579 research outputs found
Psychological distress by type of fertility barrier
BACKGROUND: We examined fertility-specific distress (FSD) and general distress by type of fertility barrier (FB). METHODS: In a random sample telephone survey, 580 US women reported their fertility intentions and histories. Six groups of women were identified: (i) no FBs, (ii) infertile with intent, (iii) infertile without intent, (iv) other fertility problems, (v) miscarriages and (vi) situational barriers. Multiple regression analyses were used to compare groups with FBs. RESULTS: Sixty-one percent reported FBs and 28% reported an inability to conceive for at least 12 months. The infertile with intent group had the highest FSD, which was largely explained by (a) self-identification as infertile and (b) seeking medical help for fertility. The no FB group had a mean Center for Epidemiological Studies Depression scale score above the commonly used cut-off of 16, although 23% of the women with FBs did score above 16. CONCLUSIONS: FBs are common. Self-identification as infertile is the largest source of FSD. More women with FBs had elevated general distress than women without FBs; mean general distress was below 16 for all FB groups. It may be that, for some women (even those with children), FBs can have lasting emotional consequences, but many women do heal from the emotional distress that may accompany fertility difficulties
Experiencing male infertility: A review of the qualitative research literature
This article examines the qualitative research literature that exists in relation to menâs experiences of male infertility. Since men have often been marginalized in the realm of reproduction, including academic research on infertility, it is important to focus on any qualitative research that gives voices to male perspectives and concerns. Given the distress documented by studies of infertile women, we focus in particular on the emotive responses and lived experiences of men in relation to infertility. In this article then, we present an analysis of the core themes across 19 qualitative articles, which include âinfertility as crisisâ; âemoting infertility- men as âbeing strongââ âinfertility as a source of stigmaâ; and the âdesire for fatherhood.â In light of these insights, we identify key areas for future research and development including menâs emotional responses to infertility, how men seek support for infertility, the intersection between masculinity and infertility, the relationship between the desire to father and infertility, and the outcomes of infertility for men in terms of other aspects of their lives. We suggest that such research would facilitate making the experiences of men more central within our understandings of infertility within a field that has primarily been female focused
TIGIT expressing CD4+T cells represent a tumor-supportive T cell subset in chronic lymphocytic leukemia
While research on T cell exhaustion in context of cancer particularly focuses on CD8C cytotoxic T cells, the
role of inhibitory receptors on CD4C T-helper cells have remained largely unexplored. TIGIT is a recently
identified inhibitory receptor on T cells and natural killer (NK) cells. In this study, we examined TIGIT
expression on T cell subsets from CLL patients. While we did not observe any differences in TIGIT expression
in CD8C T cells of healthy controls and CLL cells, we found an enrichment of TIGITC T cells in the CD4C T
cell compartment in CLL. Intriguingly, CLL patients with an advanced disease stage displayed elevated
numbers of CD4C TIGITC T cells compared to low risk patients. Autologous CLL-T cell co-culture assays
revealed that depleting CD4C TIGITC expressing T cells from co-cultures significantly decreased CLL viability.
Accordingly, a supportive effect of TIGITCCD4C T cells on CLL cells in vitro could be recapitulated by
blocking the interaction of TIGIT with its ligands using TIGIT-Fc molecules, which also impeded the T cell
specific production of CLL-prosurvival cytokines. Our data reveal that TIGITCCD4CT cells provide a
supportive microenvironment for CLL cells, representing a potential therapeutic target for CLL treatment
Finite volume corrections to the electromagnetic current of the nucleon
We compute corrections to both the isovector anomalous magnetic moment and
the isovector electromagnetic current of the nucleon to in the
framework of covariant two-flavor Baryon Chiral Perturbation Theory. We then
apply these corrections to lattice data for the anomalous magnetic moment from
the LHPC, RBC & UKQCD and QCDSF collaborations
Nucleon mass and sigma term from lattice QCD with two light fermion flavors
We analyze Nf=2 nucleon mass data with respect to their dependence on the
pion mass down to mpi = 157 MeV and compare it with predictions from covariant
baryon chiral perturbation theory (BChPT). A novel feature of our approach is
that we fit the nucleon mass data simultaneously with the directly obtained
pion-nucleon sigma-term. Our lattice data below mpi = 435 MeV is well described
by O(p^4) BChPT and we find sigma=37(8)(6) MeV for the sigma-term at the
physical point. Using the nucleon mass to set the scale we obtain a Sommer
parameter of r_0=0.501(10)(11) fm.Comment: 26 pages, 11 figures, 5 tables. Version to appear in NPB with a few
more details on the fit parameter
Kindlin-3 maintains marginal zone B cells but confines follicular B cell activation and differentiation
Integrin-mediated interactions between hematopoietic cells and their microenvironment are important for the development and function of immune cells. Here, the role of the integrin adaptor Kindlin-3 in B cell homeostasis is studied. Comparing the individual steps of B cell development in B cell-specific Kindlin-3 or alpha4 integrin knockout mice, we found in both conditions a phenotype of reduced late immature, mature, and recirculating B cells in the bone marrow. In the spleen, constitutive B cell-specific Kindlin-3 knockout caused a loss of marginal zone B cells and an unexpected expansion of follicular B cells. Alpha4 integrin deficiency did not induce this phenotype. In Kindlin-3 knockout B cells VLA-4 as well as LFA-1-mediated adhesion was abrogated, and short-term homing of these cells in vivo was redirected to the spleen. Upon inducible Kindlin-3 knockout, marginal zone B cells were lost due to defective retention within 2 weeks, while follicular B cell numbers were unaltered. Kindlin-3 deficient follicular B cells displayed higher IgD, CD40, CD44, CXCR5, and EBI2 levels, and elevated PI3K signaling upon CXCR5 stimulation. They also showed transcriptional signatures of spontaneous follicular B cell activation. This activation manifested in scattered germinal centers in situ, early plasmablasts differentiation, and signs of IgG class switch
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