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Rescue in vitro maturation of germinal vesicle oocytes after ovarian stimulation: the importance of the culture media.

STUDY QUESTION: What are the nuclear and initial developmental outcomes of rescue-IVM oocytes across multiple commercially available media? … as conducted in good-prognosis young oocyte donors and should be confirmed in poor-prognosis and/or advanced maternal age infertile women. Metaphase I (MI) immature oocytes were not included. AOA, which was used to assess initial oocyte competence (i.e. to resume meiosis and form a pronucleus), is useful for initial cytoplasmic competence but is an incomplete approach …

Global health 2050: the path to halving premature death by mid-century.

Global health 2050 (GH2050), a new report from the Lancet Commission on Investing in Health, finds that dramatic improvements in human welfare are achievable by mid-century with focused health investments. By 2050, countries that choose to do so can halve their probability of premature death (PPD)—the probability of dying before age 70—from their pre-pandemic level in 2019. We call this goal “50 by 50”: a 50% reduction in PPD by 2050. The interventions for achieving “50 by 50” will also reduce morbidity and disability at all ages. Historical experience and continued scientific advance indicate

AGA Clinical Practice Update on Pregnancy-Related Gastrointestinal and Liver Disease: Expert Review.

DESCRIPTION: The purpose of this American Gastroenterological Association (AGA) Institute Clinical Practice Update is to review the available published evidence and expert advice regarding the clinical management of patients with pregnancy-related gastrointestinal and liver disease. METHODS: This expert review was commissioned and approved by the AGA Institute Clinical Practice Updates Committee and the AGA Governing Board to provide timely guidance on a topic of high clinical importance to the AGA membership and underwent internal peer review by the Clinical Practice Updates Committee and ex

Assisted Reproductive Technology Surveillance — United States, 2012.

PROBLEM/CONDITION: Since the first U.S. infant conceived with Assisted Reproductive Technology (ART) was born in 1981, both the use of advanced technologies to overcome infertility and the number of fertility clinics providing ART services have increased steadily in the United States. ART includes fertility treatments in which eggs or embryos are handled in the laboratory (i.e., in vitro fertilization [IVF] and related procedures). Because more than one embryo might be transferred during a procedure, women who undergo ART procedures, compared with those who conceive naturally, are more likely

In vitro fertilization and multiple pregnancies: an evidence-based analysis.

OBJECTIVE: The objective of this health technology policy assessment was to determine the clinical effectiveness and cost-effectiveness of IVF for infertility treatment, as well as the role of IVF in reducing the rate of multiple pregnancies. CLINICAL NEED: TARGET POPULATION AND CONDITION Typically defined as a failure to conceive after a year of regular unprotected intercourse, infertility affects 8% to 16% of reproductive age couples. The condition can be caused by disruptions at various steps of the reproductive process. Major causes of infertility include abnormalities of sperm, tubal obs

Cancer in Pregnancy: Therapeutic Decisions at the Intersection of Two Lives.

Background: Cancer during pregnancy is a rare but increasingly encountered condition due to delayed childbearing and improved survival of women with cancer. The coexistence of malignancy and pregnancy poses complex diagnostic and therapeutic challenges, requiring careful balance between maternal prognosis and fetal safety. Objective: This review aims to summarize current evidence on the diagnosis and multidisciplinary management of cancer during pregnancy, focusing on the safe use of oncologic therapies, obstetric decision-making, and maternal and fetal outcomes. Methods: A narrative review wa

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… Its incidence has increased over time, mainly due to the postponement of pregnancy to more advanced maternal ages [ 16 , 17 ]. …

Cancer in pregnancy: FIGO Best practice advice and narrative review.

Cancer during pregnancy is relatively rare. The incidence is underestimated due to the lack of international registries covering both high-income and low- and middle-income countries, and is expected to rise with increasing maternal age and increasing global adoption of cell-free DNA testing for aneuploidy. Physiological changes during pregnancy often make the diagnosis challenging and delayed. Lack of experience and knowledge about this condition may also contribute to late diagnosis, suboptimal management, and occasionally inadvertent fetal and/or maternal harm. The principles of cancer mana

Maternal Autoimmune Disease and Childhood-Onset Type 1 Diabetes: A Nationwide Population-Based Nested Case-Control Study.

