ABSTRACT
Background: the effect of elevated progesterone level on human chorionic gonadotropin [HCG] day in in vitro fertilization cycles is controversial. Some suppose that rise in progesterone level seems to have a negative impact on implantation and pregnancy by desynchronizing the endometrium, while others disagree
Objective: to evaluate the superiority of the frozen cycle over fresh cycle on live birth in patients with elevated progesterone level on HCG day
Materials and Methods: in this double-blind, randomized clinical trial, 72 women undergoing assisted reproductive technology with elevated progesterone level [>/=1.8 ng/dl] on HCG day were included. The participants were grouped by fresh versus frozen embryo transfer, randomly. Finally, the clinical pregnancy and live birth rate were compared
Results: the implantation rate was 21.51%. The clinical pregnancy rate was 47.22% in fresh embryo transfer group [17/36] and 41.66% in frozen group [15/36] [p=0. 40]. The live birth rate was not significantly difference between two groups [p=0.56]
Conclusion: None of the fresh and frozen cycles are superior to the other and we recommend individualizing the decision for each patient. The frozen cycle may impose more emotional stress on patients
ABSTRACT
Acute accidental poisoning in children is still an important public health problem. The epidemiological investigation specific for each country is necessary to determine the extent and characteristics of the problem. The aim of our study was to elucidate the current pattern of acute poisoning among children. The present retrospective study describes the epidemiology of acute accidental poisoning in children [less than 10 years old] admitted to the Emergency Department of two teaching hospitals during a period of two years. Three hundred and forty four children under 10 years old were admitted to emergency department of two teaching hospitals due to acute accidental poisoning. Drugs were the most common agents causing the poisoning [58.1%], followed by Hydrocarbons [13.1%], and opioids [9.3%]. Common signs were neurological [42.6%] with lethargy being the most common [39.1%]. 50.6% of cases were discharged from hospital within 6-12 hours, 91.6% of them without any complication. Accidental poisonings are still a significant cause of morbidity among children in developing countries. Regarding the high prevalence of pharmaceutical drug poisoning and because lethargic was the most frequent neurological sign, comprehensive toxicology screen tests should be included as part of the routine evaluation of children presenting to an ED with an apparent life-threatening event