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Research Question: Has acceptance of heritable genome editing (HGE) and whole genome sequencing for preimplantation genetic testing (PGT-WGS) of human embryos changed after the onset of COVID-19 among infertility patients?, Design: A written survey conducted between April and June 2018 and July and December 2021 among patients at a university-affiliated infertility practice. The questionnaire ascertained the acceptance of HGE for specific therapeutic or genetic 'enhancement' indications and of PGT-WGS to prevent adult disease., Results: In 2021 and 2018, 172 patients and 469 patients (response rates: 90% and 91%, respectively) completed the questionnaire. In 2021, significantly more participants reported a positive attitude towards HGE, for therapeutic and enhancement indications. In 2021 compared with 2018, respondents were more likely to use HGE to have healthy children with their own gametes (85% versus 77%), to reduce disease risk for adult-onset polygenic disorders (78% versus 67%), to increase life expectancy (55% versus 40%), intelligence (34% versus 26%) and creativity (33% versus 24%). Fifteen per cent of the 2021 group reported a more positive attitude towards HGE because of COVID-19 and less than 1% a more negative attitude. In contrast, support for PGT-WGS was similar in 2021 and 2018., Conclusions: A significantly increased acceptance of HGE was observed, but not of PGT-WGS, after the onset of COVID-19. Although the pandemic may have contributed to this change, the exact reasons remain unknown and warrant further investigation. Whether increased acceptability of HGE may indicate an increase in acceptability of emerging biomedical technologies in general needs further investigation., (Copyright © 2023 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.)

The stress response mechanisms of Bisphenol A (BPA), an endocrine disrupting compound, remain to be elucidated. In this study, we explored the effects of BPA on the non-biting midge Chironomus riparius through basic ecotoxicity assays, DNA damage (comet assay), eco-epigenetics (global DNA and histone methylations) and non-targeted global metabolomics (NMR based) approaches. The reproduction failure, increase in DNA damage, global DNA hyper-methylation, and increased global histone modification (H3K36) status were evident due to BPA exposure at 10% lethal concentration (LC 10 : 1 mg/L, based on 48 h acute toxicity). Moreover, non-targeted global metabolomics followed by pathway analysis identified alterations of energy metabolism, amino acids, and methionine metabolisms etc. Most importantly, we found a potential cross-talk between altered epigenetics and metabolites, such as, increase in methionine and o-phosphocholine metabolites corresponds with the phenomena of global hyper-methylation in DNA and H3K36 mark. Overall, our results suggests that the crosstalk of global metabolomics and epigenetic modification was fundamental of the underlying mechanisms in BPA-induced stress response in C. riparius., (Copyright © 2018 Elsevier Inc. All rights reserved.)

Objectives: We aimed to evaluate diagnosis and management of an ectopic pregnancy developing in a previous cesarean scar., Materials and Methods: Between March 2003 and October 2015, total 64 cases of cesarean scar pregnancy (CSP) were retrospectively reviewed. The cliniscal characteristics, diagnosis, various methods of treatment and clinical outcomes were analyzed., Results: The mean gestational age at diagnosis was 6.5 ± 1.1 weeks and the number of previous cesarean section was 1.6 ± 0.6. The main ultrasonographic findings included anterior implantation of gestational sac within the previous CS scar and thinning of anterior myometrium (average: 3.0 ± 2.0 mm). Excluding 6 cases that were lost to follow up after diagnosis, 58 patients underwent first line treatment. The treatment was successful with first line therapy alone in 32 patients (55.2%). Emergency hysterectomy was necessary in 4 cases during following up of first line treatment. In 22 patients who underwent second line treatment, all of them were successfully treated with no additional treatment., Conclusions: MTX treatment alone as first line treatment showed low success rate (41.3%). Wedge resection (100%) and hysteroscopy (66.7%) were relatively safe and they were the most successful treatment modalities in this study. Dilatation and curettage as first and second line treatment had about 20% and 16.7% risk of emergency hysterectomy due to severe hemorrhage respectively. Therefore, surgical modalities with direct visualization excluding dilatation and curettage seem to be more safe and successful than medical treatment using MTX alone. Early precise diagnosis and management of CSP will be very important to minimize the extent of treatment and thus improve clinical outcomes of the patients., (Copyright © 2018. Published by Elsevier B.V.)

The properties, fate, and toxicity of silver nanoparticles (AgNPs) are readily modified in the environment. Thus, in order to predict the environmental impact of AgNPs, the toxicity test should be conducted to assess the interactions of AgNPs with environmental matrices. Dissolved organic matter (DOM) is known to mitigate AgNPs toxicity in natural systems, and it is also known that silver binds strongly to sulfur. Little is known, however, about the effect of sulfidation and to what extent it could compete with DOM in the sediment. We therefore investigated the effect of sulfide on a sediment dwelling organism, Chironomus riparius using ecotoxicity endpoints. We then investigated how sulfide and a combination of sulfide and DOM affect the toxicity of AgNPs in C. riparius. We also monitored the concentrations of silver in the water and sediment compartments, as well as in C. riparius tissue, in the presence and absence of sulfide. Finally, in order to investigate how sulfide and DOM affect the release of ions from AgNPs, we also monitored released Ag(+) in each treatment. In the presence of sulfide, AgNPs were found to be less toxic to C. riparius in acute and chronic endpoints than AgNPs alone, whereas DOM treatment did not modulate the toxicity of AgNPs. Sulfide treatment reduced the release of Ag(+) from AgNPs. Water-spiked AgNPs with sulfide were found to be more slowly incorporated into both sediment and larvae as compared to the AgNP alone. Overall, the results suggest that the presence of sulfide in sediment mitigates the ecotoxicity of AgNPs in C. riparius., (Copyright © 2016 Elsevier B.V. All rights reserved.)