An exploratory study on the association between serotonin and sleep breathing disorders

This exploratory observational study aimed to evaluate whether the blood levels of serotonin and enzymes involved in serotonin synthesis are associated with sleep breathing parameters. A total of 105 patients were included in this study, who were subjected to single-night polysomnography with simultaneous audio-video recordings. Peripheral blood samples were collected to estimate the serum levels of serotonin, tryptophan hydroxylase 1 (TPH1), and aromatic l-amino acid decarboxylase (AADC). Results showed a negative correlation between blood serotonin levels, and oxygen desaturation index (ODI) (p = 0.027), central apnea (p = 0.044) and obstructive apnea (OA) (p = 0.032) scores. Blood TPH1 levels were negatively correlated with average (p = 0.003) and minimal saturation (p = 0.035) and positively correlated with apnea-hypopnea index (p = 0.010), OA (p = 0.049), and hypopnea index (p = 0.007) scores. A tendency to sleep-disordered breathing seemed to co-occur with lower blood serotonin and higher TPH1 levels.Clinical Trial Registration : www.ClinicalTrials.gov , identifier NCT04214561.

An Artificial Intelligence Approach to Guiding the Management of Heart Failure Patients Using Predictive Models: A Systematic Review

Heart failure (HF) is one of the leading causes of mortality and hospitalization worldwide. The accurate prediction of mortality and readmission risk provides crucial information for guiding decision making. Unfortunately, traditional predictive models reached modest accuracy in HF populations. We therefore aimed to present predictive models based on machine learning (ML) techniques in HF patients that were externally validated. We searched four databases and the reference lists of the included papers to identify studies in which HF patient data were used to create a predictive model. Literature screening was conducted in Academic Search Ultimate, ERIC, Health Source Nursing/Academic Edition and MEDLINE. The protocol of the current systematic review was registered in the PROSPERO database with the registration number CRD42022344855. We considered all types of outcomes: mortality, rehospitalization, response to treatment and medication adherence. The area under the receiver operating characteristic curve (AUC) was used as the comparator parameter. The literature search yielded 1649 studies, of which 9 were included in the final analysis. The AUCs for the machine learning models ranged from 0.6494 to 0.913 in independent datasets, whereas the AUCs for statistical predictive scores ranged from 0.622 to 0.806. Our study showed an increasing number of ML predictive models concerning HF populations, although external validation remains infrequent. However, our findings revealed that ML approaches can outperform conventional risk scores and may play important role in HF management.

Lower serotonin levels in severe sleep bruxism and its association with sleep, heart rate, and body mass index

BACKGROUND

Sleep bruxism (SB) is a complex behaviour that seems to be associated with the serotoninergic pathway.

OBJECTIVES

This exploratory research aimed to evaluate the levels of serotonin in individuals with sleep bruxism diagnosed by video polysomnography. The study also evaluated whether the levels of serotonin were associated with body mass index, heart rate, and sleep parameters.

METHODS

The study participants were adults hospitalised in the Department and Clinic of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology at the Wroclaw Medical University. They underwent a single-night video polysomnography during which sleep and SB parameters and heart rate were evaluated. Additionally, body mass index and blood serotonin levels were evaluated for each patient.

RESULTS

A total of 105 patients were included in this study (80 women and 25 men). All the patients were Caucasians aged 18-63 years, with a mean age ± (standard deviation) of 33.43± 10.8 years. Seventy-five patients (71.43%) presented sleep bruxism (bruxism episodes index ≥2) and 30 (28.57%) did not. Fifty patients (47.62%) presented severe sleep bruxism (bruxism episodes index >4). The results showed that lower blood serotonin levels were associated with severe sleep bruxism; increased bruxism episodes index, rapid eye movement sleep, and body mass index; and decreased maximal pulse.

CONCLUSION

Severe sleep bruxism and the associated phenomena seem to co-occur with lower blood serotonin levels. The study supports the hypothesis on the relationship between the serotoninergic pathway and sleep bruxism.

Is sleep bruxism related to the levels of enzymes involved in the serotonin synthesis pathway?

OBJECTIVES

This exploratory research aimed to evaluate the levels of tryptophan hydroxylase 1 (TPH1) and aromatic l-amino acid decarboxylase (DDC), which play an important role in the serotonin synthesis pathway, in individuals with sleep bruxism (SB) diagnosed using audio-video polysomnography (vPSG) and compare them with that of individuals not presenting with SB.

