Early detection of cervical cancer in western Kenya: determinants of healthcare providers performing a gynaecological examination for abnormal vaginal discharge or bleeding.

BACKGROUND: In western Kenya, women often present with late-stage cervical cancer despite prior contact with the health care system. The aim of this study was to predict primary health care providers' behaviour in examining women who present with abnormal discharge or bleeding. METHODS: This was a cross-sectional survey using the theory of planned behaviour (TPB). A sample of primary health care practitioners in western Kenya completed a 59-item questionnaire. Structural equation modelling was used to identify the determinants of providers' intention to perform a gynaecological examination. Bivariate analysis was conducted to investigate the relationship between the external variables and intention. RESULTS: Direct measures of subjective norms (DMSN), direct measures of perceived behavioural control (DMPBC), and indirect measures of attitude predicted the intention to examine patients. Negative attitudes toward examining women had a suppressor effect on the prediction of health workers' intentions. However, the predictors of intention with the highest coefficients were the external variables being a nurse (ß = 0.32) as opposed to a clinical officer and workload of attending less than 50 patients per day (ß = 0.56). In bivariate analysis with intention to perform a gynaecological examination, there was no evidence that working experience, being female, having a lower workload, or being a private practitioner were associated with a higher intention to conduct vaginal examinations. Clinical officers and nurses were equally likely to examine women. CONCLUSIONS: The TPB is a suitable theoretical basis to predict the intention to perform a gynaecological examination. Overall, the model predicted 47% of the variation in health care providers' intention to examine women who present with recurrent vaginal bleeding or discharge. Direct subjective norms (health provider's conformity with what their colleagues do or expect them to do), PBC (providers need to feel competent and confident in performing examinations in women), and negative attitudes toward conducting vaginal examination accounted for the most variance. External variables in this study also contributed to the overall variance. As the model in this study could not explain 53% of the variance, investigating other external variables that influence the intention to examine women should be undertaken.

Spillover of an alien parasite reduces expression of costly behaviour in native host species.

Understanding the effects of invasive alien species (IAS) on native host-parasite relationships is of importance for enhancing ecological theory and IAS management. When IAS and their parasite(s) invade a guild, the effects of interspecific resource competition and/or parasite-mediated competition can alter existing native host-parasite relationships and the dependent biological traits such as native species' behaviour. We used a natural experiment of populations of native red squirrels Sciurus vulgaris that were colonized by the alien grey squirrel Sciurus carolinensis, comparing repeated measurements of red squirrel parasite infection and personality with those taken in sites where only the native species occurred. We explored two alternative hypotheses: (a) individual differences in personality traits (activity and/or sociability) of native red squirrel positively affect the probability of macroparasite spillover and thus the likelihood to acquire the alien's parasitic helminth Strongyloides robustus; (b) the combined effects of grey squirrel presence and parasite infection result in a reduction of costly personality traits (activity and/or exploration). Using data from 323 arena tests across three experimental (native species and IAS) and three control sites (only native species), we found negative correlations between native species' activity and infection with S. robustus in the sites invaded by the alien species. Activity was also negatively correlated with infection by its native helminth Trypanoxyuris sciuri but only when grey squirrels were present, while in the red-only sites there was no relationship of T. sciuri infection with any of the personality traits. Moreover, individuals that acquired S. robustus during the study reduced their activity after infection, while this was not the case for animals that remained uninfected. Our results show that parasite-mediated competition is costly, reducing activity in individuals of the native species, and altering the native host-native parasite relationships.

Triple pelvic osteotomy with a 12.5° and a 20° Slocum-type plate: A short-term prospective clinical pilot study in 38 dogs.

