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PubMed2006

[Assisted reproduction in patients with food intake disorders--clinical and ethical aspects].

Fertilization treatment is established therapy of infertility in the cases, where other approaches have failed or were impossible. In eating disorders, majority of fertility problems has been secondary and so fully reversible if appropriately treated. Fertilization treatment should not be used in patients refusing the psychological treatment of the illness. In patients in active phase of the illness fertility treatment at fertility are contra-indicated. Two cases of negative impact of fertility treatment in patients with anorexia nervosa are presented.

Adult↗
PubMed2002

Defining and diagnosing postpartum clinical endometritis and its impact on reproductive performance in dairy cows.

The objectives of this study were to validate diagnostic criteria for clinical endometritis in postpartum dairy cows and to measure the impact of endometritis on reproductive performance. Data were collected from 1865 cows in 27 herds, including history of dystocia, twins, retained placenta, or metritis. All cows were examined once between 20 and 33 d in milk (DIM) including external inspection, vaginoscopy, and transrectal palpation of the cervix, uterus, and ovaries. All cows were followed for a minimum of 7 mo or until pregnancy or culling. Survival analysis was used to derive a case definition of endometritis based on factors associated with increased time to pregnancy. The significance of clinical findings depended on the interval postpartum when examination took place. The presence of purulent uterine discharge or cervical diameter > 7.5 cm after 20 DIM, or mucopurulent discharge after 26 DIM identified cows with clinical endometritis. Given vaginoscopy, no diagnostic criteria based on palpation of the uterus had predictive value for time to pregnancy. The prevalence of clinical endometritis was 16.9%. Vaginoscopy was required to identify 44% of these cases. Accounting for parity, herd, and ovarian status, cows with clinical endometritis between 20 and 33 DIM had a hazard ratio of 0.73 for pregnancy (took 27% longer to become pregnant), and were 1.7 times more likely to be culled for reproductive failure than cows without endometritis.

Animals↗
PubMed1990

[The functional characteristics of the reproductive system in women who are heterozygous carriers of 21-hydroxylase deficiency].

This paper reports the results of evaluation of reproductive histories of 52 heterozygous female carriers of 21-hydroxylase deficiency who gave birth to children with classic congenital adrenocortical hyperplasia. Functional ACTH adrenal tests of these women were compared with those in a control group of noncarriers. Test findings are discussed with respect to the pathogenesis of reproductive tract disorders in the carriers of a mutant gene.

Adrenal Cortex Function Tests↗
PubMed1989

Familiarity, recessivity and germline mosaicism.

In man evidence of autosomal recessive disease is usually based on a high sib risk, absence of parent-child transmission and increased consanguinity. Discrimination from what are sometimes termed multifactorial disorders and their associated environmental effects is usually based on the latter having a lower recurrence risk, an increased recurrence risk after a second affected child and no increase in consanguinity. Another cause of familial disorders with recurrence restricted to sibs which has received little attention is germline mosaicism for a mutation expressed as a dominant. If, for example, an embryonic mutation resulted in half the precursors of the germ cells carrying a mutation with dominant expression, then the proportion of haploid nuclei conveying the mutation, which is the recurrence risk, would be a quarter. If severity precluded reproduction the disorder would tend to be classified as a recessive. While germline mosaicism will rarely be expressed with such a high recurrence risk, the estimation of this risk in rare disorders is difficult due to extreme and unpredictable bias in ascertainment.

Consanguinity↗
PubMed2001

Magnetic resonance imaging in the assessment of complex Müllerian anomalies.

