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1.
J Neuropsychiatry Clin Neurosci ; : appineuropsych20230180, 2024 Aug 22.
Article in English | MEDLINE | ID: mdl-39169739

ABSTRACT

OBJECTIVE: Neuropsychiatric symptoms (NPSs) have been linked to cognitive decline. This study explored ethnic differences and the effects of baseline NPSs on incident mild cognitive impairment (MCI) among 386 Hispanic and non-Hispanic participants from the Texas Harris Alzheimer's Research Study. METHODS: Data on NPSs from the Neuropsychiatric Inventory Questionnaire were available for all participants. Cox proportional hazards regression models were used to estimate the effect of ≥1 NPS at baseline and Hispanic ethnicity on incident MCI over a 7-year follow-up period. RESULTS: NPSs at baseline were associated with incident MCI for Hispanic participants but not non-Hispanic participants. Being Hispanic with at least one NPS at baseline had an 11-times higher risk of incident MCI. CONCLUSIONS: The Hispanic participants converted to MCI to a greater extent than the non-Hispanic participants. Only depressive symptoms increased the risk of MCI among non-Hispanics. Being of Hispanic ethnicity and having NPSs appeared to jointly increase the risk of progressing to MCI. To better understand the Alzheimer's disease continuum, further studies should explore other cultural, genetic, and medical risk factors influencing disease progression. Our findings strongly suggest the need to incorporate NPSs as outcomes of disease progression in future clinical trials involving Hispanic participants.

2.
Molecules ; 28(12)2023 Jun 10.
Article in English | MEDLINE | ID: mdl-37375240

ABSTRACT

Coffee is one of the most consumed beverages in the world; its production is based mainly on varieties of the Coffea arabica species. Mexico stands out for its specialty and organic coffee. In Guerrero, the production is done by small indigenous community cooperatives that market their product as raw material. Official Mexico Standards stipulate the requirements for its commercialization within the national territory. In this work, the physical, chemical, and biological characterizations of green, medium, and dark roasted beans from C. arabica varieties were carried out. Analysis by HPLC showed higher chlorogenic acid (55 mg/g) and caffeine (1.8 mg/g) contents in the green beans of the Bourbon and Oro Azteca varieties. The caffeine (3.88 mg/g) and melanoidin (97 and 29 mg/g) contents increased according to the level of roasting; a dissimilar effect was found in the chlorogenic acid content (14.5 mg/g). The adequate nutritional content and the sensory evaluation allowed the classification of dark-roasted coffee as premium coffee (84.25 points) and medium-roasted coffee as specialty coffee (86.25 points). The roasted coffees presented antioxidant activity without cytotoxic effects; the presence of CGA and caffeine supports the beneficial effects of drinking coffee. The results obtained will serve as a basis for making decisions on improvements to the coffees analyzed.


Subject(s)
Caffeine , Coffea , Caffeine/pharmacology , Caffeine/analysis , Chlorogenic Acid/pharmacology , Chlorogenic Acid/analysis , Coffea/chemistry , Seeds/chemistry , Plant Extracts/chemistry
3.
Fish Shellfish Immunol ; 120: 695-705, 2022 Jan.
Article in English | MEDLINE | ID: mdl-34808359

ABSTRACT

The brain's immune system is selective and hermetic in most species, including fish, favoring immune responses mediated by soluble immunomodulatory factors such as serotonin and the availability of nutrients against infectious processes. Francisella noatunensis coexist with fish such as Eleginops maclovinus, which raises questions about the susceptibility and immune response of the brain of E. maclovinus against Francisella. In this study, we inoculated fish with different doses of Francisella and took samples for 28 days. We detected bacteria in the brain of fish injected with a high concentration of Francisella at all time points. qPCR analysis of immune genes indicated a response mainly in the medium-dose and early expression of genes involved in iron metabolism. Finally, brain serotonin levels were higher than in uninfected fish in all conditions, suggesting possible immunomodulatory participation in an infectious process.


