Effect Of Age Research Articles

The association between BMI and continuity of etonogestrel (ENG)-releasing implant.

The etonogestrel-releasing implant is a long-acting reversible contraception that is recommended by the Food and Drug Administration for 3 years and has been proven to be highly effective and convenient. Adverse effects including irregular bleeding patterns, weight gain, and acne are reported to be the main reasons for treatment discontinuation. The aim of this study is to learn the association between body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) and the incidence of side effects and adherence to treatment. This is a retrospective cohort study, conducted at a single university-affiliated medical clinic, including all women who underwent etonogestrel-releasing implant (Nexplanon®; New Jersey, USA, Organon USA Inc., Merck and Co) insertion between January 2019 and December 2021. Cases where abnormalities were reported during the insertion procedure or missing data were excluded from the study. Information on patients' demographic, medical history, obstetric and gynecological history, and follow-up was collected from electronic medical files. The primary outcome was defined as the rate of implant removal in the different obesity classes. Data are presented as median and interquartile range. The study was approved by institutional review board. The study population included 1318 women, of whom 466 (35%) requested early removal of the implant. Women's demographic and clinical characteristics were comparable between women who requested early removal and those with full-length treatment. The median time for early removal was 12 (6-20) months from insertion. Irregular bleeding was the most frequent reason for early removal in both groups and was more than twice as prevalent in the early removal group (239 [51.29%] vs 193 [22%], P = 0.001). The early removal group had fewer obese women (BMI ≥30) compared with women who had full-length treatment (163 [31.8%] vs 350 [68.2%], P = 0.03), with comparable rates of class 3 obesity women (BMI ≥40) (P = 0.68). Multi-regression logistic analysis including age, BMI, parity and side effects found that the presence of side effects is the only independent predictor significantly associated with early implant removal (B = 1.74, P = 0.04). Continuation of etonogestrel-releasing implant contraception treatment was associated with the presence of side effects that were more often reported in non-obese women. BMI was not found to be a significant factor influencing adherence to treatment.

Perceptibility and acceptability of lightness difference of a single maxillary central incisor.

The aim of this study was to assess the lightness difference perceptibility and acceptability thresholds, for a single maxillary central incisor, and to investigate possible differences in these thresholds regarding the direction (+ΔL* vs. -ΔL*), the observer group (dentists vs. laypersons), and the gender and age of the observers. A series of images with varying lightness (L*), were created by altering the right maxillary central incisor of a male Caucasian, on a frontal view full-portrait image. Digital modification of one central incisor by 1 ΔL* unit resulted in 15 different images: one control, seven with increased and seven with decreased lightness. The images were presented in random order, on a digitally calibrated monitor, to 158 observers, grouped into 79 dentists, and 79 laypersons, who were asked to evaluate every image and answer whether they perceive a difference and if yes, whether they accept this difference. A multifactorial analysis of covariance was performed to analyze the perception and acceptance of any difference in the central incisors and to estimate the thresholds. The statistical significance level was α = 0.05. Overall, the magnitude of ΔL*, direction of ΔL*, observer group and age were each significant (p < 0.001), as was gender (p = 0.03). The effect of the magnitude of ΔL* interacted with its direction and the observer group (p = 0.045), and the effect of age interacted with the direction of ΔL*, and the gender and the group of the observers. Estimated 50%:50% perceptibility thresholds ranged from 0.1 to 2.7, and 50%:50% acceptability thresholds ranged from 2.3 to 4.5. Overall, dentists perceived lightness differences at lower magnitudes than laypersons; difference in lightness was perceived and accepted at lower magnitudes when the tooth become lighter instead of darker; and female observers perceived and accepted lightness differences at lower magnitudes compared to males. As age increased overall, differences of lightness were perceived and accepted at higher magnitudes. Perceptibility and acceptability of lightness differences of a single maxillary central incisor are affected by the magnitude and the direction of lightness change, as well as the gender, the age, and the type of the observers. Even small changes in lightness are perceivable; however, thresholds of perception and acceptance are dependent on the magnitude and the direction of change and are also dependent on the observer, with women, dentists and younger people perceiving and accepting changes at lower magnitudes of ΔL*.

Bone age and dental late effects in childhood cancer survivors: Radiographic findings in a Brazilian sample.