MATERIALS AND METHODS

The study included adult patients hospitalized in the Department and Clinic of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology at the Wroclaw Medical University. The participants underwent a single-night vPSG for the evaluation of the SB parameters. Peripheral blood samples were also collected from them for estimating the serum levels of TPH1 and DDC.

RESULTS

A total of 105 patients (80 women and 25 men) were included in the study. All the patients were Caucasians and aged 18-63 years (mean age: 33.43 ± 10.8 years). Seventy-five patients (71.43%) presented with SB, of which 50 (47.62%) had severe SB, while the remaining 30 patients (28.57%) did not. No statistically significant differences in TPH1 and DDC levels were observed between the individuals with SB and without SB. A significant negative correlation was found between tonic SB episodes and DDC levels (p = 0.0012). Other correlations between the SB parameters and the levels of the studied enzymes were statistically insignificant (p > 0.05 for all comparisons).

CONCLUSIONS

The levels of the enzymes that are crucial for serotonin synthesis (TPH1 and DDC) did not seem to influence SB.

CLINICAL RELEVANCE

This study provides important insights for further research on the relationship between the serotonin pathway and SB, which should take into account not only the process of serotonin synthesis but also the effect of serotonin-dependent neurotransmission on SB.

Patterns of synthetic cathinones use and their impact on depressive symptoms and parafunctional oral behaviors

OBJECTIVES

The objective of the study wasto determine the impact of synthetic cathinonesusage on depressive symptoms and oral behaviors among recreational users.

METHODS

Users of online drugs-related forums were asked to fill in a questionnaire via Google Forms Platform. The questionnaire contained questions about patterns of drugs use, the Beck Depression Inventory II, the Oral Behaviors Checklist (OBC), and questions about basic demographic data (age, gender).

RESULTS

150 participants (75 in the study group, 75 in the control group) took part in the study. In the study group (aged 15-28), all participants used cathinones and other psychoactive substances. 42 participants used cathinones during last month. Statistical analysis showed a correlation between amount of drugs types used and level of depressive symptoms for both groups (study group and control group), as well as a statistically significantly higher mean value of the OBC scores in a group of cathinones users than in controls. Correlation between the BDI-II and OBC results was statistically significant for both the study and control groups.

CONCLUSIONS

Considering easy access to synthetic cathinones, widely spread intoxications and young age of participants of this survey the subject needs to be widely researched. Psychoactive substances can predispose to development of depression and various forms of parafunctional oral behaviors.

Demographic and health characteristics of 3,4-methylenedioxymethamphetamine users (MDMA, ecstasy)

OBJECTIVES

MDMA is one of the most commonly used drugs in the world. Clinical studies are currently being conducted around the world on the use of this substance in the treatment of PTSD and alcoholism. However, little demographic information is available on users who use the substance for recreational purposes. The aim was to determine basic demographic and helath characteristics with validated tools.

METHODS

The authors prepared an original questionnaire on the demography of MDMA users and combined it with the General Health Questionnaire-28 (GHQ-28) and the Hospital Anxiety and Depression Scale (HADS). The survey was sent to Polish MDMA users via the Internet.

RESULTS

304 responses were received from people over 18 years of age. MDMA is widespread among young adults, in many different places of residence and regardless of gender. The users take MDMA in both pill and crystal form and very rarely test drugs bought from a dealer. Most users feel that MDMA has had a good impact on their lives.

CONCLUSIONS

MDMA is rarely used as the only psychoactive substance. MDMA users rate their health higher than people using other psychoactive substances.

Genetic basis of sleep bruxism and sleep apnea-response to a medical puzzle

Sleep bruxism (SB) and obstructive sleep apnea (OSA) are co-occurring sleep conditions. The study aimed to evaluate the association of selected single-nucleotide polymorphisms (SNPs) occurring within the genes of the serotonin and dopamine pathways in SB and OSA and investigate the relationship between them. The study group included 100 Caucasian patients. SB and OSA were diagnosed in 74 and 28 patients, respectively. In addition, 125 unrelated Caucasian healthy blood donors served as randomly selected controls to enable comparison of polymorphisms. The following SNPs were analyzed: rs2770304 and rs6313 within the serotonin receptor encoding gene (HTR2A), rs4680 polymorphism of the catechol-O-methyltransferase (COMT) gene, and rs686 within the dopamine receptor (DRD1) encoding gene. The prevalence of the DRD1 rs686 G variant (GG homozygosity) was found to be high in the study group compared to the control group. Bruxism episode index (BEI) was found to be significantly increased in the HTR2A rs6313 TT homozygotes compared to the heterozygous patients. Moreover, within a group of the HTR2A rs2770304 TT homozygous cases, a statistically significant correlation was observed between BEI and apnea-hypopnea index. These results indicate that DRD1 rs686 may potentially affect predisposition to SB, that HTR2A rs6313 SNP may be involved in SB pathogenesis, and that HTR2A rs2770304 polymorphism might contribute to the association between SB and OSA. This suggests a possible genetic contribution to the etiology of primary SB.

