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  1. Article ; Online: Key Device Attributes for Injectable Somatostatin Receptor Ligand Therapy in Acromegaly and Neuroendocrine Tumours.

    Jørgensen, Jens Otto L / de Herder, Wouter W / Martin, Wendy A / Kolarova, Teodora / Marks, Muriël / Follin, Cecilia / Geilvoet, Wanda / Melmed, Shlomo

    Advances in therapy

    2023  Volume 40, Issue 10, Page(s) 4675–4688

    Abstract: Introduction: People living with acromegaly and neuroendocrine tumours (NETs) may be treated with injectable somatostatin receptor ligands (SRLs), administered by either a caregiver or as self-injection via a proprietary or generic device. Injection ... ...

    Abstract Introduction: People living with acromegaly and neuroendocrine tumours (NETs) may be treated with injectable somatostatin receptor ligands (SRLs), administered by either a caregiver or as self-injection via a proprietary or generic device. Injection device attributes that contribute to ease of use and storage, minimise preparation requirements, and reduce injection pain are associated with improved adherence and more favourable therapeutic outcomes. The aim of this study was to assess current opinion surrounding favourable SRL device attributes for people living with acromegaly and NETs as well as that of their caregivers.
    Methods: Participants (healthcare professionals [HCPs] and patients/non-HCP caregivers) from 11 countries were invited to answer survey questions related to their demographic, experience, and preferences as they relate to the real-world use of injectable SRL devices. Questions were developed based on review of available literature and meetings with a Scientific Committee.
    Results: Device attributes preferred by the patient/non-HCP caregiver group (n = 211) included confidence that the correct drug amount is delivered (76%), quick administration with minimal pain/discomfort (68%), and device safety (needle-safety and low risk of contamination; 53%). Device attributes preferred by HCPs (n = 52) were quick administration with minimal pain/discomfort (69%), correct use is easy to learn, confidence in handling the device (63%), and confidence that the correct drug amount is delivered (62%).
    Conclusion: The results identified key features of injection devices for SRL therapy which merit consideration for optimal management and underscore the importance of patient partnership in treatment decisions.
    MeSH term(s) Humans ; Acromegaly/drug therapy ; Somatostatin/therapeutic use ; Receptors, Somatostatin/therapeutic use ; Neuroendocrine Tumors/drug therapy ; Ligands ; Pain/drug therapy
    Chemical Substances Somatostatin (51110-01-1) ; Receptors, Somatostatin ; Ligands
    Language English
    Publishing date 2023-08-12
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632651-1
    ISSN 1865-8652 ; 0741-238X
    ISSN (online) 1865-8652
    ISSN 0741-238X
    DOI 10.1007/s12325-023-02627-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Trends in social inequality in breastfeeding duration in Denmark 2002-2019.

    Carlsson, Rikke R / Pommerencke, Lis Marie / Pant, Sofie W / Jørgensen, Sanne E / Madsen, Katrine R / Bonnesen, Camilla T / Kierkegaard, Lene / Pedersen, Trine P

    Scandinavian journal of public health

    2024  , Page(s) 14034948241234133

    Language English
    Publishing date 2024-03-06
    Publishing country Sweden
    Document type Journal Article
    ZDB-ID 1475054-5
    ISSN 1651-1905 ; 1403-4948
    ISSN (online) 1651-1905
    ISSN 1403-4948
    DOI 10.1177/14034948241234133
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Blood flow restricted walking in patients suffering from intermittent claudication: a case series feasibility and safety study.

    Bentzen, Andreas / Nisgaard, Line B / Mikkelsen, Rikke B L / Høgh, Annette / Mechlenburg, Inger / Jørgensen, Stian L

    Annals of medicine and surgery (2012)

    2023  Volume 85, Issue 5, Page(s) 1430–1435

    Abstract: To examine the feasibility and safety of blood flow restricted walking (BFR-W) in patients ... following 12 weeks of BFR-W.: Materials and methods: Sixteen patients with IC were recruited from two ... departments of vascular surgery. The BFR-W programme implied the application of a pneumatic cuff ...

