Poor Rate Research Articles

Nursing Home Compare star ratings before versus after a change in nursing home ownership.

Efforts to increase transparency and accountability of nursing homes, and thus improve quality, now include information about changes in nursing home ownership. However, little is known about how change in ownership affects nursing home quality. We conducted a retrospective cohort study of 15,471 U.S. nursing homes between January 2016 and December 2022, identifying all changes in ownership during that period. We used logistic regression to measure the association between nursing home characteristics and the odds of a change in ownership. A difference-in-differences model with multiple time periods was used to examine the impact of a change in ownership on the Medicare Nursing Home Compare 5-star ratings. One in five (23%) facilities changed ownership between 2016 and 2022. Nursing homes that were urban, for-profit, part of a chain, located in the South, had >50 beds, lower occupancy, higher percentage of stays covered by Medicaid, higher percentage of residents with non-white race, or a 1-star (poor) rating were more likely to undergo a change in ownership. There was a small statistically significant decrease in 5-star ratings after a change in ownership (-0.09 points on a 5-point scale; 95% CI -0.13 to -0.04; p < 0.001), driven primarily by a decrease in staffing ratings (-0.19 points; 95% CI -0.24 to -0.14; p < 0.001), and health inspections ratings (-0.07 points; 95% CI -0.11 to -0.03; p = 0.001). This was mitigated by an increase in quality measure ratings (0.15 points; 95% CI 0.10-0.20; p < 0.001). Nursing Home Compare ratings decreased slightly after a change in facility ownership, driven by lower staffing and health inspection ratings and mitigated somewhat by higher quality measure ratings. These conflicting trends underscore the need for transparency around changes in facility ownership and a better understanding of consequences of changes in ownership that are salient to patients and families.

Enhancing the electrochemical properties of Li-rich layered oxide cathodes by a facile Fe/Ti integrated modification strategy

Li-rich layered oxide cathodes have gained much attention due to their high specific capacity, high operating voltage, and environmental friendliness. However, poor rate performance, rapid capacity and voltage decay during cycling have hindered its commercial application. In this work, a Fe/Ti integrated modification strategy is proposed to construct a LiFeTiO4 spinel phase coating on the surface of Li1.2Mn0.54Ni0.13Co0.13O2, effectively reducing interfacial side reactions and suppressing the irreversible oxygen release, while doping with Fe3+ and Ti4+ ions can effectively broaden the lithium diffusion channel and enhance the structural stability. As a result, the modified sample with 2 wt% of Fe/Ti demonstrates excellent cycling stability with a superior capacity retention of 91% after 400 cycles at 1C and good rate performance with a high specific discharge capacity of 216 mAh g−1 at 2C. Moreover, the initial Coulombic efficiency of the modified sample is also improved. This integrated modification strategy offers a new design to promote the large-scale application of Li-rich Mn-based cathode materials.

Coordination engineering for iron-based hexacyanoferrate as a high-stability cathode for sodium-ion batteries

Iron-based hexacyanoferrate (Fe-HCF) are promising cathode materials for sodium-ion batteries (SIBs) due to their unique open-channel structure that facilitates fast ion transport and framework stability. However, practical implementation of SIBs has been hindered by low initial Coulombic efficiency (ICE), poor rate performance, and short lifespan. Herein, we report a coordination engineering to synthesize sodium-rich Fe-HCF as cathodes for SIBs through a uniquely designed 10-kg-scale chemical reactor. Our study systematically investigated the relationship between coordination surroundings and the electrochemical behavior. Building on this understanding, the cathode delivered a reversible capacity of 99.3 mAh g-1 at 5 C (1 C = 100 mA g-1), exceptional rate capability (51 mAh g-1 even at 100 C), long lifespan (over 15,000 times at 50 C), and a high ICE of 92.7%. A full cell comprising the Fe-HCF cathode and hard carbon (HC) anode exhibited an impressive cyclic stability with a high-capacity retention rate of 98.3% over 1,000 cycles. Meanwhile, this material can be readily scaled to the practical levels of yield. The findings underscore the potential of Fe-HCF as cathodes for SIBs and highlight the significance of controlling nucleation and morphology through coordination engineering for a sustainable energy storage system.

