scholarly journals AFTER MORPHOLOGY PRIORITIZATION PGT-A SHOULD IMPROVE IMPLANTATION RATES BY 10%

2021 ◽  
Vol 116 (1) ◽  
pp. e6
Author(s):  
Amber M. Klimczak ◽  
Nola S. Herlihy ◽  
Julia G. Kim ◽  
Brent M. Hanson ◽  
Cheri K. Margolis ◽  
...  
Keyword(s):  
Open Heart ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. e001598
Author(s):  
Christopher Pieri ◽  
Anish Bhuva ◽  
Russell Moralee ◽  
Aderonke Abiodun ◽  
Deepa Gopalan ◽  
...  

ObjectiveTo determine provision of MRI for patients with cardiac implantable electronic devices (CIEDs; pacemakers and defibrillators) in England, to understand regional variation and assess the impact of guideline changes.MethodsRetrospective data related to MRI scans performed in patients with CIED over the preceding 12 months was collected using a structured survey tool distributed to every National Health Service Trust MRI unit in England. Data were compared with similar data from 2014/2015 and with demand (estimated from local CIED implantation rates and regional population data by sustainability and transformation partnerships (STPs)).ResultsResponses were received from 212 of 223 (95%) hospitals in England. 112 (53%) MRI units’ scan patients with MR-conditional CIEDs (10% also scan non-MR conditional devices), compared with 46% of sites in 2014/2015. Total annual scan volume increased over fourfold between 2014 and 2019 (1090 to 4896 scans). There was widespread geographical variation, with five STPs (total population >3·5 million representing approximately 25 000 patients with CIED) with no local provision. There was no correlation between local demand (CIED implantation rates) and MRI provision (scan volume). Complication rates were extremely low with three events nationally in 12 months (0·06% CIED–MRI scans).ConclusionsProvision of MRI for patients with CIEDs in England increased over fourfold in 4 years, but an estimated 10-fold care gap remains. Almost half of hospitals and 1 in 10 STPs have no service, with no relationship between local supply and demand. Availability of MRI for patients with non-MR conditional devices, although demonstrably safe, remains limited.


Author(s):  
Lough-Stevens Michael ◽  
Caleb Ghione ◽  
Matthew Urness ◽  
Adelaide Hobbs ◽  
Colleen Sweeney ◽  
...  

Abstract Among a wide diversity of sexually reproducing species, male ejaculates coagulate to form what has been termed a copulatory plug. A number of functions have been attributed to copulatory plugs, including, but not limited to, the inhibition of female remating and the promotion of ejaculate movement. Here we demonstrate that copulatory plugs also influence the likelihood of implantation, which occurs roughly four days after copulation in mice. Using a bead transfer method to control for differences in ejaculate retention and fertilization rates, we show that implantation rates significantly drop among females mated to genetically engineered males incapable of forming plugs (because they lack functional TGM4, the main enzyme responsible for its formation). Surprisingly, this result does not correlate with differences in circulating progesterone levels among females, an important hormone involved in implantation. In this paper we discuss three models that connect male-derived copulatory plugs to implantation success, including the hypothesis that plugs contribute to a threshold amount of stimulation required for females to become receptive to implantation.


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