    Abstract To examine the feasibility and safety of blood flow restricted walking (BFR-W) in patients with intermittent claudication (IC). Moreover, to evaluate changes in objective performance-based and self-reported functioning following 12 weeks of BFR-W.
    Materials and methods: Sixteen patients with IC were recruited from two departments of vascular surgery. The BFR-W programme implied the application of a pneumatic cuff around the proximal part of the affected limb at 60% limb occlusion pressure in five intervals of 2 min, four times per week for 12 weeks. Feasibility was evaluated by adherence and completion rates of the BFR-W programme. Safety was evaluated by adverse events, ankle-brachial index (ABI) at baseline and follow-up, and pain on a numerical rating scale (NRS pain) before and 2 min after training sessions. Furthermore, changes in performance between baseline and follow-up were evaluated with the 30 seconds sit-to-stand test (30STS), the 6-minute walk test (6MWT) and the IC questionnaire (ICQ).
    Results: Fifteen out of 16 patients completed the 12-week BFR-W programme and adherence was 92.8% (95% CI: 83.4; 100%). One adverse event unrelated to the intervention was reported causing one patient to terminate the programme 2 weeks prematurely. Mean NRS pain 2 min following BFR-W was 1.8 (95% CI [1.7-2]). ABI, 30STS, 6MWT and ICQ score were improved at follow-up.
    Conclusions: BFR-W is feasible and appears to be safe in terms of completion rate, adherence to the training protocol, and adverse events in patients with IC. Further investigation of the effectiveness and safety of BFR-W compared to regular walking exercise is needed.
    Language English
    Publishing date 2023-04-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1097/MS9.0000000000000673
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: The porcine large intestine contains developmentally distinct submucosal lymphoid clusters and mucosal isolated lymphoid follicles

    Jørgensen, Peter B. / Eriksen, Lise L. / Fenton, Thomas M. / Bailey, Michael / Agace, William W. / Mörbe, Urs M.

    Developmental and comparative immunology. 2022 June, v. 131

    2022  

    Abstract: Gut-associated lymphoid tissues (GALT) serve as key priming sites for intestinal adaptive immune responses. Most of our understanding of GALT function and development arises from studies in mice. However, the diversity, structure and cellular composition ...

    Abstract Gut-associated lymphoid tissues (GALT) serve as key priming sites for intestinal adaptive immune responses. Most of our understanding of GALT function and development arises from studies in mice. However, the diversity, structure and cellular composition of GALT differs markedly between mammalian species and the developmental window in which distinct GALT structures develop in large mammals remains poorly understood. Given the importance of pigs as models of human disease, as well as their role in livestock production, we adapted a recently developed protocol for the isolation of human GALT to assess the diversity, development and immune composition of large intestinal GALT in neonatal and adult pigs. We demonstrate that the large intestine of adult pigs contains two major GALT types; multifollicular submucosal GALT that we term submucosal lymphoid clusters (SLC) which develop prenatally, and as yet undescribed mucosal isolated lymphoid follicles (M-ILF), which arise after birth. Using confocal laser microscopy and flow cytometry, we additionally assess the microanatomy and lymphocyte composition of SLC and M-ILF, compare them to jejunal Peyer's patches (PP), and describe the maturation of these structures. Collectively, our results provide a deeper understanding of the diversity and development of GALT within the porcine large intestine.
    Keywords adults ; confocal laser scanning microscopy ; flow cytometry ; human diseases ; humans ; jejunum ; large intestine ; livestock production ; swine
    Language English
    Dates of publication 2022-06
    Publishing place Elsevier Ltd
    Document type Article
    ZDB-ID 752411-0
    ISSN 1879-0089 ; 0145-305X
    ISSN (online) 1879-0089
    ISSN 0145-305X
    DOI 10.1016/j.dci.2022.104375
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: The effect of rivaroxaban on the diagnostic value of D-dimer in patients with suspected deep vein thrombosis.