Subject(s)
Brain/immunology , Fish Diseases , Francisella , Gram-Negative Bacterial Infections , Immunity, Innate , Perciformes , Animals , Fish Diseases/microbiology , Francisella/pathogenicity , Gram-Negative Bacterial Infections/veterinary , Perciformes/immunology , Perciformes/microbiology , Serotonin
4.
Environ Res ; 212(Pt D): 113553, 2022 09.
Article in English | MEDLINE | ID: mdl-35661730

ABSTRACT

In this work, a solar electrochemical-raceway pond reactor (SEC-RPR) is used to treat textile industrial wastewater by solar photoelectron-Fenton (SPEF) at pilot plant scale for the first time. The SEC-RPR is composed of an electrochemical filter press-cell coupled to RPR, where H2O2 is electro-generated. A complete study about experimental variables such as current, catalyst concentration, pollutant load or liquid depth is conducted based on methyl orange removal, mineralization and decolorization. Validation of the SPEF process using SEC-RPR reached more than 80% of mineralization, as well as the complete decolorization of the solution. The good performance of the SPEF treatment in the new SEC-RPR led to quick degradation kinetics, mainly due to the synergetic action of solar radiation and good distribution of H2O2 electrogenerated in the photoreactor. 100% Methyl Orange degradation was achieved after 150, 60, 45, 30 and 20 min of reaction time applying current density equal to 5, 10, 20, 40 and 60 mA cm-2, respectively. However, the increase of current density decreased the mineralization current efficiency. Up to 10 aromatics intermediates and 5 short-chain carboxylic acids were identified by LC-MS and HPLC analysis and a reaction pathway for MO mineralization by SPEF is proposed. This study represents an essential preliminary step towards the development of the first SEC-RPR at demo scale.


Subject(s)
Water Pollutants, Chemical , Water Purification , Electrochemical Techniques , Hydrogen Peroxide , Oxidation-Reduction
5.
J Geriatr Psychiatry Neurol ; 34(6): 622-631, 2021 11.
Article in English | MEDLINE | ID: mdl-32909879

ABSTRACT

The aim of the study is to ascertain the neuropsychiatric symptoms (NPS) subtypes significantly influencing progression to mild cognitive impairment (MCI) by ethnicity. In this retrospective cohort study, we included 386 cognitively normal individuals participating in the longitudinal Texas Alzheimer's Research and Care Consortium between February 2007 and August 2014. The primary outcome was time to incident MCI. Data driven NPS subtypes at baseline were identified and the effects of these subtypes on the outcome were obtained for Hispanic and non-Hispanic ethnic cohorts and summarized with a hazard ratio (HR). Three NPS subtypes were identified and internally validated: psychomotor apathy factor (including agitation, irritability, apathy), affective mood factor (including depression, anxiety), and physical behavior factor (including nighttime behavior, eating/appetite disturbances). In adjusted analysis, a psychomotor apathy score of NPS was the best predictor for MCI (HR = 2.19, p = 0.037) among non-Hispanics whereas physical behavior score was the most predictive of MCI (HR = 2.55, p = 0.029) among Hispanics. A high score of affective mood factor also tended to increase the risk of MCI (HR = 2.09, p = 0.06) in Hispanics. Progression from normal cognition to MCI was differentially predicted by NPS subtypes in Hispanics and non-Hispanic whites. These data may inform the allocation of efforts for monitoring individuals at-risk of MCI.


Subject(s)
Alzheimer Disease , Apathy , Cognitive Dysfunction , Anxiety , Cognitive Dysfunction/diagnosis , Humans , Neuropsychological Tests , Retrospective Studies
6.
J Therm Biol ; 99: 103021, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34420652

