juvenile

青少年
  • 文章类型: Journal Article
    这项研究的目的是确定万隆市儿童特别发展研究所的移情训练对少年犯欺凌行为的影响。
    本研究采用了具有准实验设计的定量方法,并与对照组进行前后测试。抽样技术使用目的性抽样,并获得了100名受访者的样本(50个干预组和50个对照组)。共情培训进行了3个月多达4个课程,包括教育,角色扮演,看电影,和反思。数据收集使用了印度尼西亚版本的OlweusBully/受害者调查表。单变量分析使用平均值,min-max,和标准偏差值。双变量分析采用Wilcoxon检验和Mann-Whitney检验。
    结果显示,在干预组中,大多数受访者在干预前的欺凌行为较高(70%),在干预后的欺凌行为较低(64%).在对照组中,大多数受访者在测试前表现出高水平的欺凌行为(80%),在测试后表现出高水平的欺凌行为(78%).Wilcoxon检验结果显示ap值<0.001,表明在接受同理心训练后,对减少LPKA万隆市囚犯的欺凌行为有显著影响。Mann-Whitney检验的结果显示p<0.001的值,这意味着对照组和干预组之间的欺凌行为水平存在差异。
    同理心培训是万隆市儿童特殊发展研究所社区护士实施社区护理干预措施,防止儿童和青少年欺凌的建议,尤其是在监狱里的青少年。
    UNASSIGNED: The purpose of this study was to determine the effect of empathy training on bullying behavior in juvenile prisoners at the Bandung City Special Development Institute for Children.
    UNASSIGNED: This study used a quantitative method with a quasi-experimental design with pre and post-test with control group. The sampling technique used purposive sampling and obtained a sample of 100 respondents (50 intervention group and 50 control group). Empathy training was conducted for 3 months as many as 4 sessions consisting of education, role play, watching movies, and reflection. Data collection used the Indonesian version of the Olweus Bully/Victim Questionnaire. Univariate analysis used mean, min-max, and standard deviation values. Bivariate analysis used Wilcoxon test and Mann-Whitney test.
    UNASSIGNED: The results showed that in the intervention group, most respondents had high bullying behavior before the intervention (70%) and had low bullying behavior after the intervention (64%). In the control group, most respondents showed a high level of bullying behavior (80%) at pre-test and had high level of bullying behavior (78%) at post-test. The results of the Wilcoxon test showed ap value of <0.001, indicating that there was a significant effect on reducing bullying behavior in prisoners in LPKA Bandung City after being given empathy training. The results of the Mann-Whitney test showed a value of p<0.001 which means that there is a difference in the level of bullying behavior between the control and intervention groups.
    UNASSIGNED: Empathy training is a recommendation for community nurses in Bandung City Special Development Institute for Children to implement community-based nursing interventions in preventing bullying in children and adolescents, especially adolescents in prison.
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  • 文章类型: Journal Article
    抹香鲸在成熟时按性别和社会行为在空间上隔离。在北大西洋,雄鲸移动到更高的纬度,直到80°N的斯瓦尔巴群岛,而雌性和幼鲸通常保持在40-45°以下的低纬度地区。亚速尔群岛,马德拉,加那利群岛是雌性和年轻抹香鲸的重要苗圃。爱尔兰水域代表了该物种在东北大西洋的空间隔离的中点,该物种出现在该国西部的海底峡谷系统中。历史上,只有雄鲸被认为是在这个51到55°之间的地区发现的,但1910年,一名成年女性被商业捕鲸者抓获,1916年发现一头5.49米小牛搁浅。在1995年至2023年之间,有10头雌性抹香鲸被困在爱尔兰海岸。自2013年以来,这些鲸鱼中有八只搁浅,在2019年至2023年之间,每年至少有一次搁浅。其中四次搁浅发生在爱尔兰西北部的多尼戈尔,表明该地区大陆架上有雌性鲸鱼。两只雌性在一天之内被困,并在2022年2月被发现处于相似的分解状态,这表明它们可能是同一组的一部分,而不是孤独的流浪个体。2001年,2004年和2010年,在洛克尔槽的爱尔兰水域也发现了抹香鲸的小牛和幼鲸,沿着豪猪银行和GobanSpur,在2004年,有4次观察到1到3个个体,而一头小牛被困。这些记录表明,该地区历史上有雌性和年轻的抹香鲸,但在过去十年中,抹香鲸的数量明显增加。
