Nutritional value and kinetics of in vitro fermentation of spineless cactus of the genus Nopalea in different phenological phases.

The objective was to evaluate the chemical composition and in vitro fermentation of spineless cactus of the genus Nopalea, F-21 (Nopalea cochenillifera Dyck), IPA-Sertânia (Nopalea cochenillifera Dyck) and Miúda (Nopalea cochenillifera Salm Dyck), in different phenophases. There was no effect (P < 0.05) of the phenological phases of spineless cactus on DM, ash, OM, EE, and CP. Varieties F-21 and Miúda presented higher values of DM and OM, whereas the CP was higher for IPA-Sertânia. The contents of NDF, ADF, and ADL, as well as the fractions of carbohydrates B2 and C were higher in the mature stage, irrespective of the variety. The Miúda variety showed higher levels of NFC and fractions A + B1 and the lower levels of pectin compared to the F-21 and IPA-Sertânia varieties, but not differ of TC to F-21. The volume of gas produced via the degradation of NFC was higher for young phenological phases. The young and intermediate stages showed a higher in vitro digestibility of DM. Based on the results, varieties IPA-Sertânia and Miúda have a high potential for use in animal feed because of their high nutritional quality. Mature cladodes showed a higher fibrous fraction and lower digestibility in all varieties.

Diagnosis, performance and added value of assessing ventricular dyssynchrony by phase analysis in patients with three-vessel disease: A single-center cross-sectional study in Mexico.

BACKGROUND: Three-vessel disease (3VD) is a cardiovascular disorder that affects the three main coronary arteries. Gated myocardial perfusion SPECT (GMPS) evaluates ventricular function, synchrony, and myocardial perfusion. However, the diagnostic performance of GMPS parameters to assess 3VD has not been fully explored. AIMS: To assess the univariate performance capacity of GMPS parameters, and to evaluate whether phase parameters could provide additional predictive value for the detection of patients with 3VD compared to control subjects. METHODS: We designed paired retrospective samples of GMPS images of patients with 3VD (stenosis > 70% of left anterior descending, right coronary, and circumflex coronary arteries) and without 3VD. A GMPS in rest-stress protocol was performed using 99mTc-Sestamibi and thallium and analyzed with the 3D method. Area under the receiver-operating characteristic curves (AUROC), decision curve analyses and diagnostic test performance were obtained for univariable analyses and stepwise binomial logistic regression for multivariable performance. RESULTS: 474 Patients were included: 237 with 3VD (84% males, mean age 61.7 ± 9.9 years) and 237 with normal GMPS (51% women, mean age 63.8 ± 10.6 years). The highest AUROC for perfusion parameters were recorded for SSS, SRS and TID. For dyssynchrony parameters, both entropy and bandwidth in rest and stress phases displayed the highest AUROC and diagnostic capacity to detect 3VD. A multivariate model with SRS ≥ 4, SDS ≥ 2, TID > 1.19 and sBW ≥ 48° displayed the highest diagnostic capacity (0.923 [95% CI 0.897-0.923]) to detect 3VD. CONCLUSION: Perfusion and dyssynchrony were the parameters which were most able to discriminate patients with 3VD from those who did not have CAD.

Effect of spineless cactus [Nopalea cochenillifera (L.) Salm Dyck] on nutrient intake, ingestive behaviour, and performance of lambs.

The objective of this study was to evaluate the effect of increasing levels of spineless cactus (SC) [Nopalea cochenillifera (L.) Salm Dyck] on nutrient intake, ingestive behaviour, and performance of lambs in a feedlot. Thirty-two male (non-castrated) Santa Inês lambs with a mean initial body weight (BW) of 20.4 ± 2.60 kg were distributed across four levels of spineless cactus: zero, 24, 52, and 75% of total diet dry matter (DM). Over 56 days, the animals had their intake and performance monitored. The inclusion of SC influenced (p<0.05) in a quadratic way the dry matter intake and total digestible nutrients, but linearly decreased (p<0.05) the neutral detergent fiber intake. Drinking water intake decreased linearly (p<0.05) with the inclusion of SC in the diet. The inclusion of SC influenced (p<0.05) in a quadratic way the digestibility of organic matter in the diet. The increase in the level of SC in the diet increased linearly (p<0.05) the feeding and rumination efficiencies of the lambs. The maximum daily gain of 0.237 kg/day was achieved with 44% SC in the diet. It is recommended to include up to 40% of spineless cactus in the diet of lambs.