OBJECTIVE: To evaluate the accuracy of magnetic resonance imaging in assessment of adolescent patients with complex Müllerian anomalies and its contribution towards operative management. DESIGN: A retrospective review of magnetic resonance imaging and operative findings. SETTING: A London teaching hospital that is a tertiary referral centre for complex reproductive tract disorders. SAMPLE: All adolescents referred for assessment of complex Müllerian anomalies, from 1996 to 1999, and undergoing both magnetic resonance imaging and surgical assessment. METHOD: In the nine suitable patients magnetic resonance imaging and surgical findings were compared and the role of magnetic resonance imaging in determining the route and type of surgery was evaluated. MAIN OUTCOME MEASURES: Magnetic resonance imaging data on reproductive tract anatomy and surgical findings detailing reproductive tract anatomy. RESULTS: There was good correlation of magnetic resonance imaging and operative findings in all cases. The best correlation was with uterine structure. In four cases the magnetic resonance imaging findings were essential for the appropriate choice of the surgical approach and type of procedure. CONCLUSIONS: Magnetic resonance imaging is a valuable tool in the management of this particular complex group of patients.

Adolescent↗
PubMed1983

Reproductive traits of Holsteins and Jerseys. Effects of age, milk yield, and clinical abnormalities on involution of cervix and uterus, ovulation, estrous cycles, detection of estrus, conception rate, and days open.

Two hundred and twelve Holstein and Jersey cows were in a study to determine factors that affected reproductive traits. First ovulation occurred about 3 wk postpartum, and interval to first ovulation was greater in cows that had clinical abnormalities postpartum than in normal cows. Jerseys producing more milk ovulated sooner postpartum than lower producing herdmates. Involution of cervix and uterus occurred later postpartum in cows that had clinical problems postpartum. Involution of genital tract occurred later postpartum in older cows and sooner postpartum in cows that had higher milk yields. Duration of first postpartum estrous cycle was 4 days less than for second postpartum cycle. Percentages of estrous cycles detected by standing estrus were 43 and 73% for Holsteins and Jerseys. Estrous detection rates were highest for cows that produced slightly above the mean milk yield and did not differ between cows in highest and lowest milk production quartiles. First detected estrus and days to first insemination occurred later postpartum in Holsteins as milk yield deviation from herdmates increased, regardless of sign. In Jerseys, days to first insemination and days open increased linearly as milk yield increased. Days to first insemination and conception were greater in cows with postpartum clinical problems. Conception rate at first insemination postpartum increased in proportion to concentration of progesterone in blood samples collected during 12 days before first insemination. Overall, clinical problems at parturition and postpartum lowered reproductive performance in both breeds. There was a slight antagonism between milk yield and reproductive performance (days open) in Jerseys but not in Holsteins.

Age Factors↗
PubMed2000

Evidence for association between polycystic ovary syndrome and premature carotid atherosclerosis in middle-aged women.

Polycystic ovary syndrome (PCOS) is a common reproductive endocrine disorder characterized by obesity, hyperandrogenism, and insulin resistance. An adverse lipid profile has also been observed in PCOS-affected women, suggesting that these individuals may be at increased risk for coronary heart disease at a young age. The objective of the present study was to evaluate subclinical atherosclerosis among women with PCOS and age-matched control subjects. A total of 125 white PCOS cases and 142 controls, aged >/=30 years were recruited. Collection of baseline sociodemographic data, reproductive hormone levels, and cardiovascular risk factors was conducted from 1992 to 1994. During follow-up (1996 to 1999), these women underwent B-mode ultrasonography of the carotid arteries for the evaluation of carotid intima-media wall thickness (IMT) and the prevalence of plaque. A significant difference was observed in the distribution of carotid plaque among PCOS cases compared with controls: 7.2% (9 of 125) of PCOS cases had a plaque index of >/=3 compared with 0.7% (1 of 142) of similarly aged controls (P=0.05). Overall and in the group aged 30 to 44 years, no difference was noted in mean carotid IMT between PCOS cases and controls. Among women aged >/=45 years, PCOS cases had significantly greater mean IMT than did control women (0.78+/-0.03 versus 0.70+/-0.01 mm, P:=0. 005). This difference remained significant after adjustment for age and BMI (P:<0.05). These results suggest that (1) lifelong exposure to an adverse cardiovascular risk profile in women with PCOS may lead to premature atherosclerosis, and (2) the PCOS-IMT association is explained in part by weight and fat distribution and associated risk factors. There may be an independent effect of PCOS unexplained by the above variables that is related to the hormonal dysregulation of this condition.