    Mohamad, Hodo / Fronas, Synne Gronvold / Jørgensen, Camilla Tøvik / Tavoly, Mazdak / Garabet, Lamya / Ghanima, Waleed

    Thrombosis research

    2022  Volume 216, Page(s) 22–24

    Abstract: ... decreased from 1.0 mg/L (IQR: 0.7-2.2) to 0.9 mg/L (IQR: 0.6-2.0). Thirty-six patients (8.9 %) with positive ... D-dimer (≥ 0.5 mg/L fibrinogen-equivalent units) before taking rivaroxaban had negative D-dimer ...

    Abstract Introduction: Empiric anticoagulation therapy is often used in patients with suspected deep vein thrombosis (DVT) to avoid complications if the workup is delayed. Studies have shown the safety of administering direct oral anticoagulants (DOACs) and low molecular weight heparin in patients with suspected DVT. However, the impact of empiric DOACs on D-dimer levels in patients with suspected DVT is not well established. Therefore, this study aimed to determine the effect of empiric rivaroxaban on the diagnostic performance of D-dimer.
    Materials and methods: D-dimer was measured before and after the administration of one to two tablets of rivaroxaban in 418 patients referred with suspected DVT to the Emergency Department at Østfold Hospital, Norway. To determine whether the effect of rivaroxaban significantly impacted D-dimer results, we calculated the diagnostic performance of the test before and after patients had taken rivaroxaban. All patients with negative workup were followed up at 90 days.
    Results: Two hundred eighty-six (68.4 %) of the 418 included patients had lower D-dimer results after taking rivaroxaban. Median D-dimer values decreased from 1.0 mg/L (IQR: 0.7-2.2) to 0.9 mg/L (IQR: 0.6-2.0). Thirty-six patients (8.9 %) with positive D-dimer (≥ 0.5 mg/L fibrinogen-equivalent units) before taking rivaroxaban had negative D-dimer values after rivaroxaban intake. Of these, two had DVT diagnosed by compression ultrasonography. The sensitivity of D-dimer decreased from 99.0 % (95 % CI: 94.6-99.8) to 97.0 % (95 % CI: 91.6-99.0).
    Conclusions: Rivaroxaban administered before measuring D-dimer may reduce the sensitivity and increase false negative results of the test. Based on these results, we recommend performing D-dimer before the administration of rivaroxaban.
    MeSH term(s) Anticoagulants ; Fibrin Fibrinogen Degradation Products ; Heparin, Low-Molecular-Weight ; Humans ; Predictive Value of Tests ; Rivaroxaban/pharmacology ; Rivaroxaban/therapeutic use ; Venous Thrombosis/diagnosis ; Venous Thrombosis/drug therapy ; Venous Thrombosis/etiology
    Chemical Substances Anticoagulants ; Fibrin Fibrinogen Degradation Products ; Heparin, Low-Molecular-Weight ; fibrin fragment D ; Rivaroxaban (9NDF7JZ4M3)
    Language English
    Publishing date 2022-06-06
    Publishing country United States
    Document type Letter
    ZDB-ID 121852-9
    ISSN 1879-2472 ; 0049-3848
    ISSN (online) 1879-2472
    ISSN 0049-3848
    DOI 10.1016/j.thromres.2022.05.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The porcine large intestine contains developmentally distinct submucosal lymphoid clusters and mucosal isolated lymphoid follicles.

    Jørgensen, Peter B / Eriksen, Lise L / Fenton, Thomas M / Bailey, Michael / Agace, William W / Mörbe, Urs M

    Developmental and comparative immunology

    2022  Volume 131, Page(s) 104375

    Abstract: Gut-associated lymphoid tissues (GALT) serve as key priming sites for intestinal adaptive immune responses. Most of our understanding of GALT function and development arises from studies in mice. However, the diversity, structure and cellular composition ...

