Inequalities in Infertility Service Utilization: A Comparison of Latina and Caucasian Women with Impaired Fecundity Who Seek and Do Not Seek Care

Purpose: To compare racial differences in accessing infertility services, and to characterize socioeconomic, cultural and social factors that influence the propensity to seek care. Materials and Methods: Using data from the 2002 and 2006-2010 rounds of the National Survey of Family Growth, bivariate analyses and multiple logistic regressions were performed to determine the associations between individual patient characteristics and health seeking practices, stratified by ethnicity. Results: Factors that were significantly associated with seeking infertility services included Latina ethnicity, age, country of birth, more than high school education, being born in the United States, placing importance on religion, \u3e200% federal poverty level, not having medical insurance for the past 12 months, and stating “Yes” to the question “Do you want a baby?”. Conclusions: Latinas are more likely to seek infertility services compared with Caucasian women. A number of demographic, cultural, social, and socioeconomic factors are significantly related to propensity to seek infertility care. This study shows that infertility service utilization is a multifaceted issue and further qualitative research is needed to better understand factors contributing to service utilization. Keywords: Infertility; Access to care; Health disparity; Inequalitie

The stratigraphy and history of Mars' northern lowlands through mineralogy of impact craters: A comprehensive survey

The basin-filling materials of the northern lowlands, which cover approximately one third of Mars' surface, record the long-term evolution of Mars' geology and climate. The buried stratigraphy was inferred through analyses of impact crater mineralogy, detected using data acquired by the Compact Reconnaissance Imaging Spectrometer for Mars. Examining 1045 impact craters across the northern lowlands, we find widespread olivine and pyroxene and diverse hydrated/hydroxylated minerals, including Fe/Mg smectite, chlorite, prehnite, and hydrated silica. The distribution of mafic minerals is consistent with infilling volcanic materials across the entire lowlands (~1–4 × 10^7 km^3), indicating a significant volume of volatile release by volcanic outgassing. Hydrated/hydroxylated minerals are detected more frequently in large craters, consistent with the scenario that the hydrated minerals are being excavated from deep basement rocks, beneath 1–2 km thick mafic lava flows or volcaniclastic materials. The prevalences of different types of hydrated minerals are similar to statistics from the southern highlands. No evidence of concentrated salt deposits has been found, which would indicate a long-lived global ocean. We also find significant geographical variations of local mineralogy and stratigraphy in different basins (geological provinces), independent of dust cover. For example, many hydrated and mafic minerals are newly discovered within the polar Scandia region (>60°N), and Chryse Planitia has more mafic mineral detections than other basins, possibly due to a previously unrecognized volcanic source

Incidence of fires and related injuries after giving out free smoke alarms: cluster randomised controlled trial.

OBJECTIVE: To measure the effect of giving out free smoke alarms on rates of fires and rates of fire related injury in a deprived multiethnic urban population. DESIGN: Cluster randomised controlled trial. SETTING: Forty electoral wards in two boroughs of inner London, United Kingdom. PARTICIPANTS: Primarily households including elderly people or children and households that are in housing rented from the borough council. INTERVENTION: 20 050 smoke alarms, fittings, and educational brochures distributed free and installed on request. MAIN OUTCOME MEASURES: Rates of fires and related injuries during two years after the distribution; alarm ownership, installation, and function. RESULTS: Giving out free smoke alarms did not reduce injuries related to fire (rate ratio 1.3; 95% confidence interval 0.9 to 1.9), admissions to hospital and deaths (1.3; 0.7 to 2.3), or fires attended by the fire brigade (1.1; 0.96 to 1.3). Similar proportions of intervention and control households had installed alarms (36/119 (30%) v 35/109 (32%); odds ratio 0.9; 95% confidence interval 0.5 to 1.7) and working alarms (19/118 (16%) v 18/108 (17%); 0.9; 0.4 to 1.8). CONCLUSIONS: Giving out free smoke alarms in a deprived, multiethnic, urban community did not reduce injuries related to fire, mostly because few alarms had been installed or were maintained

Peripheral Fluorescein Angiographic Findings in Fellow Eyes of Patients with Branch Retinal Vein Occlusion

Introduction. Branch retinal vein occlusion (BRVO) is a common retinal vascular condition that results in intraocular inflammatory changes. Ultra wide field fluorescein angiography (UWFFA) is a retinal imaging device that can capture peripheral retinal findings. The purpose of this study was to look for peripheral findings in the fellow eye of patients with BRVO using UWFFA. Methods. Retrospective imaging review of patients diagnosed with BRVO that had both eyes imaged with UWFFA. Images were graded for peripheral findings in other quadrants of the same eye as well as in all quadrants of the fellow eye. Results. Of 81 patients, 14 (17%) patients had late vascular leakage in a quadrant other than the BRVO distribution. Five (6%) findings were in the same eye, 8 (10%) findings were in the fellow eye, and 1 (1%) finding was in both the same eye and the fellow eye. Of these 14 patients, 11 (80%) patients had hypertension. Conclusion. Late peripheral retinal leakage in the fellow eye of patients with BRVO was detected in this cohort of patients with UWFFA. This novel finding may represent underlying systemic inflammation, hypertension, or bilateral BRVOs

Ocriplasmin for Vitreoretinal Diseases

Fibronectin and laminin are clinically relevant plasmin receptors in the eye. Located at the vitreoretinal interface, they are cleaved by ocriplasmin (Microplasmin, ThromboGenics, Iselin, NJ), a novel ophthalmic medication. A series of clinical trials to study ocriplasmin for the treatment of vitreoretinal diseases such as vitreomacular traction, macular hole, and exudative age-related macular degeneration are underway. The results are promising and may impact patient care

