771 research outputs found
Ovarian hyperstimulation syndrome: review and new classification criteria for reporting in clinical trials
STUDY QUESTION
What is an objective approach that employs measurable and reproducible physiologic changes as the basis for the classification of ovarian hyperstimulation syndrome (OHSS) in order to facilitate more accurate reporting of incidence rates within and across clinical trials?
SUMMARY ANSWER
The OHSS flow diagram is an objective approach that will facilitate consistent capture, classification and reporting of OHSS within and across clinical trials.
WHAT IS KNOWN ALREADY
OHSS is a potentially life-threatening iatrogenic complication of the early luteal phase and/or early pregnancy after ovulation induction (OI) or ovarian stimulation (OS). The
clinical picture of OHSS (the constellation of symptoms associated with each stage of the disease) is highly variable, hampering its appropriate classification in clinical trials. Although some degree of ovarian hyperstimulation is normal after stimulation, the point at which symptoms transition from those anticipated to those of a disease state is nebulous.
STUDY DESIGN, SIZE, DURATION
An OHSS working group, comprised of subject matter experts and clinical researchers who have significantly contributed to the field of fertility, was convened in April and November 2014.
PARTICIPANTS/MATERIALS, SETTING, METHODS
The OHSS working group was tasked with reaching a consensus on the definition and the classification of OHSS for reporting in clinical trials. The group engaged in targeted discussion regarding the scientific background of OHSS, the criteria proposed for the definition and the rationale for universal adoption. An agreement was reached after discussion with all members.
MAIN RESULTS AND THE ROLE OF CHANCE
One of the following conditions must be met prior to making the diagnosis of OHSS in the context of a clinical trial: (i) the subject has undergone OS (either controlled OS or OI) AND has received a trigger shot for final oocyte maturation (e.g. hCG, GnRH agonist [GnRHa] or kisspeptin) followed by either fresh transfer or segmentation (cryopreservation of embryos) or (ii) the subject has undergone OS or OI AND has a positive pregnancy test. All study patients who develop symptoms of OHSS should undergo a thorough examination. An OHSS flow diagram was designed to be implemented for all subjects with pelvic or abdominal complaints, such as lower abdominal discomfort or distention, nausea, vomiting and diarrhea, and/or for subjects suspected of having OHSS. The diagnosis of OHSS should be based on the flow diagram.
LIMITATIONS, REASONS FOR CAUTION
This classification system is primarily intended to address the needs of the clinical investigator undertaking clinical trials in the field of OS and may not be applicable for the use in clinical practice or with OHSS occurring under natural circumstances.
WIDER IMPLICATIONS OF THE FINDINGS
The proposed OHSS classification system will enable an accurate estimate of the incidence and severity of OHSS within and across clinical trials performed in women with infertility.
STUDY FUNDING/COMPETING INTERESTS
Financial support for the advisory group meetings was provided by Merck & Co., Inc., Kenilworth, NJ, USA. P.H. reports unrestricted research grants from MSD, Merck and Ferring, and honoraria for lectures from MSD, Merck and IBSA. S.M.N. reports that he has received fees and grant support from the following companies (in alphabetic order): Beckman Coulter, Besins, EMD Serono, Ferring Pharmaceuticals, Finox, MSD and Roche Diagnostics over the previous 5 years. P.D., C.C.C., J.L.F., H.M.F., and P.L. report no relationships that present a potential conflict of interest. B.C.T. reports: grants and honorarium from Merck Serono; unrestricted research grants, travel grants and honorarium, and participation in a company-sponsored speaker's bureau from Merck Sharp & Dohme; grants, travel grants, honoraria and advisory board membership from IBSA; travel grants from Ferring; and advisory board membership from Ovascience. L.B.S. reports current employment with Merck & Co, Inc., Kenilworth, NJ, USA, and owns stock in the company. K.G. and B.J.S. report prior employment with Merck & Co., Inc., Kenilworth, NJ, USA, and own stock in the company. All reported that competing interests are outside the submitted work. No other relationships or activities exist that could appear to have influenced the submitted work
Molecular dynamics simulation of the order-disorder phase transition in solid NaNO
We present molecular dynamics simulations of solid NaNO using pair
potentials with the rigid-ion model. The crystal potential surface is
calculated by using an \emph{a priori} method which integrates the \emph{ab
initio} calculations with the Gordon-Kim electron gas theory. This approach is
carefully examined by using different population analysis methods and comparing
the intermolecular interactions resulting from this approach with those from
the \emph{ab initio} Hartree-Fock calculations. Our numerics shows that the
ferroelectric-paraelectric phase transition in solid NaNO is triggered by
rotation of the nitrite ions around the crystallographical c axis, in agreement
with recent X-ray experiments [Gohda \textit{et al.}, Phys. Rev. B \textbf{63},
14101 (2000)]. The crystal-field effects on the nitrite ion are also addressed.
Remarkable internal charge-transfer effect is found.Comment: RevTeX 4.0, 11 figure
Risk Theory with Affine Dividend Payment Strategies
We consider a classical compound Poisson risk model with affine dividend payments. We illustrate how both by analytical and probabilistic techniques closed-form expressions for the expected discounted dividends until ruin and the Laplace transform of the time to ruin can be derived for exponentially distributed claim amounts. Moreover, numerical examples are given which compare the performance of the proposed strategy to classical barrier strategies and illustrate that such affine strategies can be a noteworthy compromise between profitability and safety in collective risk theory
The Stern-Gerlach Experiment Revisited
The Stern-Gerlach-Experiment (SGE) of 1922 is a seminal benchmark experiment
of quantum physics providing evidence for several fundamental properties of
quantum systems. Based on today's knowledge we illustrate the different
benchmark results of the SGE for the development of modern quantum physics and
chemistry.