ABSTRACT

Maximum and minimum Critical thermal limits (CTMax and CTMin) have been studied extensively to assess thermal tolerance in ectotherms by means of ramping assays. Notothenioid fish have been proposed as particularly sensitive to temperature increases related to global climate change. However, there are large gaps in our understanding of the thermal responses of these extreme cold-adapted fish in assays with heating rates. We evaluated the effects of two commonly used heating rates (0.3 and 1 °C/min) on the cellular stress responses in the intertidal Antarctic fish Harpagifer antarcticus immediately after CTMax was reached, and at 2 and 4 h of recovery time in ambient water. We compared CTMax values, the relative transcript expression of genes relvant to heat shock response (Hsc70, Hsp70, Grp78), hypoxia (Hif1-α, LDHa, GR), ubiquitination (Ube2), and apoptosis (SMAC/DIABLO), and five plasma parameters - glucose, lactate, total protein, osmolality and cortisol. CTMax values between the two heating rates are not significantly different, and both rates elicited a similar stress response at molecular and physiological levels. We found a lack of up-regulated response of heat shock proteins, consistent with other Antarctic notothenioids. The general transcriptional pattern trended to downregulation, which was more evident in the slower 0.3 °C/min rate, and instances of upregulation were mainly related to ubiquitination. The faster 1 °C/min rate, rarely used for Antarctic fish, can be suitable for studying cold-adapted stenothermic fish without overestimating thermal tolerance or inducing damage from longer heat exposure.


Subject(s)
Fishes/physiology , Heat-Shock Response , Stress, Physiological , Animals , Climate Change , Female , Male , Osmolar Concentration
7.
J Fish Biol ; 98(6): 1558-1571, 2021 Jun.
Article in English | MEDLINE | ID: mdl-33452810

ABSTRACT

Global warming is having a significant impact around the world, modifying environmental conditions in many areas, including in zones that have been thermally stable for thousands of years, such as Antarctica. Stenothermal sedentary intertidal fish species may suffer due to warming, notably if this causes water freshening from increased freshwater inputs. Acute decreases in salinity, from 33 down to 5, were used to assess osmotic responses to environmental salinity fluctuations in Antarctic spiny plunderfish Harpagifer antarcticus, in particular to evaluate if H. antarcticus is able to cope with freshening and to describe osmoregulatory responses at different levels (haematological variables, muscle water content, gene expression, NKA activity). H. antarcticus were acclimated to a range of salinities (33 as control, 20, 15, 10 and 5) for 1 week. At 5, plasma osmolality and calcium concentration were both at their lowest, while plasma cortisol and percentage muscle water content were at their highest. At the same salinity, gill and intestine Na+ -K+ -ATPase (NKA) activities were at their lowest and highest, respectively. In kidney, NKA activity was highest at intermediate salinities (15 and 10). The salinity-dependent NKA mRNA expression patterns differed depending on the tissue. Marked changes were also observed in the expression of genes coding membrane proteins associated with ion and water transport, such as NKCC2, CFTR and AQP8, and in the expression of mRNA for the regulatory hormone prolactin (PRL) and its receptor (PRLr). Our results demonstrate that freshening causes osmotic imbalances in H. antarcticus, apparently due to reduced capacity of both transport and regulatory mechanisms of key organs to maintain homeostasis. This has implications for fish species that have evolved in stable environmental conditions in the Antarctic, now threatened by climate change.


Subject(s)
Perciformes , Sodium-Potassium-Exchanging ATPase , Animals , Antarctic Regions , Gills/metabolism , Osmoregulation , Perciformes/metabolism , Salinity , Sodium-Potassium-Exchanging ATPase/genetics , Sodium-Potassium-Exchanging ATPase/metabolism
8.
Molecules ; 26(7)2021 Apr 06.
Article in English | MEDLINE | ID: mdl-33917541

ABSTRACT

This work aimed to evaluate the physical, chemical and antioxidant properties of Ceiba aesculifolia subsp. parvifolia (CAP) tuber and determinate rheological, thermal, physicochemical and morphological properties of the starch extracted. The CAP tuber weight was 3.66 kg; the edible yield was 82.20%. The tuber presented a high hardness value (249 N). The content of carbohydrates (68.27%), crude fiber (15.61%) and ash (9.27%) from the isolated starch, reported in dry weight, were high. Phenolic compounds and flavonoid content of CAP tuber peel were almost 3-fold higher concerning the pulp. CAP tuber starch exhibited a pseudoplastic behavior and low viscosity at concentrations of 5-15%. Purity percentage and color parameters describe the isolated starch as high purity. Thermal characteristics indicated a higher degree of intermolecular association within the granule. Pasting properties describes starch with greater resistance to heat and shear. CAP tuber starch has X-ray diffraction patterns type A. The starch granules were observed as oval and diameters ranging from 5 to 30 µm. CAP tuber could be a good source of fiber and minerals, while its peel could be used for extracting bioactive compounds. Additionally, the starch separated from this tuber could be employed as a thickening agent in food systems requiring a low viscosity and subjected to high temperatures.


