Multi-biomarker approach reveals the effects of heavy metal bioaccumulation in the foundation species Prosopis laevigata (Fabaceae).

Mining is a major economic activity in many developing countries. However, it disturbs the environment, producing enormous quantities of waste, known as mine tailings, which can have deleterious environmental impact, due to their high heavy metals (HM) content. Often, foundation species that establish on mine tailings are good candidates to study the effects of HM bioaccumulation at different levels of biological organization. Prosopis laevigata is considered a HM hyperaccumulator which presents attributes of a foundation species (FS) and establishes naturally on mine tailings. We evaluated the bioaccumulation of Cu, Pb, and Zn in P. laevigata foliar tissue, the leaf micro- and macro-morphological characters, DNA damage, and population genetic effects. In total, 80 P. laevigata individuals (20/site) belonging to four populations: The individuals from both sites (exposed and reference) bioaccumulated HMs (Pb > Cu > Zn). However, in the exposed individuals, Pb and Cu bioaccumulation was significantly higher. Also, a significant effect of macro- and micro-morphological characters was registered, showing significantly lower values in individuals from the exposed sites. In addition, we found significant differences in genotoxic damage in P. laevigata individuals, between the exposed and reference sites. In contrast, for the micro-morphological characters, none of the analyzed metals had any influence. P. laevigata did not show significant differences in the genetic structure and diversity between exposed and reference populations. However, four haplotypes and four private alleles were found in the exposed populations. Since P. laevigata is a species that establishes naturally in polluted sites and bioaccumulates HM in its foliar tissues, the resulting genetic, individual and population effects have not been severe enough to show detrimental effects; hence, P. laevigata can be a useful tool in phytoremediation strategies for soils polluted with Pb and Cu, maintaining its important ecological functions.

Nano fraction of pesticide induces genotoxicity and oxidative stress-dependent reticulum stress.

The implementation of nanotechnology in different sectors has generated expectations as a new source of use due to the novel characteristics that it will bring. Particularly, nano pesticides promise to be more sustainable and less harmful to the ecosystem and human health; however, most studies continue to focus on their efficacy in the field, leaving aside the effect on humans. This project aimed to evaluate the genotoxic effect of a nano-encapsulated pesticide on bronchial epithelial cells (NL-20) in vitro and elucidate the mechanism through which they induce damage. The nano fraction (NF) of the pesticide Karate Zeon® 5 CS was characterized and isolated, and the uptake into the cell and the changes induced in the cellular ultrastructure were evaluated. In addition, the primary markers of oxidative stress, reticulum stress, and genotoxicity were assessed using the micronucleus test. A 700 nm fraction with a Z potential of -40 mV was obtained, whose main component is polyurea formaldehyde; this allows the capsules to enter the cell through macropinocytosis and clathrin-mediated endocytosis. Inside, they induce oxidative stress activating a reticulum stress response via the BIP protein and the IRE-1 sensor, triggering an inflammatory response. Likewise, stress reduces cell proliferation, increasing genotoxic damage through micronuclei; however, this damage is mainly induced by direct contact of the capsules with the nucleus. This pioneering study uses a nanometric encapsulated commercial pesticide to evaluate the molecular mechanism of induced damage. It makes it the first step in analyzing whether these substances represent a contaminant or an emerging solution.

Occupational exposure to pesticides: DNA damage in horticulturist from Nativitas, Tlaxcala in Mexico.

Mexico is a country where agricultural activity is of great importance, but biomonitoring data are still scarce. With more intensive pesticides use per unit area/surface in horticultural productivity, there is a higher impact on environmental contamination and workers' health. Considering that exposure to various pesticide and pesticide mixtures represents an additional genotoxic risk, the appropriate characterization of exposure, confounding factors and the risk itself are very much needed. We compared genetic damage in 42 horticulturists and 46 unexposed controls (Nativitas, Tlaxcala) using alkaline comet (whole blood) and micronucleus (MN) test with nuclear abnormalities (NA) (buccal epithelial cells). Workers demonstrated significantly higher levels of damage (TI%=14.02 ± 2.49 vs. 5.37 ± 0.46; MN=10.14 ± 5.15 vs. 2.40 ± 0.20), with more than 90% of them not using protective clothing nor gloves during application. Combined DNA damage techniques and periodic monitoring together with educational programs for safe pesticide application is the best strategy to assess and prevent workers' health risks.

The wild plant Gnaphalium lavandulifolium as a sentinel for biomonitoring the effects of environmental heavy metals in the metropolitan area of México Valley.

