BackgroundSepsis is usually accompanied by changes of body temperature (Tb), but whether fever and hypothermia predict mortality equally or differently is not fully clarified. We aimed to find an association between Tb and mortality in septic patients with meta-analysis of clinical trials.MethodsWe searched the PubMed, EMBASE, and Cochrane Controlled Trials Registry databases (from inception to February 2016). Human studies reporting Tb and mortality of patients with sepsis were included in the analyses. Average Tb with SEM and mortality rate of septic patient groups were extracted by two authors independently.ResultsForty-two studies reported Tb and mortality ratios in septic patients (n = 10,834). Pearson correlation analysis revealed weak negative linear correlation (R2 = 0.2794) between Tb and mortality. With forest plot analysis, we found a 22.2% (CI, 19.2–25.5) mortality rate in septic patients with fever (Tb > 38.0°C), which was higher, 31.2% (CI, 25.7–37.3), in normothermic patients, and it was the highest, 47.3% (CI, 38.9–55.7), in hypothermic patients (Tb < 36.0°C). Meta-regression analysis showed strong negative linear correlation between Tb and mortality rate (regression coefficient: -0.4318; P < 0.001). Mean Tb of the patients was higher in the lowest mortality quartile than in the highest: 38.1°C (CI, 37.9–38.4) vs 37.1°C (CI, 36.7–37.4).ConclusionsDeep Tb shows negative correlation with the clinical outcome in sepsis. Fever predicts lower, while hypothermia higher mortality rates compared with normal Tb. Septic patients with the lowest (< 25%) chance of mortality have higher Tb than those with the highest chance (> 75%).

SummaryNest-site reduction has played a significant role in the decline of Barn Owl Tyto alba populations throughout Europe and North America. Techniques of nest-site augmentation, involving the provision of nest-boxes, have been widely used in a range of species of conservation concern, including falcons, eagles, parrots, owls and cavity-nesting ducks. A common method of Barn Owl conservation is the placement of nest-boxes on church towers. Despite the usefulness of nestboxes, several studies have shown that there may be associated disadvantages and that nestboxes may even act as 'ecological traps'. The purpose of this research was to compare the survival rate of owlets hatched in nest-boxes with those hatched in the more ''natural'' environment of church towers. Survival time analysis elucidated that owlets developing in nest-boxes had significantly lower survival than those hatched in church towers. This difference was most obvious after the parent-dependent period of the life history. Surprisingly, the length of time from hatching to the onset of winter had no effect on the survival of the owlets, even though the accumulation of sufficient body reserves and acquisition of hunting experience are thought to be important in determining survival during the critical first winter of life. We propose possible causes for the negative effects of nest-boxes and recommend some modifications to the priorities of Barn Owl Action Plans, e.g. partial reopening of buildings instead of nest-box installation. This paper emphasizes the importance of considering revision of Species Action Plans in the case of other endangered species where conservation is based on nest-site supplement (e

Consumption of capsaicin or its nonpungent analogues, capsinoids has been reported to affect energy expenditure and fat oxidation, although available data are still controversial. The aim of the present study was to conduct a meta-analysis regarding the effects of these substances on energy expenditure and respiratory quotient, with special emphasis on the role of body mass index (BMI) of the participants. Medical databases were systematically searched for papers. Of the 627 trials identified, 9 provided results suitable to be included in analysis. Data analysis showed that after ingestion of capsaicin or capsinoids the energy expenditure increased (245 kJ/day, 58.56 kcal/day, p = 0.030) and the respiratory quotient decreased (by 0.216; p = 0.031) indicating a rise in fat oxidation. Studies with mean BMI of the participants below 25 kg/m failed to report any effect of capsaicin or capsinoids on the energy expenditure (p = 0.718) or on the respiratory quotient (p = 0.444), but studies with mean BMI exceeding 25 kg/m demonstrated an increase in energy expenditure (292 kJ/day, 69.79 kcal/day, p = 0.023) and a marked decrease in respiratory quotient (-0.257, p = 0.036). Our data clearly suggest that capsaicin or capsiate could be a new therapeutic approach in obesity promoting a negative energy balance and increased fat oxidation.

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