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Available evidence from IVF studies supports a detrimental effect of submucosal and intramural fibroids on embryo implantation. It is misleading, however, to infer evidence obtained in IVF settings to natural fertility. Therefore, a systematic review and meta-analysis was conducted on the effect of fibroids on natural fertility. Studies comparing fertile and infertile women, and those investigating whether the presence of fibroids was a risk factor, were reviewed, as well as studies comparing women with and without fibroids. The aim was also to establish whether the frequency of infertility differed between the two groups. Seven out of 11 selected studies did not aim to establish whether fibroids caused infertility but, rather, whether a history of infertility could be a risk factor for fibroids. A meta-analysis of the four remaining studies that concomitantly evaluated the presence of fibroids and infertility studies highlighted a common odds ratio of fibroids in subfertile women of 3.54 (95% CI 1.55 to 8.11). When focusing on the two most informative studies, i.e. the studies comparing time to pregnancy in women with and without fibroids, the common OR was 1.93 (95% CI 0.89 to 4.18). In conclusion, the association between fibroids and infertility has been insufficiently investigated. Epidemiological studies suggest, but do not demonstrate, that fibroids may interfere with natural fertility. Given the high prevalence of these lesions in women seeking pregnancy, further evidence is urgently needed. [ABSTRACT FROM AUTHOR]

• Highly durable and performing bifunctional alkaline Zn-air battery air electrodes. • Bifunctional GDEs, based on α-MnO 2 nanorods for ORR and Ni/NiO nanoparticles for OER. • Structural and spectral-imaging characterization of GDEs: pristine and post mortem. • Degradation mechanisms understood with STXM-based chemical-state mapping and TEM. • Molecular-level study of role of Zn2+ in electrolyte in electrocatalyst degradation. Electrically rechargeable alkaline zinc air batteries (RZAB) – currently still at the R&D stage –, have great potential for stationary, as well as prospectively mobile, electrochemical energy storage applications. Their chief appeal is that they are made of abundant, environmentally friendly, intrinsically safe, and cheap materials, with established recycling concepts and auspicious life-cycle costs. One of the key weak points of present-generation RZAB programs is the air gas-diffusion electrode (GDE). In fact, on the one hand, GDE fabrication and testing are generally based on poorly understood protocols, and, on the other hand, performance is challenged by efficiency and durability issues. This work is centred on the fabrication of a novel bifunctional GDE for the air side of RZABs, on the assessment of its electrochemical performance and on the identification of factors impacting its efficiency and durability. The electrocatalysts for oxygen reduction reaction (ORR) and oxygen evolution reaction (OER) are α-MnO 2 nanowires and Ni/NiO nanoparticles, respectively. The composition of the active layer was optimized with rotating ring-disc electrode (RRDE) electrocatalysts tests. The GDEs were fabricated by spray-coating an ink, formulated with the electrocatalysts and the PTFE binder in an aqueous matrix. Fabrication and functional performance of GDEs – in pristine form and after ageing under realistic RZAB conditions – are rationalized on the basis of Scanning Electron Microscopy (SEM), Scanning Transmission X-ray SpectroMicroscopy (STXSM) at the Mn l -edge and Transmission Electron Microscopy (TEM) analyses. Imaging and spectral imaging disclosed the morphological and chemical-state evolution, brought about by electrochemical cycling. Special attention was devoted to the understanding of the role played by the presence of zincate in the electrolyte on the performance and ageing of the reversible air electrodes. [Display omitted] [ABSTRACT FROM AUTHOR]