Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 468
Filtrar
2.
Fertil Steril ; 116(1): 13-14, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34148581

RESUMO

The goal of this Views and Interviews series was to bring together the thought leaders in the field and envision what the laboratory will look like in the future. This consensus piece strives to take the thoughts of those leaders and develop themes and concepts that will be significant in the laboratory in the coming years.


Assuntos
Andrologia/tendências , Inteligência Artificial/tendências , Serviços de Laboratório Clínico/tendências , Fertilização In Vitro/tendências , Infertilidade/terapia , Medicina Reprodutiva/tendências , Automação Laboratorial , Consenso , Difusão de Inovações , Feminino , Previsões , História do Século XXI , Humanos , Infertilidade/diagnóstico , Infertilidade/fisiopatologia , Masculino , Gravidez
3.
Fertil Steril ; 116(1): 4-12, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34148588

RESUMO

The aim of this article is to gather 9 thought leaders and their team members to present their ideas about the future of in vitro fertilization and the andrology laboratory. Although we have seen much progress and innovation in the laboratory over the years, there is still much to come, and this article looks at what these leaders think will be important in the future development of technology and processes in the laboratory.


Assuntos
Andrologia/tendências , Serviços de Laboratório Clínico/tendências , Fertilização In Vitro/tendências , Infertilidade/terapia , Medicina Reprodutiva/tendências , Andrologia/legislação & jurisprudência , Automação Laboratorial , Serviços de Laboratório Clínico/legislação & jurisprudência , Difusão de Inovações , Feminino , Fertilização In Vitro/legislação & jurisprudência , Previsões , História do Século XXI , Humanos , Infertilidade/diagnóstico , Infertilidade/fisiopatologia , Masculino , Formulação de Políticas , Gravidez , Medicina Reprodutiva/legislação & jurisprudência
4.
Fertil Steril ; 116(1): 2-3, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34148585

RESUMO

The in vitro fertilization and andrology laboratories are at the center of assisted reproductive technologies and the place where technicians and embryologists manipulate gametes and preimplantation-stage embryos with the goal of achieving the best embryo for transfer. Through the years, these laboratories have seen developments in technique, technology, and testing. The goal of this Views and Interviews series is to bring together the thought leaders in the field and envision what the laboratories will look like in the next 10 years.


Assuntos
Andrologia/tendências , Serviços de Laboratório Clínico/tendências , Fertilização In Vitro/tendências , Infertilidade/terapia , Medicina Reprodutiva/tendências , Difusão de Inovações , Feminino , Previsões , História do Século XXI , Humanos , Infertilidade/diagnóstico , Infertilidade/fisiopatologia , Masculino , Gravidez
7.
Arch Ital Urol Androl ; 93(1): 111-114, 2021 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-33754622

RESUMO

The SARS-CoV-2 (Severe acute respiratory syndrome coronavirus 2) was first reported in December 2019, then its rapid spread around the world caused a global pandemic in March 2020 recording a high death rate. The epicenter of the victims moved from Asia to Europe and then to the United States. In this Pandemic, the different governance mechanisms adopted by local health regional authorities made the difference in terms of contagiousness and mortality together with a community strong solidarity. This document analyzes the andrological urgencies management in public hospitals and in private practice observed in Italy and in particular in the most affected Italian Regions: Emilia-Romagna and Marche.


