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Abstract With an aging population seeking infertility treatment, diminished ovarian reserve (DOR) is a prevalent indication for assisted reproductive technology (ART). This study aims to investigate the relationship between sleep parameters and DOR among women attending an infertility clinic. Methods We consecutively enrolled women attending an infertility clinic from July 2020 to June 2021. Participants completed the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale(ESS), and STOP-Bang Questionnaire to assess self-reported sleep quality. DOR-related indices including antral follicle count, anti-Müllerian hormone(AMH), follicle-stimulating hormone (FSH) were evaluated. A total of 979 women were enrolled, with 148 classified into the DOR group and 831 in the non-DOR group. The DOR group was notably older compared to the non-DOR group. Analysis showed that the DOR group exhibited significantly shorter sleep onset latency (p = 0.001) and shorter total sleep duration (p = 0.014) compared to the non-DOR group. Logistic regression analysis identified age, PSQI-sleep latency, and PSQI score as independent factors associated with an increased risk of DOR(all p

Abstract Background Hypoxia in obstructive sleep apnea (OSA) patients during sleep may have an effect on bone metabolism. Few data regarding evaluation of bone metabolism in young individuals diagnosed with OSA. In this study, we aim to identify the association between bone mineral density and OSA in young men (≤ 40 years old of age). Methods Consecutive male subjects who underwent polysomnography were enrolled. Serum calcium, 25-hydroxyvitamin-D3, β-isomerized form C-terminal telopeptide of type I collagen, osteocalcin and procollagen type 1 N-propeptide were measured in all participants, and bone mineral density (BMD) at lumbar spine (L1-L4), femoral neck and hip total were determined by dual energy X-ray absorption (DXA). Results The population consisted of 85 subjects (mean age 35.53 years). The BMD at lumbar spine (L1-L4) in moderate OSA patients was higher than control and severe OSA group significantly (p = 0.036). After adjustment for confounding factors, stepwise multiple linear regression analyses showed LaSO2 (β = 0.340, p = 0.008) as an independent explanatory variable for Lumbar L1–L4 BMD, LaSO2 (β = 0.304, p = 0.037), BMI (β = 0.393, p = 0.008) for femur neck BMD and BMI (β = 0.720, p = 0.002) for hip total BMD. Conclusions. Our finding indicated that there was a relationship between OSA and bone metabolism in younger men, and moderate OSA-related hypoxia positively related with BMD. This study also showed that different degrees of recurrent hypoxia had different effects on bone metabolism, a finding that required further investigation.

BackgroundNaples prognostic score (NPS) serves as a new prognostic index based on nutritional and inflammatory status in recent years. The aim of the current study was to explore the prognostic effect of NPS and to develop and validate a reliable nomogram based on NPS for individual cancer-specific survival (CSS) prediction in patients with resected ESCC without neoadjuvant therapy.MethodsThe clinical data for 287 (Jan. 2010 to Jun. 2012, Training sets) and 118 (Jan. 2015 to Dec 2015, Validation sets) consecutive resected ESCC cases were retrospectively analyzed. Two NPS models based on the different cut-off values of parameters were compared. Cut-off values in model 1 were derived from previous published studies, while cut-off values in model 2 were obtained in this study based on receiver operating characteristic (ROC) curves. The relationships between NPS and clinical characteristics and CSS were analyzed. The prediction model of nomogram was developed with independent prognostic factors in the training sets and was validated in the validation sets.ResultsThe 5-year CSS for NPS 0, 1 and 2 were 61.9%, 34.6% and 13.4% in model 1 and 75.0%, 42.4% and 13.0% in model 2, respectively (P

Dynamic response characteristics and antiseismic performance of the structures which were constructed on the super-deep overburden layer are affected obviously by the seismic motion characteristics of the super-deep overburden layer foundation. In this paper, the seismic motion characteristics of horizontally stratified super-deep overburdenIn this paper, the seismic motion characteristics of horizontally stratified super-deep overburden based on the research results of on-site in situ tests and indoor material property tests, the horizontal shear layer method that can consider the nonlinear characteristics of dynamic soil deformation and the characteristics of seismic wave propagation in the soil is used to study the characteristics of ground motions of super-deep and thick overburden level of an earth-rock dam in China. The influence law of input ground motion characteristics and input ground motion position on seismic response analysis results of overburden ground is studied. Taking the uniform overburden layer model as an example, the coupling influence analysis of soil layer thickness and shear velocity on ground motion response are carried out, and the coupling influence law is proposed. The study shows that the seismic motion propagating characteristics of the earthquake in super-deep overburden layer is involved, inputting location of the seismic motion affects the results of ground seismic response greatly; super-deep overburden layer thickness and the soil shear wave velocity on influence law of ground motion characteristics have coupling. When the shear wave velocity of the soil layer is constant, the surface acceleration response has an inflection point with the change of the soil layer thickness; when the thickness of overburden is constant, the surface acceleration response also has an inflection point with the change of shear wave velocity of the soil layer; these inflexion values are influenced by both soil thickness and shear wave velocity.

To clarify how to arrive at earthquake ground motion parameters for use in evaluating the high rockfill dams during seismic loading conditions, as well as to evaluate reasonably the seismic response of dams subjected to strong earthquake, the differences of design response spectra determined by scenario earthquake and uniform hazard spectra theory are investigated in detail. Coupled with the safety evaluation of the Houziyan concrete-faced rockfill dam (CFRD) with a height of 200 m located in meizoseismal regions, comprehensive comparisons of key safety evaluation indices are performed using input motions determined from the abovementioned two design response spectra. The key safety evaluation indices include dynamic response acceleration, permanent deformation, safety of the impervious body, safety factor, and sliding displacement of the potential failure sliding body. Additionally, the ultimate seismic capability of the high CFRD is discussed based on the two response spectra. More considerable results can be achieved and offered to the engineers for the seismic design. It is obvious that the uniform hazard spectra, which are used to adopt in the safety evaluation of high CFRD, typically result in conservative evaluations and unnecessary economic cost for seismic design and reinforcements.