1H qNMR-Based Metabolomics Discrimination of Covid-19 Severity.

The coronavirus disease 2019 (Covid-19), which caused respiratory problems in many patients worldwide, led to more than 5 million deaths by the end of 2021. Experienced symptoms vary from mild to severe illness. Understanding the infection severity to reach a better prognosis could be useful to the clinics, and one study area to fulfill one piece of this biological puzzle is metabolomics. The metabolite profile and/or levels being monitored can help predict phenotype properties. Therefore, this study evaluated plasma metabolomes of 110 individual samples, 57 from control patients and 53 from recent positive cases of Covid-19 (IgM 98% reagent), representing mild to severe symptoms, before any clinical intervention. Polar metabolites from plasma samples were analyzed by quantitative 1H NMR. Glycerol, 3-aminoisobutyrate, formate, and glucuronate levels showed alterations in Covid-19 patients compared to those in the control group (Tukey's HSD p-value cutoff = 0.05), affecting the lactate, phenylalanine, tyrosine, and tryptophan biosynthesis and d-glutamine, d-glutamate, and glycerolipid metabolisms. These metabolic alterations show that SARS-CoV-2 infection led to disturbance in the energetic system, supporting the viral replication and corroborating with the severe clinical conditions of patients. Six polar metabolites (glycerol, acetate, 3-aminoisobutyrate, formate, glucuronate, and lactate) were revealed by PLS-DA and predicted by ROC curves and ANOVA to be potential prognostic metabolite panels for Covid-19 and considered clinically relevant for predicting infection severity due to their straight roles in the lipid and energy metabolism. Thus, metabolomics from samples of Covid-19 patients is a powerful tool for a better understanding of the disease mechanism of action and metabolic consequences of the infection in the human body and may corroborate allowing clinicians to intervene quickly according to the needs of Covid-19 patients.

Pancreatic metastasectomy of renal cell carcinoma: a single institution experience.

INTRODUCTION: Renal cell carcinoma (RCC) is the most common primary neoplasia that metastasizes to the pancreas. Pancreatic metastasis (PM) occur in asymptomatic older patients and are identified during follow up. If resectable, surgery is the treatment of choice for long term survival. Our goal is to analyze outcomes of patients with RCC-PM. MATERIAL AND METHODS: We reviewed all patients with metastatic RCC (mRCC) who underwent resection, from known primary RCC and RCC-PM. RESULTS: There were 16 patients (mean age of 67 ± 8 years, male 8 (50%), mean BMI 29 ± 5.36 kg/m2). Half of them were asymptomatic. Diagnosis was incidental in 56.25% with a median lesion size of 25 mm (12-80). Pancreatic resections performed were: pancreatoduodenectomy (31.25%), distal pancreatectomy (56.25%) and total pancreatectomy (12.5%). Median estimated blood loss was 225 mL (15-2,200), median operative time was 242 min (63-420). Median length of stay was 6 days (2-30). New-onset diabetes was 6.25%. The minor complication and reoperation rates, were 37.5% and 6.25%, respectively. The median number of harvested lymph nodes was 17 (4-31), all were negative. All had a R0 resection. Recurrence of disease was 18.75% with a median time after surgery of 3 years (2-6). The median follow up was 9 years (0-15). Thirteen (81.25%) patients are still alive, eight are disease free. Three (18.75%) died. CONCLUSIONS: Long term survival can be achieved with surgical resection of PM from RCC in selected patients in whom complete resection is possible.

