edge

  19. Association between ambient air pollution and pregnancy rate in women who underwent IVF.

    Science.gov (United States)

    Choe, S A; Jun, Y B; Lee, W S; Yoon, T K; Kim, S Y

    2018-04-05

    Are the concentrations of five criteria air pollutants associated with probabilities of biochemical pregnancy loss and intrauterine pregnancy in women? Increased concentrations of ambient particulate matter (PM10), nitrogen dioxide (NO2), carbon monoxide (CO) during controlled ovarian stimulation (COS) and after embryo transfer were associated with a decreased probability of intrauterine pregnancy. Exposure to high ambient air pollution was suggested to be associated with low fertility and high early pregnancy loss in women. Using a retrospective cohort study design, we analysed 6621 cycles of 4581 patients who underwent one or more fresh IVF cycles at a fertility centre from January 2006 to December 2014, and lived in Seoul at the time of IVF treatment. To estimate patients' individual exposure to air pollution, we computed averages of hourly concentrations of five air pollutants including PM10, NO2, CO, sulphur dioxide (SO2) and ozone (O3) measured at 40 regulatory monitoring sites in Seoul for each of the four exposure periods: period 1 (start of COS to oocyte retrieval), period 2 (oocyte retrieval to embryo transfer), period 3 (embryo transfer to hCG test), and period 4 (start of COS to hCG test). Hazard ratios (HRs) from the time-varying Cox-proportional hazards model were used to estimate probabilities of biochemical pregnancy loss and intrauterine pregnancy for an interquartile range (IQR) increase in each air pollutant concentration during each period, after adjusting for individual characteristics. We tested the robustness of the result using generalised linear mixed model, accounting for within-woman correlation. Mean age of the women was 35 years. Average BMI was 20.9 kg/m2 and the study population underwent 1.4 IVF cycles on average. Cumulative pregnancy rate in multiple IVF cycles was 51.3% per person. Survival analysis showed that air pollution during periods 1 and 3 was generally associated with IVF outcomes. Increased NO2 (adjusted HR = 0.93, 95% CI

  20. Predicting the success of IVF: external validation of the van Loendersloot's model.

    Science.gov (United States)

    Sarais, Veronica; Reschini, Marco; Busnelli, Andrea; Biancardi, Rossella; Paffoni, Alessio; Somigliana, Edgardo

    2016-06-01

    Is the predictive model for IVF success proposed by van Loendersloot et al. valid in a different geographical and cultural context? The model discriminates well but was less accurate than in the original context where it was developed. Several independent groups have developed models that combine different variables with the aim of estimating the chance of pregnancy with IVF but only four of them have been externally validated. One of these four, the van Loendersloot's model, deserves particular attention and further investigation for at least three reasons; (i) the reported area under the receiver operating characteristics curve (c-statistics) in the temporal validation setting was the highest reported to date (0.68), (ii) the perspective of the model is clinically wise since it includes variables obtained from previous failed cycles, if any, so it can be applied to any women entering an IVF cycle, (iii) the model lacks external validation in a geographically different center. Retrospective cohort study of women undergoing oocyte retrieval for IVF between January 2013 and December 2013 at the infertility unit of the Fondazione Ca' Granda, Ospedale Maggiore Policlinico of Milan, Italy. Only the first oocyte retrieval cycle performed during the study period was included in the study. Women with previous IVF cycles were excluded if the last one before the study cycle was in another center. The main outcome was the cumulative live birth rate per oocytes retrieval. Seven hundred seventy-two women were selected. Variables included in the van Loendersloot's model and the relative weights (beta) were used. The variable resulting from this combination (Y) was transformed into a probability. The discriminatory capacity was assessed using the c-statistics. Calibration was made using a logistic regression that included Y as the unique variable and live birth as the outcome. Data are presented using both the original and the calibrated models. Performance was evaluated

  1. Regional subsidence history and 3D visualization with MATLAB of the Vienna Basin, central Europe

    Science.gov (United States)

    Lee, E.; Novotny, J.; Wagreich, M.

    2013-12-01

    This study reconstructed the subsidence history by the backstripping and 3D visualization techniques, to understand tectonic evolution of the Neogene Vienna Basin. The backstripping removes the compaction effect of sediment loading and quantifies the tectonic subsidence. The amount of decompaction was calculated by porosity-depth relationships evaluated from seismic velocity data acquired from two boreholes. About 100 wells have been investigated to quantify the subsidence history of the Vienna Basin. The wells have been sorted into 10 groups; N1-4 in the northern part, C1-4 in the central part and L1-2 in the northernmost and easternmost parts, based on their position within the same block bordered by major faults. To visualize 3D subsidence maps, the wells were arranged to a set of 3D points based on their map location (x, y) and depths (z1, z2, z3 ...). The division of the stratigraphic column and age range was arranged based on the Central Paratethys regional Stages. In this study, MATLAB, a numerical computing environment, was used to calculate the TPS interpolation function. The Thin-Plate Spline (TPS) can be employed to reconstruct a smooth surface from a set of 3D points. The basic physical model of the TPS is based on the bending behavior of a thin metal sheet that is constrained only by a sparse set of fixed points. In the Lower Miocene, 3D subsidence maps show strong evidence that the pre-Neogene basement of the Vienna Basin was subsiding along borders of the Alpine-Carpathian nappes. This subsidence event is represented by a piggy-back basin developed on top of the NW-ward moving thrust sheets. In the late Lower Miocene, Group C and N display a typical subsidence pattern for the pull-apart basin with a very high subsidence event (0.2 - 1.0 km/Ma). After the event, Group N shows remarkably decreasing subsidence, following the thin-skinned extension which was regarded as the extension model of the Vienna Basin in the literature. But the subsidence in

  2. Study on Land Subsidence Incangzhou Area Basedon SENTINEL-1A/B Data

    Science.gov (United States)

    Zhou, H.; Wang, Y.; Yan, S.

    2017-09-01

    This paper, obtaining 39scenesof images of the Sentinel-1 A/B, monitored the Cangzhou area subsidence from Mar. 2015 to Dec. 2016 basing on using PS-InSAR technique. The annual average subsidence rate and accumulative subsidence were obtained. The results showed that the ground surface of Xian County,Cang County, Cangzhou urban area had a rebound trend; Qing County, the east of Cang County ,the west of Nanpi County and Dongguang County appeared obvious subsidence, and the accumulated subsidence in Hezhuang village of Dongguang County reached 47 mm. And from that the main reason leading to these obvious subsidence was over-exploitation of ground-water. At last, it analyzed the settlement of the High-Speed Railway (HR) which was north from the Machang town of QingCounty and south to the Lian town of Dongguang County in Cangzhou.The relative deformation of the HR between the two sections which was Lierzhuang village of Cang County and Chenxin village of Nanpi County arrived at 30 mm. Moreover, this paper discussed the application of Sentinel-1 A/B SAR images in monitoring urban land subsidence and the results provided important basic data for the relevant departments.

  3. Application of decision tree model for the ground subsidence hazard mapping near abandoned underground coal mines.

    Science.gov (United States)

    Lee, Saro; Park, Inhye

    2013-09-30

    Subsidence of ground caused by underground mines poses hazards to human life and property. This study analyzed the hazard to ground subsidence using factors that can affect ground subsidence and a decision tree approach in a geographic information system (GIS). The study area was Taebaek, Gangwon-do, Korea, where many abandoned underground coal mines exist. Spatial data, topography, geology, and various ground-engineering data for the subsidence area were collected and compiled in a database for mapping ground-subsidence hazard (GSH). The subsidence area was randomly split 50/50 for training and validation of the models. A data-mining classification technique was applied to the GSH mapping, and decision trees were constructed using the chi-squared automatic interaction detector (CHAID) and the quick, unbiased, and efficient statistical tree (QUEST) algorithms. The frequency ratio model was also applied to the GSH mapping for comparing with probabilistic model. The resulting GSH maps were validated using area-under-the-curve (AUC) analysis with the subsidence area data that had not been used for training the model. The highest accuracy was achieved by the decision tree model using CHAID algorithm (94.01%) comparing with QUEST algorithms (90.37%) and frequency ratio model (86.70%). These accuracies are higher than previously reported results for decision tree. Decision tree methods can therefore be used efficiently for GSH analysis and might be widely used for prediction of various spatial events. Copyright © 2013. Published by Elsevier Ltd.

  4. A theoretical model of subsidence caused by petroleum production: Big Hill Field, Jefferson County, Texas

    International Nuclear Information System (INIS)

    Hill, D.W.; Sharp, J.M. Jr.

    1993-01-01

    In the Texas Gulf Coastal Plain, there is a history of oil and gas production extending over 2 to 5 decades. Concurrent with this production history, there has been unprecedented population growth accompanied by vastly increased groundwater demands. Land subsidence on both local and regional bases in this geologic province has been measured and predicted in several studies. The vast majority of these studies have addressed the problem from the standpoint of groundwater usage while only a few have considered the effects of oil and gas production. Based upon field-based computational techniques (Helm, 1984), a model has been developed to predict land subsidence caused by oil and gas production. This method is applied to the Big Hill Field in Jefferson County, Texas. Inputs include production data from a series of wells in this field and lithologic data from electric logs of these same wells. Outputs include predicted amounts of subsidence, the time frame of subsidence, and sensitivity analyses of compressibility and hydraulic conductivity estimates. Depending upon estimated compressibility, subsidence, to date, is predicted to be as high as 20 cm. Similarly, depending upon estimated vertical hydraulic conductivity, the time frame may be decades for this subsidence. These same methods can be applied to other oil/gas fields with established production histories as well as new fields when production scenarios are assumed. Where subsidence has been carefully measured above petroleum reservoir, the model may be used inversely to calculate sediment compressibilities

  5. Land subsidence and earth fissures in south-central and southern Arizona, USA

    Science.gov (United States)

    Conway, Brian D.

    2016-05-01

    Land subsidence due to groundwater overdraft has been an ongoing problem in south-central and southern Arizona (USA) since the 1940s. The first earth fissure attributed to excessive groundwater withdrawal was discovered in the early 1950s near Picacho. In some areas of the state, groundwater-level declines of more than 150 m have resulted in extensive land subsidence and earth fissuring. Land subsidence in excess of 5.7 m has been documented in both western metropolitan Phoenix and Eloy. The Arizona Department of Water Resources (ADWR) has been monitoring land subsidence since 2002 using interferometric synthetic aperture radar (InSAR) and since 1998 using a global navigation satellite system (GNSS). The ADWR InSAR program has identified more than 25 individual land subsidence features that cover an area of more than 7,300 km2. Using InSAR data in conjunction with groundwater-level datasets, ADWR is able to monitor land subsidence areas as well as identify areas that may require additional monitoring. One area of particular concern is the Willcox groundwater basin in southeastern Arizona, which is the focus of this paper. The area is experiencing rapid groundwater declines, as much as 32.1 m during 2005-2014 (the largest land subsidence rate in Arizona State—up to 12 cm/year), and a large number of earth fissures. The declining groundwater levels in Arizona are a challenge for both future groundwater availability and mitigating land subsidence associated with these declines. ADWR's InSAR program will continue to be a critical tool for monitoring land subsidence due to excessive groundwater withdrawal.

  6. Groundwater-pumping optimization for land-subsidence control in Beijing plain, China

    Science.gov (United States)

    Qin, Huanhuan; Andrews, Charles B.; Tian, Fang; Cao, Guoliang; Luo, Yong; Liu, Jiurong; Zheng, Chunmiao

    2018-01-01

    Beijing, in the North China plain, is one of the few megacities that uses groundwater as its main source of water supply. Groundwater accounts for about two-thirds of the city's water supply, and during the past 50 years the storage depletion from the unconsolidated aquifers underlying the city has been >10.4 billion m3. By 2010, groundwater pumping in the city had resulted in a cumulative subsidence of greater than 100 mm in an area of about 3,900 km2, with a maximum cumulative subsidence of >1,200 mm. This subsidence has caused significant social and economic losses in Beijing, including significant damage to underground utilities. This study was undertaken to evaluate various future pumping scenarios to assist in selecting an optimal pumping scenario to minimize overall subsidence, meet the requirements of the Beijing Land Subsidence Prevention Plan (BLSPP 2013-2020), and be consistent with continued sustainable economic development. A numerical groundwater and land-subsidence model was developed for the aquifer system of the Beijing plain to evaluate land subsidence rates under the possible future pumping scenarios. The optimal pumping scenario consistent with the evaluation constraints is a reduction in groundwater pumping from three major pumping centers by 100, 50 and 20%, respectively, while maintaining an annual pumping rate of 1.9 billion m3. This scenario's land-subsidence rates satisfy the BLSPP 2013-2020 and the pumping scenario is consistent with continued economic development. It is recommended that this pumping scenario be adopted for future land-subsidence management in Beijing.

  7. Groundwater-pumping optimization for land-subsidence control in Beijing plain, China

    Science.gov (United States)

    Qin, Huanhuan; Andrews, Charles B.; Tian, Fang; Cao, Guoliang; Luo, Yong; Liu, Jiurong; Zheng, Chunmiao

    2018-06-01

    Beijing, in the North China plain, is one of the few megacities that uses groundwater as its main source of water supply. Groundwater accounts for about two-thirds of the city's water supply, and during the past 50 years the storage depletion from the unconsolidated aquifers underlying the city has been >10.4 billion m3. By 2010, groundwater pumping in the city had resulted in a cumulative subsidence of greater than 100 mm in an area of about 3,900 km2, with a maximum cumulative subsidence of >1,200 mm. This subsidence has caused significant social and economic losses in Beijing, including significant damage to underground utilities. This study was undertaken to evaluate various future pumping scenarios to assist in selecting an optimal pumping scenario to minimize overall subsidence, meet the requirements of the Beijing Land Subsidence Prevention Plan (BLSPP 2013-2020), and be consistent with continued sustainable economic development. A numerical groundwater and land-subsidence model was developed for the aquifer system of the Beijing plain to evaluate land subsidence rates under the possible future pumping scenarios. The optimal pumping scenario consistent with the evaluation constraints is a reduction in groundwater pumping from three major pumping centers by 100, 50 and 20%, respectively, while maintaining an annual pumping rate of 1.9 billion m3. This scenario's land-subsidence rates satisfy the BLSPP 2013-2020 and the pumping scenario is consistent with continued economic development. It is recommended that this pumping scenario be adopted for future land-subsidence management in Beijing.

  8. Relating large-scale subsidence to convection development in Arctic mixed-phase marine stratocumulus

    Science.gov (United States)

    Young, Gillian; Connolly, Paul J.; Dearden, Christopher; Choularton, Thomas W.

    2018-02-01

    Large-scale subsidence, associated with high-pressure systems, is often imposed in large-eddy simulation (LES) models to maintain the height of boundary layer (BL) clouds. Previous studies have considered the influence of subsidence on warm liquid clouds in subtropical regions; however, the relationship between subsidence and mixed-phase cloud microphysics has not specifically been studied. For the first time, we investigate how widespread subsidence associated with synoptic-scale meteorological features can affect the microphysics of Arctic mixed-phase marine stratocumulus (Sc) clouds. Modelled with LES, four idealised scenarios - a stable Sc, varied droplet (Ndrop) or ice (Nice) number concentrations, and a warming surface (representing motion southwards) - were subjected to different levels of subsidence to investigate the cloud microphysical response. We find strong sensitivities to large-scale subsidence, indicating that high-pressure systems in the ocean-exposed Arctic regions have the potential to generate turbulence and changes in cloud microphysics in any resident BL mixed-phase clouds.Increased cloud convection is modelled with increased subsidence, driven by longwave radiative cooling at cloud top and rain evaporative cooling and latent heating from snow growth below cloud. Subsidence strengthens the BL temperature inversion, thus reducing entrainment and allowing the liquid- and ice-water paths (LWPs, IWPs) to increase. Through increased cloud-top radiative cooling and subsequent convective overturning, precipitation production is enhanced: rain particle number concentrations (Nrain), in-cloud rain mass production rates, and below-cloud evaporation rates increase with increased subsidence.Ice number concentrations (Nice) play an important role, as greater concentrations suppress the liquid phase; therefore, Nice acts to mediate the strength of turbulent overturning promoted by increased subsidence. With a warming surface, a lack of - or low - subsidence

  9. Discussion: some new findings from surface subsidence monitoring over longwall panels

    International Nuclear Information System (INIS)

    Luo, Y.; Peng, S.S.; Arioglu, E.

    1992-01-01

    The article consists of a discussion of the paper, 'some new findings from surface subsidence monitoring over longwall panels' and a reply by the paper's authors, Luo and Peng. The reviewer, Arioglu, regards the paper favourably but suggests that surface subsidence can be represented by an exponential expression, and that there is a regression equation linking possible subsidence, pillar loading and the height-to-width ratio of the pillars left. Luo and Peng reply with their reasons for preferring their original linear regression model to the non-linear models suggested by Arioglu. 4 figs

  10. Multiple pregnancies achieved with IVF/ICSI and risk of specific congenital malformations: a meta-analysis of cohort studies.

