Laboratory aspects of assisted reproduction.

A number of advances have been made concerning the laboratory aspects of assisted reproduction. Intracytoplasmic sperm injection has revolutionised the treatment of male infertility. With the development of better embryo culture media, blastocyst transfer is now possible and is likely to reduce high-order multiple pregnancy in assisted reproduction treatment. Pre-implantation genetic diagnosis has become an alternative to prenatal diagnosis. The recent use of molecular biology techniques to detect small genetic defects in men with severe male-factor infertility has provided information for the better counselling of these patients. Other techniques that are being developed are likely to have a tremendous impact on assisted reproduction treatment. These include in vitro maturation, follicle culture, and oocyte/ovarian tissue cryopreservation. The current status of the developments in the laboratory aspects of assisted reproduction is reviewed in this article.published_or_final_versio

Electric vehicle charging at telco base station and bidirectional charging at hillslope descent technical-commercial cost-benefit study and scheduling-reservation system

© 2018 IEEE. Installing grid-connected photovoltaics (GCPV) at telecommunication company (Telco) base stations along highways, and providing electric vehicle (EV) charging facilities at strategic locations such as highway-side base stations offers a synergistic solution to both 1) displacing engine emissions using electricity from a renewable energy source, and 2) providing more highway EV charging stations for long distance EV driving. Strategically placed hillslope EV discharge stations would also offer EV users travelling downhill for long distances to sell their EV battery energy obtained from regenerative braking to the grid, freeing up the needed battery capacity to continue downhill with regenerative braking rather than losing it due to an already fully charged battery. This paper explores potential cost-benefits for investments in (i) highway-side Telco base stations with GCPV systems and EV charging stations as an additional source of revenue, and (ii) investments in EV discharge stations along hillslopes for EV users to sell battery energy from regenerative braking. The methodology used to gauge annual demand of new EV charge stations was by observation of existing highway-side EV charge station usage rates, estimating growth of EVs and charge stations, and reference to existing literature on EV charging tariffs, local electricity costs, and sizing/costing electrical equipment needed for the base station upgrade. To verify discharge kWh calculations from downhill descent regenerative braking, a downhill test drive of a Plug-in Hybrid Electric Vehicle (PHEV) was done. To discourage non-charging EVs remaining parked at charger units, a design framework involving remote charger unit monitoring, reservation, messaging and automated financial incentives is also presented

Deletions within the azoospermia factor subregions of the Y chromosome in Hong Kong Chinese men with severe male-factor infertility: controlled clinical study.

OBJECTIVE: To determine the patterns and the prevalence of microdeletions in the azoospermia factor subregions of the Y chromosome in Hong Kong Chinese men with severe male-factor infertility. DESIGN: Controlled clinical study. SETTING: Reproductive centre of a university teaching hospital, Hong Kong. PARTICIPANTS: Fifty-eight men with severe male-factor infertility who participated in the in vitro fertilisation programme from May 1998 through March 1999, and 46 male volunteers with proven fertility. MAIN OUTCOME MEASURES: Polymerase chain reaction analysis of DNA from peripheral blood lymphocytes using six loci spanning the AZFa, AZFb, and AZFc subregions of the Y chromosome. RESULTS. No microdeletions were detected in the fertile controls or in patients with obstructive azoospermia. Deletions within the AZFc subregion were found in 9% (4/44) of men with non-obstructive azoospermia or severe oligospermia. Neither AZFa nor AZFb deletions were detected in any participants. CONCLUSION: Deletions within the azoospermia factor subregions of the Y chromosome are associated with severe male-factor infertility in Hong Kong Chinese men.published_or_final_versio

Prevalence and awareness of lower urinary tract symptoms among males in the Outpatient Clinics of Universiti Kebangsaan Malaysia Medical Centre.

