Sperm chromatin dispersion test before sperm preparation is predictive of clinical pregnancy in cases of unexplained infertility treated with intrauterine insemination and induction with clomiphene citrate

Background/aims: A large proportion of men with normal sperm results as analyzed using conventional techniques have fragmented DNA in their spermatozoa. We performed a prospective study to examine the incidence of DNA fragmentation in sperm in cases of couples with previously unexplained infertility and treated with intrauterine insemination. We evaluated whether there was any predictive value of DNA fragmentation for pregnancy outcome in such couples. Methods: The percentage of DNA fragmentation and all classical variables to evaluate sperm before and after sperm treatment were determined. We studied the probable association between these results and pregnancy outcome in terms of clinical and ongoing pregnancy rate per started first cycle. We also assessed the optimal threshold level to diagnose DNA fragmentation in our center. Results: When using threshold levels of 20, 25, and 30%, the occurrence of DNA fragmentation was 42.9, 33.3, and 28.6%, respectively. Receiver operating characteristic (ROC) analysis of all cases revealed an area under the curve of 80% to predict the clinical pregnancy rate per cycle from testing the sperm motility (a + b) before treatment. We failed to generate an ROC curve to estimate pregnancy outcome from the amount of DNA fragmentation before treatment. However, when selecting only those men with a pretreatment DNA fragmentation of at least 20%, the pretreatment result was statistically different between couples who achieved a clinical pregnancy and those who did not. Conclusion: DNA fragmentation is often diagnosed in couples with unexplained infertility. Each center should evaluate the type of test it uses to detect DNA fragmentation in sperm and determine its own threshold values

Blastocyst transfer for all? : Higher cumulative live birth chance in a blastocyst-stage transfer policy compared to a cleavage-stage transfer policy

Background: In an unselected patient population, what is the cumulative live birth rate per oocyte collection cycle in a blastocyst-stage transfer policy compared to a cleavage-stage transfer policy? Methods: A retrospective cohort analysis of 1656 IVF and ICSI cycles was performed in two timeframes between January 2010 and December 2016. Transfer was scheduled, either on day 3 (n=729) or on day 5 (n=927). In this study, the main outcome measure was cumulative live birth rate per oocyte collection cycle including fresh and frozen embryo transfers in both groups. Results: The cumulative live birth rates per oocyte collection cycle were comparable between patients with cleavage-stage transfers (day 3 group) and those with blastocyst-stage transfers (day 5 group) (23.7% versus 25.5%, respectively; p = 0.42). After controlling for confounders, there was a 34% increased chance of live birth with blastocyst-stage transfer policy compared with cleavage-stage transfer policy (odds ratio (OR) =1.34; 95% confidence interval (CI), 1.051 to 1.704; p = 0.018). Conclusion: In an unselected patient cohort, the cumulative live birth chance per oocyte collection cycle is higher in a blastocyst-stage transfer policy compared to a cleavage-stage transfer policy

The Ongoing Myth of TIPIC-Syndrome

Carotidynia is characterized by intense localized pain and tenderness at the level of the carotid bifurcation. The differential diagnosis is broad and includes vascular pathologies, infectious diseases or malignancies. Recent evidence now suggests a distinct entity called Transient Perivascular Inflammation of the Carotid Artery or TIPIC syndrome. The diagnosis is made per exclusionem and is based on typical radiological findings. This paper describes the clinical examination, laboratory results, radiological findings and treatment based on two case reports. TIPIC syndrome is an idiopathic syndrome which is usually a self-limiting disease of which a vascular surgeon should be aware

Phase Diagram of the BCC S=1/2 Heisenberg Antiferromagnet with First and Second Neighbor Exchange

We use linked-cluster series expansions, both at T=0 and high temperature, to analyse the phase structure of the spin-\half Heisenberg antiferromagnet with competing first and second-neighbor interactions on the 3-dimensional body-centred-cubic lattice. At zero temperature we find a first-order quantum phase transition at $J_2/J_1 \simeq 0.705 \pm 0.005$ between AF$_1$ (Ne\'el) and AF$_2$ ordered phases. The high temperature series yield quite accurate estimates of the bounding critical line for the AF$_1$ phase, and an apparent critical line for the AF$_2$ phase, with a bicritical point at $J_1/J_2\simeq 0.71$, $kT/J_1\simeq 0.34$. The possibility that this latter transition is first-order cannot be excluded.Comment: 10 pages, 4 figure

Incorporation of Density Matrix Wavefunctions in Monte Carlo Simulations: Application to the Frustrated Heisenberg Model

We combine the Density Matrix Technique (DMRG) with Green Function Monte Carlo (GFMC) simulations. The DMRG is most successful in 1-dimensional systems and can only be extended to 2-dimensional systems for strips of limited width. GFMC is not restricted to low dimensions but is limited by the efficiency of the sampling. This limitation is crucial when the system exhibits a so-called sign problem, which on the other hand is not a particular obstacle for the DMRG. We show how to combine the virtues of both methods by using a DMRG wavefunction as guiding wave function for the GFMC. This requires a special representation of the DMRG wavefunction to make the simulations possible within reasonable computational time. As a test case we apply the method to the 2-dimensional frustrated Heisenberg antiferromagnet. By supplementing the branching in GFMC with Stochastic Reconfiguration (SR) we get a stable simulation with a small variance also in the region where the fluctuations due to minus sign problem are maximal. The sensitivity of the results to the choice of the guiding wavefunction is extensively investigated. We analyse the model as a function of the ratio of the next-nearest to nearest neighbor coupling strength. We observe in the frustrated regime a pattern of the spin correlations which is in-between dimerlike and plaquette type ordering, states that have recently been suggested. It is a state with strong dimerization in one direction and weaker dimerization in the perpendicular direction.Comment: slightly revised version with added reference

Spin Stiffness in the Hubbard model

The spin stiffness $\rho_{\rm s}$ of the repulsive Hubbard model that occurs in the hydrodynamic theory of antiferromagnetic spin waves is shown to be the same as the thermodynamically defined stiffness involved in twisting the order parameter. New expressions for $\rho_{\rm s}$ are derived, which enable easier interpretation, and connections with superconducting weight and gauge invariance are discussed.Comment: 21 Pages LaTeX2e, to be published in Journal of Physics

Spin stiffness in the frustrated Heisenberg antiferromagnet

We calculate the spin stiffness of the S= frustrated Heisenberg antiferromagnet directly from a general formula which is evaluated in the Schwinger-boson mean-field approximation. Both Néel and collinear ordering are considered. For collinear ordering, we take the anisotropy of this phase into account, unlike previous approaches. For Néel ordering, a detailed study is made of the finite-size scaling behavior of the two terms that make up the spin stiffness. The exponents of the scaling with the system size of the two terms comprising the spin stiffness turn out to be identical to those of the unfrustrated case.Theoretical Physic