141 research outputs found
Critical temperature of superconducting bilayers: theory and experiment
A generalized model for the critical temperature Tc of superconducting
bilayers is presented, which is valid with no restrictions to film thicknesses,
Tc of the layers and interface resistivity. The model is verified
experimentally on a series of Nb-Al and Ta-Al bilayers with Nb, Ta layer
thicknesses of 100 nm and Al layer thicknesses ranging from 5 nm to 200 nm.
Excellent agreement between theory and experiment was found for the energy gap
and the Tc of bilayers. The results are important for designing practical
superconducting devices.Comment: 3 pages, 2 figure
Uterine bathing with sonography gel prior to IVF/ICSI-treatment in patients with endometriosis, a multicentre randomised controlled trial
STUDY QUESTION
What is the effect of uterine bathing with sonography gel prior to IVF/ICSI-treatment on live birth rates after fresh embryo transfer in patients with endometriosis?
SUMMARY ANSWER
After formal interim analysis and premature ending of the trial, no significant difference between uterine bathing using a pharmacologically neutral sonography gel compared to a sham procedure on live birth rate after fresh embryo transfer in endometriosis patients (26.7% vs. 15.4%, relative risk (RR) 1.73, 95% confidence interval (CI) 0.81â3.72; P-value 0.147) could be found, although the trial was underpowered to draw definite conclusions.
WHAT IS KNOWN ALREADY
Impaired implantation receptivity contributes to reduced clinical pregnancy rates after IVF/ICSI-treatment in endometriosis patients. Previous studies have suggested a favourable effect of tubal flushing with LipiodolÂź on natural conceptions. This benefit might also be explained by enhancing implantation through endometrial immunomodulation. Although recent studies showed no beneficial effect of endometrial scratching, the effect of mechanical stress by intrauterine infusion on the endometrium in endometriosis patients undergoing IVF/ICSI-treatment has not been investigated yet.
STUDY DESIGN, SIZE, DURATION
We performed a multicentre, patient-blinded, randomised controlled trial in which women were randomly allocated to either a Gel Infusion Sonography (GIS, intervention group) or a sham procedure (control group) prior to IVF/ICSI-treatment. Since recruitment was slow and completion of the study was considered unfeasible, the study was halted after inclusion of 112 of the planned 184 women.
PARTICIPANTS/MATERIALS, SETTING, METHODS
We included infertile women with surgically confirmed endometriosis ASRM stage IâIV undergoing IVF/ICSI-treatment. After informed consent, women were randomised to GIS with intrauterine instillation of ExEm-gelÂź or sonography with gel into the vagina (sham). This was performed in the cycle preceding the embryo transfer, on the day GnRH analogue treatment was started. The primary endpoint was live birth rate after fresh embryo transfer. Analysis was performed by both intention-to-treat and per-protocol.
MAIN RESULTS AND THE ROLE OF CHANCE
Between July 2014 to September 2018, we randomly allocated 112 women to GIS (nâ=â60) or sham procedure (nâ=â52). The live birth rate after fresh embryo transfer was 16/60 (26.7%) after GIS versus 8/52 (15.4%) after the sham (RR 1.73, 95% CI 0.81â3.72; P-value 0.147). Ongoing pregnancy rate was 16/60 (26.7%) after GIS versus 9/52 (17.3%) in the controls (RR 1.54, 95% CI 0.74â3.18). Miscarriage occurred in 1/60 (1.7%) after GIS versus 5/52 (9.6%) in the controls (RR 0.17, 95% CI 0.02â1.44) women. Uterine bathing resulted in a higher pain score compared with a sham procedure (visual analogue scale score 2.7 [1.3â3.5] vs. 1.0 [0.0â2.0], Pâ<â0.001). There were two adverse events after GIS compared with none after sham procedures.
LIMITATIONS, REASONS FOR CAUTION
The study was terminated prematurely due to slow recruitment and trial fatigue. Therefore, the trial is underpowered to draw definite conclusions regarding the effect of uterine bathing with sonography gel on live birth rate after fresh embryo transfer in endometriosis patients undergoing IVF/ICSI-treatment.
WIDER IMPLICATIONS OF THE FINDINGS
We could not demonstrate a favourable effect of uterine bathing procedures with sonography gel prior to IVF/ICSI-treatment in patients with endometriosis.
STUDY FUNDING/COMPETING INTEREST(S)
Investigator initiated study. IQ Medical Ventures provided the ExEm FOAMÂź kits free of charge, they were not involved in the study design, data management, statistical analyses and/or manuscript preparation, etc. C.B.L. reports receiving grants from Ferring, Merck and Guerbet, outside the submitted work. C.B.L. is Editor-in-Chief of Human Reproduction. V.M. reports grants and other from Guerbet, outside the submitted work. B.W.M. reports grants from NHMRC (GNT1176437), personal fees from ObsEva, Merck and Merck KGaA, Guerbet and iGenomix, outside the submitted work. N.P.J. reports research funding from Abb-Vie and Myovant Sciences and consultancy for Vifor Pharma, Guerbet, Myovant Sciences and Roche Diagnostics, outside the submitted work. K.D. reports personal fees from Guerbet, outside the submitted work. The other authors do not report any conflicts of interest. No financial support was provided.
