Juvenile Survivors Research Articles

Prevalence of Osteopathologies in Children and Adolescents After Diagnosis of Acute Lymphoblastic Leukemia.

Background: Impaired bone health is a late effect of childhood malignancies which can be difficult to detect in juvenile survivors. It may, however, lead to compromised quality of life, or even permanent disability later in life due to osteoporosis, pain or fractures if left untreated. Acute lymphoblastic leukemia (ALL) is the most frequent childhood malignancy with an over 85% five-year survival. ALL and its treatment cause bone alterations in adults, but little information on the bone health status in juvenile survivors is available.Objective: To report data on skeletal late effects in juvenile survivors of childhood ALL based on a comprehensive assessment of bone health and to assess the influence of a vitamin D deficiency on bone health in this cohort.Methods: In a single center cross sectional study 128 pediatric patients (11.9 ± 4.76 years) with a mean follow up of 5.88 ± 3.75 years after diagnosis of ALL were recruited. The bone health status of the survivors was assessed based on clinical examination, review of medical records, biochemical and radiographic analyses, by clinical experts. A score which utilized 8 different parameters was formed and used to assess the effect of a vitamin D deficiency on bone health.Results: In this cohort, 18% of survivors displayed overt osteopathologies as defined by clinical expert assessment. Impaired bone health, defined by at least one pathological screening parameter, was detected in 77%. Despite recommendations for adequate vitamin D supplementation, 15% displayed a vitamin D deficiency associated with hyperparathyroidism. The applied score identified survivors with osteopathologies with high sensitivity and specificity. The median score did not differ between patients without and with severe vitamin D deficiency.Conclusion: Our findings suggest that impaired bone health and osteopathologies are common skeletal late effects following treatment of childhood ALL. Major contributing factors are BMT, irradiation and older age at diagnosis. Vitamin D deficiency likely accounts for hyperparathyroidism in some patients but does not seem to further affect bone health in this cohort. Survivors of ALL need thorough surveillance to investigate bone health, since bone morbidity is common and still poorly understood. Early detection and appropriate intervention may improve bone health.

Osteopathologies and endocrine late effects in a cohort of 102 juvenile survivors of brain tumors

Osteopathologies and endocrine late effects in a cohort of 102 juvenile survivors of brain tumors

Mental health problems among children and adolescents experiencing two major earthquakes in remote mountainous regions: A longitudinal study

ObjectiveMillions of children were exposed to major earthquake in China, with serious psychological and developmental consequences. To obtain accurate rate of post-disaster related disorder and identify predictors may help inform post-disaster rescue and rehabilitation efforts. The present longitudinal study explored correlations of demographic and socioeconomic characteristics of juvenile survivors of the Ya'an and Wenchuan earthquakes in China with their trajectories of post-disaster related disorder. MethodsA total of 435 Chinese children and adolescents who survived the 2013 Ya'an earthquake were recruited from six primary, secondary and high schools in Baoxing County. All survivors were assessed at 12months after the disaster, when a trained psychiatrist assessed mental health problems in a face-to-face structured interview, and 153 survivors were followed up at 30months after the earthquake via telephone. ResultsThe 12-month assessment indicated a post-traumatic stress disorder (PTSD) prevalence of 43.9% as well as depression (20.9%) or the criteria for both PTSD and depression (18.2%) and the other disorder (0.9%). The 30-month assessment indicated that 15.7% of subjects met the criteria for PTSD, 21.6% met the criteria for depression. No subjects met the criteria for other affective or anxiety disorders. Significant predictors of PTSD and depression were death in the family, previous earthquake experience, a poor parent–child relationship and economic pressure or poverty. LimitationsClinical interview face to face is quite different from via telephone and the attrition rate in the longitudinal cohort is high, which would directly affect our results of the assessment. ConclusionsPTSD and depression may be as prevalent and persistent in disaster victims in China as elsewhere, and high co-comorbidities remain poorly understood. Although many adolescents recover over time, some exhibit chronic, delayed-onset PTSD and depression, especially those with poor relationships with their parents or those living in precarious economic conditions. Family-based therapy may be needed to support child and adolescent trauma survivors in order to prevent mental illness.