Biomonitoring is a valuable tool for assessing the presence and effects of air pollutants such as heavy metals (HM); due to their toxicity and stability, these compounds can affect human health and the balance of ecosystems. To assess its potential as a sentinel organism of HM pollution, the wild plant Gnaphalium lavandulifolium was exposed to four sites in the metropolitan area of México Valley (MAMV): Altzomoni (ALT) Coyoacán (COY), Ecatepec (ECA), and Tlalnepantla (TLA) during 2, 4, and 8 weeks, between October and November 2019. Control plants remained under controlled conditions. The chemical analysis determined twelve HM (Al, As, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb, V, and Zn) in the leaves. Macroscopic damage to the leaves, later determined in semi-thin sections under light microscopy, lead to a finer analysis. Transmission electron microscope (TEM) showed major structural changes: chromatin condensation, protoplast shrinkage, cytoplasm vacuolization, cell wall thinning, decreased number and size of starch grains, and plastoglobules in chloroplasts. All these characteristics of stress-induced programed cell death (sPCD) were related to the significant increase of toxic HM in the leaves of the exposed plants compared to the control (p < 0.05). Immunohistochemistry revealed a significant amount of proteases with caspase 3-like activity in ECA and TLA samples during long exposure times. Ultrastructural changes and sPCD features detected confirmed the usefulness of G. lavandulifolium as a good biomonitor of HM contamination. They supported the possibility of considering subcellular changes as markers of abiotic stress conditions in plants.

Robinsonecio gerberifolius as a sentinel organism for atmospheric pollution by heavy metals in several sites of Mexico city and its metropolitan area.

Evaluate the effect of heavy metals (HM) on sentinel organisms such as vascular plants represent a model to estimate toxic hazard due to environmental pollution. In the present study, the plant Robinsonecio gerberifolius was used to evaluate the toxic effects of the HM contained in the leaves of plants that were exposed to 4 different sites in Mexico city and its metropolitan area, during the rainy and dry seasons in the period 2017-2019. The comet assay to evaluate genotoxicity revealed an increase with respect to control (p < 0.05), in 2nd and 8th week of exposure, in all 4 study sites and in both seasons, more significant in the rainy period. An increase in the induction of oxidative stress was also observed in the exposed leaves from the 4 study sites when compared with the control; in some cases, the increases were significant (p < 0.05). In general, α- and ß-carotenoids were increased at 8th week of exposure, in all plants exposed in both seasons, while miR398 increased in plants exposed in 2 study sites (p < 0.05). Finally, toxic HM like aluminum, vanadium, and cadmium, increased significantly in the rainy season, while lead increased in the dry season. We conclude that R. gerberifolius can be considered a sentinel plant for evaluating the presence and general toxic effects caused by the presence of toxic HM that have been documented in the atmosphere of Mexico City and its metropolitan area.

Environmental pollutants: an immunoendocrine perspective on phthalates.

Phthalates are endocrine disrupting compounds (EDCs) used as plasticizers in a wide array of daily-use products, from flooring and automotive parts to medical devices and are even present in the children�s toys. Since these compounds are not covalently bound other molecules, they leach from these synthetic products, causing a high level of human exposure to them. EDCs exert several endocrine effects, most typically, reduced biosynthesis of the male hormone, testosterone and disturbances in estrogen, androgen, PPAR-gamma and AhR that control complex immunoendocrine regulatory networks. Besides impacting the developmental processes and long-term adverse effects, since cells of the immune system express endocrine receptors, and synthetize and respond to several hormones and other endocrine ligands, phthalates also cause dysregulation of immune system.

Moss (Hypnum amabile) as biomonitor of genotoxic damage and as bioaccumulator of atmospheric pollutants at five different sites of Mexico City and metropolitan area.

Mexico City has been classified as one megacity, its altitude, thermal inversions, and high seasonal radiation are factors that prevent dispersion of pollutants, which effects are detrimental to health. Therefore, it is important to have an organism that allows evaluate the damage caused by such exposure, as is the case of mosses that obtain nutrients from the atmosphere; this property makes them excellent biomonitors to evaluate genotoxic damage caused by exposure to pollutants, in addition to its large accumulation capacity. For these reasons and to relate the effects of atmospheric pollution with a biological response, we propose to use the moss Hypnum amabile as a bioaccumulator of atmospheric pollutants and biomonitor of the genotoxic effect that the air pollution can induce it through the comet assay. Mosses were placed in five localities of Mexico City and the metropolitan area on the first days of each month of the dry (cold and warm) and rainy seasons, with a 30-day exposure, after which they were changed for a new sample (for 8 months). Each month, the moss exposed was collected and nuclei were isolated to perform comet assay. To demonstrate heavy metal bioaccumulation capacity, samples were observed in a transmission electron microscope and qualitative microanalysis by scanning electron microscopy was carried out parallel. The chemical analysis detected 14 heavy metals by mass spectrometry method with inductively coupled plasma source. Additionally, 22 polycyclic aromatic hydrocarbons were also determined by gas chromatography-mass spectrometry. Analysis of variance and Kruskal-Wallis test were performed to compare DNA damage of each station against control, which was maintained in the laboratory in a chamber with filtered air. This is the first study on the genotoxicity of mosses exposed to the atmosphere of Mexico City and metropolitan area that in addition to proving their accumulation capacity shows their ability to respond to atmospheric pollutants.

