RESUMO
Assisted reproductive technologies (ARTs) are core components of the field of reproductive medicine, encompassing multiple pivotal stages of early development from gamete maturation and fertilization to embryo development. Against the backdrop of a deteriorating trend of global decline in fertility rates, patients with infertility problems increasingly turn to ARTs to realize their dreams of parenthood. However, concomitant with this trend is a growing apprehension regarding the potential adverse effects of ARTs. Herein, we endeavor to discuss several common ARTs procedures utilized in clinical settings and the relevant cutting-edge advancements. The ARTs discussed in the article include in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), biphasic in vitro maturation (biphasic IVM), frozen embryo transfer (FET), preimplantation genetic testing (PGT), non-invasive PGT (niPGT), etc. In addition, we reevaluated their roles within the broader context of assisted reproduction aimed at promoting reproductive health. Additionally, we will delve into the impact of ARTs on the reproductive health of the offspring. By prioritizing the reproductive well-being of both patients and their offspring, the ongoing development and improvement of ARTs to enhance their efficacy and safety will contribute significantly to the advancement of human reproductive health.
Assuntos
Técnicas de Reprodução Assistida , Humanos , Técnicas de Reprodução Assistida/efeitos adversos , Feminino , Saúde Reprodutiva , Fertilização in vitro/métodos , Injeções de Esperma Intracitoplásmicas , Transferência Embrionária/métodos , Infertilidade/etiologia , Infertilidade/terapia , Diagnóstico Pré-Implantação , GravidezRESUMO
RESEARCH QUESTION: Is intra-abdominal fat obesity associated with infertility? DESIGN: This study analysed data from the 2013-2018 National Health and Nutrition Examination Survey, with a total of 3013 women enrolled. The participants were divided into two groups: infertility and non-infertility. Differences between the two groups were analysed using a weighted Student's t-test or Mann-Whitney U-test for continuous variables, or a weighted chi-squared test for categorical data. Visceral adipose tissue area (VATA) was assessed by dual-energy X-ray absorptiometry. The independent association between infertility and log VATA was assessed by weighted multivariate logistic regression models. Subgroup analyses were performed to assess the strength of the results. Interaction tests were used to examine whether covariates interacted with log VATA to influence infertility. RESULTS: Log VATA was significantly higher in the infertility group compared with the non-infertility group (P < 0.001). After adjustment for potential confounders, the results of multivariate logistic regression analysis revealed that an increase in log VATA was associated with increased prevalence of female infertility (ORâ¯=â¯2.453, 95% CI 1.278-4.792). Subgroup analyses showed this association in individuals aged <35 years (Pâ¯=â¯0.002), Mexican-Americans (Pâ¯=â¯0.033), non-hypertensive individuals (Pâ¯=â¯0.013) and non-diabetic individuals (Pâ¯=â¯0.003). CONCLUSIONS: An enlarged VATA is associated with increased risk of infertility. The direct effect of VATA on female infertility needs to be clarified further to provide a basis for future prevention and treatment of female infertility.
RESUMO
A novel ATO conductive network was prepared with a simple and versatile electrospinning process. The as-formed precursor samples are smooth and uniform with a length of several tens to hundreds of micrometers. After calcination, the precursor fibers were well-crystallized and the network morphology was well remained. The ATO network which constitutes the flexible composites with a poly(dimethyl siloxane) substrate is interconnected conductive and acts as a transport channel of charge carriers. The electrical conductivity of the composite is high to -3.4 S m(-1). Meanwhile it also can remain excellent performance when bent or twisted. The unique network structure and outstanding electrical, optical properties of the composite make it an ideal candidate for potential applications in flexible, foldable and stretchable electronics and other devices.
RESUMO
A reconfigurable dual-channel all-optical logic gate is proposed and experimentally demonstrated using four-wave mixing in a silicon waveguide for polarization encoding signals. Six logic functions, XNOR, AND, NOR, XOR, AB¯, and A¯B are implemented at two different wavelength channels by adjusting the polarization states of two 10 Gb/s non-return-to-zero polarization-shift keying (NRZ-PolSK) signals modulated by 10-bit on-off keying (OOK) sequences. The eye diagrams of the logic signals are clearly observed, and the logic functions are well demonstrated as the two incident NRZ-PolSK signals are both modulated by the OOK sequences, which originate from 2(31)-1 pseudo-random binary sequences.
RESUMO
We report here the soft nanomaterial-based targeting polymersomes for near-infrared (NIR) fluorescence imaging to carry out in vivo tumor detection. Two polymersome-based NIR fluorescent probes were prepared through the self-assembly of amphiphilic block copolymers, poly(butadiene-b-ethylene oxide) (PEO-b-PBD). Each of them was encapsulated with distinct hydrophobic near-infrared dyes (DiD and DiR) and modified with different targeting ligands (anti-CEA antibody and anti-EGFR antibody), respectively. After simultaneous injection of these two probes into the tumor-bearing mice via tail vein, multispectral near-infrared fluorescence images were obtained. The results indicate that both probes are successfully directed to the tumor foci, where two distinguishable fluorescent signals were detected through the unmixed fluorescence images. By taking advantage of two targeting polymersome-based probes with distinct fluorescent features, the proposed multispectral near-infrared fluorescence imaging method can greatly improve the specificity and accuracy for in vivo tumor detection.