OBJECTIVE: To determine whether using 12.5° Slocum-like triple pelvic osteotomy (TPO) plates would create sufficient femoral head coverage and lower the occurrence of overrotation compared with using 20° TPO plates in dogs with hip dysplasia. STUDY DESIGN: Prospective clinical study. SAMPLE POPULATION: Thirty-five dogs with hip dysplasia (38 hips). METHODS: Nineteen hips were surgically treated with a custom-made Slocum-type 12.5° TPO plate, and these were matched to 19 hips surgically treated with a 20° commercial Slocum TPO plate. Hips were case matched according to size and breed. Ortolani sign, angles of subluxation and reduction, distraction index, and femoral head coverage (FHC) were compared between groups. Excessive coverage was defined as >80%. RESULTS: In the 12.5° group, FHC was ≥50% in all hips, with mean FHC (67%), gain (37%), and excessive coverage (11%) all significantly less than in the 20° group (79%, 54%, and 42%, respectively). CONCLUSION: The 12.5° plate produced sufficient FHC compared with the 20° plate, with fewer hips with excessive coverage. CLINICAL SIGNIFICANCE: The 12.5° TPO plate may result in sufficient FHC with a lower occurrence of excessive coverage compared with 20° plates.

Optimizing the Use of Zebrafish Feeding Trials for the Safety Evaluation of Genetically Modified Crops.

In Europe, the toxicological safety of genetically modified (GM) crops is routinely evaluated using rodent feeding trials, originally designed for testing oral toxicity of chemical compounds. We aimed to develop and optimize methods for advancing the use of zebrafish feeding trials for the safety evaluation of GM crops, using maize as a case study. In a first step, we evaluated the effect of different maize substitution levels. Our results demonstrate the need for preliminary testing to assess potential feed component-related effects on the overall nutritional balance. Next, since a potential effect of a GM crop should ideally be interpreted relative to the natural response variation (i.e., the range of biological values that is considered normal for a particular endpoint) in order to assess the toxicological relevance, we established natural response variation datasets for various zebrafish endpoints. We applied equivalence testing to calculate threshold equivalence limits (ELs) based on the natural response variation as a method for quantifying the range within which a GM crop and its control are considered equivalent. Finally, our results illustrate that the use of commercial control diets (CCDs) and null segregant (NS) controls (helpful for assessing potential effects of the transformation process) would be valuable additions to GM safety assessment strategies.

Associations among facial masculinity, physical strength, fluctuating asymmetry and attractiveness in young men and women.

BACKGROUND: Studies of the process of human mate selection and attractiveness have assumed that selection favours morphological features that correlate with (genetic) quality. Degree of masculinity/femininity and fluctuating asymmetry (FA) may signal (genetic) quality, but what information they harboured and how they relate to fitness is still debated. AIM: To study strength of associations between facial masculinity/femininity, facial FA, attractiveness and physical strength in humans. SUBJECTS AND METHODS: Two-hundred young males and females were studied by measuring facial asymmetry and masculinity on the basis of frontal photographs. Attractiveness was determined on the basis of scores given by an anonymous panel, and physical strength using hand grip strength. RESULTS: Patterns differed markedly between males and females and analysis method used (univariate vs multivariate). Overall, no associations between FA and attractiveness, masculinity and physical strength were found. In females, but not males, masculinity and attractiveness correlated negatively and masculinity and physical strength correlated positively. CONCLUSION: Further research into the differences between males and females in associations between facial morphology, attractiveness and physical strength is clearly needed. The use of a multivariate approach can increase our understanding of which regions of the face harbour specific information of hormone levels and perhaps behavioural traits.

When right differs from left: human limb directional asymmetry emerges during very early development.

The often observed directional asymmetry (DA) in human limb bones may have a genetic/developmental basis and/or could emerge from different mechanical loadings across sides due to handedness. Because behavioural lateralization in itself has a genetic basis, it has been suggested that DA in limbs could develop prenatally as a pre-adaptation to adult life. However, the presence of consistent differences in the size of left and right limb bones in early development is understudied. We study asymmetry in limb bones during early development (10-20 weeks of gestation) in a sample of 178 aborted foetuses. Statistically significant DA was found in several upper and lower limb bones, where the right-hand side was consistently larger than the left. We argue that this pattern is probably the consequence of developmental processes related to internal asymmetric positioning of organs.

Fluctuating asymmetry as risk marker for stress and structural defects in a toxicologic experiment.