Subject(s)
Ceiba/chemistry , Plant Tubers/chemistry , Rheology , Starch/chemistry , Antioxidants/analysis , Calorimetry, Differential Scanning , Color , Elasticity , Flavonoids/analysis , Polyphenols/analysis , Solubility , Spectroscopy, Fourier Transform Infrared , Starch/ultrastructure , Temperature , Viscosity , X-Ray Diffraction
9.
J Food Sci Technol ; 58(8): 2914-2923, 2021 Aug.
Article in English | MEDLINE | ID: mdl-34294953

ABSTRACT

Caseins and ovalbumin are frequently used as wine fining agents to remove undesirable compounds like polymeric phenols. Their presence in wines is a subject of concern because may cause adverse effects on susceptible consumers, especially when their presence is not labeled. A key step for its determination is trypsin digestion, which is considered the bottleneck of bottom-up approach workflow because usually requires several hours. To reduce this time, the objective of this work was to carry out a chemometric optimization of trypsin digestion method applying infrared, microwave and ultrasound energies to determine caseins and ovalbumin in wines. The conditions of each accelerated digestion method were optimized using a Response Surface Methodology based on central composite design. The parameters optimized were digestion time and trypsin: protein ratio. The response variable evaluated was digestion yield, which was determined through the peak area of each protein transition determined by liquid chromatography-mass spectrometry. The most effective technique was microwave followed by ultrasound and infrared. Since optimal values of microwave and ultrasound-assisted digestion were the same, the later was chosen considering sample preparation and cost. Applying the proposed approach, a reduction of ca. 140 and 240-fold on digestion time was achieved compared with optimized and non-optimized conventional methods, respectively. With this workflow, both proteins were digested in a single 3 min process allowing its detection by liquid chromatography-mass spectrometry at µg L-1 level, which is ca. 60 times lower than the current limit of 0.25 mg L-1.

10.
Article in English | MEDLINE | ID: mdl-32927078

ABSTRACT

Francisella noatunensis subsp. noatunensis is the responsible agent of Francisellosis, a bacterial disease that affects an important amount of aquatic farmed species. Eleginops maclovinus is a fish that cohabits with salmonids cages in Chile and can also act as a vector of this bacterial disease. In the present study, we evaluated calcium metabolism in the liver of E. maclovinus injected intraperitoneally with different doses of F. noatunensis subsp. noatunensis (low 1.5 × 101, medium 1.5 × 105 and high doses 1.5 × 1010 cells/µL). Fish were sampled at 1, 3, 7, 14, 21 and 28 days post injection (dpi). No mortalities nor clinical signs were observed. Plasma calcium levels were higher in the high doses group of F. noatunensis subsp. noatunensis at day 7 and 14 compared to the control group (fish injected with bacterial medium alone). Hypercalcemic factors increased at day 14 and 21 for the medium and low dose (parathyroid hormone-related protein precursor), while vitamin D3 receptor increased its expression at times 1, 3 and 7 for the low dose. On the other hand, hypocalcemic factors such as calcitonin receptor and stanniocalcin increased its expression at time 7 and 14, respectively. Calmodulin involved in calcium storage decreased its expression during all experimental days in fish subjected to high bacterial dose. Proteins involved in calcium transport, such as L-type voltage-gated calcium channel and trpv5 increased their transcription at day 1 and 14, compared to calcium sensing-receptor and plasma membrane Ca2 +- ATPase that showed peak expression at times 14 and 28. The results suggest a clear alteration of calcium metabolism, mainly in high bacterial doses. This study provides new knowledge about the calcium metabolism in fish infected with bacteria.


