Adult Females Research Articles

Genital findings in adult females: a forensic analysis of photographic records

BackgroundIn the investigation of sexual assault cases, a standard practice involves examining female genitalia to identify injuries. The majority of research was done to examine findings in the child age group, but very little research was done on the adult age group. There is a need for guidelines to follow for the interpretation of adult female findings as they hold the same significance as in children. The Dammam Forensic Medicine Center conducted a retrospective chart review study in the period from 2014 to 2021 to examine adult female genital findings utilizing photographic documentation.ResultsOne hundred sixty-three cases involving adults between the ages of 18 and 52 were examined. Cases were divided into two groups to focus on hymenal findings that fell in the class of no expert consensus. The first group included self-defined virgins, who denied having ever experienced vaginal penetration in their entire lives, including the reported incidence, which represented 38 cases. The rest of the cases had at least a single incident of vaginal penetration. The normal genitourinary findings were found comparable to those in the child age group. All of the participants who showed notches or clefts, below the 3 o’clock or 9 o’clock location, which extends nearly to the base of the hymen, but is not a complete transection belonged to the group with a history of vaginal penetration. The three participants who showed a notch or a cleft in the hymen rim at 3 o’clock or 9 o’clock which extends nearly to the base of the hymen, but is not a complete transection belonged to the same group.ConclusionsFindings that lack expert consensus in the child age group are likely the result of injury in the study participants. This result gives valuable information on genital findings in self-identified virgin adult females, which can be utilized in conjunction with other studies to establish standards for the assessment of cases of alleged sexual assault in adult females.

The Fall Armyworm Spodoptera frugiperda Found on Rice Oryza sativa L. in China: Their Host Strain, Oviposition Preference and Survival Rate on Rice and Maize

The fall armyworm (FAW), Spodoptera frugiperda, is a serious pest that threatens a range of important crops worldwide. It originated in America and rapidly dispersed throughout Africa and Asia in 2018. There are two subtypes, corn-strain (C-strain) and rice-strain (R-strain), that have different host plant preferences, and the individuals damaging maize in China were identified as C-strain. In the present study, we found FAW individuals damaging rice plants in the field of Guangdong Province, China. FAW larvae and male adults were collected, and the majority of FAWs were characterized as CO I R-strain Tpi C-strain, which is similar to the FAWs damaging maize in China. The FAW adults preferred laying eggs on maize plants more than on rice plants. Compared to those that were fed maize leaves, the FAW larvae were unable to survive when fed 4-week-old rice plants, whereas they could complete their life cycle on 2-week-old rice plants, for which the total survival rate was 8%. The pre-adult- and pupal-stage durations were prolonged, and the fecundity of adult females decreased. Thus, the FAWs found in paddy fields showed better fitness on maize than on rice in the laboratory. Owing to their low survival rate on rice plants, they were unlikely to damage paddy fields in large areas, but populations of FAWs in paddy fields should be monitored.

Sexual function and fertility in young female adults surgically treated for anorectal malformations

PurposeThe aim was to investigate sexual function and fertility in female adults operated on for anorectal malformations (ARM).MethodsThis was a cross-sectional questionnaire-based study including female adult patients treated for ARM at our institution between 1994 and 2003. Sexual function in females was assessed using the Profile of Sexual Function (PFSF). Additional questions regarding fertility were answered by the participants. Patient characteristics were retrospectively retrieved from the medical records and descriptive statistics were used for analysis. Sexual function outcomes were compared to a control group from a previously published group of females. Composite outcome analysis was performed using previously published data to determine the potential impact of bowel function and health-related quality of life on sexual function. The ethics review authorities approved the study.ResultsA total of 14 of 30 (46.7%) females responded to the questionnaires and had a mean age of 21.1 years (range 18–26). No association was found between PFSF and age or bowel function (Bowel Function Score), however, a strong correlation was found between PFSF and health-related quality of life (HRQoL) with a Spearman correlation of ρ 0.82 (p = 0.0011). The general satisfaction question was strongly associated with their total PFSF score (ρ = 0.71, p = 0.0092). Except for the “desire” item, the females in this cohort did not have significantly worse sexual function than the control population(p = 0.015). Ten of fourteen (71.4%) females had had their sexual debut at a mean age of 16.3 years and two of these women (20%) have been pregnant. All females had had menarche at a mean age of 12.7 years.ConclusionSexual function in adult females was comparable to healthy controls except for the “desire” item where the cohort reported poorer outcomes. The cohort’s sexual function had a direct association with their reported HRQoL where individuals with worse HRQoL also reported poorer sexual function.Level of evidenceIII

