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Exploring the relationship between ambient sulfur dioxide and semen quality parameters: A systematic review and meta-analysis 探索环境二氧化硫与精液质量参数之间的关系:系统回顾和荟萃分析
Pub Date : 2024-01-01 DOI: 10.4103/apjr.apjr_95_23
Seyed Sobhan Bahreiny, Mojtaba Aghaei, Mohammad Reza Dabbagh, Hamid Ghorbani, Moslem Javidan, Reza Mohammadpour Fard
To investigate the relationship between ambient sulfur dioxide (SO2) exposure and semen quality parameters. A systematic literature search was conducted to identify relevant studies investigating the association between SO2 exposure and semen quality parameters. This search encompassed the timeframe from January 2000 to May 2023 and included electronic databases such as Web of Science, Google Scholar, PubMed, Cochrane, and Scopus. Pooled effect estimates with 95% confidence intervals (CI) were calculated using percent changes (PC). The meta-analysis included seven studies with 6 711 participants and 15 087 semen samples. The results revealed a significant negative association between ambient SO2 exposure and certain semen quality parameters. In particular, SO2 exposure was associated with a significant decrease in progressive motility (PC=0.032; 95% CI: -0.063 to -0.001; P=0.044) and sperm concentration (PC = -0.020; 95% CI: -0.036 to -0.005; P=0.012). However, no statistically significant associations were observed for total sperm count (PC = -0.038; 95% CI: -0.079 to 0.003; P=0.070), seminal fluid volume (PC = -0.009; 95% CI: -0.048 to -0.030; P=0.662) and sperm motility (PC = -0.17; 95% CI: -0.363 to 0.022; P=0.830). In addition, the results of the subgroup analysis revealed specific variables that were associated with the decrease in relevant sperm parameters. This systematic review and meta-analysis provides compelling evidence supporting a consistent negative association between exposure to ambient SO2 and semen quality parameters.
研究环境中二氧化硫(SO2)暴露量与精液质量参数之间的关系。 我们进行了一次系统性文献检索,以确定调查二氧化硫暴露与精液质量参数之间关系的相关研究。该检索的时间范围为 2000 年 1 月至 2023 年 5 月,检索对象包括 Web of Science、Google Scholar、PubMed、Cochrane 和 Scopus 等电子数据库。汇总效应估计值及 95% 置信区间 (CI) 采用百分比变化 (PC) 计算。荟萃分析包括七项研究,共有 6 711 名参与者和 15 087 份精液样本。 结果显示,环境中的二氧化硫暴露与某些精液质量参数之间存在明显的负相关。特别是,暴露于二氧化硫与精子活动力(PC=0.032;95% CI:-0.063 至 -0.001;P=0.044)和精子浓度(PC=-0.020;95% CI:-0.036 至 -0.005;P=0.012)的显著下降有关。然而,在精子总数(PC = -0.038;95% CI:-0.079 至 0.003;P=0.070)、精液量(PC = -0.009;95% CI:-0.048 至 -0.030;P=0.662)和精子活力(PC = -0.17;95% CI:-0.363 至 0.022;P=0.830)方面,未观察到有统计学意义的关联。此外,亚组分析结果显示了与相关精子参数下降有关的特定变量。 这项系统回顾和荟萃分析提供了令人信服的证据,证明暴露于环境中的二氧化硫与精液质量参数之间存在一致的负相关。
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引用次数: 0
Subsequent pregnancy outcomes and fertility rates in the case series that underwent bilateral hypogastric artery ligation (BHGAL) due to severe postpartum hemorrhage 因严重产后出血而接受双侧胃下动脉结扎术(BHGAL)的病例系列的后续妊娠结局和生育率
Pub Date : 2024-01-01 DOI: 10.4103/apjr.apjr_84_23
Okutucu Gulcan, E. Mehmet S, Peker Nurullah, Yaman Tunc Senem, I. Mehmet S
To evaluate the effect of bilateral hypogastric artery ligation (BHGAL) on women's pregnancy outcomes and fertility rates in cases with severe postpartum hemorrhage. Patients hospitalized in a tertiary care center between 2007 and 2018 were included in the study. The records of cases were obtained from the hospital database, retrospectively. Maternal demographic data, morbidities or complications associated with BHGAL surgery, any additional haemostatic interventional or surgical procedures, preoperative admission and lowest postoperative haematocrit-hemoglobin values, blood products given, type of anaesthesia, intensive care unit (ICU) and length of hospital stay were recorded. In cases without surgical sterilization, future fertility and subsequent pregnancy outcomes were assessed for at least two years after operation. Information was obtained through face-to-face or telephone interviews with patients whose long-term fertility and subsequent pregnancy outcomes were assessed. Sixty-eight patients with BHGAL surgery history were included in the study. 26 Of 37 cases (70%) that did not undergo surgical sterilization had a desire for pregnancy after the surgery. Six of these cases (23%) were diagnosed with secondary infertility. The fertility rate of these cases was 77%, and subsequent pregnancy was detected in 20 women. A total of 25 pregnancies, including first and second pregnancies, developed, and 15 of these pregnancies resulted in term delivery, six preterm births, one stillbirth, and three abortions. The postoperative pregnancy rate was found to be higher than the rate of women with infertility problems, and this surgery does not seem to adversely affect pregnancy outcomes. This is a tertiary center experience and cohort studies with large patient series are needed.
