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Tubal Ligation

Tubal Ligation is a surgical procedure in which the fallopian tubes are blocked, tied, or cut to prevent pregnancy.
It is a permanent form of contraception for women who do not wish to have any more children.
The procedure is typically performed through a small incision in the abdomen or vagina, and the fallopian tubes are either banded, clipped, or severed to prevent the passage of eggs from the ovaries to the uterus.
Tubal Ligation is considered a safe and effective method of birth control, with a low risk of complications.
Howver, it is important to carefully consider the decision, as the procedure is difficult to reverse and may have lifelong consequences.

Most cited protocols related to «Tubal Ligation»

Our study was conducted on the Albemarle Peninsula in the northeastern region of North Carolina (Fig 1). The study area included approximately 6,000 km2 of federal, state, and private lands comprising a row-crop agricultural-bottomland forest matrix with little change in elevation (<50 m). Agricultural crops (i.e., corn, cotton, soybean, and winter wheat) and managed pine (Pinus spp.) composed of approximately 30% and 15% of the land cover, respectively. Other prominent land-cover types were coastal bottomland forests and pocosin (peatlands with a low [1–4 m] and dense evergreen shrub layer; 35%), herbaceous wetlands and saltwater marshes (5%), open water (5%), and other minor land-cover types (10%). The climate was typical of the mid-Atlantic: 4 distinct seasons, nearly equal in length, with an annual precipitation averaging between 122 to 132 cm. Summer climate was typically hot and humid with daily temperatures ranging from 27°C to over 38°C and winters were relatively cool with daily temperatures ranging between -4° to 7° C.
As part of long-term monitoring and management of red wolves and coyotes on the Albemarle Peninsula, the Recovery Program conducted annual trapping during autumn and winter to capture and fit individual red wolves and coyotes with radio collars. Our field study assisted annual trapping efforts from 2009 through 2011 to capture coyotes and red wolves. Coyotes were not a listed or protected species and the permitting authority for their capture and release was the North Carolina Wildlife Resources Commission. However, red wolves were listed as critically endangered by the International Union Conservation of Nature’s (IUCN) red list of threatened species and we operated under a cooperative agreement with the USFWS that permitted us to trap under special handling permits issued to the Recovery Program to trap and handle red wolves. This study, including all animal handling methods, was approved by the Louisiana State University Agricultural Center Institutional Animal Care and Use Committee (Protocol Number AE2009-19) and meets the guidelines recommended by the American Society of Mammologists [26 (link)]. Permission to access private lands for trapping occurred under memorandum of agreements (MOAs) between individual landowners and the Recovery Program. We access private lands of landowners without existing MOAs by contacting those individuals to receive permission to trap their lands.
We captured coyotes using padded foot-hold traps (Victor no.3 Softcatch, Woodstream Corporation, Lititz, Pennsylvania, USA) from October through May, 2009–2011. Coyotes were typically restrained using a catchpole, muzzle, and hobbles. Although most coyotes were not anesthetized, several were chemically immobilized with an intramuscular injection of ketamine HCl and xylazine HCl to inspect inside the mouth for injuries. Coyotes were sexed, measured, weighed, and aged by tooth wear [27 ], and a blood sample was collected. We categorized coyotes >2 years old as adults, 1–2 years old as juveniles, and <1 year old as pups. Coyotes on the Albemarle Peninsula were reproductively sterilized by the USFWS to prevent introgression into the red wolf population [24 ,25 (link)]. Coyotes were taken to a local veterinary clinic for surgical sterilization where males and females were reproductively sterilized by vasectomy and tubal ligation, respectively. This process keeps hormonal systems intact to avoid disrupting breeding and territorial behavior [28 (link),29 (link)]. Prior to release at the original capture sites, we fit coyotes with a mortality-sensitive GPS radio collar (Lotek 3300s, Newmarket, Ontario, Canada) scheduled to record a location every 4 hours (0:00, 04:00, 08:00, and so on) throughout the year.
The Recovery Program monitored radio-collared red wolves and coyotes 2 times a week from aircraft to identify red wolf and coyote territories on the Albemarle Peninsula. Resident pairs of coyotes were identified as radio-collared individuals of breeding age (≥2 years old) who were temporally and spatially associated with one another and defending a territory for ≥4 months. When trapping was not feasible after radio-collared coyotes established territories, we confirmed the presence of a mate via field inspection for sign (i.e., visual observations and tracks) of another individual over the course of several weeks. To avoid autocorrelation, we only fit one coyote in each pair of residents with a GPS radio-collar. We classified radio-collared coyotes as transients when they were solitary and not associated with other radio-collared coyotes and displayed extensive movements throughout the Albemarle Peninsula.
