ARTICLE | doi:10.20944/preprints202311.0310.v1
Subject: Public Health And Healthcare, Public Health And Health Services Keywords: older women; ovarian stimulation protocol; in-vitro fertilization and embryo transfer; cumulative live birth rate; time to live birth; cost-effectiveness.
Online: 6 November 2023 (10:39:42 CET)
The decline in assisted reproductive technology (ART) success among older women, attributed to decreased oocyte quantity and quality, poses a significant challenge. Currently, no consensus ex-ists on the optimal ovarian stimulation protocol for older women undergoing IVF. This retrospec-tive registered cohort study aimed to compare cumulative live birth rates (CLBR), time to live birth (TTLB), and cost-effectiveness in women over 35 years using gonadotropin-releasing hor-mone agonist (GnRHa) or clomiphene-primed ovarian stimulation (CPOS). We performed pro-pensity score matching (PSM) on 2,871 IVF cycles in women over 35 who received either GnRHa or CPOS protocols, resulting in 375 cycles in each group to compare treatment outcomes. Addition-ally, a decision tree model was utilized to assess the cost-effectiveness of the two protocols. Fol-lowing PSM, both groups showed similar baseline characteristics. The CPOS protocol exhibited a higher cycle cancellation rate (13.07% vs 8.00%, p=0.032), yet maintained comparable fertilization and embryo quality. While CLBRs per initial cycle (41.07% vs. 45.33%, p=0.269) and delivery out-comes were similar between the groups after a 24-month follow-up, TTLB was longer in the CPOS group. Notably, the average cost per live birth in the CPOS group was 21.27% less than that in the GnRHa group (￥32,301.42 vs ￥39,174.22). In conclusion, for women over 35 undergoing IVF, the CPOS protocol demonstrated similar CLBR to GnRHa but with lower costs, suggesting its potential as a viable and cost-efficient ovarian stimulation option.
ARTICLE | doi:10.20944/preprints202307.0233.v1
Subject: Engineering, Marine Engineering Keywords: g-C3N4; ZnIn2S4; photocathodic protection; composites; XPS
Online: 5 July 2023 (03:48:28 CEST)
Low separation efficiency of photogenerated carriers and inefficient utilization of visible light limit the application of g-C3N4 nanosheets (CNNs) in the field of photocathodic protection (PCP). Therefore, this work considered indium zinc sulfide (ZnIn2S4, ZIS) as a visible photosensitizer and an electronic donor to promote its PCP performance. ZIS nanolayers with nano-leaf structures were fabricated on CNNs by a simple hydrothermal method. The synthesized 30% ZIS@CNNs composites significantly enhanced the PCP performance for 316 stainless steel (SS) compared with pure CNNs. Under visible light illumination, the 30% ZIS@CNNs photoelectrode exhibited the largest photoinduced current density of 17.30 μA cm−2 and a photoinduced potential drop of 0.37 V, which was approximately 4 and 7.5 times higher than that of pure CNNs, respectively. The improved protection performance may be attributed to the significant increase in visible light absorption and the great enhancement in the separation efficiency of