Interannual differences in growth and hatch‐date distributions of early juvenile European anchovy in the Bay of Biscay: implications for recruitment

AbstractIn order to understand better the recruitment variability in European anchovy in the Bay of Biscay, it is important to investigate the processes that affect survival during the early life stages. Anchovy juvenile growth trajectories and hatch‐date distributions were inferred over a 3‐year period based on otolith microstructure analysis. Otolith growth trajectories showed a characteristic shape depending on their hatch‐date timing. Earlier‐born juveniles had notably broader maximum increments than later born conspecifics, resulting in higher growth rates. This observation suggests that early hatching would be beneficial for larval and juvenile growth, and, therefore, survival. The estimated juvenile hatch‐date distributions were relatively narrow compared with the extended anchovy spawning season (March–August) in the Bay of Biscay and indicated that only individuals originated mainly from the summer months (June–August) survived until autumn. Hatch‐date distributions were markedly different among years and seemed to influence the interannual recruitment strength of anchovy. We conclude that years characterized by juvenile survivors originating from the peak spawning period (May and June) would lead to considerable recruitment success. Downwelling events during the peak spawning period seem to affect larval survival. Furthermore, size‐dependent overwinter mortality would be an additional process that regulates recruitment strength in the anchovy population in the Bay of Biscay.

Characteristics of juvenile survivors reveal spatio-temporal differences in early life stage survival of Baltic cod

The spatio-temporal origin of surviving juvenile Baltic cod Gadus morhua was investigated by coupling age information from otolith microstructure analysis and hydrodynamic modeling, which allowed backtracking of drift routes in time and space. The suitability of hydrodynamic modeling for drift simulations of early life stages of Baltic cod up to the pelagic juvenile stage was validated by comparing model simulations with the catch distribution from a survey targeting pelagic juveniles, and mortality rates and hatch date distributions of pelagic and demersal juveniles were estimated. Hatch dates and hatch locations of juvenile survivors showed distinct patterns which did not agree well with the abundance and spatial distribution of eggs, suggesting marked spatio-temporal differences in larval survival. The good agreement of the spatio-temporal origin of survivors from this field investigation with previous modeling studies on the survival chances of early-stage larvae and with general spatio-temporal patterns of larval prey availability suggests that differences in survival are related to food availability during the early larval stage. Results are discussed in relation to the recruitment process of Baltic cod, in particular with respect to the critical period and match-mismatch hypotheses, and to possible implications for the placement of a Marine Protected Area which was established to ensure undisturbed spawning of Baltic cod.

Individual and environmental determinants of early brood survival in black grouse Tetrao tetrix

AbstractIn black grouse Tetrao tetrix the survival of juveniles from hatching until recruitment is a critical determinant of population growth. The proportion of juvenile survivors from hatching until recruitment declines continually, but juvenile mortality rates are commonly highest during approximately the first 10 days after hatching. Likely causes of mortality include adverse weather, predation and availability of food. Little is known, however, about how individual properties, such as body mass of hen or chicks and properties of the brood rearing environment (e.g. vegetation characteristics or weather conditions) interact with each other and/or with fluctuating levels of predator abundance in determining early brood survival, simply because such data are very scarce. Using an information‐theoretic approach, our paper identifies determinants of early daily survival rates of black grouse chicks in a managed forest landscape of central Finland. During the three years of our study, the proportion of hens losing their broods within 10 days after hatching varied between 0.08 and 0.36.The variation in daily survival rates of chicks was largely mediated by a combination of four key explanatory variables. Brood survival clearly increased with the extent of bilberry Vaccinium myrtillus cover, and was further affected by interactions of temperature and hatching date as well as temperature and chick body mass. Low temperatures consistently resulted in lower daily survival rates. An increase in temperature, however, was more beneficial for early hatchers and heavy chicks. There was no difference in survival between broods from yearling and adult hens and we found no effect of predator density, be it as main effect or as interaction with other variables, on the daily survival rates of chicks. Improving black grouse breeding success can be regarded as a key management target which may be critical for their recovery. Our results suggest that such management should favour protection or local recovery of bilberry, as well as integrate weather and climate changes into the equation of hunting management.

Predation dynamics of mackerel on larval and juvenile anchovy: is capture success linked to prey condition?