To reflect the anthropogenic effects of agricultural practices on the landscape, we divided each year into 2 6-month seasons based on agricultural activity: growing (1 March–31 August) and harvest (1 September–28 February). We estimated space use of resident and transient coyotes by fitting dynamic Brownian bridge movement models (dBBMMs) to the time-specific location data to estimate the probability of use along the full movement track of each coyote [30 ], using R package moveud [31 ] in Program R [32 ]. Brownian bridge movement models use characteristics of an animal’s movement path among successive locations to develop a utilization distribution of an animal’s range. Because many factors influence telemetry error and recent studies suggest telemetry error for GPS radio collars range between 10–30 m [33 (link)], we used an error estimate of 20 m for all locations. Our error estimate was calculated based on recommendations and assumptions outlined in Byrne et al. [34 (link)]; we chose a moving window size of 7 locations (equivalent to 14 hours) with a margin of 3 locations for full tracks of each animal to reflect temporal shifts in coyote movements related to photoperiods. For residents, we considered 95% and 50% contour intervals as home ranges and core areas, respectively. Because transients do not maintain and defend territories, we did not refer to transient space use as home ranges and core areas. Instead, we considered 95% and 50% contour intervals for transients as transient ranges and biding areas [20 (link)], respectively. We used t-tests to investigate changes in the area of space use among seasons.
We estimated predominant landscape features from a digitized
landscape map of vegetative communities developed by the North Carolina Gap Analysis Project [35 ]. We collapsed vegetative communities estimated by McKerrow et al. [35 ] into 4 general habitat classes with a 30-m resolution. For the habitat selection analysis, we divided the landscape into agriculture, coastal bottomland forest, pine forest, and wetlands (e.g., herbaceous wetlands, marshes, and pocosin). Because coyotes are known to use roads and forage along edges, we also developed road and agricultural-forest edge layers [36 (link)]. We created distance raster maps for habitat classes, roads, and agricultural-forest edges (hereafter edges) using the ‘Euclidean Distance’ tool in the Spatial Analyst toolbox in (ArcGIS 10; Environmental Systems Research Institute Inc., Redlands, California) to calculate the distance from every 30 m pixel to the closest landscape feature [37 (link), 38 (link)]. We used analysis of variance (ANOVA) and Tukey tests [39 ] for multiple comparisons to determine if habitat composition of home ranges, core areas, transient ranges, and biding areas differed.
We used RSFs to examine relationships between landscape features and coyote establishment of home ranges on the landscape (2nd-order selection) [40 (link)] and to examine relationships between landscape features and coyote use within their home ranges (3rd-order selection) following Design II and III approaches suggested by Manly et al. [41 ]. For 2nd-order selection, we used individual animals as our sampling units and measured resource availability at the population level. For 3rd-order selection, we used individual animals as our sampling units and resource availability was measured for each animal. Despite the presence of territorial red wolves on the Albemarle Peninsula and active management by the Recovery Program to reduce red wolf-coyote hybridization, coyotes were found throughout the entire peninsula. We used distance-based variables to assess habitat selection to eliminate the need to base inference on subjectively chosen reference categories [37 (link)]. Therefore, we inferred “selection” when known (used) locations were closer to resource features than were random (available) locations and “avoidance” was inferred when known locations were farther from resource features than random locations. We used a binomial approach to estimate resource-selection functions by comparing characteristics of known locations to an equal number of random locations within the Albemarle Peninsula study area (2nd-order selection) and within home ranges and transient ranges (3rd-order selection) of coyotes [41 ]. We used generalized linear mixed models with a logistic link to compare habitat selection between resident and transient coyotes. We included random intercepts for individual coyotes in each model to account for correlation of habitat use within individuals and the unbalanced telemetry data. We modeled resource selection using the R package ‘lme4’ [42 ] with a binary (0 = available, 1 = used) response variable. Prior to modeling, we rescaled values for all distance-based variables by subtracting their mean and dividing by 2 standard deviations [38 (link),43 (link)].