Roost characteristics and fidelity of silver‐haired bat maternity colonies in a floodplain cottonwood forest

AbstractThe maternal roosting behavior of migratory, tree‐dwelling bat species remains poorly understood. From 2016 to 2020 we radio‐tagged 53 adult female silver‐haired bats (Lasionycteris noctivagans) and tracked them to their day roosts to evaluate roosting habits in a cottonwood (Populus) forest in the floodplain of the Bitterroot River in western Montana. We investigated roost tree characteristics of maternity colonies such as canopy closure, tree size, and decay stage, as well as the daily roost fidelity of tagged bats. Additionally, we marked 55 bats with passive integrated transponder (PIT) tags to assess interannual fidelity to summer habitat. We tracked bats to 94 unique roost trees. Based on previous studies, we expected silver‐haired bat maternity colonies to roost in tall, large diameter trees. We modeled roosting probability as a function of tree height, day of year, and the interaction of these terms. We found bats preferred taller trees earlier in the year, but overall roosting probability decreased throughout the season and tree height had lesser influence on roosting probability later in the year. Bats used tall trees with high canopy closure in early stages of decay during periods of pregnancy and lactation, while the effect of these tree attributes lessened later in the season, perhaps after lactation when energetic constraints were reduced for adult females to prepare for migration by entering torpor during the day. Bats used an average of 5.2 roost trees during the young rearing period and remained in the same roost for an average of 1.5 consecutive days. While daily roost fidelity was low, we documented interannual fidelity to summer habitat from nine individuals. We found silver‐haired bat roosting preferences vary with time, are tree‐specific, and policies targeting conservation of the species should manage flood regimes to promote cottonwood establishment, height growth, and a mosaic of riparian habitats.

A history of susceptibility to parasites and divergence in solitary, gregarious and agonistic behaviors of embiopterans.

Two species of Haploembia Ramburi (Oligotomidae: Embioptera), nonnative detritivores found in the western USA, display solitary tendencies, not typical for webspinners that usually share silk galleries. Reports from the 1960s based on native populations in Italy highlighted the impact of a gregarine that depressed male sterility and female survivorship in Haploembia solieri (Rambur). Sympatric asexual Haploembia tarsalis (Ross) lives a normal lifespan when parasitized, albeit suffering from reduced fecundity. Our goal is to characterize behavioral repertoires as individuals interact and to develop methods for future investigations focused on the impact of the little-known parasite. We quantified individual responses to conspecifics or other species in 10-min dyadic interactions and, in a 3-day trial, determined whether they aggregated when given dispersed resources. Replicated groups of four adult female H. solieri or H. tarsalis settled away from each other over the 3-day trials. In 10-min bouts of same or different species pairs, focal insects bolted back, retreated and attempted to escape when they encountered one another, especially when the opponent was H. tarsalis. Males courted conspecific females, but were dramatically repelled by H. tarsalis. Serving as a positive control, Oligotoma nigra (Hagen) (Oligotomidae) adult females paired with conspecifics displayed typical webspinner behaviors by sitting together, sharing silk. Haploembia solieri males did not respond negatively to O. nigra, not known to be parasitized by the gregarine, but did so when paired with H. tarsalis. Results align with the prediction that susceptibility to parasitism may have led to antisocial behaviors observed in two Haploembia species.

Weight/height2: Mathematical overview of the world's most widely used adiposity index.

A footnote in Adolphe Quetelet's classic 1835 Treatise on Man described his algebraic analysis of how body weight ( ) varies with height ( ) in adult males and females. Using data on 12 short and 12 tall subjects of each sex, Quetelet established the rule that is approximately proportional ( ) to H2 in adults; that is, when for some constant . Quetelet's Rule ( ), transformed and renamed in the twentieth century to body mass index ( ), is now a globally applied phenotypic descriptor of adiposity at the individual and population level. The journey from footnote to ubiquitous adiposity measure traveled through hundreds of scientific reports and many more lay publications. The recent introduction of highly effective pharmacologic weight loss treatments has heightened scrutiny of BMI's origins and appropriateness as a gateway marker for diagnosing and monitoring people with obesity. This contemporary context prompted the current report that delves into the biological and mathematical paradigms that underlie the simple index . Students and practitioners can improve or gain new insights into their understanding of BMI's historical origins and quantitative underpinning from the provided overview, facilitating informed use of BMI and related indices in research and clinical settings.

