Psychological Status and Influencing Factors Among Pregnant Women Undergoing In Vitro Fertilization.

Objective: This retrospective study aimed to observe the psychological status and analyze the influencing factors among pregnant women undergoing in vitro fertilization (IVF). Methods: A total of 456 pregnant women who underwent IVF and were admitted to the Second Hospital of Hebei Medical University from June 2021 to January 2022 were included as research subjects. General data of all subjects, including previous miscarriage history, infertility duration, number of IVF treatments, factors contributing to infertility, endometrial thickness, and embryo quality, were collected. Univariate/multivariate logistic regression analysis was performed to identify the risk factors associated with the psychological status of pregnant women undergoing IVF. Results: In this study, 191 (41.89%) patients were diagnosed with anxiety disorder, and 131 (28.73%) patients were diagnosed with depression. Significant differences were observed between the anxiety group and the non-anxiety group in terms of previous miscarriage history, infertility duration, number of IVF treatments, ovarian factors of infertility, oviduct factors of infertility, uterus factors of infertility, endometrial thickness, and embryo quality (all P < .05). Similarly, significant differences were found between the depression group and the non-depression group in terms of previous miscarriage history, infertility duration, number of IVF treatments, ovarian factors of infertility, oviduct factors of infertility, uterus factors of infertility, endometrial thickness, and embryo quality (all P < .05). Multivariate logistic regression analysis indicated that the number of IVF treatments was an independent risk factor for both anxiety and depression status (all P < .05). Conclusions: Among pregnant women undergoing IVF, psychological states such as anxiety and depression may be associated with the number of IVF treatments, endometrial thickness, and embryo quality.

Global distributions of foliar nitrogen and phosphorus resorption in forest ecosystems.

Nutrient resorption is an important mechanism for nutrient conservation and can maintain ecosystem stoichiometry. Here, we examined the global-scale variation of nitrogen resorption efficiency (NRE) and phosphorus resorption efficiency (PRE) by analyzing observations from 218 published papers. We used Pagel's λ to test the phylogenetic limitation on NRE and PRE and applied the random forest model to assess biotic and abiotic drivers, which included climate, soil, species characteristics, and topographical factors, and predicted the global NRE and PRE distributions. We found that NRE and PRE had oppositing trends among climatic zones, plant functional groups, and foliar nitrogen (N) to phosphorus (P) ratios. Nutrient resorption was higher in ectomycorrhizal trees than in arbuscular mycorrhizal trees. Moreover, foliar NRE and PRE were not linked to phylogeny. On average, the random forest overall explained 38 % (21 %-55 %) variation in NRE and 36 % (16 %-55 %) variation in PRE. Both NRE and PRE varied greatly with climate and soil organic carbon (SOC). The spatial variation of NRE and PRE was coupled to N-limitation and P-limitation, respectively. Our evaluation of the factors that influenced NRE and PRE and their global distributions, and our novel approach for evaluating plant utilization of nutrients, advances our understanding of the relative stability of ecosystem randomness in forest ecosystems and the global forest nutrient cycle.

Prognostic Value of Pre-Treatment Prognostic Nutritional Index in Esophageal Cancer: A Systematic Review and Meta-Analysis.

Background: Prognostic nutritional index (PNI), combining albumin and lymphocyte counts, which represent the nutritional and immune status, was considered as an effective predictor for the patient's prognosis after surgery. To comprehensively analyze the relative effectiveness of prognostic performance of pretreatment PNI in esophageal cancer (EC), we performed this meta-analysis. Methods: We performed a systematic search in PubMed, Embase, CNKI, and Web of Science. The hazard ratios (HRs) or odds ratios (ORs) with their corresponding 95% confidence intervals (CIs) were extracted to explore the correlation between PNI and the post-operative survival of patients with EC, including overall survival (OS), recurrence-free survival (RFS), and post-operative complications. The Newcastle-Ottawa Scale (NOS) was applied to estimate the quality of the included studies. The Begg's test was applied to assess the publication bias. Results: A total of 13 articles with 3,543 patients, were included in our meta-analysis, and nine studies reported OS in 2,731 EC patients. The pooled results of the nine studies suggested that EC patients with a low PNI would have a worse overall survival (HR = 1.14, 95% CI 0.99-1.31, p < 0.05). The integrated results also indicated that the PNI was a negative predictor for RFS. Conclusion: This meta-analysis indicated a high correlation between PNI and post-operative survival of EC. EC patients with low PNI values tend to have worse OS and may be at a higher risk of EC recurrence. However, more relevant researches are needed to confirm the association between PNI and post-operative complications of EC.