We designed 5 candidate models for coyote occurrence guided by 4 a priori general hypotheses to develop RSFs: (1) Coyotes require cover and shelter found primarily in forests. (2) Coyotes favor linear landscape characteristics, such as edges and roads. (3) Coyotes prefer open, treeless habitats, such as agricultural fields. (4) Coyotes avoid wetland habitats. We used an information-theoretic approach to assess models by calculating Akaike’s information criterion for small sample sizes (AICc) [44 ,45 (link)] and used ΔAICc to select which models best supported habitat selection. First, we used all resident and transient locations from our telemetry data, included main effects for all fixed predictor variables, and considered interactions between a coyote status variable (resident = 1, transient = 0) and each landscape feature variable to investigate potential differences in selection between resident and transient coyotes. Second, we subsetted resident and transient locations and constructed separate models to derive 2nd- and 3rd-order selection coefficients for each landscape feature without interactions. We included all landscape features described above in our global models sets because correlation between individual predictor variables was low or modest (all r < 48%).We conducted model validation of the best model using k-fold cross-validation and then tested for predictive performance using area under the curve (AUC) [46 (link)–49 (link)]. This cross-validation is based on partitioning the data into k bins and performing k iterations of training and validation in which a different bin of the data is held out for validation, while remaining k–1 bins are used for the training set. We used 10 folds (k = 10) to estimate performance of RSF models. Area under the curve of a receiver operating characteristic (ROC) curve represents the relative proportions of correctly and incorrectly classified predictions over a range of threshold levels by plotting true positives versus false positives for a binary classifier system.
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Publication 2015
Adult Agricultural Crops Animals Anthropogenic Effects ARID1A protein, human BLOOD Canis rufus Climate Coyotes Crossbreeding Females Foot Forests Gossypium Injuries Institutional Animal Care and Use Committees Intramuscular Injection Ketamine Hydrochloride Males Marshes Microtubule-Associated Proteins Movement Operative Surgical Procedures Oral Cavity Pinus Relative Energy Deficiency in Sport Soybeans System, Endocrine Telemetry Threatened Species Tooth Wear Transients Triticum aestivum Tubal Ligation Vasectomy Wetlands Xylazine Zea mays
We used the same procedures in the NJ Ovarian Cancer Study and the EDGE Study to standardize data collection in cases and controls. Interviewers were trained using the same procedures and same training manual. Interviews, conducted by telephone for most respondents, covered established and suspected risk factors for ovarian cancer. In addition to the interview, participants were mailed a package with instructions for providing buccal specimens and waist and hip circumference measurements and the Block 98.2 food frequency questionnaire (FFQ). Participants were instructed to report their usual intake of the food items in the questionnaire during the six months before diagnosis (for cases) or the date of the interview (for controls). Two hundred and five (88%) cases and 398 controls (85%) returned the FFQ. The participants who returned the FFQ tended to be older, but there were no significant differences in education, oral contraceptive use, hormone replacement therapy use, tubal ligation or family history of ovarian cancer (data not shown). Eight of the controls were excluded because both of their ovaries had been removed, placing them at negligible risk of developing ovarian cancer, resulting in 390 controls being included in analyses.
The Block 98.2 FFQ (NutritionQuest, Berkeley, CA) includes 110 food items and was developed using the NHANES (National Health and Nutrition Examination Survey) III dietary recall data. It also includes questions on portion size for each food, and pictures are provided to facilitate estimation. The questionnaire includes a variety of foods containing phytoestrogens, such as several kinds of beans, tofu, soymilk, canned tuna fish, meat substitutes (e.g., veggie burgers, veggie chicken), and whole wheat bread. To supplement the list of foods, we added one page with 21 additional food items, based on the LACE questionnaire [28 (link)] and including other food items that have been identified as important sources of phytoestrogens [29 (link)]. The additional foods in the supplemental page that we added, and that are not included in the Block 98.2 questionnaire, are listed in Appendix 1. We also asked about the use of phytoestrogen/soy supplements including frequency and duration of use. NutritionQuest provided nutrient calculations using the USDA Nutrient Database for Standard Reference. For phytoestrogen calculations we used a Canadian database with detailed analyses of phytoestrogen content of foods, including detailed values for lignans [23 (link)]. Given the global food trading, we do not expect major differences in lignan composition between foods available in the United States and Canada.
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Publication 2011
Bread Chickens Contraceptives, Oral Diagnosis Diet Dietary Supplements Eating Food Food Additives Food Analysis Interviewers Learning Disorders Lignans Meat Mental Recall Nutrients Ovarian Cancer Ovary Phytoestrogens Soy Milk Therapy, Hormone Replacement Tofu Tubal Ligation Tuna Wheat
As in our prior 2 trials, potential participants with IBS were recruited through general advertisement (flyers, newspapers, public radio, posters on city busses, and targeted mailings to GI clinic patients) in a metropolitan area in the Pacific Northwest (United States). Interested adults were screened over the phone. Eligibility was assessed across the 5-week baseline assessment (initial interview and 4-week diary). During the last 2 weeks of this assessment period, preselected candidate biomarkers were obtained. The criteria for inclusion specified men and women 18–70 years of age. In addition, participants had to have a history of IBS symptoms for at least 6 months prior to their IBS diagnosis and for at least 6 months after their diagnosis by a healthcare provider. They had to meet the Rome-III research criteria.17 Adults age 50 or older had to have a negative colonoscopy, sigmoidoscopy, abdominal ultrasonography, or barium enema. Anyone with a “red flag” symptom (eg, lost 10 lbs without trying, blood in stool - except blood due to hemorrhoids) was referred to their healthcare provider for further evaluation (eg, colonoscopy).