(De)Politicizing Polyamory: Social Media Comments on Media Representations of Consensual Non-Monogamies.

Our research sits at the intersection of communication studies, sociology, cyberculture, and political philosophy and theory. In 2014, a 10+-min segment on polyamory aired on Portuguese open-access national television, during the prime-time newscast, and was viewed by several million people, according to official reports. The news piece was also advertised and shared online, especially via Facebook, by the network's official page. Moreover, the piece was aired within the context of a segment that celebrated the 40-year anniversary of the 1974 liberal revolution that overthrew the right-wing dictatorial regime that ruled Portugal for more than half of the twentieth century. This context served to frame polyamory (alongside other topics) as explicitly political by presenting them as freedoms seized by that liberal revolution. This study used a mixed-method approach to the analysis of online comments on Facebook made with respect to the referred news piece, by deploying both content analysis and critical discourse analysis to try to understand how the political nature of polyamory is negotiated (affirmed or disavowed), and what ideal of the "political" is mobilized in that negotiation, in connection with other elements of intimate citizenship and modes of systemic discrimination. Through this analysis, we will deepen our understanding of how lay people construe the "political" and the (non-)politicalness of polyamory. It also helps advance contemporary understandings of how polyamory is represented in mainstream media, understood by audiences, and how media-and debates on online social networks-can both amplify and help fight against harmful stereotypes of minorities. Through this research, we contribute to political theory by opening up new ways of conceptualizing the realm of the political as an open-ended definition that must encompass changes in modes of sociality, including a politics of relating as a sub-field, likewise to the study of social movements, and their strategies, around consensual non-monogamies. Overall, results show that the recognition of the validity of polyamory is not the same as the realization that relationship orientation is a political issue in itself and that a privatized mode of understanding politics seems prevalent as well as the default framework used in the comments we analyzed. In addition to that, and as other research has already noted, incivility and hate speech was prevalent in online comments and discussions, further dampening the political potential of dissident modes of existence, especially given that incivility is also deployed by those speaking in favor of Othered identities and experiences.

Defining Polyamory: A Thematic Analysis of Lay People's Definitions.

This study aimed to analyze laypeople's definitions of polyamory and compare definitions presented by people who are not willing to engage in consensual non-monogamy (CNM) and those who are or are willing to be in a CNM relationship. This exploratory qualitative study used data collected from a convenience sample through a web survey, where people answered the question "What does polyamory mean?" We conducted thematic analysis to examine patterns in meaning and used demographic data to compare themes among groups. The final sample comprised 463 participants aged 18-66 years (M = 32.19, SD = 10.02), mostly heterosexual (60%). Of the total sample, 54% were in a monogamous relationship, followed by 21% not in a relationship, and 13% in a non-monogamous relationship. Analysis showed that people define polyamory mostly as a set of behaviors in a relationship, followed by the potential of multiple relationships or feelings for multiple people. Definitions also include emotional, sexual, and ethical aspects. People in CNM relationships are more likely to define polyamory as constituting a potential form of relating, focus more on interpersonal feelings and ethics, and include consent in their definitions than those unwilling to engage in CNM. People in CNM relationships also focus particularly on the non-central role of sex within these relationships, which might challenge assumptions about sexuality in these relationships in clinical and research settings.

Effect of association of fresh cassava root with corn silage in replacement for cactus cladodes on dairy cow performance.