Assuntos
Andrologia/estatística & dados numéricos , COVID-19 , Infertilidade Masculina/terapia , Pandemias , Gerenciamento Clínico , Hospitais Públicos/estatística & dados numéricos , Humanos , Itália , Masculino , Prática Privada/estatística & dados numéricos , Doenças Urológicas/terapia
12.
Int J Clin Pract ; 75(6): e14095, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33619782

RESUMO

AIMS OF THE STUDY: The aim of this study was to investigate the impact of testosterone deficiency on cognitive functions in metastatic prostate cancer patients receiving androgen deprivation therapy (ADT). METHODS: In this multicentric prospective study, 65 metastatic prostate cancer patients were evaluated. Demographic and clinical data were recorded. Cognitive functions were assessed using the Symbol Digit Modalities Test, the California Verbal Learning Test Second Edition, the Brief Visuospatial Memory Test-Revised, and the Trail Making Test. Depressive symptoms were assessed using the Beck Depression Inventory. Cognitive functions and depressive symptoms were recorded before the androgen deprivation therapy and at the 3- and 6-month follow-ups. RESULTS: At the basal cognitive assessment, the mean Symbol Digit Modalities Test, the California Verbal Learning Test Second Edition, the Brief Visuospatial Memory Test-Revised scores were 25.84 ± 17.54, 32.68 ± 10.60, and 17.63 ± 11.23, respectively, and the mean time for the Trail Making Test was 221.56 ± 92.44 seconds, and were similar at the 3-month, and 6-month controls (P > .05). The mean pretreatment, third and sixth month testosterone levels were 381.40 ± 157.53 ng/dL, 21.61 ± 9.09 ng/dL and 12.25 ± 6.45 ng/dL (P < .05), and the total PSA levels were 46.46 ± 37.83 ng/mL, 1.41 ± 3.31 ng/mL and 0.08 ± 0.14 ng/mL (P < .05), respectively. CONCLUSION: The ADT in patients with metastatic prostate cancer does not affect patients' cognitive functions and depressive symptoms. However, further prospective randomised studies with higher cohorts and longer follow-up periods are needed.


Assuntos
Andrologia , Neoplasias da Próstata , Antagonistas de Androgênios/efeitos adversos , Androgênios , Cognição , Humanos , Masculino , Estudos Prospectivos , Neoplasias da Próstata/tratamento farmacológico
13.
Urology ; 153: 35-41, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33450281

RESUMO

OBJECTIVE: To evaluate patient satisfaction with telemedicine appointments as an alternative to in-person appointments at an Andrology-focused academic urology practice during the coronavirus disease 2019 pandemic. METHODS: Between March and June 2020, all appointments at the practice of a single Andrology-focused academic urologist were conducted by telephone. Consecutive patients were contacted by telephone following their appointment to complete a telephone questionnaire. Baseline demographic information was obtained, and perceptions regarding telephone appointments were assessed using a Likert scale. RESULTS: Ninety-six patients completed the telephone questionnaire. Median age was 48.5 years (interquartile range 37.3-62.8 years) with 55 of 96 (57.3%) of the appointments Andrology-focused. Mean distance of residence from the hospital was 8.4 km (interquartile range 4.7-25.2 km). Only 9 of 96 (9.3%) of the patients felt that the telephone format did not adequately address their needs. However, 26 of 96 (27.1%) of patients said they would prefer an in-person appointment. On multivariable analysis adjusting for age, gender, presenting complaint, type of appointment, education level, and employment status, no factors were associated with feeling that the telephone appointment adequately addressed needs or preference for an in-person appointment in the future. CONCLUSION: Patients were generally satisfied with telephone appointments as an alternative to in-person appointments during the coronavirus disease 2019 pandemic. Nonetheless, a substantial portion of patients said they would prefer in-person appointments in the future.


Assuntos
COVID-19/prevenção & controle , Visita a Consultório Médico , Preferência do Paciente/estatística & dados numéricos , Telemedicina , Urologia/estatística & dados numéricos , Adulto , Andrologia , Emprego , Feminino , Doenças Urogenitais Femininas/terapia , Humanos , Masculino , Doenças Urogenitais Masculinas/terapia , Pessoa de Meia-Idade , Visita a Consultório Médico/economia , SARS-CoV-2 , Inquéritos e Questionários , Telefone
16.
Andrologia ; 53(3): e13961, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33491204