Response of Zea mays to multimetal contaminated soils: a multibiomarker approach.

Heavy metals present in mine tailings pollute agroecosystems, put the integrity of the environment at risk and become a major route of exposure to humans. The present study was carried out in Taxco, Guerrero, Mexico, where millions of tons of mine tailings have been deposited. Soils from this region are used for agricultural activities. Maize (Zea mays) was selected as a test plant, because it is one of the most common and important cereal crops in Mexico and worldwide. Thirteen metals were selected and their bioaccumulation in roots, leaves and fruits were measured in plants cultivated in soils contaminated with mine tailings and those cultivated in non-contaminated soils. The effect of metal bioaccumulation on: macro and micromorphology, size, biomass, coloration leaf patterns and on DNA damage levels in different structures were determined. The bioaccumulation pattern was: root > leaf > fruit, being only Mn and Cr bioaccumulated in all three structures and V in the roots and leaves. A significant effect of metal bioaccumulation on 50% of the size and leaf shape and 55% of the biomass characters in Z. mays exposed plants was detected. Regarding micromorphological characters, a significant effect of metal bioaccumulation on 67% of the leaf characters and on 100% of the color basal leaf characters was noted. The effect of metal bioaccumulation on the induction of DNA damage (leaf > fruit > root) was detected employing single cell gel electrophoresis analysis. An approach, in which multi endpoints are used is necessary to estimate the extent of the detrimental effects of metal pollution on agroecosystem integrity contaminated with mine tailings.

Indicators of environmental contamination by heavy metals in leaves of Taraxacum officinale in two zones of the metropolitan area of Mexico City.

The present study was designed to detect the effect of heavy metals in two zones of the Metropolitan Area of Mexico City (MAMC), the Centro de Ciencias de la Atmósfera (CCA), and the Altzomoni station in the Iztaccíhuatl-Popocatépetl National Park. Taraxacum officinale was selected as the indicator organism of responses to atmospheric contamination by heavy metals. Determinations of heavy metals were performed, and total mRNA was extracted to quantify the expression of microRNA398 (miR398), superoxide dismutase 2 (CSD2), and the amounts of free radicals using the bromide of 3-(4,5-dimethylthiazole-2-ilo)-2,5-diphenyltetrazole (MTT) salts reduction assay. Results from the Altzomoni station showed high concentrations of five heavy metals, especially Aluminum, while three heavy metals were identified in the CCA-UNAM zone, most importantly, Vanadium, both in the dry season; miR398 expression presented subtle changes but was greater in the leaves from the stations with higher concentrations of heavy metals. Observations included a significant expression of CSD2, mainly in the dry season in both study zones, where levels were significant with respect to controls (p < 0.05). Reduced MTT was also higher in the dry season than in the rainy season (p < 0.05). In conclusion, the increase in heavy metals on the leaves of Taraxacum officinale induces increased expression of the CSD2 gene and reduced MTT; thus, they can be used as indicators for biomonitoring heavy metal concentrations.

In vitro cytotoxicity and genotoxicity of Furia®180 SC (zeta-cypermethrin) and Bulldock 125®SC (ß-cyfluthrin) pyrethroid insecticides in human peripheral blood lymphocytes.

In the present study, human peripheral blood lymphocytes were exposed in vitro to 0, 6, 12, 18, 24, and 30 µg/mL Furia®180 SC (zeta-cypermethrin) and 0, 6.3, 12.5, 18.8, 25, and 31.3 µg/mL Bulldock®125 SC (ß-cyfluthrin). Exposure to 32 µg/mL bleomycin for 24 h served as a positive control. The cytotoxic and genotoxic effects of each insecticide were analyzed using alkaline comet and trypan blue dye exclusion assays. DNA damage was evaluated through three genotoxicity parameters: tail length (TL), tail moment (TM) and tail intensity (TI). Furia®180 SC and Bulldock®125 SC pyrethroid insecticides and bleomycin significantly increased DNA damage in a concentration-dependent manner. Bulldock®125 SC induced more DNA damage than Furia. Lymphocyte viability did not change after exposure to different concentrations of the two pyrethroid insecticides and bleomycin. Moreover, genotoxic results demonstrated that Furia®180 SC and Bulldock®125 SC insecticides caused in vitro DNA damage in human peripheral lymphocytes.

