In 2018, data from a surveillance study in Botswana evaluating adverse birth outcomes raised concerns that women on antiretroviral therapy (ART) containing dolutegravir (DTG) may be at increased risk for neural tube defects (NTDs). The mechanism of action for DTG involves chelation of Mg ions in the active site of the viral integrase. Plasma Mg homeostasis is maintained primarily through dietary intake and reabsorption in the kidneys.
View Article and Find Full Text PDFFrom a theoretical perspective, individuals are expected to sacrifice their welfare only when the benefits outweigh the costs. In nature, however, the costs of altruism and spite can be extreme, as in cases of irreversible sterility and self-destructive weaponry. Here we show that "extraordinary" self-sacrifice-in which actors pay costs that exceed the benefits they give or the costs they impose on recipients-can evolve in structured populations, where social actions bring secondary benefits to neighboring kin.
View Article and Find Full Text PDFPsychopathy has historically been conceptualized as a mental disorder, but there is growing evidence that it may instead be an alternative, adaptive life history strategy designed by natural selection. Although the etiology of mental disorders is not fully understood, one likely contributor is perturbations affecting neurodevelopment. Nonright-handedness is a sign of such perturbations, and therefore can be used to test these competing models.
View Article and Find Full Text PDFBackground: Overweight and higher BMI are known to be related to increased blood pressure (BP) and additionally associate with lowered urine pH values even at comparable total daily acid loading. Since a reduced urine pH level at a given total acid load indicates an impaired renal net acid excretion capacity (NAEC) and renal function also relates to BP, we hypothesized that NAEC may be one mediator of the body fat-BP association.
Methods: Ammonium, titratable acid, pH, creatinine, and urea were measured in 24-h urine samples among 9-15-year-old adolescents of the DONALD Study.