    Science.gov (United States)

    Zheng, Zan; Chen, Letao; Yang, Tubao; Yu, Hong; Wang, Hua; Qin, Jiabi

    2018-04-01

    Studies comparing risk of specific congenital malformations (CM) between multiple pregnancies resulting from IVF/intracytoplasmic sperm injection (ICSI) and those conceived naturally report conflicting results; furthermore, there is a lack of a complete overview. This meta-analysis aimed to address which types of CM are increased in IVF/ICSI multiple pregnancies compared with those conceived naturally. All studies testing the association between IVF/ICSI multiple pregnancies and specific CM identified in various databases were considered. The literature search yielded 856 records, of which 21 cohort studies were included for analysis. Overall, multiple pregnancies achieved with IVF/ICSI experienced a significantly higher risk of chromosomal defects (relative risk [RR] = 1.36; 95% confidence interval [CI]: 1.04-1.77), urogenital (RR = 1.18; 95% CI: 1.03-1.36) and circulatory (RR = 1.22; 95% CI: 1.01-1.47) system malformations. However, the remaining specific CM, such as cleft lip and/or palate, eye, ear, face and neck, respiratory, musculoskeletal, nervous and digestive system malformations, were similar in the two groups. No substantial heterogeneity was observed for most outcomes except for digestive (P = 0.094; I 2 = 38.3%) and circulatory (P = 0.070; I 2 = 35.2%) system malformations. These findings provide additional information on risks of IVF/ICSI for use when counselling patients. Copyright © 2018 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  11. Does local endometrial injury in the nontransfer cycle improve the IVF-ET outcome in the subsequent cycle in patients with previous unsuccessful IVF? A randomized controlled pilot study

    Directory of Open Access Journals (Sweden)

    Sachin A Narvekar

    2010-01-01

    Full Text Available Background: Management of repeated implantation failure despite transfer of good-quality embryos still remains a dilemma for ART specialists. Scrapping of endometrium in the nontransfer cycle has been shown to improve the pregnancy rate in the subsequent IVF/ET cycle in recent studies. Aim: The objective of this randomized controlled trial (RCT was to determine whether endometrial injury caused by Pipelle sampling in the nontransfer cycle could improve the probability of pregnancy in the subsequent IVF cycle in patients who had previous failed IVF outcome. Setting: Tertiary assisted conception center. Design: Randomized controlled study. Materials and Methods: 100 eligible patients with previous failed IVF despite transfer of good-quality embryos were randomly allocated to the intervention group and control groups. In the intervention group, Pipelle endometrial sampling was done twice: One in the follicular phase and again in the luteal phase in the cycle preceding the embryo transfer cycle. Outcome Measure: The primary outcome measure was live birth rate. The secondary outcome measures were implantation and clinical pregnancy rates. Results: The live birth rate was significantly higher in the intervention group compared to control group (22.4% and 9.8% P = 0.04. The clinical pregnancy rate in the intervention group was 32.7%, while that in the control group was 13.7%, which was also statistically significant ( P = 0.01. The implantation rate was significantly higher in the intervention group as compared to controls (13.07% vs 7.1% P = 0.04. Conclusions: Endometrial injury in nontransfer cycle improves the live birth rate,clinical pregnancy and implantation rates in the subsequent IVF-ET cycle in patients with previous unsuccessful IVF cycles.

  12. Cold cap subsidence for in situ vitrification and electrodes therefor

    Science.gov (United States)

    Buelt, James L.; Carter, John G.; Eschbach, Eugene A.; FitzPatrick, Vincent F.; Koehmstedt, Paul L.; Morgan, William C.; Oma, Kenton H.; Timmerman, Craig L.

    1992-01-01

    An electrode for use in in situ vitrification of soil comprises a molybdenum rod received within a conductive sleeve or collar formed of graphite. Electrodes of this type are placed on either side of a region containing buried waste material and an electric current is passed therebetween for vitrifying the soil between the electrodes. The graphite collar enhances the thermal conductivity of the electrode, bringing heat to the surface, and preventing the formation of a cold cap of material above the ground surface. The annulus between the molybdenum rod electrode and the graphite collar is filled with a conductive ceramic powder of a type that sinters upon the molybdenum rod, protecting the same from oxidation as the graphite material is consumed, or a metal powder which liquifies at operating temperatures. The molybdenum rod in the former case may be coated with an oxidation protectant, e.g. of molybdenum disilicide. As insulative blanket is suitably placed on the surface of the soil during processing to promote subsidence by allowing off-gassing and reducing surface heat loss. In other embodiments, connection to vitrification electrodes is provided below ground level to avoid loss of connection due to electrodes deterioration, or a sacrificial electrode may be employed when operation is started. Outboard electrodes can be utilized to square up the vitrified area. Further, the center of the molybdenum rod can be made hollow and filled with a powdered metal, such as copper, which liquifies at operating temperatures. In one embodiment, the molybdenum rod and the graphite collar are physically joined at the bottom.

  13. Single embryo transfer and IVF/ICSI outcome: a balanced appraisal.

    Science.gov (United States)

    Gerris, Jan M R

    2005-01-01

    This review considers the value of single embryo transfer (SET) to prevent multiple pregnancies (MP) after IVF/ICSI. The incidence of MP (twins and higher order pregnancies) after IVF/ICSI is much higher (approximately 30%) than after natural conception (approximately 1%). Approximately half of all the neonates are multiples. The obstetric, neonatal and long-term consequences for the health of these children are enormous and costs incurred extremely high. Judicious SET is the only method to decrease this epidemic of iatrogenic multiple gestations. Clinical trials have shown that programmes with >50% of SET maintain high overall ongoing pregnancy rates ( approximately 30% per started cycle) while reducing the MP rate to select patients suitable for SET and embryos with a high putative implantation potential. The typical patient suitable for SET is young (aged Embryo selection is performed using one or a combination of embryo characteristics. Available evidence suggests that, for the overall population, day 3 and day 5 selection yield similar results but better than zygote selection results. Prospective studies correlating embryo characteristics with documented implantation potential, utilizing databases of individual embryos, are needed. The application of SET should be supported by other measures: reimbursement of IVF/ICSI (earned back by reducing costs), optimized cryopreservation to augment cumulative pregnancy rates per oocyte harvest and a standardized format for reporting results. To make SET the standard of care in the appropriate target group, there is a need for more clinical studies, for intensive counselling of patients, and for an increased sense of responsibility in patients, health care providers and health insurers.

  14. Live birth rates are satisfactory following multiple IVF treatment cycles in poor prognosis patients.

    Science.gov (United States)

    Mustafa, Kamarul B; Keane, Kevin N; Walz, Nikita L; Mitrovic, Katarina I; Hinchliffe, Peter M; Yovich, John L

    2017-03-01

    This seven-year retrospective study analysed the live birth rate (LBR) for women undergoing IVF treatment with various antral follicle counts (AFC). The LBR decreased with lower AFC ratings, and in 290 treatment cycles for women in the poorest AFC category, ≤4 follicles (group E), the LBR was the lowest at 10.7%. The pregnancy loss rate (PLR) significantly increased with poorer AFC categories, from 21.8% in AFC group A (≥20 follicles), to 54.4% in AFC group E (p<0.0001). This trend was repeated with advancing age, from 21.6% for younger women (<35years), to 32.9, 48.5 and 100% for ages 35-39, 40-44 and ≥45 years, respectively (p<0.0001). However, LBR within the specific AFC group E cohort was also age-dependent and decreased significantly from 30.0% for <35 years old, to 13.3, 3.9 and 0% for patients aged 35-39, 40-44 and ≥45 years, respectively. Most, importantly, LBR rates within these age groups were not dependent on the number of IVF attempts (1st, 2nd, 3rd or ≥4 cycles), which indicated that cycle number should not be the primary deciding factor for cessation of IVF treatment in responding women <45years old. Copyright © 2016 Society for Biology of Reproduction & the Institute of Animal Reproduction and Food Research of Polish Academy of Sciences in Olsztyn. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.

  15. Factors Influencing Anxiety in Infertile Women Undergoing IVF/ICSI Treatment

    Directory of Open Access Journals (Sweden)

    Maryam Hassanzadeh Bashtian

    2018-04-01

    Full Text Available Background & aim: Infertility can lead to a diminished sense of well-being and is associated with a high frequency of psychosomatic and somatic disorders. Generally, infertile women are more affected by infertility than men. This study aimed to determine factors influencing anxiety among infertile women undergoing in-vitro fertilization (IVF and intracytoplasmic sperm injection (ICSI. Methods: This cross-sectional study was conducted on 224 infertile women who were candidate for IVF/ICSI referred to Milad IVF Center, Mashhad, Iran, from September 2015 to July 2016. Prior to the treatment, the participants completed the demographic characteristics questionnaire and Beck Anxiety Inventory (BAI to assess the level of anxiety. Additionally, a self-structured questionnaire containing the infertility-associated data including the duration and cause of infertility as well as history and the duration of treatment, was completed by the respondents. The subjects were selected through purposive sampling technique. Data analysis was performed using Mann-Whitney U, Kruskal-Wallis, Fisher exact test, regression tests, as well as Spearman’s correlation coefficient in SPSS software, version 16.   Results: The results obtained from BAI showed that 38.4% of the subjects had moderate anxiety. There was a significant relationship between the level of anxiety and age (P=0.001, the cause of infertility (P=0.007, and the duration of treatment (P=0.001. Conclusion: As the level of anxiety was higher in infertile women with younger age, female factor infertility and longer duration of treatment, it is recommended to consider this population more vulnerable and to provide them supportive counseling to be able to overcome their anxiety.

  16. InSAR detects increase in surface subsidence caused by an Arctic tundra fire

    Science.gov (United States)

    Liu, Lin; Jafarov, Elchin E.; Schaefer, Kevin M.; Jones, Benjamin M.; Zebker, Howard A.; Williams, Christopher A.; Rogan, John; Zhang, Tingjun

    2014-01-01

    Wildfire is a major disturbance in the Arctic tundra and boreal forests, having a significant impact on soil hydrology, carbon cycling, and permafrost dynamics. This study explores the use of the microwave Interferometric Synthetic Aperture Radar (InSAR) technique to map and quantify ground surface subsidence caused by the Anaktuvuk River fire on the North Slope of Alaska. We detected an increase of up to 8 cm of thaw-season ground subsidence after the fire, which is due to a combination of thickened active layer and permafrost thaw subsidence. Our results illustrate the effectiveness and potential of using InSAR to quantify fire impacts on the Arctic tundra, especially in regions underlain by ice-rich permafrost. Our study also suggests that surface subsidence is a more comprehensive indicator of fire impacts on ice-rich permafrost terrain than changes in active layer thickness alone.

  17. Subsidence feature discrimination using deep convolutional neral networks in synthetic aperture radar imagery

    CSIR Research Space (South Africa)

    Schwegmann, Colin P

    2017-07-01

    Full Text Available International Geoscience and Remote Sensing Symposium (IGARSS), 23-28 July 2017, Fort Worth, TX, USA SUBSIDENCE FEATURE DISCRIMINATION USING DEEP CONVOLUTIONAL NEURAL NETWORKS IN SYNTHETIC APERTURE RADAR IMAGERY Schwegmann, Colin P Kleynhans, Waldo...

  18. Assessment of South Pars Gas Field Subsidence Due To Gas Withdrawal

    Directory of Open Access Journals (Sweden)

    Akbar Ghazifard

    2014-12-01

    Full Text Available Withdrawal of oil and gas from reservoirs causes a decrease in pore pressure and an increase in effective stress which results to a reservoir compaction. Reservoir compaction will result in surface subsidence through the elastic response of the subsurface. Usually in order to determine the subsidence above a hydrocarbon field, the reservoir compaction must be first calculated and then the effect of this compaction on the surface should be modeled. The use of the uniaxial compaction theory is more prevalent and an accepted method for determining the amount of reservoir compaction. But despite of the reservoir compaction calculation method, there are many methods with different advantages and shortcomings for modeling of surface subsidence. In this study, a simple analytical method and semi‌-analytical methods (AEsubs software were used for modeling of the surface subsidence of the South Pars gas field at the end of the production period.

  19. Bacterial growth efficiency in a tropical estuary: Seasonal variability subsidized by allochthonous carbon

    Digital Repository Service at National Institute of Oceanography (India)

    Ram, A.S.P.; Nair, S.; Chandramohan, D.

    between primary production of carbon and amount of carbon consumed by bacteria. Despite the two systems being subsidized by allochthonous inputs, the low BGE in the coastal waters may be attributable to the nature and time interval in the supply...

  20. A Procedure to Map Subsidence at the Regional Scale Using the Persistent Scatterer Interferometry (PSI Technique

    Directory of Open Access Journals (Sweden)

    Ascanio Rosi

    2014-10-01

    Full Text Available In this paper, we present a procedure to map subsidence at the regional scale by means of persistent scatterer interferometry (PSI. Subsidence analysis is usually restricted to plain areas and where the presence of this phenomenon is already known. The proposed procedure allows a fast identification of subsidences in large and hilly-mountainous areas. The test area is the Tuscany region, in Central Italy, where several areas are affected by natural and anthropogenic subsidence and where PSI data acquired by the Envisat satellite are available both in ascending and descending orbit. The procedure consists of the definition of the vertical and horizontal components of the deformation measured by satellite at first, then of the calculation of the “real” displacement direction, so that mainly vertical deformations can be individuated and mapped.

  1. Resistivity changes of rock massif on the margin of subsidence depression

    Czech Academy of Sciences Publication Activity Database

    Bláha, P.; Doležalová, Hana; Duras, R.; Müller, Karel

    Zeszyt 4, č. 4 (2007), s. 5-12 ISSN 1896-3145 Institutional research plan: CEZ:AV0Z30860518 Keywords : resistivity * subsidence * geophysics Subject RIV: DC - Siesmology, Volcanology, Earth Structure www.wydawnictwopolitechniki.pl

  2. GROUND SUBSIDENCE MONITORING WITH MT-InSAR AND MECHANISM INVERSION OVER XI’AN, CHINA

    Directory of Open Access Journals (Sweden)

    M. M. Peng

    2018-04-01

    Full Text Available The ancient Xi’an, China, has been suffering severe land subsidence and ground fissure hazards since the 1960s, which has affected the safety of Subways. Multi-sensor SAR data are conducted to monitor the latest complex ground deformation and its influence on subway line No.3 over Xi’an. Annual deformation rates have been retrieved to reveal the spatiotemporal evolution of ground subsidence in Xi’an city from 2013 to 2017. Meanwhile, the correlation between land subsidence and ground fissures are analyzed by retrieving the deformation differences in both sides of the fissures. Besides, the deformation along subway line No. 3 is analyzed, and the fast deformation section is quantitatively studied. Finally, a flat lying sill model with distributed contractions is implemented to model the InSAR deformation over YHZ subsidence center, which manifests that the ground deformation is mainly caused by groundwater withdrawal.

  3. Assisted reproductive technology in Egypt, 2003–2004: Results generated from the Egyptian IVF registry

    Directory of Open Access Journals (Sweden)

    Ragaa T. Mansour

    2011-03-01

    Conclusions: These are the fourth and fifth consecutive reports of the activities of the Egyptian IVF registry for cycles initiated during the years 2003–2004. The clinical pregnancy rates were comparable with the previous reports. The multiple pregnancy rate is still higher than would be desired, as a result of the proportion of women receiving high number of embryos (⩾3 embryos per transfer. OHSS is also high and therefore preventative measures must be stricter. More efforts are needed to complete data on deliveries and perinatal mortalities.

