Search Results (9,613)

Background/Objectives: Elevated body temperature is a well-established biomarker of infection, increased disease risk, and adverse health outcomes. However, the relationship between resting body temperature and long-term survival in older individuals is complex. Emerging evidence suggests that higher basal body temperature is associated with reduced survival and accelerated aging in non-obese older adults. This study aimed to compare body temperatures across different age groups in hospitalized older adults. Methods: Data were retrospectively collected from 367 physically healthy residents of a mental health center. Longitudinal data from 142 individuals (68 men and 74 women), aged 45 to 70 years and monitored continuously over 25 years, were compared with cross-sectional data from 225 individuals (113 men and 112 women) who underwent periodic clinical examinations with temperature measurements. The cross-sectional sample was stratified into four survival categories. Resting oral temperatures were measured under clinical conditions to ensure protocol consistency. Age-related changes in both sexes were evaluated using standard regression analysis, Student’s t-tests, ANOVA, and Generalized Linear Models. Results: Longitudinal analysis revealed an increase in body temperature with age among women, while cross-sectional analysis showed that long-lived residents generally had lower body temperatures compared to their shorter-lived counterparts. Conclusions: These findings support the hypothesis that lower lifetime steady-state body temperature is associated with greater longevity in physically healthy older adults. However, further research is needed to determine whether the lower body temperature observed in long-lived individuals is linked to specific health advantages, such as enhanced immune function, absence of detrimental factors or diseases, or a reduced metabolic rate potentially influenced by caloric restriction. Full article

Onychostoma macrolepis is not only a protected Cyprinid species in the wild but also an emerging commercial aquaculture fish in China. The objective of this research was to genetically modify the genes associated with commercial traits by CRISPR/Cas9 for the protection and utilization of the germplasm resources of O. macrolepis. To that end, one-cell stage embryos were obtained via hormone-induced ovulation and artificial insemination in O. macrolepis. Eight genes related to body color, growth, intermuscular bone, and sex differentiation were mutated in O. macrolepis using the CRISPR/Cas9 system by microinjection of gRNA/Cas9 mRNA. The optimal dose of gRNA/Cas9 mRNA was determined by injection of different concentrations of tyr (tyrosinase)-gRNA/Cas9 and examination of the mutation rate and hatching rate of embryos. Indels were detected by T7 endonuclease I digestion and Sanger sequencing. F0 mutants with high mutation rates were selected for phenotype analyses. Disruption of body color gene tyr, mpv17 (mitochondrial inner membrane protein MPV17), and csf1ra (colony-stimulating factor 1 receptor, a) resulted in obvious phenotype with decreased or even absence of melanophores, iridophores, and xanthophores, respectively. Mutation of mstnb (myostatin b) led to improved growth performance. Mutation of mc4r (melanocortin 4 receptor) led to no obvious phenotype. Mutation of runx2b (RUNX family transcription factor 2b) and bmp6 (bone morphogenetic protein 6) resulted in decreased or absence of intermuscular bones, as revealed by alizarin red S staining. Mutation of cyp19a1a (cytochrome P450, family 19, subfamily A, polypeptide 1a) resulted in ovarian degeneration as revealed by gonadal histological examination. Therefore, this study successfully obtained mutants with obvious phenotypes of genes associated with body color, growth, intermuscular bone, and sex differentiation by CRISPR/Cas9 in O. macrolepis. Full article

Geographical variation in morphological traits represents a significant ecological phenomenon. According to Allen’s rule, animals inhabiting cooler environments typically exhibit shorter extremities compared to those in warmer regions. While Allen’s rule has been extensively validated along latitudinal gradients, its applicability to altitudinal variation in morphological traits remains less well understood. In this study, we analyzed morphological data—including forelimb length and hindlimb length—from 492 individuals of Rana kukunoris from 26 populations to assess whether relative limb size in both sexes declines with altitude, aligning with Allen’s rule. However, this pattern exhibited geographical regional variation. In the northern and central regions, relative limb length consistently followed the predictions of Allen’s rule. In contrast, the southern region showed no significant altitudinal variation in limb proportions. These results highlight that the applicability of Allen’s rule may be modulated by regional environmental factors and altitude vertical differences, underscoring the need for a nuanced understanding of how local contexts influence morphological adaptations. Full article