RESUMO

In 2020, the COVID-19 pandemic led to the suspension of the annual Summer Internship at the American Center for Reproductive Medicine (ACRM). To transit it into an online format, an inaugural 6-week 2020 ACRM Online Mentorship Program was developed focusing on five core pillars of andrology research: scientific writing, scientific methodology, plagiarism understanding, soft skills development and mentee basic andrology knowledge. This study aims to determine mentee developmental outcomes based on student surveys and discuss these within the context of the relevant teaching and learning methodology. The mentorship was structured around scientific writing projects established by the team using a student-centred approach, with one-on-one expert mentorship through weekly formative assessments. Furthermore, weekly online meetings were conducted, including expert lectures, formative assessments and social engagement. Data were collected through final assessments and mentee surveys on mentorship outcomes. Results show that mentees (n = 28) reported a significant (p < .0001) improvement in all criteria related to the five core pillars. These results illustrate that the aims of the online mentorship program were achieved through a unique and adaptive online educational model and that our model has demonstrated its effectiveness as an innovative structured educational experience through the COVID-19 crisis.


Assuntos
Andrologia/educação , Educação à Distância/organização & administração , Escrita Médica , Modelos Educacionais , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/transmissão , Avaliação Educacional/estatística & dados numéricos , Feminino , Humanos , Masculino , Mentores , Pandemias/prevenção & controle , Plágio , Estudantes/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Comunicação por Videoconferência/organização & administração
19.
Andrologia ; 53(2): e13711, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32598566

RESUMO

Proteomics and metabolomics are emerging as promising tools to investigate the molecular mechanisms associated with male infertility. Proteins and metabolites play a pivotal role in regulating the molecular pathways associated with physiological functions of spermatozoa. Semen analysis, physical examination and laboratory work up cannot identify the etiology of infertility in 30%-40% of cases, which are classified as idiopathic. Therefore, the application of proteomics and metabolomics in the field of andrology will aid to overcome the limitations of the standard semen analysis. Understanding the molecular pathways associated with male infertility will help in planning ad hoc treatments, contributing to the clinical management of infertile patients. In this review, proteomics and metabolomics studies on spermatozoa and seminal plasma are discussed with a focus on molecular biomarkers associated with male infertility-related conditions.


Assuntos
Andrologia , Infertilidade Masculina , Biomarcadores , Humanos , Infertilidade Masculina/diagnóstico , Masculino , Metabolômica , Proteômica , Sêmen , Espermatozoides
20.
Andrology ; 9(1): 10-18, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32357288

RESUMO

The prolonged lockdown of health facilities providing non-urgent gamete cryopreservation-as currently recommended by many reproductive medicine entities and regulatory authorities due to the SARS-CoV-2 pandemic will be detrimental for subgroups of male infertility patients. We believe the existing recommendations should be promptly modified and propose that the same permissive approach for sperm banking granted for men with cancer is expanded to other groups of vulnerable patients. These groups include infertility patients (eg, azoospermic and cryptozoospermic) undergoing medical or surgical treatment to improve sperm quantity and quality, as well as males of reproductive age affected by inflammatory and systemic auto-immune diseases who are about to start treatment with gonadotoxic drugs or who are under remission. In both scenarios, the "fertility window" may be transitory; postponing diagnostic semen analysis and sperm banking in these men could compromise the prospects of biological parenthood. Moreover, we provide recommendations on how to continue the provision of andrological services in a considered manner and a safe environment. Our opinion is timely and relevant given the fact that fertility services are currently rated as of low priority in most countries.


Assuntos
Andrologia/organização & administração , COVID-19 , Acesso aos Serviços de Saúde/organização & administração , Necessidades e Demandas de Serviços de Saúde/organização & administração , Infertilidade Masculina/terapia , Determinação de Necessidades de Cuidados de Saúde/organização & administração , Humanos , Infertilidade Masculina/diagnóstico , Infertilidade Masculina/fisiopatologia , Masculino
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...