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Navigating the healthcare conundrum in the Blue Zone of Loma Linda, California, requires understanding the unique factors that make this region stand out in terms of health and longevity. But more important is understanding the healthcare system sustaining the Blue Zone in Loma Linda, California. In an era marked by soaring healthcare costs and diminishing reimbursement rates, hospitals and physicians face an unprecedented challenge: providing excellent patient care while maintaining financial sustainability. This leadership perspective publication paper delves into the multifaceted struggles encountered by healthcare and hospital leaders, exploring the root causes, implications, and potential solutions for this complex issue. As we examine the evolving healthcare landscape, we aim to shed light on the critical need for innovative approaches to sustain the future of healthcare excellence in one of the five original Blue Zones. [ABSTRACT FROM AUTHOR]

The absence of correlation between dominance status and reproduction success in Barbary macaques is due to presence of multiple females in estrus and multiple sexually mature males during the breeding season.

Successful reconstruction of any aspect of human evolution ideally requires broad-based comparisons with other primates, as recognition of general principles provides a more reliable foundation for inference. Indeed, in many cases it is necessary to conduct comparisons with other placental mammals to test interpretations. This review considers comparative evidence with respect to the following topics relating to human reproduction: (1) size of the testes, sperm, and baculum; (2) ovarian processes and mating cyclicity; (3) placentation and embryonic membranes; (4) gestation period and neonatal condition; (5) brain development in relation to reproduction; and (6) suckling and age at weaning. Relative testis size, the size of the sperm midpiece, and perhaps the absence of a baculum indicate that humans are adapted for a mating system in which sperm competition was not a major factor. Because sizes of mammalian gametes do not increase with body size, they are increasingly dwarfed by the size of the female reproductive tract as body size increases. The implications of this have yet to be explored. Primates have long ovarian cycles and humans show an average pattern. Menstruation is completely lacking in strepsirrhine primates, possibly weakly present in tarsiers and variably expressed in simians. The only other mammals reliably reported to show menstruation are bats. Three hypotheses have been proposed to explain the evolution of menstruation (eliminating sperm-borne pathogens; reducing the metabolic cost of a prepared uterine lining; occurrence as a side-effect of physiological changes), but no consensus has emerged. Copulation at times other than the periovulatory period is not unique to humans, and its occurrence during pregnancy is widespread among mammals. Although the human condition is extreme, extended copulation during the ovarian cycle is the norm among simian primates, in stark contrast to prosimians, in which mating is typically restricted to a few days when the female is in oestrus. The model of regular mid-cycle ovulation in simians is questionable. Gestation periods calculated on that basis show greater variability than in other mammals, and evidence from laboratory breeding colonies indicates that an extended mating period is matched by an extended period in which conception can occur. New evidence indicates that the noninvasive placentation found in strepsirrhine primates is not primitive after all. Furthermore, comparative studies reveal that such noninvasive placentation is not 'inefficient'. Evolution of highly invasive placentation in haplorhine primates is probably linked instead to immunological factors. Primates have relatively long gestation periods, and humans are average in this respect. However, there is evidence that humans show greater maternal investment during pregnancy in comparison with apes. Although the human neonate matches the typical precocial pattern of primates in most respects, a fetal pattern of brain growth continues for a year after birth, such that the human infant is 'secondarily altricial' in terms of its dependence on parental care. Nevertheless, the 'natural' lactation period of humans is probably about 3 years, fitting the expectation in comparison to other hominoids. KEY WORDS testis; sperm; ovarian cycle; menstruation; placentation; gestation; brain; weaning DOI 10.1002/ajpa.20734

Author(s): Simon Tavaré (corresponding author) [1]; Charles R. Marshall [2]; Oliver Will [3]; Christophe Soligo [4, 5]; Robert D. Martin [6] Divergence times estimated from molecular data often considerably predate [...]

Directing sociopositive behaviour to individuals of the opposite sex in a captive colony of chimpanzees does not produce reproductive benefits, according to research designed to establish whether services are exchanged directly for fitness benefits instead of copulations. Regardless of the oestrous state of the females, males did not father more children with those females that they groomed, shared food with or supported more frequently during the period of inferred conception.