Risk of Lower Birth Weight and Shorter Gestation in Oocyte Donation Pregnancies Compared With Other Assisted Reproductive Technology Methods: Systematic Review.

OBJECTIVE: Oocyte donation (OD) is associated with an increased risk of pregnancy-induced hypertension, but the evidence of an association between OD and infant outcomes, including birth weight and gestational age, is conflicting. This study sought to determine the associations between oocyte donation and birth weight or gestational age compared with other forms of autologous oocyte assisted reproductive technology (ART). METHODS: Medline, Embase, and the CENTRAL Trials Registry of the Cochrane Collaboration were searched using a comprehensive search strategy. Studies of women over 24 weeks gestation compared infant outcomes among OD pregnancies versus other ART. Study quality was assessed, and a meta-analysis of mean birth weight and gestational age was conducted using a random effects model. RESULTS: Nineteen studies were included. Four studies showed a significant association between OD and lower birth weights, and five studies found significant differences in gestational age between OD and autologous oocyte ART. The pooled difference in birth weight means between OD and autologous ART was -42 (-88, 4) . The pooled difference in gestational age was -0.4 weeks (-0.8, 0.0 weeks). CONCLUSION: A high degree of interstudy heterogeneity exists, and the association between OD and infant outcomes remains unclear.

Pediatric Blastic Plasmacytoid Dendritic Cell Neoplasm: A Systematic Literature Review.

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare aggressive hematologic malignancy characterized by frequent skin involvement that most commonly affects older patients. BPDCN is known to have a poor prognosis. Our objective was to assess if outcome and disease prognosis were independently influenced by age when evaluated with clinical presentation, sex, and treatment regimens. We conducted a systematic review to identify BPDCN cases, to compare pediatric BPDCN cases with adult cases. A total of 125 publications were identified detailing 356 cases. Including 1 pediatric case from our institution, 74 were children, and 283 were adults aged 19 or over. Age was shown to be an independent prognostic factor predictive of more favorable outcomes across measures including initial response to therapy, likelihood of relapse, and overall survival at follow-up. The distribution of affected organs at diagnosis was similar across children and adults and type of clinical presentation did not disproportionately influence 1 age group's prognosis over the other. Acute lymphoblastic leukemia-type chemotherapy regimens were shown to be superior to other chemotherapy regimens (acute myeloid leukemia, lymphoma, acute lymphoblastic leukemia/lymphoma, other, or none) in inducing complete remission. Allogeneic stem cell transplantation was shown to increase mean survival time. Future research may be directed toward elucidating the further morphologic, cytogenetic, and cytochemical differences between younger and older BPDCN patients.

Daily Experiences and Relationship Well-Being: The Paradoxical Effects of Relationship Identification.

OBJECTIVE: Even couples in healthy romantic relationships experience conflict at times. We examine whether relationship identification (the extent to which the relationship is incorporated into the self) predicts immediate reactivity to partner transgressions and also promotes global resilience over time. METHOD: Sixty-three couples participated in a 2-week event-contingent diary study. RESULTS: On a daily basis, experiencing more partner transgressions than usual predicted decreases in relationship well-being and increases in negative affect. This within-person association was stronger for those high in relationship identification. However, after 2 weeks, changes in global relationship evaluations of low identifiers, but not of high identifiers, were contingent on the accumulation of partner transgressions and the degree of negative affect in response to these daily transgressions. CONCLUSIONS: This study suggests that internalizing a relationship into the self does not blind intimates to immediate negative events but rather provides a basis for their global relationship evaluations that is not contingent on recent events.

Viable versus nonviable positive margins in Ewing sarcoma and associated recurrence rates: A systematic review.

Residual tumor after curative intent therapy in patients with Ewing's sarcoma is of great clinical significance. Surgeons use the resection margin to indicate the completeness of a surgical excision. However, this margin may be either nonviable/necrotic or viable. This systematic review examines the 5-year event-free survival rate and local recurrence as a function of positive resection margins that are nonviable/necrotic versus those that are viable. Multiple databases were searched using the Ovid interface. After full text screening, 45 articles that reported either margin or postchemotherapy histology and one or more outcomes of interest were identified, and two articles reported on margin and histology simultaneously. An attempt was made to contact the remaining authors and one author was able to provide additional data. The data from the three studies suggest that prognosis in ES depends on both margin involvement and the postchemotherapy histological response simultaneously. However, radiation therapy likely improves local control in patients with inadequate surgical margins, regardless of histological response. This is an area where there is a paucity of evidence that needs to be rectified to ensure that ES patients are provided the highest quality of evidence-based care.

If-then contingencies and the differential effects of the availability of an attractive alternative on relationship maintenance for men and women.

In 7 experiments, the causal effects of the availability of an attractive alternative (AA) relationship partner on current relationship thoughts and intentions were tested using confederates, mental simulations, and virtual reality. Men behaved consistent with traditional relationship-commitment theories, showing decreased willingness to tolerate their partner's transgressions after the availability of an AA was made salient. However, consistent with a motivated cognition approach to commitment and work on relational self-construals, women increased their tolerance when presented with the relationship threat of an alternative. Word-fragment and lexical decision data suggested that AAs may activate threat for women, and their ability to dampen threat accessibility is associated with prorelationship responses. Finally, this "if relationship is threatened, then defend the relationship" contingency was induced in men with an implementation intention induction.