The stratigraphy and history of Mars' northern lowlands through mineralogy of impact craters: A comprehensive survey

The basin-filling materials of the northern lowlands, which cover approximately one third of Mars' surface, record the long-term evolution of Mars' geology and climate. The buried stratigraphy was inferred through analyses of impact crater mineralogy, detected using data acquired by the Compact Reconnaissance Imaging Spectrometer for Mars. Examining 1045 impact craters across the northern lowlands, we find widespread olivine and pyroxene and diverse hydrated/hydroxylated minerals, including Fe/Mg smectite, chlorite, prehnite, and hydrated silica. The distribution of mafic minerals is consistent with infilling volcanic materials across the entire lowlands (~1–4 × 10^7 km^3), indicating a significant volume of volatile release by volcanic outgassing. Hydrated/hydroxylated minerals are detected more frequently in large craters, consistent with the scenario that the hydrated minerals are being excavated from deep basement rocks, beneath 1–2 km thick mafic lava flows or volcaniclastic materials. The prevalences of different types of hydrated minerals are similar to statistics from the southern highlands. No evidence of concentrated salt deposits has been found, which would indicate a long-lived global ocean. We also find significant geographical variations of local mineralogy and stratigraphy in different basins (geological provinces), independent of dust cover. For example, many hydrated and mafic minerals are newly discovered within the polar Scandia region (>60°N), and Chryse Planitia has more mafic mineral detections than other basins, possibly due to a previously unrecognized volcanic source

Ether Bridge Formation in Loline Alkaloid Biosynthesis

Lolines are potent insecticidal agents produced by endophytic fungi of cool-season grasses. These alkaloids are composed of a pyrrolizidine ring system and an uncommon ether bridge linking carbons 2 and 7. Previous results indicated that 1-aminopyrrolizidine was a pathway intermediate. We used RNA interference to knock down expression of lolO, resulting in the accumulation of an alkaloid identified as exo-1-acetamidopyrrolizidine based on high-resolution MS and NMR. Genomes of endophytes differing in alkaloid profiles were sequenced, revealing that those with mutated lolO accumulated exo-1-acetamidopyrrolizidine but no lolines. Heterologous expression of wild-type lolO complemented a lolO mutant, resulting in the production of N-acetylnorloline. These results indicated that the non-heme iron oxygenase, LolO, is required for ether bridge formation, probably through oxidation of exo-1-acetamidopyrrolizidine

Prevalence of long COVID-19 among healthcare workers: a systematic review and meta-analysis protocol

Introduction A proportion of those who survive the acute phase of COVID-19 experience prolonged symptoms, commonly known as long COVID-19. Given that healthcare workers (HCWs) face an elevated risk of acute COVID-19 compared with the general population, the global burden of long COVID-19 in HCWs is likely to be large; however, there is limited understanding of the prevalence of long COVID-19 in HCWs, or its symptoms and their clustering. This review will aim to estimate the pooled prevalence and the symptoms of long COVID-19 among HCWs infected with SARS-CoV-2 globally, and investigate differences by country, age, sex, ethnicity, vaccination status and occupation. Methods and analysis A systematic review and meta-analysis will be conducted. Medline (via Ovid), CINAHL (via EBSCO), Embase (via Ovid), PsycINFO (via EBSCO),OpenGrey(grey literature) andmedRxiv(preprint server) will be searched from the 31 December 2019 onward. All research studies and preprint articles reporting any primary data on the prevalence and/or the symptoms of long COVID-19 among adult HCWs will be included. Methodological quality will be assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data. Outcomes are anticipated to be the prevalence of long COVID-19 among HCWs around the world and trajectory of symptoms. Data synthesis will include random-effect meta-analysis for studies reporting prevalence data of long COVID-19 following SARS-CoV-2 infection among HCWs. The results will be presented with a 95% CI as an estimated effect across studies. Heterogeneity will be assessed using I² statistic. Where meta-analysis is inappropriate, a narrative synthesis of the evidence will be conducted. Ethics and dissemination Ethical approval is not needed as data will be obtained from published articles. We will publish our findings in a peer-reviewed journal and disseminate the results of our review at conferences. PROSPERO registration number CRD42022312781

X chromosome-wide analyses of genomic DNA methylation states and gene expression in male and female neutrophils

The DNA methylation status of human X chromosomes from male and female neutrophils was identified by high-throughput sequencing of HpaII and MspI digested fragments. In the intergenic and intragenic regions on the X chromosome, the sites outside CpG islands were heavily hypermethylated to the same degree in both genders. Nearly half of X chromosome promoters were either hypomethylated or hypermethylated in both females and males. Nearly one third of X chromosome promoters were a mixture of hypomethylated and heterogeneously methylated sites in females and were hypomethylated in males. Thus, a large fraction of genes that are silenced on the inactive X chromosome are hypomethylated in their promoter regions. These genes frequently belong to the evolutionarily younger strata of the X chromosome. The promoters that were hypomethylated at more than two sites contained most of the genes that escaped silencing on the inactive X chromosome. The overall levels of expression of X-linked genes were indistinguishable in females and males, regardless of the methylation state of the inactive X chromosome. Thus, in addition to DNA methylation, other factors are involved in the fine tuning of gene dosage compensation in neutrophils