Fluctuating asymmetry (the directionally random asymmetry of bilateral structures, FA) is commonly used as a measure of developmental instability, and may increase with stress. As several studies reported a relation between FA and developmental abnormalities, we investigate whether FA could be an additional perhaps more sensitive marker of developmental toxicity. The aim of this work is analyzing patterns of FA in multiple traits in a large dataset of rabbit fetuses, which were prenatally exposed to a toxic compound and sacrificed just before natural delivery. Gravid females were exposed to three doses of this compound, inducing abnormalities in the fetuses at the high dose only. The average FA, however, was already higher than control in rabbit fetuses of the low-dose group but did not further increase with higher concentrations. Moreover, the increase in FA differed between traits, with the hindlimbs showing the strongest response. In addition, we did not find any association between FA and the presence of fetal abnormalities at the individual level. Although these results suggest that FA may act as "an early warning system," we did not find a dose-response relationship with increasing stress and effects were trait-specific. Further testing is needed before FA may be considered as a sensitive marker in developmental toxicity studies.

Quantifying population structure on short timescales.

Quantifying the contribution of the various processes that influence population genetic structure is important, but difficult. One of the reasons is that no single measure appropriately quantifies all aspects of genetic structure. An increasing number of studies is analysing population structure using the statistic D, which measures genetic differentiation, next to G(ST) , which quantifies the standardized variance in allele frequencies among populations. Few studies have evaluated which statistic is most appropriate in particular situations. In this study, we evaluated which index is more suitable in quantifying postglacial divergence between three-spined stickleback (Gasterosteus aculeatus) populations from Western Europe. Population structure on this short timescale (10 000 generations) is probably shaped by colonization history, followed by migration and drift. Using microsatellite markers and anticipating that D and G(ST) might have different capacities to reveal these processes, we evaluated population structure at two levels: (i) between lowland and upland populations, aiming to infer historical processes; and (ii) among upland populations, aiming to quantify contemporary processes. In the first case, only D revealed clear clusters of populations, putatively indicative of population ancestry. In the second case, only G(ST) was indicative for the balance between migration and drift. Simulations of colonization and subsequent divergence in a hierarchical stepping stone model confirmed this discrepancy, which becomes particularly strong for markers with moderate to high mutation rates. We conclude that on short timescales, and across strong clines in population size and connectivity, D is useful to infer colonization history, whereas G(ST) is sensitive to more recent demographic events.

Fluctuating asymmetry and masculinity/femininity in humans: a meta-analysis.

Theory predicts that if particular morphological features correlate with "genetic" quality--i.e., mating with individuals bearing those characteristics increases fitness--selection favors preferences for these features. Both developmental instability (DI)--which emerges morphologically as small random deviations from perfect symmetry, i.e., fluctuating asymmetry (FA)--and sexually dimorphic traits due to variation in sex hormones, like facial masculinity and digit ratios, may reflect mate quality and/or relate to attractiveness. Therefore, FA and morphological expressions of sex hormones may represent interrelated measures/signals of individual quality. This article presents a meta-analysis of these associations, including 44 effect sizes from 16 studies. Mean effect size (Pearson correlation) was nearly zero (r = .04, SE = 0.05). Largest effect sizes occurred for the few studies measuring sex hormone levels directly. This result was, however, unexpected since there is little evidence that hormone levels determined at a single time point would accurately reflect masculinity/femininity. Facial masculinity/femininity, which contains information on the functioning of the endocrine system, did not relate to DI (average effect size: r = .01, SE = 0.04). In spite of a substantial body of literature, there is little evidence for a robust association between DI and sexual dimorphism. Nevertheless, estimates of average effect sizes in DI showed wide confidence intervals. It is, therefore, premature to draw general conclusions in any direction. Further research is clearly required both to study associations between DI and sexual dimorphic morphological traits and the link between these dimorphic traits and levels of reproductive hormones.

Modelling of South African Hypertension: Comparative Analysis of the Classical and Bayesian Quantile Regression Approaches.

Hypertension has become a major public health challenge and a crucial area of research due to its high prevalence across the world including the sub-Saharan Africa. No previous study in South Africa has investigated the impact of blood pressure risk factors on different specific conditional quantile functions of systolic and diastolic blood pressure using Bayesian quantile regression. Therefore, this study presents a comparative analysis of the classical and Bayesian inference techniques to quantile regression. Both classical and Bayesian inference techniques were demonstrated on a sample of secondary data obtained from South African National Income Dynamics Study (2017-2018). Age, BMI, gender male, cigarette consumption and exercises presented statistically significant associations with both SBP and DBP across all the upper quantiles (τ∈{0.75,0.95}). The white noise phenomenon was observed on the diagnostic tests of convergence used in the study. Results suggested that the Bayesian approach to quantile regression reveals more precise estimates than the frequentist approach due to narrower width of the 95% credible intervals than the width of the 95% confidence intervals. It is therefore suggested that Bayesian approach to quantile regression modelling to be used to estimate hypertension.