Ozone nanobubble technology as a novel AOPs for pollutants degradation under high salinity conditions

Conventional water treatment systems frequently exhibit diminished efficiency at high salinity - a significant issue especially for real industrial effluents - mostly due to the creation of intricate structures between pollutants and salts. One of the primary obstacles associated with high salinity conditions is the generation of by-products that pose additional hurdles for treatment. In this work, we have investigated the novel advanced oxidation process a so-called ozone nanobubble technology for degradation of the pollutants at high salinity conditions. The mass transfer is often the rate-limiting step in gas-liquid process and the poor rate of mass transfer diminishes the overall efficacy. One of the primary disadvantages associated with ozone is its restricted solubility and instability when dissolved in an aqueous solution. These characteristics impose limitations on its potential applications and need the use of specialized systems to facilitate gas-liquid interaction. In this work, we have also suggested enhancing the ozonation process through the utilization of ozone nanobubbles. The findings of our experiment and subsequent analysis indicate that the presence of nanobubbles enhances the process of ozonation through three key mechanisms: (i) an increased mass transfer coefficient, (ii) a higher rate of reactive oxygen species (ROS) generation attributed to the charged interface, and (iii) the nanobubble interface serving as an active surface for chemical reactions. The predicted mass transfer coefficients were found to range from 3 to 3.5 min−1, a value that is notably greater than that seen for microbubbles. The study showcased the degradation of methylene blue dye through the utilization of ozone nanobubbles, which exhibited a much higher rate of dye degradation compared to ozone microbubbles. The confirmation of the radical degradation mechanism was achieved by the utilization of electron spin resonance (ESR) measurements. The developed process has high potential for application in industrial scale textile wastewater treatment.

May Measurement Month 2021: an analysis of blood pressure screening results from Argentina.

Hypertension continues to be the leading cause of death and disability in the industrialized world, with a high level of unawareness and unacceptably poor control rates. Therefore, the Argentinian Society of Hypertension, in association with the May Measurement Month (MMM) charity, implemented an awareness campaign during May 2021. A voluntary cross-sectional survey was carried out during the month of May 2021 in public spaces and health centres across 29 cities in Argentina. Hypertension was defined as systolic blood pressure (BP) ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg based on the mean of the second and third of three BP measurements or in those volunteers on treatment for high BP. Statistical analysis including multiple imputation followed the MMM protocol. A total of 26 070 individuals (average age 53.4 years, 14 816 women and 11 254 men) were evaluated. The age- and sex-standardized mean BP was 125.1/77.6 mmHg. Of all participants, 54.4% had hypertension. Although 79.8% of the hypertensive participants were aware of their condition and 76.9% were on antihypertensive treatment, only 42.5% of all individuals with hypertension had their BP controlled (<140/90 mmHg). Of those on antihypertensive medication, 55.3% were controlled. The low level of hypertension control highlights the critical need for community-based prevention strategies to increase the awareness and control of hypertension, thereby reducing the enormous health burden attributed to this condition.

Optimum Surgical Strategies for Medial Sphenoid Wing Meningiomas: A Comprehensive Evaluation of Resection Extent, Visual Outcomes, and Vascular Injury

IntroductionVisual impairment affects 55-80% of medial sphenoid wing meningiomas (mSWMs) patients, making optic nerve (ON) decompression a critical surgical goal. 1–3 Complete resection often leads to better visual outcomes.4 However, involvement of critical neurovascular structures increases postoperative morbidity and mortality, with vascular injury reported in 18-20% of cases.3,5–7 This study aims to evaluate the relationship between the extent of resection (EOR), visual outcomes, and the incidence of vascular injury, seeking to identify the optimal surgical approach for mSWMs. Materials and MethodsWe retrospectively analyzed data from patients undergoing surgery for mSWM at our tertiary care center from January 2001 to December 2021. Inclusion criteria included histopathologically confirmed globoid mSWMs(N=89). Patients with recurrent tumors(n=14) or lost to follow-up (n=9) were excluded. We classified patients into two groups based on EOR using Simpson’s grade: Group 1(good-resection,Simpson Grade-I/II,n=51) and Group 2 (poor-resection,Simpson Grade III/IV,n=15). ResultsAmong 66(=N) patients, visual impairment was the most common symptom (81.8%), followed by headaches(77.3%) and seizures(27%). T2-hyperintensity on MRI[(OR:5.4, 95%CI:1.5- 18.6)(p-value<0.01)] and CS-extension[(OR:3.9, 95%CI:1.1-13.1)(p-value-0.02)] were independent significant predictors of poor resection. Visual status was preserved in 90.3% of Group-1 and 86.6% of Group-2, with no significant difference based on EOR. Vascular involvement was noted in 87.9%, higher than the vessel encasement(>1800)(57.6%,p=0.04). Vessel injury occurred in 7.8% of Group-1 and 6.6% of Group-2, with no significant impact on EOR. ConclusionCS-extension and T2-hyperintensity predict poor resection rates in mSWMs. While visual outcomes are not directly affected by EOR, long-term visual status may decline due to tumor recurrence and radiotherapy. Vascular injury incidence is not associated with EOR. Thus, the "maximal safe resection" of mSWMs involves a surgical strategy balancing targeted aggressive and conservative resection for maximal cytoreduction and functional preservation.

