Cardiac events-free survival curves categorized by whether PIIINP level is higher (upper curve) or less (lower curve) than 5.09 (median value).

<p>Number of patients at risk during follow-up is indicated below the x axis.</p

Unadjusted and multivariate predictors of cardiac death and hospitalization.

<p>CI, confidence interval; HR, hazard ratio; NA, not applicable.</p><p>*adjusted for age, baseline LVEF, gender, hypertension, and body mass index.</p><p>Unadjusted and multivariate predictors of cardiac death and hospitalization.</p

Clinical Characteristics.

†<p>Group A (LVEDP <16 mmHg) versus Group C (LVEDP> 30 mmHg), <i>p</i><0.05 in <i>post hoc</i> analysis.</p>‡<p>Group B (LVEDP 16–30 mmHg) versus Group C, <i>p</i><0.05 in <i>post hoc</i> analysis.</p><p>ACEI, angiotensin converting enzyme inhibitor; ARB, angiotensin II receptor blocker; BP, blood pressure; LVEDP, left ventricular end-diastolic pressure; NYHA, New York Heart Association.</p><p>Clinical Characteristics.</p

Image_3_Sex Role Reversal and High Frequency of Social Polyandry in the Pheasant-Tailed Jacana (Hydrophasianus chirurgus).TIF

In a few species, males invest more than females in parental care while the females invest in mating competition and producing multiple broods for several mates. Species in the family Jacanidae are commonly used for studying this type of breeding system (called sex-role reversal), and previous studies found discrepancies and variation between species in the expected characteristics of reversed sex roles. Yet, a better understanding of sex role differences in breeding behavior in such species is crucial for disentangling possible evolutionary mechanisms leading to this peculiar breeding system. Sex-role reversal in the pheasant-tailed jacana Hydrophasianus chirurgus has been documented long time ago. Since the very early observation of this species, however, there was no attempt to provide a comprehensive and quantitative description of their breeding. This study aims to fill these knowledge gaps by investigating the sex role differences in the breeding behavior of pheasant-tailed jacanas, by observing and monitoring a breeding population in Taiwan. We focused on three main characteristics of sex-role reversal: (1) competition between females for access to males, such as agonistic and courtship behaviors, (2) polyandrous mating, and (3) male-only care. As expected, we found that females provide most of the territory defense toward conspecifics. Males also participated in agonistic behaviors, although less frequently than females. Furthermore, contrary to what was expected, we found that males spent more time than females on courtship behavior. Polyandrous females performed mating and laying sequentially with different mates but maintained the pair bonds simultaneously with multiple males. For the first time for the species, we could estimate that the average number of mates per female (i.e., degree of polyandry) was 2.4 and that at least 81.8% of the females in the population were polyandrous. Finally, our observations corroborated that brood care is predominantly provided by males, nevertheless females were also participating to some degree in brood attendance but never in direct care (i.e., brooding). This study highlights that some aspects of polyandrous breeding might deviate from stereotyped view on sex-role reversal, and stress the importance of further within species and comparative studies in order to fully understand the mechanisms leading to sex-role reversal.</p

The flow chart of patient selection process.

<p>The flow chart of patient selection process.</p

Conventional Two-dimensional and Doppler Echocardiographic Findings.

†<p>Group A versus Group C, p<0.05 in post hoc analysis.</p>‡<p>Group B versus Group C, p<0.05 in post hoc analysis.</p><p>A, late diastolic transmitral Doppler flow velocity; a′, late mitral annular diastolic velocity; DT, deceleration time; E, early diastolic transmitral Doppler flow velocity; eas, ratio e′/(a′ X s′); EDV, end diastolic volume; EF, ejection fraction; ESV, end systolic volume; e′, early mitral annular diastolic velocity; IVRT, isovolumic relaxation time; LA, left atrium; LV, left ventricular; MPI, myocardial performance index; s′, mitral annular systolic velocity.</p><p>Conventional Two-dimensional and Doppler Echocardiographic Findings.</p

Image_2_Sex Role Reversal and High Frequency of Social Polyandry in the Pheasant-Tailed Jacana (Hydrophasianus chirurgus).TIF