Changes in bone age and tooth development are late side effects of cancer therapy and can be identified by imaging examination. To evaluate the late effects of antineoplastic treatment on bone age and dental development in childhood cancer survivors. This is a retrospective case-control study on paediatric cancer survivors of both sexes who underwent antineoplastic treatment with 5-15 years of survival. Carpal radiographs were assessed for bone age and growth curve, and panoramic radiographs were used to evaluate dental development and alterations. Carpal radiographs were analyzed using the Greulich and Pyle inspection method, and the Martins and Sakima method was used to analyze the growth curve. All tests were applied with a confidence level of 95%. The study and control groups comprised 28 and 56 patients, respectively. There was no significant difference in bone age and growth curve between the study and control groups. Nonetheless, when sex was compared to chronological and bone ages, there was a significant difference in bone age (p = 0.019) and an underestimation in both groups and sexes in the Greulich and Pyle method. As to late dental effects, dental agenesia, microdontia, gyroversion, and unerupted teeth were found. Dental shape alterations mainly involve the root region. Close multidisciplinary collaboration is necessary during the follow-up period of young patients who have survived cancer.

Differential effects of aging on regional corpus callosum microstructure and the modifying influence of pulse pressure

Differential effects of aging on regional corpus callosum microstructure and the modifying influence of pulse pressure

Effect of young age (below 40 years) on oncologic outcomes in Lebanese patients with breast cancer: a matched cohort study

BackgroundDeveloping countries have a significantly higher incidence of breast cancer in patients younger than 40 years as compared to developed countries. This study aimed to examine if young age at diagnosis is an independent prognostic factor for worse survival outcomes in breast cancer as well as the effect of age on Disease-free survival (DFS) and local recurrence free survival (LRFS) after adjusting for various tumor characteristics, local and systemic treatments.MethodsThis is a secondary analysis of prospective cohort of patients from two existing databases. We identified patients with breast cancer aged 40 years or less and we matched them to those older than 40 years. We also matched based on stage and molecular subtypes. In cohort 1, we matched at a ratio of 1:1, while in cohort 2 we matched at a ratio of 1:3.ResultsIn cohort 1, Disease-free survival (DFS) at 5 years was significantly shorter for those younger than 40 years (75.6% and 92.7% respectively; p < 0.03). On multivariate analysis, only chemotherapy was found to be significant, while age was not found to be an independent predictor of prognosis. Local recurrence free survival at 5 years was similar between both age categories. Only hormonal therapy is a significant predictor for LRFS at 5 years. In the second cohort, DFS and LRFS at 3 years were similar between those younger and those older than 40 years. On multivariate analysis, no factor including age was found to be an independent predictor of prognosis.ConclusionData in the literature is controversial on the effect of young age on breast cancer prognosis. Our findings could not demonstrate that age is an independent prognostic factor in our population. There is a need for outcomes from larger, prospective series that have longer follow-ups and more data from our region.

285 Impact of feeding strategies on semen concentration, motility, and morphology of the mature AI boar

Abstract The objective of this experiment was to determine if varying feeding strategies of maintenance requirements of boars impacts semen concentration, motility, morphology, and cortisol of the working boar. This experiment was conducted at Purdue University over two 9-wk periods with 1-wk before each 9-wk period serving as baseline for analysis. Boars (n = 28; Acuity and Topig Norvsin) from two age groups (9 and 15 mo) and two genetics (maternal and terminal) were used. Boars were blocked by breed and age and randomly allocated to receive one of three feed intake levels of a corn-soybean meal-based diet formulated to meet NRC (2012) maintenance requirements: HIGH (150% maintenance, n = 9); MAIN (100% maintenance, n = 10); and LOW (80% maintenance, n = 9) during the first 9-wk period. During the second 9-wk period remaining HIGH and LOW boars were crossed-over to opposite treatments (HIGH-LOW, n = 9; LOW-HIGH, n = 7), and maintenance boars were unchanged (MAIN-MAIN, n = 8). Semen was collected once/wk using the gloved hand method and 3 mL of ejaculate was diluted in 27 mL of extender (Androhep Plus, Minitube). Semen concentration (Nucleocounter SP-100), motility (Computer Assisted Sperm Analysis, CASA, CEROS II), and sperm cell morphology (phase-contrast, bright-field microscopy) were analyzed. Data were analyzed using PROC MIXED in SAS 9.4 with boar as experimental unit with main effects of feed intake and age with phase (3-wk period) as repeated measure. Significance was determined at P &amp;lt; 0.05 and a trend 0.05 &amp;lt; P ≤ 0.10. Three-way interactions for the first 9-wk period of feed intake*age*phase was observed for total sperm (P &amp;lt; 0.10) and total normal sperm (P &amp;lt; 0.05) with old boars fed HIGH treatment increasing sperm production, but old boars fed MAIN and LOW decreasing sperm production while young boars had minimal changes in sperm production regardless of feeding levels in the first 9-wk period. No other interactions or main effects were observed for the first period. During the second 9-wk period two-way interactions were observed for total sperm (FI*Age; P &amp;lt; 0.05) and total normal sperm (FI*Age; P &amp;lt; 0.01) with old LOW-HIGH boars having the highest total sperm and total normal sperm concentrations and young LOW-HIGH boars having the least total sperm and total normal sperm concentrations. HIGH-LOW fed boars had the greatest decrease in semen volume compared with the other treatments (FI*Phase; P &amp;lt; 0.01). Boars fed MAIN had minimal impacts on semen parameters compared with HIGH and LOW feed intake treatments. HIGH and LOW feed intake was observed to impact semen parameters in old boars faster than young boars with neither age being able to return to their baseline semen parameters observed at the start of the trial. Future research is needed with varying ages and feed intakes to better understand how nutritional strategies impact semen quantity and quality in the boar stud.