    Abstract Gut-associated lymphoid tissues (GALT) serve as key priming sites for intestinal adaptive immune responses. Most of our understanding of GALT function and development arises from studies in mice. However, the diversity, structure and cellular composition of GALT differs markedly between mammalian species and the developmental window in which distinct GALT structures develop in large mammals remains poorly understood. Given the importance of pigs as models of human disease, as well as their role in livestock production, we adapted a recently developed protocol for the isolation of human GALT to assess the diversity, development and immune composition of large intestinal GALT in neonatal and adult pigs. We demonstrate that the large intestine of adult pigs contains two major GALT types; multifollicular submucosal GALT that we term submucosal lymphoid clusters (SLC) which develop prenatally, and as yet undescribed mucosal isolated lymphoid follicles (M-ILF), which arise after birth. Using confocal laser microscopy and flow cytometry, we additionally assess the microanatomy and lymphocyte composition of SLC and M-ILF, compare them to jejunal Peyer's patches (PP), and describe the maturation of these structures. Collectively, our results provide a deeper understanding of the diversity and development of GALT within the porcine large intestine.
    MeSH term(s) Animals ; Immunity, Mucosal ; Intestinal Mucosa ; Intestine, Large ; Intestines ; Lymphoid Tissue ; Mammals ; Mice ; Peyer's Patches ; Swine
    Language English
    Publishing date 2022-02-25
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 752411-0
    ISSN 1879-0089 ; 0145-305X
    ISSN (online) 1879-0089
    ISSN 0145-305X
    DOI 10.1016/j.dci.2022.104375
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Childhood body mass index trajectories, adult-onset type 2 diabetes, and obesity-related cancers.

    Jensen, Britt W / Aarestrup, Julie / Blond, Kim / Jørgensen, Marit E / Renehan, Andrew G / Vistisen, Dorte / Baker, Jennifer L

    Journal of the National Cancer Institute

    2022  Volume 115, Issue 1, Page(s) 43–51

    Abstract: Background: Elevated childhood body mass index (BMI), commonly examined as a "once-only" value, increases the risk of cancer and type 2 diabetes (T2D) in adulthood. Continuous exposure to adiposity during childhood may further increase cancer risk. We ... ...

    Abstract Background: Elevated childhood body mass index (BMI), commonly examined as a "once-only" value, increases the risk of cancer and type 2 diabetes (T2D) in adulthood. Continuous exposure to adiposity during childhood may further increase cancer risk. We examined whether longitudinal childhood BMI trajectories were associated with adult obesity-related cancer and the role of adult-onset T2D in these associations.
    Methods: Five sex-specific latent class BMI trajectories were generated for 301 927 children (149 325 girls) aged 6-15 years from the Copenhagen School Health Records Register. Information on obesity-related cancers and T2D was obtained from national health registers. Incidence rate ratios (IRR), cumulative incidences, and confidence intervals (CI) were estimated using Poisson regressions.
    Results: Compared with the average childhood BMI trajectory (containing approximately 40% of individuals), the rate of obesity-related cancer (excluding breast cancer) increased with higher childhood BMI trajectories among women. The highest rates occurred in the overweight (IRR = 1.27, 95% CI = 1.17 to 1.38) and obesity (IRR = 1.79, 95% CI = 1.53 to 2.08) BMI trajectories. Similar patterns were observed among men. In contrast, women with the obesity childhood BMI trajectory had the lowest rate of pre- and postmenopausal breast cancer (IRR = 0.59, 95% CI = 0.43 to 0.80, and IRR = 0.41, 95% CI = 0.30 to 0.57, respectively). For all trajectories, the cumulative risk of obesity-related cancer increased with adult-onset T2D.
    Conclusion: Consistent childhood overweight or obesity may increase the rates of adult obesity-related cancer and decrease the rates of breast cancer. Adult-onset T2D conferred additional risk for obesity-related cancer, but the effect did not differ across childhood BMI trajectories.
    MeSH term(s) Child ; Male ; Adult ; Humans ; Female ; Body Mass Index ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/epidemiology ; Risk Factors ; Pediatric Obesity/complications ; Pediatric Obesity/epidemiology ; Breast Neoplasms/epidemiology ; Breast Neoplasms/etiology
    Language English
    Publishing date 2022-10-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2992-0
    ISSN 1460-2105 ; 0027-8874 ; 0198-0157
    ISSN (online) 1460-2105
    ISSN 0027-8874 ; 0198-0157
    DOI 10.1093/jnci/djac192
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Childhood body mass index trajectories and associations with adult-onset chronic kidney disease in Denmark: A population-based cohort study.