The aim of this study was to investigate the replacement effect of cactus cladodes with cassava root and corn silage (CRCS) (0, 25, 50, 75, and 100%, dry matter basis) in diets of lactating dairy cows on nutrients intake and digestibility, microbial protein synthesis, nitrogen balance, and milk yield. Ten Holstein cows with an average milk yield of 16 kg/day, an initial body weight (BW) of 670 ± 35 kg, and an average of 17 weeks in milking were assigned to an experiment using a double 5 × 5 Latin square design. The ratio of forage/concentrate was 82:18, and the ingredients used were cactus cladodes, cassava root, corn silage, soybean meal, wheat meal, urea, and mineral premix. The intake of dry matter, organic matter, and total digestible nutrients were not influenced by the replacement levels. On the other hand, the intake of crude protein and neutral detergent fiber increased while the intake of non-fiber carbohydrates decreased with addition of CRCS. The digestibility of the nutrients was not changed as the milk yield as fat-corrected milk production and milk content of fat, protein, lactose, and total solids. The microbial protein synthesis, microbial protein efficiency, nitrogen balance, and efficiency of N in milk were not changed. Therefore, we recommend the complete replacement of cactus cladodes by cassava root and corn silage in the diets of lactating cows with an average milk yield of 16 kg/day.

Intake, digestibility, and performance of lambs fed spineless cactus cv. Orelha de Elefante Mexicana.

OBJECTIVE: To evaluate the effects of the carmine cochineal-resistant spineless cactus genotypes cv. Orelha de Elefante Mexicana (Opuntia) and Miúda (Nopalea) on the intake and digestibility of nutrients, ingestive behavior, performance, and ultrasound measurements of growing lambs. METHODS: Thirty-six male (non-castrated) Santa Inês lambs were used, with an average age of 6 months and an initial average weight of 22.0±2.9 kg. They were distributed in a completely randomized design with 3 treatments (Tifton hay, Nopalea and Opuntia) and 12 replications, using initial weight as a covariate. The experimental period was 86 days, with the first 30 days used for the adaptation of the animals to the facilities, diets and management, and the remaining 56 days used for evaluation and data collection. RESULTS: The intake and apparent digestibility of dry matter (DM), organic matter (OM), crude protein (CP), neutral detergent fiber (NDF), total carbohydrates (TC), non-fibrous carbohydrates (NFC), and total digestible nutrients (TDN) showed a significant difference (p<0.05) as a function of the diets, with the Nopalea treatment (p<0.05) increasing DM intake (g/kg and % body weight [BW]), CP, TDN, and TC digestibility, whereas the Tifton hay diet led to a high (p<0.001) neutral detergent fiber corrected for ash and protein (NDFap) g/d intake, NDFap (BW %) and digestibility of said nutrient. There was no effect of treatments (p>0.05) on feeding time, however, rumination time and total chewing time were higher (p<0.05) for animals fed Tifton hay. The performance of the animals was similar (p>0.05). For the ultrasound measurements, Nopalea promoted an increase in the final loin eye area, compared to Tifton hay. CONCLUSION: The use of spineless cactus variety Miúda leads to the greater intake and digestibility of nutrients. The evaluated carmine cochineal-resistant spineless cactus genotypes are alternatives for semi-arid regions as they do not negatively affect the performance of growing lambs.

Intake, digestibility and metabolism in sheep fed with increasing levels of spineless cactus (Nopalea cochenillifera Salm-Dyck).

The objective of this study was to evaluate the effect of the substitution of Tifton 85 hay (Cynodon spp.) with spineless cactus (Nopalea cochenillifera) on the intake, digestibility of nutrients and ingestive behaviour of sheep. Eight rumen-cannulated sheep were used, with an average body weight of 58.44 ± 13.5 kg. The treatments consisted of the replacement of Tifton 85 hay with cactus at levels of 0, 333, 666 and 1000 g/kg. Samples of food and leftovers were collected at the beginning of each trial period. Digestibility was estimated using indigestible acid detergent fibre. Ingestive behaviour was evaluated via scan sampling. The replacement of Tifton 85 hay with spineless cactus had a significant effect (P < 0.05) on the intake and digestibility of neutral detergent fibre and non-fibre carbohydrates. The rumination efficiency of neutral detergent fibre was not affected (P > 0.05) by the substitution of Tifton 85 hay with spineless cactus. However, plasma glucose, phosphorus and magnesium were linearly influenced by Tifton 85 hay replacement with spineless cactus. Therefore, spineless cactus can be used to replace up to 500 g/kg of Tifton 85 hay in complete diets for sheep.