PSII-17 Effect of protease supplementation on amino acids digestibility of soybean meal fed to growing pigs of different ages

Abstract Protease supplementation can increase amino acids (AA) availability; however, the effectiveness of protease in swine diets varies and has been associated with the type and dose of protease, dietary ingredients, and potentially animal age. This study investigated the interactive effect of protease inclusion level and pig age on standardized ileal digestibility (SID) of protein (CP) and AA of soybean meal (SBM) fed to growing pigs. A corn starch–based diet was formulated with SBM as the sole source of AA and containing titanium as an indigestible marker. Protease was supplemented at 0, 15,000; 30,000 and 45,000 NFP/kg of feed (ProAct 360). An N-free diet was used to estimate basal ileal endogenous AA losses. Ten cannulated pigs (body weight = 21 kg ± 2 kg) were assigned to experimental diets in a duplicate 5 × 5 Latin square design. In Phase I (23 to 30 kg-pigs, 90 ± 17 d of age), ileal digesta was collected in 5 periods of 7 d (5 d adaptation and 2 d ileal digesta collection). In Phase II (50 to 65 kg-pigs. 140 ± 17 d of age), using the same diets, ileal digesta was collected in 5 more periods of 7 d. Pigs were fed at 4% of body weight (BW) adjusted at the end of each period. Diets and ileal digesta were analyzed for CP, AA, and titanium and SID was calculated. Orthogonal polynomial contrasts were used to determine the linear and quadratic effects of protease supplementation. The combined data were analyzed as 4 x 2 factorial, including the fixed effects of protease inclusion (excluding N-free diet), age, and their interactions. In phase I, increasing levels of protease resulted in linear improved (P &amp;lt; 0.1) of SID for the majority of indispensable AA (Except Arg, His, Met + Cys, and Trp) and the average of dispensable AA. In phase II, the SID of Ile, Leu, Met, Met + Cys, Val, the average of indispensable AA, and the majority of dispensable AA was quadratically improved. Overall (Phase I and II), the SID of Ile, Leu, Met + Cys, Val, Cys, Glu, Tyr, and the average of dispensable AA was quadratically improved (P &amp;lt; 0.1). In most cases, the supplementation of 30,000 NFP/kg of feed resulted in the greatest AA digestibility improvements. However, the linear response in the first phase for some AA suggests that diets for younger pigs could be supplemented with a greater level (45,000 NFP/kg of feed). There were no interactions between protease levels and age. Younger pigs had improved (P &amp;lt; 0.1) SID of CP and most AA (Except Cys, Gly, and Ser). In conclusion, dietary protease supplementation can improve SID of AA in soybean mean independent of pig age. Pigs age can influence AA digestibility where younger pigs have greater AA digestibility.