Adaptation and carry over effects of extreme sporadic heat stress in Culex mosquitoes

Mosquitoes, as temperature-sensitive ectothermic vectors, exhibit temperature-dependence. This study investigates Culex pipiens pallens (Cx. pallens) responses to abrupt temperature increases and their implications on mosquito physiology.First instar larvae (24hr post hatching) and newly enclosed adults (24hr post emergence) were separately exposed to heat shock regimes of 33 °C, 37 °C, and 42 °C for 3 days alongside a control temperature of 27 °C. Results showed that mortality was triggered at 42 °C within a day. Adult male mosquitoes were less tolerant to all temperatures than larvae and adult females (p < 0.05). Exposing larvae to constant temperatures for 3 days significantly decreased larvae's development time, growth rate and adult emergence (p < 0.05). Reproductive fitness was significantly reduced (p < 0.05) in males emerging from larvae exposed to 37 °C. Life table parameters showed significant increased mortality rate, kill power and decreased life expectancy at the embryonic stage (p < 0.05). Furthermore, heatwaves deactivated the Transient receptor protein ankyrin 1 at 37 °C (p < 0.05) in larvae but not adults. Calmodium, Heat shock protein 90, and small heat shock protein expression were significantly decreased in larvae at 37 °C (p < 0.05) as compared to larvae raised at 33 °C and 27 °C.In conclusion, we classified the heat waves into three categories: adaptable (33 °C), critical (37 °C), and fatal (42 °C). Prolonged exposure of Culex pallens larvae to extreme heat affects the male reproductive output. These findings may serve as an important reference for forecasting vector and pest dynamics and used to tailor mosquito prevention and control measures.

The effect of auriculotherapy on anxiety in older adult candidates for coronary angiography: A randomized controlled trial

AbstractIntroductionCoronary angiography is an effective but anxiety‐provoking procedure in the diagnosis and treatment of many cardiovascular diseases. Anxiety could complicate cardiovascular conditions of older adults and be detrimental to treatment procedures. The current study aimed to examine the effect of auriculotherapy on the anxiety of older adult candidates for coronary angiography.MethodThe study was a randomized controlled trial with a pretest–posttest design. The sample consisted of 94 male and female older adults that were randomly assigned to three groups: the auriculotherapy group with magnetized pellets, the auriculotherapy group with nonmagnetized pellets, and the control group. The collected data were analyzed using analysis of covariance.ResultsThe results showed that auriculotherapy either with magnetized or nonmagnetized pellets would lead to a statistically significant reduction in state and trait anxiety of coronary angiography candidates.ConclusionAuriculotherapy could be considered an adjunct or stand‐alone nonpharmacological method for lowering anxiety before coronary angiography in older adults.

Identification and expression profiling of neuropeptides and neuropeptide receptor genes in a natural enemy, Coccinella septempunctata.

Neuropeptides and their receptors constitute diverse and abundant signal molecules in insects, primarily synthesized and released primarily from neurosecretory cells within the central nervous system Neuropeptides act as neurohormones and euromodulators, regulating insect behavior, lifecycle, and physiology by binding to receptors on cell surface. As a typical natural predator of agricultural pests, the lady beetle, Coccinella septempunctata, has been commercially mass-cultured and widely employed in pest management. Insect diapause is a physiological and ecological adaptative strategy acquired in adverse environments. In biological control programs, knowledge about diapause regulation in natural enemy insects provides important insight for improving long-term storage, transportation, and field adoption of these biological control agents. However, little is known about the function of neuropeptides and their receptors in controlling reproductive diapause of C. septempunctata. It is unclear which neuropeptides affect diapause of C. septempunctata. In this study, RNA-seq technology and bioinformatics were utilized to investigate genes encoding neuropeptides and their receptors in female adults of C. septempunctata. Quantitative real-time PCR (qRT-PCR) analysis was employed to examine gene expression across different development/diapause stages. A total of 17 neuropeptide precursor genes and 9 neuropeptide receptor genes were identified, implicated in regulating various behaviors such as feeding, reproduction, and diapause. Prediction of partial mature neuropeptides from precursor sequences was also performed using available information about these peptides from other species, conserved domains and motifs. During diapause induction, the mRNA abundance of AKH was notably higher on the 10th day compared to non-diapause females, but decreased by the 20th day. In contrast, GPHA showed lower expression levels on the 5th day of diapause induction compared to non-diapause females, but increased significantly by the 15th and 20th days. NPF was higher expressed in head and midgut while DH showed higher expression in the fat body and midgut. Additionally, NPF expression remained consistently lower throughout all stages of diapause induction compared to non-diapause conditions in females. This study represents the first sequencing, identification, and expression analysis of neuropeptides and neuropeptide receptor genes in C. septempunctata. Our results could provide a foundational framework for further investigations into the presence, functions, and potential targets of neuropeptides and their receptors, particularly in devising novel strategies for diapause regulation in C. septempunctata.