Subject(s)
Calcium/metabolism , Francisella/metabolism , Perciformes/genetics , Animals , Calcium/blood , Calmodulin/metabolism , Cytosol/metabolism , Liver/metabolism , Perciformes/metabolism
11.
J Environ Manage ; 270: 110835, 2020 Sep 15.
Article in English | MEDLINE | ID: mdl-32501237

ABSTRACT

The degradation of the antibiotic thiamphenicol has been studied by photoelectro-Fenton (PEF) process with UVA light using pyrite particles as catalyst source. Pyrite is a sulfide mineral that naturally acidifies the reaction medium and releases Fe2+, thus promoting the effective generation of OH from Fenton's reaction. The assays were made in an IrO2/air-diffusion cell, which yielded similar results to a boron-doped diamond (BDD)/air-diffusion one at a lower cost. In dark conditions, electro-Fenton (EF) process showed an analogous ability for drug removal, but mineralization was much poorer because of the large persistence of highly stable by-products. Their photolysis explained the higher performance of PEF. Conventional homogeneous PEF directly using dissolved Fe2+ exhibited a lower mineralization power. This suggests the occurrence of heterogeneous Fenton's reaction over the pyrite surface. The effect of current density and drug content on pyrite-catalyzed PEF performance was examined. The drug heteroatoms were gradually converted into SO42-, Cl- and NO3- ions. Nine aromatic derivatives and two dichloroaliphatic amines were identified by GC-MS, and five short-chain carboxylic acids were detected by ion-exclusion HPLC. A reaction route for thiamphenicol mineralization by PEF process with continuous H2O2 and Fe2+ supply on site is proposed.


Subject(s)
Thiamphenicol , Water Pollutants, Chemical , Catalysis , Electrochemical Techniques , Electrodes , Hydrogen Peroxide , Iron , Oxidation-Reduction , Sulfides
12.
Molecules ; 25(1)2019 Dec 25.
Article in English | MEDLINE | ID: mdl-31881683

ABSTRACT

In the present work, the effectiveness of switchable hydrophobicity solvents (SHSs) as extraction solvent (N,N-Dimethylcyclohexylamine (DMCA), N,N-Diethylethanamine (TEA), and N,N-Benzyldimethylamine (DMBA)) for a variety of emerging pollutants was evaluated. Different pharmaceutical products (nonsteroidal anti-inflammatory drugs (NSAIDs), hormones, and triclosan) were selected as target analytes, covering a range of hydrophobicity (LogP) of 3.1 to 5.2. The optimized procedure was used for the determination of the target pharmaceutical analytes in wastewater samples as model analytical problem. Absolute extraction recoveries were in the range of 51% to 103%. The presented method permits the determination of the target analytes at the low ng mL-1 level, ranging from 0.8 to 5.9 (except for Triclosan, 106 ng mL-1) with good precision (relative standard deviation lower than 6%) using high-pressure liquid chromatography (HPLC) combined with ultraviolet (DAD) and fluorescence (FLR) detection. The microextraction alternative resulted in a fast, simple, and green method for a wide variety of analytes in environmental water sample. The results suggest that this type of solvent turns out to be a great alternative for the determination of different analytes in relatively complex water samples.


Subject(s)
Hydrophobic and Hydrophilic Interactions , Solvents/chemistry , Wastewater/chemistry , Water Pollutants, Chemical/isolation & purification , Cyclohexylamines/chemistry , Pharmaceutical Preparations/isolation & purification , Sodium Hydroxide/chemistry , Solid Phase Extraction
13.
J Environ Manage ; 224: 340-349, 2018 Oct 15.
Article in English | MEDLINE | ID: mdl-30056353

