Juvenile idiopathic arthritis and primary ovarian failure: a two-sample Mendelian randomization analysis in a mixed-gender cohort.

Background: The causal relationship between juvenile idiopathic arthritis (JIA) and primary ovarian failure (POF) remains uncertain. To elucidate this relationship, we employed a two-sample Mendelian randomization analysis. Methods: The single nucleotide polymorphisms (SNPs) associated with JIA were obtained from a previously published genome-wide association study (GWAS), while the pooled data for POF originated from the FinnGen consortium. The study populations consisted exclusively of individuals of European descent. In our Mendelian randomization analysis, we performed inverse-variance weighted analysis, weighted-median analysis, weighted-mode analysis and Mendelian randomization-Egger regression analysis, supplemented by sensitivity analyses to validate the accuracy and robustness of the findings. Results: The IVW (OR = 1.23, 95% CI 1.06-1.43; P = 0.007) and weighted median (OR = 1.25, 95% CI 1.06-1.47; P = 0.009), along with sensitivity analysis validation, provide compelling evidence of a significant causal association between JIA and POF. Conclusion: The study revealed a significant causal association between genetically predicted JIA and POF, indicating that JIA significantly elevates the risk of developing POF. Therefore, it is recommended to implement screening for premature ovarian failure in women diagnosed with JIA.

Tunable bilateral unidirectional transmissions in a grating and photonic crystal hybrid structure.

In this work, bilateral unidirectional transmissions (UDTs) with opposite transmission directions in one hybrid structure are realized using two different resonant mechanisms. The hybrid structure consists of a dielectric grating and a one-dimensional photonic crystal (PC) with a defect sandwiched at its center. One resonant mode is the defect mode of the PC enabling one UDT for one transmission direction. The other resonant mode is the grating guided mode resonance which introduces UDT for the opposite direction. Numerical calculations demonstrate that for each UDT, its transmittance difference, transmittance contrast ratio, and isolation degree can reach 90%, 100%, and 20%, respectively. In addition, the operation wavelength of each UDT as well as the wavelength interval between the two UDTs with opposite transmission directions can be tuned easily by adjusting structural parameters. This novel bilateral UDT creates potential for applications in both free space optics and optical circuits.