Physicochemical parameters, fatty acid profile, and sensory attributes of meat from lambs fed with cassava dregs in replacement of corn.

The objective of this study was to evaluate the effect of the replacement of corn by cassava dregs (0, 33, 66, and 100%) in the diet of lamb on physicochemical parameters, fatty acid profile, and sensory attributes of meat. Forty male non-castrated Santa Inês crossbred lambs with an initial average weight of 20 ± 1.87 kg were slaughtered after 70 days. The physicochemical parameters and chemical composition of meat were not affected by the diets. Eicosenoic (C20:1n-9) and linolenic (C18:3n-3) acids increased linearly and there was a linear decreasing effect for the flavor score with increasing cassava dregs in the diets. The replacement of corn by cassava dregs did not influence omega-6:omega-3 ration or the total desirable fatty acids, as well as the color, aroma, tenderness, juiciness, or overall evaluation scores. Cassava dregs may be added in the diets of lambs, without negative effects on physicochemical characteristics, chemical composition, and fatty acid indexes, with positive effects on unsaturated fatty acid content. However, the total replacement of corn altered the sensory attributes and decreased purchase intent of the meat.

Carcass characteristics of lambs fed diets with increasing levels of crude glycerin.

OBJECTIVE: An experiment was conducted to the effects of increasing levels of crude glycerin (0, 6, 12 and 18%) used as a substitute for corn in lamb feed on the quantitative characteristics of the carcass. METHODS: A total of 40 crossbred Santa Inês lambs that were four months old with a mean initial weight of 21.0 ± 0.8 kg were randomly distributed in four treatments with ten replicates. The animals were slaughtered after 66 days of confinement. The effects of crude glycerin as a replacement for corn in the diet of the lambs on the carcass characteristics, commercial cut weight and yield and carcass measurements were studied. RESULTS: There was an increasing linear effect for body weight at slaughter with the replacement of corn by crude glycerin. The dry matter (DM) and metabolizable energy (ME) intakes, weight of the empty body, hot carcass weight and cold carcass weight showed a quadratic effect, with maximum crude glycerin levels estimated at 10.9, 9.8, 10.83, 11.78 and 11.35%, respectively. The initial pH was not influenced by the substitution of corn for crude glycerin, while the final pH presented a quadratic effect. The other parameters of the carcass and the weights and yields of commercial cuts were not influenced. There was also no effect of the diets on carcass morphometric measurements, except for the thoracic perimeter and the carcass compactness index, which presented quadratic and linear effects, respectively. CONCLUSION: Crude glycerin can replace up to 18% of corn because favour the muscle tissue deposition without promoting changes in the main carcass characteristics of lambs.

Different roughage:concentrate ratios with and without liquid residue of cassava for lambs.

This aim of this study was to evaluate the intake and apparent digestibility of nutrients, ingestive behavior, blood parameters, and performance of lambs fed two roughage:concentrate (R:C) ratios, with or without liquid residue of cassava (LRC). Forty lambs (19.5 ± 1.45 kg body weight) were distributed in a completely randomized 2 × 2 factorial design. The intake of dry matter (1311 g/day) and total digestible nutrients (755 g/day), and the intake (172 g/day) and digestibility (552 g/kg) of crude protein were higher for lambs fed R:C of 40:60. The R:C ratio of 80:20 promoted a higher intake (585 g/day) and digestibility (461 g/kg) of neutral detergent fiber. There was an intake of LRC of 1.37 L/day for lambs fed R:C of 80:20 and 0.42 L/day for lambs fed R:C of 40:60. The lambs fed R:C of 80:20 spent more time in feeding (326 m/day) and rumination (530 m/day). The metabolic profile and performance of lambs were not affected by LRC inclusion. The body weight gain (220 g/day) was higher in lambs fed R:C of 40:60. A roughage:concentrate ratio of 40:60 is recommended for lambs because it resulted in the best performance, regardless of supplementation with liquid residue of cassava.