Gel biopolymer electrolyte for high-voltage, durable, and flexible Zn/K dual-ion pouch cells

Zinc-ion rechargeable battery (ZIRB) is a promising candidate for future energy storage systems due to its cost-effectiveness, operational safety, and environmental friendliness. However, the commercial-scale application of ZIRB is hindered by its insufficient energy efficiency, poor rate capability, and inferior cycling stability. Here, we introduce a gel biopolymer electrolyte (GBE) empowered Zn/K dual-ion battery with exceptional cycling and rate performance. Calling for sustainability, this cellulose-encapsulated bisalt electrolyte presents strong mechanical robustness that inhibits Zn dendrite growth and promotes anodic plating/stripping reversibility. Sandwiching the GBE between a potassium manganese hexacyanoferrate (KMnHCF) cathode and a Zn anode, the coin-cell configuration of KMnHCF|GBE|Zn demonstrates a high voltage discharge plateau of 1.80 V, an initial capacity of up to 65 mAh g−1, and excellent cycling stability with capacity retention of 92 % after 1,000 cycles. Furthermore, the superior durability, flexibility, safety, and endurance with extreme conditions (e.g., bending, puncturing, and cutting) demonstrated by KMnHCF|GBE|Zn pouch-cell enables its future application in wearable electronics.

Bond-Engineered MoSe2 Nanosheets with Expanded Layers and an Enriched 1T Phase for Highly Efficient Na+ Storage.

MoSe2 has attracted significant interest for Na+ storage due to its large interlayer distance, favorable band gap structure, and satisfying theoretical specific capacity. Nevertheless, the poor conductivity and large volume stress/strain always lead to poor cycle stability and limited rate capability. Herein, the P-Se bond and phase engineering strategies are proposed to enhance the stability of MoSe2 with the assistance of carbon compositing. Systematical characterizations confirm that the presence of a strong P-Se bond can ensure the good structural stability and enlarge the layer distance of the MoSe2 anode. 1T phase-enriched composition endows excellent conductivity and thus fast Na+ transport kinetics. Additionally, the combination of carbon contributes to the improvement of electron conductivity, further enhancing the reversible Na+ storage and cyclic stability. Consequently, an ultrastable reversible specific capacity of 347.8 mAh g-1 with a high retention ratio of 99.1% can be maintained after 1000 cycles at 1 A g-1, which is superior to the previous reports of MoSe2 nanosheets. The presented strategy is ingenious, offering an effective guidance to designing advanced electrodes to be applied in rechargeable batteries with a long lifespan.

Current Problems in a New Distribution Center Under Labor Shortage

With economy globalization, the distribution center becomes very popular in the supply chain. A well-equipped distribution center empowers a company to deliver products and service to customers whenever it is required. Under-staffing is becoming a severe issue among a lot of distribution centers, which directly affects normal operations including unloading and loading, sorting and shipping activities, and these factors lead to a poor on-time delivery rate to customers. In this paper, we take an automotive accessories manufacturer and distributor as an example. We analyze its existing problems by comparing the corresponding process and data.

The influence of gender on outcomes following transcatheter aortic valve implantation.