Potential participants were excluded if they were taking the following medications: antibiotics, corticosteroids, daily use of anticholinergics, tricyclic antidepressants, calcium-channel blockers; had a medical history of abdominal surgery (except appendectomy, Cae-sarian section, tubal ligation, laparoscopic cholecystectomy, hysterectomy, or abdominal wall hernia repair); organic GI disease, celiac disease, or a moderate to severe pain condition (eg, low back pain and fibromyalgia); diabetes, current mental health disorders (psychosis, bipolar disorder, or moderate to severe depressive episodes, recent suicide attempt or drug or alcohol abuse or dependence); cardiac valve or conduction defects, immune-compromised disorders (eg, autoimmune conditions) or women who were pregnant, breast feeding, or planning to get pregnant in the next year (Figure).
Publication 2016
Abdomen Abdominoplasty Abuse, Alcohol Adrenal Cortex Hormones Adult Antibiotics Anticholinergic Agents Appendectomy Autoimmune Diseases Barium Enema Biological Markers Bipolar Disorder BLOOD Calcium Channel Blockers Cardiac Conduction System Disease Celiac Disease Cholecystectomy, Laparoscopic Colonoscopy Diabetes Mellitus Diagnosis Eligibility Determination Feces Fibromyalgia Gastrointestinal Diseases Health Personnel Heart Valves Hemorrhoids Hernia Hysterectomy Immune System Diseases Low Back Pain Mental Disorders Pain Disorder Patients Pharmaceutical Preparations Proctosigmoidoscopy Psychotic Disorders Suicide Attempt Tricyclic Antidepressive Agents Tubal Ligation Ultrasonography Woman
All studies included in this pooled analysis had approval from ethics committees, and written informed consent was obtained from all study participants. Study characteristics are reported in the appendix.
We used primary data from all studies in the OCAC at the time this analysis was initiated; the study questionnaires included questions about endometriosis. Data for endometriosis were reported in 13 case–control studies of ovarian cancer. One study was undertaken in Australia,9 (link) three in Europe,26 (link), 27 (link), 28 (link) and nine in the USA.5 (link), 8 (link), 29 (link), 30 (link), 31 (link), 32 (link), 33 (link), 34 (link), 35 (link), 36 (link) The characteristics of the 13 studies are presented in table 1. Data for endometriosis were self-reported in all studies. Women with missing endometriosis data and those with non-epithelial tumours were excluded. Data for origin of endometriosis (endometrioma, peritoneal, or deep infiltrating disease) were not available. Our analysis dataset consisted of data from 23 144 women (7911 with invasive ovarian cancer, 1907 with borderline ovarian cancer, and 13 326 controls). Subsets of data from five studies have been reported previously (Australian Cancer Study, Australian Ovarian Cancer Study [AUS],9 (link) Diseases of the Ovary and their Evaluation Study [DOV],5 (link) Hawaii Ovarian Cancer Study [HAW],7 (link) Malignant Ovarian Cancer Study [MAL],7 (link) and University of Southern California, Study of Lifestyle and Women's Health [USC]8 (link)). We excluded one OCAC study (from Poland37 (link)) from this analysis because the investigators thought that the endometriosis data were not reliable.