  4. Does supplementation of in-vitro culture medium with melatonin improve IVF outcome in PCOS?

    Science.gov (United States)

    Kim, Mi Kyoung; Park, Eun A; Kim, Hyung Joon; Choi, Won Yun; Cho, Jung Hyun; Lee, Woo Sik; Cha, Kwang Yul; Kim, You Shin; Lee, Dong Ryul; Yoon, Tae Ki

    2013-01-01

    Human pre-ovulatory follicular fluid (FF) contains a higher concentration of melatonin than serum. The aim of this study was to evaluate the effect of melatonin supplementation of culture medium on the clinical outcomes of an in-vitro maturation (IVM) IVF-embryo transfer programme for patients with polycystic ovarian syndrome (PCOS). Melatonin concentrations in the culture media of granulosa cells (GC) or cumulus-oocyte-complexes (COC) were measured and the clinical outcomes after using IVM media with or without melatonin were analysed. In the culture media of GC or COC, melatonin concentrations gradually increased. When human chorionic gonadotrophin priming protocols were used, implantation rates in the melatonin-supplemented group were higher than those of the non-supplemented control group (PPregnancy rates were also higher, although not significantly. The findings suggest that the addition of melatonin to IVM media may improve the cytoplasmic maturation of human immature oocytes and subsequent clinical outcomes. It is speculated that follicular melatonin may be released from luteinizing GC during late folliculogenesis and that melatonin supplementation may be used to improve the clinical outcomes of IVM IVF-embryo transfer. Melatonin is primarily produced by the pineal gland and regulates a variety of important central and peripheral actions related to circadian rhythms and reproduction. Interestingly, human pre-ovulatory follicular fluid contains a higher concentration of melatonin than serum. However, in contrast to animal studies, the direct role of melatonin on oocyte maturation in the human system has not yet been investigated. So, the aim of the study was to evaluate the effect of melatonin supplementation of culture medium on the clinical outcome of an in-vitro maturation (IVM) IVF-embryo transfer programme for PCOS patients. The melatonin concentrations in culture medium of granulosa cells (GC) or cumulus-oocyte-complexes (COC) were measured and the

  5. Hospital costs during the first 5 years of life for multiples compared with singletons born after IVF or ICSI.

    Science.gov (United States)

    van Heesch, M M J; Evers, J L H; van der Hoeven, M A H B M; Dumoulin, J C M; van Beijsterveldt, C E M; Bonsel, G J; Dykgraaf, R H M; van Goudoever, J B; Koopman-Esseboom, C; Nelen, W L D M; Steiner, K; Tamminga, P; Tonch, N; Torrance, H L; Dirksen, C D

    2015-06-01

    Do in vitro fertilization (IVF) multiples generate higher hospital costs than IVF singletons, from birth up to age 5? Hospital costs from birth up to age 5 were significantly higher among IVF/ICSI multiple children compared with IVF/ICSI singletons; however, when excluding the costs incurred during the birth admission period, hospital costs of multiples and singletons were comparable. Concern has risen over the long-term outcome of children born after IVF. The increased incidence of multiple births in IVF as a result of double-embryo transfer predisposes children to a poorer neonatal outcome such as preterm birth and low birthweight. As a consequence, IVF multiples require more medical care. Costs and consequences of poorer neonatal outcomes in multiples may also exist later in life. All 5497 children born from IVF in 2003-2005, whose parents received IVF or ICSI treatment in one of five participating Dutch IVF centers, served as a basis for a retrospective cohort study. Based on gestational age, birthweight, Apgar and congenital malformation, children were assigned to one of three risk strata (low-, moderate- or high-risk). To enhance the efficiency of the data collection, 816 multiples and 584 singletons were selected for 5-year follow-up based on stratified (risk) sampling. Parental informed consent was received of 322 multiples and 293 singletons. Individual-level hospital resource use data (hospitalization, outpatient visits and medical procedures) were retrieved from hospital information systems and patient charts for 302 multiples and 278 singletons. The risk of hospitalization (OR 4.9, 95% CI 3.3-7.0), outpatient visits (OR 2.6, 95% CI 1.8-3.6) and medical procedures (OR 1.7, 95% CI 1.2-2.2) was higher for multiples compared with singletons. The average hospital costs amounted to €10 018 and €2093 during the birth admission period (P IVF/ICSI multiples compared with IVF/ICSI singletons. Single-embryo transfer may result in substantial savings

  6. NuSTAR observations of heavily obscured quasars at z ~ 0.5

    DEFF Research Database (Denmark)

    Lansbury, G. B.; Alexander, D. M.; Del Moro, A.

    2014-01-01

    We present NuSTAR hard X-ray observations of three Type 2 quasars at z ≈ 0.4-0.5, optically selected from the Sloan Digital Sky Survey. Although the quasars show evidence for being heavily obscured, Compton-thick systems on the basis of the 2-10 keV to [O III] luminosity ratio and multiwavelength...

  7. Mid-infrared plasmonic resonances exploiting heavily-doped Ge on Si

    Science.gov (United States)

    Biagioni, P.; Sakat, E.; Baldassarre, L.; Calandrini, E.; Samarelli, A.; Gallacher, K.; Frigerio, J.; Isella, G.; Paul, D. J.; Ortolani, M.

    2015-03-01

    We address the behavior of mid-infrared localized plasmon resonances in elongated germanium antennas integrated on silicon substrates. Calculations based on Mie theory and on the experimentally retrieved dielectric constant allow us to study the tunability and the figures of merit of plasmon resonances in heavily-doped germanium and to preliminarily compare them with those of the most established plasmonic material, gold.

  8. Gemcitabine and capecitabine for heavily pre-treated metastatic colorectal cancer patients

    DEFF Research Database (Denmark)

    Spindler, Karen-Lise G; Pallisgaard, Niels; Andersen, Rikke F

    2014-01-01

    AIM: We investigated the efficacy and safety of capecitabine and gemcitabin (GemCap) in heavily pre-treated, therapy-resistant metastatic colorectal cancer (mCRC) patients and the clinical importance of cell-free DNA (cfDNA) measurement. PATIENTS AND METHODS: Patients' inclusion criteria included...

  9. AFM of metallic nano-particles and nano-structures in heavily irradiated NaCl

    NARCIS (Netherlands)

    Gaynutdinov, R; Vainshtein, DI; Hak, SJ; Tolstikhina, A; Den Hartog, HW

    2003-01-01

    AFM investigations are reported for heavily, electron irradiated NaCl crystals in ultra high vacuum (UHV) in the non-contact mode-with an UHV AFM/STM Omicron system. To avoid chemical reactions between the radiolytic Na and oxygen and water, the irradiated samples were cleaved and prepared for the

  10. Becoming a Heavily Tattooed Young Body: From a Bodily Experience to a Body Project

    Science.gov (United States)

    Ferreira, Vitor Sérgio

    2014-01-01

    Why some young people start to tattoo their bodies? And why some of them keep going on with this practice, until having all body tattooed? What doing so means to them? These are some of the questions that underlie a qualitative research project carried out in Portugal on heavily tattooed young people. In this article, the author discusses their…

  11. Dual Inhibition of EGFR and VEGF in Heavily Pretreated Patients with Metastatic Colorectal Cancer

    DEFF Research Database (Denmark)

    Larsen, Finn Ole; Markussen, Alice; Nielsen, Dorte

    2017-01-01

    : The combination of irinotecan, bevacizumab, and cetuximab/panitumumab is safe and shows a toxicity profile corresponding to what is expected from the agents alone. The results indicate that the combination in the 4th line may result in a high rate of disease control in heavily pretreated patients with metastatic...

  12. Long term costs and effects of reducing the number of twin pregnancies in IVF by single embryo transfer: the TwinSing study

    NARCIS (Netherlands)

    van Heesch, M.M.J.; Bonsel, G.J.; Dumoulin, J.C.M.; Evers, J.L.H.; van der Hoeven, M.A.H.B.; Severens, J.L.; Dykgraaf, R.H.M.; van der Veen, F.; Tonch, N.; Nelen, W.L.D.M.; van Zonneveld, P.; van Goudoever, J.B.; Tamminga, P.; Steiner, K.; Koopman-Esseboom, C.; van Beijsterveldt, C.E.M.; Boomsma, D.I.; Snellen, D.; Dirksen, C.D.

    2010-01-01

    Background: Pregnancies induced by in vitro fertilisation (IVF) often result in twin gestations, which are associated with both maternal and perinatal complications. An effective way to reduce the number of IVF twin pregnancies is to decrease the number of embryos transferred from two to one. The

  13. Cost-effectiveness of a mild compared with a standard strategy for IVF : a randomized comparison using cumulative term live birth as the primary endpoint

    NARCIS (Netherlands)

    Polinder, S.; Heijnen, E. M. E. W.; Macklon, N. S.; Habbema, J. D. F.; Fauser, B. J. C. M.; Eijkemans, M. J. C.

    Background: Conventional ovarian stimulation and the transfer of two embryos in IVF exhibits an inherent high probability of multiple pregnancies, resulting in high costs. We evaluated the cost-effectiveness of a mild compared with a conventional strategy for IVF. Methods: Four hundred and four

  14. Single and repeated GnRH agonist stimulation tests compared with basal markers of ovarian reserve in the prediction of outcome in IVF

    NARCIS (Netherlands)

    Hendriks, D.J.; Broekmans, F.J.M.; Bancsi, L.F.J.M.M.; Looman, C.W.N.; Jong, F.H. de; Velde, E.R. te

    Purpose: To study the value of a single or repeated GnRH agonist stimulation test (GAST) in predicting outcome in IVF compared to basal ovarian reserve tests. Methods: A total of 57 women was included. In a cycle prior to the IVF treatment, on day 3, an antral follicle count (AFC) was performed

  15. In-vitro maturation versus IVF with GnRH antagonist for women with polycystic ovary syndrome: treatment outcome and rates of ovarian hyperstimulation syndrome.

    Science.gov (United States)

    Das, Mausumi; Son, Weon-Young; Buckett, William; Tulandi, Togas; Holzer, Hananel

    2014-11-01

    In-vitro maturation (IVM) treatment has gained popularity for decreasing the incidence of ovarian hyperstimulation syndrome (OHSS) by eliminating or minimizing the use of gonadotrophins in women with polycystic ovary syndrome (PCOS). Studies have shown that IVF with GnRH-antagonist protocol is associated with a lower incidence of OHSS. Data comparing the relative success of these two treatments is, however, lacking. Treatment outcome and rates of OHSS were compared in patients with PCOS who underwent assisted conception with either IVM or IVF with GnRH-antagonist protocol between 2006 and 2011. The number of oocytes retrieved was higher in the IVM group, whereas the number of mature oocytes, fertilization rate and number of embryos cleaved were comparable. The implantation rate was higher in the IVF group. The clinical pregnancy rates per embryo transfer were not statistically different (IVF: 45.8% versus IVM: 32.4%). The live-birth rate was higher in the IVF group (IVF: 40.7% versus IVM: 23.5%; P = 0.04). Five women developed moderate or severe OHSS in the IVF group, whereas none did in the IVM group. Both IVM and IVF with GnRH-antagonist protocol seem to be effective treatment regimens in women with PCOS, although IVM is associated with a lower risk of OHSS. Copyright © 2014 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  16. Individualized FSH dosing based on ovarian reserve testing in women starting IVF/ICSI : A multicentre trial and cost-effectiveness analysis

    NARCIS (Netherlands)

    van Tilborg, Theodora C.; Oudshoorn, Simone C.; Eijkemans, Marinus J. C.; Mochtar, Monique H.; van Golde, Ron J. T.; Hoek, Annemieke; Kuchenbecker, Walter K. H.; Fleischer, Kathrin; de Bruin, Jan Peter; Groen, Henk; van Wely, Madelon; Lambalk, Cornelis B.; Laven, Joop S. E.; Mol, Ben Willem J.; Broekmans, Frank J. M.; Torrance, Helen L.

    2017-01-01

    STUDY QUESTION: Is there a difference in live birth rate and/or cost-effectiveness between antral follicle count (AFC)-based individualized FSH dosing or standard FSH dosing in women starting IVF or ICSI treatment? SUMMARY ANSWER: In women initiating IVF/ICSI, AFC-based individualized FSH dosing

  17. Individualized FSH dosing based on ovarian reserve testing in women starting IVF/ICSI: a multicentre trial and cost-effectiveness analysis

    NARCIS (Netherlands)

    van Tilborg, Theodora C.; Oudshoorn, Simone C.; Eijkemans, Marinus J. C.; Mochtar, Monique H.; van Golde, Ron J. T.; Hoek, Annemieke; Kuchenbecker, Walter K. H.; Fleischer, Kathrin; de Bruin, Jan Peter; Groen, Henk; van Wely, Madelon; Lambalk, Cornelis B.; Laven, Joop S. E.; Mol, Ben Willem J.; Broekmans, Frank J. M.; Torrance, Helen L.

    2017-01-01

    STUDY QUESTION: Is there a difference in live birth rate and/or cost-effectiveness between antral follicle count (AFC)-based individualized FSH dosing or standard FSH dosing in women starting IVF or ICSI treatment? SUMMARY ANSWER: In women initiating IVF/ICSI, AFC-based individualized FSH dosing

  18. Update on subsidence at the Wairakei-Tauhara geothermal system, New Zealand

    International Nuclear Information System (INIS)

    Allis, Rick; Bromley, Chris; Currie, Steve

    2009-01-01

    The total subsidence at the Wairakei field as a result of 50 years of geothermal fluid extraction is 15 ± 0.5 m. Subsidence rates in the center of the subsidence bowl have decreased from over 450 mm/year during the 1970s to 80-90 mm/year during 2000-2007. The location of the bowl, adjacent to the original liquid outflow zone of the field, has not changed significantly. Subsidence at the Tauhara field due to Wairakei production was not as well documented in the early years but appeared later and has been less intense than at Wairakei. Total subsidence of 2.6 ± 0.5 m has also occurred close to the original liquid outflow zone of this field, and maximum subsidence rates in this area today are in the 80-100 mm/year range. In the western part of the Wairakei field, near the area of hot upflow, subsidence rates have approximately doubled during the last 20 years to 30-50 mm/year. This increase appears to be have been caused by declining pressure in the underlying steam zone in this area, which is tapped by some production wells. At Tauhara field, two areas of subsidence have developed since the 1990s with rates of 50-65 mm/year. Although less well-determined, this subsidence may also be caused by declining pressure in shallow steam zones. The cause of the main subsidence bowls in the Wairakei-Tauhara geothermal system is locally high-compressibility rocks within the Huka Falls Formation (HFF), which are predominantly lake sediments and an intervening layer of pumice breccia. At Wairakei, casing deformation suggests the greatest compaction is at 150-200 m depth. The cause of the large compressibility is inferred to be higher clay content in the HFF due to intense hydrothermal alteration close to the natural fluid discharge areas. Future subsidence is predicted to add an additional 2-4 m to the Wairakei bowl, and 1-2 m elsewhere, but these estimates depend on the assumed production-injection scenarios. (author)

  19. Model test on partial expansion in stratified subsidence during foundation pit dewatering

    Science.gov (United States)

    Wang, Jianxiu; Deng, Yansheng; Ma, Ruiqiang; Liu, Xiaotian; Guo, Qingfeng; Liu, Shaoli; Shao, Yule; Wu, Linbo; Zhou, Jie; Yang, Tianliang; Wang, Hanmei; Huang, Xinlei

    2018-02-01

    Partial expansion was observed in stratified subsidence during foundation pit dewatering. However, the phenomenon was suspected to be an error because the compression of layers is known to occur when subsidence occurs. A slice of the subsidence cone induced by drawdown was selected as the prototype. Model tests were performed to investigate the phenomenon. The underlying confined aquifer was generated as a movable rigid plate with a hinge at one end. The overlying layers were simulated with remolded materials collected from a construction site. Model tests performed under the conceptual model indicated that partial expansion occurred in stratified settlements under coordination deformation and consolidation conditions. During foundation pit dewatering, rapid drawdown resulted in rapid subsidence in the dewatered confined aquifer. The rapidly subsiding confined aquifer top was the bottom deformation boundary of the overlying layers. Non-coordination deformation was observed at the top and bottom of the subsiding overlying layers. The subsidence of overlying layers was larger at the bottom than at the top. The layers expanded and became thicker. The phenomenon was verified using numerical simulation method based on finite difference method. Compared with numerical simulation results, the boundary effect of the physical tests was obvious in the observation point close to the movable endpoint. The tensile stress of the overlying soil layers induced by the underlying settlement of dewatered confined aquifer contributed to the expansion phenomenon. The partial expansion of overlying soil layers was defined as inversed rebound. The inversed rebound was induced by inversed coordination deformation. Compression was induced by the consolidation in the overlying soil layers because of drainage. Partial expansion occurred when the expansion exceeded the compression. Considering the inversed rebound, traditional layer-wise summation method for calculating subsidence should be

  20. Low hanging fruit? Regulations and energy efficiency in subsidized multifamily housing

    International Nuclear Information System (INIS)

    Reina, Vincent J.; Kontokosta, Constantine

    2017-01-01

    The U.S. government has invested in multifamily housing through an array of subsidized housing programs. These programs provide a venue for understanding how regulations governing multifamily housing can affect an owner's incentive to make energy efficient investments, and a tenant's desire to reduce their energy consumption levels. This paper empirically tests the impact of subsidized housing regulations on the energy efficiency of multi-family housing for low-income households. We begin by constructing a unique database that integrates actual energy use with physical, socioeconomic, and regulatory characteristics of all large multifamily properties in New York City, focusing on whether a property receives a federal rental subsidy. We employ multivariate regression models to examine the factors that influence energy consumption in multi-family buildings and compare subsidized housing to market-rate housing, controlling for a range of building and household characteristics. We find that subsidized properties are associated with higher energy consumption than similar market-rate properties and, of the subsidized housing programs, Public Housing tends to consume the most energy. Our results suggest that despite the potential for retrofitting multifamily properties, and associated cost, energy, and carbon emissions savings, regulatory factors constrain investment and consumption decisions in the case of subsidized properties. Reducing energy use in subsidized housing, therefore, rests on modifying existing regulations. - Highlights: • Developed a framework for why regulations affect utility consumption incentives. • Created and employed a dataset of actual energy use for all large properties in NYC. • Found that subsidized properties are associated with higher utility consumption. • Find that Public Housing tends to consume the most energy of the subsidy programs. • Find that regulatory factors affect investment and consumption decisions.

  1. Leveraging Subsidence in Permafrost with Remotely Sensed Active Layer Thickness (ReSALT) Products

    Science.gov (United States)

    Schaefer, K. M.; Chen, A.; Chen, J.; Chen, R. H.; Liu, L.; Michaelides, R. J.; Moghaddam, M.; Parsekian, A.; Tabatabaeenejad, A.; Thompson, J. A.; Zebker, H. A.; Meyer, F. J.

