Health-related quality of life in infertile couples receiving IVF or ICSI treatment

<p>Abstract</p> <p>Background</p> <p>Infertile couples might experience psychological distress and suffer from impaired health-related quality of life. This study aimed to examine health-related quality of life in infertile couples receiving either in-vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) treatment.</p> <p>Methods</p> <p>This was a cross-sectional study of quality of life in infertile couples attending to Vali-e-Asr Reproductive Health Research Center or Royan Institute for either IVF or ICSI treatment in Tehran, Iran. Health-related quality of life was assessed using the Short Form Health Survey (SF-36). Patients' demographic and clinical characteristics were also recorded. Data were analyzed to compare quality of life in infertile women and men and to indicate what variables predict quality of life in infertile couples.</p> <p>Results</p> <p>In all 514 women and 514 men (n = 1028) were studied. There were significant differences between women and men indicating that male patients had a better health-related quality of life. Also health-related quality of life was found to be better in infertility due to male factor. Performing logistic regression analysis it was found that female gender, and lower educational level were significant predictors of poorer physical health-related quality of life. For mental health-related quality of life in addition to female gender and lower educational level, younger age also was found to be a significant predictor of poorer condition. No significant results were observed for infertility duration or causes of infertility either for physical or mental health-related quality of life.</p> <p>Conclusion</p> <p>The findings suggest that infertility duration or causes of infertility do not have significant effects on health-related quality of life in infertile couples. However, infertile couples, especially less educated younger women, are at risk of a sub-optimal health-related quality of life and they should be provided help and support in order to improve their health-related quality of life.</p

Predator, prey and humans in a mountainous area: loss of biological diversity leads to trouble

Large carnivore-human coexistence is a challenging issue in wildlife conservation worldwide. An adequate and diverse prey spectrum favours carnivore persistence. Prey depletion and habitat loss elicit conflict with humans and require sound conservation measures. We evaluated the conflict between common leopards and humans in a densely populated Himalayan forest area of Pakistan. In two decades, the local forests decreased at an average rate of 65.5 ha/year (6.6%), with a concomitant increase in areas covered by human settlements (81.5%) and agricultural lands (15.4%). Ranging movements of a GPS/GSM-radiotagged male leopard over 16 months encompassed an area inhabited by c. 124,000 people. Livestock dominated the leopard’s diet (absolute frequency of occurrence: 80%), while wild ungulates were rarely eaten (absolute occurrence: 22%). Domestic goats were the most frequent diet item (61%), followed by domestic dogs (12%) and Bos spp. (6%). Wild prey included canids, small carnivores, rhesus monkeys, small mammals and gallinaceous birds. Socioeconomic implications of human-leopard coexistence were investigated: 18.5% of the households interviewed (N = 1016) suffered livestock depredation by leopards, with an overall loss of 123 USD/km2/year, in an area of 328 km2. In the first c. 15 years of this century, about 2 attacks to humans/year were recorded, half of which were lethal, whereas c. 6 leopards/year were killed in retaliation. The common leopard is ‘critically endangered’ in Pakistan mainly because of habitat loss and concurrent prey depletion. To increase the long-term survival of leopards and mitigate human-carnivore conflicts, priority should be given to restoration of a diverse natural prey assembly and protection of forest habitats, together with improved livestock management practices and livestock compensation. The latter will require a sustainable financial mechanism