Description of studies included in the analysis

Study nameStudy abbreviationStudy typeMethod of data collectionAscertainment period
Asia-Pacific
AustraliaAustralian Cancer Study*, Australian Ovarian Cancer Study*9 (link)AUSPopulation basedSelf-completed questionnaire, checked by trained research nurse2002–06
Europe
GermanyGerman Ovarian Cancer Study26 (link)GERPopulation basedSelf-completed questionnaire1992–98
DenmarkMalignant Ovarian Cancer Study27 (link)MALPopulation basedIn-person or phone interview1994–99
UKUnited Kingdom Ovarian Cancer Population Study28 (link)UKOPopulation basedSelf-completed questionnaire2006–07
USA
CTConnecticut Ovary Study29 (link)CONPopulation basedIn-person interview1999–2003
WADiseases of the Ovary and their Evaluation Study5 (link)DOVPopulation basedIn-person interview2002–05
HIHawaii Ovarian Cancer Study30 (link)HAWPopulation basedIn-person interview1994–2007
Western PA, northeast OH, western NYHormones and Ovarian Cancer Prediction Study31 (link)HOPPopulation basedIn-person interview2003–08
North central states (MN, SD, ND, IL, IA, WI)Mayo Clinic Ovarian Cancer Study32 (link)MAYClinic basedIn-person interview2000–08
NCNorth Carolina Ovarian Cancer Study33 (link)NCOPopulation basedIn-person interview1999–2008
NH and eastern MANew England Case-Control Study of Ovarian Cancer34 (link)NECPopulation basedIn-person interview1999–2008
Orange County and San Diego County, CAUniversity of California, Irvine Ovarian Cancer Study35 (link)UCIPopulation basedSelf-completed questionnaire1995–2005
Los Angeles County, CAUniversity of Southern California, Study of Lifestyle and Women's Health8 (link), 36 (link)USCPopulation basedIn-person interview1993–2005

Combined for the purpose of the analysis.

Data for timing of endometriosis available.

In each study, information was provided about potential confounding variables that were previously noted to be related to ovarian cancer risk: age, ethnic origin, parity, breastfeeding, duration of oral contraceptive use, family history of ovarian cancer, weight, height, and history of tubal ligation. All data were cleaned and checked for internal consistency and clarifications were requested from the original investigators when needed.
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Publication 2012
Contraceptives, Oral Endometrioma Endometriosis Ethics Committees Ethnicity Malignant Neoplasms Neoplasms, Epithelial Ovarian Cancer Ovarian Diseases Ovary Peritoneum Tubal Ligation Woman
Fisher's goodness of fit test was used to assess whether allele frequency distributions among controls overall and in each ethnic group were consistent with Hardy–Weinberg equilibrium. Unconditional multiple logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for the association of genotype with ovarian cancer risk. The genotype for each SNP was treated as a non-ordered categorical variable to test for heterogeneity and as an ordered categorical variable (with three levels: 0, 1, and 2; one assigned to each genotype) to test for a gene-dose effect. Pairwise linkage disequilibrium (D′) and correlation coefficients (r2) were estimated using the HAPLOVIEW program (Barrett et al. 2005 (link)). Haplotypes for each subject were created using PHASE (Stephens et al. 2001 (link)).
Subjects with undetermined genotypes were excluded. All models were adjusted for age, ethnicity (except for ethnic-specific analyses), gravidity, use of contraceptive and menopausal hormones, tubal ligation, hysterectomy, menopausal status, and body mass index (BMI kg/m2; BMI≥30; BMI<30).
Publication 2008
Contraceptive Agents Ethnicity Genes Genetic Heterogeneity Genotype Haplotypes Hormones Hysterectomy Index, Body Mass Menopause Ovarian Cancer Tubal Ligation

Most recents protocols related to «Tubal Ligation»

At the antenatal questionnaire women were asked if in the month they became pregnant they were using contraception and how regularly. Postnatally women were asked if they were using family planning methods and which methods were being used. Contraceptive methods were classified as modern if they were products or medical procedure that interfere with reproduction from acts of sexual intercourse, therefore condoms, oral contraceptive pills, tubal ligation (postnatally), coil, injectable contraceptives and implants were classified as modern methods. Abstinence and withdrawal methods were considered traditional. Lactation amenorrhea (LAM) was considered traditional as although is a very effective method if practiced correctly, it is well acknowledged that often only a minority of women who report breastfeeding as a method of contraception meet the correct-practice criteria for LAM and this method is not considered effective after the early postpartum period [20 (link)].
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Publication 2023
Breast Feeding Coitus Condoms Contraceptive Agents Contraceptive Methods Contraceptives, Oral Minority Groups Reproduction Tubal Ligation Woman
12–16 week old male Long Evans rats (HsdBlu:LE – Envigo, USA) were used as residents. To encourage territoriality, each male resident was housed in a large cage (80*50*40 cm) with an ovariectomized female Long Evans rat that underwent tubal ligation for at least one week before the screening. The screening consisted of measuring attack latency and submission time in RSD sessions on five consecutive days to select rats displaying the desired aggressive behavior and exclude rats showing signs of violence (attack latency <10 s and attempts to kill the intruder by attacking vital zones), or non-aggressive behavior (attack latency>60s, absence of submission or submission time >120s, or the resident being submitted) (Moraga-Amaro et al., 2022 (link)).