    Aarestrup, Julie / Blond, Kim / Vistisen, Dorte / Jørgensen, Marit E / Frimodt-Møller, Marie / Jensen, Britt W / Baker, Jennifer L

    PLoS medicine

    2022  Volume 19, Issue 9, Page(s) e1004098

    Abstract: Background: Although excess adult adiposity is a strong risk factor for chronic kidney disease (CKD), evidence for associations with early life body size is limited. We investigated whether childhood body mass index (BMI) trajectories are associated ... ...

    Abstract Background: Although excess adult adiposity is a strong risk factor for chronic kidney disease (CKD), evidence for associations with early life body size is limited. We investigated whether childhood body mass index (BMI) trajectories are associated with adult-onset CKD and end-stage kidney disease (ESKD) using a population-based cohort. Further, we examined the role of adult-onset type 2 diabetes (T2D) in these associations.
    Methods and findings: We included 151,506 boys and 148,590 girls from the Copenhagen School Health Records Register, born 1930 to 1987 with information on measured weights and heights at ages 6 to 15 years. Five sex-specific childhood BMI trajectories were analyzed. Information on the main outcomes CKD and ESKD, as well as T2D, came from national health registers. Incidence rate ratios (IRRs) and 95% confidence intervals (CIs) were estimated using Poisson regression adjusted for year of birth. During a median of 30.8 person-years of follow-up, 5,968 men and 3,903 women developed CKD and 977 men and 543 women developed ESKD. For both sexes, the rates of CKD and ESKD increased significantly with higher child BMI trajectories in comparison with the average BMI trajectory (40% to 43% of individuals) and the below-average BMI trajectory (21% to 23% of individuals) had the lowest rates. When including T2D, most associations were significant and men (IRR = 1.39, 95% CI: 1.13 to 1.72) and women (IRR = 1.54, 95% CI: 1.28 to 1.86) with the obese childhood BMI trajectory (2% of individuals) had significantly higher CKD rates than the average BMI trajectory, whereas for ESKD, the associations were positive, but nonsignificant, for men (IRR = 1.38, 95% CI: 0.83 to 2.31) but significant for women (IRR = 1.97, 95% CI: 1.25 to 3.11) with the obese BMI trajectory. A main study limitation is the use of only hospital-based CKD diagnoses.
    Conclusions: Individuals with childhood BMI trajectories above average had higher rates of CKD and ESKD than those with an average childhood BMI trajectory. When including T2D, most associations were significant, particularly with CKD, emphasizing the potential information that the early appearance of above-average BMI growth patterns provide in relation to adult-onset CKD beyond the information provided by T2D development.
    MeSH term(s) Adolescent ; Adult ; Body Mass Index ; Child ; Cohort Studies ; Denmark/epidemiology ; Diabetes Mellitus, Type 2/complications ; Female ; Humans ; Male ; Obesity/complications ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/etiology ; Risk Factors
    Language English
    Publishing date 2022-09-21
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2185925-5
    ISSN 1549-1676 ; 1549-1277
    ISSN (online) 1549-1676
    ISSN 1549-1277
    DOI 10.1371/journal.pmed.1004098
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Effect of erythropoietin on cognitive side-effects of electroconvulsive therapy in depression: A randomized, double-blind, placebo-controlled trial.