Age Factors↗
PubMed1998

[Effect of induced diabetes on reproduction and development].

Diabetes mellitus is a major cause of morbidity and mortality and it has been studied in relation to the organs that affects, and the reproduction system is not the exception. Scientists had developed experimental animal models to investigate the effects of diabetes using different substances being streptozotocin (STZ) the most effective. STZ is natural compound produced by the Streptomyces achromogenes that selectively destroys the beta cells of the pancreas breaking the DNA. It has been proved that equilibrated solutions of STZ stored at 6 degrees C, are very effective in inducing diabetes to several animal species such as rat, mouse and hamster. In rats, the disorders in reproduction have been associated to dysfunctions in the hipotalamohipofisis-gonadal axis, given by a reduction in the secretion of GnRH, as well as of LH, FSH, prolactin and alterations in the gonadal secretion of steroids (testosterone, estrogens, progesterone). Due to this situation, male production of spermatozoids as well as its' motility is impair. In females, the principal effects are ovaric atrophy, impaired folliculogenesis, insufficiency of the corpora lutea, and problems associated with the maintenance of pregnancy. Many researchers had associated the prevalens of congenital malformation with a hiperglucemic state, being the most common retardation of the development, defects in the closure of the neural tube, micrognatias, heart malformations, etc.

Animals↗
PubMed1984

Influence of prepartum dietary crude protein on growth hormone, insulin, reproduction, and lactation of dairy cows.

Effects of prepartum dietary crude protein on growth hormone, insulin in blood plasma, and subsequent reproduction and lactation were investigated in 30 Holsteins. Cows were fed either 80 or 100% of the crude protein recommended by National Research Council starting about 60 days precalving. Postcalving all animals were fed according to recommendations. Blood was sampled on days 220 (start of experiment), 250, 270, and 280 of gestation and on days 10 and 30 postpartum. Cows fed 80% crude protein prepartum showed decreased intake of dry matter and urea nitrogen in blood plasma prepartum, and yields of milk and total solids decreased by about 15%. Body weight changes through 30 days postpartum were not significantly different between treatments. There were no significant differences for growth hormone and insulin except growth hormone tended to be higher on day 270 of gestation for cows fed 80% crude protein. Insulin was negatively correlated with lactation number -5.1 to -5.6. Reproductive efficiency was similar between treatment groups. Lower crude protein intake during the dry period decreased dry matter intake and yields of milk and total solids.

Animals↗
PubMed2002

Functional consequences of adult malnutrition in developing countries: a review.

Credible concepts of malnutrition depend critically on evidence that functional impairment differentiates variation in size from unacceptable abnormality. This paper reviews functional studies on capacity for work, mortality, reproductive outcomes, competitive success, and cultural preferences. Future research priorities should include the comparative significance of simple physical dimensions in distinct ethnic groups for long-term biological and socioeconomic outcomes, and the relationships between the biological and cultural significance of variation in physique.

Adult↗
PubMed1998

Post-traumatic epilepsy: its complications and impact on occupational rehabilitation--an epidemiological study from India.

The objective of this study was to assess the prevalence of seizure disorder, neuropsychiatric disorders and reproductive outcome of employees with post-traumatic epilepsy (PTE) and their effect on occupational rehabilitation. A case-comparison group study design was used to compare 30 subjects with PTE with (1) 129 non-PTE and (2) 55 non-PTE matched control employees. The 55 non-PTE matched controls were selected from the 129 non-PTE employees on the basis of age, age at onset of seizure, age at marriage and length of employment. The PTE group had a lower fertility rate than the controls and more neuropsychiatric disorders and seizure disability. PTE employees were more occupationally rehabilitated than non-PTE employees (p = 0.033). Of the 30 PTE subjects, thirteen who were rehabilitated by placement had more seizure disability (p = 0.007) and a higher fertility rate (p = 0.018). High prevalence of seizure disability and increased fertility rate among the placed PTE employees suggested that there might be some association between severity of seizures and increased production of live offspring and work placement. Work suitability or placement should not be judged on clinical assessment only but psychosocial seizure assessment, disability evaluation and other psychometric tests which are of equal importance.

