Obesity is associated with increased 11-oxyandrogen serum concentrations during puberty.

INTRODUCTION: While the influence of various factors on classical androgen synthesis in children and adolescents and its impact on puberty has been widely investigated, there appear to be gaps and contradictory findings regarding the association of overweight and obesity with the synthesis of adrenal-derived 11-oxygenated androgen (11-OA) serum levels. With this study, we aimed to examine how overweight and obesity affect 11-OA serum levels during puberty in a large cohort of children and adolescents. METHODS: Our cohort comprised 1,054 healthy children aged 6 to 19 years providing serum samples at a total of 1,734 visits. Liquid chromatography-tandem mass spectrometry was used to quantify 11-ketotestosterone (11-KT), 11-ketoandrostendione (11-KA4), 11-ß-hydroxytestosterone (11-OHT), 11-ß-hydroxyandrostendione (11-OHA4), testosterone, androstenedione, and DHEAS. In addition, we assessed BMI-SDSs; skinfold thicknesses; and Tanner stages. The significance level α was set to α=0.05. RESULTS: Increases in 11-KT, 11-KA4, 11-OHT, and 11-OHA4 levels were observed in boys and girls during puberty. 11-KT (ß=0.2, p<0.001), 11-KA4 (ß=0.16, p<0.001) and 11-OHA4 (ß=0.12, p=0.003) were positively correlated with BMI in boys age 13 and under. 11-KT (ß=0.1, p=0.047) was positively correlated with BMI in girls age 11 and under. 11-OHT was positively correlated with BMI independent of age (boys 13 and under: ß=0.17, p<0.001; over 13 years: ß=0.14, p=0.001; girls 11 and under: ß=0.17, p<0.001; over 11 years: ß=0.18, p<0.001). CONCLUSION: We found increasing 11-OA serum levels throughout all Tanner stages. 11-OAs were observed to be associated with BMI and skinfold thickness, suggesting that overweight and obesity may be associated with pubertal alterations in 11-OA serum levels.

Vestibular and taste disorders after bilateral cochlear implantation.

The objective of this study was to investigate the occurrence of vestibular receptor deficiency and taste disorders after bilateral cochlear implantation in postlingually deafened patients and to find out whether the risk for these complications is higher for the second implantation. In a retrospective cohort study, we examined 20 patients (11-58 years, mean age 41.5 years), implanted sequentially between 2000 and 2007 (mean period between cochlear implantation 32.9 ± 25 months). Pre- and postoperative vestibular testing was performed by subjective rating [Dizziness Handicap Inventory (DHI)], caloric irrigation [vestibuloocular reflex (VOR)] and by vestibular-evoked myogenic potential (VEMP) recordings for saccular function. The sense of taste was evaluated pre- and postoperatively by a questionnaire and testing (sour/sweet/bitter/salty bilaterally on the tongue). DHI evaluation showed a moderate not significant mean increase by 2.7 ± 7.7 SD points after the first and a significant increase by 9.4 ± 16.6 SD points after the second implantation. Ipsilateral VEMP responses disappeared in three ears (27.3%) after the first and in two ears (18.2%) after the second operation. VOR disappeared only once (5.9%) after the first implantation. One (5%) patient complained of a persisting disturbance of taste in the questionnaire after unilateral and 3 (15%) after bilateral implantation. Specific testing showed in one case (5%) a unilateral taste disorder after ipsilateral cochlear implantation. Our data show that there is a higher risk for subjective vertigo after the second implantation. The occurrence of unilateral and/or bilateral vestibular dysfunction and the potential risk of taste disorder should be included in the risk counseling before bilateral cochlear implantation to increase patients' and medicolegal safety in the decision-making process.

Straightforward access to biocompatible poly(2-oxazoline)-coated nanomaterials by polymerization-induced self-assembly.

We report the synthesis of poly(2-ethyl-2-oxazoline)-based (PEtOx) nanoobjects by polymerization-induced self-assembly (PISA). First, well-defined PEtOx macromolecular chain transfer agents were synthesized by cationic ring-opening polymerization and click chemistry. The photoinitiated PISA of 2-hydroxypropyl methacrylate mediated by these PEtOx produced nanoobjects spanning the full range of core-shell morphologies. The nanoparticles exhibited high biocompatibility and stealth properties in vitro or in vivo, as well as thermoresponsive behavior.

Magnetic resonance imaging safety of the floating mass transducer.

