ABSTRACT
ObjectiveTo objectively analyze the effects of traditional Chinese Medicine （TCM） multi-channel intervention on the ovarian function，TCM syndromes and natural conception of poor ovarian responders（kidney-Yin deficiency，liver depression and blood stasis pattern） who planned to receive another in vitro fertilization embryo transfer（IVF-ET）antagonist regimen. MethodThe 128 low-prognosis patients （kidney Yin deficiency，liver depression and blood stasis pattern） who attended the West China Second University Hospital， Sichuan University and the Hospital of Chengdu University of Traditional Chinese Medicine from August 2020 to February 2023 and met the inclusion criteria were selected，and then divided into the treatment group and the control group according to the random number table，with 64 patients in each group. The control group was treated with oral dehydroepiandrosterone（DHEA），while the treatment group was treated with multi-channel TCM（oral TCM decoction + auricular point sticking + Bushen Huoxue prescription through retention enema）. After 3 menstrual cycles，the relevant indicators for ovarian function evaluation，TCM syndrome scores and natural conception were collected from both groups. ResultCompared with the situation before treatment，the basal follicle stimulating hormone（bFSH），bFSH/basal luteinizing hormone（bLH），basal estradiol（bE2），antral follicle count（AFC），the number of oocytes obtained，the number of normal fertilization，the number of superior embryos and TCM syndrome scores in the treatment group were improved after treatment（P<0.05，P<0.01）. For the control group， the bFSH/bLH and TCM syndrome scores were increased after treatment（P<0.05）， while the bFSH，bFSH/bLH，bE2，AFC，the number of oocytes obtained，the number of normal fertilization，and the number of superior embryos showed no significant difference after treatment. Compared with the control group after treatment，bFSH，bFSH/bLH，bE2，AFC，the number of normal fertilization，the number of superior embryos and TCM syndrome scores in the treatment group were better （P<0.05，P<0.01），while there was no significant difference in the number of oocytes obtained. After treatment，there were 3 cases of natural conception in the treatment group，while there were no natural conception in the control group. ConclusionFor patients with poor ovarian response and kidney Yin deficiency，liver depression and blood stasis pattern，multi-channel intervention of TCM plus the antagonist regimen can reduce bFSH，bFSH/bLH values，improve the levels of bE2，increase AFC，the number of oocytes obtained，the number of normal fertilization and the number of superior embryos，improve ovarian function，menstruation and TCM syndromes，improve their quality of life，and even enable some patients to get pregnant naturally before re-progression and improve their pregnancy outcome.
ABSTRACT
RESUMEN La minería a cielo abierto de carbón posibilitará una serie de modificaciones a diferentes ambientes lóticos en Colombia. En este artículo analizamos el caso de una mina de carbón a cielo abierto ubicada en el departamento de La Guajira, Colombia, centrándonos en el estado de conocimiento de la ictiofauna, los potenciales efectos de las modificaciones sobre las comunidades acuáticas y la efectividad de las medidas de restauración/compensación. Para valorar el estado del conocimiento de la ictiofauna, revisamos bibliografía pertinente y utilizamos el estimador de riqueza de especies ICE. Para identificar los potenciales efectos de las modificaciones sobre la biota acuática y la efectividad de las medidas de restauración/compensación realizamos una revisión bibliográfica. Encontramos que cerca del 42 % de las especies de peces de la cuenca del río Ranchería y del área de concesión minera aún son desconocidas. Además, estudios relacionados indican que las transformaciones afectarán de manera negativa las características físicas de los cauces y, en consecuencia, la estructura y función de la biota acuática. Aunque aconsejamos la no intervención de los cuerpos de agua, planteamos algunas recomendaciones bajo un escenario de intervención, como realizar investigación abordando diferentes facetas de la biodiversidad, publicación de los resultados en medios arbitrados, acceso público a los datos, entre otras. Concluimos que si prevalece el beneficio económico derivado de la explotación de carbón sobre la preservación de los ambientes acuáticos habrá una pérdida de funciones y servicios ecológicos indispensables para el ser humano y el equilibrio del ecosistema.
ABSTRACT Open coal mining will cause a series of modifications to different lotic environments in Colombia. In this paper we analyzed the case of an open pit coal mine located in the Department of La Guajira, Colombia, focusing on the state of knowledge of the ichthyofauna, the potential effects of modifications on aquatic communities and the effectiveness of restoration/compensation measures. To assess the state of knowledge ofthe ichthyofauna, we reviewed relevant literature and used the ICE species richness estimator. To identify the potential effects of the modifications on aquatic biota and the effectiveness of the restoration/compensation measures, we carried out a literature review. We found that about 42 % of the fish species in the Ranchería river basin and the mining concession area are still unknown. Furthermore, related studies indicate that the modifications will negatively affect the physical characteristics of the channels and consequently, the structure and function of the aquatic biota. Although we advise the non-intervention of the lotic systems, we propose some recommendations under an intervention scenario, such as conducting research addressing different facets of biodiversity, publication of results in refereed journals, public access to data, among others. We concluded if the economic benefit derived from coal mining prevails over the aquatic environments preservation there will be a loss of functions and ecological services that are indispensable for the human well-being and the ecosystem balance.