ABSTRACT

The destruction of the herbicide chloramben in 0.050 M Na2SO4 solutions at natural pH has been studied by photoelectro-Fenton with UVA light (PEF). The trials were carried out in a cell equipped with an air-diffusion cathode for H2O2 generation and different electrocatalytic anodes, namely active IrO2-based and RuO2-based electrodes and non-active boron-doped diamond (BDD) and PbO2 ones. Similar removal rates were found regardless of the anode nature because the herbicide was mainly oxidized by OH formed from Fenton's reaction, which was enhanced by UVA-induced photo-Fenton reaction. The use of an IrO2-based anode led to almost total mineralization at high current density, as also occurred with the powerful BDD anode, since photoactive intermediates originated from OH-mediated oxidation were degraded under irradiation with UVA light. The good performance of the IrO2-based anode in PEF was confirmed at different current densities and herbicide concentrations. The presence of Cl- in the medium caused a slight deceleration of herbicide removal as well as mineralization inhibition, owing to the production of active chlorine with consequent formation of persistent chloroderivatives. Seven aromatic products along with oxalic and oxamic acids were identified in sulfate medium. Five aromatic derivatives were detected in Cl--containing matrix, corroborating the generation of organochlorine compounds. In secondary effluent, larger mineralization was achieved by PEF with a BDD anode due to its high oxidation ability to destroy the chloroderivatives, although an acceptable performance was also obtained using an IrO2-based anode.


Subject(s)
Chlorobenzoates/isolation & purification , Water Pollutants, Chemical/isolation & purification , Water Purification , Boron , Chlorobenzoates/chemistry , Diamond , Electrochemistry , Electrodes , Herbicides , Hydrogen Peroxide , Oxidation-Reduction , Water , Water Pollutants, Chemical/chemistry
14.
J Neuropsychiatry Clin Neurosci ; 29(1): 13-21, 2017.
Article in English | MEDLINE | ID: mdl-27417070

ABSTRACT

In this cross-sectional study, we examined the neuropsychiatric profile of mild cognitive impairment (MCI) and Alzheimer's disease (AD) using the Neuropsychiatric Inventory Questionnaire (NPI-Q). Data were available on 875 controls, 339 MCI cases, and 975 AD participants. Surprisingly, differences in neuropsychiatric symptom (NPS) severity by ethnicity in subjects with AD, but not with MCI, were found. More so, in Hispanics with AD, a higher frequency in most of the individual NPI-Q symptom items of the scale was observed, except for apathy. After adjustment for clinical features, some individual NPI-Q symptoms also showed an association with Hispanic ethnicity in the control group that nearly reached statistical significance. There may be cross-ethnic differences in the neuropsychiatric presentation of AD in Hispanics versus non-Hispanic whites. Future studies are needed to clarify the etiology of these differences, and to assess the need for ethnicity-specific treatment and care-giving interventions.


Subject(s)
Alzheimer Disease/ethnology , Alzheimer Disease/psychology , Cognitive Dysfunction/ethnology , Cognitive Dysfunction/psychology , Aged , Cross-Sectional Studies , Female , Hispanic or Latino/psychology , Humans , Interview, Psychological , Male , Mental Status Schedule , Neuropsychological Tests , Severity of Illness Index , Sex Factors , Texas
15.
Molecules ; 22(4)2017 Apr 04.
Article in English | MEDLINE | ID: mdl-28375183

ABSTRACT

The rational design of quinones with specific redox properties is an issue of great interest because of their applications in pharmaceutical and material sciences. In this work, the electrochemical behavior of a series of four p-quinones was studied experimentally and theoretically. The first and second one-electron reduction potentials of the quinones were determined using cyclic voltammetry and correlated with those calculated by density functional theory (DFT) using three different functionals, BHandHLYP, M06-2x and PBE0. The differences among the experimental reduction potentials were explained in terms of structural effects on the stabilities of the formed species. DFT calculations accurately reproduced the first one-electron experimental reduction potentials with R² higher than 0.94. The BHandHLYP functional presented the best fit to the experimental values (R² = 0.957), followed by M06-2x (R² = 0.947) and PBE0 (R² = 0.942).


Subject(s)
Models, Chemical , Oxidation-Reduction , Quinones/chemistry , Algorithms , Electrons
16.
Int J Geriatr Psychiatry ; 30(3): 300-7, 2015 Mar.
Article in English | MEDLINE | ID: mdl-24838594

