Effect of clomiphene citrate on endometrium thickness and echogenic patterns

OBJECTIVE

To study the effect of clomiphene citrate (CC) on the thickness and echogenic pattern of the endometrium using vaginal sonography.

METHOD

In this experimental prospective study, CC was given to 31 women with unexplained infertility. Thickness and echo patterns of the endometrium, as well as estradiol (E2) and progesterone (P) levels, were compared in women taking CC and in control patients during both the late proliferative and midsecretory phases of the menstrual cycle.

RESULTS

Endometrial thickness was significantly thinner in women taking CC (P<0.03) than in controls during the late proliferative phase but there was no significant difference during the midsecretory phase. The endometrial echogenic patterns of women taking CC who had conceived revealed endometrial thicknesses of grade III and grade IV on midsecretory days, but these findings were not significantly different from those of women who had not conceived (P=0.3). Serum E2 level was higher in women taking CC than in the controls on both late proliferative and midsecretory days (P<0.05).

CONCLUSION

CC affects endometrium thickness on late proliferative days but not on midsecretory days, and does not alter the echogenic pattern of the endometrium.

Ileal MUC2 gene expression and microbial population, but not growth performance and immune response, are influenced by in ovo injection of probiotics in broiler chickens

1. The objective of present study was to evaluate the effects of intra-amniotic injection of different probiotic strains (Bacillus subtilis, Enterococcus faecium and Pediococcus acidilactici) on the intestinal MUC2 gene expression, microbial population, growth performance and immune response in broiler chicken. 2. In a completely randomised design, different probiotic strains were injected into the amniotic fluid of the 480 live embryos (d 18 of incubation), with 4 treatments and 5 replicates. Ileal MUC2 gene expression, microbial profile, growth performance and immune response were determined. 3. Injection of probiotic strains, especially B. subtilis, had significant effect on expression of the MUC2 on d 21 of incubation and d 3 post-hatch, but not on d 19 of incubation. 4. Injection of the probiotic strains decreased significantly the Escherichia coli population and increased the lactic acid bacteria population during the first week post-hatch. 5. Inoculation of probiotics had no significant effect on antibody titres against Newcastle disease virus, antibody titres against sheep red blood cell and cell-mediated immune response of chickens compared to control. 6. In ovo injection of the probiotic strains had no significant effect on growth performance of broiler chickens. 7. It was concluded that injection of probiotic bacteria especially B. subtilis into the amniotic fluid has a beneficial effect on ileal MUC2 gene expression and bacteria population during the first week post-hatch, but has no effect on growth performance and immune response in broiler chickens.

Insulin resistance in clomiphene responders and non-responders with polycystic ovarian disease and therapeutic effects of metformin

OBJECTIVES

To evaluate the clinical features, endocrine and metabolic profiles in clomiphene (CC) responders and non-responders with polycystic ovarian disease (PCOD), and to examine the effects of metformin (MTF) on the above parameters of CC resistance.

METHODS

A prospective clinical trial was undertaken at the infertility division of a university teaching hospital. Forty-one CC responders were selected and their hormonal and clinical features were determined. Forty-one CC-resistant PCOD women were also selected and clinical features; metabolic and hormonal profiles before and after treatment with MTF 1500 mg/day for 6-8 weeks were evaluated. Women who failed to conceive were treated by CC while continuing to take MTF.

RESULTS

CC responders had higher insulin levels while non-responders were hyperinsulinemic. Menstrual irregularities improved in 30%. Mean+/-S.D. area under curve of insulin decreased from 297.58+/-191.33 to 206+/-0.1 mIU/ml per min (P=0.005). Only 39.39% ovulated and 24.24% conceived.

CONCLUSION

PCOD is associated with insulin resistance (IR) particularly in CC-resistant women. Insulin resistance and androgen levels are significantly higher in obese patients. MTF therapy improved hyperandrogenemia, IR, and pregnancy rate.