    Sperm whales spatially segregate by sex and social behavior as they mature. In the North Atlantic, male whales move to higher latitudes as far as Svalbard at 80° N, while females and young whales typically remain around lower latitudes below 40-45° N. The Azores, Madeira, and the Canary Islands constitute important nursery grounds for female and young sperm whales. Irish waters represent a midpoint for this species\' spatial segregation in the Northeast Atlantic, where the species occurs along the submarine canyon systems to the west of the country. Historically, just male whales were thought to be found in this region between 51 and 55° N, but one adult female was caught by commercial whalers in 1910, and a 5.49 m calf was found stranded in 1916. Between 1995 and 2023, 10 female sperm whales have been stranded around the coast of Ireland. Eight of these whales have been stranded since 2013, and there has been at least one stranding per year between 2019 and 2023. Four of these strandings have occurred in Donegal in the northwest of Ireland, indicating the presence of female whales along the continental shelf off this region. Two females were stranded within a day of each other and were found in similar states of decomposition in February 2022, indicating that they may have been part of the same group rather than being lone vagrant individuals. Sperm whale calves and juveniles were also sighted in Irish waters in 2001, 2004, and 2010 in the Rockall Trough, along the Porcupine Bank and Goban Spur, where between 1 and 3 individuals were observed on four occasions while one calf live stranded in 2004. These records indicate a historical presence of female and young sperm whales in this region but that an apparent increase in occurrence has taken place over the past decade.
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  • 文章类型: Journal Article
    目的:耳硬化症是一种相对罕见的疾病,可导致儿童传导性听力损失。成人的首选治疗方法是stapedsometry,而对于18岁以下的人来说,关于最佳治疗方法的讨论正在进行中。因此,儿科患者骨的外科手术仍然是一个争论的话题。这项研究旨在评估儿童stapes骨手术的结果,试图理解,根据我们的结果,这实际上是否是最合适的选择。
    方法:该研究包括2013年1月至2023年12月期间接受手术的18例患者。患者年龄从11岁到18岁不等,平均年龄为14.7岁。在总共21次手术中,3例患者选择双侧手术.术前、术后资料进行比较,重点关注频率为0.5、1、2和4kHz的平均空气传导(AC)和骨传导(BC)阈值。此外,检查术前阈值和术后气骨间隙(ABG).
    结果:一年后,在21例中,94%的病例中,空气-骨间隙有效降低到10dB或更低,在98%的情况下达到20dB或更低。
    结论:我们在该领域的结果和研究一致表明,由熟练的耳外科医生进行时,是一个可靠和成功的程序为相当多的患者。它产生的结果与成年期间通过该程序获得的结果相似。
    OBJECTIVE: Otosclerosis is a relatively uncommon condition that causes conductive hearing loss in children. The preferred treatment for adults is stapedotomy, while for individuals under 18 years old, there is an ongoing discussion about the best treatment approach. Thus, the surgical procedure for the stapes in pediatric patients continues to be a subject of debate. This study aimed to evaluate the results of stapes surgery in children, trying to understand, based on our results, whether this is actually the most suitable option.
    METHODS: The study included 18 patients who underwent surgery between January 2013 and December 2023. The patients\' ages ranged from 11 to 18 years, with an average age of 14.7. Out of the total 21 surgeries, three patients opted for bilateral surgery. Pre- and post-operative data were compared, focusing on the mean air conduction (AC) and bone conduction (BC) thresholds at frequencies of 0.5, 1, 2, and 4 kHz. Additionally, pre-operative thresholds and the post-operative air-bone gap (ABG) were examined.
    RESULTS: After a year, the air-bone gap was effectively reduced to 10 dB or less in 94% of the 21 cases, and to 20 dB or less in 98% of all cases.
    CONCLUSIONS: Our results and research in the field have consistently shown that stapedotomy, when conducted by skilled otosurgeons, is a reliable and successful procedure for a considerable number of patients. The outcomes it generates are similar to those achieved through the procedure conducted during adulthood.