Photoinduced Charge Shifts and Electron Transfer in Viologen-Tetraphenylborate Complexes: Push-Pull Character of the Exciplex.

Viologen-tetraarylborate ion-pair complexes were prepared and investigated by steady-state and time-resolved spectroscopic techniques such as fluorescence and femtosecond transient absorption. The results highlight a charge transfer transition that leads to changes in the viologen structure in the excited singlet state. Femtosecond transient absorption reveals the formation of excited-state absorption and stimulated emission bands assigned to the planar (kobs < 1012 s-1) and twisted (kobs ∼ 1010 s-1) structures between two pyridinium groups in the viologen ion. An efficient photoinduced electron transfer from the tetraphenylborate anionic moiety to the viologen dication was observed less than 1 µs after excitation. This is a consequence of the push-pull character of the electron donor twisted viologen structure, which helps formation of the borate triplet state. The borate triplet state is deactivated further via a second electron transfer process, generating viologen cation radical (V•+).

Outer membrane vesicles extracted from Neisseria meningitidis serogroup X for prevention of meningococcal disease in Africa.

Meningococcal disease is caused mainly by serogroups A, B, C, Y, W of N. meningitidis. However, numerous cases of meningitis caused by serogroup X N. meningitidis (MenX) have recently been reported in several African countries. Currently, there are no licensed vaccines against this pathogen and most of the MenX cases have been caused by meningococci from clonal complex (c.c) 181. Detergent extracted meningococcal outer membrane vesicle (dOMV) vaccines have previously shown to be safe and effective against epidemics of serogroup B meningococcal disease in all age groups. The aim of this work is therefore to obtain, characterize and evaluate the vaccine potential of dOMVs derived from a MenX strain (OMVx). Three experimental lots of OMVx were prepared by deoxycholate extraction from the MenX strain BF 2/97. Size and morphology of the vesicles was determined by Dynamic Light Scattering and electron microscopy, whereas the antigenic composition was characterized by gel electrophoresis and immunoblotting. OMVx were thereafter adsorbed to aluminium hydroxide (OMVx/AL) and two doses of OMVx were administered s.c. to groups of Balb/c mice three weeks apart. The immunogenicity and functional antibody activities in sera were evaluated by ELISA (anti-OMVx specific IgG responses) and serum bactericidal activity (SBA) assay. The size range of OMVx was shown to be between 90 and 120nm, whereas some of the antigens detected were the outer membrane proteins PorA, OpcA and RmpM. The OMVx/AL elicited high anti-OMVx antibody responses with bactericidal activity and no bactericidal activity was observed in the control group of no immunised mice. The results demonstrate that OMVx are immunogenic and could form part of a future vaccine to prevent the majority of meningococcal disease in the African meningitis belt.

New insight into the photophysics and reactivity of trigonal and tetrahedral arylboron compounds.

The photophysics and reactivity of two tetraphenylborate salts and triphenylborane have been studied using ultrafast transient absorption, steady-state fluorescence, electron paramagnetic resonance with spin trapping, and DFT calculations. The singlet excited state of tetraarylborates exhibit extended π-orbital coupling between two adjacent aryl groups. The maximum fluorescence band, as well as the transient absorption bands centered at 560 nm (τ = 1.05 ns) and 680 nm (τ = 4.35 ns) are influenced by solvent viscosity and polarity, indicative of a twisted intramolecular charge transfer (TICT) state. Orbital contour plots of the HOMO and LUMO orbitals of the tetraarylboron compounds support the existence of electron delocalization between two aryl groups in the LUMO. This TICT-state and aryl-aryl electron extension is not observed for the trigonal arylboron compound, in which excited π-orbital coupling only occurs between the boron atom and one aryl group, which restricts the twist motion of the aryl-boron bond. The excited triplet state is deactivated primarily through aryl-boron bond cleavage, yielding aryl and diphenylboryl radicals. In the presence of oxygen, this photochemistry results in phenoxyl and diphenylboroxyl radicals, as confirmed by EPR spectroscopy of spin trapped radical adducts. The TICT transition and radical generation is not expected for BoDIPY molecules where the rotational vibration of the B-aryl bond is rigid, restricting changes in the geometric structure. In this sense, this work contributes to the development of new BoDIPY derivatives where the TICT transition may be observed for aryl ligands with free rotational vibrations in the BoDIPY structure.

