New advances in the treatment of infertility in women with ovarian failure

Ovarian failure is heterogeneous in etiology and may occur at various points in a woman's life. As such, it may interfere with fertility. Clinical presentation ranges from complete cessation of menses to oligomenorrhea to the continuation of menses with elevated gonadotropins. Various therapies have been used in an attempt to induce fertility, including sex steroids and gonadotropin-releasing hormone agonists to suppress circulating gonadotropin alone or in combination with estrogen or gonadotropin-releasing hormone agonists to induce ovulation. Corticosteroids are also used to overcome autoimmunity. Randomized therapeutic trials are rare and fail to demonstrate any significant improvement in ovulation and pregnancy rates. Donor oocytes have demonstrated high success rates and have proven to be useful in patients with both premature ovarian failure and natural menopause. Pregnancies have been initiated and maintained in women through 60 years of age. Thus, for those accepting of the technique, oocyte donation appears to be the treatment of choice for hypergonadotropic hypogonadism.     

Clinical associations of prenatal ischaemic white matter injury

Neuropathological examinations were carried out at necropsy on 274 cases of intrauterine death or neonatal death at or before three days after birth. Fifty six (20.4%) subjects had evidence of prenatal ischaemic brain damage. On review of the maternal case notes to ascertain antenatal clinical associations there was an increased incidence of intrauterine growth retardation, either based on birth weight for gestational age (odds ratio (OR) 2.0; 95% confidence interval (CI) 1.1 to 3.7) or diagnosed antenatally (OR 2.7; 95% CI 1.3 to 5.6). Oligohydramnios was also more common (OR 2.9; 95% CI 1.2 to 7.0). The association of intrauterine growth retardation and white matter damage remained after excluding fetuses with a major congenital anomaly (OR 2.4; 95% CI 1.1 to 5.1). The findings suggest that chronic intrauterine hypoxia may be associated with damage to cerebral white matter among fetuses and infants who die. The relation between ischaemic white matter damage and cerebral palsy among survivors remains speculative.     

Die Langzeit-Korrosionsgeschwindigkeit des passiven Eisens in anaeroben alkalischen Lösungen

The long-term corrosion rate of passive iron in anaerobic alcaline solutions Gas generation is an important issue in safety assessments of low and intermediate level radioactive repositories. In this connection the hydrogen production from corrosion of passive iron in saturated calcium hydroxide, in dilute alkali hydroxide and cement porewater solutions has been determined. The measurements were performed manometrically using fusion sealed glass cells, the measurement periods being between 275 and 560 days. In 0.1 M and 0.04 M alkali hydroxide solutions the initial hydrogen generation rate was 12 mmol/m²yr corresponding to a linear corrosion rate of 64 nm/yr. The reaction rate decreases with time. The smallest value obtained after 330 days is 0.3 mmol/m²yr corresponding to 1.5 nm/yr. The influence on iron of the saturated calcium hydroxide solution and the calcic porewater solutions differs from that of the alkali hydroxide solutions. At pH 12.5 the hydrogen generation rate remains practically constant up to breaking off the experiment, the value being about 1 mmol/m²yr corresponding to 5 nm/yr.     

Support seeking and support giving within couples in an anxiety-provoking situation: The role of attachment styles.

Examined how adult attachment styles moderate spontaneous behavior between dating couples when 1 member of the dyad is confronted with an anxiety-provoking situation. 83 dating couples were unobtrusively videotaped for 5 min in a waiting room while the woman waited to participate in an "activity" known to provoke anxiety in most people. Independent observers then evaluated each partner's behavior on several dimensions. Results revealed that persons with more secure attachment styles behaved differently than persons with more avoidant styles in terms of physical contact, supportive comments, and efforts to seek and give emotional support. Findings are discussed in the context of theory and research on attachment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effect of backward priming on word recognition in single-word and sentence contexts.

Backward priming was investigated under conditions similar to those used in lexical ambiguity research. Ss received prime-target word pairs that were associated either unidirectionally (BABY-STORK) or bidirectionally (BABY-CRY). In Exp 1, targets were presented 500 ms following the onset of visual primes, and Ss made naming or lexical decision responses to the targets. Forward priming was obtained in all conditions, while backward priming occurred only with lexical decision. In Exp 2, primes were presented auditorily, either in isolation or in a sentence. Targets followed the offset of the primes either immediately or after 200 ms. Backward priming occurred with both response tasks, but only when the prime was an isolated word. Backward priming decreased over time with the naming task, but not with lexical decision. These results suggest that the locus of the backward priming effect is different for the 2 response tasks. Results support a context-independent view of lexical access. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Functional activity of peripheral blood neutrophils of rats during combined effects of hypoxia, hypercapnia and cooling

Functional activity of neutrophilic leukocytes was studied in blood of rats immediately following single and repeated gradual increase in carbon dioxide and decrease in oxygen concentrations with the ambient temperature at 2 to 3 degrees C. Phagocytic activity was shown to alter as the number of phagocytic neutrophilic granulocytes, absorptivity or the phagocytic index, and the coefficient of phagocytosis completeness were elevated and levels of oxygen-dependent and oxygen-independent metabolism were reduced.     

Intraoperative blood salvage in children and young adults undergoing spinal surgery with predeposited autologous blood: efficacy and cost effectiveness

We conducted a retrospective review of 155 spinal operations at our institution to determine the efficacy of intraoperative salvage. Addition of intraoperative salvage had little effect on the success of a preoperative autologous donation program. Only patients with operative blood loss > 2,000 ml (12% of patients) benefited from this expensive source of autologous blood. The technique tended to be most effective in children aged 16-18 years. Use of intraoperative salvage for all pediatric spinal procedures is neither necessary nor cost effective.