    2017-12-01

    The Remotely Sensed Active Layer Thickness (ReSALT) product uses the Interferometric Synthetic Aperture Radar (InSAR) technique to measure ground subsidence in permafrost regions. Seasonal subsidence results from the expansion of soil water into ice as the surface soil or active layer freezes and thaws each year. Subsidence trends result from large-scale thaw of permafrost and from the melting and subsequent drainage of excess ground ice in permafrost-affected soils. The attached figure shows the 2006-2010 average seasonal subsidence from ReSALT around Barrow, Alaska. The average active layer thickness (the maximum surface thaw depth during summer) is 30-40 cm, resulting in an average seasonal subsidence of 1-3 cm. Analysis of the seasonal subsidence and subsidence trends provides valuable insights into important permafrost processes, such as the freeze/thaw of the active layer, large-scale thawing due to climate change, the impact of fire, and infrastructure vulnerability. ReSALT supports the Arctic-Boreal Vulnerability Experiment (ABoVE) field campaign in Alaska and northwest Canada and is a precursor for a potential NASA-ISRO Synthetic Aperture Radar (NISAR) product. ReSALT includes uncertainties for all parameters and is validated against in situ measurements from the Circumpolar Active Layer Monitoring (CALM) network, Ground Penetrating Radar and mechanical probe measurements. Here we present examples of ReSALT products in Alaska to highlight the untapped potential of the InSAR technique to understand permafrost dynamics, with a strong emphasis on the underlying processes that drive the subsidence.

  2. Improving the influence function method to take topography into the calculation of mining subsidence

    OpenAIRE

    Cai , Yinfei; Verdel , Thierry; Deck , Olivier; LI , Xiao-Jong

    2016-01-01

    International audience; The classic influence function method is often used in the calculation of mining subsidence caused by stratiform underground excavations. Theoretically,its use is limited to the subsidence predictions under the condition of horizontal ground surface. In order to improve the original influence function method to take topographic variations into account. Due to real-world mining conditions that are usually complicated, it is difficult to separate topography influences fr...

  3. Long-Term Land Subsidence Monitoring of Beijing (China Using the Small Baseline Subset (SBAS Technique

    Directory of Open Access Journals (Sweden)

    Bo Hu

    2014-04-01

    Full Text Available Advanced techniques of multi-temporal InSAR (MT-InSAR represent a valuable tool in ground subsidence studies allowing remote investigation of the behavior of mass movements in long time intervals by using large datasets of SAR images covering the same area and acquired at different epochs. Beijing is susceptible to subsidence, producing undesirable environmental impacts and affecting dense population. Excessive groundwater withdrawal is thought to be the primary cause of land subsidence, and rapid urbanization and economic development, mass construction of skyscrapers, highways and underground engineering facilities (e.g., subway are also contributing factors. In this paper, a spatial–temporal analysis of the land subsidence in Beijing was performed using one of the MT-InSAR techniques, referred to as Small Baseline Subset (SBAS. This technique allows monitoring the temporal evolution of a deformation phenomenon, via the generation of mean deformation velocity maps and displacement time series from a data set of acquired SAR images. 52 C-band ENVISAT ASAR images acquired from June 2003 to August 2010 were used to produce a linear deformation rate map and to derive time series of ground deformation. The results show that there are three large subsidence funnels within this study area, which separately located in Balizhuang-Dajiaoting in Chaoyang district, Wangjing-Laiguangying Chaoyang district, Gaoliying Shunyi district. The maximum settlement center is Wangsiying-Tongzhou along the Beijing express; the subsidence velocity exceeds 110 mm/y in the LOS direction. In particular, we compared the achieved results with leveling measurements that are assumed as reference. The estimated long-term subsidence results obtained by SBAS approach agree well with the development of the over-exploitation of ground water, indicating that SBAS techniques is adequate for the retrieval of land subsidence in Beijing from multi-temporal SAR data.

  4. Differential subsidence in Mexico City and implications to its Collective Transport System (Metro).

    Science.gov (United States)

    Solano Rojas, D. E.; Wdowinski, S.; Cabral-Cano, E.; Osmanoglu, B.

    2017-12-01

    Mexico City is one of the fastest subsiding metropolis in the world. At displacement rates ranging from 0 to -380 [mm/yr], the complex geological setting is subjected to differential subsidence, which has led to damage, operation interruptions, and accidents to the Collective Transport System, or Metro. The Metro plays a critical role in Mexico City, carrying more than four million passengers per day. However, no previous study has focused on the deformation monitoring along the 93 km of the Metro surface railways, mainly because of the limitations of the traditional geodetic techniques. In this study, we use high-resolution Interferometric Synthetic Aperture Radar (InSAR) observations to monitor land subsidence throughout the city and quantify differential subsidence along surface Metro lines. Our analysis is based on 34 TerraSAR-X StripMap scenes acquired from May 2011 to June 2013 and 36 COSMO-SkyMed Stripmap scenes acquired from June 2011 to June 2012. The data were processed using the StaMPS InSAR time series technique, obtaining point densities of up to 4827 points/km2. Our post-processing methodologies include the following two components: (1) Detection of differential subsidence along the metro lines by calculating subsidence gradients, and (2) Detection of apparent uplift—areas subsiding slower than their surroundings—by using spatial frequency filtering. The two analyses allow us to recognize four main consequences of differential subsidence in the Metro system: 1. Deflection in elevated railways, 2. Deflection in street-level railways, 3. Columns with decreased loading capacity, and 4. Apparent uplift affecting surrounding infrastructure. Our results aim at shortening the large gap between scientific geodetic studies and applicable engineering parameters that can be used by local authorities in the city for maintenance and new lines development.

  5. Stress triggering of earthquakes and subsidence in the Louisiana coastal zone due to hydrocarbon production

    Science.gov (United States)

    Mallman, Ellen P.

    This thesis presents contributions towards better understanding of the interaction between earthquakes through elastic stress triggering and the role of hydrocarbon production on subsidence and land loss in southern Louisiana. The first issue addressed in this thesis is that of the role of static stress changes on earthquake triggering. The first study investigated whether observed changes in seismicity rate following the 1992 Landers, California and 1995 Kobe, Japan earthquakes are accurately predicted by elastic Coulomb stress transfer models. The analyses found that for all the tested DeltaCFS models wherever seismicity rate changes could be resolved the rate increased regardless of whether the DeltaCFS theoretically promoted or inhibited failure. The second study the common definition of a stress shadow was extended to independently test the stress shadow hypothesis using a global catalog of seismicity. The analyses indicated that while stress shadows are subtle, they are present in the global catalog. It also explains why "classical" stress shadows, similar to what was observed following the 1906 San Francisco earthquake are rarely observed for individual main shocks. The second issue addressed in this thesis is the role of hydrocarbon production on subsidence and land loss in the Louisiana Coastal Zone. The two studies in this thesis extend previous work by modeling the effect of oil and gas production in the region in two ways. First, multiple producing oil and gas fields and multiple epochs of leveling data are considered to provide constraints on predicted subsidence. Second, the role of compaction of the reservoir bounding shales on the regional subsidence signal is included. The results of the two studies on the role of hydrocarbon production on subsidence in the Louisiana Coastal Zone indicate that regional models of subsidence must include the effects of production-induced subsidence due to both sands and shales, but that this can not account for the

  6. Monitoring Mining Subsidence Using A Combination of Phase-Stacking and Offset-Tracking Methods

    Directory of Open Access Journals (Sweden)

    Hongdong Fan

    2015-07-01

    Full Text Available An approach to study the mechanism of mining-induced subsidence, using a combination of phase-stacking and sub-pixel offset-tracking methods, is reported. In this method, land subsidence with a small deformation gradient was calculated using time-series differential interferometric synthetic aperture radar (D-InSAR data, whereas areas with greater subsidence were calculated by a sub-pixel offset-tracking method. With this approach, time-series data for mining subsidence were derived in Yulin area using 11 TerraSAR-X (TSX scenes from 13 December 2012 to 2 April 2013. The maximum mining subsidence and velocity values were 4.478 m and 40 mm/day, respectively, which were beyond the monitoring capabilities of D-InSAR and advanced InSAR. The results were compared with the GPS field survey data, and the root mean square errors (RMSE of the results in the strike and dip directions were 0.16 m and 0.11 m, respectively. Four important results were obtained from the time-series subsidence in this mining area: (1 the mining-induced subsidence entered the residual deformation stage within about 44 days; (2 the advance angle of influence changed from 75.6° to 80.7°; (3 the prediction parameters of mining subsidence; (4 three-dimensional deformation. This method could be used to predict the occurrence of mining accidents and to help in the restoration of the ecological environment after mining activities have ended.

  7. Evaluating Land Subsidence Rates and Their Implications for Land Loss in the Lower Mississippi River Basin

    Directory of Open Access Journals (Sweden)

    Lei Zou

    2015-12-01

    Full Text Available High subsidence rates, along with eustatic sea-level change, sediment accumulation and shoreline erosion have led to widespread land loss and the deterioration of ecosystem health around the Lower Mississippi River Basin (LMRB. A proper evaluation of the spatial pattern of subsidence rates in the LMRB is the key to understanding the mechanisms of the submergence, estimating its potential impacts on land loss and the long-term sustainability of the region. Based on the subsidence rate data derived from benchmark surveys from 1922 to 1995, this paper constructed a subsidence rate surface for the region through the empirical Bayesian kriging (EBK interpolation method. The results show that the subsidence rates in the region ranged from 1.7 to 29 mm/year, with an average rate of 9.4 mm/year. Subsidence rates increased from north to south as the outcome of both regional geophysical conditions and anthropogenic activities. Four areas of high subsidence rates were found, and they are located in Orleans, Jefferson, Terrebonne and Plaquemines parishes. A projection of future landscape loss using the interpolated subsidence rates reveals that areas below zero elevation in the LMRB will increase from 3.86% in 2004 to 19.79% in 2030 and 30.88% in 2050. This translates to a growing increase of areas that are vulnerable to land loss from 44.3 km2/year to 240.7 km2/year from 2011 to 2050. Under the same scenario, Lafourche, Plaquemines and Terrebonne parishes will experience serious loss of wetlands, whereas Orleans and Jefferson parishes will lose significant developed land, and Lafourche parish will endure severe loss of agriculture land.

  8. Bivariate analysis of basal serum anti-Müllerian hormone measurements and human blastocyst development after IVF

    Directory of Open Access Journals (Sweden)

    Sills E Scott

    2011-12-01

    Full Text Available Abstract Background To report on relationships among baseline serum anti-Müllerian hormone (AMH measurements, blastocyst development and other selected embryology parameters observed in non-donor oocyte IVF cycles. Methods Pre-treatment AMH was measured in patients undergoing IVF (n = 79 and retrospectively correlated to in vitro embryo development noted during culture. Results Mean (+/- SD age for study patients in this study group was 36.3 ± 4.0 (range = 28-45 yrs, and mean (+/- SD terminal serum estradiol during IVF was 5929 +/- 4056 pmol/l. A moderate positive correlation (0.49; 95% CI 0.31 to 0.65 was noted between basal serum AMH and number of MII oocytes retrieved. Similarly, a moderate positive correlation (0.44 was observed between serum AMH and number of early cleavage-stage embryos (95% CI 0.24 to 0.61, suggesting a relationship between serum AMH and embryo development in IVF. Of note, serum AMH levels at baseline were significantly different for patients who did and did not undergo blastocyst transfer (15.6 vs. 10.9 pmol/l; p = 0.029. Conclusions While serum AMH has found increasing application as a predictor of ovarian reserve for patients prior to IVF, its roles to estimate in vitro embryo morphology and potential to advance to blastocyst stage have not been extensively investigated. These data suggest that baseline serum AMH determinations can help forecast blastocyst developmental during IVF. Serum AMH measured before treatment may assist patients, clinicians and embryologists as scheduling of embryo transfer is outlined. Additional studies are needed to confirm these correlations and to better define the role of baseline serum AMH level in the prediction of blastocyst formation.

  9. Anthropogenic and geologic influences on subsidence in the vicinity of New Orleans, Louisiana

    Science.gov (United States)

    Jones, Cathleen E.; An, Karen; Blom, Ronald G.; Kent, Joshua D.; Ivins, Erik R.; Bekaert, David

    2016-05-01

    New measurements of ongoing subsidence of land proximal to the city of New Orleans, Louisiana, and including areas around the communities of Norco and Lutcher upriver along the Mississippi are reported. The rates of vertical motion are derived from interferometric synthetic aperture radar (InSAR) applied to Uninhabited Aerial Vehicle Synthetic Aperture Radar (UAVSAR) data acquired on 16 June 2009 and 2 July 2012. The subsidence trends are similar to those reported for 2002-2004 in parts of New Orleans where observations overlap, in particular in Michoud, the 9th Ward, and Chalmette, but are measured at much higher spatial resolution (6 m). The spatial associations of cumulative surface movements suggest that the most likely drivers of subsidence are groundwater withdrawal and surficial drainage/dewatering activities. High subsidence rates are observed localized around some major industrial facilities and can affect nearby flood control infrastructure. Substantial subsidence is observed to occur rapidly from shallow compaction in highly localized areas, which is why it could be missed in subsidence surveys relying on point measurements at limited locations.

  10. The impact of subsidence on straight and curved modular cementless revision stems in hip revision surgery.

    Science.gov (United States)

    Fraile Suari, A; Gil González, S; Pérez Prieto, D; León García, A; Mestre Cortadellas, C; Tey Pons, M; Marqués López, F

    Subsidence is one of the potential complications in femoral stem revision total hip arthroplasty surgery, and can affect stability and osseointegration. A retrospective study was conducted on the outcomes at one year and 5 years (specifically subsidence and clinical relevance) of 40 consecutive femoral total hip arthroplasty revisions, comparing two modular cementless revision stems, Straight vs. Curved, with 20 patients in each group. No mechanical failure was observed, and there was an improvement in functional outcomes. Mean radiological subsidence was 9.9±4.9mm (straight=10.75mm vs. curved=9.03mm), with no statistically significant difference between groups (p=0,076). Fourteen patients (35%) had ≥10mm of subsidence, up to a maximum of 22mm. The subsidence found in this study is similar to published series, with no short-term clinical manifestations, or an increased number of complications or stem loosening in either the Straight or Curved group. No differences in subsidence were observed at one year and 5 years after surgery between the 2 types of stems. Copyright © 2017 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. GIS-based Analysis of LS Factor under Coal Mining Subsidence Impacts in Sandy Region

    Directory of Open Access Journals (Sweden)

    W. Xiao

    2014-09-01

    Full Text Available Coal deposits in the adjacent regions of Shanxi, Shaanxi, and Inner Mongolia province (SSI account for approximately two-thirds of coal in China; therefore, the SSI region has become the frontier of coal mining and its westward movement. Numerous adverse impacts to land and environment have arisen in these sandy, arid, and ecologically fragile areas. Underground coal mining activities cause land to subside and subsequent soil erosion, with slope length and slope steepness (LS as the key influential factor. In this investigation, an SSI mining site was chosen as a case study area, and 1 the pre-mining LS factor was obtained using a digital elevation model (DEM dataset; 2 a mining subsidence prediction was implemented with revised subsidence prediction factors; and 3 the post-mining LS factor was calculated by integrating the pre-mining DEM dataset and coal mining subsidence prediction data. The results revealed that the LS factor leads to some changes in the bottom of subsidence basin and considerable alterations at the basin’s edges of basin. Moreover, the LS factor became larger in the steeper terrain under subsidence impacts. This integrated method could quantitatively analyse LS changes and spatial distribution under mining impacts, which will benefit and provide references for soil erosion evaluations in this region

  12. An Analysis Model for Water Cone Subsidence in Bottom Water Drive Reservoirs

    Science.gov (United States)

    Wang, Jianjun; Xu, Hui; Wu, Shucheng; Yang, Chao; Kong, lingxiao; Zeng, Baoquan; Xu, Haixia; Qu, Tailai

    2017-12-01

    Water coning in bottom water drive reservoirs, which will result in earlier water breakthrough, rapid increase in water cut and low recovery level, has drawn tremendous attention in petroleum engineering field. As one simple and effective method to inhibit bottom water coning, shut-in coning control is usually preferred in oilfield to control the water cone and furthermore to enhance economic performance. However, most of the water coning researchers just have been done on investigation of the coning behavior as it grows up, the reported studies for water cone subsidence are very scarce. The goal of this work is to present an analytical model for water cone subsidence to analyze the subsidence of water cone when the well shut in. Based on Dupuit critical oil production rate formula, an analytical model is developed to estimate the initial water cone shape at the point of critical drawdown. Then, with the initial water cone shape equation, we propose an analysis model for water cone subsidence in bottom water reservoir reservoirs. Model analysis and several sensitivity studies are conducted. This work presents accurate and fast analytical model to perform the water cone subsidence in bottom water drive reservoirs. To consider the recent interests in development of bottom drive reservoirs, our approach provides a promising technique for better understanding the subsidence of water cone.