Dietary but not in ovo feeding of Silybum marianum extract resulted in an improvement in performance, immunity and carcass characteristics and decreased the adverse effects of high temperatures in broilers

A total of 360 fertile eggs from a broiler breeder strain (Ross 308) were used for in ovo feeding (IOF) of 0, 100 and 200 mg/kg Silybum marianum water extract at 17.5 d of incubation. After hatching, 240 chicks were transferred to the experimental cages. The diets consisted of two types; one of them without extract and the other one containing 100 mg/kg of Silybum marianum extract. Then chicks were exposed to elevated temperatures 4°C above optimum from 7 to 28 d of age for 4 h per d and after 28 d they were kept at optimum temperature. The chicks were divided into 6 treatments with 4 replicates as a completely randomised 2 × 3 factorial design. There was no effect of IOF of Silybum marianum extract on hatchability, body weight (BW) of hatched chicks or hatched chick BW/initial egg weight ratio. Chickens fed on the diet containing the extract had the highest feed intake, daily weight gains (DWGs), final BW and lowest feed conversion ratio. At 28 d, the weights of heart, spleen and bursa of birds in the treatment groups given extract were higher, but abdominal fat weights were lower. At 42 d in those fed extract in the diet, the weights of spleen and bursa were higher and abdominal fat weights were lower than the other groups. No differences were observed between groups in body temperature before application of the higher temperature but at 21 d and 28 d the body temperature of chicks given the Silybum marianum extract was lower than the other treatments during the elevated temperatures. In birds fed on the extract in the diet, HDL and cholesterol concentrations were lowest at 28 d, whereas blood glucose levels were higher in the other treatments. At 42 d the cholesterol concentration was significantly lower in birds given extract in their diet. These results indicated that dietary feeding of Silybum marianum extract resulted in an improvement in performance, immunity and carcass characteristics and decreased the adverse effects of the higher temperatures, specifically in reducing blood fat reduction, but IOF of the extract did not have an effect.

Incompatibilities of chemicals

Chemical incompatibilities are potentially significant problems where hazardous chemicals are found. A number of chemical segregation systems have been developed which provide recommendations for the separation of incompatible chemicals. Three segregation systems were identified in this study: the UN Dangerous Goods system (which uses physical hazard as the main reason for segregation and has 14 categories), the US CHRIS system (which uses chemical reactivity and has 24 categories) and a third system which uses environmental risks (and has 25 categories). These systems were combined. Merging of each system was initially problematic, but became considerably easier once certain characteristics had been defined (such as flammability or water incompatibility). This gave a final merged incompatibility table containing 100 different segregation groups. This research study showed that it was possible to combine different segregation systems based on different criteria and that more comprehensive segregation systems can be developed. These can be of use in the decision-making process about where groups of chemicals may be used, and during the use of chemicals, where chemicals should not be combined. The use of more comprehensive segregation systems will also assist in developing proper measures for their control.

Increased tracheal responsiveness to beta-adrenergic agonist and antagonist in ovalbumin-sensitized guinea pigs

Despite the controversy of bronchial responsiveness to beta2-agonist drugs in asthma, in a previous study we have shown increased responsiveness of asthmatic tracheobronchial tree to isoprenaline. Therefore, in the present study, tracheal responsiveness to isoprenaline and also beta-adrenergic receptor blockade were studied in sensitized guinea pigs. An experimental model of asthma was induced in guinea pigs by sensitization of animals with injection and inhalation of ovalbumin (OA). The responses of tracheal chains of sensitized and control animals to cumulative concentrations of isoprenaline (I) in the absence and presence of 10 nmol/l propranolol were measured, and the effective concentration of I causing 50% of maximum response (EC50 I) was obtained. The propranolol blockade (CR - 1) was calculated by: (post-propranolol EC50 I/EC50 I) - 1. Tracheal responses of sensitized and control animals to cumulative concentrations of methacholine (M) were also measured and EC50 M were obtained. The tracheal responses of sensitized guinea pig to isoprenaline was significantly higher than that of the control animals (EC50 I for sensitized and control animals were 0.24 +/- 0.04 and 0.58 +/- 0.07 micromol/l, respectively; p < 0.001). The beta-adrenergic receptor blockade by propranolol (CR - 1) was also significantly higher in sensitized guinea pigs than that of the control animals (p < 0.001). The results of this study indicate an increased tracheal response to beta-adrenergic-stimulating drug and enhancement of beta-adrenergic blockade by propranolol in the sensitized guinea pig.