INTRODUCTION: Type 1 diabetes mellitus (T1DM) is an autoimmune disease that damages insulin-producing pancreatic cells, often appearing in childhood. Global incidence is rising at 2%-3% yearly. Its exact cause is unclear. Prenatal exposures and maternal autoimmune disorders have been reported as potential risk factors. This study aimed to explore how maternal autoimmune conditions might correlate with the onset of T1DM, employing a population-focused approach. METHODS: This is a retrospective population-based cohort study with a nested case-control analysis. Primary data were derived from the

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… Several other factors have been identified as potential contributors to T1DM in children, including higher birth weight, Cesarean delivery, maternal obesity during pregnancy, preconception parental obesity, enterovirus infections, advanced maternal age, and maternal gluten consumption [ 1 , 12 ]. …

Многострановое исследование базы данных для оценки результатов беременности и младенчества после возможного воздействия кладрибинных таблеток на матерей или отцов при лечении множественного склероза: методы исследования КЛЕО и обновление статуса.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Кладрибинные таблетки противопоставляются во время беременности; таким образом, данные о безопасности беременности, подверженной такому лечению, ограничены. СЛАР собирает и описывает результаты беременности в этой недостаточно изученной группе населения. ЦЕЛИ: Описание основных особенностей структуры исследования, проведенного в рамках программы < < ЯДЕР > > , включая источники данных и методологический подход, и представление обновленной информации о ходе работы. DESIGN: CLEAR представляет собой неинтервенционное, многобазовое, сравнительное когортное исслед

Геномический диагноз детских расстройств: революция и эволюция.

Мощные, последние достижения в технологиях анализа генома оказали глубокое воздействие на практику медицинской генетики как в лаборатории, так и в клинике. Более широкое использование общегеномных тестов, таких, как анализ хромосомных микроарра и последовательность экзомов, привело к переходу к "генотипному" подходу. В настоящее время имеются многочисленные методы диагностики конкретного синдрома или фенотипа, и, хотя традиционные методы остаются эффективными инструментами в некоторых ситуациях, технологии с более высокой производительностью фактически стали лабораторным инструментом диагности

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… Prenatal screening for aneuploidies such as Trisomies 13, 18, and 21, which have a combined incidence of 4 in 1,000 newborns and are associated with advanced maternal age, is offered to all pregnant women using various strategies ( 38 ). … The positive predictive value for NIPS in women of advanced maternal age is highest for trisomy 21 (>90%), but decreases below 90% for trisomy 13 and 18, and as low as ~50% for sex chromosomal aneuploidies ( 42 , 43 ). …

Преодоление разрыва в знаниях о беременности: реальный всемирный анализ потребления лекарств и риска взаимодействия наркотиков в болезни Крона и множественном склерозе.

Исключение беременных людей из клинических испытаний привело к значительному разрыву в уровне медицинских знаний для этого населения. Использование реальных данных (РВД) является важнейшим звеном в распространении и использовании лекарственных средств во время беременности. С помощью базы данных планов медицинского страхования " IQVIA Pharmetrics(R) Plus " мы провели оценку использования методов лечения заболеваний и сопутствующих лекарств у беременных. Мы сосредоточились на two примеры: болезнь Крона (CD) и множественный склероз (MS)-анализирующие пациенты с историей использования D

Chained Risk Assessment for Life-Long Disease Burden of Early Exposures - Demonstration of Concept Using Prenatal Maternal Smoking.

Traditional risk factors and environmental exposures only explain less than half of the disease burden. The developmental origin of the health and disease (DOHaD) concept proposes that prenatal and early postnatal exposures increase disease susceptibility throughout life. The aim of this work is to demonstrate the application of the DOHaD concept in a chained risk assessment and to provide an estimate of later in life burden of disease related to maternal smoking. We conducted three systematic literature searches for meta-analysis and reviewed the literature reporting meta-analyses of long-ter

Узкие полифенолы в питании свиноматок: обновление.

Окисляющий стресс является потенциально критическим фактором, влияющим на производительность гектарирующих и кормящих свиней. Полифенолы представляют собой большой класс вторичных метаболитов растений, обладающих мощными антиоксидантами. Все полифенолы структурно характеризуются ароматическими кольцами с множеством гидроксилов водорода; они делают полифенолы идеальными атомами водорода и электронными донорами для нейтрализации свободных радикалов и других реактивных видов кислорода. В течение последнего десятилетия все большее внимание уделялось полифенолам в качестве функциональных кормовых д

Bridging the Gap: Pregnancy-And Lactation-Associated Osteoporosis.