The RSD protocol was performed between 1 and 4 p.m. Female Long Evans rats were removed from the resident cages 1 h before the exposure of the experimental rat. The session lasted 1 h and started with the introduction of the experimental rat in the cage of the resident, after which they were allowed to interact until the experimental rat showed a submissive posture for at least 5 s or after 10 min of interaction. Subsequently, the experimental rat was placed inside a wire mesh cage and put back in the cage of the resident to allow for visual, auditory, and olfactory interactions for the remainder of the 1 h. The experimental rat was exposed to five different residents for five consecutive days. Control rats were placed in a wire mesh cage inside a clean cage for a duration of 1 h.
RSDjuv and RSDadu rats were individually housed during the RSD protocol and the period thereafter during which the behavioral tests and PET scan took place, i.e. on day 35–46 and day 63–74, respectively, as social interaction during group housing can counteract the effect of social defeat. The control group remained housed in pairs during the RSD protocols. Hereafter the rats were group housed again.
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Publication 2023
Auditory Perception Behavior Test CAGE1 protein, human Females Males Positron-Emission Tomography Rats, Long-Evans Rattus norvegicus Sense of Smell Tubal Ligation
The main objective of this study was to establish a prediction tool for endometrial receptivity using transcriptome sequencing data and to evaluate the feasibility of a noninvasive endometrial receptivity test using uterine fluid specimens. First, from November 2017 to December 2018, participants were recruited for us to identify differentially expressed genes (DEGs) in pre-receptive, receptive and post-receptive uterine fluid by transcriptome sequencing and expression profile analysis and to build the nirsERT model applying a random forest (RF) machine learning algorithm. To limit interference from confounding variables affecting ER, the inclusion criteria for IVF patients were set as follows: 20–39 years of age; body mass index (BMI) = 18–25 kg/m2; patients with a history of a intrauterine pregnancy/pregnancies who underwent the first IVF cycle due to tubal factors alone or patients who undergoing the first IVF cycle due to male factors alone; a regular menstrual cycle length (25–35 days) with spontaneous ovulation; normal ovarian reserves (baseline FSH < 10 mIU/mL, antimullerian hormone > 1.5 ng/ml, and antral follicle count > 5); able to be followed up to assess the pregnancy outcome; and successful intrauterine pregnancy after the first embryo transfer (ET). Intrauterine pregnancy was defined as the presence of a gestational sac with or without fetal heart activity in the uterine cavity as evaluated by ultrasound 4–5 weeks after ET. To establish the prediction tool, normal ER status was defined as a successful intrauterine pregnancy.
Second, from January to April 2019, participants were recruited to demonstrate the accuracy of the nirsERT in predicting the WOI. The inclusion criteria for patients from which we collected uterine fluid on the day of cryothaw blastocyst transfer were as follows: 20–39 years of age; BMI = 18–25 kg/m2; ultrasound showing an endometrial thickness of ≥8 cm and an endogenous serum progesterone level of ≤1.2 ng/ml on the day of progesterone administration/LH peak; and transferred embryos with high-quality blastocysts (blastocysts ≥3 BB on Day 5 and Day 6, graded based on the Gardner system) [29 (link)].
The following exclusion criteria were applied: endometrial diseases (including intrauterine adhesions, endometrial polyps, endometritis, endometrial tuberculosis, endometrial hyperplasia, and a thin endometrium); hydrosalpinx without proximal tubal ligation; submucous myomas, intramural hysteromyomas, or adenomyomas protruding toward the uterine cavity; endometriosis (stages III–IV); uterine malformations; and other medical or surgical comorbidities identified by consulting medical records, physical examination, blood tests, B-ultrasound and X-ray examination.
In the validation group, all patients received the nirsERT and were followed up to 4–5 weeks after ET to determine intrauterine pregnancy by ultrasound. Subsequently, all patients diagnosed with an intrauterine pregnancy were followed up until delivery.
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Publication 2023
Adenomyoma Blastocyst Dental Caries Embryo Endometrial Diseases Endometrial Hyperplasia Endometriosis Endometritis Endometrium Fetal Heart Genes Gestational Sac Graafian Follicle Hematologic Tests Index, Body Mass Males Menstrual Cycle Mullerian-Inhibiting Hormone Myoma Obstetric Delivery Operative Surgical Procedures Ovarian Reserve Ovulation Patients Physical Examination Polyps Pregnancy Progesterone Radiography Serum Tissue Adhesions Transfers, Embryo Tubal Ligation Tuberculosis Ultrasonics Uterine Anomalies Uterus
This was a secondary data analysis study, using data from the First Baby Study (FBS) [34 (link),35 (link)]. The FBS, was an observational prospective cohort study, designed to investigate the association between mode of first birth and subsequent childbearing. Information about the design of the FBS, sample size and power calculations, recruitment and enrollment, and sample representativeness have been reported previously [34 (link),35 (link)]. This paper followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. The S1 Checklist can be seen in Supporting Information.