This study aimed to compare gender-related differences in short- and long-term outcomes after transcatheter aortic valve implantation. Patients who underwent transcatheter aortic valve implantation (TAVI) for severe aortic stenosis (AS) from September 2017 to December 2022 were enrolled. The primary endpoint was 5-year all-cause mortality. The secondary endpoints were 30-day mortality and the incidence of post-procedural complication. Patients were separated according to gender before statistical analysis. To compare patients with similar baseline characteristics, we performed a propensity matching. A total of 704 patients [females, 361 (51.3%); males, 343 (48.7%)] were enrolled. Compared to women, men had a higher incidence of smoking (40.5% vs. 14.7%, p < 0.001), diabetes (32.9% vs. 25.1%, p < 0.025), peripheral artery disease (35.8% vs. 18.3%, p < 0.001), and previous cardiac surgery (13.7% vs. 7.2%, p = 0.006) and a lower ejection fraction [56.6 (9.3) vs. 59.8 (7.5), p = 0.046]. Female patients were frailer at the time of the procedure [poor mobility rate, 26% vs. 11.7%, p < 0.001; CCI (Charlson comorbidity index) 2.4 (0.67) vs. 2.32 (0.63), p = 0.04]. Despite these different risk profiles, no significant differences were reported in terms of post-procedural outcomes and long-term survival. Propensity score matching resulted in a good match of 204 patients in each group (57.9% of the entire study population). In the matched cohort, men had a significantly higher incidence of new pacemaker implantation compared to women [33 (16.2%) vs. 18 (8.8%)]. The Kaplan-Meier 5-year survival estimate was 82.4% for women and 72.1% for men, p = 0.038. Female gender could be considered as a predictor of better outcomes after TAVI.

Exceptional Rate Performances of Li-Rich Mn-Based Cathodes Enabled by Boron-Based Additives-Driven Self-Optimized Interface.

Li-rich Mn-based cathode material (LRM), as a promising cathode for high energy density lithium batteries, suffers from severe side reactions in conventional lithium hexafluorophosphate (LiPF6)-based carbonate electrolytes, leading to unstable interfaces and poor rate performances. Herein, a boron-based additives-driven self-optimized interface strategy is presented to dissolve low ionic conductivity LiF nanoparticles at the outer cathode electrolyte interface, leading to the optimized interfacial components, as well as the enhanced Li ion migration rate in electrolytes. Being attributed to these superiorities, the LRM||Li battery delivers a high-capacity retention of 92.19% at 1C after 200 cycles and a low voltage decay of 1.08 mV/cycle. This work provides a new perspective on the rational selection of functional additives with an interfacial self-optimized characteristic to achieve a long lifespan LRM with exceptional rate performances.

Performance of elastic ball screen-cleaning device based on DEM-MBD coupling simulation

In seed breeding, the vibrating screen used for pre-sowing grading parental seeds often has the problem of poor self-purification rate. Using elastic balls to clean the plugging seeds and ensure the self-purification of the screen is a viable technical solution. To clarify and improve the operating performance of the elastic ball particles, a DEM-MBD coupling simulation model of the elastic ball screen-cleaning device was established in this study, and a numerical simulation analysis of the complex motion process was carried out. The mechanism of action of the elastic ball was explained more completely from the aspects of excitation force and energy transfer. Through the Plackett-Burman test, it was determined that the vibration frequency has the most significant effect on the excitation force. Multiple linear regression analysis was performed on each factor and the mathematical relationship equation. It was found that when the maximum excitation force was greater than 7 N and the average excitation force was greater than 2 N, the self-purification rate was greater than 95%. The self-purification rate was then increased to 99.81% by variable frequency tests. The variable frequency achieved better self-purification effect.

Hexagonal MoO3 Anode with Extremely High Capacity and Cyclability for Lithium-Ion Battery: A Combined Theoretical and Experimental Study.

