998 research outputs found
Probing transverse quark polarization in deep-inelastic leptoproduction
The azimuthal dependence of hadrons produced in lepton scattering off a
polarized hadron probes the quark transverse-spin distributions. In the
calculation of the asymmetries, transverse momenta of quarks in the
distribution and fragmentation functions must be incorporated. In addition to
the asymmetry for transversely polarized hadrons, known
as the Collins effect, we find asymmetries for both transversely
and longitudinally polarized hadrons.Comment: 7 pages RevTe
Balancing selected medication costs with total number of daily injections: a preference analysis of GnRH-agonist and antagonist protocols by IVF patients
BACKGROUND:
During in vitro fertilization (IVF), fertility patients are expected to self-administer many injections as part of this treatment. While newer medications have been developed to substantially reduce the number of these injections, such agents are typically much more expensive. Considering these differences in both cost and number of injections, this study compared patient preferences between GnRH-agonist and GnRH-antagonist based protocols in IVF.
METHODS:
Data were collected by voluntary, anonymous questionnaire at first consultation appointment. Patient opinion concerning total number of s.c. injections as a function of non-reimbursed patient cost associated with GnRH-agonist [A] and GnRH-antagonist [B] protocols in IVF was studied.
RESULTS:
Completed questionnaires (n = 71) revealed a mean +/- SD patient age of 34 +/- 4.1 yrs. Most (83.1%) had no prior IVF experience; 2.8% reported another medical condition requiring self-administration of subcutaneous medication(s). When out-of-pocket cost for [A] and [B] were identical, preference for [B] was registered by 50.7% patients. The tendency to favor protocol [B] was weaker among patients with a health occupation. Estimated patient costs for [A] and [B] were 654.55 +/- 106.34, respectively (p < 0.005). Measured patient preference for [B] diminished as the cost difference increased.
CONCLUSIONS:
This investigation found consistently higher non-reimbursed direct medication costs for GnRH-antagonist IVF vs. GnRH-agonist IVF protocols. A conditional preference to minimize downregulation (using GnRH-antagonist) was noted among some, but not all, IVF patient sub-groups. Compared to IVF patients with a health occupation, the preference for GnRH-antagonist was weaker than for other patients. While reducing total number of injections by using GnRH-antagonist is a desirable goal, it appears this advantage is not perceived equally by all IVF patients and its utility is likely discounted heavily by patients when nonreimbursed medication costs reach a critical level
Novel Transversity Properties in Semi-Inclusive Deep Inelastic Scattering
The -odd distribution functions contributing to transversity properties of
the nucleon and their role in fueling nontrivial contributions to azimuthal
asymmetries in semi-inclusive deep inelastic scattering are investigated. We
use a dynamical model to evaluate these quantities in terms of HERMES
kinematics.Comment: 5 pages revtex; 5 eps figures. References added. To appear as a Rapid
Communication in Physical Review
What can break the Wandzura--Wilczek relation?
We analyze the breaking of the Wandzura-Wilczek relation for the g_2
structure function, emphasizing its connection with transverse momentum
dependent parton distribution functions. We find that the relation is broken by
two distinct twist-3 terms, and clarify how these can be separated in
measurements of double-spin asymmetries in semi-inclusive deep inelastic
scattering. Through a quantitative analysis of available g_2 data we also show
that the breaking of the Wandzura-Wilczek relation can be as large as 15-30% of
the size of g_2.Comment: 12 page
Array comparative genomic hybridization screening in IVF significantly reduces number of embryos available for cryopreservation
Objective
During IVF, non-transferred embryos are usually selected for cryopreservation on the basis of morphological criteria. This investigation evaluated an application for array comparative genomic hybridization (aCGH) in assessment of surplus embryos prior to cryopreservation.
Methods
First-time IVF patients undergoing elective single embryo transfer and having at least one extra non-transferred embryo suitable for cryopreservation were offered enrollment in the study. Patients were randomized into two groups: Patients in group A (n=55) had embryos assessed first by morphology and then by aCGH, performed on cells obtained from trophectoderm biopsy on post-fertilization day 5. Only euploid embryos were designated for cryopreservation. Patients in group B (n=48) had embryos assessed by morphology alone, with only good morphology embryos considered suitable for cryopreservation.
Results
Among biopsied embryos in group A (n=425), euploidy was confirmed in 226 (53.1%). After fresh single embryo transfer, 64 (28.3%) surplus euploid embryos were cryopreserved for 51 patients (92.7%). In group B, 389 good morphology blastocysts were identified and a single top quality blastocyst was selected for fresh transfer. All group B patients (48/48) had at least one blastocyst remaining for cryopreservation. A total of 157 (40.4%) blastocysts were frozen in this group, a significantly larger proportion than was cryopreserved in group A (p=0.017, by chi-squared analysis).
Conclusion
While aCGH and subsequent frozen embryo transfer are currently used to screen embryos, this is the first investigation to quantify the impact of aCGH specifically on embryo cryopreservation. Incorporation of aCGH screening significantly reduced the total number of cryopreserved blastocysts compared to when suitability for freezing was determined by morphology only. IVF patients should be counseled that the benefits of aCGH screening will likely come at the cost of sharply limiting the number of surplus embryos available for cryopreservation
Double transverse spin asymmetries in vector boson production
We investigate a helicity non-flip double transverse spin asymmetry in vector
boson production in hadron-hadron scattering, which was first considered by
Ralston and Soper at the tree level. It does not involve transversity functions
and in principle also arises in W-boson production for which we present the
expressions. The asymmetry requires observing the transverse momentum of the
vector boson, but it is not suppressed by explicit inverse powers of a large
energy scale. However, as we will show, inclusion of Sudakov factors causes
suppression of the asymmetry, which increases with energy. Moreover, the
asymmetry is shown to be approximately proportional to x_1 g_1(x_1) x_2 \bar
g_1(x_2), which gives rise to additional suppression at small values of the
light cone momentum fractions. This implies that it is negligible for Z or W
production and is mainly of interest for \gamma^* at low energies. We also
compare the asymmetry with other types of double transverse spin asymmetries
and discuss how to disentangle them.Comment: 12 pages, Revtex, 2 Postscript figures, uses aps.sty, epsf.sty;
figures replaced, a few minor other correction
Bivariate analysis of basal serum anti-Müllerian hormone measurements and human blastocyst development after IVF
Background
To report on relationships among baseline serum anti-Müllerian hormone (AMH) measurements, blastocyst development and other selected embryology parameters observed in non-donor oocyte IVF cycles.