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  • 文章类型: Case Reports
    儿童中最常见的良性喉肿瘤是乳头状瘤。喉乳头状瘤病是一种慢性疾病,在儿童中很少见。我们报告了一个四岁的马来女孩,她患有慢性喉乳头状瘤病,最有可能在分娩过程中垂直获得,被检测到。她三年来一直声音嘶哑,柔性喉镜检查显示声门区乳头状瘤的特征。患者接受了直接喉镜检查,然后使用冷仪器切除肿块。手术干预是喉乳头状瘤病的主要治疗方式,以维持气道通畅和语音质量。
    The most common benign laryngeal neoplasm in children is a papilloma. Laryngeal papillomatosis is a chronic disease and is rare in children. We report the case of a four-year-old Malay girl in whom chronic laryngeal papillomatosis, most likely acquired vertically during labor, was detected. She presented with hoarseness of voice for three years, and a flexible laryngoscopy examination revealed features of papilloma in the glottis area. The patient underwent direct laryngoscopy followed by excision of mass using the cold instrument. Surgical intervention is the primary treatment modality for laryngeal papillomatosis to maintain airway patency and voice quality.
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  • 文章类型: Case Reports
    毛霉和根霉被认为是毛霉菌病的主要罪魁祸首,以其机会性而闻名的严重真菌感染。这种感染主要针对免疫系统受损的个体,包括糖尿病患者和接受糖皮质激素治疗的患者,免疫反应减弱的地方。本文旨在强调及时诊断和强化治疗在控制毛霉菌病中的关键作用。特别是在儿科患者中,因为它可以避免死亡和减轻严重的发病率。该病例报告强调了早期识别糖尿病患者的真菌感染并随后积极治疗以防止不良结局的紧迫性。当及时诊断毛霉菌病并通过强化治疗进行管理时,它强调了出色治疗结果的潜力。通过这样做,可以有效预防与这种情况相关的显著发病率和死亡率,强调对有真菌感染易感因素的患者保持警惕和积极管理的重要性。
    Mucor and Rhizopus species are recognized as the primary culprits responsible for mucormycosis, a severe fungal infection known for its opportunistic nature. This infection primarily targets individuals with compromised immune systems, including those with diabetes mellitus and patients undergoing glucocorticoid therapy, where the immune response is weakened. This article aims to underscore the pivotal role of prompt diagnosis and intensive treatment in managing mucormycosis, particularly in pediatric patients, as it can avert death and mitigate serious morbidity. This case report emphasizes the urgency of identifying fungal infections in patients with diabetes early on and subsequently treating them aggressively to prevent adverse outcomes. It highlights the potential for excellent treatment outcomes when mucormycosis is promptly diagnosed and managed with intensive therapy. By doing so, significant morbidity and mortality associated with this condition can be effectively prevented, underscoring the importance of vigilance and proactive management in patients with predisposing factors for fungal infections.
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  • 文章类型: Journal Article
    睡眠是一种基本的行为,人们仍然知之甚少。睡眠异常伴随着各种精神和神经系统疾病,睡眠可以作为治疗这些疾病的一种可改变的行为。斑马鱼(Daniorerio)已被证明是研究睡眠以及睡眠与这些疾病之间相互作用的强大模型生物,这是由于控制斑马鱼和人类之间睡眠和觉醒状态的神经调节机制的高度保守性。斑马鱼是一种昼夜脊椎动物,与哺乳动物模型相比神经系统相对简单,表现出不同生命阶段的睡眠个体发育的保护。斑马鱼幼虫是建立的高通量模型,用于评估睡眠表型和睡眠障碍的生物学基础。迄今为止,幼年和成年斑马鱼的睡眠测量尚未以标准化和可重复的方式进行,因为相对于其幼虫对应物而言,其通量相对较低。这在理解与许多精神病和神经退行性疾病相关的生命后期阶段的睡眠方面留下了空白。几个研究小组已经使用自制系统来解决这一差距。这里,我们报告使用市售设备来跟踪幼年和成年斑马鱼的活动和睡眠/觉醒模式。该设备使研究人员能够在隔离的环境中进行自动行为测定,并进行多天的亮/暗和温度控制。我们首先解释跟踪成年斑马鱼的睡眠和活动的实验程序,然后通过测量褪黑激素和DMSO给药的效果来验证方案。主要特点•允许在一个隔离和可控的环境中对幼年和成年斑马鱼进行活动和睡眠测定。•衡量斑马鱼在生命阶段的活动晚于早期发育,这需要在测定期间喂养动物。•需要使用商用设备系统和六个储罐。•斑马鱼的活动可以跟踪五天,包括适应步骤。
    Sleep is an essential behavior that is still poorly understood. Sleep abnormalities accompany a variety of psychiatric and neurological disorders, and sleep can serve as a modifiable behavior in the treatment of these disorders. Zebrafish (Danio rerio) has proven to be a powerful model organism to study sleep and the interplay between sleep and these disorders due to the high conservation of the neuro-modulatory mechanisms that control sleep and wake states between zebrafish and humans. The zebrafish is a diurnal vertebrate with a relatively simple nervous system compared to mammalian models, exhibiting conservation of sleep ontogeny across