目的:评估双侧胃下动脉结扎术(BHGAL)对严重产后出血患者的妊娠结局和生育率的影响。 研究纳入了2007年至2018年间在一家三级医疗中心住院的患者。病例记录来自医院数据库,以回顾性方式获取。记录了产妇的人口统计学数据、与BHGAL手术相关的发病情况或并发症、任何额外的止血介入或外科手术、术前入院和术后血细胞比容-血红蛋白最低值、给予的血液制品、麻醉类型、重症监护室(ICU)和住院时间。对于未进行手术绝育的病例,则对其术后至少两年的未来生育能力和随后的妊娠结果进行评估。通过与患者面对面或电话访谈的方式获取信息,并对患者的长期生育能力和后续妊娠结果进行评估。 研究共纳入68名有BHGAL手术史的患者。26 37例未接受绝育手术的患者(70%)在术后有怀孕意愿。其中 6 例(23%)被诊断为继发性不孕。这些病例的生育率为 77%,其中 20 名妇女后来怀孕。共有 25 例妊娠,包括第一次和第二次妊娠,其中 15 例足月产,6 例早产,1 例死胎,3 例流产。 术后妊娠率高于有不孕问题的妇女,而且这种手术似乎不会对妊娠结果产生不利影响。这是一个三级中心的经验,需要对大量患者进行队列研究。
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引用次数: 0
The relationship between DNA fragmentation and the intensity of morphologically abnormal human spermatozoa DNA 断裂与人类精子形态异常强度之间的关系
Pub Date : 2024-01-01 DOI: 10.4103/apjr.apjr_42_23
Mercedes González-Martínez, P. Sánchez-Martín, C. López‐Fernández, Stephen D Johnston, J. Gosálvez
To determine the relationship between teratozoospermia and sperm DNA fragmentation (SDF) in the human ejaculate. This retrospective study included 100 normozoospermic men as a control cohort (abnormal forms >14%), 210 patients with a high level of abnormal forms (≤4%) and 65 patients presenting with a moderate level of abnormal forms (>4% to ≤14%) based on the World Health Organization definitions. Sperm morphology was assessed using bright field microscopy. Sperm DNA fragmentation was assessed using the sperm chromatin dispersion assay. Non-parametric analyses were conducted to examine the relationship between abnormal sperm morphology and sperm DNA fragmentation; receiver operating characteristic (ROC) analyses were conducted to assess sensitivity and specificity of this relationship. A correlation analysis revealed that the higher the proportion of abnormal spermatozoa in the ejaculate, the higher the level of SDF (Spearman's Rho = -0.230; P<0.001). Significant differences in the proportion of SDF were found when all cohorts were compared (P<0.001); these significant differences were also retained when the different cohorts were compared pairwise. ROC analysis showed a moderate but significant predictive value for SDF to differentiate patients with different levels of teratozoospemia. Although analysis of a more continuous range of values for teratozoospermia would help further clarify any causal relationship with SDF, there is clearly a synergistic or coincident affiliation between these variables that needs to be acknowledged by the clinician when interpreting the spermiogram.
