Impact of Embryo Cryopreservation on Large for Gestational Age Babies Born by Embryo Transfer: Cohort Retrospective Study.

The transfer of frozen-thawed embryos has been associated with an increased risk of large for gestational age at birth. Our objective is to assess its impact on the risk of large for gestational age (LGA) in order to improve the bias control in relation with the available studies. Retrospective cohort study on cumulative sample of 801 single live births of 32 weeks or longer of gestation, resulting from pregnancies obtained by cryopreserved or fresh embryo transfer which are not affected by disorders that could impair fetal growth and carried out at Hospital General Universitario Gregorio Marañón, in Madrid, during the period 2005-2017. The relative risk (RR) of LGA has been estimated with its confidence interval (CI) at 95%. Multivariate analysis using logistic regression was applied to adjust the crude effect. LGA was more frequent in babies born after cryotransfer in comparison with the reference group (20.9% vs. 6.0%; p < 0.001), as well as macrosomia (8.2% vs. 0.9%; p < 0.001). Frequencies of weight > 4500 g were similar (0.7% vs. 0.1%; p > 0.05). Nulliparity was associated to a higher risk of LGA (RR: 3.8; CI95%: 2.0-7.0; p < 0.005), as well as cleaving embryo transfer (RR: 2; CI95%: 1.07-3.8; p < 0.05). According to the multivariate analysis, the exposure variable was the only one independently associated with LGA (OR: 3.5; CI95%: 2.0-6.1; p < 0.001). Frozen-thawed embryo transfer significantly increases the risk of LGA, regardless of the influence of factors relating to the patient's condition, the embryos transferred, or the fetal sex.

Reverse-engineering and modeling the 3D passive and active responses of skeletal muscle using a data-driven, non-parametric, spline-based procedure.

In this work we present a non-parametric data-driven approach to reverse-engineer and model the 3D passive and active responses of skeletal muscle, applied to tibialis anterior muscle of Wistar rats. We assume a Hill-type additive relation for the stored energy into passive and active contributions. The terms of the stored energy have no upfront assumed shape, nor material parameters. These terms are determined directly from experimental data in spline form solving numerically the functional equations of the tests from which experimental data is available. To characterize typical longitudinal-to-transverse behavior in rodent's muscle, experiments from Morrow et al. (J. Mech. Beh. Biomed. Mater. 2010; 3: 124-129) are employed. Then, the passive and active behaviors of Wistar rats are determined from the experiments of Calvo et al. (J. Bomech. 2010; 43:318-325) and Ramirez et al. (J. Theor. Biol. 2010; 267:546-553). The twitch shape is not assumed, but reverse-engineered from experimental data. The influence of the strain and the stimulus voltage and frequency in the active response, are also modeled. A convenient stimulus power-related variable is proposed to comprise both voltage and frequency dependencies in the active response. Then, the behavior of the resulting muscle model depends only on the muscle strain maintained during isometric tests in the muscle and the stimulus power variable, along the time from initiation of the tetanus state.