Early diagnosis of pregnancy- and lactation-associated osteoporosis (PLO) is mandatory for a good outcome. Standard care is not a matter of conventional guidelines, rather it requires an individualized strategy while true overall incidence and pathogeny remain open issues. This is a narrative review based on full-length English articles, published between January 2021 and March 2023 and accessed via PubMed (no traumatic fractures or secondary osteoporosis are included). Our case-sample-based analysis included 836 females with PLO (the largest cohort based on published cases so far) through 12

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… All these confirmed previous data (before 2021) showed that the risk of PAO/LOA increases with advanced maternal age (more than half being older than 30 years) and reduced BMI (only exceptional cases are registered in obese patients). …

Воздействие питательных микроэлементов на результаты беременности в развивающихся странах: систематический обзор и метаанализ.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: В развивающихся странах по-прежнему относительно высоки показатели низкой беременности. Недостаток питательных микроэлементов относится к числу факторов, которые играют определенную роль в определении негативных последствий беременности. Цель настоящего исследования заключается в изучении роли дефицита питательных микроэлементов в неудовлетворительных результатах беременности и их связи с здоровьем новорожденных.МЕТОД: Для этого обзора был проведен систематический поиск с использованием программы " Харзинг периш " и публикация программного обеспечения, а также

Maternal and Fetal Outcomes After Interferon Exposure During Pregnancy: A Systematic Review With Meta-Analysis.

Interferon (IFN) treatment is widely applied in viral hepatitis and multiple myeloproliferative diseases. However, there is considerable controversy on how to deal with unintended pregnancy during IFN treatment, even selective termination is suggested by hepatologists. To settle this clinical dilemma, we conducted a systematic review to retrieve all published articles involving IFN exposure during pregnancy up until March 31, 2021. Only 8 case reports that were relevant with outcomes of pregnant women with viral hepatitis exposed to IFN-α were retrieved, and 17 studies reporting pregnancy outc

Mechanistic study of pre-eclampsia and macrophage-associated molecular networks: bioinformatics insights from multiple datasets.

BACKGROUND: Pre-eclampsia is a pregnancy-related disorder characterized by hypertension and proteinuria, severely affecting the health and quality of life of patients. However, the molecular mechanism of macrophages in pre-eclampsia is not well understood. METHODS: In this study, the key biomarkers during the development of pre-eclampsia were identified using bioinformatics analysis. The GSE75010 and GSE74341 datasets from the GEO database were obtained and merged for differential analysis. A weighted gene co-expression network analysis (WGCNA) was constructed based on macrophage content, and

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… Additionally, PE may occur in pregnant women with underlying conditions such as hypertension or other high-risk factors like multiple pregnancies and advanced maternal age ( Gao et al., 2020 ; Saito et al., 2023 ). …

Haematological malignancies during pregnancy: a systematic review of necessary services in the Australian context.

BackgroundHaematological malignancies diagnosed during pregnancy are rare, with increasing incidence, presenting unique therapeutic, social and ethical challenges for treating teams, patients and their family. There are no national guidelines regarding appropriate referral pathways, resources and services for the management of these patients.AimsTo conduct a systematic review of the literature to identify the multidisciplinary team members required for optimal care of pregnant patients with haematological malignancies. These data will be used to evaluate the capabilities of Australian health n

Обзор системы ухода на дому за пренатальными детьми.

Адекватный уход на дому имеет важнейшее значение для улучшения состояния здоровья беременных детей при поддержке родителей и лиц, обеспечивающих уход. Поэтому было бы интересно ознакомиться с известными данными о подходах к уходу на дому, включая телемедицину, планы питания, кенгуру и обучение по уходу за детьми. Известные данные свидетельствуют о преимуществах в области питания, прогресса в области развития и охраны психического здоровья матерей, однако такие ограничения, как различные методологии, короткие периоды последующей деятельности и риски, связанные с предубеждением, сдерживают вывод

Pregnancy Exposure to Anti-CD20 Monoclonal Antibodies in Patients With Multiple Sclerosis: Results From an Italian Multicenter Registry Study.

BACKGROUND AND OBJECTIVES: Although anti-CD20 monoclonal antibodies (anti-CD20s) theoretically represent an ideal treatment option for women with multiple sclerosis (wwMS) planning a pregnancy, the paucity of real-world data still limits their use in this context. Through our Italian registry "CD20-PREGNANCY," we aim to report pregnancy, infant, and maternal outcomes in wwMS treated with anti-CD20s. METHODS: In this observational study, wwMS having received rituximab (RTX), ocrelizumab (OCR), or ofatumumab (OFA) before and/or during pregnancy (≤12 months for RTX/OCR, ≤6 months for OFA) were i