ABSTRACT

OBJECTIVE: The Neuropsychiatric Inventory (NPI) is a well-established measure of psychopathology and frequently used in dementia studies. Little is known about its psychometric characteristics at a population level, particularly among Hispanics. We report the frequency of NPI symptoms in a community-dwelling older Mexican-American (MA) population cohort and the degree of symptom-related distress experienced by participant informants. METHODS: Participants were 1079 MA age 80 years and over residing in five southwestern states who were administered the NPI as part of wave-7 of the Hispanic Established Population for Epidemiological Study of the Elderly (HEPESE) conducted from 2010 to 2011. RESULTS: Nine hundred twenty-five informants rated NPI domains. Prevalence of neuropsychiatric symptoms (NPS) varied by symptom domain and ranged from agitation/aggression (32%) to euphoria/elation (5%). The overall rate of behavioral disturbances was 62.7%. On the other hand, 37.3% of informants reported no NPS. A significant fraction of the informants reported distress from the mood disorder cluster of the scale. CONCLUSIONS: A large percentage (>60%) of community-dwelling older MA have one or more informant-reported NPS. These symptoms have diagnostic, prognostic, and therapeutic implications. Although neuropsychiatric disorders may be the initial clinical manifestation of dementia and often appear before cognitive alterations, the high frequency of these symptoms in the HEPESE cohort may reflect a high prevalence of these disorders among community-dwelling MA. The pattern we observed also suggests relatively advanced stages of dementia.


Subject(s)
Mental Disorders/epidemiology , Mexican Americans/statistics & numerical data , Aged, 80 and over , Epidemiologic Studies , Female , Humans , Male , Mental Disorders/psychology , Mexican Americans/psychology , Prevalence , United States/epidemiology
18.
Health Qual Life Outcomes ; 12: 13, 2014 Jan 30.
Article in English | MEDLINE | ID: mdl-24479724

ABSTRACT

BACKGROUND: Unobserved "latent" variables have the potential to minimize "measurement error" inherent to any single clinical assessment or categorical diagnosis. OBJECTIVES: To demonstrate the potential utility of latent variable constructs in pain's assessment. DESIGN: We created two latent variables representing depressive symptom-related pain (Pd) and its residual, "somatic" pain (Ps), from survey questions. SETTING: The Hispanic Established Population for Epidemiological Studies in the Elderly (H-EPESE) project, a longitudinal population-based cohort study. PARTICIPANTS: Community dwelling elderly Mexican-Americans in five Southwestern U.S. states. The data were collected in the 7th HEPESE wave in 2010 (N = 1,078). MEASUREMENTS: Self-reported pain, Center for Epidemiological Studies Depression Scale (CES-D) scores, bedside cognitive performance measures, and informant-rated measures of basic and instrumental Activities of Daily Living. RESULTS: The model showed excellent fit [χ2 = 20.37, DF = 12; p = 0.06; Comparative fit index (CFI) = 0.998; Root mean statistical error assessment (RMSEA) = 0.025]. Ps was most strongly indicated by self-reported pain-related physician visits (r = 0.48, p ≤0.001). Pd was most strongly indicated by self-reported pain-related sleep disturbances (r = 0.65, p <0.001). Both Pd and Ps were significantly independently associated with chronic pain (> one month), regional pain and pain summed across selected regions. Pd alone was significantly independently associated with self-rated health, life satisfaction, self-reported falls, Life-space, nursing home placement, the use of opiates, and a variety of sleep related disturbances. Ps was associated with the use of NSAIDS. Neither construct was associated with declaration of a resuscitation preference, mode of resuscitation preference declaration, or with opting for a "Do Not Resuscitate" (DNR) order. CONCLUSION: This analysis illustrates the potential of latent variables to parse observed data into "unbiased" constructs with unique predictive profiles. The latent constructs, by definition, are devoid of measurement error that affects any subset of their indicators. Future studies could use such phenotypes as outcome measures in clinical pain management trials or associate them with potential biomarkers using powerful parametric statistical methods.