We tested whether the predation dynamics of chub mackerel Scomber japonicus and spotted mackerel S. australasicus on young anchovy Engraulis japonicus relates to individual growth characteristics of the prey and could account for the growth-selective survival predicted by recruitment hypotheses. Juvenile and adult mackerel were sampled along with their young anchovy prey field in 2004 (juvenile mackerel and larval anchovy) and 2005 (adult mackerel and juvenile anchovy) off the Pacific coast of Honshu, Japan. The recent 5-day mean growth rate of larval and juvenile survivors and prey found in the stomach of mackerel was estimated from the otolith microstructure. No significant difference was found between the recent growth of larval or juvenile survivors and that of preyed individuals. We conclude that despite a relatively small body size, the high activity level and predation skills displayed by mackerel prevent fast-growing larvae and early juveniles from benefitting in terms of the expected survival advantage over slow-growers. Hence, growth-selective predation mortality of larval fish would depend on the feeding ecology of the predator rather than predator size. Selection for fast growth is more likely to occur under predation pressure from invertebrate organisms and small pelagic fish specialized on zooplankton, such as herring and anchovy.

Hatch‐period‐dependent early growth and survival of Pacific herring Clupea pallasii in Miyako Bay, Japan

Considerable interannual variation in the abundance of larval and juvenile Pacific herring Clupea pallasii was detected in Miyako Bay, on the Pacific coast of northern Japan; abundances were high in 2001 and 2003 and low in 2000 and 2002. Hatch dates and growth rates for larval and juvenile survivors were estimated through otolith analysis. Water temperature and food availability were monitored on the spawning and nursery grounds in the inner part of the bay. The number of spawning females caught in nets set around the spawning ground was recorded during each spawning season (January to May) in 2000-2003. No correlation was found between the number of spawning females and the abundance of larvae and juveniles on the spawning and nursery grounds. The hatch dates of surviving larvae and juveniles were concentrated at the end of the spawning season in 2001 and in the middle of the season in 2003. The larvae experienced relatively high prey concentrations during the first-feeding period in 2001 but low concentrations in 2003. Survival of larvae during the first-feeding period may be a function of prey concentration as well as water temperature. In 2003, low water temperature would reduce starvation mortality during the first-feeding period. In contrast, unfavourable feeding conditions with higher temperatures during the first-feeding period seemed to result in low larval survival in 2000 and 2002. The 2001 larvae grew faster than those in 2003 because of the late hatch dates and the higher ambient temperatures that resulted. Temperature might be a major factor controlling growth rates of C. pallasii larvae in Miyako Bay.

The Prevalence of Posttraumatic Stress Disorder Among Children and Adolescents Affected by Tsunami Disaster in Tamil Nadu

The Asian earthquake and subsequent tsunami of December 2004, one of the largest natural disasters in recent history, resulted in the deaths of over 250,000 people and massive destruction in 8 countries. As with any disaster, children are at risk for developing short- and long-term psychological consequences, including posttraumatic stress disorder (PTSD). One area particularly affected by this disaster was southern India. Five hundred twenty-three juvenile survivors of the tsunami were studied to determine the prevalence of PTSD. The survey was conducted in 2 waves. Interviews were conducted by postgraduate psychiatric social work students, proficient in the local language of Tamil and trained in PTSD-related data collection. The Impact of Event Scale-8 items Tamil Version and Child Behaviour Checklist Post-traumatic Stress Disorder-Tamil Revised Version, with age-specific measures and validated for the local culture and language, were used for the study. Our study revealed a prevalence of 70.7% for acute PTSD and 10.9% for delayed onset PTSD. PTSD was more prevalent among girls and more severe among adolescents exposed to loss of life or property. These results indicate that PTSD is widely prevalent among the survivors of the tsunami, reinforcing the need to develop an effective, culturally sensitive outreach therapy strategy for them.