This study aims to determine the prevalence of lower urinary tract symptoms (LUTS) and level of awareness among male outpatients in Universiti Kebangsaan Malaysia Medical Centre (UKMMC). A questionnaire consisting of demographic data, questions related to knowledge, attitude and practice on BPH and the International Prostate Symptom Score (IPSS) was used for this study. Uroflowmetry and bladder scan were used to evaluate the function of the urinary tract and severity of BPH. Urine dipstick was done for glycosuria, proteinuria and haematuria. A total of 220 respondents were surveyed. The prevalence of moderately and severely symptomatic LUTS was 42.7%. The most commonly reported LUTS were nocturia (78.2%), frequency (58.2%) and incomplete emptying (44.6%). The prevalence of glycosuria, proteinuria and haematuria were 23.6%, 11.4% and 1.8% respectively. There was a significant association between increasing age with the severity of LUTS (p=0.005). Out of 102 respondents with voided urine volume greater than 150 mL, there was a significant decrease in maximum (Qmax) (p=0.039) and average (Qave) urine flow rates with every 10 years increase of age (p=0.001). The majority of respondents (59.5%) have heard of BPH before. Over 78.2% of the respondents would seek medical attention if they have LUTS with 15.9% saying they would seek traditional treatment. In conclusion, the prevalence of LUTS was high and the level of awareness was satisfactory

Smooth Entropy in Axiomatic Thermodynamics

Thermodynamics can be formulated in either of two approaches, the phenomenological approach, which refers to the macroscopic properties of systems, and the statistical approach, which describes systems in terms of their microscopic constituents. We establish a connection between these two approaches by means of a new axiomatic framework that can take errors and imprecisions into account. This link extends to systems of arbitrary sizes including very small systems, for which the treatment of imprecisions is pertinent to any realistic situation. Based on this, we identify the quantities that characterise whether certain thermodynamic processes are possible with entropy measures from information theory. In the error-tolerant case, these entropies are so-called smooth min and max entropies. Our considerations further show that in an appropriate macroscopic limit there is a single entropy measure that characterises which state transformations are possible. In the case of many independent copies of a system (the so-called i.i.d. regime), the relevant quantity is the von Neumann entropy. Transformations among microcanonical states are characterised by the Boltzmann entropy

Docosahexaenoic Acid Therapy of Experimental Ischemic Stroke

We examined the neuroprotective efficacy of docosahexaenoic acid (DHA), an omega-3 essential fatty acid family member, in acute ischemic stroke; studied the therapeutic window; and investigated whether DHA administration after an ischemic stroke is able to salvage the penumbra. In each series described below, SD rats underwent 2 h of middle cerebral artery occlusion (MCAo). In series 1, DHA or saline was administered i.v. at 3, 4, 5, or 6 h after stroke. In series 2, MRI was conducted on days 1, 3 and 7. In series 3, DHA or saline was administered at 3 h, and lipidomic analysis was conducted on day 3. Treatment with DHA significantly improved behavior and reduced total infarct volume by a mean of 40% when administered at 3 h, by 66% at 4 h, and by 59% at 5 h. Total lesion volumes computed from T2-weighted images were reduced in the DHA group at all time points. Lipidomic analysis showed that DHA treatment potentiates neuroprotectin D1 (NPD1) synthesis in the penumbra 3 days after MCAo. DHA administration provides neurobehavioral recovery, reduces brain infarction and edema, and activates NPD1 synthesis in the penumbra when administered up to 5 h after focal cerebral ischemia in rats

Role of hemoclips in the management of acute bleeding from a gastric stromal tumor: a case report and review of the literature

<p>Abstract</p> <p>Introduction</p> <p>Though gastrointestinal stromal tumors (GISTs) frequently present with gastrointestinal bleeding, the guidelines for the management and control of bleeding are unclear especially in patients who are not appropriate for surgical resection.</p> <p>Case presentation</p> <p>We report a case of gastric GIST in an elderly patient who presented with bleeding. Homeostasis was achieved initially with the endoscopic placement of a hemoclip followed by treatment with the tyrosine kinase inhibitor, imatinib.</p> <p>Conclusion</p> <p>The management of bleeding GISTs in the elderly pose a challenging task to the gastroenterologist and treatment strategies should be tailored to the expertise of the endoscopist, surgeon and other supportive staff.</p