  13. Selective use of corifollitropin for controlled ovarian stimulation for IVF in patients with low anti-Müllerian hormone

    DEFF Research Database (Denmark)

    Nielsen, Anna Pors; Korsholm, Anne-Sofie; Lemmen, Josephine G.

    2016-01-01

    Corifollitropin, a long-acting follicle-stimulating hormone (FSH) analogue used for in vitro fertilization (IVF), does not allow individualization of dosage, and the ovarian response is similar to around 300 IU of daily recombinant FSH. This has raised concerns about the risk of ovarian hyperstim......Corifollitropin, a long-acting follicle-stimulating hormone (FSH) analogue used for in vitro fertilization (IVF), does not allow individualization of dosage, and the ovarian response is similar to around 300 IU of daily recombinant FSH. This has raised concerns about the risk of ovarian...

  14. Pre-stimulation parameters predicting live birth after IVF in the long GnRH agonist protocol

    DEFF Research Database (Denmark)

    Pettersson, Göran; Andersen, Anders Nyboe; Broberg, Per

    2010-01-01

    This retrospective study aimed to identify novel pre-stimulation parameters associated with live birth in IVF and to develop a model for prediction of the chances of live birth at an early phase of the treatment cycle. Data were collected from a randomized trial in couples with unexplained...... infertility, tubal factor, mild male factor or other reason for infertility. All women (n=731) had undergone an IVF cycle (no intracytoplasmic sperm injection) after stimulation with human menopausal gonadotrophin or follicle-stimulating hormone following the long gonadotrophin-releasing hormone agonist...

  15. Individualized versus standard FSH dosing in women starting IVF/ICSI: An RCT. Part 2: The predicted hyper responder

    OpenAIRE

    Oudshoorn, Simone C.; Van Tilborg, Theodora C.; Eijkemans, Marinus J. C.; Oosterhuis, G. Jur E.; Friederich, Jaap; van Hooff, Marcel H. A.; van Santbrink, Evert J. P.; Brinkhuis, Egbert A.; Smeenk, Jesper M. J.; Kwee, Janet; de Koning, Corry H.; Groen, Henk; Lambalk, Cornelis B.; Mol, Ben Willem J.; Broekmans, Frank J. M.

    2017-01-01

    STUDY QUESTION: Does a reduced FSH dose in women with a predicted hyper response, apparent from a high antral follicle count (AFC), who are scheduled for IVF/ICSI lead to a different outcome with respect to cumulative live birth rate and safety? SUMMARY ANSWER: Although in women with a predicted hyper response (AFC > 15) undergoing IVF/ICSI a reduced FSH dose (100 IU per day) results in similar cumulative live birth rates and a lower occurrence of any grade of ovarian hyperstimulation syndrom...

  16. Pre-stimulation parameters predicting live birth after IVF in the long GnRH agonist protocol

    DEFF Research Database (Denmark)

    Pettersson, Göran; Andersen, Anders Nyboe; Broberg, Per

    2010-01-01

    infertility, tubal factor, mild male factor or other reason for infertility. All women (n=731) had undergone an IVF cycle (no intracytoplasmic sperm injection) after stimulation with human menopausal gonadotrophin or follicle-stimulating hormone following the long gonadotrophin-releasing hormone agonist......This retrospective study aimed to identify novel pre-stimulation parameters associated with live birth in IVF and to develop a model for prediction of the chances of live birth at an early phase of the treatment cycle. Data were collected from a randomized trial in couples with unexplained...

  17. Review: MicroRNAs in assisted reproduction and their potential role in IVF failure.

    Science.gov (United States)

    Siristatidis, Charalampos; Vogiatzi, Paraskevi; Brachnis, Nikos; Liassidou, Aspasia; Iliodromiti, Zoe; Bettocchi, Stefano; Chrelias, Charalampos

    2015-01-01

    MicroRNAs (miRNAs) have recently emerged as important regulators of gene expression stability. In the endometrium, miRNAs are involved in the dynamic changes associated with the menstrual cycle, implicated in implantation and in reproductive disorders. We performed a review in an attempt to assess the potential biological pathways linking altered miRNAs profiles with in vitro fertilisation (IVF) failure. Crucially, as miRNAs appear to have a significant role in the course of reproduction, they are excellent research candidates with the potential to enable a better understanding over the underlying molecular activities that prevent implantation and further progression of the embryo. Further steps include in-depth pathway mapping of the implantation process and the characterization of the respective miRNAs and associated links. The efficiency of any intervention should determine whether miRNA profiling could possibly be adopted in routine practice to substantially improve the diagnostic accuracy and, in parallel, the directed treatment of the next-generation IVF. Copyright © 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.

  18. Follicular fluid lipid fingerprinting from women with PCOS and hyper response during IVF treatment.

    Science.gov (United States)

    Cordeiro, Fernanda Bertuccez; Cataldi, Thaís Regiani; do Vale Teixeira da Costa, Lívia; de Lima, Camila Bruna; Stevanato, Juliana; Zylbersztejn, Daniel Suslik; Ferreira, Christina Ramires; Eberlin, Marcos Nogueira; Cedenho, Agnaldo Pereira; Turco, Edson Guimarães Lo

    2015-01-01

    Polycystic ovary syndrome (PCOS) is an endocrine-metabolic disorder that leads to lower natural reproductive potential and presents a challenge for assisted reproductive medicine because patients may exhibit immature oocyte retrieval and a higher risk of ovarian hyper stimulation syndrome during in vitro fertilization (IVF) treatment. This study aimed to identify potential lipid biomarkers for women with PCOS and a hyper response to controlled ovarian stimulation. Follicular fluid samples were collected from patients who underwent IVF, including normal responder women who became pregnant (control group, n = 11), women with PCOS and a hyper response to gonadotropins (PCOS group, n = 7) and women with only hyper response to gonadotropins (HR group, n = 7). A lipidomic analysis was performed by electrospray ionization mass spectrometry, and candidate biomarkers were analyzed by tandem mass spectrometry experiment. The lipid profiles indicated particularities related to differences in phosphatidylcholine (PCOS and HR), phosphatidylserine, phosphatydilinositol and phosphatidylglycerol (control), sphingolipids (PCOS) and phosphatidylethanolamine (control and HR). These findings contribute to the understanding of the molecular mechanisms associated with lipid metabolism in the PCOS-related hyper response, and strongly suggest that these lipids may be useful as biomarkers, leading to the development of more individualized treatment for pregnancy outcome.

  19. Novel embryo selection techniques to increase embryo implantation in IVF attempts.

    Science.gov (United States)

    Sigalos, George Α; Triantafyllidou, Olga; Vlahos, Nikos F

    2016-11-01

    The final success of an IVF attempt depends on several steps and decisions taken during the ovarian stimulation, the oocyte retrieval, the embryo culture and the embryo transfer. The final selection of the embryos most likely to implant is the final step in this process and the responsibility of the lab. Apart from strict morphologic criteria that historically have been used in embryo selection, additional information on genetic, metabolomic and morphokinetic characteristics of the embryo is recently combined to morphology to select the embryo most likely to produce a pregnancy. In this manuscript, we review the most recent information on the current methods used for embryo selection presenting the predictive capability of each one. A literature search was performed on Pubmed, Medline and Cochrane Database of Systematic Reviews for published studies using appropriate key words and phrases with no limits placed on time. It seems that the combination of morphologic criteria in conjunction to embryo kinetics as documented by time-lapse technology provides the most reliable information on embryo quality. Blastocyst biopsy with subsequent comprehensive chromosome analysis allows the selection of the euploid embryos with the higher implantation potential. Embryo time-lapse imaging and blastocyst biopsy combined to comprehensive chromosome analysis are the most promising technologies to increase pregnancy rates and reduce the possibility of multiple pregnancies. However, further studies will demonstrate the capability of routinely using these technologies to significantly improve IVF outcomes.

  20. Cost--effectiveness analysis of salpingectomy prior to IVF, based on a randomized controlled trial.

    Science.gov (United States)

    Strandell, Annika; Lindhard, Anette; Eckerlund, Ingemar

    2005-12-01

    In patients with ultrasound-visible hydrosalpinges, salpingectomy prior to IVF increases the chance of a live birth. This study compared the cost-effectiveness of this strategy (intervention) with that of optional salpingectomy after a failed cycle (control). Data from a Scandinavian randomized controlled trial were used to calculate the individual number of treatments and their outcomes. Only patients with ultrasound-visible hydrosalpinges were considered in the main analysis, and a maximum of three fresh cycles were included. The costs for surgical procedures, IVF treatment, medication, complications, management of pregnancy and delivery as well as of early pregnancy losses were calculated from standardized hospital charges. Among the 51 patients in the intervention group, the live birth rate was 60.8% compared with 40.9% in 44 controls. The average cost per patient was 13,943 euro and 12,091 euro, respectively. Thus, the average cost per live birth was 22,823 euro in the intervention group and 29,517 euro in the control group. The incremental cost-effectiveness ratio for adopting the intervention strategy was estimated at 9306 euro. The incremental cost to achieve the higher birth rate of the intervention strategy seems reasonable.

  1. Experience with the bonanno catheter in the management of OHSS from IVF-ET Cycles.

    Science.gov (United States)

    Okohue, J E; Oriji, V K; Ikimalo, J I

    2017-07-01

    To document our experience with the use of the Bonanno catheter as a closed abdominal drain for OHSS Methods: A retrospective study of all IVF embryo transfer (ET) treatment cycles carried out between May 2006 and April 2009 at a dedicated IVF centre. Case notes of patients with OHSS were retrieved and the outcome of the continuous closed abdominal drain with Bonanno catheter documented. Within the period under review, 234 patients had controlled ovarian stimulation with ultrasound guided egg retrieval. Two hundred and twenty eight (228) got to the stage of embryo transfer with 72 clinical pregnancies. The clinical pregnancy rate was 31.58%. Fourteen (6%) of those who were stimulated developed OHSS and had a closed abdominal drain of the ascitic fluid using the Bonanno catheter. The average number of days of the abdominal drainage was 7.5days and the average volume of ascitic fluid drained from a patient per day was 2454.9 + 748mls. Eight (8) patients who had OHSS achieved clinical pregnancy (six intrauterine, one ectopic and one heterotopic pregnancies), giving a clinical pregnancy rate of 57.14% in patients with OHSS. Four patients had blocked Bonanno catheters and three of them had the catheter changed while the fourth had the catheter successfully flushed. Four patients had the insertion site dressing changed due to soaking with ascitic fluid. There was no incidence of injury to intra abdominal organs or broken catheter. Bonanno Catheter is both effective and safe in draining ascitic fluid following OHSS.

  2. Transcriptomic profiling of bovine IVF embryos revealed candidate genes and pathways involved in early embryonic development

    Directory of Open Access Journals (Sweden)

    Yandell Brian S

    2010-01-01

    Full Text Available Abstract Background Early embryonic loss is a large contributor to infertility in cattle. Although genetic factors are known to affect early embryonic development, the discovery of such factors has been a serious challenge. The objective of this study was to identify genes differentially expressed between blastocysts and degenerative embryos at early stages of development. Results Using microarrays, genome-wide RNA expression was profiled and compared for in vitro fertilization (IVF - derived blastocysts and embryos undergoing degenerative development up to the same time point. Surprisingly similar transcriptomic profiles were found in degenerative embryos and blastocysts. Nonetheless, we identified 67 transcripts that significantly differed between these two groups of embryos at a 15% false discovery rate, including 33 transcripts showing at least a two-fold difference. Several signaling and metabolic pathways were found to be associated with the developmental status of embryos, among which were previously known important steroid biosynthesis and cell communication pathways in early embryonic development. Conclusions This study presents the first direct and comprehensive comparison of transcriptomes between IVF blastocysts and degenerative embryos, providing important information for potential genes and pathways associated with early embryonic development.

  3. Reporting of embryo transfer methods in IVF research: a cross-sectional study.

    Science.gov (United States)

    Gambadauro, Pietro; Navaratnarajah, Ramesan

    2015-02-01

    The reporting of embryo transfer methods in IVF research was assessed through a cross-sectional analysis of randomized controlled trials (RCTs) published between 2010 and 2011. A systematic search identified 325 abstracts; 122 RCTs were included in the study. Embryo transfer methods were described in 42 out of 122 articles (34%). Catheters (32/42 [76%]) or ultrasound guidance (31/42 [74%]) were most frequently mentioned. Performer 'blinding' (12%) or technique standardization (7%) were seldom reported. The description of embryo transfer methods was significantly more common in trials published by journals with lower impact factor (less than 3, 39.6%; 3 or greater, 21.5%; P = 0.037). Embryo transfer methods were reported more often in trials with pregnancy as the main end-point (33% versus 16%) or with positive outcomes (37.8% versus 25.0%), albeit not significantly. Multivariate logistic regression confirmed that RCTs published in higher impact factor journals are less likely to describe embryo transfer methods (OR 0.371; 95% CI 0.143 to 0.964). Registered trials, trials conducted in an academic setting, multi-centric studies or full-length articles were not positively associated with embryo transfer methods reporting rate. Recent reports of randomized IVF trials rarely describe embryo transfer methods. The under-reporting of research methods might compromise reproducibility and suitability for meta-analysis. Copyright © 2014 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  4. Individualization of the FSH starting dose in IVF/ICSI cycles using the antral follicle count

    Directory of Open Access Journals (Sweden)

    La Marca Antonio

    2013-02-01

    Full Text Available Abstract Background The FSH starting dose is usually chosen according to women’s age, anamnesis, clinical criteria and markers of ovarian reserve. Currently used markers include antral follicle count (AFC, which is considered to have a very high performance in predicting ovarian response to FSH. The objective of the present study to elaborate a nomogram based on AFC for the calculation of the appropriate FSH starting dose in IVF cycles. Methods This is a retrospective study performed at the Mother-Infant Department of Modena University Hospital. IVF patients (n=505 were subjected to blood sampling and transvaginal ultrasound for measurement of serum day3 FSH, estradiol and AFC. The variables predictive of the number of retrieved oocytes were assessed by backwards stepwise multiple regression. The variables reaching the statistical significance were then used in the calculation for the final predictive model. Results A model based on age, AFC and FSH was able to accurately predict the ovarian sensitivity and accounted for 30% of the variability of ovarian response to FSH. An FSH dosage nomogram was constructed and overall it predicts a starting dose lower than 225 IU in 50.2% and 18.1% of patients younger and older than 35 years, respectively. Conclusions The daily FSH dose may be calculated on the basis of age and two markers of ovarian reserve, namely AFC and FSH, with the last two variables being the most significant predictors. The nomogram seems easily applicable during the daily clinical practice.

  5. Prediction of ovarian hyperstimulation syndrome in coasted patients in an IVF/ICSI program

    Directory of Open Access Journals (Sweden)

    Fatimah Y Aljawoan

    2012-01-01

    Full Text Available Aim: To determine why a subgroup of coasted patients developed moderate/severe ovarian hyperstimulation syndrome (OHSS in an assisted reproduction setting. Materials and Methods: Retrospective study of 2948 in-vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI treatment cycles with 327 patients requiring coasting. Long protocol gonadotrophin releasing hormone analogue (GnRH-a regimen was used and serum estradiol (E 2 checked when ≥20 follicles were noted on follicular tracking. Coasting was initiated when leading three follicles were ≥15mm with E 2 ≥1635pg/ml. Results: The incidence of moderate/severe OHSS was 10.4% in coasted patients (equivalent 1.15% of the total IVF/ICSI cycles in the Center. Coasted patients who subsequently developed OHSS showed a significantly higher number of retrieved oocytes, higher serum E 2 level on the day of human chorionic gonadotrophin (hCG administration, and multiple pregnancies. No significant differences were noted with female age, BMI, cause of infertility, gonadotrophin dosage, coasting duration, and % of E 2 drop. Conclusion: Moderate/severe OHSS might be predicted in coasted patients by a combination of total oocyte numbers and E 2 level on the day of hCG. Multiple pregnancies also significantly increased the risk.

  6. Pregnancy derived from human zygote pronuclear transfer in a patient who had arrested embryos after IVF.

    Science.gov (United States)

    Zhang, John; Zhuang, Guanglun; Zeng, Yong; Grifo, Jamie; Acosta, Carlo; Shu, Yimin; Liu, Hui

    2016-10-01

    Nuclear transfer of an oocyte into the cytoplasm of another enucleated oocyte has shown that embryogenesis and implantation are influenced by cytoplasmic factors. We report a case of a 30-year-old nulligravida woman who had two failed IVF cycles characterized by all her embryos arresting at the two-cell stage and ultimately had pronuclear transfer using donor oocytes. After her third IVF cycle, eight out of 12 patient oocytes and 12 out of 15 donor oocytes were fertilized. The patient's pronuclei were transferred subzonally into an enucleated donor cytoplasm resulting in seven reconstructed zygotes. Five viable reconstructed embryos were transferred into the patient's uterus resulting in a triplet pregnancy with fetal heartbeats, normal karyotypes and nuclear genetic fingerprinting matching the mother's genetic fingerprinting. Fetal mitochondrial DNA profiles were identical to those from donor cytoplasm with no detection of patient's mitochondrial DNA. This report suggests that a potentially viable pregnancy with normal karyotype can be achieved through pronuclear transfer. Ongoing work to establish the efficacy and safety of pronuclear transfer will result in its use as an aid for human reproduction. Copyright © 2016 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  7. Conformity expectations: Differential effects on IVF twins and singletons' parent-child relationships and adjustment.

