Perinatal outcomes of singleton live births after preimplantation genetic testing during single frozen-thawed blastocyst transfer cycles: a propensity score-matched study.

OBJECTIVE: To determine whether singleton pregnancy achieved after preimplantation genetic testing (PGT) is associated with a higher risk of adverse perinatal outcomes than in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) singleton pregnancy. DESIGN: A retrospective cohort study. SETTING: A university-affiliated fertility center. PATIENT(S): This cohort study included singleton live births resulting from PGT (n = 232) and IVF/ICSI singleton pregnancies (n = 2,829) with single frozen-thawed blastocyst transfer. Multiple baseline covariates were used for propensity score matching, yielding 214 PGT singleton pregnancies matched to 617 IVF/ICSI singleton pregnancies. INTERVENTION(S): Trophectoderm biopsy. MAIN OUTCOME MEASURE(S): The primary outcome was gestational hypertension, and various clinical perinatal secondary outcomes related to maternal and neonatal health were measured. RESULT(S): Compared with IVF/ICSI singleton pregnancy, PGT singleton pregnancy was associated with a significantly higher risk of gestational hypertension (adjusted odds ratio, 2.58; 95% confidence interval, 1.32, 5.05). In the matched sample, the risk of gestational hypertension remained higher with PGT singleton pregnancy (odds ratio, 2.33; 95% confidence interval, 1.04, 5.22) than with IVF/ICSI singleton pregnancy. No statistical differences were noted in any other measured outcomes between the groups. CONCLUSION(S): The perinatal outcomes of PGT and IVF/ICSI singleton pregnancies were similar except for the observed potentially higher risk of gestational hypertension with PGT singleton pregnancy. However, because the data on PGT singleton pregnancies are limited, this conclusion warrants further investigation.

[Occurrence, Distribution, and Ecological Risk Assessment of Pharmaceutical and Personal Care Products in the Aquatic Environment of Sanya City, China].

The occurrence, distribution, and risk of 11 typical pharmaceutical and personal care products(PPCPs) were investigated in the major rivers and bay areas of Sanya City. The results showed that the significant seasonal variations in eleven PPCPs in major rivers of the city were affected by intense tourism alongside reduced annual runoff. In winter, all 11 PPCPs had 100% detection frequencies, of which CFI had the highest concentration at 1449.10 ng·L-1. The highest concentration of MTP was 427.06 ng·L-1 and highest concentration of RTM was 311.59 ng·L-1. In summer, all 11 PPCPs were again detected, with a lowest detection rate of 87.5%, of which CFI, MTP, RTM, ETM, and OFL were predominant. All 11 PPCPs were also detected in the surface seawater of the main bay areas, with detection frequencies of 85.7%, 57.1%, and 71.4% for SMX, MTP, and CFI respectively; the other eight PPCPs had 100% detection frequencies. CFI had the highest concentration at 220.78 ng·L-1. An ecological risk assessment of the 11 PPCPs showed that the risk quotients(RQ) of STZ at Yuechuan Bridge and RTM at Fenghuang Road were higher than 1 in winter, posing a high risk to the aquatic ecology. This was mainly attributed to the discharge of water from nearby hospitals and sewage treatment plants. In summer, the RQ of STZ at Sanya Bridge and RTM at Hongsha Wharf was between 0.1 and 1, which indicates a medium level of risk to the aquatic environment in Sanya City.

[Effects of Eliminating Backward Production Capacities on Reduction of Dioxin Emissions in Key Industries].

Phase-out of backward production facilities can significantly reduce the emissions of unintentional persistent organic pollutants from the industrial thermal process. An estimation of reduced dioxin emissions due to closure of backward production capacities is valuable to objectively evaluate China's efforts in and contribution to performing the Stockholm Convention on Persistent Organic Pollutants. Our group previously evaluated environmental effects of the phase-out of backward production facilities on dioxin emissions from 2006 to 2009. Based on the above study, due to the phase-out of backward production capacities from 2010 to 2013, the reductions in dioxin emissions to air from power generation sector, coke sector, and iron & steel (including ferroalloy) sector were estimated to be 86.13, 133.94 and 78.78 g · a⁻¹, respectively. Because the emission factors used in this paper are a little bit conservative, the actual reduced emissions may be greater than the estimated values. Besides the industrial sectors mentioned above, reduced dioxin emissions can also be estimated in more industrial sectors such as cement, calcium carbide, metal smelting and papermaking sectors. The paper also provided methods for the future comprehensive evaluation of dioxin reduction.

[Estimation of Co-benefits from Pollution Emission Reduction by Eliminating Backward Production Capacities in Hainan Province].

Industrial structural adjustment plays a significant role in achieving the pollution reduction goals in China. It is an optimal choice for Hainan Province to promote industrial structure upgrading and build a "national demonstration area for ecological civilization construction". The emission factor method was used to estimate co-benefits of pollution emission reduction through closure of backward production capacities as a result of industrial structural adjustment policies. The results showed that in Hainan Province the cumulative reduction emissions of NOx, dioxins and mercury were 2826.0 t·a-1, 10462.5 mg·a-1 and 280.8 kg·a-1 respectively from 2006 to 2013, taking into consideration of cement, iron & steel, paper making and solid clay bricks sectors. The impact of eliminating backward production capacities on reductions of NOx was not remarkable, but the impacts on control over dioxins and mercury emissions were significant. The paper provided a new approach for estimating co-benefits from reducing the conventional pollutants and emerging pollutants.