33 research outputs found
Highly purified human-derived follicle-stimulating hormone (Bravelle®) has equivalent efficacy to follitropin-beta (Follistim ®) in infertile women undergoing in vitro fertilization
BACKGROUND: These data compare the efficacy and safety of highly purified human-derived follicle-stimulating hormone (Bravelle(R)) and recombinant follitropin-β (Follistim(R)) in women undergoing in vitro fertilization. METHODS: This report describes the pooled data from two, nearly identical, randomized, controlled, parallel-group, multicenter studies conducted in a total of 19 academic and private IVF-ET centers in the United States. Infertile premenopausal women underwent pituitary down-regulation using leuprolide acetate followed by a maximum of 12 days of subcutaneous Bravelle(R) (n = 120) or Follistim(R) (n = 118), followed by administration of human chorionic gonadotropin, oocyte retrieval and embryo transfer. The primary efficacy measure was the mean number of oocytes retrieved; secondary efficacy measures included the total dose and duration of gonadotropin treatment; peak serum estradion levels; embryo transfer and implantation rates; chemical, clinical and continuing pregnancies; and live birth rates. All adverse events were recorded and injection site pain was recorded daily using a patient, self-assessment diary. RESULTS: Similar efficacy responses were observed for all outcome parameters in the two treatment groups. Although patients receiving Bravelle(R) consistently reported a greater number of chemical, clinical and continuing pregnancies, as well as an increased rate of live birth, the data did not attain statistical significance (P > 0.05). The overall incidence of adverse events was similar in both groups, but compared to Follistim(R), injections of Bravelle(R) were reported by patients to be significantly less painful (P < 0.001). CONCLUSIONS: Bravelle(R) and Follistim(R) had comparable efficacy in controlled ovarian hyperstimulation in women undergoing IVF-ET. There were no differences in the nature or number of adverse events between the treatment groups although Bravelle(R) injections were reported to be significantly less painful
Chlamydial Pgp3 seropositivity and population attributable fraction among women with tubal factor infertility
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Status of understanding of the saturated-zone ground-water flow system at Yucca Mountain, Nevada, as of 1995
Yucca Mountain, which is being studied extensively because it is a potential site for a high-level radioactive-waste repository, consists of a thick sequence of volcanic rocks of Tertiary age that are underlain, at least to the southeast, by carbonate rocks of Paleozoic age. Stratigraphic units important to the hydrology of the area include the alluvium, pyroclastic rocks of Miocene age (the Timber Mountain Group; the Paintbrush Group; the Calico Hills Formation; the Crater Flat Group; the Lithic Ridge Tuff; and older tuffs, flows, and lavas beneath the Lithic Ridge Tuff), and sedimentary rocks of Paleozoic age. The saturated zone generally occurs in the Calico Hills Formation and stratigraphically lower units. The saturated zone is divided into three aquifers and two confining units. The flow system at Yucca Mountain is part of the Alkali Flat-Furnace Creek subbasin of the Death Valley groundwater basin. Variations in the gradients of the potentiometric surface provided the basis for subdividing the Yucca Mountain area into zones of: (1) large hydraulic gradient where potentiometric levels change at least 300 meters in a few kilometers; (2) moderate hydraulic gradient where potentiometric levels change about 45 meters in a few kilometers; and (3) small hydraulic gradient where potentiometric levels change only about 2 meters in several kilometers. Vertical hydraulic gradients were measured in only a few boreholes around Yucca Mountain; most boreholes had little change in potentiometric levels with depth. Limited hydraulic testing of boreholes in the Yucca Mountain area indicated that the range in transmissivity was more than 2 to 3 orders of magnitude in a particular hydrogeologic unit, and that the average values for the individual hydrogeologic units generally differed by about 1 order of magnitude. The upper volcanic aquifer seems to be the most permeable hydrogeologic unit, but this conclusion was based on exceedingly limited data
Infertility and the provision of infertility medical services in developing countries
developing countrie
Neonatal mucolipidosis type II alpha/beta due to compound heterozygosity for a known and novel
We report on a newborn with IUGR, rhizomelic dwarfism, and suspected chondrodysplasia punctata. At birth, OI was suspected; however, a skeletal survey suggested ML II alpha/beta. Sequencing revealed compound heterozygosity for a reported pathogenic and novel but expected pathogeni