62 Implications of factor analyses and Bayesian network learning to develop composite traits of size attributes in developing beef heifers

Abstract Advancements in phenotypic data collection methods provide opportunities to capture complex biological traits more efficiently. Even so, interpreting those phenotypes and using them in selection decisions is challenging in beef cattle production. Objectives of this study were to 1) develop composite phenotype(s) of economic importance in beef heifers given attributes of their body conformation and ultrasound-based measures of reproductive and carcass traits, and 2) identify associated genomic regions under selection using the structure equation modeling (SEM) approach. In this study, we hypothesized that the interplay of factor analysis and Bayesian Network Learning (BNL) approaches would better define the complex composite traits for size and carcass-related traits in beef heifers. Phenotypic data of admixed beef heifers (n = 336) for different reproductive, body conformational, and carcass-associated phenotypic traits (n = 16) were collected. Using exploratory and confirmatory factor analyses, two latent variables explaining 14 phenotypic traits were identified, herein called Body Size (BS; n = 7 traits represented) and Body Composition (BC; n = 7 traits represented). To efficiently model them in genome-wide association studies (GWAS), fixed effects of data collection year, dam age, and primary breed group as well as causal network structure identified through BNL were used within SEM model of GWAS. Body Size was directly or indirectly contributing to BC based on BNL structure. Given the data-driven approach and novelty of the data, BayesCπ model was applied with the sliding window of 1 Mb to avoid noise and linkage disequilibrium implications. Regions capturing large amounts of genetic variance (Posterior Probability of Association, PPA ≥ 0.8) were mapped to their closest gene for enrichment analysis. Twenty-four different genes were identified associated with both composite phenotypes. Functional enrichment analysis of significantly involved pathways (FDR &amp;lt; 0.05) indicated that genes from the HERC family (HERC3, HERC6, and HERC5) were found involved in cellular growth, and those from desmosomes (DC2, and DC3) were involved in morphogenesis like BS. Genes related to energy metabolism like IMPAD1, and PIGY, along with genes associated with traits like muscular development, and other carcass traits (i.e., FAM184B, NCAPG, and LCORL), were also found associated with BS and BC. Heritability ranged from 0.551 ± 0.048 to 0.897 ± 0.145 for BS and BC, respectively. The combined heritability of reproductive and carcass traits (BC) was much greater than the heritability of any related individual trait reported to date and was comparable for individual BS-related traits. Given this, we conclude that the implications of factor analyses with BNL can provide better biological insights for improved genomic selection in beef cattle, even for traits of low heritability.

286 Impact of feeding strategies on bodyweight and body condition in mature AI boars

Abstract The objective of this experiment was to determine how varying feeding strategies for boars impacts body weight (BW), backfat depth, loin muscle depth, Knauer caliper measurements, flank to flank tape measurement, body condition score (BCS), and scrotal width and length. This experiment was conducted over two 9-wk periods. Boars were weighed and measurements were taken every 3 wk during the study. Boars (n = 28; Acuity and Topig Norvsin) from two age groups (9 and 15 mo) and two genetic lines (maternal and terminal) were used during this experiment. Boars were blocked by breed and age and randomly allocated to receive one of the three feed intake (FI) levels of a corn-soybean meal-based diet (met NRC 2012 nutrient requirements) using the NRC (2012) maintenance equation [ME for maintenance = (100*kg BW0.75) + 15 kcal for sperm production]. Treatments were: HIGH (150% of maintenance, n = 9), MAIN (100% of maintenance, n = 10), LOW (80% of maintenance, n = 9) for the first 9-wk period. During the second 9-wk period remaining HIGH and LOW boars were crossed-over to opposite treatments (HIGH-LOW, n = 9; LOW-HIGH, n = 7) and maintenance remained unchanged (MAIN-MAIN, n = 8). Data were analyzed using PROC MIXED in SAS 9.4. Boar was the experimental unit with main effects of feed intake and age, and week serving as a repeated measure. Significance was determined at P &amp;lt; 0.05 and a trend at 0.05 &amp;lt; P ≤ 0.10. Three-way interactions of FI*Age*Week were observed during the first 9-wk period. Young boars fed HIGH had a greater increase in BW (P = 0.002), caliper (P = 0.011), backfat depth (P = 0.003), BCS (P = 0.003), and scrotal width (P = 0.004) than old boars fed HIGH and young boars fed LOW had a greater reduction in these variables then old LOW boars. Boars fed LOW for the first 9-wk period had reduced scrotal length (P = 0.004), greater reduction in BW change (P &amp;lt; 0.001), and reduced tape change (P = 0.021) compared with HIGH and MAIN fed boars. Two-way interactions for the second 9-wk period were observed. HIGH-LOW fed boars had decreased BW (FI*Week; P &amp;lt; 0.001), tape (FI*Week; P = 0.019), caliper (FI*Week; P = 0.012), BCS (FI*Week; P &amp;lt; 0.001), and scrotal width (FI*Week; P = 0.047) while LOW-HIGH boars had increased measurements for these variables over time. Additional two-way interactions during the second 9-wk period included Tape (FI*Age; P = 0.046) and BCS (FI*Age; P = 0.028). Overall young boars had more adverse reactions to the varying feeding strategies than old boars, this included larger changes in BW and composition measures. Young and old boars fed MAIN level lost BW and condition indicating the equation for maintenance energy requirement is not accurate for modern genetics working boars. Future research is needed with varying ages and feed intakes in the boar stud to better understand the impacts of growth, development, and maintenance energy for the modern AI boar.