目的:确定畸形精子症与人类射精中精子DNA碎片(SDF)之间的关系。 根据世界卫生组织的定义,这项回顾性研究纳入了100名正常无精症男性作为对照组(精子异常率>14%)、210名精子异常率较高(≤4%)的患者和65名精子异常率中等(>4%至≤14%)的患者。精子形态通过明视野显微镜进行评估。精子染色质分散试验对精子DNA碎片进行评估。对精子形态异常与精子DNA碎片之间的关系进行了非参数分析;对这种关系的敏感性和特异性进行了接收器操作特征(ROC)分析。 相关分析表明,射精中异常精子比例越高,SDF水平越高(Spearman's Rho = -0.230;P<0.001)。在对所有组群进行比较时,发现 SDF 的比例存在显著差异(P<0.001);在对不同组群进行配对比较时,这些显著差异也得以保留。ROC分析显示,SDF在区分不同程度的畸形胎儿血症患者方面具有中等但显著的预测价值。 尽管对更连续的畸形精子症数值范围进行分析有助于进一步澄清与 SDF 的任何因果关系,但这些变量之间显然存在协同或重合关系,临床医生在解释精子图时需要认识到这一点。
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引用次数: 0
Adding chitosan nanoparticles of green tea extract in diluent and thawing temperatures ameliorate the post-thawed quality of Boer buck semen 在稀释剂和解冻温度中添加壳聚糖纳米绿茶提取物可改善波尔公鹿精液解冻后的质量
Pub Date : 2024-01-01 DOI: 10.4103/apjr.apjr_93_23
S. Susilowati, Imam Mustofa, Tri Wahyu Suparyogi, A. Akintunde, Djoko Agus Purwanto, W. Wurlina, Suzanita Utama, Sri Mulyati
To improve the quality of post-thawing Boer buck semen for artificial insemination by adding green tea extract chitosan nanoparticles to skimmed egg yolk diluent, and the proper thawing temperature. The ejaculate of Boer buck was added to skimmed egg yolk diluent without (the control group) and with adding 1 μg of chitosan nanoparticles of green tea extract per mL of diluent (the treatment group). Then, the diluted semen was filled in French mini straws containing 60× 106 live sperm per straw, frozen in a standard protocol, and stored as frozen semen at -196 °C for a week. Six replicates from each group were diluted for 30 s at 37 °C or 39 °C sterile water to evaluate the semen quality. Post-thawing (at 37 °C or 39 °C) of live sperm, progressive motility, and plasma membrane integrity were lower compared to those of the pre-freezing stage (P<0.05). Thawing at 37 °C resulted in no significant difference in live sperm, progressive motility, and plasma membrane between the control group and the treatment group (P>0.05). The live sperm, progressive motility, and plasma membrane of the treatment group in the pre-freezing stage, and post-thawed at 39 C were higher compared to those of the control group (P<0.05). There was no significant difference in malondialdehyde (MDA) concentration, DNA fragmentation, and catalase concentration of thawing at 37 °C compared to those of 39 °C in the same group. The MDA concentration and DNA fragmentation in thawing at 37 °C and 39 °C of the treatment group were significantly lower than those of the control group (P<0.05). However, the catalase concentration in thawing at 37 °C and 39 °C of the treatment group was not significantly different than the control group (P>0.05). Higher quality post-thawing Boer buck semen is achieved by adding 1 μg/mL of chitosan nanoparticles of green tea extract to the skimmed egg yolk diluent and thawing at 39 °C.
通过在脱脂蛋黄稀释液中添加绿茶提取物壳聚糖纳米颗粒和适当的解冻温度,改善用于人工授精的解冻后波尔雄鹿精液的质量。 在脱脂蛋黄稀释液中不添加波尔雄鹿的精液(对照组),而是添加每毫升稀释液 1 μg 的绿茶提取物壳聚糖纳米颗粒(处理组)。然后,将稀释后的精液装入法式微型吸管中,每根吸管含有 60×106 个活精子,按标准方案冷冻,并作为冷冻精液在 -196 °C 下保存一周。在 37 ℃ 或 39 ℃ 无菌水中稀释精液 30 秒,评估精液质量。 解冻后(37 °C或39 °C)的活精子、精子活动力和质膜完整性均低于冷冻前(P0.05)。与对照组相比,处理组在解冻前和解冻后(39 °C)的活精子、渐进运动能力和质膜都更高(P0.05)。 在脱脂蛋黄稀释液中加入 1 μg/mL 的绿茶提取物壳聚糖纳米颗粒并在 39 ℃ 下解冻,可获得更高质量的解冻后布尔公鹿精液。
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引用次数: 0
Pro-fertility effect of Ficus carica fruit extract in streptozotocin-induced male rats 薜荔果提取物对链脲佐菌素诱导的雄性大鼠的生育促进作用
Pub Date : 2024-01-01 DOI: 10.4103/apjr.apjr_133_23
M. N. Mahanem, Subramaniam Puvaratnesh, AbuBakar Umarqayum, Shamsusah A Nadia
To explore the impact of Ficus carica fruit aqueous extract on fertility parameters in streptozotocin (STZ)-induced male rats. Twenty-four male Sprague-Dawley rats were divided into four different groups. All groups except a normal control group were induced with 50 mg/kg of streptozotocin (STZ) intravenously to induce diabetes. A positive control group was treated with an antidiabetic drug, metformin (500 mg/kg) whereas a negative control group remained untreated throughout the experiment. Meanwhile, another diabetic rat group received treatment with 400 mg/kg of aqueous Ficus carica fruit extract. Rats in the treatment group were administered Ficus carica fruit aqueous extract daily through force-feeding via oral gavage for a 21-day period. Assessments included the sperm quality (count, motility and morphology), histology of the testes, serum testosterone and fasting blood glucose (FBG) level. The FBG level of the Ficus carica-treated rats exhibited a significant decrease compared to the negative control group (P<0.05). Sperm quality analysis also indicated that the aqueous Ficus carica extract had significant positive effects on sperm count and motility (P<0.05). The histology of the testes in Ficus carica- treated rats revealed an improved cell arrangement in the germinal cell layer. Furthermore, serum testosterone level showed an increment in the Ficus carica treatment group in comparison to the negative control group. Our findings provide compelling evidence for the pro-fertility and anti-hyperglycemic properties of aqueous Ficus carica fruit extract in diabetic-induced male rats.