Adult↗
PubMed1983

Human reproduction in Bangladesh: a microanalytic simulation model.

"This paper presents a microanalytic stochastic model of human reproduction with special features for use in examining reproduction in high mortality populations. The model builds on prior work by including (a) a beta distribution for fecundability, permitting variations between women and during a woman's childbearing years, (b) fetal deaths and stillbirths that vary with a woman's age, and (c) sterility that varies as a function of two random probability distributions. New to this model is inclusion of a Weibull survival function for infant and child mortality and a model schedule of postpartum amenorrhoea that depends on the length of breastfeeding." Consideration is given to the interaction of breast-feeding and early mortality and their effects on human reproduction. "Input parameters are selected for the population of Bangladesh, and initial results from a Monte Carlo simulation, in which age at marriage varies, are given."

Amenorrhea↗
PubMed2006

Children's environment and health in Latin America: the Ecuadorian case.

Environmental health problems of children in Latin America and Ecuador are complex due to the close relationship that exists between social and environmental factors. Extended poverty and basic problems, such as the lack of drinking water and sanitation, are common. Infectious diseases are the greatest cause of morbidity and mortality among children. Development in industry and the introduction of chemical substances in agriculture add new risks including pesticide use, heavy metal exposure, and air pollution. Major problems can be divided into (a) lack of basic infrastructure, (b) poor living conditions, (c) specific environmental problems, and (d) child labor. Reproductive health disorders are frequent in developing countries like Ecuador. Issues related to children's health should consider new approaches, creative methodologies, and the search for independent predictors to separate environmental from social problems. Only with knowledge of the specific contribution of each factor, can it be possible to develop a strategy for prevention.

Child↗
PubMed2003

Effect of the amount of body condition loss from the dry to near calving periods on the subsequent body condition change, occurrence of postpartum diseases, metabolic parameters and reproductive performance in Holstein dairy cows.

We investigated the effect of body condition loss from the dry to near calving periods on the subsequent body condition change, the occurrence of postpartum diseases, the serum metabolic parameters total cholesterol, triglyceride, glucose, and urea nitrogen and the number of days to first breeding after calving in Holstein dairy cows. Body condition scoring (using a 5-point scale with quarter-point divisions) was performed on 67 pregnant Holstein dairy cows. Cows were scored once for body condition during the dry period (prepartum day 35 +/- 16), near calving (postpartum day 5 +/- 4), and subsequently at months 1 (+/- day 4), 2 (+/- day 5), 3 (+/- day 5), and 4 (+/- day 4) of lactation. At the same time, blood samples were collected to evaluate serum total cholesterol, triglyceride, glucose and urea nitrogen concentrations. Cows were categorized based on body condition loss from the dry to near calving periods into two groups: the moderate condition loss group (0-0.75 points, n=41), or the marked condition loss group (1.0-1.5 points, n=26). Regular reproductive health examination was conducted by the same investigator once a week. The marked condition loss group lost more body condition (P<0.01) than the moderate condition loss group consistently until month 1 of lactation. The recovery of body condition in the marked condition loss group was more delayed (P<0.01) than in the moderate condition loss group from months 1 to 4 of lactation. The occurrence of metritis and metabolic diseases (including abomasal displacement, milk fever, ketosis) was greater (P<0.01) in the marked condition loss group (62 and 23%) than in the moderate condition loss group (27 and 2%), respectively. The total cholesterol concentration was lower (P<0.05) in the marked condition loss group (167 +/- 5.3 mg/dl) than in the moderate condition loss group (183 +/- 5.8 mg/dl) at month 1 of lactation, however, the cholesterol levels at the other periods were not different (P>0.05) between the two groups. The triglyceride, glucose, and urea nitrogen concentrations were not different (P>0.05) from the dry period to month 4 of lactation between the two groups. The number of days to first breeding after calving was longer (P<0.05) in the marked condition loss group (103 +/- 7.8 day) than in the moderate condition loss group (87 +/- 5.3 day). We conclude that marked body condition loss from the dry to near calving periods results in the increased occurrence of postpartum metabolic and reproductive diseases, decreased serum total cholesterol concentrations at month 1 of lactation and a longer interval to first breeding after calving in Holstein dairy cows, probably due to the more severe energy deficit reflected by unfavorable body condition score change during early lactation.