    Science.gov (United States)

    Anderson, Kayla N; Rueter, Martha A; Connor, Jennifer J; Chen, Muzi; Damario, Mark

    2015-08-01

    Increased utilization of in vitro fertilization (IVF) to treat infertility has resulted in a growing twin birthrate. Despite early childhood risks, twins have fewer psychosocial problems in middle childhood than singleton children. This study proposes that parents' conformity expectations for children have differential effects on parent-child relationships for twin and singleton children, which indirectly explains twins' more optimum psychosocial adjustment. Parental conformity expectations, parent-child relationship satisfaction, and children's emotional, behavioral, and attention problems were assessed in a sample of 288 6- to 12-year-old IVF-conceived twins and singletons. Overall, parents of twins had higher expectations for child conformity to parent rules than singleton parents. Path models demonstrate that twin status and parental expectations for child conformity interact to influence parent-child relationships, and this interaction indirectly accounted for differences in twins' and singletons' psychosocial adjustment. Findings suggest parenting constructs have differential influences on the association between twin status and parent-child relationships. Parenting research, predominantly conducted with singletons, should be reexamined before applying existing research to twin children and their families. (c) 2015 APA, all rights reserved).

  8. La subsidence dans le Viking Graben (mer du Nord septentrionale Subsidence in the Viking Graben (Northern Part of the North Sea

    Directory of Open Access Journals (Sweden)

    Vially R.

    2006-11-01

    Full Text Available L'utilisation des modèles numériques de calcul de la subsidence nécessite une bonne connaissance géologique de la zone étudiée. Seule une étude détaillée de stratigraphie sismique le long de profils régionaux passant par des forages permet de contraindre les différents paramètres servant au calcul de la subsidence. L'étude de la subsidence du Viking Graben a mis en évidence trois épisodes : - phase de distension permo-triasique (saalienne ? dont l'axe de subsidence est décalé vers l'est par rapport à l'axe actuel du Viking Graben; - phase de distension jurassique supérieur (cimmérienne qui crée les structures majeures de cette zone; - phase paléocène correspondant au contrecoup de l'ouverture plus à l'ouest de l'Atlantique Nord. Cette phase est surtout sensible à l'ouest de la zone étudiée. Les cartes de subsidence pour les différentes époques font apparaître l'influence du bati calédonien. Deux directions principales apparaissent, une NE-SW correspondant aux directions structurales visibles à terre en Ecosse et une NW-SE discrète qui sépare le Southern Viking Graben du Northern Viking Graben. Cette dernière direction pourrait se calquer sur la suture (au Silurien d'un diverticule de l'océan lapétus, la Tornquist Sea. The use of numerical models for computing subsidence requires a good geological understanding of the zone being examined. Detailed seismic stratigraphy along regional profiles going via boreholes is the only way to determine the different parameters required for computing subsidence. An investigation of the subsidence of the Viking Graben in the North Sea has revealed three episodes:(a The Permo-Triassic (Saalian ? distension phase during which the axis of subsidence lay to the east of the present axis of the Viking Graben. (b The later Jurassic (Kimmerian distension phase which created the major structures in this zone. (c The Paleocene phase corresponding to the backlash of the westward

  9. On Assessment and Estimation of Potential Losses due to Land Subsidence in Urban Areas of Indonesia

    Science.gov (United States)

    Abidin, Hasanuddin Z.; Andreas, Heri; Gumilar, Irwan; Sidiq, Teguh P.

    2016-04-01

    Land subsidence is natural-anthropogenic hazard affecting several large urban areas in Indonesia, i.e. Jakarta, Bandung and Semarang. Geodetic based results from various techniques (e.g. Leveling, GPS and InSAR) show that land subsidence rates in all three cities generally have spatial and temporal variations, and their magnitude is in average about 5-10 cm/year. The impacts of subsidence in those cities can be seen in the field in various forms such as cracking of permanent constructions and roads, tilting of houses and buildings, 'sinking' of houses and buildings, changes in river canal and drain flow systems, wider expansion of coastal and/or inland flooding areas, and increased inland sea water intrusion. These impacts can be categorized into infrastructure, environmental, economic, and social impacts. The potential losses due to land subsidence in urban areas are actually quite significant. Related infrastructural, social and environmental costs due to direct and indirect impacts of land subsidence are economically quite significant, and can not be underestimated in sustainable urban development. The planning, development and maintenance costs of building and infrastructures in the affected areas are usually much higher than the normal situation. The collateral impact of coastal subsidence in Jakarta and Semarang, in the form of coastal flooding during high tides is also quite damaging. This repeated coastal flooding in several areas along the coast will deteriorate the structure and function of building and infrastructures, badly influences the quality of the living environment and life (e.g. health and sanitation condition), and also disrupts economic and social activities in the affected areas. As in the case of Bandung, inland subsidence also has a quite significant impact on inland flooding phenomena, since it will theoretically lead to expanded coverage and deeper water depth of flooded (inundated) areas. Since the direct and indirect impacts of

  10. The periconception maternal cardiovascular risk profile influences human embryonic growth trajectories in IVF/ICSI pregnancies.

    Science.gov (United States)

    Wijnands, K P J; van Uitert, E M; Roeters van Lennep, J E; Koning, A H J; Mulders, A G M G J; Laven, J S E; Steegers, E A P; Steegers-Theunissen, R P M

    2016-06-01

    Is the maternal cardiovascular (CV) risk profile associated with human embryonic growth trajectories and does the mode of conception affect this association? This small study suggests that the maternal CV risk profile is inversely associated with first trimester embryonic growth trajectories in in vitro fertilization (IVF)/intra-cytoplasmic sperm injection (ICSI) pregnancies, but not in spontaneously conceived pregnancies. Maternal high-blood pressure and smoking affect placental function, accompanied by increased risk of fetal growth restriction and low-birthweight. Mothers who experience pregnancies complicated by fetal growth restriction are at increased risk of CV disease in later life. In a prospective periconception birth cohort conducted in a tertiary hospital, 111 singleton ongoing pregnancies with reliable pregnancy dating, no pre-existing maternal disease and no malformed live borns were investigated. Spontaneously conceived pregnancies with a reliable first day of the last menstrual period and a regular menstrual cycle of 25-31 days only (n = 66) and IVF/ICSI pregnancies (n = 45) were included. Women underwent weekly three-dimensional ultrasound scans (3D US) from 6- to 13-week gestational age. To estimate embryonic growth, serial crown-rump length (CRL) measurements were performed using the V-Scope software in a BARCO I-Space. Maternal characteristics and CV risk factors were collected by self-administered questionnaires. The CV risk profile was created based on a score of risk factors, including maternal age, body-mass index, CV disease in the family, diet and smoking. Quartiles of the CV risk score were calculated. Associations between the CV risk score and embryonic growth were assessed using square root transformed CRL in multivariable linear mixed model analyses. From the 111 included pregnancies, 696 3D US data sets were obtained of which 637 (91.5%) CRLs could be measured. In the total group, The CV risk score was inversely, but not significantly

  11. Predicting the chance of live birth for women undergoing IVF: a novel pretreatment counselling tool.

    Science.gov (United States)

    Dhillon, R K; McLernon, D J; Smith, P P; Fishel, S; Dowell, K; Deeks, J J; Bhattacharya, S; Coomarasamy, A

    2016-01-01

    Which pretreatment patient variables have an effect on live birth rates following assisted conception? The predictors in the final multivariate logistic regression model found to be significantly associated with reduced chances of IVF/ICSI success were increasing age (particularly above 36 years), tubal factor infertility, unexplained infertility and Asian or Black ethnicity. The two most widely recognized prediction models for live birth following IVF were developed on data from 1991 to 2007; pre-dating significant changes in clinical practice. These existing IVF outcome prediction models do not incorporate key pretreatment predictors, such as BMI, ethnicity and ovarian reserve, which are readily available now. In this cohort study a model to predict live birth was derived using data collected from 9915 women who underwent IVF/ICSI treatment at any CARE (Centres for Assisted Reproduction) clinic from 2008 to 2012. Model validation was performed on data collected from 2723 women who underwent treatment in 2013. The primary outcome for the model was live birth, which was defined as any birth event in which at least one baby was born alive and survived for more than 1 month. Data were collected from 12 fertility clinics within the CARE consortium in the UK. Multivariable logistic regression was used to develop the model. Discriminatory ability was assessed using the area under receiver operating characteristic (AUROC) curve, and calibration was assessed using calibration-in-the-large and the calibration slope test. The predictors in the final model were female age, BMI, ethnicity, antral follicle count (AFC), previous live birth, previous miscarriage, cause and duration of infertility. Upon assessing predictive ability, the AUROC curve for the final model and validation cohort was (0.62; 95% confidence interval (CI) 0.61-0.63) and (0.62; 95% CI 0.60-0.64) respectively. Calibration-in-the-large showed a systematic over-estimation of the predicted probability of live

  12. Comprehensive protocol of traceability during IVF: the result of a multicentre failure mode and effect analysis.

    Science.gov (United States)

    Rienzi, L; Bariani, F; Dalla Zorza, M; Albani, E; Benini, F; Chamayou, S; Minasi, M G; Parmegiani, L; Restelli, L; Vizziello, G; Costa, A Nanni

    2017-08-01

    Can traceability of gametes and embryos be ensured during IVF? The use of a simple and comprehensive traceability system that includes the most susceptible phases during the IVF process minimizes the risk of mismatches. Mismatches in IVF are very rare but unfortunately possible with dramatic consequences for both patients and health care professionals. Traceability is thus a fundamental aspect of the treatment. A clear process of patient and cell identification involving witnessing protocols has to be in place in every unit. To identify potential failures in the traceability process and to develop strategies to mitigate the risk of mismatches, previously failure mode and effects analysis (FMEA) has been used effectively. The FMEA approach is however a subjective analysis, strictly related to specific protocols and thus the results are not always widely applicable. To reduce subjectivity and to obtain a widespread comprehensive protocol of traceability, a multicentre centrally coordinated FMEA was performed. Seven representative Italian centres (three public and four private) were selected. The study had a duration of 21 months (from April 2015 to December 2016) and was centrally coordinated by a team of experts: a risk analysis specialist, an expert embryologist and a specialist in human factor. Principal investigators of each centre were first instructed about proactive risk assessment and FMEA methodology. A multidisciplinary team to perform the FMEA analysis was then formed in each centre. After mapping the traceability process, each team identified the possible causes of mistakes in their protocol. A risk priority number (RPN) for each identified potential failure mode was calculated. The results of the FMEA analyses were centrally investigated and consistent corrective measures suggested. The teams performed new FMEA analyses after the recommended implementations. In each centre, this study involved: the laboratory director, the Quality Control & Quality

  13. Cumulative live-birth rates per total number of embryos needed to reach newborn in consecutive in vitro fertilization (IVF) cycles: a new approach to measuring the likelihood of IVF success.

    Science.gov (United States)

    Garrido, Nicolás; Bellver, José; Remohí, José; Simón, Carlos; Pellicer, Antonio

    2011-07-01

    To report the use of cumulative live-birth rates (CLBRs) per ovarian stimulation cycle to measure the success of IVF is proving to be the most accurate method for advising couples who failed to conceive, although the accuracy yielded is relatively low, and cycle outcome is highly dependent on the number of embryos replaced. Our aim with this work is to report the CLBRs of IVF as a function of the number of embryos required to reach a live birth (EmbR), considering age, day of ET, and infertility etiology. Survival curves and Kaplan-Meier methods to analyze CLBR in a retrospective cohort with respect to the number of EmbR. University-affiliated infertility center. Infertile couples undergoing IVF using own oocytes. None. CLBR per embryo transferred. CLBRs increase rapidly between 1 and 5 EmbR, moderately between 5 and 15, and slowly thereafter. Live-birth rates rise more slowly when embryos are transferred on days 2-3 rather than on days 5-6, with comparable long-term results. Women's age is a negative factor from 35 to 37 years old, with a dramatic decrease in live-birth rates beyond age 40 years. In addition, there are significant worse results in endometriosis patients. The relationship between CLBR and number of EmbR provides realistic and precise information regarding IVF success and can be used to guide couples and practitioners. Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  14. Flooding and subsidence in the Thames Gateway: impact on insurance loss potential

    Science.gov (United States)

    Royse, Katherine; Horn, Diane; Eldridge, Jillian; Barker, Karen

    2010-05-01

    In the UK, household buildings insurance generally covers loss and damage to the insured property from a range of natural and human perils, including windstorm, flood, subsidence, theft, accidental fire and winter freeze. Consequently, insurers require a reasoned view on the likely scale of losses that they may face to assist in strategic planning, reinsurance structuring, regulatory returns and general risk management. The UK summer 2007 flood events not only provided a clear indication of the scale of potential losses that the industry could face from an individual event, with £3 billion in claims, but also identified a need for insurers and reinsurers to better understand how events may correlate in time and space, and how to most effectively use the computational models of extreme events that are commonly applied to reflect these correlations. In addition to the potential for temporal clustering of events such as windstorms and floods, there is a possibility that seemingly uncorrelated natural perils, such as floods and subsidence, may impact an insurer's portfolio. Where aggregations of large numbers of new properties are planned, such as in the Thames Gateway, consideration of the potential future risk of aggregate losses due to the combination of perils such as subsidence and flood is increasingly important within the insurance company's strategic risk management process. Whilst perils such as subsidence and flooding are generally considered independent within risk modelling, the potential for one event to influence the magnitude and likelihood of the other should be taken into account when determining risk level. In addition, the impact of correlated, but distinctive, loss causing events on particular property types may be significant, particularly if a specific property is designed to protect against one peril but is potentially susceptible to another. We suggest that flood events can lead to increased subsidence risk due to the weight of additional water

  15. Induced endometrial trauma (endometrial scratch) in the mid-luteal menstrual cycle phase preceding first cycle IVF/ICSI versus usual IVF/ICSI therapy: study protocol for a randomised controlled trial.

    Science.gov (United States)

    Pye, Clare; Chatters, Robin; Cohen, Judith; Brian, Kate; Cheong, Ying C; Laird, Susan; Mohiyiddeen, Lamiya; Skull, Jonathan; Walters, Stephen; Young, Tracey; Metwally, Mostafa

    2018-05-20

    Endometrial trauma commonly known as endometrial scratch (ES) has been shown to improve pregnancy rates in women with a history of repeated implantation failure undergoing in vitro fertilisation (IVF), with or without intracytoplasmic sperm injection (ICSI). However, the procedure has not yet been fully explored in women having IVF/ICSI for the first time. This study aims to examine the effect of performing an ES in the mid-luteal phase prior to a first-time IVF/ICSI cycle on the chances of achieving a clinical pregnancy and live birth. If ES can influence this success rate, there would be a significant cost saving to the National Health Service through decreasing the number of IVF/ICSI cycles necessary to achieve a pregnancy, increase the practice of single embryo transfer and consequently have a large impact on risks and costs associated with multiple pregnancies. This 30-month, UK, multicentre, parallel group, randomised controlled trial includes a 9-month internal pilot and health economic analysis recruiting 1044 women from 16 fertility units. It will follow up participants to identify if IVF/ICSI has been successful and live birth has occurred up to 6 weeks post partum. Primary analysis will be on an intention-to-treat basis. A substudy of endometrial samples obtained during the ES will assess the role of immune factors in embryo implantation. Main trial recruitment commenced on January 2017 and is ongoing.Participants randomised to the intervention group will receive the ES procedure in the mid-luteal phase of the preceding cycle prior to first-time IVF/ICSI treatment versus usual IVF/ICSI treatment in the control group, with 1:1 randomisation. The primary outcome is live birth rate after completed 24 weeks gestation. South Central-Berkshire Research Ethics Committee approved the protocol. Findings will be submitted to peer-reviewed journals and abstracts to relevant national and international conferences. ISRCTN23800982; Pre-results. © Article author

  16. The INeS study: prevention of multiple pregnancies: a randomised controlled trial comparing IUI COH versus IVF e SET versus MNC IVF in couples with unexplained or mild male subfertility.