Animated video could improve the reach of health education to kidney transplant (KT) seekers and their social network. Usage outcomes are rarely considered. This exploratory study aims to investigate use patterns of an animated video-based intervention (KidneyTIME) and examined associations with patient characteristics. Descriptive, quantitative analyses were conducted on user data (April 2022–March 2024) of KT-seekers allocated to the intervention arm of an ongoing randomized controlled trial of KidneyTIME. Of 195 KT-seekers allocated to KidneyTIME, optional use (defined as ≥1 video view or share) was 74% at 6 months follow-up and significantly higher among patients in the pre-evaluation phase (Odds Ratio [OR] 2.63, p = 0.0051) and with an active Facebook account (OR 2.93, p = 0036). Higher total video viewings were associated with single adult household (p = 0.0496). Not employed participants viewed more different videos (p = 0.0168). More days of viewing was significantly (p < 0.05) associated with older age, worse health, not employed, and single adult household. Video sharing was significantly associated with social media use (OR 2.86, p = 0.0264), active Facebook account (OR 2.55, p = 0.0411), and lower health literacy score (OR 2.80, p = 0.0274) and inversely associated with lower social support score (OR 0.35, p = 0098) and male sex (OR 0.48, p = 0.0394). Web-based animated video education promoted through email or text links is a viable modality to reach diverse KT-seekers. Full article

Background and Objectives: In the triaging of polytrauma, patients with less severe injuries and lower somatic stress often undergo isolated definitive orthopedic surgery without damage-control procedures. Adverse events, particularly sepsis, should be minimized. We aimed to identify sex-specific predictors for sepsis in polytrauma patients undergoing stand-alone definitive surgery. Materials and Methods: Our institutional trauma database, containing data from 3653 patients between 1996 and 2022, was filtered for polytrauma patients who underwent definitive surgery, were aged ≥16 years, and had an Injury Severity Score (ISS) ≥16. Injury and physiological parameters were documented upon admission, as well as on the first and second days thereafter. Surgical data were also recorded. All factors were evaluated for their association with sepsis development. Results: Among the 276 patients (71.1% male; mean age 45.0 years, 95% confidence interval 42.7–47.2 years; median ISS of 27, interquartile range, 20–34), the rate of sepsis was 13.8% (n = 38), with a higher incidence in males (16.7%; n = 33) than in females (6.8%; n = 5) (p = 0.026). Head and thorax injuries were more common and severe in septic males, with thorax injuries being predictive. Male patients who developed sepsis also had a higher ISS, an increased heart rate (HR), and lower pH at admission, with ISS and HR being predictive of sepsis. On the first day post-admission, septic males showed higher Base Excess and lower Prothrombin Time. Lactate levels were elevated on both the first and second days post-admission. Surgical predictors for males included less primary extremity surgeries and later secondary spine surgeries. Conclusions: Sepsis is more common in males undergoing stand-alone definitive surgery. Several factors, particularly acidosis and coagulopathy, are associated with this phenomenon. Fewer primary extremity surgeries and delayed secondary spine surgeries were also linked to a higher sepsis risk in males. These findings may help identify patients eligible for stand-alone definitive surgery and underscore the need for more data on female polytrauma patients. Full article

Early life adversity (ELA) has long been recognized to negatively impact a variety of health outcomes, with increasingly recognized long-term implications for neurocognitive function. ELA may affect the brain through multiple mechanisms, including chronic inflammation. One potential moderator of the pathway from ELA to neuroinflammation to cognitive dysfunction is sex. ELA may leave females potentially even more vulnerable to cognitive impairment in later life. This review discusses the influence of ELA on cognitive function across much of the lifespan, how inflammation is implicated in this process, and the current state of knowledge regarding sex differences in these relationships. We conclude with a discussion of unanswered questions and suggestions for future research, including the incorporation of genetic data. Full article