It is essential and still remains a big challenge to obtain fast-charge anodes with large capacities and long lifespans for Li-ion batteries (LIBs). Among all of the alternative materials, molybdenum trioxide shows the advantages of large theoretical specific capacity, distinct tunnel framework, and low cost. However, there are also some key shortcomings, such as fast capacity decaying due to structural instability during Li insertion and poor rate performance due to low intrinsic electron conductivity and ion diffusion capability, dying to be overcome. A unique strategy is proposed to prepare Ti-h-MoO3-x@TiO2 nanosheets by a one-step hydrothermal approach with NiTi alloy as a control reagent. The density functional theory (DFT) calculations indicate that the doping of Ti element can make the hexagonal h-MoO3-x material show the best electronic structure and it is favor to be synthesized. Furthermore, the hexagonal Ti-h-MoO3-x material has better lithium storage capacity and lithium diffusion capacity than the orthogonal α-MoO3 material, and its theoretical capacity is more than 50% higher than that of the orthogonal α-MoO3 material. Additionally, it is found that Ti-h-MoO3-x@TiO2 as an anode displays extremely high reversible discharge/charge capacities of 1326.8/1321.3 mAh g-1 at 1 A g-1 for 800 cycles and 611.2/606.6 mAh g-1 at 5 A g-1 for 2000 cycles. Thus, Ti-h-MoO3-x@TiO2 can be considered a high-power-density and high-energy-density anode material with excellent stability for LIBs.

A highly stable insertion type V1-xTixP solid solution as an anode material for high-rate lithium-ion batteries

As electric vehicles (EVs) grow in popularity, the demand for lithium-ion batteries (LIBs) simultaneously grows, and the fast-charging capability is becoming increasingly important. However, it is generally believed that graphite anode still suffers from a poor rate capability for fast-charging applications, and other insertion-type oxide anodes with a high rate capability exhibit too high Li+-ion insertion/extraction potential, which cannot meet a requirement for high energy density anodes. In this work, the hexagonal structure of V1-xTixP (x = 0.0, 0.25, and 1.0) phases were introduced as insertion-type anode materials for LIBs with a low reaction potential of Li+-ion insertion/extraction. The crystal structure and the corresponding electrochemical reaction mechanism of insertion-type anodes of TiP, VP, and MoP were compared. A facile strategy forming a substitutional solid solution is suggested to improve the electrochemical properties of anode materials by combining the end members among insertion-type VP, TiP, and MoP as forming V1-xTixP and V1-xMoxP compounds. V1-xTixP (x = 0.25) electrode, substituting V atoms with Ti atoms in VP structure, shows excellent long-term cycle stability at 1 A/g with a cycle retention of 87.7 % during 2500 cycles, delivering a two times higher capacity of 211.1 mAh g−1 compared to that of the commercial graphite electrode.

Pengaruh Tingkat Pengangguran Terbuka, Indeks Pembangunan Manusia, Laju Pertumbuhan PDRB Per Kapita dan Upah Minimum Provinsi Terhadap Persentase Penduduk Miskin di Indonesia pada Tahun 2021-2023

Poverty is a problem faced by Indonesia that affects social and economic welfare. This research aims to analyze the influence of the Open Unemployment Rate (TPT), Human Development Index (HDI), GDP Growth Rate per capita, and Provincial Minimum Wage (UMP) on the percentage poor population in Indonesia in 2021-2023. The data used is secondary data from the Central Statistics Agency (BPS) which covers 34 provinces in Indonesia. The research method uses the Common Effects Model (CEM), Fixed Effects Model (FEM), and Random Effects Model (REM) estimation models, with the Chow test and Hausman test to determine the best model. The research results show that TPT and UMP have a significant influence on the percentage of poor people, while HDI and GDP growth rate per capita are not significant. Rate and provincial minimum wages play an important role in poverty reduction efforts in Indonesia. The results of this research provide useful insights for policy makers in formulating effective strategies to improve community welfare

In Silico Investigation against Inhibitors of Alpha-Amylase Using Structure-based Screening, Molecular Docking, and Molecular Simulations Studies.