    Science.gov (United States)

    Bensdorp, Alexandra J; Slappendel, Els; Koks, Carolien; Oosterhuis, Jur; Hoek, Annemieke; Hompes, Peter; Broekmans, Frank; Verhoeve, Harold; de Bruin, Jan Peter; van Weert, Janne Meije; Traas, Maaike; Maas, Jacques; Beckers, Nicole; Repping, Sjoerd; Mol, Ben W; van der Veen, Fulco; van Wely, Madelon

    2009-12-18

    Multiple pregnancies are high risk pregnancies with higher chances of maternal and neonatal mortality and morbidity. In the past decades the number of multiple pregnancies has increased. This trend is partly due to the fact that women start family planning at an increased age, but also due to the increased use of ART.Couples with unexplained or mild male subfertility generally receive intrauterine insemination IUI with controlled hormonal stimulation (IUI COH). The cumulative pregnancy rate is 40%, with a 10% multiple pregnancy rate.This study aims to reveal whether alternative treatments such as IVF elective Single Embryo Transfer (IVF e SET) or Modified Natural Cycle IVF (MNC IVF) can reduce the number of multiple pregnancy rates, but uphold similar pregnancy rates as IUI COH in couples with mild male or unexplained subfertility. Secondly, the aim is to perform a cost effective analyses and assess treatment preference of these couples. We plan a multicentre randomised controlled clinical trial in the Netherlands comparing six cycles of intra-uterine insemination with controlled ovarian hyperstimulation or six cycles of Modified Natural Cycle (MNC) IVF or three cycles with IVF-elective Single Embryo Transfer (eSET) plus cryo-cycles within a time frame of 12 months.Couples with unexplained subfertility or mild male subfertility and a poor prognosis for treatment independent pregnancy will be included. Women with anovulatory cycles, severe endometriosis, double sided tubal pathology or serious endocrine illness will be excluded.Our primary outcome is the birth of a healthy singleton. Secondary outcomes are multiple pregnancy, treatment costs, and patient experiences in each treatment arm. The analysis will be performed according tot the intention to treat principle. We will test for non-inferiority of the three arms with respect to live birth. As we accept a 12.5% loss in pregnancy rate in one of the two IVF arms to prevent multiple pregnancies, we need 200 couples

  17. The INeS study: prevention of multiple pregnancies: a randomised controlled trial comparing IUI COH versus IVF e SET versus MNC IVF in couples with unexplained or mild male subfertility

    Directory of Open Access Journals (Sweden)

    Beckers Nicole

    2009-12-01

    Full Text Available Abstract Background Multiple pregnancies are high risk pregnancies with higher chances of maternal and neonatal mortality and morbidity. In the past decades the number of multiple pregnancies has increased. This trend is partly due to the fact that women start family planning at an increased age, but also due to the increased use of ART. Couples with unexplained or mild male subfertility generally receive intrauterine insemination IUI with controlled hormonal stimulation (IUI COH. The cumulative pregnancy rate is 40%, with a 10% multiple pregnancy rate. This study aims to reveal whether alternative treatments such as IVF elective Single Embryo Transfer (IVF e SET or Modified Natural Cycle IVF (MNC IVF can reduce the number of multiple pregnancy rates, but uphold similar pregnancy rates as IUI COH in couples with mild male or unexplained subfertility. Secondly, the aim is to perform a cost effective analyses and assess treatment preference of these couples. Methods/Design We plan a multicentre randomised controlled clinical trial in the Netherlands comparing six cycles of intra-uterine insemination with controlled ovarian hyperstimulation or six cycles of Modified Natural Cycle (MNC IVF or three cycles with IVF-elective Single Embryo Transfer (eSET plus cryo-cycles within a time frame of 12 months. Couples with unexplained subfertility or mild male subfertility and a poor prognosis for treatment independent pregnancy will be included. Women with anovulatory cycles, severe endometriosis, double sided tubal pathology or serious endocrine illness will be excluded. Our primary outcome is the birth of a healthy singleton. Secondary outcomes are multiple pregnancy, treatment costs, and patient experiences in each treatment arm. The analysis will be performed according tot the intention to treat principle. We will test for non-inferiority of the three arms with respect to live birth. As we accept a 12.5% loss in pregnancy rate in one of the two IVF arms

  18. Current Land Subsidence in Tianjin, China Recorded by Three Continuous GPS stations (2010-2014)

    Science.gov (United States)

    Jia, X.; Jing, Q.; Yan, B.; Yu, J.; Gan, W.; Wang, G.

    2014-12-01

    In the past two decades, Global Positioning System (GPS) technologies have been frequently applied to urban subsidence studies, both as a complement, and an alternative to conventional surveying methods. These studies have demonstrated that high-accuracy GPS techniques are an efficient tool in tracking long-term land subsidence. A great number of Continuously Operating Reference GPS Stations (CORS) have been installed in China during the past five years. Considerable land subsidence has been observed from CORS stations installed in several large cities. This study investigated GPS time series observed at three CORS in Tianjin: TJBD (2010-2014), TJBH (2010-2014), and TJWQ (2010-2014). Tianjin is one of the largest cities that is experiencing severe land subsidence problems in China. The observations at the three GPS sites indicate different subsidence rates. The average subsidence rate over four years are 0.2 cm/year at TJBD, 2 cm/year at TJBH, and 4.4 cm/year at TJWQ. The GPS station TJBD is located at Baodi, Tianjin. This area is the least economically developed and have the smallest population compared to the other two areas. Over 80% of water usage in Baodi is for agriculture and only less than 15% is from groundwater. The rapid subsidence at TJBH and TJWQ were caused by huge groundwater withdrawals associate with rapid urban and industrial developments in Binhai and Wuqing. Wuqing district, with a unique location advantage called "Corridor of Beijing and Tianjin", has been experiencing major urbanization. The population has reached 1,053,300 and the water usage has reached 350 million cubic meters in 2012. Over 25% of water usage is from groundwater. Significant annual and half-annual seasonal ground surface fluctuation has been observed from all three GPS stations. The peak-to-peak amplitude of the annual signal is 1.5 cm.

  19. Spatial prediction of ground subsidence susceptibility using an artificial neural network.

    Science.gov (United States)

    Lee, Saro; Park, Inhye; Choi, Jong-Kuk

    2012-02-01

    Ground subsidence in abandoned underground coal mine areas can result in loss of life and property. We analyzed ground subsidence susceptibility (GSS) around abandoned coal mines in Jeong-am, Gangwon-do, South Korea, using artificial neural network (ANN) and geographic information system approaches. Spatial data of subsidence area, topography, and geology, as well as various ground-engineering data, were collected and used to create a raster database of relevant factors for a GSS map. Eight major factors causing ground subsidence were extracted from the existing ground subsidence area: slope, depth of coal mine, distance from pit, groundwater depth, rock-mass rating, distance from fault, geology, and land use. Areas of ground subsidence were randomly divided into a training set to analyze GSS using the ANN and a test set to validate the predicted GSS map. Weights of each factor's relative importance were determined by the back-propagation training algorithms and applied to the input factor. The GSS was then calculated using the weights, and GSS maps were created. The process was repeated ten times to check the stability of analysis model using a different training data set. The map was validated using area-under-the-curve analysis with the ground subsidence areas that had not been used to train the model. The validation showed prediction accuracies between 94.84 and 95.98%, representing overall satisfactory agreement. Among the input factors, "distance from fault" had the highest average weight (i.e., 1.5477), indicating that this factor was most important. The generated maps can be used to estimate hazards to people, property, and existing infrastructure, such as the transportation network, and as part of land-use and infrastructure planning.

  20. Land subsidence in the San Joaquin Valley, California, USA, 2007-14

    Science.gov (United States)

    Sneed, Michelle; Brandt, Justin

    2015-01-01

    Rapid land subsidence was recently measured using multiple methods in two areas of the San Joaquin Valley (SJV): between Merced and Fresno (El Nido), and between Fresno and Bakersfield (Pixley). Recent land-use changes and diminished surface-water availability have led to increased groundwater pumping, groundwater-level declines, and land subsidence. Differential land subsidence has reduced the flow capacity of water-conveyance systems in these areas, exacerbating flood hazards and affecting the delivery of irrigation water. Vertical land-surface changes during 2007–2014 were determined by using Interferometric Synthetic Aperture Radar (InSAR), Continuous Global Positioning System (CGPS), and extensometer data. Results of the InSAR analysis indicate that about 7600 km2 subsided 50–540 mm during 2008–2010; CGPS and extensometer data indicate that these rates continued or accelerated through December 2014. The maximum InSAR-measured rate of 270 mm yr−1 occurred in the El Nido area, and is among the largest rates ever measured in the SJV. In the Pixley area, the maximum InSAR-measured rate during 2008–2010 was 90 mm yr−1. Groundwater was an important part of the water supply in both areas, and pumping increased when land use changed or when surface water was less available. This increased pumping caused groundwater-level declines to near or below historical lows during the drought periods 2007–2009 and 2012–present. Long-term groundwater-level and land-subsidence monitoring in the SJV is critical for understanding the interconnection of land use, groundwater levels, and subsidence, and evaluating management strategies that help mitigate subsidence hazards to infrastructure while optimizing water supplies.

  1. Historic, Recent, and Future Subsidence, Sacramento-San Joaquin Delta, California, USA

    Directory of Open Access Journals (Sweden)

    Steven J Deverel

    2010-08-01

    Full Text Available To estimate and understand recent subsidence, we collected elevation and soils data on Bacon and Sherman islands in 2006 at locations of previous elevation measurements. Measured subsidence rates on Sherman Island from 1988 to 2006 averaged 1.23 cm/year (0.5 in/yr and ranged from 0.7 to 1.7 cm/year (0.3 to 0.7 in/year. Subsidence rates on Bacon Island from 1978 to 2006 averaged 2.2 cm/year (0.9 in/yr and ranged from 1.5 to 3.7 cm/year (0.6 to 1.5 in/yr. Changing land-management practices and decreasing soil organic matter content have resulted in decreasing subsidence rates. On Sherman Island, rates from 1988 to 2006 were about 35% of 1910 to 1988 rates. For Bacon Island, rates from 1978 to 2006 were about 40% less than the 1926-1958 rates. To help understand causes and estimate future subsidence, we developed a subsidence model, SUBCALC, that simulates oxidation and carbon losses, consolidation, wind erosion, and burning and changing soil organic matter content. SUBCALC results agreed well with measured land-surface elevation changes. We predicted elevation decreases from 2007 to 2050 will range from a few centimeters to over 1.3 m (4.3 ft. The largest elevation declines will occur in the central Sacramento-San Joaquin Delta. From 2007 to 2050, the most probable estimated increase in volume below sea level is 349,956,000 million cubic meters (281,300 acre-feet. Consequences of this continuing subsidence include increased drainage loads of water quality constituents of concern, seepage onto islands, and decreased arability.

  2. Subsidence monitoring with geotechnical instruments in the Mexicali Valley, Baja California, Mexico

    Science.gov (United States)

    Glowacka, E.; Sarychikhina, O.; Márquez Ramírez, V. H.; Robles, B.; Nava, F. A.; Farfán, F.; García Arthur, M. A.

    2015-11-01

    The Mexicali Valley (northwestern Mexico), situated in the southern part of the San Andreas fault system, is an area with high tectonic deformation, recent volcanism, and active seismicity. Since 1973, fluid extraction, from the 1500-3000 m depth range, at the Cerro Prieto Geothermal Field (CPGF), has influenced deformation in the Mexicali Valley area, accelerating the subsidence and causing slip along the traces of tectonic faults that limit the subsidence area. Detailed field mapping done since 1989 (González et al., 1998; Glowacka et al., 2005; Suárez-Vidal et al., 2008) in the vicinity of the CPGF shows that many subsidence induced fractures, fissures, collapse features, small grabens, and fresh scarps are related to the known tectonic faults. Subsidence and fault rupture are causing damage to infrastructure, such as roads, railroad tracks, irrigation channels, and agricultural fields. Since 1996, geotechnical instruments installed by CICESE (Centro de Investigación Ciéntifica y de Educación Superior de Ensenada, B.C.) have operated in the Mexicali Valley, for continuous recording of deformation phenomena. Instruments are installed over or very close to the affected faults. To date, the network includes four crackmeters and eight tiltmeters; all instruments have sampling intervals in the 1 to 20 min range. Instrumental records typically show continuous creep, episodic slip events related mainly to the subsidence process, and coseismic slip discontinuities (Glowacka et al., 1999, 2005, 2010; Sarychikhina et al., 2015). The area has also been monitored by levelling surveys every few years and, since the 1990's by studies based on DInSAR data (Carnec and Fabriol, 1999; Hansen, 2001; Sarychikhina et al., 2011). In this work we use data from levelling, DInSAR, and geotechnical instruments records to compare the subsidence caused by anthropogenic activity and/or seismicity with slip recorded by geotechnical instruments, in an attempt to obtain more information

  3. Subsidence monitoring with geotechnical instruments in the Mexicali Valley, Baja California, Mexico

    Directory of Open Access Journals (Sweden)

    E. Glowacka

    2015-11-01

    Full Text Available The Mexicali Valley (northwestern Mexico, situated in the southern part of the San Andreas fault system, is an area with high tectonic deformation, recent volcanism, and active seismicity. Since 1973, fluid extraction, from the 1500–3000 m depth range, at the Cerro Prieto Geothermal Field (CPGF, has influenced deformation in the Mexicali Valley area, accelerating the subsidence and causing slip along the traces of tectonic faults that limit the subsidence area. Detailed field mapping done since 1989 (González et al., 1998; Glowacka et al., 2005; Suárez-Vidal et al., 2008 in the vicinity of the CPGF shows that many subsidence induced fractures, fissures, collapse features, small grabens, and fresh scarps are related to the known tectonic faults. Subsidence and fault rupture are causing damage to infrastructure, such as roads, railroad tracks, irrigation channels, and agricultural fields. Since 1996, geotechnical instruments installed by CICESE (Centro de Investigación Ciéntifica y de Educación Superior de Ensenada, B.C. have operated in the Mexicali Valley, for continuous recording of deformation phenomena. Instruments are installed over or very close to the affected faults. To date, the network includes four crackmeters and eight tiltmeters; all instruments have sampling intervals in the 1 to 20 min range. Instrumental records typically show continuous creep, episodic slip events related mainly to the subsidence process, and coseismic slip discontinuities (Glowacka et al., 1999, 2005, 2010; Sarychikhina et al., 2015. The area has also been monitored by levelling surveys every few years and, since the 1990's by studies based on DInSAR data (Carnec and Fabriol, 1999; Hansen, 2001; Sarychikhina et al., 2011. In this work we use data from levelling, DInSAR, and geotechnical instruments records to compare the subsidence caused by anthropogenic activity and/or seismicity with slip recorded by geotechnical instruments, in an attempt to obtain

  4. Association of gene polymorphisms of interleukin-10 (IL-10 with recurrent miscarriage (RM after fertilization in vitro (IVF

    Directory of Open Access Journals (Sweden)

    K. P. Golovatyuk

    2017-02-01

    Full Text Available The objective: to study genotype frequencies and allelic variants of gene IL-10-1082G>A (rs1800896, depending on the reproductive status and evaluation association with RM after IVF among the residents of Odessa region of Ukraine. Under supervision there were 240 patients of the main group with the RM after IVF and 100 apparently healthy fertile women in the control group K with a history of at least one term delivery and lack of spontaneous abortion episodes. SNPs typing of the genes for immune response in was used the polymerase chain reaction with the melting reaction products in the presence of "adjacent" oligonucleotides. It has been established that the carriers of AA genotype of the gene IL-10-1082G>A, which have been women-residents of Odessa region of Ukraine, had a high probability of occurrence of  RM during pregnancy after IVF (OR 2,56; 95% CI 1,51 - 4,35. Typing of SNPs of the immune response gene IL-10 (rs1800896 can be used as a method of early diagnosis and pregravid prediction of reproductive losses in women with RM after IVF.

  5. The OPTIMIST study: optimisation of cost effectiveness through individualised FSH stimulation dosages for IVF treatment. A randomised controlled trial

    NARCIS (Netherlands)

    van Tilborg, Theodora C.; Eijkemans, Marinus J. C.; Laven, Joop S. E.; Koks, Carolien A. M.; de Bruin, Jan Peter; Scheffer, Gabrielle J.; van Golde, Ron J. T.; Fleischer, Kathrin; Hoek, Annemieke; Nap, Annemiek W.; Kuchenbecker, Walter K. H.; Manger, Petra A.; Brinkhuis, Egbert A.; van Heusden, Arne M.; Sluijmer, Alexander V.; Verhoeff, Arie; van Hooff, Marcel H. A.; Friederich, Jaap; Smeenk, Jesper M. J.; Kwee, Janet; Verhoeve, Harold R.; Lambalk, Cornelis B.; Helmerhorst, Frans M.; van der Veen, Fulco; Mol, Ben Willem J.; Torrance, Helen L.; Broekmans, Frank J. M.