The SGE provided the first direct experimental evidence for angular momentum
quantization in the quantum world and thus also for the existence of
directional quantization of all angular momenta in the process of measurement.
It measured for the first time a ground state property of an atom, it produced
for the first time a `spin-polarized' atomic beam, it almost revealed the
electron spin. The SGE was the first fully successful molecular beam experiment
with high momentum-resolution by beam measurements in vacuum. This technique
provided a new kinematic microscope with which inner atomic or nuclear
properties could be investigated.
The original SGE is described together with early attempts by Einstein,
Ehrenfest, Heisenberg, and others to understand directional quantization in the
SGE. Heisenberg's and Einstein's proposals of an improved multi-stage SGE are
presented. The first realization of these proposals by Stern, Phipps, Frisch
and Segr\`e is described. The set-up suggested by Einstein can be considered an
anticipation of a Rabi-apparatus. Recent theoretical work is mentioned in which
the directional quantization process and possible interference effects of the
two different spin states are investigated.
In full agreement with the results of the new quantum theory directional
quantization appears as a general and universal feature of quantum
measurements. One experimental example for such directional quantization in
scattering processes is shown. Last not least, the early history of the
`almost' discovery of the electron spin in the SGE is revisited.Comment: 50pp, 17 fig
Optical guided dispersions and subwavelength transmissions in dispersive plasmonic circular holes
The light transmission through a dispersive plasmonic circular hole is
numerically investigated with an emphasis on its subwavelength guidance. For a
better understanding of the effect of the hole diameter on the guided
dispersion characteristics, the guided modes, including both the surface
plasmon polariton mode and the circular waveguide mode, are studied for several
hole diameters, especially when the metal cladding has a plasmonic frequency
dependency. A brief comparison is also made with the guided dispersion
characteristics of a dispersive plasmonic gap [K. Y. Kim, et al., Opt. Express
14, 320-330 (2006)], which is a planar version of the present structure, and a
circular waveguide with perfect electric conductor cladding. Finally, the modal
behavior of the first three TM-like principal modes with varied hole diameters
is examined for the same operating mode.Comment: 20 pages, 5 figures, 1 tabl
Meta-analysis of genome-wide association studies for neuroticism, and the polygenic association with major depressive disorder
IMPORTANCE Neuroticism is a pervasive risk factor for psychiatric conditions. It genetically overlaps with major depressive disorder (MDD) and is therefore an important phenotype for psychiatric genetics. The Genetics of Personality Consortium has created a resource for genome-wide association analyses of personality traits in more than 63 000 participants (including MDD cases)
Longitudinal double-spin asymmetry and cross section for inclusive neutral pion production at midrapidity in polarized proton collisions at sqrt(s) = 200 GeV
We report a measurement of the longitudinal double-spin asymmetry A_LL and
the differential cross section for inclusive Pi0 production at midrapidity in
polarized proton collisions at sqrt(s) = 200 GeV. The cross section was
measured over a transverse momentum range of 1 < p_T < 17 GeV/c and found to be
in good agreement with a next-to-leading order perturbative QCD calculation.
The longitudinal double-spin asymmetry was measured in the range of 3.7 < p_T <
11 GeV/c and excludes a maximal positive gluon polarization in the proton. The
mean transverse momentum fraction of Pi0's in their parent jets was found to be
around 0.7 for electromagnetically triggered events.Comment: 6 pages, 3 figures, submitted to Phys. Rev. D (RC
Lymphatic endothelial cell sphingosine kinase activity is required for lymphocyte egress and lymphatic patterning
Lymphocyte egress from lymph nodes (LNs) is dependent on sphingosine-1-phosphate (S1P), but the cellular source of this S1P is not defined. We generated mice that expressed Cre from the lymphatic vessel endothelial hyaluronan receptor 1 (Lyve-1) locus and that showed efficient recombination of loxP-flanked genes in lymphatic endothelium. We report that mice with Lyve-1 CRE-mediated ablation of sphingosine kinase (Sphk) 1 and lacking Sphk2 have a loss of S1P in lymph while maintaining normal plasma S1P. In Lyve-1 Cre+ Sphk-deficient mice, lymphocyte egress from LNs and Peyer's patches is blocked. Treatment with pertussis toxin to overcome Gαi-mediated retention signals restores lymphocyte egress. Furthermore, in the absence of lymphatic Sphks, the initial lymphatic vessels in nonlymphoid tissues show an irregular morphology and a less organized vascular endothelial cadherin distribution at cell–cell junctions. Our data provide evidence that lymphatic endothelial cells are an in vivo source of S1P required for lymphocyte egress from LNs and Peyer's patches, and suggest a role for S1P in lymphatic vessel maturation
High non-photonic electron production in + collisions at = 200 GeV
We present the measurement of non-photonic electron production at high
transverse momentum ( 2.5 GeV/) in + collisions at
= 200 GeV using data recorded during 2005 and 2008 by the STAR
experiment at the Relativistic Heavy Ion Collider (RHIC). The measured
cross-sections from the two runs are consistent with each other despite a large
difference in photonic background levels due to different detector
configurations. We compare the measured non-photonic electron cross-sections
with previously published RHIC data and pQCD calculations. Using the relative
contributions of B and D mesons to non-photonic electrons, we determine the
integrated cross sections of electrons () at 3 GeV/10 GeV/ from bottom and charm meson decays to be = 4.0({\rm
stat.})({\rm syst.}) nb and =
6.2({\rm stat.})({\rm syst.}) nb, respectively.Comment: 17 pages, 17 figure
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