F8 gene inversion variants originate in male germ cells during spermatogenesis. Our recent study revealed that de novo variants (DNVs) caused F8 noninversion variants (NIVs) in sporadic hemophilia A (HA). Here, we conducted a direct clinical determination of sex differences in the origin of sporadic HA-NIV according to the data of two new HA-NIV families, as well as of the families demonstrated in the previous study. Of the 126 registered families with HA, 23 were eligible for inclusion. We conducted a linkage analysis with F8 gene markers and an amplification refractory mutation system–quantitative polymerase chain reaction to confirm the origin of the sporadic NIVs (~0% mutant cells) or the presence of a mosaic variant, requiring further confirmation of the origin in the parent. Two sporadic DNV events were determined. One event occurred in grandparents, consisting of five maternal grandmothers and seven maternal grandfathers, who were the origins; their respective daughters became carrier mothers who gave birth to probands. The other event included 11 mothers, who were the origins exclusively; their respective sons became probands. In this study, we found that sporadic HA-NIVs originate mostly from females (16 out of 23). Our study contributes to a better understanding of the genetic pathogenesis of HA. Full article

This study analyzed the effect of the COVID-19 pandemic on suicide rates among Brazilian residents, stratified by sex. It examined monthly suicide rates using interrupted time series analysis. Researchers compared the months before the pandemic (January 2017 to February 2020) with those after the first diagnosed case of COVID-19 in Brazil (March 2020 to December 2023). They applied an interrupted time series model (quasi-Poisson) to account for serial autocorrelation in the residuals and seasonality. During this period, authorities reported 102,081 suicides in Brazil. The age-standardized annual suicide rate among men was 3.71 times higher than the rate among women (12.33 suicides per 100,000 vs. 3.32 suicides per 100,000 women). The South and Midwest regions had the highest standardized annual average suicide rates. Suicide rates among men dropped abruptly at the pandemic’s onset (RR < 1, p < 0.05). However, Black men, women aged 15 to 19 years, and elderly individuals exhibited a significant increase (RR > 1, p < 0.05). Over time, suicide rates rose across most age groups, regions, and methods studied (RR > 1, p < 0.05). The pandemic’s impact differed significantly between men and women based on stratification variables. Nonetheless, a progressive upward trend emerged throughout the pandemic. Full article

The challenging task of correctly estimating the body size of prehistoric hominins from footprint dimensions has been a matter of long debate, but researchers are still divided about the best methodological approach for obtaining compelling estimates. This research attempts to infer the body size of the trackmakers, who impressed their footprints on the uneven ground slope of a Roccamonfina volcano’s ignimbrite (≈350 ka) at the Foresta/“Devil’s Trails” ichnosite. We used the equations selected among the most adequate for the footprints of this peculiar ichnosite with an exploratory purpose and from a critical estimation point of view. The values of the body size derived from the different equations are highly variable; the minimum and maximum values can differ by up to 50%. The variation range is similarly large when applying the same equations to the footprints from some North African and European Lower Paleolithic ichnosites. The variability of the results mainly depends on the technique of footprint measurements, the environmental context (substrate, surface slope, trackmaker gait, etc.), the equation used, and, to a minor extent, the dimensional slight differences between a fleshy foot and a footprint. This makes comparisons among the sites challenging. All things considered, we could say that the average body mass (about 60 kg) and stature (about 166 cm) of Foresta trackmakers, who may be individuals of different sexes, fall in the range of the Middle Pleistocene Homo heidelbergensis s.l. Full article

Kinanthropometry is the study of body dimensions and composition measurements, which are influenced by factors such as age and nutritional status, establishing a relationship between static measurements and dynamic performance. This study aimed to evaluate the kinanthropometric differences among 403 individuals (aged 18–42), categorized by biological sex and the recreational sport they practiced. The main objective of this study was to clarify whether or not there were statistically significant differences between these groups. All of the measurements and indices were obtained following the International Society for the Advancement of Kinanthropometry (ISAK) protocol. Significant differences were found in most variables among the different sports. In general, the men showed higher values in terms of weight, height, body circumference, body mass index (BMI), relative index of the lower limbs (RILLs), percentage of muscle mass (%M), and percentage of residual mass (%R). The women exhibited higher values in terms of skinfold thicknesses, Cormic index (CI), body density index (BDI), percentage of fat mass (%F), and percentage of bone mass (%B). These findings can guide individuals in selecting sports based on their morphotype, optimizing their physical performance in recreational activities and improving their health and quality of life. Full article