Predictors of individual performance and evolutionary potential of life-history traits in a hematophagous ectoparasite.

Little is known about the intraspecific variation of parasite life-history traits and how this variation may affect parasite fitness and evolution. We investigated how life-history traits predict success of individual tree-hole ticks Ixodes arboricola and estimated their evolutionary potential, as well as genetic correlations within stages and phenotypic correlations within and across stages. Ticks were followed individually over two generations while allowed to feed on great tits Parus major. After accounting for host and tick maternal effects, we found that short feeding times and high engorgement weights strongly increased molting success. Molting time was also positively correlated with feeding success in adults. In larvae and nymphs, we found negative phenotypic correlations between engorgement weight and both feeding and molting time, the latter supported by a negative genetic correlation. We found sex-related differences in feeding time (longer in male nymphs) and molting time (longer in male larvae but shorter in male nymphs). Also, time since the last feeding event (set experimentally) reduced larval and nymphal fitness, whereas it increased adult female fitness. Furthermore, we found significant heritability and evolvability, that is, the potential to respond to selection, for engorgement weight and molting time across all stages but no significant heritability for feeding time. Our findings suggest that variation in tick fitness is shaped by consistent individual differences in tick quality, for which engorgement weight is a good proxy, rather than by life-history trade-offs.

The contribution of teacher, parental and peer support in self-reported school and general well-being among ethnic-cultural minority and majority youth.

Social support has been shown to be a crucial element in the well-being of children and adolescents. The present research article investigated how various sources of social support (i.e., parental support, teacher support and peer support) are related to school well-being and general well-being,. A survey was administered to N = 12,215 primary school pupils, pertaining to three ethnic-cultural groups, i.e., the national majority group, the Eastern European minority group and the Middle Eastern minority group. The results showed that perceived teacher support was most strongly and positively related to school well-being, although peer support was also an important determinant of school well-being. All three sources of perceived support were positively related to general well-being. Furthermore, and contrary to previous research, no significant differences were found between both minority groups and the national majority in terms of perceived teacher support. Conversely, both minority groups reported lower perceived parental and peer support. It was further shown that minority status moderated the relationship between the various sources of support and school well-being, although it should be articulated that these effects sizes were fairly small. School diversity, finally, did not yield any relevant effects. Similarities and differences with the existing literature on school well-being are delineated, and potential explanations for these divergences are discussed.

Modelling of South African Hypertension: Application of Panel Quantile Regression.

Hypertension is one of the crucial risk factors for morbidity and mortality around the world, and South Africa has a significant unmet need for hypertension care. This study aims to establish the potential risk factors of hypertension amongst adults in South Africa attributable to high systolic and diastolic blood pressure over time by fitting panel quantile regression models. Data obtained from the South African National Income Dynamics Study (NIDS) Household Surveys carried out from 2008 to 2018 (Wave 1 to Wave 5) was employed to develop both the fixed effects and random effects panel quantile regression models. Age, BMI, gender (males), race, exercises, cigarette consumption, and employment status were significantly associated with either one of the BP measures across all the upper quantiles or at the 75th quantile only. Suggesting that these risk factors have contributed to the exacerbation of uncontrolled hypertension prevalence over time in South Africa.

Frequency-dependent variation in mimetic fidelity in an intraspecific mimicry system.