Morphological characterization and sexual dimorphism of saw-scaled viper (&lt;em&gt;Echis&lt;/em&gt;: viperidae: ophidia) population in Sri Lanka

The Saw-scaled vipers (SSV) of the genus Echis (Viperidae: Ophidia) primarily inhabit tropics. In Sri Lanka, E. carinatus is densely populated in the Northern Province where they account for over 50% of the local snakebites. Although it was initially reported as a unique Sri Lankan subspecies named E. c. sinhaleyus, its existence was later questioned, urging the need for more detail studies. The present study examined morphological characters and sexual dimorphism in 30 specimens (17 males and 13 females) collected from Kilinochchi and Jaffna Districts in the Northern Province, using 12 mensural and 17 meristic traits, updating Deraniyagala’s report of 1951. Results showed that the adult females have longer snout to vent length (SVL) than that of males (280.34±43.32 vs. 240.88±27.03), revealing a positive sexual dimorphism index. Males had a greater TL/SVL ratio (x̄̄=13.89±0.68) than that of females (x̄̄=10.65±085). ANCOVA test retrieved most accurate and an independent significant effect of ‘sex’ on TL while SVL serving as the covariate. Males and females shared consistent meristic characters, except for number of dorsal scales at the lower part of the body, ventral and sub-caudal scales. There were more ventral scales in females (145.54±3.31) than that of males (138.41±4.08), and sub-caudal scales were higher in number in males (28.94±1.85) than that of females (25.85±2.82). Although, there were some colour pattern variations of the specimens, (head pattern and ventral pattern), they were not sex-associated and distributed evenly between males and females. This is the first study to illustrate the detail morphometric characters; mensural traits; meristic traits, and color patterns and to demonstrate the sexual dimorphism in the SSV from Sri Lanka, with noticeable differences in the snoutvent length (SVL), tail length (TL), ventral scales, and sub-caudal scales between male and female.

Accounting for sperm whale population demographics in density estimation using passive acoustic monitoring

Sperm whales Physeter macrocephalus are highly sexually dimorphic, with adult males having larger bodies, more powerful echolocation clicks, and slower echolocation clicking rates compared to females. This study introduces methods for estimating sperm whale population densities in the Gulf of Mexico (GoMex) by accounting for the population demographics using passive acoustic monitoring and reveals that ignoring the differences between demographic segments can introduce bias in density estimates. Weekly densities were estimated per 3 demographic segments: social groups consisting of adult females and their offspring, mid-size animals, and adult males. Analysis revealed that the GoMex sperm whale population is primarily composed of social groups, which account for 92 to 98% of the overall population. Mid-size animals and adult males made up a small proportion of the population and were only intermittently present. Our 7 yr GoMex density estimates, including the 2010 Deepwater Horizon (DWH) oil spill period and subsequent years, revealed demographic-specific trends. Declines found at 2 north-central GoMex sites, coupled with increases at a southeastern site, may indicate population movements and potential impacts from the 2010 DWH oil spill and elevated noise levels from anthropogenic activities in the north-central GoMex.

Biological Manifestation of Different Temperature Regimes and Certain Insecticides on Cheilomenes sexmaculata (Fab.) Preying on Cowpea Aphid, Aphis craccivora Koch

Background: Ladybird beetles are great bio-control agents and campodeiform grubs of these little predators are able to devour aphids in a voracious fashion. They feed on a wide array of aphid species most noticeably on the infamous black aphids or cowpea aphids Aphis craccivora (Koch). Methods: The growth and feeding potential of C. sexmaculata were studied in the laboratory of the Department of Entomology, Faculty of Agricultural Sciences (Institute of Agricultural Sciences), SOA Deemed to be University, Bhubaneswar, India at four different temperatures 20°C, 25°C, 30°C and 35°C during 2021-2022. Result: The life history parameters indicated that the duration of eggs, larvae, pupae, adult males and adult females was longest at 30°C and shortest at 20°C. Such variations were also observed in morphometry and feeding potential. The trend was 30°C greater than 25°C greater than 35°C greater than 20°C. In the case of feeding potential the trend was adult female greater than adult male greater than 4th instar greater than 3rd instar greater than 2nd instar greater than 1st instar across all temperatures. Adult females lived longer than males and thereby consumed more aphids than males. Maximum consumption was seen in case of adult female at 30°C which was 633±5.71 aphids and least feeding was seen at 20°C by 1st instar grub which was 8.9±0.56 aphids. The effect of insecticides in direct spray method indicated that dimethoate 30EC killed more ladybirds and clothianidin 50% WDG killed the least. This trend was strong across all temperatures and insect growth stages. The feed contamination method indicated that clothianidin 50% WDG, imidacloprid 17.8% SL and thiamethoxam 25% WG produced higher mortality rates than direct contamination method. All insecticides showed increased mortality up to 72 h and the mortality trend was 72 HAT greater than 48 HAT greater than 24 HAT. The mortality rate of immature individuals is higher than that of adults.

