How effective is digital educational content in shaping fertility awareness? An interventional, cross-sectional study.

PURPOSE: To determine whether exposure to digital educational content affects fertility awareness and attitudes towards fertility preservation treatments? METHODS: A total of 957 women ages 20 to 45 years participated in this internet-based, interventional, cross-sectional study. A questionnaire assessing knowledge of the reproductive span and attitudes towards fertility preservation treatment was completed by these women before and after exposure to online educational content on ovarian reserve and fertility preservation treatments. Responses before and after exposure to the educational content were compared. RESULTS: Knowledge about female age-related fertility decline improved significantly after exposure to educational content (51.6% vs. 79.6%, p < 0.001). Increased willingness to pursue fertility preservation treatments (38.6% vs. 42.9%, p < 0.001) and to recommend fertility preservation treatments to friends (55% vs. 65.2%, p < 0.001) was observed. Participants who desired to conceive were more positively influenced by the exposure to educational content in their attitudes towards fertility treatments compared to those who do not desire to conceive. CONCLUSIONS: Online educational content has the potential to improve fertility awareness and shape a more positive attitude towards fertility preservation treatments for the public.

Loss of response after switching from brand name to generic formulations: three cases and a discussion of key clinical considerations when switching.

Generic formulations of medications are marketed as therapeutically equivalent and less expensive than branded ones. Multiple studies and case reports have described relapses and worsening clinical outcome in patients after a switch from a brand name to a generic medication. Recent studies have shown that generics do not always lead to the expected costs savings, reducing the impetus to proceed with compulsory generic switching. We report on three patients who experienced clinical deterioration after commencing the generic formulation of their previous brand name psychotropic medication. We discuss key clinical differences between original and generic formulations of the same medication. The use of bioequivalence as an indicator of therapeutic and clinical equivalence, the lack of appropriate studies comparing generic and brand name medications and differences in excipients are some of the factors that could explain variation in clinical response between generic and brand name medications. Generic switching should be decided on a case-by-case basis with disclosure of potential consequences to the patient.

Knowledge inhibition and N400: a within- and a between-subjects study with distractor words.

We tested whether the N400 event-related potential (ERP) indexes the integration of semantic knowledge in the context or whether it indexes the inhibition of activated, but inappropriate, knowledge. A distractor-prime-target word sequence was presented in each trial. Subjects had to make semantic relatedness judgments on prime-target pairs. In the first experiment, subjects had an additional task. They either had to ignore or to attend to distractors. In critical conditions, that is, when distractors were related to targets, the times to make the prime-target semantic relatedness judgments were longer when subjects had to attend to distractors than when they had to ignore them. In accordance with the inhibition hypothesis, the amplitudes of the N400 elicited by distractors were larger in the ignore than in the attend task. In the second experiment, the same distractor-prime-target triplets were used. However, there was no additional task. Subjects only had to make the prime-target semantic-relatedness judgment. They were then split in two subgroups: the good ignorers, who did not take much longer to make the judgment in critical than in control conditions, and the poor ignorers, that is, those who did take much longer. Results were again consistent with the inhibition idea. The amplitudes of the N400s evoked by distractors were larger in the good than in the poor ignorers [corrected]. The results of these two studies are taken together to support the idea that N400 index a semantic inhibition rather than an integration effort.