Contemporary theory predicts that the degree of mimetic similarity of mimics towards their model should increase as the mimic/model ratio increases. Thus, when the mimic/model ratio is high, then the mimic has to resemble the model very closely to still gain protection from the signal receiver. To date, empirical evidence of this effect is limited to a single example where mimicry occurs between species. Here, for the first time, we test whether mimetic fidelity varies with mimic/model ratios in an intraspecific mimicry system, in which signal receivers are the same species as the mimics and models. To this end, we studied a polymorphic damselfly with a single male phenotype and two female morphs, in which one morph resembles the male phenotype while the other does not. Phenotypic similarity of males to both female morphs was quantified using morphometric data for multiple populations with varying mimic/model ratios repeated over a 3 year period. Our results demonstrate that male-like females were overall closer in size to males than the other female morph. Furthermore, the extent of morphological similarity between male-like females and males, measured as Mahalanobis distances, was frequency-dependent in the direction predicted. Hence, this study provides direct quantitative support for the prediction that the mimetic similarity of mimics to their models increases as the mimic/model ratio increases. We suggest that the phenomenon may be widespread in a range of mimicry systems.

Analysis of cervical ribs in a series of human fetuses.

In humans, an increasing body of evidence has linked the frequency of cervical ribs to stillbirths, other malformations and early childhood cancers. However, the frequency of cervical ribs in a putatively healthy fetal population is not sufficiently known to assess the actual medical risks of these prenatal findings. We therefore analyzed the presence of skeletal anomalies in a series of 199 electively aborted fetuses, which were whole-mount stained with alizarin red specific for skeletal tissues. Results show that approximately 40% of the fetuses had cervical ribs, even though external congenital abnormalities such as craniofacial and limb defects were absent. A literature overview indicates that the observed frequency of cervical ribs is comparable to results previously obtained for deceased fetuses with no or minor congenital anomalies, and higher than expected for healthy fetuses. This unexpected result can probably in part be explained by a higher detection rate of small cervical ribs when using alizarin red staining instead of radiographs. Additionally, studies in the literature suggest that the size of a cervical rib may indicate the severity of abnormalities, but this possibility requires further research. Anomalies of the axial skeleton are known to be caused by a disturbance of early development, which alters Hox gene expression, but in this study the origin of the stress could not be verified as maternal medical data were not available. The co-occurrence of rudimentary or absent 12th ribs in 23.6% of the cases with cervical ribs indicates that in approximately 8% of the fetuses a homeotic shift occurred over a larger part of the vertebral column. This suggests that the expression of multiple Hox genes may have been affected in these fetuses. Together, the high incidence of cervical ribs and also their co-occurrence with rudimentary or absent 12th ribs suggests that there may have been a disturbance of early development such that the studied fetuses are probably not informative about the general population. Future studies determining the frequency of cervical ribs in a more healthy fetal population are therefore needed to evaluate their potential as an indicator of medical risks.

Associations between asymmetry and human attractiveness: Possible direct effects of asymmetry and signatures of publication bias.

BACKGROUND: Fluctuating asymmetry (FA), reflecting developmental instability (DI), may honestly signal individual quality and relate to human attractiveness and measures of sexual behaviour. The evolutionary importance of these associations, however, critically depends on the role of DI in driving these correlations. A direct effect of FA reduces the role of DI. AIM: To explore the direct effects of FA in determining human attractiveness, comparing the strength of associations whether the asymmetries could be observed during the attractiveness ratings or not. SUBJECTS AND METHODS: Literature search and meta-analysis. RESULTS: This study found indications for such a direct role through stronger associations between FA and physical attractiveness when asymmetries are visible. Furthermore, a substantial publication bias emerged and correcting for it resulted in a reduction of 30-50% in effect sizes. When considering the few relatively large with sample size over 100 only, effect sizes were nearly zero. CONCLUSION: The current literature likely overstates the evolutionary importance of asymmetry in determining human (physical) attractiveness. This study discusses the possible consequences for presumed associations between DI and human sexual behaviour and fitness.

Blinded by the Light: Artificial Light Lowers Mate Attraction Success in Female Glow-Worms (Lampyris noctiluca L.).

Nocturnal light pollution from anthropogenic origin is increasing worldwide and is recognised as a major threat for nocturnal biodiversity. We studied the impact of artificial light on the mate attraction success of female common glow-worms (Lampyris noctiluca L.) by daily monitoring their glowing status in the field, acting as a proxy for mating status throughout the mating season. We found that females in dark surroundings typically stopped glowing after one night, indicating that they had mated, while females in illuminated areas glowed for significantly more nights, in some cases up to 15 nights. Our study confirms previous findings and hypotheses that females exposed to artificial light suffer from a reduced mate attraction success with a negative impact on populations.