An in silico approach to elucidate the pathways leading to primary osteoporosis: age-related vs. postmenopausal.

Numerical models of bone remodelling have traditionally been used to perform in silico tests of bone loss in postmenopausal women and also to simulate the response to different drug treatments. These models simulate the menopausal oestrogen decline by altering certain signalling pathways. However, they do not consider the simultaneous effect that ageing can have on cell function and bone remodelling, and thus on bone loss. Considering ageing and oestrogen decline together is important for designing osteoporosis treatments that can selectively counteract one or the other disease mechanism. A previously developed bone cell population model was adapted to consider the effect of ageing through: (1) the decrease of TGF- contained in the bone matrix and (2) an increased production of sclerostin by non-skeletal cells. Oestrogen deficiency is simulated in three different ways: (a) an increase in RANKL expression, (b) a decrease in OPG production, and (c) an increase in the responsiveness of osteoclasts to RANKL. The effect of ageing was validated using the cross-sectional study of (Riggs et al. in J Bone Miner Res 19: 1945-1954, 2004) on BMD of trabecular bone of the vertebral body of men. The joint effect of ageing and oestrogen deficiency was validated using these same clinical results but in women. In ageing, the effect of the increasing production of sclerostin is more important than the decrease of TGF- , while the three mechanisms used to simulate the effect of oestrogen deficiency produce almost identical responses. The results show that an early menopause leads to a lower average density in the fifth decade, but after the sixth decade the average density is independent of the age at menopause. Treatment of osteoporosis with denosumab was also simulated to conclude that the drug is not very effective if started before 10 years after menopause or before age 60.

PLGA nanocapsules as a delivery system for a recombinant LRP-based therapeutic.

Telomerase activity is directly affected by the laminin receptor precursor (LRP) protein, a highly conserved nonintegrin transmembrane receptor, which has been shown to have therapeutic effects in ageing, and age-related diseases. Recently, it has been found that overexpression of LRP-FLAG, by plasmid transfection, leads to a significant increase in telomerase activity in cell culture models. This may indicate that upregulation of LRP can be used to treat various age-related diseases. However, transfection is not a viable treatment strategy for patients. Therefore, we present a nanoencapsulated protein-based drug synthesised using poly(lactic-co-glycolic acid) (PLGA) nanocapsules for delivery of the 37 kDa LRP protein therapeutic. PLGA nanocapsules were synthesised using the double emulsification-solvent evaporation technique. Different purification methods, including filtration and centrifugation, were tested to ensure that the nanocapsules were within the optimal size range, and the BCA assay was used to determine encapsulation efficiency. The completed drug was tested in a HEK-293 cell culture model, to investigate the effect on cell viability, LRP protein levels and telomerase activity. A significant increase in total LRP protein levels with a concomitant increase in cell viability and telomerase activity was observed. Due to the observed increase in telomerase activity, this approach could represent a safer alternative to plasmid transfection for the treatment of age-related diseases.

Age-related effects of neuromuscular fatigue and acute recovery responses on maximal and rapid torque measures of the leg extensors and flexors.

To examine the effects of neuromuscular fatigue and recovery on maximal and rapid torque characteristics in young and old men for the leg extensors and flexors. Twenty-one young (age = 24.8years) and 19 old (72.1years) men performed maximal voluntary contractions (MVCs) before and at 0, 7, 15, and 30min following an intermittent submaximal fatigue task. Outcome measures included endurance time, maximal (peak torque; PT) and rapid (absolute and normalized rate of torque development; RTD and nRTD) torque characteristics. The old men had greater endurance times than the young men. Differential recovery patterns were observed for PT, and early and late RTD phases between the leg extensor and flexor musclegroups such that the early rapid torque variables and the flexors demonstrated slower recovery compared to later rapid torque variables and the extensors. The normalized RTD variables were reduced less after the fatigue task and differential muscle and age effects were observed where the flexors were reduced more at the early phase (nRTD1/6) compared to the extensors, however, for the later phase (nRTD2/3) the young men exhibited a greater reduction compared to the old men. Dissimilar fatigue recovery patterns across different phases of RTD, lower limb muscles, and age groups may have important fatigue-related performance and injury risk implications across the adult lifespan.