Evaluation of the In2care Mosquito Station against Culex quinquefasciatus mosquitoes (Diptera: Culicidae)under semifield conditions.

Culex quinquefasciatus is an important mosquito vector responsible for the transmission of filarial worms, arthropod-borne viruses like Oropouche, St. Louis encephalitis, andWest Nile and protozoans that cause avian malaria. Due to insecticide resistance documented in Cx. quinquefasciatus populations worldwide, integrated vector management programs can benefit from new strategies to control this species. The In2Care Mosquito Station (In2Care station), a commercially available dissemination station containing pyriproxyfen (PPF) and Beauveria bassiana spores, has been shown to be effective against skip-ovipositing Aedes aegypti and Aedes albopictus in previously conducted semifield and field trials. To determine the potential of Cx. quinquefasciatus adult females to autodisseminate PPF and if the In2Care station could be used for Cx. quinquefasciatus control, we assessed its efficacy in a semifield setting against wild Cx. quinquefasciatus. We found that the In2Care station was attractive to gravid Cx. quinquefasciatus females, with a significantly higher percentage of egg rafts laid in the In2Care station compared to alternative ovipots. Adult females successfully autodisseminated PPF from the In2Care station to surrounding ovipots, leading to a significant increase in mosquito emergence inhibition. Additionally, adult Cx. quinquefasciatus exposure to B. bassiana spores significantly reduced mosquito survivorship. These results suggest that the In2Care station may be effective against Cx. quinquefasciatus in addition to Ae. aegypti and Ae. albopictus. Additional field evaluations are needed to assess impacts at the population level.

Biocontrol of Phenacoccus solenopsis Tinsley using entomopathogenic fungi and bacteria

IntroductionPhenacoccus solenopsis Tinsley, poses a significant threat to a range of crops worldwide. This study aimed to evaluate the efficacy of entomopathogenic fungi (Alternaria murispora and Alternaria destruens) and bacteria (Streptomyces bellus-E23-2) against adult females of P. solenopsis under laboratory (26 ± 2°C) and greenhouse conditions.MethodsLaboratory trials tested A. murispora, A. destruens (104–1010 conidia mL−1), and S. bellus E23-2 (104–1010 cfu mL−1), alone and in combination, recording mortality rates and LC50 values. Greenhouse trials tested the best lab treatments on infested potato plants, monitoring pest density and plant quality.Results and discussionIn laboratory trials, A. murispora at 1010 conidia mL−1 was the most effective, achieved 79.7% mortality (LC50 = 1.338 × 108 conidia mL−1 after 14 days). Combination treatments significantly enhanced efficacy, with A. murispora + S. bellus E23-2 (1010 conidia mL−1 + 1010 cfu mL−1) reaching 85.3% mortality. In greenhouse trials, the combination treatments notably reduced P. solenopsis densities and increased the number of infected mealybugs, with A. murispora + S. bellus E23-2 being the most effective. These treatments did not harm plant quality, unlike imidacloprid, which reduced visual quality despite its high efficacy. Alternaria murispora and S. bellus E23-2 effectively control P. solenopsis, providing a sustainable, plant-safe alternative to chemical insecticides.

Exposure to Cyantraniliprole Adversely Impacts Fitness of Harmonia axyridis: Acute Toxicity and Sublethal Effects on Development, Fecundity and Antioxidant Responses.