Background/Objectives: Hirsutism is excessive male-patterned hair in postpubertal women with multifactorial etiology and is an indicator of hyperandrogenism associated with polycystic ovary syndrome (PCOS). Indeed, it can be caused by the enhanced peripheral conversion of androgen precursors to testosterone, as in idiopathic hirsutism (IH). Moreover, hirsutism can be caused by hirsutism-related hyperandrogenic syndromes like non-classic congenital adrenal hyperplasia (NCAH) and idiopathic hyperandrogenism (IHA). Methods: In this study, we characterized a large cohort of Portuguese women referred for hirsutism and estimated the prevalence of PCOS, NCAH, IHA, and IH. The levels of androgens and gonadotropins and body mass index (BMI) were measured and compared with controls. The correlation between each variable was calculated. Results: In the cohort, we found a prevalence of PCOS of 56.2%, IH of 20.2%, IHA of 17.3%, and NCAH of 6.2%. Subjects with PCOS were the only ones showing a significant difference in BMI compared to the controls and had the lowest levels of sex hormone-binding globulin (SHBG). Those with NCAH were younger and more hirsute with higher levels of testosterone, among other androgens. Those with IH had lower luteinizing hormone (LH) and LH/follicle-stimulating hormone (FSH) ratios than those with PCOS. Those with IH had lower SHBG levels compared to the controls and a higher free androgen index (FAI). Those with IHA had higher androgens compared to those with IH, in particular, adrenal-derived androgens. Conclusions: The pathogenesis of hirsutism is complex, and the contributions of the pituitary gland, ovaries, adrenals, adipose tissue, and liver have to be ascertained to understand the clinical manifestations and delineate appropriate treatments. This study sheds new light on the fine hormonal regulation of these diseases. Full article

Standing long jump (SLJ) power is recognized as informative of the ability of lower limbs to exert power. The study aims to provide athletes/coaches with a simple and low-cost estimate of selected SLJ power features. A group of 150 trained young participants was recruited and performed a SLJ task while holding a smartphone, whose inertial sensors were used to collect data. Considering the state-of-the-art in SLJ biomechanics, a set of features was extracted and then selected by Lasso regression and used as inputs to several different optimized machine learning architectures to estimate the SLJ power variables. A Multi-Layer Perceptron Regressor was selected as the best-performing model to estimate total and concentric antero-posterior mean power, with an RMSE of 0.37 W/kg, R² > 0.70, and test phase homoscedasticity (Kendall’s τ < 0.1) in both cases. Model performance was dependent on the dataset size rather than the participants’ sex. A Multi-Layer Perceptron Regressor was able to also estimate the antero-posterior peak power (RMSE = 2.34 W/kg; R² = 0.67), although affected by heteroscedasticity. This study proved the feasibility of combining low-cost smartphone sensors and machine learning to automatically and objectively estimate SLJ power variables in ecological settings. Full article

Background: Catheter ablation of right anterior, anterior–lateral, and anterior–septal accessory pathways is still challenging in children, even after seminal improvements in mapping and catheter design over the last years. The trans-jugular approach was described as an alternative to the femoral vein recently. As a direct comparison between the femoral approach and the superior approach using the axillary vein was lacking, we conducted the present study. Methods: Twenty-two pediatric patients were enrolled in this retrospective study. Patients with prior ablation attempts were excluded. Another 22 consecutive patients with the same AP localizations were selected as a control group and treated with ablation through the femoral vein. Left axillary vein cannulation was performed advancing an 18-gauge needle using fluoroscopic landmarks (the first rib below the inferior border of the clavicle). All mapping and ablations of accessory pathways were performed with a 7 F deflectable radiofrequency ablation catheter. The main outcome of this study was ablation success at 1 year. Recurrences were defined as a relapse of preexcitation on a 12-lead electrocardiogram and/or documented supraventricular tachycardia. Results: There were no significant differences in sex, age, or weight between groups. No complications occurred acutely or during follow-up. There were no significant differences in acute success rates between the two groups (19/22 vs. 22/22; p = 0.56) at 24 h ECG recordings. At the 1-year follow-up the total recurrence rate was 15.9% (7/44 patients); there was a significantly lower recurrence rate among patients in the trans-jugular group (27.2% vs. 4.5%; p = 0.039). Conclusions: The present study suggests that the trans-axillary vein approach is a safe and effective alternative to the classical femoral approach in pediatric patients. Full article