Settlement patterns and post-settlement survival in two Mediterranean littoral fishes: influences of early-life traits and environmental variables

We examined the relationships between daily pattern of settlement and environmental parameters during two consecutive years in two littoral fishes, Lipophrys trigloides (Blenniidae) and Chromis chromis (Pomacentridae), in the NW Mediterranean Sea. We also used individual early-life traits (pelagic larval duration, size at hatching and size at settlement) calculated from otoliths, to study the proximate causes of settlement variability and size-selective mortality after settlement. Several early-life characteristics of L. trigloides (planktonic larval duration and size at hatching), and environmental variables averaged during the whole planktonic period (e.g. water temperature, wave height, solar radiation) were related with the magnitude of settlement. In contrast, C. chromis showed no significant relationships between early-life traits and the magnitude of settlement, and a weak relationship between settlement magnitude and environmental variables. Furthermore, juvenile survivors showed larger size at hatching than settlers, indicating that size at hatching affected the juvenile survival of the two species. These results suggest that survival was linked largely to conditions at hatching for both species.

Effect of pelagic larval growth and size-at-hatching on post-settlement survivorship in two temperate labrid fish of the genus Symphodus

The characteristics of fish larvae affect settlement and recruitment survival. We exam- ined the effects of the variation in the early life characteristics (pelagic larval growth, pelagic larval duration, size-at-hatching and size-at-settlement) on post-settlement survival in 2 littoral species of the genus Symphodus (S. roissali and S. ocellatus) in the NW Mediterranean over 2 yr. We used otoliths to back-calculate growth rates and other early life traits exhibited by individuals at settlement and 2 mo after settlement. Size-at-hatching clearly affected the post-settlement survival of the 2 spe- cies. Juvenile survivors of S. roissali and S. ocellatus were mostly larger at hatching than settlers, and recently settled individuals were susceptible to size-selective mortality. Our study, however, showed that other larval traits (pelagic larval duration, larval otolith growth, size-at-age, size-at-settlement) were not always consistent with the growth-mortality hypothesis.

Egg fertility, early development and survival from crosses of diploid female × triploid male grass carp ( Ctenopharyngodon idella)

Ova obtained from diploid grass carp females were inseminated with sperm from diploid and triploid males, during three consecutive spawning seasons (1986, 1987, 1988), with reproducible results. Fertilization success was significantly lower in diploid × triploid crosses (27, 38 and 25%) compared with diploid × diploid crosses (49, 84 and 82%). Hatching embryos from diploid × triploid crosses had significantly ( P < 0.05) smaller body and yolk sac areas, and utilized their yolk more slowly than embryos from diploid × diploid crosses. Most diploid × triploid embryos surviving to hatch, suffered from notochord deformities and died before exogenous feeding began. Survival of juveniles from diploid × triploid crosses from hatching to 5 months was 0.21% and 0.125% for 1987 and 1988, compared with 95% and 84%, for diploid × diploid crosses. Coulter Counter ploidy determination for nine (five in 1987, four in 1988) diploid × triploid juvenile survivors revealed a diploid genome.

Natural Selection on Behavioral Phenotypes of the Lizard Uta Stansburiana

Behavioral differences of resource utilization between juvenile survivors and nonsurvivors of the desert side—blotched lizard Uta stansburiana stejnegeri were measured. Marked individuals were followed through time in enclosed field plots so disappearance indicated death. In the 1st yr of the study, one characterized by light selection pressure, survival was independent of most of the behavioral variables. In the 2nd yr of the study, one characterized by heavy selection pressure, oversummer survivors were active under conditions of clearer skies, warmer temperatures, later morning hours, earlier evening hours, and were associated with vegetation furnishing more shade and shelter than nonsurvivors. Two—way analysis of variance demonstrated behavioral differences between survivors and nonsurvivors, independent of age. Survivors were seen less frequently during the summer of heavy selection pressure, and were more specialized in their activity (smaller phenotypic breadth). The home ranges of survivors contained significantly greater densities of yucca and shelter holes, and lesser densities of Croton. The diversity of plants and other elements on the home ranges of survivors was significantly greater than on those of nonsurvivors. Older, larger juvenile lizards moved to the unmodified sector of an experimental plot in which vegetation was cut away. Those older juveniles which showed some activity on the modified sector experienced heavy mortality. No genetic basis for the behavioral differences between survivors and nonsurvivors was obtained. The behavioral variation in the population, if directly heritable, may be maintained by opposing, fluctuating selection pressures; or, if a consequence of microhabitat differences, by the limiting amount of superior habitat used somewhat exclusively by surviving lizards. The quality of the home range an individual inhabits probably influences his behavior and ultimately his survival. Aggressive behavior may influence the quality of home range in individual obtains.