Extensive utilization of pesticides and their persistent residues inadvertently pose threats to the effectiveness and fitness of biocontrol agents in agroecosystems. However, these ecological consequences are generally disregarded when executing integrated pest management strategies (IPM). Cyantraniliprole (CNAP) serves as a wide-spectrum diamide insecticide and its sublethal effects have been well characterized on multiple insect pests, whereas its impacts on beneficial natural enemies remain unfathomed. Herein we exposed Harmonia axyridis, a predacious generalist, to lethal and sublethal concentrations of CNAP via dipping treatment (egg stage) and topical applications (1st-instar stage + adult stage). The acute toxicity tests revealed that LC50 of CNAP were 90.11, 86.11 and 240.50 mg/L against embryos, 1st instar nymphs and female adults, respectively, with safety factors ranging from 1.14 to 5.34, suggesting its medium toxicity for H. axyridis and larval stage was the most susceptible. The embryonic, larval and pupal durations of coccinellids ecdysed from CNAP-treated eggs and 1st instars were all elongated under sublethal concentrations, of which LC30 triggered more pronounced and significant retardations relative to control. Besides, exposed coccinellids displayed substantially diminished pupal mass and pupation rate, most notably for insects molted from the 1st-instar stage upon CNAP sublethal treatments. With respect to reproductive performance, LC10 and LC30 of CNAP all significantly suppressed female fecundity, as evidenced by reduced vitellin content, a prolonged pre-oviposition period (POP), mitigated laid eggs and the egg hatching rate. Specifically, there existed positive correlations between vitellin level (Vn) and number of eggs deposited by per female, indicative of CNAP affecting fecundity by regulation of Vn. In addition, the antioxidant system was also profoundly disrupted by CNAP, with compromised POD activity at different concentrations over time and induced hormesis of SOD/CAT activities post LC10 exposure. Activities of SOD and TAC were enhanced to exert protective functions during the first 48 h, while defense collapsed at 72 h following LC30 treatments that depleted all enzymatic activities. We speculated that fitness trade-offs may occur between reproductive capacity and antioxidant defenses to sustain physiological homeostasis in response to CNAP stress. Collectively, this study evaluated the ecological risk of CNAP and unmasked its adverse implications for overall fitness of H. axyridis, which highlighted rational application of agrochemicals to conserve biocontrol agents when implementing IPM strategies for sustainable pest control.

7019 Persistently Elevated Estradiol Levels in a Transgender Male; An Unexpected Pregnancy

Abstract Disclosure: M. Kanin: None. S. Grock: None. N. Agrawal: None. Background: Testosterone is the backbone of gender-affirming hormone therapy (GAHT) for transmasculine and non-binary individuals assigned female at birth (AFAB). While testosterone can affect fertility, it should not be used as contraception and is contraindicated in pregnancy. It is important to counsel patients on fertility preservation, pregnancy, and contraceptive options prior to testosterone initiation. However, the Endocrine Society Guidelines and World Professional Association for Transgender Health Standards of Care provide minimal guidance on reproductive health and contraceptive options. Case Description: An 18-year-old individual AFAB on GAHT with testosterone was referred to endocrinology for elevated estradiol levels. On presentation, the patient denied vaginal bleeding or breast tenderness. The date of last menstrual period was reported as two years prior. There was no significant past medical or surgical history. Medications included subcutaneous testosterone cypionate 20 mg weekly. Physical exam was notable for elevated BMI 42.6kg/m², mild facial hair and central adiposity. Hormone analysis revealed testosterone of 172 ng/dL (adult male: 200-1000) and estradiol 27,322 pg/mL (mid-cycle Female: 80-400). Estradiol by mass spectrometry obtained due to concern for immunoassay interference resulted at &amp;gt; 10,000 pg/mL. FSH &amp;lt;0.1 mIU/mL, LH&amp;lt;0.1 mIU/mL, DHEA-S 2,460 ng/mL (adult female: 400-3600), androstenedione 1.85 ng/mL (0.260 - 2.140), prolactin 328 ng/mL (3 -23.1). CT abdomen and pelvis and pituitary MRI were ordered to assess for ovarian, adrenal and/or pituitary tumor. Later that day additional laboratory tests revealed alpha fetoprotein 126 ng/mL (0 -6.7), progesterone 100.2 ng/mL (luteal phase: 3.0-25.0), beta-hCG 32,571 mIU/ml, inhibin B&amp;lt;10, inhibin A 500.1pg/ml (luteal phase: 40-80) and CA-125 19 U/mL (0 - 35). Given the elevated beta-hcg the patient was asked if they were having sex in a way that could result in pregnancy to which they answered affirmatively. CT and MRI were cancelled, and abdominal ultrasound was obtained which revealed a single living intrauterine pregnancy with estimated gestational age 35 weeks 2 days. Testosterone was stopped and they subsequently delivered a healthy baby girl. Conclusion: Gender diverse patients on testosterone can experience unplanned pregnancy. As testosterone is contraindicated in pregnancy, counseling on reproductive health and contraception is needed. A pregnancy test should be considered prior to initiating hormones for appropriate individuals. It is important to be aware that Individuals AFAB may not desire estrogen containing birth control and placement of intrauterine devices can be dysphoric. Further investigation into how contraceptive options may affect outcomes for individuals on GAHT is needed to minimize barriers to care and to enable patients to make well informed decisions. Presentation: 6/2/2024

