Daily monthly and seasonal variation in PSA levels and the association with weather parameters

International audienceProstate-specific antigen (PSA) levels have shown daily and seasonal variation, although data are conflicting regarding the season with higher PSA levels and the clinical relevance of this. We assessed the correlation of total PSA levels with meteorological data on a daily, weekly, monthly and seasonal basis. Data from 53 224 men aged 45-74 years, with an initial PSA <10.0ng/ml were correlated with temperature (oC), duration of bright sunshine (hours) and rainfall (mm). There was seasonal variation in PSA levels, with median PSA being higher in spring compared to other seasons (1.18 vs. 1.10ng/ml, p=0.004). Seasonal variation was not apparent when PSA levels were age-adjusted (p=0.112). Total PSA was not correlated with daily, weekly or monthly hours of sunshine, rainfall nor mean temperature. In contrast, age-adjusted PSA varied with weekday, with higher PSA levels on Thursday and Friday compared to other days (1.16 vs. 1.10ng/ml respectively). On multivariate analysis, only age predicted for PSA levels >3.0ng/ml. In conclusion, PSA levels did show seasonal variation although there was no direct correlation between PSA and any meteorological parameter. The degree of seasonal variation is small and the decision to proceed to prostate biopsy should be independent of season or weather parameters

Balancing the harms and benefits of early detection of prostate cancer

Background: The benefits of prostate cancer screening on an individual level remain unevaluated.Methods: Between 1993 and 1999, a total of 43,987 men, aged 55-74 years, were included in the intervention arm of the European Randomized Study of Screening for Prostate Cancer (ERSPC) section in the Netherlands, Sweden, and Finland. A total of 42,503 men, aged 55-74 years, were included in a clinical population in Northern Ireland. Serum prostate-specific antigen (PSA) &lt;20.0 ng/mL was measured in all men at study entry. All men were followed for prostate cancer incidence and causes of death until December 31, 2006.Results: The adjusted absolute difference in prostate cancer specific mortality between the intervention population and the clinical population increased with increasing PSA level at study entry, ie, 0.05 per 10,000 person-years for men who had a serum PSA level of 0.0-1.9 ng/mL and 8.8 per 10,000 person-years for men who had a serum PSA level of 10-19.9 ng/mL. To evaluate the risks of early detection, the number needed to investigate (NNI) and number needed to treat (NNT) to save 1 death from prostate cancer were calculated. Both NNI and NNT were higher for those who had lower PSA levels at study entry. The NNI was 24,642 men for patients who had a serum PSA level of 0.0-1.9 ng/mL and was 133 men for patients who had a serum PSA level of 10-19.9 ng/mL; the NNT was 724 men for patients who had a serum PSA level of 0.0-1.9 ng/mL and was 60 men for patients with a serum PSA level of 10-19.9 ng/mL.Conclusions: For men with a low serum PSA level, the benefits of aggressive investigation and treatment may be limited because they are associated with a large increase in cumulative incidence and potential overtreatment.<br/

A Brief Wellbeing Training Session Delivered by a Humanoid Social Robot: A Pilot Randomized Controlled Trial

Mental health and psychological distress are rising in adults, showing the importance of wellbeing promotion, support, and technique practice that is effective and accessible. Interactive social robots have been tested to deliver health programs but have not been explored to deliver wellbeing technique training in detail. A pilot randomised controlled trial was conducted to explore the feasibility of an autonomous humanoid social robot to deliver a brief mindful breathing technique to promote information around wellbeing. It contained two conditions: brief technique training (Technique) and control designed to represent a simple wait-list activity to represent a relationship-building discussion (Simple Rapport). This trial also explored willingness to discuss health-related topics with a robot. Recruitment uptake rate through convenience sampling was high (53%). A total of 230 participants took part (mean age = 29 years) with 71% being higher education students. There were moderate ratings of technique enjoyment, perceived usefulness, and likelihood to repeat the technique again. Interaction effects were found across measures with scores varying across gender and distress levels. Males with high distress and females with low distress who received the simple rapport activity reported greater comfort to discuss non-health topics than males with low distress and females with high distress. This trial marks a notable step towards the design and deployment of an autonomous wellbeing intervention to investigate the impact of a brief robot-delivered mindfulness training program for a sub-clinical population

Bullying and cyberbullying studies in the school-aged population on the island of Ireland : a meta-analysis

Background. Bullying research has gained a substantial amount of interest in recent years because of the implications for child and adolescent development. Aim and sample. We conducted a meta-analysis of traditional and cyberbullying studies in the Republic and North of Ireland to gain an understanding of prevalence rates and associated issues (particularly psychological correlates and intervention strategies) among young people (primary and secondary school students). Method. Four electronic databases were searched (PsychArticles, ERIC, PsychInfo and Education Research Complete) for studies of traditional bullying and cyberbullying behaviours (perpetrators, victims or both) published between January 1997 and April 2016. Results. Afinal sample of 39 articles fit our selection criteria.CMAsoftware was used to estimate a pooled prevalence rate for traditional/cyberbullying victimization and perpetration. A systematic review on the psychological impacts for all types of bullying and previously used interventions in an Irish setting is also provided. Conclusions. The results demonstrate the influence moderating factors (e.g., assessment tools, answer scale, time frame) have on reported prevalence rates. These results are discussed in light of current studies, and points for future research are considered