Background/Objectives: Strabismus, or eye misalignment, has not been well-described in U.S. military Veterans. This study was undertaken to characterize Veterans with a strabismus diagnosis as well as those who underwent strabismus surgery. Methods: A retrospective analysis of electronic health records (EHR) from the Veterans Health Administration (VHA) was conducted using patient data from 2000 to 2022. VHA-enrolled Veterans ≥ 18 years with strabismus-related International Classification of Diseases (ICD) codes and/or Current Procedural Terminology (CPT) codes were identified. Total and demographic (age group, sex, race, and ethnicity) stratified prevalence and incidence rates were calculated, as well as sex-stratified residual lifetime risk. Results: A total of 321,639 patients had a strabismus diagnosis, with most (320,107) identified by ICD code (CPT code The peak prevalence was 2.29% in the 2022 VHA fiscal year (1 October 2021 to 30 September 2022) with a median annual age-adjusted incidence rate of 168.9/100 000 enrollees. Age-adjusted lifetime risk was 10.19% for males and 11.03% for females. Significant differences by age group, sex, race, and ethnicity were identified for strabismus prevalence (p < 0.001), strabismus diagnosis types (p < 0.001), and between patients with strabismus who either did or did not have surgery (sex p < 0.05, all others p < 0.001). Compared with other U.S. adult populations, VHA Veterans have similar or higher prevalence, annual incidence rates, and lifetime risk of a strabismus diagnosis, with demographic factors significantly affecting the rates and types of strabismus. Notably, despite lower prevalence and incidence than other racial groups, a higher percentage of African American patients with strabismus underwent surgery, contrasting with published Medicare data. Inconsistencies between ICD and CPT codes highlight potential miscoding and/or missing codes, with reliance on ICD code diagnoses potentially underestimating strabismus prevalence. Conclusions: Further characterization of factors affecting strabismus risk among these patients may help improve strabismus diagnosis and management for many US Veterans. This foundational study serves as a platform for detailed predictive analyses in determining risk outcomes for individuals. This includes better identification of at-risk individuals, informing effective resource allocation for treatment. Full article

Background/Objectives: The DNA methylation of neonatal cord blood can be used to accurately estimate gestational age. This is known as epigenetic gestational age. The greater the difference between epigenetic and chronological gestational age, the greater the association with an inappropriate perinatal fetal environment and development. Maternal vitamin D deficiency is common in Japan. The aim of this study was to investigate the associations between maternal serum vitamin D levels and epigenetic gestational age acceleration at birth in Japan. Methods: The data were obtained from the hospital-based birth cohort study conducted at the National Center for Child Health and Development in Tokyo, Japan. Maternal blood was collected in the second trimester to measure the serum vitamin D concentration. Cord blood was collected at birth to measure serum vitamin D and to extract DNA. DNA methylation was assessed using an Illumina methylation EPIC array. Epigenetic gestational age was calculated using the “methylclock” R package. Linear regression analysis was performed to see associations. Results: Maternal serum vitamin D levels in the second trimester were negatively associated with epigenetic gestational age acceleration at birth when calculated by Bohlin’s method (regression coefficient [95% CI]: −0.022 [−0.039, −0.005], n = 157), which was still significant after considering infants’ sex (−0.022 [−0.039, −0.005]). Cord blood serum vitamin D levels were not associated with epigenetic age acceleration. Maternal age at delivery and birth height were associated in positive and negative ways with epigenetic gestational age acceleration, respectively (0.048 [0.012, 0.085] and −0.075 [−0.146, −0.003]). Conclusions: Maternal vitamin D deficiency was related to an infant’s epigenetic gestational age acceleration at birth. These findings suggest that the association between fetal development and maternal vitamin D levels may involve the fetal epigenetic regulation of the fetus. Full article