Premature progesterone rise at human chorionic gonadotropin triggering day has no correlation with intracytoplasmic sperm injection outcome

Premature luteinization during in vitro fertilization was commonly happened before the introduction of GnRh analogues. High level of unwanted progesterone is associated with adverse pregnancy outcome and is thought to be induced by inappropriate LH elevation. To evaluate the progesterone level on the day of Human Chorionic Gonadotropin [HCG] triggering in GnRh agonist and antagonist protocols, and its correlation with clinical pregnancy rate and miscarriage rate. One hundred and seven women underwent intracytoplasmic sperm injection with long agonist protocol [n=46] or antagonist protocol [n=61]. Blood sample was obtained from each patient for progesterone level measurement in HCG administration day, then patients were divided into two groups according to their serum progesterone levels on the HCG triggering day: progesterone level <1.2 ng/ml, and progesterone level >/=1.2 ng/ml. Clinical pregnancy and miscarriage rates were evaluated as main outcomes and biochemical pregnancy rate and implantation rate were considered as secondary outcomes. The increased prevalence rate of premature progesterone [progesterone level >/=1.2 ng/ml] in total patients was 13.1% [14/107] and in long agonist protocol group and antagonist protocol group was 15.2% [7/46] and 11.5% [7/61] respectively. Premature progesterone rise had no significant correlation with clinical pregnancy rate in total patients [p=0.174], agonist protocol [p=0.545], and antagonist protocol [p=0.129]. Also premature progesterone rise had no significant association with miscarriage rate in total patients [p=0.077], agonist protocol group [p=0.383] and antagonist protocol group [p=0.087]. A significant rise in progesterone levels at the time of HCG triggering doesn't lead to decrease in pregnancy rate and implantation rate and increase in miscarriage rate

[Assess the disaster preparedness of the selected military hospitals]

Hospitals are the main referral center injured in accidents. Military hospital due to security dimension, have an important role in times of crisis So they need to get ready for the crisis. This study aimed to assess the disaster preparedness system is designed in selected Military hospitals. This is a cross - sectional, discriptive study in 12 selected Military hospitals. A questionnaire with 210 question was used for data collection and analysed with spss18. The overall rating of the hospital disaster preparedness was medium [56/80]. According to essential role of the military hospital in disaster management, The results did not meet expectations andneed to revise the policy