Type-II diabetes mellitus is a chronic disorder that results from fluctuations in the glucose level leading to hyperglycemia with severe adverse effects increasing worldwide. Alpha-Amylase is the key enzyme involved in the mechanism of glucose formation therefore Alpha-Amylase inhibitors have become a therapeutic target in the development of new leads as they have the potential to suppress glucose levels. Existing drugs targeting Alpha-Amylase highlight major drawbacks in terms of poor absorption rate that causes several gastrointestinal issues. So, this research is aimed to develop novel inhibitors interacting with Alpha-Amylase's active site using structural-based screening, binding pattern analysis, and molecular dynamic simulation. Hence, to search for a potential lead, we analyzed a total of 133 valiolamine derivatives and 535 desoxynojirimycin derivatives that exhibited drug-like properties screened through Lipinski filters. Virtual screening followed by binding interaction analysis we identified ten compounds that exhibited better binding energy scores compared to the standard drugs voglibose and miglitol, used in our study. The docking analysis, ADMET and metabolic site prediction estimated the best top two compounds with good drug profiles. Further, top compounds VG9 and VG15 were promoted to simulation study using the Biovia Discovery study to access the stability at a time interval of 100 ns. MD simulation results revealed that our compound VG9 possesses better conformational stability in the complex to the active site residues of Alpha-Amylase target protein than standard drug voglibose. Thus, our investigation revealed that compound VG9 also exhibits the best pharmacokinetic as well as binding affinity results and could act as a potential lead compound targeting Alpha-Amylase for Type II diabetes.

Revealing the dynamic interface evolutions of electrochemical pre-lithiated graphite electrodes in practical workplace atmospheres

The electrochemical pre-lithiation (EC-PrLi) method using half-cell configuration exhibits great potential in constructing a uniform and stable solid electrolyte interface (SEI) in lithium-ion batteries (LIBs). The exposure procedures for EC-PrLi electrodes are inevitable during electrode transfer and cell fabrication, the SEI structure and stability of pre-lithiated electrodes are significantly affected for the high reactivity of SEI in ambient air. Hence, the stability of pre-lithiated electrodes is one of the most significant indexes reflecting the possibility for large-scale applications. Here, graphite electrodes are chosen for EC-PrLi, revealing for the first time the dynamic interface evolution of pre-lithiated graphite electrodes exposed to practical environments (glove box:GB and dry room:DR). The SEI of the lithiated electrode (D-12) exposed to a more realistic environment (DR) evolves into unstable and thin (∼1.5 nm) poor-LiOH SEI. The electrochemical performance changes of lithiated electrodes exposed to different conditions are being revealed. The lithiated graphite electrode (D-12) exhibits poor rate characteristics (314.6 mAh g−1 at 0.05 C and 22.8 mAh g−1 at 1.0 C) and cycling stability (capacity retention rate of 81.3 %). This work reveals the dynamic interface evolution of EC-PrLi graphite electrodes in practical environments, providing guidance for the broader application of pre-lithiation technology in practical.

Climate risk adaptation through livestock insurance: evidence from a pilot programme in Nigeria

ABSTRACT This study investigates the option of choosing index-based livestock insurance (IBLI) to mitigate the adverse effects associated with climate change in Kwara State, Nigeria. Previous studies indicate that the failure to include farmers during the early stage of pilot programme design is a major factor in Africa’s poor participation rate in index insurance. We conducted a survey with 392 farming households across eight of the state's 16 Local Government Areas (LGAs). This survey employed a contingent valuation method (CVM) to assess the value respondents are willing to pay for such insurance and add to the growing literature on IBLI uptake. We discuss important issues ranging from the cost of the IBLI premium to the impact of social capital and access to alternative sources of income on adoption. Our findings show that farmers are willing to pay a 1.3% premium for IBLI, which is lower than the current premium charged for traditional agricultural insurance in Nigeria which typically ranges from 2% to 5%. The results also highlight the need to consider insurance uptake and access to credit as complementary measures, rather than substitute strategies for managing the risks posed by severe climate shocks and extremes.

Detection of Serum IgG Specific for Brachyspira pilosicoli and "Brachyspira canis" in Dogs.

Brachyspira pilosicoli (B. pilosicoli) is a pathogen in pigs, poultry, and humans causing colitis, diarrhea, and poor growth rates. Its role as a canine pathogen is controversial, and the seroprevalence of specific IgG antibodies against B. pilosicoli in dogs is unknown. A further, not yet officially recognized Brachyspira species in dogs is "Brachyspira canis" ("B. canis"), which is proposed to be apathogenic. This study evaluates enzyme-linked immunosorbent assays (ELISAs) measuring serum IgG antibodies specific for B. pilosicoli or "B. canis" and investigates levels of specific IgG antibodies against B. pilosicoli and "B. canis" in a cohort of clinical patients presented at an animal referral clinic. These ELISAs use detergent-extracted antigens from B. pilosicoli and "B. canis". To increase analytic specificity, we precipitated the antigens with trichloroacetic acid (TCA) to isolate and concentrate the respective protein fraction. Our results indicate that a large number of serum IgG antibodies bind to shared epitopes of detergent-extracted antigens of the two spirochaetes. Our data also suggest that dogs might not only carry B. pilosicoli but also have "B. canis"-specific serum IgG antibodies.