Methods
Pre-treatment AMH was measured in patients undergoing IVF (n = 79) and retrospectively correlated to in vitro embryo development noted during culture.
Results
Mean (+/- SD) age for study patients in this study group was 36.3 ± 4.0 (range = 28-45) yrs, and mean (+/- SD) terminal serum estradiol during IVF was 5929 +/- 4056 pmol/l. A moderate positive correlation (0.49; 95% CI 0.31 to 0.65) was noted between basal serum AMH and number of MII oocytes retrieved. Similarly, a moderate positive correlation (0.44) was observed between serum AMH and number of early cleavage-stage embryos (95% CI 0.24 to 0.61), suggesting a relationship between serum AMH and embryo development in IVF. Of note, serum AMH levels at baseline were significantly different for patients who did and did not undergo blastocyst transfer (15.6 vs. 10.9 pmol/l; p = 0.029).
Conclusions
While serum AMH has found increasing application as a predictor of ovarian reserve for patients prior to IVF, its roles to estimate in vitro embryo morphology and potential to advance to blastocyst stage have not been extensively investigated. These data suggest that baseline serum AMH determinations can help forecast blastocyst developmental during IVF. Serum AMH measured before treatment may assist patients, clinicians and embryologists as scheduling of embryo transfer is outlined. Additional studies are needed to confirm these correlations and to better define the role of baseline serum AMH level in the prediction of blastocyst formation
A mechanism for the T-odd pion fragmentation function
We consider a simple rescattering mechanism to calculate a leading twist
-odd pion fragmentation function, a favored candidate for filtering the
transversity properties of the nucleon. We evaluate the single spin azimuthal
asymmetry for a transversely polarized target in semi-inclusive deep inelastic
scattering (for HERMES kinematics). Additionally, we calculate the double
-odd asymmetry in this framework.Comment: 6 pages revtex, 7 eps figures, references added and updated in this
published versio
Selection of single blastocysts for fresh transfer via standard morphology assessment alone and with array CGH for good prognosis IVF patients: results from a randomized pilot study
Background
Single embryo transfer (SET) remains underutilized as a strategy to reduce multiple gestation risk in IVF, and its overall lower pregnancy rate underscores the need for improved techniques to select one embryo for fresh transfer. This study explored use of comprehensive chromosomal screening by array CGH (aCGH) to provide this advantage and improve pregnancy rate from SET.
Methods
First-time IVF patients with a good prognosis (age <35, no prior miscarriage) and normal karyotype seeking elective SET were prospectively randomized into two groups: In Group A, embryos were selected on the basis of morphology and comprehensive chromosomal screening via aCGH (from d5 trophectoderm biopsy) while Group B embryos were assessed by morphology only. All patients had a single fresh blastocyst transferred on d6. Laboratory parameters and clinical pregnancy rates were compared between the two groups.
Results
For patients in Group A (n=55), 425 blastocysts were biopsied and analyzed via aCGH (7.7 blastocysts/patient). Aneuploidy was detected in 191/425 (44.9%) of blastocysts in this group. For patients in Group B (n=48), 389 blastocysts were microscopically examined (8.1 blastocysts/patient). Clinical pregnancy rate was significantly higher in the morphology+aCGH group compared to the morphology-only group (70.9 and 45.8%, respectively; p=0.017); ongoing pregnancy rate for Groups A and B were 69.1 vs. 41.7%, respectively (p=0.009). There were no twin pregnancies.
Conclusion
Although aCGH followed by frozen embryo transfer has been used to screen at risk embryos (e.g., known parental chromosomal translocation or history of recurrent pregnancy loss), this is the first description of aCGH fully integrated with a clinical IVF program to select single blastocysts for fresh SET in good prognosis patients. The observed aneuploidy rate (44.9%) among biopsied blastocysts highlights the inherent imprecision of SET when conventional morphology is used alone. Embryos randomized to the aCGH group implanted with greater efficiency, resulted in clinical pregnancy more often, and yielded a lower miscarriage rate than those selected without aCGH. Additional studies are needed to verify our pilot data and confirm a role for on-site, rapid aCGH for IVF patients contemplating fresh SET
Nonstationary Stochastic Resonance in a Single Neuron-Like System
Stochastic resonance holds much promise for the detection of weak signals in
the presence of relatively loud noise. Following the discovery of nondynamical
and of aperiodic stochastic resonance, it was recently shown that the
phenomenon can manifest itself even in the presence of nonstationary signals.
This was found in a composite system of differentiated trigger mechanisms
mounted in parallel, which suggests that it could be realized in some
elementary neural networks or nonlinear electronic circuits. Here, we find that
even an individual trigger system may be able to detect weak nonstationary
signals using stochastic resonance. The very simple modification to the trigger
mechanism that makes this possible is reminiscent of some aspects of actual
neuron physics. Stochastic resonance may thus become relevant to more types of
biological or electronic systems injected with an ever broader class of
realistic signals.Comment: Plain Latex, 7 figure
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