Effect of soy consumption on liver enzymes, lipid profile, anthropometry indices, and oxidative stress in patients with non-alcoholic fatty liver disease: A systematic review and meta-analysis of clinical trials

 The present systematic review and meta-analysis was conducted to investigate the effects of soy intake on liver enzymes, lipid profile, anthropometry indices, and oxidative stress in non-alcoholic fatty liver disease (NAFLD). A systematic search was undertaken in PubMed, Embase, Scopus, Web of Science, and Cochrane Library covering up to 10 January 2020. A fixed-effect or random-effects models were applied to pool mean difference (MD) and its 95 % confidence intervals (CI). Four clinical trials comprising 234 participants were included in the meta-analysis. Compared to the controls, alanine aminotransferase (ALT) levels (MD=-7.53, 95% CI=[-11.98, -3.08], P=0.001, I2=0.0 %), body weight (MD=-0.77, 95 % CI=[-1.38, -0.16], P=0.01, I2=36.9%), and the concentration of serum Malondialdehyde (MDA) (MD=-0.75, 95% CI=[-1.29, -0.21], P=0.007, I2=63.6%) were significantly changed following soy intake. Lipid profile was not significantly affected by soy intake. Moreover, no evidence of a significant publication bias was found. The present study suggests lowering effects for soy intake on ALT levels, body weight, and MDA in nonalcoholic liver patients. Therefore, further large-scale and well-designed clinical trials are needed to find conclusive findings.

Micro-bending based optical band-pass filter and its application in S-band Thulium-doped fiber amplifier

A new approach for filtering an optical band-pass in optical amplifier is proposed using a macro bending. The proposed filter leverages the bending loss of higher order modes at shorter wavelengths. At longer wavelengths, the filter increases fiber's bending loss as the fundamental mode 'tail' is leak out from the cladding. The combination of wavelength dependent loss at longer and shorter wavelength gives rise to the optical band-pass filter characteristic inside the fiber. The simulated spectral response of the filter is found to be in good agreement with the experimental results. Subsequently, the proposed optical band-pass filter is applied in Thulium-doped fiber amplifiers (TDFA) system for gain and noise figure enhancements. The filter functions to suppress both the amplified spontaneous emission (ASE) at 800 nm and 1800 nm wavelength regions and thus improves both gain and noise figure performances in S-band region. By bending of the gain medium, gain and noise figure of the TDFA are improved by about 2 dB and 0.5 dB respectively, within a wavelength region from 1440 and 1500 nm when the 1050 nm pump power is fixed at 250 mW.

Evaluation of thermal energy consumption in broiler farms and saving strategies

ABSTRACT The aim of this study was to evaluate thermal energy consumption in broiler farms and provide solutions to reduce it. This study was performed with a completely randomized design under 4 climatic conditions, including Ardabil (cold climate representative), Khuzestan (warm climate representative), Isfahan (dry climate representative) and Guilan (temperate climate representative) in 4 replicates (4 broiler farms in each climate) and with 5 repetitions (5 periods of breeding per unit) and a capacity of 492,700, Ross 308 broiler in each breeding period. According to the results, in all climates, the proposed solutions to save thermal energy were able to create a significant difference (P<0.05). The experimental results also showed that the difference in thermal energy consumption in cold and dry climates wasmuch higher than in temperate and warm climates (P<0.05). Overall, the results of the present study show that, by optimizing andmodernizing construction equipment in broiler farms, thermal energy losses can be reduced in all climatic conditions.

Dietary Approaches to Stop Hypertension (DASH) and mortality risk among patients with liver cirrhosis: a prospective cohort study

BACKGROUND AND PURPOSE

The relationship between dietary patterns and cirrhosis is undeniable. The present study aimed to investigate the association between the Dietary Approaches to Stop Hypertension (DASH) diet and the risk of mortality in patients with cirrhosis prospectively.

METHODS

In this cohort study, 121 cirrhotic patients were enrolled and followed up annually for four years. Nutritional status and dietary intakes were assessed initially, and the DASH score was calculated accordingly. Crude and multivariable-adjusted hazard ratios (HR) with 95% confidence intervals (CI) were estimated using Cox proportional hazard analyses.

RESULTS

DASH components including fruits, vegetables, legumes, nuts and seeds, and low-fat dairy products were significantly associated with lower mortality risk in cirrhotic patients. Also, a higher DASH score was significantly associated with a reduction in the risk of mortality in patients with cirrhosis, so that after adjusting for all confounders, the risk of mortality in the upper tertile was 89% lower than the first tertile (HR = 0.11, 95% CI: 0.03-0.42, P trend < 0.001). The 4-year survival rate among patients across tertiles of DASH was 32%, 37%, and 46%, respectively (P = 0.005).