Optimizing pediatric liver transplantation: Evaluating the impact of donor age and graft type on patient survival outcome.

We examined the combined effects of donor age and graft type on pediatric liver transplantation outcomes with an aim to offer insights into the strategic utilization of these donor and graft options. A retrospective analysis was conducted using a national database on 0-2-year-old (N = 2714) and 3-17-year-old (N = 2263) pediatric recipients. These recipients were categorized based on donor age (≥40 vs <40 years) and graft type. Survival outcomes were analyzed using the Kaplan-Meier and Cox proportional hazards models, followed by an intention-to-treat (ITT) analysis to examine overall patient survival. Living and younger donors generally resulted in better outcomes compared to deceased and older donors, respectively. This difference was more significant among younger recipients (0-2 years compared to 3-17 years). Despite this finding, ITT survival analysis showed that donor age and graft type did not impact survival with the exception of 0-2-year-old recipients who had an improved survival with a younger living donor graft. Timely transplantation has the largest impact on survival in pediatric recipients. Improving waitlist mortality requires uniform surgical expertise at many transplant centers to provide technical variant graft (TVG) options and shed the conservative mindset of seeking only the "best" graft for pediatric recipients.

Factors Influencing Tangerang City MSMEs' Financial Literacy

Financial literacy is the knowledge about financial product and services. It is also defined as financial management skills that one should have in order to reach financial welfare, especially for Micro, Small, and Medium Enterprises. The purpose of this study is to analyze the effects of income, educational level, gender, age, and length of business on the financial literacy level of MSMEs in Tangerang City. This study used quantitative methods and used Proportionate Stratified Random Sampling as the sampling technique with 100 MSMEs as a sample. It was conducted in 11 subdistricts in Tangerang City – Tangerang, Batuceper, Larangan, Karawaci, Cibodas, Cipondoh, Pinang, Ciledug, Karang Tengah, Neglasari, and Periuk. The study used Multiple Linear Regression as an analysis technique. Based on the analysis carried out using the SPSS application, the results showed that: (i) the financial literacy index of MSMEs in Tangerang City was an average of 76.15%; (ii) income has a positive and significant influence on financial literacy level on MSMEs in Tangerang City; (iii) education level has a positive and significant influence on the financial literacy level; (iv) gender has no significant influence on the financial literacy level; (v) age has a positive and significant influence on the financial literacy level; and (vi) the length of business has a positive and significant influence on financial literacy level. The implication of this study are: MSMEs can increase their financial literacy level by making monthly financial records using digital technology and increase their ability to adapt with financial technology. Cooperatives and Small and Medium Enterprise Office can conduct more financial literacy workshop and increase MSMEs’ access to technology and financial product and services in order to increase financial literacy level of MSMEs in Tangerang city so that MSMEs can reach financial welfare. Keywords: MSMEs, financial literacy, income, educational level, gender, age, and the length of business

The Moderating Effects of Gender and Age in the Relationship Between 
Job Insecurity and 
Turnover Intention 
During the Global Pandemic

This article explores the effect of perceived job insecurity on employees’ turnover intention during the global pandemic. A conceptual model was developed and tested with data collected from 398 faculty members in higher educational institutions in Southern India. After checking the instrument’s psychometric properties using structural equation modelling, the hypotheses were tested using hierarchical regression. The results indicate that three dimensions of job insecurity—the perceived threat to job features, the perceived threat to total job and the feeling of powerlessness—are positively associated with turnover intentions of faculty members. The results also reveal that age and gender moderated the relationship between (a) perceived threat to total job and turnover intention and (b) feeling of powerlessness and turnover intention. This study recommends that administrators not underestimate the perils of perceived job insecurity in terms of turnover intentions and steps need to be taken to ensure that employees feel safe and continue to work. This study highlights a simple fact: If adequate steps are not taken, crises like the global pandemic may adversely affect organisations.

Age at menopause and risk of ischemic stroke: a systematic review and meta-analysis.