Animals↗
PubMedDate not supplied

[State of reproductive health of boys in St. Petersburg].

Complex medical social analysis of reproductive health of modern boys was carried out. Approaches to specialized care of boys and youths in St. Petersburg are presented. Measures aimed at creation of a universal staged specialized service including outpatient and inpatient care are offered. Standards were determined as regards care of boys with reproductive system disorders for primary health care centers and for the second component of specialized service, responsible for the major part of outpatient care. A comprehensive departmental system of medical care quality control is suggested, including public health administrative organs and clinical expert committees of treatment and prophylactic institutions.

Adolescent↗
PubMed1996

[Biological screening of the level of anthropogenic environmental pollution and its hazard for the health of the population].

A possibility was examined to use a screening cytogenetic method for calculating micronuclei in frog blood cells as an indicator of the degree of environmental pollution and its hazard to human health. Data obtained correlate with an increased rate of reproductive function disorders in women and congenital malformations in children, living in regions where the cytologic studies of biological objects were carried out. The informational value of biogeochemical screening with the use of test objects for the assessment of the region ecological imbalance is stressed.

Abnormalities, Drug-Induced↗
PubMed1993

Environmental stress effects on bovine reproduction.

Environmental stress is not limited to climatic factors but extends to nutrition, housing, and any stimuli that demand a response from the animal to adapt to new circumstances. Low energy and low or excessive protein levels in the diet are detrimental to reproduction. Likewise, high ambient temperatures and humidity alter the intricate balance of endocrine profiles, leading to lower intensity of estrous behavior, anestrus, embryonic death, and subsequent infertility. Most of these stress factors can be managed with modern technologies to achieve maximum production. Further research in vitamins and minerals under heat stress may add to the knowledge of efficient livestock production.

Animal Husbandry↗
PubMed2003

Rare congenital disorders, imprinted genes, and assisted reproductive technology.

CONTEXT: During the past two decades, assisted reproductive technologies (ARTs) have revolutionised the treatment of infertility. ARTs now account for between 1% and 3% of annual births in many western countries and in-vitro fertilisation (IVF) services are growing worldwide. In general, the incidence of abnormalities at birth is reassuringly low and children develop normally. Nevertheless, it is important to monitor the safety of ARTs as clinical protocols evolve and new technologies emerge. STARTING POINT: Three recent studies all report an unexpectedly high incidence of Beckwith-Wiedemann syndrome (BWS) in children conceived with ARTs. Six of 149 cases were reported from a British BWS registry (J Med Genet 2003; 40: 62-64); the same numbers were recorded in a French registry (Am J Hum Genet 2003; 72: 1338-41), and a further seven children have been reported in the USA (Am J Hum Genet 2003; 72: 156-60). These frequencies are extraordinarily high for such a rare congenital condition and such findings are reminiscent of reports of sporadic cases of the imprinting disorder, Angelman syndrome, which has also been linked with ARTs. WHERE NEXT? Continuing surveillance of children conceived with ARTs is needed, including monitoring birth defects, development, and cancer. Studies will need to be prospective and multicentre, and should include molecular characterisation of epigenetic abnormalities, including the methylation status of imprinting control regions within imprinted gene clusters.

Beckwith-Wiedemann Syndrome↗