TRIAL REGISTRATION NUMBER
NL4025 (NTR4198)
TRIAL REGISTRATION DATE
7 October 2013
DATE OF FIRST PATIENTâS ENROLMENT
22 July 201
Nitrogen hydrides in interstellar gas II. Analysis of Herschel/HIFI observations towards W49N and G10.6-0.4 (W31C)
We have used the Herschel-HIFI instrument to observe interstellar nitrogen
hydrides along the sight-lines towards W49N and G10.6-0.4 in order to elucidate
the production pathways leading to nitrogen-bearing species in diffuse gas. All
detections show absorption by foreground material over a wide range of
velocities, as well as absorption associated directly with the hot-core source
itself. As in the previously published observations towards G10.6-0.4, the NH,
NH2 and NH3 spectra towards W49N show strikingly similar and non-saturated
absorption features. We decompose the absorption of the foreground material
towards W49N into different velocity components in order to investigate whether
the relative abundances vary among the velocity components, and, in addition,
we re-analyse the absorption lines towards G10.6-0.4 in the same manner.
Abundances, with respect to molecular hydrogen, in each velocity component are
estimated using CH. The analysis points to a co-existence of the nitrogen
hydrides in diffuse or translucent interstellar gas with a high molecular
fraction. Towards both sources, we find that NH is always at least as abundant
as both o-NH2 and o-NH3, in sharp contrast to previous results for dark clouds.
We find relatively constant N(NH)/N(o-NH3) and N(o-NH2)/N(o-NH3) ratios with
mean values of 3.2 and 1.9 towards W49N, and 5.4 and 2.2 towards G10.6-0.4,
respectively. The mean abundance of o-NH3 is ~2x10^-9 towards both sources. The
nitrogen hydrides also show linear correlations with CN and HNC towards both
sources, and looser correlations with CH. The upper limits on the NH+ abundance
indicate column densities < 2 - 14 % of N(NH). Surprisingly low values of the
ammonia ortho-to-para ratio are found in both sources, ~0.5 - 0.7 +- 0.1. This
result cannot be explained by current models as we had expected to find a value
of unity or higher.Comment: 35 pages, 74 figure
Direct determination of quasar redshifts
We present observations of 11 quasars, selected in the range z = 2.2-4.1,
obtained with ESA's Superconducting Tunnel Junction (STJ) camera on the WHT.
Using a single template quasar spectrum, we show that we can determine the
redshifts of these objects to about 1%. A follow-up spectroscopic observation
of one QSO for which our best-fit redshift (z = 2.976) differs significantly
from the tentative literature value (z ~ 2.30) confirms that the latter was
incorrect.Comment: 4 pages, 3 figures; uses aa.cls, psfig.sty, natbib.sty; accepted for
publication in A&A Letter
Treatment effect of oil-based contrast is related to experienced pain at HSG : a post-hoc analysis of the randomised H2Oil study
The H2Oil study was an investigator-initiated study that was funded by our own academic institutions (AMC and VUmc) of the Amsterdam UMC. The funders had no role in study design, collection, analysis and interpretation of the data.Peer reviewedPublisher PD
Ambient-aware continuous care through semantic context dissemination
Background: The ultimate ambient-intelligent care room contains numerous sensors and devices to monitor the patient, sense and adjust the environment and support the staff. This sensor-based approach results in a large amount of data, which can be processed by current and future applications, e. g., task management and alerting systems. Today, nurses are responsible for coordinating all these applications and supplied information, which reduces the added value and slows down the adoption rate. The aim of the presented research is the design of a pervasive and scalable framework that is able to optimize continuous care processes by intelligently reasoning on the large amount of heterogeneous care data.
Methods: The developed Ontology-based Care Platform (OCarePlatform) consists of modular components that perform a specific reasoning task. Consequently, they can easily be replicated and distributed. Complex reasoning is achieved by combining the results of different components. To ensure that the components only receive information, which is of interest to them at that time, they are able to dynamically generate and register filter rules with a Semantic Communication Bus (SCB). This SCB semantically filters all the heterogeneous care data according to the registered rules by using a continuous care ontology. The SCB can be distributed and a cache can be employed to ensure scalability.
Results: A prototype implementation is presented consisting of a new-generation nurse call system supported by a localization and a home automation component. The amount of data that is filtered and the performance of the SCB are evaluated by testing the prototype in a living lab. The delay introduced by processing the filter rules is negligible when 10 or fewer rules are registered.
Conclusions: The OCarePlatform allows disseminating relevant care data for the different applications and additionally supports composing complex applications from a set of smaller independent components. This way, the platform significantly reduces the amount of information that needs to be processed by the nurses. The delay resulting from processing the filter rules is linear in the amount of rules. Distributed deployment of the SCB and using a cache allows further improvement of these performance results
Eureka and beyond: mining's impact on African urbanisation
This collection brings separate literatures on mining and urbanisation together at a time when both artisanal and large-scale mining are expanding in many African economies. While much has been written about contestation over land and mineral rights, the impact of mining on settlement, notably its catalytic and fluctuating effects on migration and urban growth, has been largely ignored. African nation-statesâ urbanisation trends have shown considerable variation over the past half century. The current surge in ânewâ mining countries and the slow-down in âoldâ mining countries are generating some remarkable settlement patterns and welfare outcomes. Presently, the African continent is a laboratory of national mining experiences. This special issue on African mining and urbanisation encompasses a wide cross-section of country case studies: beginning with the historical experiences of mining in Southern Africa (South Africa, Zambia, Zimbabwe), followed by more recent mineralizing trends in comparatively new mineral-producing countries (Tanzania) and an established West African gold producer (Ghana), before turning to the influence of conflict minerals (Angola, the Democratic Republic of Congo and Sierra Leone)
Corrigendum: Septum resection in women with a septate uterus:a cohort study
The authors of the above article would like to apologise for an error in one of the authors' names. W. Kuchenbecker should be W.K.H. Kuchenbecker, as above. The electronic version of this article has been updated at https:// doi.org/10.1093/humrep/dez284. The print version is correct. The Authors would like to assure readers that this does not affect any other content of the article.</p
Septum resection in women with a septate uterus : a cohort study
© The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology.Peer reviewedPublisher PD
- âŠ