different life stages. Zebrafish larvae are an established high-throughput model to assess sleep phenotypes and the biological underpinnings of sleep disturbances. To date, sleep measurement in juvenile and adult zebrafish has not been performed in a standardized and reproducible manner because of the relatively low-throughput nature in relation to their larval counterparts. This has left a gap in understanding sleep across later stages of life that are relevant to many psychiatric and neurodegenerative disorders. Several research groups have used homemade systems to address this gap. Here, we report employing commercially available equipment to track activity and sleep/wake patterns in juvenile and adult zebrafish. The equipment allows researchers to perform automated behavior assays in an isolated environment with light/dark and temperature control for multiple days. We first explain the experimental procedure to track the sleep and activity of adult zebrafish and then validate the protocol by measuring the effects of melatonin and DMSO administration. Key features • Allows an isolated and controllable environment to carry out activity and sleep assays in juvenile and adult zebrafish. • Measures activity of zebrafish in life stages later than early development, which requires feeding animals during the assay. • Requires use of a commercially available equipment system and six tanks. • The activity of zebrafish can be tracked for five days including an acclimation step.
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  • 文章类型: Journal Article
    背景:与其他社会问题相比,青少年犯罪似乎是最普遍的社会问题。社会因素和条件对犯罪率有重大影响。在18岁之前从事犯罪行为的个人通常被称为少年犯。这项研究的目的是全面阐明对未成年犯的研究和工作,特别关注社会因素在青少年犯罪各个方面所起的关键作用。此外,这项研究旨在调查导致青少年罪犯犯罪行为的社会根源和影响。
    方法:本文采用文献综述的方法对影响青少年犯罪的社会因素研究进行分析。它综合和评估先前的发现,以了解社会因素与年轻人参与犯罪行为之间的复杂相互作用。该研究分析了80篇来自知名在线数据库的文章,关注青少年犯罪,罪犯,犯罪,和社会因素。在80篇文章中,53人被引用,符合纳入标准,包括2000-2023年出版,严格的同行评审,和信誉良好的数据库索引。
    结果:根据研究结果,据观察,在表现出感情的家庭中长大的孩子,热情好客,和鼓励相对较不容易受到社会疾病的表现。经历过父母遗弃的儿童患不良行为的风险更高。
    结论:消极的家庭动态和与不良同伴的关联被广泛认为是药物滥用行为发展的重要因素。决策者和预防举措必须全面了解这种复杂的关系。因此,这篇文献综述对社会因素对印度少年犯的影响进行了清晰的概述。
    BACKGROUND: Juvenile delinquency appears to be the most widespread social issue in comparison to other social issues. Social factors and conditions have a significant impact on the prevalence of delinquency. Individuals who engage in criminal behavior before reaching the age of 18 are commonly referred to as juvenile offenders. The aim of this study is to comprehensively elucidate the research and work carried out on juvenile offenders, with a specific focus on the critical role played by social factors in all facets of juvenile delinquency. Additionally, this research seeks to investigate the social roots and influences that contribute to the criminal behavior of young offenders.
    METHODS: This article uses a literature review methodology to analyze research on social factors influencing juvenile delinquency. It synthesizes and evaluates prior findings to understand the complex interplay between social factors and young individuals\' involvement in delinquent behaviors. The study analyzed 80 articles from reputable online databases, focusing on juvenile delinquency, offenders, crime, and social factors. Out of the 80 articles, 53 were cited, meeting inclusion criteria, including publication within 2000-2023, rigorous peer-review, and reputable database indexing.
    RESULTS: As per the findings of the research, it has been observed that children who grow up in households that exhibit affection, hospitality, and encouragement are comparatively less susceptible to the manifestation of societal maladies. Children who have experienced parental abandonment are at heightened risk of developing delinquent behaviors.