Bond strength of modern self-adhesive resin cements to human dentin and different CAD/CAM ceramics

Purpose: The aim of the study was to evaluate the shear bond strength of CAD/CAM ceramics to dentin after cementation with conventional or self-adhesive resin cements. Methods: Three self-adhesive, self-etching cements (Panavia SA, RelyX U200, Maxcem Elite), and one conventional cement (Panavia V5), were selected to lute three CAD/CAM ceramics (IPS Empress CAD, IPS e.max CAD, IPS e.max ZirCAD) onto the dentin. The bond strength was evaluated using a shear strength test according to the PN-EN ISO 29022:2013-10. Evaluation of the differences was performed using the Statistica software. Failure modes were analyzed using a light microscope. Results: All the studied cements differed (regardless of the ceramic type) in the bond strength. The highest bond strength was observed in Panavia V5, lower – in RelyX U200 and Panavia SA, and the lowest – in Maxcem. For IPS e.max ZirCAD, it was observed that compared to Panavia V5, the other cements were characterized by a significantly higher bond strength. For the IPS Empress CAD and the IPS e.max CAD, Panavia V5 displayed the highest bond strength. For all the studied self-adhesive cements, the failure of adhesion between the cement and dentin was predominant mode. Conclusions: Significant differences were found in the shear bond strengths of the CAD/CAM ceramics luted to dentin using tested self-adhesive and conventional cements. The bond strength depended on the combination of ceramic and cement. The IPS e.max ZirCAD had the highest bond strength to dentin after cementation with RelyX U200, while the IPS Empress CAD and IPS e.max CAD – with Panavia V5.

Bond strength of modern self-adhesive resin cements to human dentin and different CAD/CAM ceramics

PURPOSE

The aim of the study was to evaluate the shear bond strength of CAD/CAM ceramics to dentin after cementation with conventional or self-adhesive resin cements.

METHODS

Three self-adhesive, self-etching cements (Panavia SA, RelyX U200, Maxcem Elite), and one conventional cement (Panavia V5), were selected to lute three CAD/CAM ceramics (IPS Empress CAD, IPS e.max CAD, IPS e.max ZirCAD) onto the dentin. The bond strength was evaluated using a shear strength test according to the PN-EN ISO 29022:2013-10. Evaluation of the differences was performed using the Statistica software. Failure modes were analyzed using a light microscope.

RESULTS

All the studied cements differed (regardless of the ceramic type) in the bond strength. The highest bond strength was observed in Panavia V5, lower - in RelyX U200 and Panavia SA, and the lowest - in Maxcem. For IPS e.max ZirCAD, it was observed that compared to Panavia V5, the other cements were characterized by a significantly higher bond strength. For the IPS Empress CAD and the IPS e.max CAD, Panavia V5 displayed the highest bond strength. For all the studied self-adhesive cements, the failure of adhesion between the cement and dentin was predominant mode.

CONCLUSIONS

Significant differences were found in the shear bond strengths of the CAD/CAM ceramics luted to dentin using tested self-adhesive and conventional cements. The bond strength depended on the combination of ceramic and cement. The IPS e.max ZirCAD had the highest bond strength to dentin after cementation with RelyX U200, while the IPS Empress CAD and IPS e.max CAD - with Panavia V5.

Is Increased Facial Asymmetry Associated With The Use Of Hormonal Contraceptive Among Polish Young Women In Wroclaw?

Fluctuating asymmetry (FA) is the small random deviations from a perfect bilateral symmetry in a morphological trait. It is considered as an indicator of biological quality and developmental stability of individual. Adverse environmental conditions and high levels of sex steroids may increase FA. Symmetry in women was found to be related with phases of the menstrual cycles (MC). This cross sectional study aimed to compare facial symmetry between women using and not using hormonal contraceptives with reference to the phases of their fertile and non-fertile phases of MC. Participants were 150 young adult Polish female students in Wrocław, Poland. Facial photograph of each woman was taken and information on the use of hormonal contraception, date of menarche, number of days past since the last menstruation (beginning of bleeding) were collected. Measurements of facial asymmetry were taken digitally in pixels on facial photographs by using ImageJ software. The results revealed that the women who used HC had a significantly higher total and central facial FA than those who did not use HC. However, the women in relatively non fertile phase did not demonstrate a difference in FA among the non-users of HC.

