GnRH agonist versus GnRH antagonist in poor ovarian responders: A meta-analysis

The aim of this meta-analysis was to compare the efficacy of gonadotrophin antagonist (GnRH-ant) versus GnRH agonist (GnRHa) as coadjuvant therapy for ovarian stimulation in poor ovarian responders in IVF/intracytoplasmic sperm injection cycles. Search strategies included on-line surveys of databases such as MEDLINE, EMBASE and others. A fixed effects model was used for odds ratio (OR) and effect size (weighted mean difference, WMD). Six trials fulfilled the inclusion criteria (randomized controlled trials). There was no difference between GnRH-ant and GnRHa (long and flare-up protocols) with respect to cycle cancellation rate, number of mature oocytes and clinical pregnancy rate per cycle initiated, per oocyte retrieval and per embryo transfer. When the mete-analysis was applied to the two trials that had used GnRH-ant versus long protocols of GnRHa, a significantly higher number of retrieved oocytes was observed in the GnRH-ant protocols [P = 0.018; WMD: 1.12 (0.18, 2.05)]. However, when the meta-analysis was applied to the four trials that had used GnRH-ant versus flare-up protocols, a significantly higher number of retrieved oocytes (P = 0.032; WMD: -0.51, 95% CI -0.99, -0.04) was observed in the GnRHa protocols. Nevertheless, additional randomized controlled trials with better planning are needed to confirm these results.

Recombinant LH supplementation to recombinant FSH during induced ovarian stimulation in the GnRH-antagonist protocol: A meta-analysis

This study aims to compare the efficacy of recombinant LH (rLH) supplementation for ovarian stimulation in gonadotrophin-releasing hormone-antagonist protocol for IVF/intracytoplasmic sperm injection cycles. Search strategies included online surveys of databases. The fixed effects model was used for odds ratio (OR) and effect size (weighted mean difference, WMD). Five trials fulfilled the inclusion criteria. When the meta-analysis was carried out, advantages were observed for the LH supplementation protocol with respect to higher serum oestradiol concentrations on the day of human chorionic gonadotrophin administration (P < 0.0001; WMD: 514, 95% CI 368, 660) and higher number of mature oocytes (P = 0.0098; WMD: 0.88, 95% CI 0.21, 1.54). However, these differences were not observed in the total amount of recombinant FSH (rFSH) administered, days of stimulation, number of oocytes retrieved, the clinical pregnancy rate per oocyte retrieval, the implantation rate and miscarriage rate. This result demonstrates that the association of rLH with rFSH may prevent any decrease in oestradiol after antagonist administration and that a significantly higher number of mature oocytes was available for laboratory work. Nevertheless, it failed to show any statistically significant difference in clinically significant end-points in IVF (implantation and pregnancy rates). Additional randomized controlled trials are needed to confirm these results further. © 2007 Published by Reproductive Healthcare Ltd.

Comparação de métodos para determinação da estabilidade de agregados por vias seca e úmida em diferentes sistemas de uso e manejo do solo

The purpose of the work is to evaluate the stability by dry and humid of theaggregate in different systems or the use and management in Argissolos: agricultural, pasture and torest utilization. This work was realized in agricultural property, in Anhumas city, SR Several analyses including percentage of the aggregate (by way of dry and humid); the weighted mean diameter of the aggregate calculation and statistic analysis. Conclusion: the organic matter content of the A horizon of the soil under forest is 64 % more than the soil under pasture and 79 % more than the soil under annual crop; the WMDA of the aggregate obtained by dry and humid ways of the horizon A and its mean value for the soil decrease in the following sequence: PVAd - forest > PVe -pasture > PVd - annual culture, respectively, with the following values: 1.33560 and 1.445496 (D), 2.81114 and 2.351380 (H); 0.66748 and 1.011830 (D); 2.79642 and 1.624250 (H); 0.32468 and 0.993775 (S), 1.25808 and 0.983135 mm (H); the two methods are equally sensitive to reveal the effect of the soil use and management; the organic matter provides additional stability to the aggregates submitted to humid sieving and clay to the dry sieving: the WMDA obtained by dry and humid ways are statistically different for the soil profiles.

Pharmacokinetics of dexmedetomidine administered intravenously in isofluraneanesthetized cats

Objective-To determine the pharmacokinetics of dexmedetomidine administered as a short-duration IV infusion in isoflurane-anesthetized cats. Animals-6 healthy adult domestic female cats. Procedures-Dexmedetomidine hydrochloride was injected IV (10 μg/kg over 5 minutes [rate, 2 μg/kg/min]) in isoflurane-anesthetized cats. Blood samples were obtained immediately prior to and at 1, 2, 5, 6, 7, 10, 15, 30, 60, 90, 120, 240, and 480 minutes following the start of the IV infusion. Collected blood samples were transferred to tubes containing EDTA, immediately placed on ice, and then centrifuged at 3,901 X g for 10 minutes at 4°C. The plasma was harvested and stored at -20°C until analyzed. Plasma dexmedetomidine concentrations were determined by means of liquid chromatography-mass spectrometry. Dexmedetomidine plasma concentration-time data were fitted to compartmental models. Results-A 2-compartment model with input in and elimination from the central compartment best described the disposition of dexmedetomidine administered via short-duration IV infusion in isoflurane-anesthetized cats. Weighted mean ± SEM apparent volume of distribution of the central compartment and apparent volume of distribution at steady-state were 402 ± 47 mL/kg and 1,701 ± 200 mL/kg, respectively; clearance and terminal half-life (harmonic mean ± jackknife pseudo-SD) were 6.3 ± 2.8 mL/min/kg and 198 ± 75 minutes, respectively. The area under the plasma concentration curve and maximal plasma concentration were 1,061 ± 292 min·ng/mL and 17.6 ± 1.8 ng/mL, respectively. Conclusions and Clinical Relevance-Disposition of dexmedetomidine administered via short-duration IV infusion in isoflurane-anesthetized cats was characterized by a moderate clearance and a long terminal half-life.