    CONCLUSIONS: The presence of negative family dynamics and associations with delinquent peers are widely recognized as significant contributors to the development of drug abuse behavior. It is imperative for policymakers and preventive initiatives to have a comprehensive understanding of this complex relationship. Therefore, this literature review presented a distinct overview of the influence of social factors on juvenile offenders in India.
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  • 文章类型: Journal Article
    人们越来越关注使用亚硝酸钠(SN)作为一种新兴的自杀手段,尤其是年轻人。鉴于传统公共卫生监测来源关于该主题的信息有限,我们研究了一个网上自杀论坛的帖子,\"被制裁的自杀,“这是有关SN使用和采购的主要信息来源。
    本研究旨在确定SN购买和使用的趋势,通过数据挖掘从论坛上的订阅者帖子获得。我们还旨在确定与SN共同出现的物质和主题,以及SN的用户和来源的地理分布。
    我们收集了该网站于2018年3月成立至2022年10月的所有公开可用信息。使用数据驱动方法,包括自然语言处理和机器学习,我们分析了SN提及随着时间的推移,包括SN消费者的位置和采购SN的来源。我们开发了基于变压器的源和位置分类器,以确定SN源的地理分布。
    与SN有关的帖子显示受欢迎程度上升,与疾病控制和预防中心(CDC)广泛的流行病学研究在线数据(=0.727;P<.001)和国家毒物数据系统(=0.866;P=.001)的数据相比,SN的实际使用与自杀意图之间存在统计学上的显着相关性。我们观察到止吐药的频繁出现,苯二氮卓类药物,和具有SN的酸调节剂。我们提出的基于机器学习的源和位置分类器可以检测到潜在的SN源,准确率为72.92%,并显示在美国和其他地方的消费。
    可以从在线论坛获得有关SN和其他新兴自杀机制的重要信息。
    UNASSIGNED: There is growing concern around the use of sodium nitrite (SN) as an emerging means of suicide, particularly among younger people. Given the limited information on the topic from traditional public health surveillance sources, we studied posts made to an online suicide discussion forum, \"Sanctioned Suicide,\" which is a primary source of information on the use and procurement of SN.
    UNASSIGNED: This study aims to determine the trends in SN purchase and use, as obtained via data mining from subscriber posts on the forum. We also aim to determine the substances and topics commonly co-occurring with SN, as well as the geographical distribution of users and sources of SN.
    UNASSIGNED: We collected all publicly available from the site\'s inception in March 2018 to October 2022. Using data-driven methods, including natural language processing and machine learning, we analyzed the trends in SN mentions over time, including the locations of SN consumers and the sources from which SN is procured. We developed a transformer-based source and location classifier to determine the geographical distribution of the sources of SN.
    UNASSIGNED: Posts pertaining to SN show a rise in popularity, and there were statistically significant correlations between real-life use of SN and suicidal intent when compared to data from the Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (⍴=0.727; P<.001) and the National Poison Data System (⍴=0.866; P=.001). We observed frequent co-mentions of antiemetics, benzodiazepines, and acid regulators with SN. Our proposed machine learning-based source and location classifier can detect potential sources of SN with an accuracy of 72.92% and showed consumption in the United States and elsewhere.
    UNASSIGNED: Vital information about SN and other emerging mechanisms of suicide can be obtained from online forums.