    Miskowiak, Kamilla W / Petersen, Jeff Z / Macoveanu, Julian / Ysbæk-Nielsen, Alexander T / Lindegaard, Ida A / Cramer, Katrine / Mogensen, Madel B / Hammershøj, Lisa G / Stougaard, Marie E / Jørgensen, Josefine L / Schmidt, Lejla Sjanic / Vinberg, Maj / Ehrenreich, Hannelore / Hageman, Ida / Videbech, Poul / Gbyl, Krzysztof / Kellner, Charles H / Kessing, Lars V / Jørgensen, Martin B

    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology

    2023  Volume 79, Page(s) 38–48

    Abstract: Electroconvulsive therapy (ECT) is one of the most effective and rapid-acting treatment for severe depression but is associated with cognitive side-effects. Identification of add-on treatments that counteract these side-effects would be very helpful. ... ...

    Abstract Electroconvulsive therapy (ECT) is one of the most effective and rapid-acting treatment for severe depression but is associated with cognitive side-effects. Identification of add-on treatments that counteract these side-effects would be very helpful. This randomized, double-blinded, placebo-controlled, parallel-group study investigated the effects of four add-on erythropoietin (EPO; 40,000 IU/ml) or saline (placebo) infusions over 2.5 weeks of ECT (eight ECT sessions) in severely depressed patients with unipolar or bipolar depression. Neuropsychological assessments were conducted pre-ECT, three days after the eighth ECT (week 4), and at a 3-month follow-up. Further, functional magnetic resonance imaging (fMRI) was conducted after the eighth ECT. The primary outcome was change from pre- to post-ECT in a 'speed of complex cognitive processing' composite. Secondary outcomes were verbal and autobiographical memory. Of sixty randomized patients, one dropped out before baseline. Data were thus analysed for 59 patients (EPO, n = 33; saline, n = 26), of whom 28 had fMRI data. No ECT-related decline occurred in the primary global cognition measure (ps≥0.1), and no effect of EPO versus saline was observed on this outcome (ps≥0.3). However post-ECT, EPO-treated patients exhibited faster autobiographical memory recall than saline-treated patients (p = 0.02), which was accompanied by lower memory-related parietal cortex activity. The absence of global cognition changes with ECT and EPO, coupled with the specific impact of EPO on autobiographical memory recall speed and memory-related parietal cortex activity, suggests that assessing autobiographical memory may provide increased sensitivity in evaluating and potentially preventing cognitive side-effects of ECT. TRIAL REGISTRATIONS: ClinicalTrials.gov: NCT03339596, EudraCT no.: 2016-002326-36.
    MeSH term(s) Humans ; Electroconvulsive Therapy/adverse effects ; Electroconvulsive Therapy/methods ; Depression ; Treatment Outcome ; Erythropoietin/therapeutic use ; Erythropoietin/pharmacology ; Epoetin Alfa ; Cognition ; Double-Blind Method
    Chemical Substances Erythropoietin (11096-26-7) ; Epoetin Alfa (64FS3BFH5W)
    Language English
    Publishing date 2023-12-20
    Publishing country Netherlands
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 1082947-7
    ISSN 1873-7862 ; 0924-977X
    ISSN (online) 1873-7862
    ISSN 0924-977X
    DOI 10.1016/j.euroneuro.2023.12.004
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  10. Article ; Online: Are worldwide sperm counts declining?

    Jørgensen, Niels / Lamb, Dolores J / Levine, Hagai / Pastuszak, Alexander W / Sigalos, John T / Swan, Shanna H / Eisenberg, Michael L

    Fertility and sterility

    2021  Volume 116, Issue 6, Page(s) 1457–1463

    MeSH term(s) Data Analysis ; Global Health ; Humans ; Infertility, Male/diagnosis ; Infertility, Male/epidemiology ; Male ; Randomized Controlled Trials as Topic/methods ; Sperm Count/statistics & numerical data ; Sperm Count/trends ; Sperm Motility/physiology ; Spermatozoa/physiology
    Language English
    Publishing date 2021-11-26
    Publishing country United States
    Document type Editorial ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 80133-1
    ISSN 1556-5653 ; 0015-0282
    ISSN (online) 1556-5653
    ISSN 0015-0282
    DOI 10.1016/j.fertnstert.2021.10.020
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