Padrões fenológicos de espécies arbóreas em um fragmento de floresta semidecídua no estado de São Paulo: definição de padrões sazonais e comparação entre anos

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Caracterização do aporte de poluentes oriundos da atividade sucroalcooleira para a atmosfera, água, solo e sedimento

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Explorando conexões entre a matemática e a física com o uso da calculadora gráfica e do CBL

Pós-graduação em Educação Matemática - IGCE

Caracterização da deposição atmosférica e aporte de espécies químicas no principal corpo aquático da cidade de São José do Rio Preto, SP

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Discriminação de argissolos e avaliação da estabilidade de agregados por vias seca e úmida em diferentes sistemas de uso e manejo

Pós-graduação em Agronomia (Energia na Agricultura) - FCA

Rainwater major and trace element contents in Southeastern Brazil: an assessment of a sugar cane region in dry and wet period

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Efeito da inoculação de probiótico in ovo sobre a morfometria intestinal e controle de salmonella enteritidis

Pós-graduação em Zootecnia - FMVZ

Orientation, building height and sky view factor as energy efficiency design parameters

The energy efficiency of buildings should be a goal at the pre-design phase, though the importance of the design variables is often neglected even during the design process. Highlighting the relevance of these design variables, this research studies the relationships of building location variables with the electrical energy consumption of residential units. The following building design parameters are considered: orientation, story height and sky view factor (SVF). The consideration of the SVF as a location variable contributes to the originality of this research. Data of electrical energy consumption and users' profiles were collected and several variables were considered for the development of an Artificial Neural Network model. This model allows the determination of the relative importance of each variable. The results show that the apartments' orientation is the most important design variable for the energy consumption, although the story height and the sky view factor play a fundamental role in that consumption too. We pointed out that building heights above twenty-four meters do not optimize the energy efficiency of the apartments and also that an increasing SVF can influence the energy consumption of an apartment according to their orientation.

Measured and modeled interactive effects of potassium deficiency and water deficit on gross primary productivity and light-use efficiency in Eucalyptus grandis plantations

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Manejo da irrigação na cultura do feijoeiro em sistemas plantio direto e convencional

O manejo inadequado do solo e da água é limitante à produtividade do feijoeiro irrigado. O objetivo deste trabalho foi avaliar dois métodos de manejo da irrigação, um via solo (tensiometria) e outro via clima (tanque Classe A), conjugados com os sistemas plantio direto e convencional de manejo do solo com a cultura do feijoeiro de inverno, no segundo ano de plantio direto, em Jaboticabal - SP. Foi medido o potencial mátrico do solo e estimada a variação diária do armazenamento de água no solo, na camada de 0 a 0,40 m de profundidade, e avaliados os componentes de produtividade, além de determinadas a evapotranspiração real média e a eficiência média de uso de água pela cultura. O sistema de preparo convencional do solo com manejo de irrigação pelo tanque Classe A proporcionou maior produtividade de grãos, evapotranspiração média e eficiência de uso de água pela cultura, seguido pelo plantio direto com manejo de irrigação por tensiometria e por tanque Classe A. O sistema plantio direto foi menos suscetível às variações hídricas no solo decorrentes dos manejos de irrigação empregados do que o sistema de preparo convencional, resultando em menor variação na produtividade de grãos.

Analysis of Factor VIII polymorphic markers as a means for carrier detection in Brazilian families with haemophilia A

Haemophilia A is an X-linked, recessively inherited bleeding disorder of varying severity, which results from the deficiency of procoagulant factor VIII f(8). Linkage diagnosis using polymorphic markers in the f8 gene is widely used to detect carriers. The objective of this study was to verify the informativeness of three polymorphic markers in the Brazilian population, to evaluate the usefulness of such markers in carrier detection procedures. Sixty-three unrelated healthy volunteers and 10 haemophilic families were studied. Two microsatellite repeats and one HindIII RFLP markers were used. Carrier and non-carrier status could be determined in 80% of females investigated. Intron 13 markers presented the highest heterozygosity rate (79%) followed by intron 22 (68%) and intron 19 (57%). When all three markers were used together, linkage analysis informativeness increased significantly. We conclude that these markers are suitable for carrier detection in the Brazilian population and we recommend their use in combination to maximize diagnostic efficiency.