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Biology subjects

Kankova, S.

Publications and source records attributed to Kankova, S..

3 recordsLinked to original sources

Perinatal outcomes, maternal age, parity and fetal sex - searching for the \"optimal\" maternal age

BackgroundMaternal age, parity and fetal sex are each known to affect obstetric and birth outcomes. The objective of the present study was to investigate the influence of the combination of maternal age, parity and fetal sex on outcomes of pregnancies._The aim of the study was to analyze the influence of maternal age on perinatal outcomes in both primiparous and multiparous women with different fetal sex.\n\nMethodsThe cross-sectional study was performed on data from 11,780 women, who have given birth at the General University Hospital in Prague, Czech Republic between 2008-2012.\n\nResultsMaternal age significantly (P<0.01) influenced pregnancy weight gain, duration of pregnancy, birth weight and birth length. Primiparous women with female newborns aged [&le;]19 had higher rates of preterm delivery than comparable women 20-39 (P=0.012). Similarly, women with male newborns aged [&ge;]40 had higher rates of preterm delivery than comparable women 20-39 (P=0.003). Women aged [&le;]24 expressed higher rates of low birth weight than women aged >24 (P<0.001), regardless of parity and fetal sex. The older ([&ge;]35) primiparous women with male newborns expressed a higher incidence of macrosomia (P=0.021) compared to other groups of women. The probability of caesarean delivery increased with age (P<0.001) and it was significantly affected by the parity and sex of the newborn with higher rates of caesarean section in primiparous women as well as in mothers carrying male fetuses.\n\nConclusionsOur results indicate that \"optimal\" maternal age without obstetrics and birth complications is 25-34 years, older age is associated with increased complications with a male fetus, especially in primiparous women. Our data suggests that not just the age of women, but the combination of age, parity, and fetal sex should be taken into consideration during assessment of health risks of pregnancy.

epidemiology

Lower performance of Toxoplasma-infected, Rh-negative subjects in the weight holding and hand-grip tests

Toxoplasma, a protozoan parasite of cats, infects many species of intermediate and paratenic hosts, including about one-third of humans worldwide. After a short phase of acute infection, the tissue cysts containing slowly dividing bradyzoites are formed in various organs and toxoplasmosis proceeds spontaneously in its latent form. In immunocompetent subjects, latent toxoplasmosis was considered asymptomatic. However, dozens of studies performed on animals and humans in the past twenty years have shown that it is accompanied by a broad spectrum of specific behavioural, physiological and even morphological changes. In human hosts, the changes often go in the opposite direction in men and women, and are mostly weaker or non-existent in Rh-positive subjects. Here, we searched for the indices of lower endurance of the infected subjects by examining the performance of nearly five hundred university students tested for toxoplasmosis and Rh phenotype in two tests, a weight holding test and a grip test. The results confirmed the existence of a negative association of latent toxoplasmosis with the performance of students, especially Rh-negative men, in these tests. Surprisingly, but in an accordance with some already published data, Toxoplasma-infected, Rh-positive subjects expressed a higher, rather than lower, performance in our endurance tests. Therefore, the results only partly support the hypothesis for the lower endurance of Toxoplasma infected subjects as the performance of Rh-positive subjects (representing majority of population) correlated positively with the Toxoplasma infection.

pathology

Effects of latent toxoplasmosis on olfactory functions of men and women

The prevalence of toxoplasmosis is higher in schizophrenics than in the general population. It has been suggested that certain symptoms of schizophrenia, including changes in olfactory functions, are in fact symptoms of toxoplasmosis that can be easily detected in schizophrenics only due to the increased prevalence of toxoplasmosis in this population. Schizophrenics have impaired identification of odors and lower sensitivity of odor detection. Here we searched for differences in olfactory functions between 62 infected and 61 noninfected non-schizophrenic subjects. The infected men scored better in the standard odor-identification test. The infected women rated all smells as more intensive while the infected men rated nearly all smells as less intensive. Infected women rated the pleasantness of the smell of undiluted cat urine as higher than the non-infected women and the opposite was true for the men (the opposite direction shifts in men and women were described earlier for highly diluted cat urine). Toxoplasmosis had no effect on the rated pleasantness of the smell of other stimuli. Our results suggest that latent toxoplasmosis is associated with changes in the olfactory functions in humans; however, the observed changes differ from those observed in schizophrenics.\n\nKey findingsO_LIInfected men but not women show better odor identification ability than the non-infected controls.\nC_LIO_LIThe infected women rated all smells as more and men as less intensive than the controls.\nC_LIO_LIThe infected women rated smell of cat urine as more and men as less pleasurable than the controls.\nC_LIO_LIToxoplasmosis had no effect on the rated pleasantness of the smell of other stimuli.\nC_LIO_LIWe found no new evidence for the toxoplasmosis hypothesis of schizophrenia.\nC_LI

animal behavior and cognition