探讨榕树果实水提取物对链佐菌素(STZ)诱导的雄性大鼠生育力参数的影响。 将 24 只雄性 Sprague-Dawley 大鼠分为 4 组。除正常对照组外,其他各组均静脉注射 50 毫克/千克链脲佐菌素(STZ)以诱发糖尿病。阳性对照组使用抗糖尿病药物二甲双胍(500 毫克/千克)治疗,而阴性对照组在整个实验过程中不使用任何药物。与此同时,另一组糖尿病大鼠接受了 400 毫克/千克的薜荔果水提取物治疗。在为期 21 天的实验中,治疗组的大鼠每天通过口服灌胃的方式强行喂食薜荔果水提取物。评估包括精子质量(数量、活力和形态)、睾丸组织学、血清睾酮和空腹血糖(FBG)水平。 与阴性对照组相比,薜荔处理组大鼠的 FBG 水平显著下降(P<0.05)。精子质量分析也表明,薜荔水提取物对精子数量和活力有显著的积极影响(P<0.05)。薜荔提取物治疗大鼠的睾丸组织学显示,生殖细胞层的细胞排列有所改善。此外,与阴性对照组相比,薜荔治疗组的血清睾酮水平有所提高。 我们的研究结果为榕树果实水提取物在糖尿病诱导的雄性大鼠中促进生育和抗高血糖特性提供了令人信服的证据。
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引用次数: 0
Promotion of sexual and reproductive health in Pakistan-The role of technology and online awareness 在巴基斯坦促进性健康和生殖健康--技术和在线宣传的作用
Pub Date : 2024-01-01 DOI: 10.4103/apjr.apjr_117_23
Mawiya Sana
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引用次数: 0
Engineering of ovarian tissue for ovarian dysfunctions: A review 治疗卵巢功能障碍的卵巢组织工程:综述
Pub Date : 2024-01-01 DOI: 10.4103/apjr.apjr_81_23
A. Zhylkybekova, G. Koshmaganbetova, Myltykbay Rysmakhanov, N. Abenova, Nadiar M. Mussin, A. A. Kaliyev, Mahdi Mahdipour, A. Tamadon
This review explores tissue engineering as a potential solution for reproductive health issues in women caused by genetic or acquired diseases, such as premature ovarian failure or oophorectomy. The loss of ovarian function can lead to infertility, osteoporosis, and cardiovascular disease. Hormone replacement therapy is a common treatment, but it has limitations and risks. The review focuses on two main approaches in tissue engineering: scaffold-based (3D printing, electrospinning, decellularization) and scaffold-free (stem cell transplantation, organoid cultivation). Both approaches show promise in preclinical studies for creating functional ovarian tissue. Challenges include vascularization, innervation, long-term function, and safety. Despite these challenges, tissue engineering offers a potential avenue for restoring fertility and hormone balance in women with ovarian dysfunction.
这篇综述探讨了组织工程作为一种潜在的解决方案,如何解决因遗传或后天疾病(如卵巢早衰或卵巢切除术)而导致的女性生殖健康问题。卵巢功能丧失可导致不孕、骨质疏松症和心血管疾病。激素替代疗法是一种常见的治疗方法,但也存在局限性和风险。本综述重点介绍组织工程学的两种主要方法:基于支架(三维打印、电纺丝、脱细胞)和无支架(干细胞移植、类器官培养)。在临床前研究中,这两种方法都显示出创建功能性卵巢组织的前景。面临的挑战包括血管化、神经支配、长期功能和安全性。尽管存在这些挑战,组织工程仍为卵巢功能障碍妇女恢复生育能力和激素平衡提供了一条潜在的途径。
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引用次数: 0
期刊
Asian Pacific Journal of Reproduction
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