Anti-Müllerian hormone and response to ovulation induction with clomiphene citrate in women with polycystic ovary syndrome

Background: Anti-Müllerian hormone (AMH) is suggested as an important marker for women with polycystic ovary disease (PCOS). Several studies have found serum level of AMH correlate well to ovarian response to ovulation induction in women with PCOS. This study was conducted to assess the relationship between AMH in women with PCOS and response to ovulation induction with clomiphene citrate.Methods: Prospective observational cohort study conducted at Ain-Shams university maternity hospital from February 2013 to February 2014. 100 women with PCOS were recruited from the infertility outpatient clinic. Serum AMH levels were measured by enzyme linked immunosorbent assay in the early follicular phase (days 3-5). Ovulation induction by clomiphene citrate was started on day 5 as 50 mg daily tablet for 5 days. Ovulation was documented by transvaginal ultrasonography and women who failed to ovulate till day 35 were considered anovulatory.Results: 72 women ovulated within 12 to 33 days of the menstrual cycle, while 28 had undetectable ovulation till day 35. The median serum AMH level was significantly higher in women with failed ovulation [4.05 ng/mL (3.7 - 4.4)] than in ovulating women [2.7 ng/mL (1.9 - 3.1)] (p<0.001). Receiver-operating characteristic (ROC) curve analysis found the best cutoff value of AMH for prediction of successful ovulation ≤3.6 ng/mL (sensitivity = 97.2%, specificity = 82.1%).Conclusions: Anti-Müllerian hormone is a very useful predictor of poor responders to clomiphene citrate among women with polycystic ovary disease

Ultra-high frequency, high Q/volume micromechanical resonators in a planar AlN phononic crystal

Citation: Baboly, M. G., Alaie, S., Reinke, C. M., El-Kady, I., & Leseman, Z. C. (2016). Ultra-high frequency, high Q/volume micromechanical resonators in a planar AlN phononic crystal. Journal of Applied Physics, 120(3), 5. doi:10.1063/1.4958671This paper presents the first design and experimental demonstration of an ultrahigh frequency complete phononic crystal (PnC) bandgap aluminum nitride (AlN)/air structure operating in the GHz range. A complete phononic bandgap of this design is used to efficiently and simultaneously confine elastic vibrations in a resonator. The PnC structure is fabricated by etching a square array of air holes in an AlN slab. The fabricated PnC resonator resonates at 1.117 GHz, which corresponds to an out-of-plane mode. The measured bandgap and resonance frequencies are in very good agreement with the eigen-frequency and frequency-domain finite element analyses. As a result, a quality factor/volume of 7.6 x 10(17)/m(3) for the confined resonance mode was obtained that is the largest value reported for this type of PnC resonator to date. These results are an important step forward in achieving possible applications of PnCs for RF communication and signal processing with smaller dimensions. Published by AIP Publishing

Oral misoprostol solution in comparison to vaginal misoprostol for induction of labour in a randomized controlled trial

Background: With more than 15% of all gravid women requiring prostaglandins in cervical ripening and labour induction. However, evidence is not clear about the preferred route or dose of the drug. So, this study was designed with objectives to compare the induction delivery interval and safety of titrated oral misoprostol solution with vaginal misoprostol for labour induction in term primigravida women.Methods: This randomized controlled clinical trial was conducted on a total of 100 patients randomly selected among primigravida at term women undergoing induction of labour for obstetric or medical indication for labour induction in Ain Shams University Maternity Hospital. They were divided into two Groups: Group I: patients undergoing induction of labour using misoprostol oral solution and Group II: patients undergoing induction of labour using vaginal misoprostol.Results: Oral misoprostol solution has less induction delivery duration and less side effects than vaginal misoprostol. The induction-delivery time with the oral route compared to the vaginal one (15.2 versus 20.3 hours respectively) with significant p-value (<0.001).Conclusions: Titrated oral misoprostol is safe and effective for labour induction in primigravida patients with unfavorable cervix

Flexural Behavior of Unbounded Pre-stressed Beams Modified With Carbon Nanotubes under Elevated Temperature

Since fire is one of the common reasons for rehabilitation and reconstructions during the service life of a building, it is necessary to assess the elements structural and technical conditions. The objective of the present paper is to investigate the flexural behavior in bending for unbounded full pre-stressed beams with and without the incorporation of carbon nanotubes (CNTs) under the exposure to elevated temperature in comparison with non-pre-stressed beams. The test Method was divided into two major stages where the principal stage’s goal was considering the flexural behavior of fully and non-prestressed concrete beams containing CNT of 0 and 0.04% as cement replacement at ambient temperature. In the second stage, a typical group of beams was prepared and the flexural behavior was explored under the exposure to temperature of 400ºC, for 120 minutes. The major findings upon monitoring the failure mechanisms, ultimate load capacity, and deflection at critical sections, was that the CNT had shown a significant impact on the behavior and extreme resistance of fully and non-prestressed normal concrete. With CNT beams also exhibited higher imperviousness to high-temperature than that of the normal beams. Finally the significant Improvement was that the ultimate load of the non-pre-stressed beam with the presence of the CNT at the lower 50mm in the tension zone showed a gain of 13%, while the ultimate load of the fully pre-stressed beam with the presence of the CNT at the lower 50mm in the tension zone showed a gain of 21% as compared to the same beam without CNT, respectively. For the non-pre-stressed beams, the load capacity of the beam with CNT after exposure had a similar load capacity as the beam without CNT before exposure to high temperature

EFFECT OF DIFFERENT ALKALI CONCENTRATIONS DURING THE REFINING PROCESS ON THE FATTY ACID COMPOSITION OF SUNFLOWER AND SOYBEAN OILS

The effect of NaOH and KOH at concentrations of 12, 14 and 16 Bé° during the refining of sunflower and soybean oils on the fatty acid composition was studied using GLC technique. The quantity of linolenic, linoleic, oleic, palmitic and stearic acid as well as the USFA (unsaturated fatty acids): SFA (saturated fatty acids) ratio were measured. Only slight changes in the quantity of individual fatty acids were found particularly at higher alkali concentrations. The changes in the USFA : SFA ratio compared with crude or semirefined oil were not significant

EFFECT OF DIFFERENT ALKALI CONCENTRATIONS DURING THE REFINING PROCESS ON THE OXIDATIVE STABILITY OF SUNFLOWER AND SOYBEAN OILS

The oxidative stability of bleached soybean and sunflower oils which were previously refined using NaOH and KOH at concentrations of 12, 14 and 16 Béo was studied in comparison with semirefined sunflower and crude soybean oils. Semirefined sunflower oil and crude soybean oil showed the highest stability. Oils previously refined using 12 Béo NaOH or KOH had an acceptable stability. Higher NaOH concentrations resulted in a decrease of stability

A review of size and geometrical factors influencing resonant frequencies in metamaterials

Although metamaterials and so-called left-handed media have originated from theoretical considerations, it is only by their practical fabrication and the measurement of their properties that they have gained credibility and can fulfil the potential of their predicted properties. In this review we consider some of the more generally applicable fabrication methods and changes in geometry as they have progressed, exhibiting resonant frequencies ranging from radio waves to the visible optical region

EAR RECOGNITION AND OCCLUSION

ABSTRACT Personal identification using 2D ear images still has many problems such as occlusion mostly caused by hair, earrings, and clothes. To avoid this problem, we propose to divide the ear image into non-overlapping equal divisions and identify persons through these non-occluded parts separately and then combine outputs of the classification of these parts in abstract, rank, and measurement level fusion. Experimental results show that the increasing of recognition rate through combining small parts of non-occluded divisions of ear image