Relations between combined oral contraceptive therapy and indices of autonomic balance (baroreflex sensitivity and heart rate variability) in young healthy women

INTRODUCTION

There are structural and functional links between autonomic nervous and endocrine systems. Derivatives of estrogens and gestagens applied in combined oral contraceptives (COC) reduce the production of endogenous sex steroids, but their effect on autonomic nervous system remains unknown.

AIM

To compare indices of heart rate variability (HRV) and baroreflex sensitivity (BRS) among young healthy women taking vs. non-taking COC.

MATERIAL AND METHODS

We performed a cross-sectional study in a group of 53 healthy women (age: 23 +/- 3 years, BMI: 22.3 +/- 2.8 kg/m(2)) taking COC for > or = 3 months (COC-group) and in a group of 113 healthy women (age: 24 +/- 4 years, BMI: 22.0 +/- 3.1 kg/m(2)) not taking COC for > or = 3 months (n-COC-group). All examined women were between the 4th and the 8th day of menstrual (or pill-driven) cycle lasting from 21 to 35 days. Indices of autonomic balance was assessed based on the time- and frequency- domains of heart rate variability (HRV very low (VLF), low (LF), high (HF) frequencies and total HRV spectrum). BRS was evaluated using the sequence (BRS-Seq) and the controlled breathing (BRS-CtBr) methods.

RESULTS

There were no differences in: age, weight, height, measures of adiposity and fat distribution, the menstrual (or pill-driven) cycle day on the day of examination, heart rate and HRV parameters between the two studied groups (all p > 0.1). BRS-CtBr was higher among n-COC-group as compared to COC-group (20.00 +/- 6.28 versus 18.07 +/- 6.57 ms/mmHg, p < 0.05). There was a trend towards higher BRS-Seq in the n-COC-group as compared to the COC-group (19.4 7 +/- 7.85 versus 16.95 +/- 5.76 ms/mmHg, p = 0.12). In the n-COC-group, BRS-CtBr and RMSSD were inversely related to age (r = -0.23, r = -0.19, p < 0.05). In the COC-group, SDNN was inversely related to waist circumference and WHR (respectively r = -0.34 and r = -0.35, both p < 0.05).

CONCLUSIONS

COC impair the reflex regulation of cardiovascular system based on baroreflex, which may indicate unfavorable influence of COC use on women health. The exact mechanism of BRS impairment caused by COC remains unknown, also in the context of the different composition of various COC. Thus, it needs to be studied further

Psychological Gender of Men With Systolic Heart Failure

Diminished exercise capacity is a fundamental symptom of heart failure (HF), which is particularly disadvantageous for men for whom exercise capacity contributes significantly to their gender identity, self-esteem, and quality of life. In this study, we aimed to examine whether psychological gender would be different in men with systolic HF as compared with their healthy peers. The authors examined 48 men with systolic HF (age = 64 ± 10 years; body mass index = 28.3 ± 3.4 kg/m2; NYHA I/II/III [%] = 25/65/10; left ventricular ejection fraction [LVEF] = 32.1 ± 7.8%) and 15 age-matched healthy men. Based on the results of the Polish version of the Bem Sex Role Inventory, the examined men were divided into four types of psychological gender: “masculine” (M), “feminine” (F), “unspecified” (U), and “androgynous” (A). None of the men with HF presented M type of psychological gender, whereas this type was found in 27% of the healthy men ( p = .0002). The prevalence of both A (38% vs. 47%) and F (10% vs. 20%, both p > .05) types of psychological gender was similar between men with HF versus without HF. More men with HF fulfilled the criteria of the U type of psychological gender as compared with healthy peers (51% vs. 7%, p = .002). Men with HF and the F type of psychological gender were treated with spironolactone more frequently than those classified with the U and A types (both p < .05). The lack of “psychologically masculine” and the overrepresentation of “psychologically unspecified” gender types in the HF group suggests that psychological gender may be affected among men with HF.