FBS participants were recruited through childbirth education classes, hospital tours, targeted mailings, intra-hospital postings, posters, flyers and newspaper ads throughout the state of Pennsylvania. Women were eligible to participate in the FBS if they were pregnant, expecting their first child, aged 18–35 years old, with a singleton pregnancy, English or Spanish speaking, and planning to deliver in a hospital in Pennsylvania. Women were not eligible if they were planning to deliver at home or in a birthing center not affiliated with a hospital, planning for the child to be adopted, planning to have a tubal ligation at the time of birth, or if they had a prior pregnancy of 20 weeks gestation or longer. Women who delivered before 34 weeks gestation were also excluded. These inclusion and exclusion criteria were chosen based on the primary goal of the FBS—to study the association between mode of first birth (vaginal or cesarean) and subsequent childbearing [34 (link),35 (link)]. The participants delivered in 2009 to 2011 at hospitals in Pennsylvania. Investigation of the representativeness of the study sample indicated that the participants in this study were significantly more likely to be white non-Hispanic, married, and to have college degrees and private insurance than women delivering their first child in Pennsylvania as a whole, but were not different in rate of cesarean birth [34 (link)].
Interviews were conducted by telephone by trained interviewers employed by the Penn State Center for Survey Research, using a computer-aided telephone interview system. Participants were interviewed by telephone in their third trimester (baseline) and again at 1, 6, 12, 18, 24, 30 and 36 months postpartum. The birth certificate and hospital discharge data for the births were obtained and linked to the survey data.
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Publication 2023
Cesarean Section Child Childbirth Classes Genes, vif Hispanic or Latino Hispanics Infant Interviewers Patient Discharge Pregnancy Tubal Ligation Vagina Vision Woman
36 outreach workers (called Aapis or sisters) were recruited from within the community to provide door-to-door counselling for family planning (FP), Business in a Box (BiB) products, contraceptives, and referrals. The selection was based on self-enrolment, time availability, and permissions from the household head to work outside the home. Selected Aapis received a 3-week interactive, pictorial-based, and low literacy-centered entrepreneurship training for counseling, marketing, sales, and basics of business management and planning, to enable local women as microentrepreneurs selling common need products to help community women overcome the issues of “mobility” and travel costs.
Aapis received a monthly stipend of PKR 3,000 (USD 27) and were asked to work for a minimum of 4-5 hours a day, 6 days a week, although work hours were not strictly monitored. Their income was further supplemented by a BiB revolving credit that was seeded with a grant of PKR 10,000 (USD 90) from which they could purchase common household or women-needed sale items such as sanitary pads, undergarments, cosmetics, baby diapers, kitchen supplies, and phone sim cards. Aapis had the flexibility to determine the products they carried and the pricing at which to sell them.
Aapis systematically visited and registered 35,771 households in the area, reaching 42,000 married women of reproductive age (aged 18-49 years) (MWRA). They used a one-page questionnaire to collect data on household demographics, FP needs, and empowerment indicators, provided FP counseling and contraceptives (condoms and pills), and referred women to local public or private clinics for long term contraceptive services (injections, IUCD, implants, or tubal ligation). Contraceptives were provided free of cost by the government's Population Welfare Department (PWD) and passed on to MWRA at no cost. Counseling technique was based on cognitive behavioral therapy (mCBT) that was adapted for low literate outreach workers in collaboration with the Department of Behavioral Sciences of the National University of Science and Technology (NUST), Islamabad.
Referrals were made initially to the local public sector clinic. From the third month onwards, referrals were expanded to 9 private providers (mainly female) that were trained by PWD trainers on family planning and LARCs, counseling and side effect management as part of a certified Hamari Sehat (our health) Network, and who carried a variety of method mix options. Healthcare providers (HCPs) also participated in the health camps and provided MWRA with antenatal or postnatal care along with FP services. They received supplies at subsidized costs (25% below market) that were replenished by AHKF.
If a MWRA accepted a new method or referral, Aapis would follow up on her in one week to ask about and provide support in case she encountered a side effect. Follow-up visits were based on a decision algorithm and recorded in the database.
A cluster of 6 Aapis was complemented with 1 male mobilizer. Male mobilizers (i) counseled spouses of MWRA that reported resistance to FP by their husbands (these were identified by the Aapis) and (ii) engaged local men in unstructured health-livelihood relevant discussions on economic benefits of smaller families and how they could expand income generation sources.