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  • 文章类型: Journal Article
    裸mole鼠(NMR)是耐缺氧的哺乳动物之一,在缺氧时仅代谢碳水化合物。葡萄糖是膳食碳水化合物的主要组成部分,但在NMR中尚未探索在缺氧期间如何调节血糖。我们假设NMR动员葡萄糖储存来支持缺氧时的厌氧能量代谢。为了测试这个,我们对待新生儿,少年,和成年(下属和女王)NMR在常氧(21%O2)或缺氧(7、5或3%O2),在测量代谢率的同时,体温和血液[葡萄糖]。我们还用葡萄糖挑战动物,胰岛素,或胰岛素样生长因子-1(IGF-1)注射,并测量常氧和缺氧时葡萄糖清除率。我们发现:1)皇后和幼犬中度缺氧时,血液[葡萄糖]增加,但仅在从属成人和少年中严重缺氧时;2)常氧发育阶段之间的葡萄糖耐量相似,但是,在缺氧的情况下,青少年和下属的葡萄糖清除时间比皇后或幼犬长2-3倍;3)复氧可加速低氧下属成年人的葡萄糖清除。机械上,4)胰岛素和IGF-1可降低常氧下下属的血液[葡萄糖],但只有IGF-1会影响低氧条件下的血液[葡萄糖]。我们的结果表明,NMR中的缺氧会损害胰岛素信号,但皇后区利用IGF-1克服了这一限制,在缺氧时有效地调节血糖。这表明性成熟会影响缺氧核磁共振女王的血糖处理,这可能会让女王在低氧巢室中度过更长的时间。
    Naked mole-rats (NMRs) are among the most hypoxia-tolerant mammals and metabolize only carbohydrates in hypoxia. Glucose is the primary building block of dietary carbohydrates, but how blood glucose is regulated during hypoxia has not been explored in NMRs. We hypothesized that NMRs mobilize glucose stores to support anaerobic energy metabolism in hypoxia. To test this, we treated newborn, juvenile and adult (subordinate and queen) NMRs in normoxia (21% O2) or hypoxia (7, 5 or 3% O2), while measuring metabolic rate, body temperature and blood [glucose]. We also challenged animals with glucose, insulin or insulin-like growth factor-1 (IGF-1) injections and measured the rate of glucose clearance in normoxia and hypoxia. We found that: (1) blood [glucose] increases in moderate hypoxia in queens and pups, but only in severe hypoxia in adult subordinates and juveniles; (2) glucose tolerance is similar between developmental stages in normoxia, but glucose clearance times are 2- to 3-fold longer in juveniles and subordinates than in queens or pups in hypoxia; and (3) reoxygenation accelerates glucose clearance in hypoxic subordinate adults. Mechanistically, (4) insulin and IGF-1 reduce blood [glucose] in subordinates in both normoxia but only IGF-1 impacts blood [glucose] in hypoxic queens. Our results indicate that insulin signaling is impaired by hypoxia in NMRs, but that queens utilize IGF-1 to overcome this limitation and effectively regulate blood glucose in hypoxia. This suggests that sexual maturation impacts blood glucose handling in hypoxic NMR queens, which may allow queens to spend longer periods of time in hypoxic nest chambers.
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  • 文章类型: Journal Article
    宿主可以进化出各种防御寄生虫的方法,包括抗性(防止或减少感染的传播)和耐受性(防止毒力)。一些生物在不同的生命阶段进化出不同水平的耐受性,这可能是与病原体共同进化的结果,然而,目前尚不清楚协同进化如何驱动特定年龄的耐受性模式。这里,我们使用耐受性-毒力协同进化模型来研究年龄结构如何影响协同进化动力学。具体来说,我们探讨了当耐受性和毒力(疾病诱导的死亡率)具有年龄特异性时,与当这些性状在整个宿主寿命期间一致时相比,协同进化是如何展开的.我们发现,当宿主耐受性具有年龄特异性时,协同进化循环相对普遍,但是当所有年龄段的容忍度相同时,不会发生循环。我们还发现,年龄结构化的耐受性可以导致在较短寿命的宿主中选择比在较长寿命的宿主中更高的毒力,而非年龄结构的耐受性总是导致毒力随着宿主寿命的增加而增加。因此,我们的发现表明年龄结构可以对宿主-病原体共同进化产生实质性的影响。
    Hosts can evolve a variety of defences against parasitism, including resistance (which prevents or reduces the spread of infection) and tolerance (which protects against virulence). Some organisms have evolved different levels of tolerance at different life-stages, which is likely to be the result of coevolution with pathogens, and yet it is currently unclear how coevolution drives patterns of age-specific tolerance. Here, we use a model of tolerance-virulence coevolution to investigate how age structure influences coevolutionary dynamics. Specifically, we explore how coevolution unfolds when tolerance and virulence (disease-induced mortality) are age-specific compared to when these traits are uniform across the host lifespan. We find that coevolutionary cycling is relatively common when host tolerance is age-specific, but cycling does not occur when tolerance is the same across all ages. We also find that age-structured tolerance can lead to selection for higher virulence in shorter-lived than in longer-lived hosts, whereas non-age-structured tolerance always leads virulence to increase with host lifespan. Our findings therefore suggest that age structure can have substantial qualitative impacts on host-pathogen coevolution.
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