CONCLUSION

It can be concluded that a higher DASH diet score may be associated with a reduced risk of mortality in cirrhotic patients. However, larger studies are needed to confirm the findings and determine their potential mechanisms.

Optimization of energy consumption per kg of pure meat by electrical and thermal systems in broiler chicken farms

ABSTRACT The present study was conducted to investigate the effect of electrical and thermal systems optimization on energy consumption in broiler farms. Experiments were conducted in 4 different climates (cold, hot, dry, and temperate) with four treatments (4 broiler farms in each region) and 5 iterations (5 rearing periods per farm) on the Ross 308 strain of broiler chicken in a completely randomized basic design. The results showed that the solutions applied in cold and dry climates had a significant effect on reducing energy consumption (P<0.05). In the hot climate, although the reduction in energy consumption was observed after the application of the solutions, the difference was not statistically significant (P>0.05). Also, the application of solutions in temperate climates created a significant difference in the specific amount of thermal energy consumption per kilo of meat and total energy (P<0.05). Overall, the results of the present experiment showed that optimizing the electrical and thermal systems of broiler houses could reduce energy consumption in all climates.

Effects of piroxicam administration on pregnancy outcome in intrauterine insemination (IUI) cycles: a randomized clinical trial

BACKGROUND

Uterus contractibility is considered a powerful prognostic factor in predicting the embryo transfer outcome. Moreover, uterine contractions are known to be stimulated by prostaglandins which are produced by cyclooxygenase from arachidonic acid. As such, suppressing the inflammatory response and contractions using anti-inflammatory and relaxant agents is expected to result in increased success rate of embryo transfer and artificial insemination.

OBJECTIVE

To investigate the effect of piroxicam administration on the success rate in intrauterine insemination (IU) cycles in patients presenting with unexplained infertility.

MATERIALS AND METHODS

This randomized, placebo-controlled clinical trial included 260 women with unexplained infertility undergoing IUI cycles. Patients were randomly assigned to receive either piroxicam ten mg/day on days 4-6 after IUI or placebo (control group). The main outcome measures were number of IUI cycles, pregnancy, abortion, and multiple pregnancy rates.

RESULTS

The pregnancy rate was found to be 25 (19.2%) and 16 (12.3%) in piroxicam and control groups, respectively (p = 0.039). Five patients (3.8%) in piroxicam group experienced twin pregnancy whereas only three patients (2.3%) in control group had twin pregnancy (p = 0.361). The pregnancy rate per cycle was also significantly higher in those who received piroxicam as compared to controls (11.16 vs. 6.66; p = 0.021).

CONCLUSION

Administration of piroxicam after IUI is associated with decreased number of cycles, as well as increased pregnancy rate and pregnancy rate per cycle in IUI cycles. However, piroxicam did not have any effect on abortion, multiple pregnancy, and ongoing pregnancy rates.

Effect of respiratory exposure to benzene, toluene, xylene and ethyl benzene on the spirometric indices in two consecutive years among the petroleum products loading workers

Introduction: Benzene, toluene, xylene and ethylbenzene (BTEX) are the most important aromatic compounds in petroleum products. Due to high vapor pressure, BTEX compounds easily change to gas form and mixed with ambient air. Petroleum products loading workers are exposed to these compounds by the inhalation of BTEX compounds. The aim of this study was to evaluate the effects of respiratory BTEX exposure on lung function indicators . Materials and Methods: A cross sectional study was conducted on petroleum products loading workers in 2015 until 2016. there were process of inclusion and exclusion in working tasks. 32 people participated in this study consciously. Eighteen samples of air was gotten in the breathing zone of workers. Sampling was performed by  indivial sampling pump 222-4 model by use of activated charcoal were taken to determine the workers' exposure to benzene, toluene, xylene and ethyl benzene. Method of sampling was 1501 NIOSH.To determine and evaluate the lung function, spirometry tests were performed according to OSHA protocols. Results: The results of analysis of samples showed that the average exposure to benzene was above the occupational exposure limit and the average exposure to ethyl benzene, toluene and xylene were below the occupational exposure limit. Lung functions indices, including FVC, FEV1, FEV1 / FVC  were reduced. Conclusion: The results showed that exposure to BTEX compounds could affect lung function indices, and reduced Lung functions indices.