7019 Persistently Elevated Estradiol Levels in a Transgender Male; An Unexpected Pregnancy

Abstract Disclosure: M. Kanin: None. S. Grock: None. N. Agrawal: None. Background: Testosterone is the backbone of gender-affirming hormone therapy (GAHT) for transmasculine and non-binary individuals assigned female at birth (AFAB). While testosterone can affect fertility, it should not be used as contraception and is contraindicated in pregnancy. It is important to counsel patients on fertility preservation, pregnancy, and contraceptive options prior to testosterone initiation. However, the Endocrine Society Guidelines and World Professional Association for Transgender Health Standards of Care provide minimal guidance on reproductive health and contraceptive options. Case Description: An 18-year-old individual AFAB on GAHT with testosterone was referred to endocrinology for elevated estradiol levels. On presentation, the patient denied vaginal bleeding or breast tenderness. The date of last menstrual period was reported as two years prior. There was no significant past medical or surgical history. Medications included subcutaneous testosterone cypionate 20 mg weekly. Physical exam was notable for elevated BMI 42.6kg/m², mild facial hair and central adiposity. Hormone analysis revealed testosterone of 172 ng/dL (adult male: 200-1000) and estradiol 27,322 pg/mL (mid-cycle Female: 80-400). Estradiol by mass spectrometry obtained due to concern for immunoassay interference resulted at &amp;gt; 10,000 pg/mL. FSH &amp;lt;0.1 mIU/mL, LH&amp;lt;0.1 mIU/mL, DHEA-S 2,460 ng/mL (adult female: 400-3600), androstenedione 1.85 ng/mL (0.260 - 2.140), prolactin 328 ng/mL (3 -23.1). CT abdomen and pelvis and pituitary MRI were ordered to assess for ovarian, adrenal and/or pituitary tumor. Later that day additional laboratory tests revealed alpha fetoprotein 126 ng/mL (0 -6.7), progesterone 100.2 ng/mL (luteal phase: 3.0-25.0), beta-hCG 32,571 mIU/ml, inhibin B&amp;lt;10, inhibin A 500.1pg/ml (luteal phase: 40-80) and CA-125 19 U/mL (0 - 35). Given the elevated beta-hcg the patient was asked if they were having sex in a way that could result in pregnancy to which they answered affirmatively. CT and MRI were cancelled, and abdominal ultrasound was obtained which revealed a single living intrauterine pregnancy with estimated gestational age 35 weeks 2 days. Testosterone was stopped and they subsequently delivered a healthy baby girl. Conclusion: Gender diverse patients on testosterone can experience unplanned pregnancy. As testosterone is contraindicated in pregnancy, counseling on reproductive health and contraception is needed. A pregnancy test should be considered prior to initiating hormones for appropriate individuals. It is important to be aware that Individuals AFAB may not desire estrogen containing birth control and placement of intrauterine devices can be dysphoric. Further investigation into how contraceptive options may affect outcomes for individuals on GAHT is needed to minimize barriers to care and to enable patients to make well informed decisions. Presentation: 6/2/2024

Evaluating the effects of short-term low temperature on the growth and development of Trichopria drosophilae based on the age–stage two-sex life table