Mate value asymmetry and relationship satisfaction in female opinion

A considerable amount of studies highlight positive assortative mating in terms of various aspects of mate value. However, there is a lack of studies that directly show how both partners' mate value and mate value differences are related to the satisfaction in heterosexual relationship. In the present study, the authors focused on women and analyzed how their mate value self-assessment and perception of their partners' mate value are related to female relationship satisfaction. The authors also classified them under 3 categories of couples defined by partners' mate value discrepancy, that is, in which a woman has higher, lower, and equal mate value than does her male partner. Women's relationship satisfaction was positively related to the perception of their partners' mate value but negatively correlated to their mate value self-assessment. Moreover, relationship satisfaction was the lowest in the category where woman has higher self-assessed mate value. The level of women's relationship satisfaction did not differ in 2 other categories of relationships. Our results suggest that women's perception of mate value and mate value asymmetry may significantly affect women's satisfaction from their relationships. The authors provide several possible, evolutionary-based explanatory mechanisms.

The second to fourth digit ratio and age at first marriage in semi-nomadic people from Namibia

The second to fourth digit ratio (2D:4D) is used as a potential marker for prenatal androgen exposure. It is associated with many behavioral and biological variables, including fertility and sexual behavior. However, direct association between 2D:4D and reproductive success--in populations where no contraceptives are used--has not been investigated. Here, we present a study conducted among the semi-nomad Himba population living in northern Namibia. 2D:4D ratios were calculated for a sample of this population (N=99; 60 women, 39 men), and the results were correlated with age, marital status, age at first marriage, number of children, and number of marriages. As found in the majority of previous studies, males had lower 2D:4D ratios than females. The 2D:4D ratio did not correlate with number of children. Females and males with a more masculine 2D:4D were married earlier and were more likely to have a husband or wife. We suggest that mating preferences for females with masculine 2D:4D are related to masculinity of phenotypic and personality traits of such women, which are beneficial in harsh environmental conditions and/or higher facial masculinity, which influences the perceived age of an individual. At the same time, masculine (physically strong, dominant, and hardworking) males might gather resources necessary to marry their first wife earlier.

The attractive female body weight and female body dissatisfaction in 26 countries across 10 world regions: results of the international body project I

This study reports results from the first International Body Project (IBP-I), which surveyed 7,434 individuals in 10 major world regions about body weight ideals and body dissatisfaction. Participants completed the female Contour Drawing Figure Rating Scale (CDFRS) and self-reported their exposure to Western and local media. Results indicated there were significant cross-regional differences in the ideal female figure and body dissatisfaction, but effect sizes were small across high-socioeconomic-status (SES) sites. Within cultures, heavier bodies were preferred in low-SES sites compared to high-SES sites in Malaysia and South Africa (ds = 1.94-2.49) but not in Austria. Participant age, body mass index (BMI), and Western media exposure predicted body weight ideals. BMI and Western media exposure predicted body dissatisfaction among women. Our results show that body dissatisfaction and desire for thinness is commonplace in high-SES settings across world regions, highlighting the need for international attention to this problem.

Eye-mouth-eye angle as a good indicator of face masculinization, asymmetry, and attractiveness (Homo sapiens)

Past research on male facial attractiveness has been limited by the reliance on facialmetric measures that are less than ideal. In particular, some of these measures are face size dependent and show only weak sexual dimorphism, which limits the ability to identify the relationship between masculinization and attractiveness. Here, the authors show that eye-mouth-eye (EME) angle is a quantitative and face size independent trait that is sexually dimorphic and a good indicator of masculinity and face symmetry. Using frontal photographs of female and male faces, the authors first confirmed that the EME angle (measured with the vertex in the middle of the mouth and the arms crossing the centers of pupils) was highly sexually dimorphic. Then, using pictures of young male faces whose attractiveness was assessed on a 7-point scale by young women, the authors showed that attractiveness rate was negatively correlated with EME angle and with the angle asymmetry. The results are compared with those that could be obtained with interpupilary or upper face height measurements. The authors discuss the relationship between attractiveness and both EME angle and its symmetry in the light of evolutionary psychology.

Attractiveness of men's faces in relation to women's phase of menstrual cycle

In between-subjects studies on two groups of women of the same age, we show that women assess male's facial attractiveness differently in the follicular (F) and luteal (L) phases. In the high conception risk phase (F), women tended to give higher scores to male faces than when they were in the luteal phase. During the five first days of the cycle, i.e. when the estrogen level is still low, women assessed men's facial attractiveness relatively highly. We suggest that it is progesterone in the luteal phase that is responsible for lower attractiveness assigned then to male faces. We also tested which anthropometric facial traits or indices influence male attractiveness. We found that assessments of attractiveness were correlated only with mouth height (positively) and the angle between the middle of the mouth and the middle of the eyes (negatively). The results are compared with those from other studies and discussed in the light of evolutionary biology.