    2012-01-01

    Background: Costs of in vitro fertilisation (IVF) are high, which is partly due to the use of follicle stimulating hormone (FSH). FSH is usually administered in a standard dose. However, due to differences in ovarian reserve between women, ovarian response also differs with potential negative

  6. HP-HMG versus rFSH in treatments combining fresh and frozen IVF cycles: success rates and economic evaluation.

    Science.gov (United States)

    Wex-Wechowski, Jaro; Abou-Setta, Ahmed M; Kildegaard Nielsen, Sandy; Kennedy, Richard

    2010-08-01

    The economic implications of the choice of gonadotrophin influence decision making but their cost-effectiveness in frozen-embryo transfer cycles has not been adequately studied. An economic evaluation was performed comparing highly purified human menopausal gonadotrophin (HP-HMG) and recombinant FSH (rFSH) using individual patient data (n=986) from two large randomized controlled trials using a long agonist IVF protocol. The simulation model incorporated live birth data and published UK costs of IVF-related medical resources. After treatment for up-to-three cycles (one fresh and up to two subsequent fresh or frozen cycles conditional on availability of cryopreserved embryos), the cumulative live birth rate was 53.7% (95% CI 49.3-58.1%) for HP-HMG and 44.6% (40.2-49.0%) for rFSH (OR 1.44, 95% CI 1.12-1.85; Pcosts per IVF treatment for HP-HMG and rFSH were pound5393 ( pound5341-5449) and pound6269 ( pound6210-6324), respectively (number needed to treat to fund one additional treatment was seven; Pcosts applied, the median cost per IVF baby delivered with HP-HMG was pound11,157 ( pound11,089-11,129) and pound14,227 ( pound14,183-14,222) with rFSH (Pcost saving using HP-HMG remained after varying model parameters in a probabilistic sensitivity analysis. 2010 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  7. The influence of the type of embryo culture medium on neonatal birthweight after single embryo transfer in IVF

    NARCIS (Netherlands)

    Vergouw, C.G.; Kostelijk, E.H.; Doejaaren, E.; Hompes, P.G.A.; Lambalk, C.B.; Schats, R.

    2012-01-01

    STUDY QUESTION Does the type of medium used to culture fresh and frozenthawed embryos influence neonatal birthweight after single embryo transfer (SET) in IVF? SUMMARY ANSWER A comparison of two commercially available culture media showed no significant influence on mean birthweight and mean

  8. The impact of IVF/ICSI on parental well-being and anxiety 1 year after childbirth

    NARCIS (Netherlands)

    Jongbloed-Pereboom, M.; Middelburg, K. J.; Heineman, M. J.; Bos, A. F.; Haadsma, M. L.; Hadders-Algra, M.

    More couples are delaying childbirth resulting in an increase of age-related subfertility in women. Subfertility and assisted reproductive technology (ART) treatments may affect couples psychological well-being. The aim of the present study was to investigate whether factors related to IVF/ICSI

  9. A comparison of perinatal outcomes in singletons and multiples born after IVF or ICSI, stratified for neonatal risk criteria

    NARCIS (Netherlands)

    van Heesch, Mirjam M. J.; Evers, Johannes L. H.; Dumoulin, John C. M.; van der Hoeven, Mark A. H. B. M.; van Beijsterveldt, Catharina E. M.; Bonsel, Gouke J.; Dykgraaf, Ramon H. M.; van Goudoever, Johannes B.; Koopman-Esseboom, Corine; Nelen, Willianne L. D. M.; Steiner, Katerina; Tamminga, Pieter; Tonch, Nino; van Zonneveld, Piet; Dirksen, Carmen D.

    2014-01-01

    To compare perinatal singleton and multiple outcomes in a large Dutch in-vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) population and within risk subgroups. Newborns were assigned to a risk category based on gestational age, birthweight, Apgar score and congenital malformation.

  10. Individualized versus standard FSH dosing in women starting IVF/ICSI : An RCT. Part 2: The predicted hyper responder

    NARCIS (Netherlands)

    Oudshoorn, Simone C.; Van Tilborg, Theodora C.; Eijkemans, Marinus J. C.; Oosterhuis, G. Jur E.; Friederich, Jaap; van Hooff, Marcel H. A.; van Santbrink, Evert J. P.; Brinkhuis, Egbert A.; Smeenk, Jesper M. J.; Kwee, Janet; de Koning, Corry H.; Groen, Henk; Lambalk, Cornelis B.; Mol, Ben Willem J.; Broekmans, Frank J. M.; Torrance, Helen L.

    2017-01-01

    STUDY QUESTION: Does a reduced FSH dose in women with a predicted hyper response, apparent from a high antral follicle count (AFC), who are scheduled for IVF/ICSI lead to a different outcome with respect to cumulative live birth rate and safety? SUMMARY ANSWER: Although in women with a predicted

  11. The duration of gonadotropin stimulation does not alter the clinical pregnancy rate in IVF or ICSI cycles.

    Science.gov (United States)

    Purandare, N; Emerson, G; Kirkham, C; Harrity, C; Walsh, D; Mocanu, E

    2017-08-01

    Ovarian stimulation is an essential part of assisted reproduction treatments. Research on whether the duration of stimulation alters the success in assisted reproduction has not been conclusive. The purpose of the study was to establish whether the duration of ovarian stimulation alters the success in assisted reproduction treatments. All fresh (non-donor) stimulation cycles performed in an academic tertiary referral ART centre over a period of 18 years, between 1st January 1997 and 31st December 2014, were identified. Data were prospectively and electronically collected. IVF and ICSI cycles were analysed independently. Each category was then subdivided into assisted reproduction cycles where the antagonist, long (down regulation) and flare protocol were used. Clinical pregnancy was the main outcome measured. A total of 10,478 stimulation cycles (6011 fresh IVF and 4467 fresh ICSI) reaching egg collection were included. We showed no significant difference in CP rates in IVF cycles for the long (p = 0.082), antagonist (p = 0.217) or flare (p = 0.741) protocol cycles or in ICSI cycles with the long (p = 0.223), antagonist (p = 0.766) or the flare (p = 0.690) protocol with regards the duration of stimulation. The duration of stimulation does not alter the CP rate in ICSI or IVF cycles using the long, antagonist or flare stimulation protocol.

  12. Patient preference for a long-acting recombinant FSH product in ovarian hyperstimulation in IVF: a discrete choice experiment

    NARCIS (Netherlands)

    van den Wijngaard, L.; Rodijk, I. C. M.; van der Veen, F.; Gooskens-van Erven, M. H. W.; Koks, C. A. M.; Verhoeve, H. R.; Mol, B. W. J.; van Wely, M.; Mochtar, M. H.

    2015-01-01

    What factors or attributes of a long-acting recombinant FSH (rFSH) or daily-administrated rFSH influence women's preferences IVF? Patients' preferences for rFSH products are primary influenced by the attribute 'number of injections', but a low 'number of injections' is exchanged for a high 'number

  13. Cardiovascular health of 9-year-old IVF offspring: no association with ovarian hyperstimulation and the in vitro procedure

    NARCIS (Netherlands)

    Kuiper, Derk; Hoek, Annemieke; La Bastide-van Gemert, Sacha; Seggers, Jorien; Mulder, Douwe J.; Haadsma, Maaike; Heineman, Maas Jan; Hadders-Algra, Mijna

    2017-01-01

    STUDY QUESTION: Are the in vitro procedure, ovarian hyperstimulation or a combination of these two associated with blood pressure (BP) of 9-year-old IVF children born to subfertile couples? SUMMARY ANSWER: Our study demonstrates that ovarian hyperstimulation and the in vitro procedure are not

  14. Cardiovascular health of 9-year-old IVF offspring : No association with ovarian hyperstimulation and the in vitro procedure

    NARCIS (Netherlands)

    Kuiper, Derk; Hoek, Annemieke; la Bastide-van Gemert, Sacha; Seggers, Jorien; Mulder, Douwe J.; Haadsma, Maaike; Heineman, Maas Jan; Hadders-Algra, Mijna

    2017-01-01

    STUDY QUESTION: Are the in vitro procedure, ovarian hyperstimulation or a combination of these two associated with blood pressure (BP) of 9-year-old IVF children born to subfertile couples? SUMMARY ANSWER: Our study demonstrates that ovarian hyperstimulation and the in vitro procedure are not

  15. Operation of heavily irradiated silicon detectors in non-depletion mode

    International Nuclear Information System (INIS)

    Verbitskaya, E.; Eremin, V.; Ilyashenko, I.; Li, Z.; Haerkoenen, J.; Tuovinen, E.; Luukka, P.

    2006-01-01

    The non-depletion detector operation mode has generally been disregarded as an option in high-energy physics experiments. In this paper, the non-depletion operation is examined by detailed analysis of the electric field distribution and the current pulse response of heavily irradiated silicon (Si) detectors. The previously reported model of double junction in heavily irradiated Si detector is further developed and a simulation of the current pulse response has been performed. It is shown that detectors can operate in a non-depletion mode due to the fact that the value of the electric field in a non-depleted region is high enough for efficient carrier drift. This electric field originates from the current flow through the detector and a consequent drop of the potential across high-resistivity bulk of a non-depleted region. It is anticipated that the electric field in a non-depleted region, which is still electrically neutral, increases with fluence that improves the non-depleted detector operation. Consideration of the electric field in a non-depleted region allows the explanation of the recorded double-peak current pulse shape of heavily irradiated Si detectors and definition of the requirements for the detector operational conditions. Detailed reconstruction of the electric field distribution gives new information on radiation effects in Si detectors

  16. Long-term fiscal implications of subsidizing in-vitro fertilization in Sweden: a lifetime tax perspective.

    Science.gov (United States)

    Svensson, Anders; Connolly, Mark; Gallo, Federico; Hägglund, Leif

    2008-11-01

    In Sweden approximately 3% of annual births are conceived using assisted reproductive technologies (ART). In light of increasing use of ART in Sweden we estimate the lifetime future tax revenues of a child conceived by in-vitro fertilization (IVF) to establish whether public subsidy of IVF represents sound fiscal policy. A modified generational accounting model was developed to calculate the net present value (NPV) of average investment costs required to achieve an IVF-conceived child. The model simulates direct lifetime financial interactions between the child and the Swedish government. Within the model we assume average direct financial transfers are made to the individual (eg, child allowance, education, health care, pension, etc). In return, the individual transfers resources to the government through taxation based on anticipated average earnings. The difference between direct transfers and gross taxes paid equals the net-tax contribution. Individual tax contributions were held constant in the model. Based on average life-expectancy an individual born in 2005 will pay an undiscounted 32.5 million SEK in taxes to the Swedish government and receive 20.9 million SEK in direct financial transfers over their lifetime. When these figures are discounted and IVF costs are included in the analysis we obtain a lifetime NPV of 254,000 SEK with a break-even point at age 41 (the age of achieving a positive NPV) for an individual conceived through IVF. Based on results presented here we conclude that State-funded IVF in Sweden does not negatively impact the long run fiscal budget. Conversely, over an average lifetime an IVF offspring returns a positive net value to the State.

  17. Influence of embryo culture medium (G5 and HTF) on pregnancy and perinatal outcome after IVF: a multicenter RCT.

    Science.gov (United States)

    Kleijkers, Sander H M; Mantikou, Eleni; Slappendel, Els; Consten, Dimitri; van Echten-Arends, Jannie; Wetzels, Alex M; van Wely, Madelon; Smits, Luc J M; van Montfoort, Aafke P A; Repping, Sjoerd; Dumoulin, John C M; Mastenbroek, Sebastiaan

    2016-10-01

    Does embryo culture medium influence pregnancy and perinatal outcome in IVF? Embryo culture media used in IVF affect treatment efficacy and the birthweight of newborns. A wide variety of culture media for human preimplantation embryos in IVF/ICSI treatments currently exists. It is unknown which medium is best in terms of clinical outcomes. Furthermore, it has been suggested that the culture medium used for the in vitro culture of embryos affects birthweight, but this has never been demonstrated by large randomized trials. We conducted a multicenter, double-blind RCT comparing the use of HTF and G5 embryo culture media in IVF. Between July 2010 and May 2012, 836 couples (419 in the HTF group and 417 in the G5 group) were included. The allocated medium (1:1 allocation) was used in all treatment cycles a couple received within 1 year after randomization, including possible transfers with frozen-thawed embryos. The primary outcome was live birth rate. Couples that were scheduled for an IVF or an ICSI treatment at one of the six participating centers in the Netherlands or their affiliated clinics. The live birth rate was higher, albeit nonsignificantly, in couples assigned to G5 than in couples assigned to HTF (44.1% (184/417) versus 37.9% (159/419); RR: 1.2; 95% confidence interval (CI): 0.99-1.37; P = 0.08). Number of utilizable embryos per cycle (2.8 ± 2.3 versus 2.3 ± 1.8; P culture media on perinatal outcome remains to be determined. Embryo culture media used in IVF affect not only treatment efficacy but also perinatal outcome. This suggests that the millions of human embryos that are cultured in vitro each year are sensitive to their environment. These findings should lead to increased awareness, mechanistic studies and legislative adaptations to protect IVF offspring during the first few days of their existence. This project was partly funded by The NutsOhra foundation (Grant 1203-061) and March of Dimes (Grant 6-FY13-153). The authors declare no conflict of

  18. Methods for monitoring land subsidence and earth fissures in the Western USA

    Directory of Open Access Journals (Sweden)

    K. C. Fergason

    2015-11-01

    Full Text Available Depletion of groundwater resources in many deep alluvial basin aquifers in the Western USA is causing land subsidence, as it does in many regions worldwide. Land subsidence can severely and adversely impact infrastructure by changing the ground elevation, ground slope (grade and through the development of ground cracks known as earth fissures that can erode into large gullies. Earth fissures have the potential to compromise the foundations of dams, levees, and other infrastructure and cause failure. Subsequent to an evaluation of the overall subsidence experienced in the vicinity of subsidence-impacted infrastructure, a detailed investigation to search for earth fissures, and design and/or mitigation of potentially effected infrastructure, a focused monitoring system should be designed and implemented. Its purpose is to provide data, and ultimately knowledge, to reduce the potential adverse impacts of land subsidence and earth fissure development to the pertinent infrastructure. This risk reduction is realized by quantifying the rate and distribution of ground deformation, and to detect ground rupture if it occurs, in the vicinity of the infrastructure. The authors have successfully designed and implemented monitoring systems capable of quantifying rates and distributions of ground subsidence and detection of ground rupture at multiple locations throughout the Western USA for several types of infrastructure including dams, levees, channels, basins, roadways, and mining facilities. Effective subsidence and earth fissure monitoring requires understanding and quantification of historic subsidence, estimation of potential future subsidence, delineation of the risk for earth fissures that could impact infrastructure, and motivation and resources to continue monitoring through time. A successful monitoring system provides the means to measure ground deformation, grade changes, displacement, and anticipate and assess the potential for earth fissuring

  19. Subsidence Induced Faulting Hazard risk maps in Mexico City and Morelia, central Mexico

    Science.gov (United States)

    Cabral-Cano, E.; Solano-Rojas, D.; Hernández-Espriu, J.; Cigna, F.; Wdowinski, S.; Osmanoglu, B.; Falorni, G.; Bohane, A.; Colombo, D.

    2012-12-01

    Subsidence and surface faulting have affected urban areas in Central Mexico for decades and the process has intensified as a consequence of urban sprawl and economic growth. This process causes substantial damages to the urban infrastructure and housing structures and in several cities it is becoming a major factor to be considered when planning urban development, land use zoning and hazard mitigation strategies in the next decades. Subsidence is usually associated with aggressive groundwater extraction rates and a general decrease of aquifer static level that promotes soil consolidation, deformation and ultimately, surface faulting. However, local stratigraphic and structural conditions also play an important role in the development and extension of faults. Despite its potential for damaging housing, and other urban infrastructure, the economic impact of this phenomena is poorly known, in part because detailed, city-wide subsidence induced faulting risk maps have not been published before. Nevertheless, modern remote sensing techniques are most suitable for this task. We present the results of a risk analysis for subsidence induced surface faulting in two cities in central Mexico: Morelia and Mexico City. Our analysis in Mexico City and Morelia is based on a risk matrix using the horizontal subsidence gradient from a Persistent Scatterer InSAR (Morelia) and SqueeSAR (Mexico City) analysis and 2010 census population distribution data from Mexico's National Institute of Statistics and Geography. Defining subsidence induced surface faulting vulnerability within these urbanized areas is best determined using both magnitude and horizontal subsidence gradient. Our Morelia analysis (597,000 inhabitants with localized subsidence rates up to 80 mm/yr) shows that 7% of the urbanized area is under a high to very high risk level, and 14% of its population (11.7% and 2.3% respectively) lives within these areas. In the case of the Mexico City (15'490,000 inhabitants for the

  20. Recent ground subsidence at Crown Road, Tauhara and its probable causes

    International Nuclear Information System (INIS)

    Bromley, Chris J.; Manville, Vern R.; Rosenberg, Michael D.; Currie, Steve

    2009-01-01

    A localised ground subsidence anomaly at Crown Road, Taupo, within the Tauhara field of the Wairakei-Tauhara geothermal system, has been subjected to intense scrutiny because of its relatively recent onset and proximity to urban areas. Over a period of 20 years a maximum of 0.63 m of subsidence has accumulated. Uncertainties regarding its cause remain, but the evidence now strongly favours a relatively shallow (about 50 m depth) origin, compared with other geothermal subsidence bowls at Wairakei, Tauhara and Ohaaki. Declining water levels in a shallow boiling aquifer are considered to be the principal driving mechanism at Crown Road. The source of the subsidence is an anomalously compressible formation of intensely altered ignimbrite found at the base of a buried hydrothermal eruption deposit. This formation is dominated by soft kaolinite and smectite-illite clays of high plasticity and water content, resulting from alteration of highly vesiculated pumice, and is capped by a thin hardpan of silicified pyroclastic material, characterised by vuggy macro-porosity, at about 33 m depth. During initiation of the subsidence event, this hardpan may have failed in shear mode around the edges of a buried eruption crater, allowing the overburden to fully load the underlying compressible clays. (author)