BackgroundThe effects of low temperatures on parasitic wasps are crucial for maintaining farmland biodiversity and enhancing biological control, especially given the implications of global warming and frequent extreme cold events.MethodsWe studied the effects of different low temperatures (−8 ± 1 °C, −4 ± 1 °C, 0 ± 1 °C, 4 ± 1 °C, and 8 ± 1 °C) on the mating frequency and duration of male adults of Trichopria drosophilae and the number of pupae beaten by female adults, and constructed the age–stage two-sex life table of T. drosophilae.ResultsThis study found that male T. drosophilae adults exposed to low temperatures for 12 h significantly altered their mating behavior, peaking between 15:00 and 17:00. As the temperature dropped during the exposure, both the mating frequency of T. drosophilae and the duration of pupal beating were affected. The survival rate of female adults dropped from 39.55% at 8 °C to just 21.17% at −8 °C. Low-temperature treatment shortened the development period and lifespan for T. drosophilae adults. They developed 4.71 days faster and had a total lifespan that was 10.66 days shorter than those in the control group after being exposed to −8 °C. Furthermore, the average number of eggs laid by females at −8 °C was 4.46 less than that at 8 °C and 6.16 less than that in the control group, which laid an average of 21.55 eggs. The net reproductive rate (R0) of T. drosophilae decreased with lower temperatures, reaching a low of 23.64 at −8 °C. Conversely, the intrinsic growth rate (rm) actually increased as temperatures dropped, with the lowest value being 0.21 at −8 °C.ConclusionsThe findings indicate that short-term exposure to low temperatures hampers the growth and population increase of T. drosophilae, thereby reducing their effectiveness as biological control agents.Graphical

Renal Leiomyoma in a Female Adult: A Histopathological Case Report

Renal Leiomyoma in a Female Adult: A Histopathological Case Report

8524 Pituitary Hormone Dysregulation In Symptomatic Long COVID: A Multi-Center Observational Study

Abstract Disclosure: S.L. Sims: None. A. Labadzhyan: None. Z. Chen: None. S. Kim: None. J. Brathwaite: None. L. Cullen: None. M. Koga: None. U. Cheliadinova: None. V. Hwe: None. D. Gomez: None. C. Andriakos: None. T. Melnik: None. E. Puig-Wong: None. S. Whelan: None. S. Cheng: None. S. Joung: None. Z. Abelev: None. C. Le: None. R. Zabner: None. Y. Kawakami: None. T. Araki: Consulting Fee; Self; Chiesi. Objective: Pituitary hormone dysregulation has been reported in symptomatic long COVID, but it has not been rigorously studied. We conducted a multicenter observational cross-sectional study to assess pituitary hormone levels in long COVID patients and a longitudinal study to follow patients with abnormal results. Methods: Male and female adults with confirmed symptomatic long COVID were recruited from post COVID clinics at Mount Sinai in New York, Cedars-Sinai in Los Angeles, and the University of Minnesota, as well as nationwide physician referrals. Pituitary hormone levels were measured, and because fatigue is common in long COVID, patients completed the QoL-AGHDA survey. Those who exceeded pre-determined survey cutoffs or demonstrated any hormone abnormality were invited to the longitudinal study to repeat surveys and blood work every 3 months. A separate cohort with banked serum samples from before and 3, 6, and 9 months after subacute COVID was used as a comparator. Correlation analysis examined associations between QoL-AGHDA scores and pituitary hormone levels. Results: 246 patients were enrolled in the cross-sectional study after a median of 17.0 months (range, 1-39) since the most recent SARS-CoV2 infection prior to the onset of long COVID symptoms. 56% were enrolled in the longitudinal study due to a high questionnaire score and/or pituitary hormone abnormalities. Current mean follow-up period is 7.95 ± 3.2 months. Mildly elevated prolactin levels were most frequent, observed in 12.7% of patients (males 14.0%, females 12.2%). These patients presented post-COVID with galactorrhea, irregular menses, erectile dysfunction, and nonspecific symptoms of hyperprolactinemia. On follow-up, mild hyperprolactinemia tended to persist. Mildly low IGF1 levels (Z-score &amp;lt;-1.0) were observed in 9.0% of patients (males 6.3%, females 10.0%); on follow-up, IGF1 levels recovered in only 15% of these patients. 2.0% of the entire cohort showed transiently elevated IGF1 levels (Z-score &amp;gt;2.0). Low morning cortisol (&amp;lt;5.0 µg/dL) was observed in 3.3% of patients, but response to cosyntropin stimulation was normal. Mild secondary hypothyroidism was observed in 3.7% of all patients, and mild hypogonadism was observed in 7.8% of males. There was no correlation between QoL-AGHDA score and level of each pituitary hormone. After excluding pre-COVID hormone abnormalities in the post subacute COVID cohort, the rate of hyperprolactinemia was lower than that seen in the long COVID cohort (1% vs 12.7%). The rate of low IGF1 levels was higher in the subacute COVID cohort (22% vs 9.0), but unlike with long COVID, low IGF1 levels after subacute COVID recovered in 3-6 months. Conclusion: Abnormalities in pituitary hormone levels in symptomatic long COVID are frequent, with persistent hyperprolactinemia in &amp;gt;10%. Pituitary hormone screening may be important in patients with prolonged symptomatic long COVID. Presentation: 6/3/2024