Despite ischemic stroke having much importance as one of the top 10 causes of death in older women, there is limited data on age at menopause and ischemic stroke. We performed a systematic review and meta-analysis to estimate the effect of age at menopause on ischemic stroke. We screened four databases (PubMed, Cochrane, Web of Science, and EMBASE databases) up to July 17, 2023. This systematic review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines and was registered with PROSPERO (CRD42023444245). Data extraction and quality assessment were independently undertaken by two reviewers. A random-effects model was used for meta-analysis using Revman5.4 to calculate the risk ratio of the incidence of ischemic stroke. Heterogeneity was assessed using I2. Meta-regression and assessment for bias were performed. Out of 725 records identified, 10 studies were included in the qualitative synthesis and the quantitative meta-analysis. The pooled incidence rate for ischemic strokes which age at menopause before 43 years old was 1.22 (95% confidence interval (CI): 1.02-1.46). The pooled incidence rate of early menopause was 1.26 (95% CI: 1.07-1.48) for ischemic stroke. The incidence rate of ischemic stroke for women with early menopause may be in an environment with a high incidence for a long time. This meta-analysis suggests that early menopause is associated with an increased risk of ischemic stroke. Age at onset of menopause before 43 years old may be the cut-off value of increased risk of ischemic stroke.

Aging in zebrafish is associated with reduced locomotor activity and strain dependent changes in bottom dwelling and thigmotaxis.

Aging is associated with a wide range of physiological and behavioral changes in many species. Zebrafish, like humans, rodents, and birds, exhibits gradual senescence, and thus may be a useful model organism for identifying evolutionarily conserved mechanisms related to aging. Here, we compared behavior in the novel tank test of young (6-month-old) and middle aged (12-month-old) zebrafish from two strains (TL and TU) and both sexes. We find that this modest age difference results in a reduction in locomotor activity in male fish. We also found that background strain modulated the effects of age on predator avoidance behaviors related to anxiety: older female TL fish increased bottom dwelling whereas older male TU fish decreased thigmotaxis. Although there were no consistent effects of age on either short-term (within session) or long-term (next day) habituation to the novel tank, strain affected the habituation response. TL fish tended to increase their distance from the bottom of the tank whereas TU fish had no changes in bottom distance but instead tended to increase thigmotaxis. Our findings support the use of zebrafish for the study of how age affects locomotion and how genetics interacts with age and sex to alter exploratory and emotional behaviors in response to novelty.

The Prevalence of Coronary Artery Disease in Bicuspid Aortic Valve Patients: An Overview of the Literature.

The prevalence of coronary artery disease (CAD) in bicuspid aortic valve (BAV) patients is a debatable topic. Several studies have indicated that BAV patients have a lower prevalence of CAD compared with patients with a tricuspid aortic valve (TAV), but the effects of age and gender have not always been considered. This systematic review provides an overview of articles which report on CAD in BAV and TAV patients. Searches were executed in April 2021 and January 2022 according to the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-analyses) guidelines in three online databases: Medline, Embase, and Scopus. Screening and data extraction was done by two investigators separately. Primary and secondary outcomes were compared between BAV and TAV patients; a fixed effects model was used for correcting on confounders. Literature search yielded 1,529 articles with 44 being eligible for inclusion. BAV patients were younger (56.4 ± 8.3 years) than TAV patients (64 ± 10.3 years, p < 0.001). All CAD risk factors and CAD were more prevalent in TAV patients. No significant difference remained after correcting for age and gender as confounders. BAV patients have a lower prevalence of CAD and CAD risk factors compared with TAV patients. However, when the age differences between both groups are considered in the analyses, a similar prevalence of both CAD and CAD risk factors is found.

Abstract PO1-02-14: Breast cancer in older women - long-term prognosis by age and subtype in a large population-based cohort