P-060 When is it the sperm’s fault? The incidence of sperm-related poor fertilization after ICSI in 13,859 matched oocyte donation cycles

Abstract Study question What is the true incidence and impact of male factor-related poor fertilization in ICSI cycles when analyzed using matched pairs of high quality donor oocytes? Summary answer In ICSI cycles with donor oocytes, male factor-related poor fertilization occurs in 3.3% of cases and contributes to 86.7% of all poor (&amp;lt;30%) fertilization outcomes. What is known already Opting for oocyte donation is a complex decision for couples, involving significant financial and long-term implications. This decision is typically prompted by presumed female infertility as male fertility diagnostics remain limited. Although ICSI is a highly effective treatment, cases of poor or complete fertilization failure can still occur, even when sperm parameters appear normal. This suggests the presence of unidentified male-related factors. However, the precise incidence of such factors remains poorly understood. This study aims to address this gap, offering a unique perspective, by employing a matched oocyte donation model to investigate the influence of sperm-related factors on fertilization outcomes. Study design, size, duration This retrospective cohort study analyzed 14,928 oocyte donation ICSI cycles, derived from 7,519 ovarian stimulations (OS) of 2,963 unique oocyte donors. The data were from a single center from January 2015 to December 2022. Sibling oocytes from the same OS were utilized for at least two different recipients (n = 13,859), facilitating comparisons under varying paternal conditions. Participants/materials, setting, methods Cases from the same oocyte lot with poor (&amp;lt;30%) and good (&amp;gt;65%) fertilization rates were matched to isolate sperm-related factors influencing fertilization success. Paired t-tests were used to compare outcomes. Ordinary least squares regression was used to isolate variables associated with poor fertilization, such as oocyte status (fresh versus vitrified), sperm origin (partner versus donor) and the presence of severe male factor (defined as a concentration of &amp;lt; 1 million/mL and/or &amp;lt;1% progressive motility). Main results and the role of chance The mean fertilization rate was 73.0% across all cycles analyzed. The incidence of poor fertilization (≤30%) was found to be 3.8% across the entire cohort (532 out of 13,859 cycles). Of these, 86.7% (461/532) cases using the same oocyte lot could be matched to cases with high fertilization rates (&amp;gt;65%) in other recipient cycles (n = 1,441), indicating that poor fertilization was male-related. We observed comparable numbers of inseminated oocytes between matched cases with high and low fertilization (7.23 ± 1.32 and 7.42 ± 1.42, respectively, p = 0.011), while the mean number of fertilized oocytes (1.44 ± 0.77 versus 6.12 ± 1.36, p = &amp;lt;0.001) and mean fertilization rates (20% versus 83%, p &amp;lt; 0.001) differed significantly. Notably, oocyte vitrification and the presence of a severe male factor negatively affected fertilization outcomes (coeff. -0.0898, p &amp;lt; 0.001 and coeff. -0.1500, p &amp;lt; 0.001, respectively). Nevertheless, the majority of poor fertilization cases (92.7%) occurred in the absence of these factors, underscoring the limitations of conventional semen diagnosis tests as predictors of poor fertilization. Across the entire cohort male factor alone accounted for 3.3% (461/13,859) of cycles with &amp;lt;30% fertilization rates. Furthermore, sperm-related factors were the primary cause of poor fertilization outcomes in oocyte donation cycles, accounting for 86.7% of cases. Limitations, reasons for caution Certain variables were not analyzed due to the retrospective nature and extended timeframe of the study. The matched oocyte model may overlook certain non-male factor-related instances of poor fertilization, such as procedural or technical issues. Wider implications of the findings This extensive analysis emphasizes the clinical relevance of male factor in fertilization outcomes, highlighting the need for improved semen diagnosis. It also indicates the importance of considering male-related factors in treatment decisions and shifting the focus from female-centric to more balanced fertility evaluations. Trial registration number Not applicable