Morphology-based diagnostics of "protodogs." A commentary to Galeta et al., 2021, Anatomical Record, 304, 42-62, doi: 10.1002/ar.24500.

In a recent article in this journal, Galeta et al., (2020) discussed eight Pleistocene "protodogs" and seven Pleistocene wolves. Those "protodogs" had been diagnosed in earlier publications, based on skull morphology. We re-examined the Galeta et al. paper to offer comments on their observed outcomes, and the conclusion of presumed domestication. Of seven metrics that the authors used, five differed statistically between their two groups. However, from more elaborate studies, some of those same metrics had been rejected previously as not valid species-distinguishing traits. In this respect, we do accept cranium size and wider palate as species-distinguishing metrics. The physical size of their specimens was much larger than other archaeological specimens that have been accepted as dogs. Additionally, their sample size was small, compared to the number of available specimens, as shown from previous publications by the same group. Thus, we considered statistical differences that were found between groups in their study, and assessed whether the outcomes could have resulted from natural morphological variation. We examined a group of 73 dire wolves ((Aenocyon [Canis] dirus; Perri et al., 2021), using the same methods as used by Galeta et al., (2020). We could segregate two distinct morphological groups in our study, one having outcomes that were identical to the "protodogs" in Galeta et al. (2020). For the specimens of extinct dire wolves to segregate in the same way as the subjects from Galeta et al. indicates that natural variation probably was the driver of their observed outcomes, domestication being an unlikely assumption.

Effects of Male Facial Masculinity on Perceived Attractiveness.

Studies suggest that high levels of masculinity in men can be a signal of 'better genes' as well as low parental investment. It is the trade-off between these two qualities that has led to the hypothesis that women's preferences for male masculinity are condition-dependent, yet, not all studies support this hypothesis. In addition, there is evidence that more average faces would be perceived as more attractive. Here we study the variation in masculinity preferences of a cohort of heterosexual women (n=769), using manipulated 3D faces of male subjects. We used linear mixed models to test for effects of various covariates such as relationship status, use of hormonal contraception, sociosexual orientation and self-perceived attractiveness on preference for masculinity. Our results show that women's sociosexual orientation has a positive correlation with masculinity preference while using hormonal contraception decreases this preference. None of the other covariates displayed any significant effect on masculinity preference. The initial level of masculinity of the faces (very low, low, average, high and very high) was also shown to affect this preference, where we found a significant preference for higher masculinity in the very low and average group, while no preference was found in the other groups. Our findings support the notion that condition-dependent variables have very small effects, if any, on women's preference for masculinity in men.

Fluctuating Asymmetry and Sexual Dimorphism in Human Facial Morphology: A Multi-Variate Study.

BACKGROUND: Fluctuating asymmetry is often used as an indicator of developmental instability, and is proposed as a signal of genetic quality. The display of prominent masculine phenotypic features, which are a direct result of high androgen levels, is also believed to be a sign of genetic quality, as these hormones may act as immunosuppressants. Fluctuating asymmetry and masculinity are therefore expected to covary. However, there is lack of strong evidence in the literature regarding this hypothesis. MATERIALS AND METHODS: In this study, we examined a large dataset of high-density 3D facial scans of 1260 adults (630 males and 630 females). We mapped a high-density 3D facial mask onto the facial scans in order to obtain a high number of quasi-landmarks on the faces. Multi-dimensional measures of fluctuating asymmetry were extracted from the landmarks using Principal Component Analysis, and masculinity/femininity scores were obtained for each face using Partial Least Squares. The possible correlation between these two qualities was then examined using Pearson's coefficient and Canonical Correlation Analysis. RESULTS: We found no correlation between fluctuating asymmetry and masculinity in men. However, a weak but significant correlation was found between average fluctuating asymmetry and masculinity in women, in which feminine faces had higher levels of fluctuating asymmetry on average. This correlation could possibly point to genetic quality as an underlying mechanism for both asymmetry and masculinity; however, it might also be driven by other fitness or life history traits, such as fertility. CONCLUSIONS: Our results question the idea that fluctuating asymmetry and masculinity should be (more strongly) correlated in men, which is in line with the recent literature. Future studies should possibly focus more on the evolutionary relevance of the observed correlation in women.