Abstract Background Compared to middle-aged women, older women have a higher risk of breast cancer death. Whether the increased risk of breast cancer death is present in all subgroups of older adults with breast cancer, or negligible in the subgroups receiving adequate surgical and oncological treatment, has been debated. We studied long-term prognosis by age and subtype, adjusting for stage, treatment, socioeconomic status and comorbidity, clarifying which subgroups of older patients that are at increased risk of breast cancer death. Methods In a nation-wide cohort of 45,949 women aged ≥60 years at diagnosis of breast cancer 1997-2014, we estimated crude probabilities of breast cancer death and from other causes using competing risk methods. Cox proportional hazards models were used to estimate adjusted hazard ratios (HR) with 95% confidence intervals (CI. Results In this large population-based cohort study of older women with breast cancer, we found an increasing risk of breast cancer death with increasing age at diagnosis, both at 5- and 10-year follow up. The strong association between age and breast cancer death was found for all breast cancer subtypes, being most prominent in Her2-positive breast cancer. The age effect was also significant in Luminal A breast cancer where treatment opportunities are not necessarily affected by age. High-risk tumors were equally common in all age groups above 60 years. In multivariable analysis, stage, subtype, grade and treatment were important explanatory variables to the age-related differences in survival, while comorbidity and socioeconomic status contributed minorly. After adjustments, older age remained an independent risk factor for both overall and breast cancer survival. Older women with triple-negative (60-79 years) or Her2-positive (60-84 years) tumors had a 5-year risk of breast cancer death exceeding the risk of death by other causes. Conclusions Older women had a significantly higher risk of breast cancer death irrespective of breast cancer subtype, also in Luminal A disease where treatment opportunities are not necessarily affected by age. Table 3. Crude probabilities of breast cancer specific death and death by other cause (competing cause of death) at 5, 10 and 15 years. Table 4. Multivariable analysis of prognostic factors affecting 15-year overall (OS) and breast cancer- specific survival (BCSS) Table 5. Multivariable analysis of prognostic factors affecting 15-year overall (OS) and breast cancer- specific survival (BCSS) by age at diagnosis and subtype. Citation Format: Amelia Chiorescu, Anna L V Johansson, Antonis Valachis, Alexios Matikas, Jan Frisell, Lars Holmberg, Irma Fredriksson. Breast cancer in older women - long-term prognosis by age and subtype in a large population-based cohort [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO1-02-14.

Abstract PO1-12-11: How do chemotherapy and age affect physical performance in breast cancer patients over 12 months of treatment? Results from the UPBEAT Study (UPBEAT WF-97415)

Abstract Introduction: Chemotherapy-associated functional decline is a concern for women with breast cancer. Objective: To assess effects of chemotherapy and age on objectively measured physical performance among women with breast cancer over time. Methods: Analyses utilized the multicenter, longitudinal Understanding and Predicting fatigue, cardiovascular decline, and events after BrEast cAncer sTudy (UPBEAT), a study conducted through the Wake Forest NCORP Research Base (5UG1CA189824). We examined physical performance at baseline and at 3 and 12 months and compared means across time by age group (&amp;lt; 65 years v. 65+ years at baseline) and by cancer/control group. For the latter variable, we had 3 groups of participants: 1) newly diagnosed breast cancer patients with Stage 1-3 breast cancer who received chemotherapy (CC; n= 201); 2) newly diagnosed breast cancer patients receiving no chemotherapy (CNC; n=57); and age-matched healthy controls (HC; n=145). The primary outcome was the Short Physical Performance Battery (SPPB) score (range 0-12, worst to best performance, including chair stands, gait speed, and balance testing). Effects of cancer/control group, age group, and time (treated categorically rather than ordinally) were estimated in a mixed model with a random subject effect and fixed effects of time (baseline, 3 month, 12 month) and cancer/control group. In the model we included all first-order interactions as well as the one second-order interaction between all three predictors. We also used linear contrasts to compare estimated means within groups. Analyses were conducted in SAS 9.4. A two-tailed alpha of 0.05 was used throughout to denote statistical significance. Results: Among 403 patients accrued through the Wake Forest Research Base of NCORP, 201 were in the CC group, and 18.9% of these were aged 65 and older; 57 were in the CNC group, and 33.3% were older; and 145 were in the HC group, and 15.9% were 65 or older. We observed a significant (p&amp;lt; 0.0001) main effect of older age group in our model: across all 3 groups, and all 3 time points, those who were 65 years of age or older had worse SPPB scores than those who were younger. Healthy controls tended to have better mean scores than the other 2 cancer/control groups, though the main effect of group did not achieve statistical significance (p=0.06). We observed no significant interaction terms; in other words, the effect of being older (in terms of association with worse SPPB scores) did not vary by time or group. Within the CC group, both the older and the younger groups declined significantly (p=0.04) in mean SPPB at 3 months compared to baseline, but by 12 months, the means had returned to their starting points. No other groups showed significant changes over time. Conclusions: Chemotherapy was associated with decline in SPPB score over the 12-month time period regardless of age. Older adults, regardless of chemotherapy status and time point, had lower SPPB scores. Citation Format: Shirley Bluethmann, Beverly Levine, Brianna Leitzelar, Katherine Ansley, Alexandra Thomas, Nancy Avis, Gregory Hundley, Heidi Klepin, Kathryn Weaver, Glenn Lesser. How do chemotherapy and age affect physical performance in breast cancer patients over 12 months of treatment? Results from the UPBEAT Study (UPBEAT WF-97415) [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO1-12-11.