ABSTRACT
Endometriosis is a major cause of infertility, and considering its pathophysiology, it is expected to affect pregnancy outcomes as well. This study aimed to evaluate whether endometriosis is associated with adverse pregnancy outcomes after successful conception. Data from singleton pregnancy deliveries between January 2014 and October 2019 were obtained from the Korean Health Insurance Review and Assessment Service database. We compared the clinical characteristics and adverse pregnancy outcomes of women with and without endometriosis. A total of 1,251,597 pregnant women were enrolled; of these, 32,951 (2.6%) were assigned to the endometriosis group. Women with endometriosis had significantly more adverse pregnancy outcomes than those without endometriosis. Adverse pregnancy outcomes associated with endometriosis included preterm labor, preterm birth, preeclampsia, fetal growth restriction, placenta previa, placental abruption, antepartum and postpartum hemorrhage, and stillbirth. This study also showed an increased risk of postpartum hemorrhage, blood transfusion, uterine artery embolization, and cesarean hysterectomy in the endometriosis group compared to the non- endometriosis group. The cesarean delivery rate was significantly higher in the endometriosis group than in the non-endometriosis group, even after excluding cases of antenatal obstetric complications that could increase the risk of cesarean delivery. Women with endometriosis not only have difficulty conceiving, but also have a significantly higher risk of adverse pregnancy outcomes.
ABSTRACT
Oxide thermoelectric materials are nontoxic, chemically and thermally stable in oxidizing environments, cost-effective, and comparatively simpler to synthesize. However, thermoelectric oxides exhibit comparatively lower figure of merit (ZT) than that of metallic alloy counterparts. In this study, nanoscale texturing and interface engineering were utilized for enhancing the thermoelectric performance of oxide polycrystalline Ca3Co4O9 materials, which were synthesized using conventional sintering and spark plasma sintering (SPS) techniques. Results demonstrated that nanoscale platelets (having layered structure with nanoscale spacing) and metallic inclusions provide effective scattering of phonons, resulting in lower thermal conductivity and higher ZT. Thermoelectric measurement direction was found to have a significant effect on the magnitude of ZT because of the strong anisotropy in the transport properties induced by the layered nanostructure. The peak ZT value for the Ca2.85Lu0.15Co3.95Ga0.05O9 specimen measured along both perpendicular and parallel directions with respect to the SPS pressure axis is found be 0.16 at 630 °C and 0.04 at 580 °C, respectively. The peak ZT of 0.25 at 670 °C was observed for the spark plasma-sintered Ca2.95Ag0.05Co4O9 sample. The estimated output power of 2.15 W was obtained for the full size model, showing high-temperature thermoelectric applicability of this nanostructured material without significant oxidation.