A Systematic Review of Genotype–Phenotype Correlation across Cohorts Having Causal Mutations of Different Genes in ALS

Amyotrophic lateral sclerosis is a rare and fatal neurodegenerative disease characterised by progressive deterioration of upper and lower motor neurons that eventually culminates in severe muscle atrophy, respiratory failure and death. There is a concerning lack of understanding regarding the mechanisms that lead to the onset of ALS and as a result there are no reliable biomarkers that aid in the early detection of the disease nor is there an effective treatment. This review first considers the clinical phenotypes associated with ALS, and discusses the broad categorisation of ALS and ALS-mimic diseases into upper and lower motor neuron diseases, before focusing on the genetic aetiology of ALS and considering the potential relationship of mutations of different genes to variations in phenotype. For this purpose, a systematic review is conducted collating data from 107 original published clinical studies on monogenic forms of the disease, surveying the age and site of onset, disease duration and motor neuron involvement. The collected data highlight the complexity of the disease&rsquo;s genotype&ndash;phenotype relationship, and thus the need for a nuanced approach to the development of clinical assays and therapeutics

Oral Glutamine Supplement Reduces Subjective Fatigue Ratings during Repeated Bouts of Firefighting Simulations

Wildland firefighting requires repetitive (e.g., consecutive work shifts) physical work in dangerous conditions (e.g., heat and pollution). Workers commonly enter these environments in a nonacclimated state, leading to fatigue and heightened injury risk. Strategies to improve tolerance to these stressors are lacking. Purpose: To determine if glutamine ingestion prior to and after consecutive days of firefighting simulations in the heat attenuates subjective ratings of fatigue, and evaluate if results were supported by glutamine-induced upregulation of biological stress responses. Methods: Participants (5 male, 3 female) ingested glutamine (0.15 g/kg/day) or a placebo before and after two consecutive days (separated by 24 h) of firefighter simulations in a heated chamber (35 degrees C, 35% humidity). Perceived fatigue and biological stress were measured pre-, post-, and 4 h postexercise in each trial. Results: Subjective fatigue was reduced pre-exercise on Day 2 in the glutamine group (p \u3c 0.05). Peripheral mononuclear cell expression of heat shock protein 70 (HSP70) and serum antioxidants were elevated at 4 h postexercise on Day 1 in the glutamine trial (p \u3c 0.05). Conclusions: Ingestion of glutamine before and after repeated firefighter simulations in the heat resulted in reduced subjective fatigue on Day 2, which may be a result of the upregulation of biological stress systems (antioxidants, HSPs). This response may support recovery and improve work performance

Vertical structure of subsurface marine heatwaves in a shallow nearshore upwelling system

Marine heatwaves (MHWs) are increasing in frequency and intensity globally and are among the greatest threats to marine ecosystems. However, limited studies have characterized subsurface MHWs, particularly in shallow waters. We utilized nearly two decades of full water-column (~ 10 m) observations from a unique automated profiler in central California to characterize, for the first time, the vertical structure of MHWs in a shallow nearshore upwelling system. We found MHWs have similar average durations and intensities across all depths, but there were ~ 17% more bottom MHW days than surface MHW days. Nearly one third of bottom MHWs occurred independently of surface MHWs, indicating that satellites miss a significant fraction of events. MHWs showed distinct seasonality with more frequent and intense events during the fall/winter when weak stratification allowed for MHWs to occupy a larger portion of the water column and persist longer. During summer, strong stratification limited the vertical extent of MHWs, leading to surface- and bottom-trapped events with shorter durations and intensities. Additionally, MHW initiation and termination across depths was consistently linked to anomalously low and high coastal upwelling, respectively. This study highlights the need for expansion of subsurface monitoring of MHWs globally amid a warming planet

Adiponectin reduces glomerular endothelial glycocalyx disruption and restores glomerular barrier function in a mouse model of type 2 diabetes

Adiponectin has vascular anti-inflammatory and protective effects. Although adiponectin protects against the development of albuminuria, historically, the focus has been on podocyte protection within the glomerular filtration barrier (GFB). The first barrier to albumin in the GFB is the endothelial glycocalyx (eGlx), a surface gel-like barrier covering glomerular endothelial cells (GEnCs). In diabetes, eGlx dysfunction occurs before podocyte damage; hence, we hypothesized that adiponectin could protect from eGlx damage to prevent early vascular damage in diabetic kidney disease (DKD). Globular adiponectin (gAd) activated AMPK signaling in human GEnCs through AdipoR1. It significantly reduced eGlx shedding and the TNF-α–mediated increase in syndecan-4 (SDC4) and MMP2 mRNA expression in GEnCs in vitro. It protected against increased TNF-α mRNA expression in glomeruli isolated from db/db mice and against expression of genes associated with glycocalyx shedding (namely, SDC4, MMP2, and MMP9). In addition, gAd protected against increased glomerular albumin permeability (Ps’alb) in glomeruli isolated from db/db mice when administered intraperitoneally and when applied directly to glomeruli (ex vivo). Ps’alb was inversely correlated with eGlx depth in vivo. In summary, adiponectin restored eGlx depth, which was correlated with improved glomerular barrier function, in diabetes