Subject(s)
Pain Measurement/methods , Activities of Daily Living/psychology , Aged , Aged, 80 and over , Depression/diagnosis , Depression/psychology , Female , Hispanic or Latino/psychology , Hispanic or Latino/statistics & numerical data , Humans , Longitudinal Studies , Male , Pain/complications , Pain/diagnosis , Pain/psychology , Psychiatric Status Rating Scales , Sleep Wake Disorders/epidemiology , Sleep Wake Disorders/etiology , Southwestern United States/epidemiology
19.
Exp Aging Res ; 40(2): 129-39, 2014.
Article in English | MEDLINE | ID: mdl-24625043

ABSTRACT

UNLABELLED: BACKGROUND/STUDY CONTEXT: There is a need for a simple and reliable screening test to detect individuals with mild cognitive impairment (MCI). The authors analyzed the relationship between performance of the Alzheimer's Questionnaire (AQ), an informant-rated measure of dementia-related behaviors, relative to the Telephone Interview for Cognitive Status-modified (TICS-m), Memory Impairment Scale-telephone version (MIS-t), and the Telephone Executive Assessment (TEXAS) as predictors of MCI. METHODS: Comparative cross-sectional design, with data collected from participants in the Texas Alzheimer's Research and Care Consortium's (TARCC) San Antonio site. One-hundred percent of our sample was Hispanic. The San Antonio subset of TARCC sample is highly enriched with Mexican Americans (MAs). Fifty-five percent of the interviews were conducted in Spanish. Of the 184 persons enrolled, 124 were normal controls (NCs), and 60 participants had MCI. MCI status and Clinical Dementia Rating Scale Sum of Boxes (CDR-SOB) were determined through clinical consensus and performed blind to telephone assessments. Controlling for age, gender, education, and language of interview, the association between telephone measures and CDR-SOB was evaluated by multivariate regression. RESULTS: AQ scores were not affected by education, gender, and language of interview, but subject's age did show a positive correlation with informant AQ ratings. The AQ predicted CDR-SOB independently of the cognitive measures, adding variance above and beyond demographics. The TICS-m and the TEXAS appear to have additive value in improving the detection of cognitively impaired patients. The MIS-t failed to contribute significantly to CDR-SOB, independent of the other measures. CONCLUSION: The AQ may have utility as a culture-fair telephone screening for MCI. The AQ was able to modestly distinguish MCI from NCs. The TEXAS adds variance to a model of dementia severity independent of the AQ, suggesting that the latter may weakly assess that cognitive domain (executive control function). On the other hand, the AQ attenuates the MIS-t effect. This suggests a prominent AQ bias in favor of detecting memory impairment. Additional studies are required to determine if the AQ can distinguish between amnestic and dysexecutive MCI subtypes, or between MCI and Alzheimer's disease in Hispanics.


Subject(s)
Cognitive Dysfunction/diagnosis , Psychiatric Status Rating Scales , Surveys and Questionnaires , Aged , Alzheimer Disease , Female , Hispanic or Latino , Humans , Male , Neuropsychological Tests , Telephone
20.
Article in English | MEDLINE | ID: mdl-24521411

ABSTRACT

This article presents experimental results on 47 µmol L(-1) sulfathiazole (STZ) degradation by Fenton and photo-Fenton reactions using multivariate analysis. The optimal experimental conditions for reactions were obtained by Response Surface Methodology (RSM). In the case of the Fenton reactions there were 192 µmol L(-1) ferrous ions (Fe(II)) and 1856 µmol L(-1) hydrogen peroxide (H2O2), as compared with 157 µmol L(-1) (Fe(II)) and 1219 µmol L(-1) (H2O2) for photo-Fenton reactions. Under these conditions, around 90% of STZ degradation were achieved after 8 minutes treatment by Fenton and photo-Fenton reactions, respectively. Moreover, a marked difference was observed in the total organic carbon (TOC) removal after 60-min treatment, achieving 30% and 75% for the Fenton and photo-Fenton reactions, respectively. Acetic, maleic, succinic and oxamic acids could be identified as main Fenton oxidation intermediates. A similar pattern was found in the case of photo-Fenton reaction, including the presence of oxalic acid and ammonia at short periods of irradiation with UV-A. The calculated values of Average Oxidation State (AOS) corroborate the formation of oxidized products from the initial steps of the reaction.


Subject(s)
Hydrogen Peroxide/chemistry , Iron/chemistry , Sulfathiazoles/chemistry , Ammonia/analysis , Carbon/analysis , Kinetics , Models, Chemical , Multivariate Analysis , Oxalic Acid/analysis , Oxidation-Reduction , Photochemistry/methods , Sulfathiazole
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