HYPOTHESIS: The goals of this study are to observe 1.5-T magnetic resonance imaging (MRI)-related changes to the Vibrant Soundbridge floating mass transducer (FMT) magnetization, function, and position in different coupling modes within the middle ear; changes to middle ear structures; and effects on the transfer function to the inner ear. BACKGROUND: The MRI safety of implantable hearing devices is important in daily routine clinical care as well as in urgent care. METHODS: Nine FMTs were repeatedly investigated before and after MRI scanning. Changes in the position of the FMT (round window, incus, and stapes) and in the ossicular chain in temporal bones were estimated by microscopy, microendoscopy, and flat panel angiography. Functional investigations of the FMT in different coupling modes were done using laser Doppler vibrometry. RESULTS: Qualitative demagnetization could be ruled out in all specimens after up to 11 MRI scans. In FMT couplings to the long process of the incus (n = 18), positional changes were found in 5 temporal bones. A disarticulation or exarticulation of the ossicles was not observed. Mean laser Doppler vibrometry measurements showed MRI-related changes in the stapes velocity. In FMT couplings to the round window (n = 23), we observed a fixation-dependent influence of MRI scanning on the FMT position and mean transfer function. CONCLUSION: The functional integrity of the FMT was not significantly influenced after multiple MRI scans. Positional changes of the FMT within the middle ear are possible, but we observed no structural damage to middle ear structures. Effects on the transfer function are possible.

Stomatal frequency responses in hardwood-swamp vegetation from Florida during a 60-year continuous CO2 increase.

In a stomatal frequency analysis of leaf remains of Quercus nigra, Acer rubrum, Myrica cerifera, Ilex cassine, and Osmunda regalis that were preserved in precisely dated peat deposits of north-central Florida, the stomatal index decreased as a response to an atmospheric CO(2) increase from 310 ppmv to 370 ppmv over the past 60 years. The observations indicate that CO(2) responsiveness may occur in different canopy levels of hardwood-swamp vegetation. Apart from common woody plants, long-lived ferns of the undergrowth appear to be affected by CO(2) changes. Response rates are most pronounced in M. cerifera, I. cassine, and O. regalis. The potential of these species for quantifying past atmospheric CO(2) levels is assessed by a combined analysis of the well-dated buried leaf record and herbarium material collected during the past century. Leaf remains of the widely occurring species M. cerifera and I. cassine are concluded to be highly suitable for CO(2) reconstructions, by which the application range of the stomatal frequency proxy is extended into the warm-temperate to subtropical realm of North America.

Mid- to late-Holocene El Nino-Southern Oscillation dynamics reflected in the subtropical terrestrial realm.

High resolution pollen analysis of mid- to late-Holocene peat deposits from southwest Florida reveals a stepwise increase in wetland vegetation that points to an increased precipitation-driven fresh water flow during the past 5,000 years. The tight coupling between winter precipitation patterns in Florida and the strength of the El Niño-Southern Oscillation (ENSO) strongly suggests that the paleo-hydrology record reflects changes in ENSO intensity. A terrestrial subtropical record outside the Indo Pacific Warm Pool both documents ecosystem response to the known onset of modern-day ENSO periodicities, between approximately 7,000 and 5,000 years B.P., and subsequent ENSO intensification after 3,500 years B.P. The observed increases in "wetness" are sustained by a gradual rise in relative sea level that prevents a return to drier vegetation through natural succession.

Rapid atmospheric CO2 changes associated with the 8,200-years-B.P. cooling event.

By applying the inverse relation between numbers of leaf stomata and atmospheric CO2 concentration, stomatal frequency analysis of fossil birch leaves from lake deposits in Denmark reveals a century-scale CO2 change during the prominent Holocene cooling event that occurred in the North Atlantic region between 8,400 and 8,100 years B.P. In contrast to conventional CO2 reconstructions based on ice cores from Antarctica, quantification of the stomatal frequency signal corroborates a distinctive temperature-CO2 correlation. Results indicate a global CO2 decline of approximately 25 ppm by volume over approximately 300 years. This reduction is in harmony with observed and modeled lowering of North Atlantic sea-surface temperatures associated with a short-term weakening of thermohaline circulation.

Stomatal frequency adjustment of four conifer species to historical changes in atmospheric CO2.

The species-specific inverse relation between atmospheric CO(2) concentration and stomatal frequency for many woody angiosperm species is being used increasingly with fossil leaves to reconstruct past atmospheric CO(2) levels. To extend our limited knowledge of the responsiveness of conifer needles to CO(2) fluctuations, the stomatal frequency response of four native North American conifer species (Tsuga heterophylla, Picea glauca, Picea mariana, and Larix laricina) to a range of historical CO(2) mixing ratios (290 to 370 ppmV) was analyzed. Because of the specific mode of leaf development and the subsequent stomatal patterning in conifer needles, the stomatal index of these species was not affected by CO(2). In contrast, a new measure of stomatal frequency, based on the number of stomata per millimeter of needle length, decreased significantly with increasing CO(2). For Tsuga heterophylla, the stomatal frequency response to CO(2) changes in the last century is validated through assessment of the influence of other biological and environmental variables. Because of their sensitive response to CO(2), combined with a high preservation capacity, fossil needles of Tsuga heterophylla, Picea glauca, P. mariana, and Larix laricina have great potential for detecting and quantifying past atmospheric CO(2) fluctuations.