In a few species, males invest more than females in parental care while the females invest in mating competition and producing multiple broods for several mates. Species in the family Jacanidae are commonly used for studying this type of breeding system (called sex-role reversal), and previous studies found discrepancies and variation between species in the expected characteristics of reversed sex roles. Yet, a better understanding of sex role differences in breeding behavior in such species is crucial for disentangling possible evolutionary mechanisms leading to this peculiar breeding system. Sex-role reversal in the pheasant-tailed jacana Hydrophasianus chirurgus has been documented long time ago. Since the very early observation of this species, however, there was no attempt to provide a comprehensive and quantitative description of their breeding. This study aims to fill these knowledge gaps by investigating the sex role differences in the breeding behavior of pheasant-tailed jacanas, by observing and monitoring a breeding population in Taiwan. We focused on three main characteristics of sex-role reversal: (1) competition between females for access to males, such as agonistic and courtship behaviors, (2) polyandrous mating, and (3) male-only care. As expected, we found that females provide most of the territory defense toward conspecifics. Males also participated in agonistic behaviors, although less frequently than females. Furthermore, contrary to what was expected, we found that males spent more time than females on courtship behavior. Polyandrous females performed mating and laying sequentially with different mates but maintained the pair bonds simultaneously with multiple males. For the first time for the species, we could estimate that the average number of mates per female (i.e., degree of polyandry) was 2.4 and that at least 81.8% of the females in the population were polyandrous. Finally, our observations corroborated that brood care is predominantly provided by males, nevertheless females were also participating to some degree in brood attendance but never in direct care (i.e., brooding). This study highlights that some aspects of polyandrous breeding might deviate from stereotyped view on sex-role reversal, and stress the importance of further within species and comparative studies in order to fully understand the mechanisms leading to sex-role reversal.</p

Concentrations of N-terminal propeptide of type III procollagen in three groups of patients with acute coronary syndrome.

<p>Concentrations of N-terminal propeptide of type III procollagen in three groups of patients with acute coronary syndrome.</p

Image_5_Sex Role Reversal and High Frequency of Social Polyandry in the Pheasant-Tailed Jacana (Hydrophasianus chirurgus).TIFF

In a few species, males invest more than females in parental care while the females invest in mating competition and producing multiple broods for several mates. Species in the family Jacanidae are commonly used for studying this type of breeding system (called sex-role reversal), and previous studies found discrepancies and variation between species in the expected characteristics of reversed sex roles. Yet, a better understanding of sex role differences in breeding behavior in such species is crucial for disentangling possible evolutionary mechanisms leading to this peculiar breeding system. Sex-role reversal in the pheasant-tailed jacana Hydrophasianus chirurgus has been documented long time ago. Since the very early observation of this species, however, there was no attempt to provide a comprehensive and quantitative description of their breeding. This study aims to fill these knowledge gaps by investigating the sex role differences in the breeding behavior of pheasant-tailed jacanas, by observing and monitoring a breeding population in Taiwan. We focused on three main characteristics of sex-role reversal: (1) competition between females for access to males, such as agonistic and courtship behaviors, (2) polyandrous mating, and (3) male-only care. As expected, we found that females provide most of the territory defense toward conspecifics. Males also participated in agonistic behaviors, although less frequently than females. Furthermore, contrary to what was expected, we found that males spent more time than females on courtship behavior. Polyandrous females performed mating and laying sequentially with different mates but maintained the pair bonds simultaneously with multiple males. For the first time for the species, we could estimate that the average number of mates per female (i.e., degree of polyandry) was 2.4 and that at least 81.8% of the females in the population were polyandrous. Finally, our observations corroborated that brood care is predominantly provided by males, nevertheless females were also participating to some degree in brood attendance but never in direct care (i.e., brooding). This study highlights that some aspects of polyandrous breeding might deviate from stereotyped view on sex-role reversal, and stress the importance of further within species and comparative studies in order to fully understand the mechanisms leading to sex-role reversal.</p

Table_1_Sex Role Reversal and High Frequency of Social Polyandry in the Pheasant-Tailed Jacana (Hydrophasianus chirurgus).docx

In a few species, males invest more than females in parental care while the females invest in mating competition and producing multiple broods for several mates. Species in the family Jacanidae are commonly used for studying this type of breeding system (called sex-role reversal), and previous studies found discrepancies and variation between species in the expected characteristics of reversed sex roles. Yet, a better understanding of sex role differences in breeding behavior in such species is crucial for disentangling possible evolutionary mechanisms leading to this peculiar breeding system. Sex-role reversal in the pheasant-tailed jacana Hydrophasianus chirurgus has been documented long time ago. Since the very early observation of this species, however, there was no attempt to provide a comprehensive and quantitative description of their breeding. This study aims to fill these knowledge gaps by investigating the sex role differences in the breeding behavior of pheasant-tailed jacanas, by observing and monitoring a breeding population in Taiwan. We focused on three main characteristics of sex-role reversal: (1) competition between females for access to males, such as agonistic and courtship behaviors, (2) polyandrous mating, and (3) male-only care. As expected, we found that females provide most of the territory defense toward conspecifics. Males also participated in agonistic behaviors, although less frequently than females. Furthermore, contrary to what was expected, we found that males spent more time than females on courtship behavior. Polyandrous females performed mating and laying sequentially with different mates but maintained the pair bonds simultaneously with multiple males. For the first time for the species, we could estimate that the average number of mates per female (i.e., degree of polyandry) was 2.4 and that at least 81.8% of the females in the population were polyandrous. Finally, our observations corroborated that brood care is predominantly provided by males, nevertheless females were also participating to some degree in brood attendance but never in direct care (i.e., brooding). This study highlights that some aspects of polyandrous breeding might deviate from stereotyped view on sex-role reversal, and stress the importance of further within species and comparative studies in order to fully understand the mechanisms leading to sex-role reversal.</p