All data were recorded centrally, and key indicators such as number of visits by neighborhood, new users, and individual methods were depicted on an online dashboard. The project team reviewed this weekly with the research partner (Research and Development Solutions—RADS) to allow for program decisions.
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Publication 2023
Cognitive Therapy Complement C1 Condoms Contraceptive Agents Contraceptives, Oral Females Head of Household Health Personnel Households Husband Infant Intrauterine Devices Males Postnatal Care Public Sector Range of Motion, Articular Reproduction RRAD protein, human SELL protein, human Tubal Ligation Woman Workers

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The 5× ER/A‐Tailing Enzyme Mix is a reagent used in molecular biology applications. It is designed to perform end-repair and A-tailing of DNA fragments in a single reaction. The mix contains enzymes that convert 3' overhangs and 5' phosphates into blunt ends, and then adds a single adenine (A) nucleotide to the 3' ends. This prepares the DNA fragments for ligation with complementary vectors or adapters.
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T4 DNA ligase is an enzyme that catalyzes the formation of phosphodiester bonds between adjacent 3'-hydroxyl and 5'-phosphate termini in DNA. It is commonly used in molecular biology for the joining of DNA fragments.
Sourced in China
The LV-NC is a laboratory equipment product designed for research purposes. It serves as a tool for various applications, including nucleic acid manipulation and analysis. The core function of the LV-NC is to provide a controlled environment for conducting experiments and processing samples. Further details on its intended use are not available.
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SPSS software version 26.0 is a statistical analysis tool developed by IBM. It provides a comprehensive set of features for data manipulation, analysis, and visualization. The software is designed to help users explore, analyze, and interpret data effectively.
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BSA is a commonly used protein in laboratory applications. It serves as a blocking agent, stabilizer, and carrier protein. BSA helps to reduce non-specific binding and can improve the performance of various assays and experiments.
Sourced in Germany
Florene is a laboratory equipment product manufactured by Abbott. It is designed for performing various analytical and diagnostic procedures in a clinical or research setting. The core function of Florene is to facilitate the detection, measurement, and analysis of analytes or substances of interest in biological samples. The product specifications and performance characteristics are technical in nature and should be reviewed by qualified personnel to determine its suitability for specific applications.
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DMEM/F12 is a cell culture medium developed by Thermo Fisher Scientific. It is a balanced salt solution that provides nutrients and growth factors essential for the cultivation of a variety of cell types, including adherent and suspension cells. The medium is formulated to support the proliferation and maintenance of cells in vitro.
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T4 DNA ligase is an enzyme used in molecular biology and genetics to join the ends of DNA fragments. It catalyzes the formation of a phosphodiester bond between the 3' hydroxyl and 5' phosphate groups of adjacent nucleotides, effectively sealing breaks in double-stranded DNA.
Sourced in United States
Vicryl Rapide is a laboratory equipment product manufactured by Johnson & Johnson. It is a surgical suture material composed of a synthetic, absorbable copolymer of glycolide and lactide.
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Fetal Bovine Serum (FBS) is a cell culture supplement derived from the blood of bovine fetuses. FBS provides a source of proteins, growth factors, and other components that support the growth and maintenance of various cell types in in vitro cell culture applications.

More about "Tubal Ligation"

Tubal Ligation, also known as Bilateral Tubal Occlusion or Tubal Sterilization, is a permanent form of female contraception that involves blocking, tying, or cutting the fallopian tubes to prevent pregnancy.
This surgical procedure is typically performed through a small incision in the abdomen or vagina.
The fallopian tubes are then banded, clipped, or severed to prevent the passage of eggs from the ovaries to the uterus.
Tubal Ligation is considered a safe and effective method of birth control, with a low risk of complications.
However, it is important to carefully consider the decision, as the procedure is difficult to reverse and may have lifelong consequences.
To ensure the highest quality and reproducibility in Tubal Ligation research, scientists can utilize tools like PubCompare.ai.
This AI-driven platform helps users find the best protocols from literature, pre-prints, and patents by comparing them side-by-side.
Leveraging machine learning, PubCompare.ai identifies the most reliable and effective protocols to ensure research is rock-solid.
This can be particularly useful when working with related techniques and materials, such as 5× ER/A‐Tailing Enzyme Mix, T4 DNA ligase, LV-NC, SPSS software version 26.0, BSA, Florene, DMEM/F12, Vicryl Rapide, and FBS.
By optimizing Tubal Ligation research protocols for reproducibility and accuracy, scientists can have confidence in their findings and advance our understanding of this important surgical procedure.