Effect of water hyacinth (Eichhornia crassipes) hay inclusion in the diets of sheep.

The aim of this study was to evaluate the effects of replacing Tifton-85 hay (0, 20, 40, 60 and 80 % on a dry matter basis) with water hyacinth hay (Eichhornia crassipes) on intake and digestibility of nutrients, feeding behaviour, rumen and blood parameters of sheep. Five uncastrated male sheep, cannulated in the rumen, with an average body weight of 40 kg were assigned in a 5 × 5 Latin square design. The water hyacinth hay contained 870 g/kg dry matter (DM), 159 g/kg crude protein (CP), 547 g/kg neutral detergent fibre (NDF) and 461 g/kg total digestible nutrients (TDN). The DM intake and digestibility of NDF and non-fibre carbohydrates (NFC) were linearly reduced by replacing the Tifton-85 hay with water hyacinth hay. Similarly, there was a linear reduction of rumination time and efficiencies of feeding and rumination of DM and NDF. The concentrations of urea, glucose, AST and GGT in blood plasma were not changed by replacing the Tifton-85 hay with water hyacinth hay. Although water hyacinth hay reduced the intake and digestibility of some nutrients, the Tifton-85 hay replacement could be economically advantageous for sheep feeding.

Sexual satisfaction and distress in sexual functioning in a sample of the BDSM community: a comparison study between BDSM and non-BDSM contexts.

INTRODUCTION: Little attention has been paid to distress in sexual functioning or the sexual satisfaction of people who practice BDSM (Bondage and Discipline, Domination and Submission, Sadism and Masochism). AIM: The purpose of this study was to describe sociodemographic characteristics and BDSM practices and compare BDSM practitioners' sexual outcomes (in BDSM and non-BDSM contexts). METHODS: A convenience sample of 68 respondents completed an online survey that used a participatory research framework. Cronbach's alpha and average inter-item correlations assessed scale reliability, and the Wilcoxon paired samples test compared the total scores between BDSM and non-BDSM contexts separately for men and women. Open-ended questions about BDSM sexual practices were coded using a preexisting thematic tree. MAIN OUTCOME MEASURES: We used self-reported demographic factors, including age at the onset of BDSM interest, age at first BDSM experience, and favorite and most frequent BDSM practices. The Global Measure of Sexual Satisfaction measured the amount of sexual distress, including low desire, arousal, maintaining arousal, premature orgasm, and anorgasmia. RESULTS: The participants had an average age of 33.15 years old and were highly educated and waited 6 years after becoming interested in BDSM to act on their interests. The practices in which the participants most frequently engaged did not coincide with the practices in which they were most interested and were overwhelmingly conducted at home. Comparisons between genders in terms of distress in sexual functioning in BDSM and non-BDSM contexts demonstrate that, with the exception of maintaining arousal, we found distress in sexual functioning to be statistically the same in BDSM and non-BDSM contexts for women. For men, we found that distress in sexual functioning, with the exception of premature orgasm and anorgasmia, was statistically significantly lower in the BDSM context. There were no differences in sexual satisfaction between BDSM and non-BDSM contexts for men or women. CONCLUSION: Our findings suggest that BDSM sexual activity should be addressed in clinical settings that account for BDSM identities, practices, relationships, preferences, sexual satisfaction, and distress in sexual function for men and women. Additional research needs are identified, such as the need to define distressful sexual functioning experiences and expand our understanding of the development of BDSM sexual identities.