BACKGROUND: The purpose of this observational study was to investigate the relationship between upper-airway configuration assessed by CT imaging during the Müller maneuver state and the severity of obstructive sleep apnea syndrome (OSAS). METHODS: A total of 358 snoring subjects who underwent standard polysomnography and upper-airway configuration by using CT imaging were enrolled. According to the apnea-hypopnea index (AHI), subjects were classified into 4 groups: snoring group (simple snoring), AHI < 5; mild OSAS, 5 ≤ AHI < 15; moderate OSAS, 15 ≤ AHI < 30; and severe OSAS, AHI ≥ 30. We also divided the upper airway into 3 parts, named the nasopharynx, oropharynx, and hypopharynx, from the CT scan and evaluated the minimal cross-sectional area (mCSA) and the shape of each airway level and calculated upper-airway length and distance from mandibular plane to hyoid bone (MPH). RESULTS: Multivariate logistic stepwise regression analysis identified body mass index (BMI), mCSA of nasopharynx, upper-airway length, and MPH as risk factors for the severity of OSAS. When subdivided for BMI and sex, upper-airway length was a risk factor for OSAS in non-obese (BMI < 27 kg/m²) and male subjects, and MPH was a risk factor only in obese (BMI ≥ 27 kg/m²) subjects. Meanwhile, mCSA of nasopharynx was significantly associated with the severity of OSAS independent of BMI. CONCLUSIONS: Subjects with severe OSAS have more significant abnormalities of the upper airway. Obesity, mCSA of nasopharynx, upper-airway length, and MPH may contribute to the severity of OSAS. Obesity and sex should be taken into account when evaluating the abnormalities of upper-airway anatomy in snorers and patients with OSAS. [ABSTRACT FROM AUTHOR]

Background: Obstructive sleep apnea (OSA) is severely affected by visceral adiposity (VA) that correlates to another disorder-metabolic syndrome (MetS). However, little is known concerning the relation of visceral adiposity index (VAI)-a novel and simple indicator of VA, with OSA and MetS. The objective of the study was to analyze the association of VAI with both disorders and applicability to identify OSA patients at risk of MetS.Methods: Consecutive individuals undergoing polysomnography and biochemical tests were enrolled, and differences in all subjects grouped by apnea-hypopnea index (AHI) were analyzed. Spearman correlation was performed for assessing the relationship between VAI, OSA-related indices and metabolic score-total number of the positive diagnostic criteria of MetS. Receiver operating characteristic (ROC) curve was conducted to obtain a cut-off value of VAI for predicting incident MetS by sex. Then, the risk of MetS in OSA patients according to the cut-offs was attained by logistic regression.Results: A total of 411 individuals were enrolled. Of whom, 361 subjects were diagnosed OSA (mild in 67 patients, moderate in 89 and severe in 205, respectively). A significant increasing trend based on AHI was observed in the variables of blood pressure, triglycerides, fasting glucose, incident MetS, metabolic score and VAI (all p < 0.05). Irrespective of gender, VAI was all significantly correlated with PSG characteristics as AHI, mean nocturnal oxygen saturation, the lowest oxygen saturation, metabolic score(all p < 0.05). A VAI of 2.282, 2.105, 2.511 (for all subjects, males and females, separately) were calculated to determine the occurrence of MetS. According to the cut-offs, OSA patients tended to suffer from greater risk in MetS (odds ratio [OR] = 10.237, p = 0.000; OR = 13.556, p = 0.000; OR = 21.458, p = 0.000).Conclusions: The present study suggested that VAI was significantly associated with MetS and OSA. As a simple and alternative approach obtained in everyday practice, it may offer a powerful tool to identify patients with OSA at risk of MetS. [ABSTRACT FROM AUTHOR]

The interference behavior of high-l Rydberg states is investigated in external fields. We prepare high-l states from an initial excited ns Cs Rydberg state by applying one electric-field pulse. The interference between the initial ns state and the high-l states is investigated by two time-delayed short electric-field pulses. The state selective field ionization technique is used to measure the transfer ratio versus the field pulses parameters. The visibility of interference is defined to describe interference and the results show that a relative long duration of electric-field pulse will weaken the interference. [ABSTRACT FROM AUTHOR]

Electromagnetically induced transparency (EIT) is investigated in a system of cold, interacting cesium Rydberg atoms. The utilized cesium levels 6S1/2, 6P3/2 and nD5/2 constitute a cascade three-level system, in which a coupling laser drives the Rydberg transition, and a probe laser detects the EIT signal on the 6S1/2 to 6P3/2 transition. Rydberg EIT spectra are found to depend on the strong interaction between the Rydberg atoms. Diminished EIT transparency is obtained when the Rabi frequency of the probe laser is increased, whereas the corresponding linewidth remains unchanged. To model the system with a three-level Lindblad equation, we introduce a Rydberg-level dephasing rate γ3 = κ × (ρ33/Ωp)2, with a value κ that depends on the ground-state atom density and the Rydberg level. The simulation results are largely consistent with the measurements. The experiments, in which the principal quantum number is varied between 30 and 43, demonstrate that the EIT reduction observed at large Ωp is due to the strong interactions between the Rydberg atoms. [ABSTRACT FROM AUTHOR]