Genotoxic evaluation of common commercial pesticides in human peripheral blood lymphocytes.

This study aims to evaluate the genotoxic potential of four commercial pesticides with diverse health categorizations by different world associations currently in use. We tested the fungicide mancozeb and the insecticides pirimicarb, monocrotophos and permethrin. The research was done with in vitro human peripheral blood lymphocytes using the DNA single gel electrophoresis assay and the cytokinesis-block micronucleus (MN) test, where we analysed common parameters such as the tail moment and the frequency of MN formation. We also measured other parameters like frequency of nucleoplasmic bridges, nuclear buds, apoptosis and necrosis with the MN test. Each pesticide induced significant differences in all of these parameters when compared with the negative control and showed different behaviours in the concentration-dependent response. This could be attributed to their genotoxic potential where mancozeb and monocrotophos induced the highest genetic damage, permethrin caused mainly cell death and pirimicarb had the least impact upon cells. This research provides valuable data about the harmful effects of these pesticides on human cells and may be an important contribution in the construction of a unique international classification of health and to reinforce the use of genotoxic analyses to regulate the use of pesticides.

Induced cytotoxic damage by exposure to gasoline vapors: a study in Sinaloa, Mexico.

Gasoline is a blend of organic compounds used in internal combustion engines. Gasoline-station attendants are exposed to gasoline vapors, which pose a potentially mutagenic risk. According to the International Agency for Research on Cancer, exposure to gasoline and engine exhaust is possibly carcinogenic to humans. We determined the frequency of micronucleus and other nuclear abnormalities, such as pyknotic nuclei, chromatin condensation, cells with nuclear buds, karyolytic cells, karyorrhexis, and binucleated cells in buccal mucosal smears of 60 gasoline-station attendants and 60 unexposed controls. In addition, we explored if factors such as smoking habits, alcohol consumption, and worked years exert an additional synergistic cytotoxic effect. There were statistically significant higher frequencies (p < 0.05) of nuclear abnormalities among exposed attendants compared to the controls. No statistical significant (p > 0.05) additional effect of lifestyle habits such as smoking and alcohol consumption or worked years on the cytotoxicity was observed. The results showed that from the beginning exposure to gasoline vapors increased the frequency of nuclear abnormalities in buccal epithelial cells. Our results provide valuable information on cytotoxic damage for an early pre-symptomatic diagnosis.

Cytogenotoxicity of selected organophosphate insecticides on HaCaT keratinocytes and NL-20 human bronchial cells.

Organophosphate insecticides (OI) are widely used. To humans the main routes of exposure are skin and inhalation. For this, keratinocytes (HaCaT) and bronchial cells (NL-20) were used as cell culture models to evaluate the effects of OI. The aim of this study was to evaluate the effect of four OI on HaCaT and NL-20 cells: azinphos-methyl, (AM); parathion-methyl (PM); omethoate (OM); and methamidophos (MET). Cells were exposed to 0.1, 1 and 10 µg/µL of each. Results showed a decrease in cell viability in both cell lines. Viability of the NL-20 cell line decreased with the three concentrations of OM. All differences were significant (p < 0.05). Genotoxic damage, evaluated through the comet assay, was observed in both cell lines with AM. NL-20 cell line was more sensitive than HaCaT. Higher concentrations of the insecticides except MET, induced cell death. MET caused DNA damage in HaCaT cells at all concentrations. Differences were significant (p < 0.05). Both cell lines revealed the presence of single membrane vacuoles of different sizes when exposed to 1 µg/µL of each insecticide. Quantitative real time-polymerase chain reaction (RT-qPCR) showed an increase of BN1 gene in HaCaT by effect of AM and MET at 1 µg/µL. In conclusion, all the insecticides induced different levels of cyto and genotoxic effects in both cell lines.

Biomonitoring of agricultural workers exposed to pesticide mixtures in Guerrero state, Mexico, with comet assay and micronucleus test.

The aim of this study was to evaluate the genotoxic effect of pesticides in exfoliated buccal cells of workers occupationally exposed in Guerrero, Mexico, using the comet assay and the micronucleus test. The study compared 111 agricultural workers in three rural communities (Arcelia 62, Ajuchitlan 13, and Tlapehuala 36), with 60 non-exposed individuals. All the participants were males. The presence of DNA damage was investigated in the exfoliated buccal cells of study participants with the comet assay and the micronucleus (MN) test; comet tail length was evaluated in 100 nuclei and 3000 epithelial cells of each individual, respectively; other nuclear anomalies such as nuclear buds, karyolysis, karyorrhexis, and binucleate cells were also evaluated. Study results revealed that the tail migration of DNA and the frequency of MN increased significantly in the exposed group, which also showed nuclear anomalies associated with cytotoxic or genotoxic effect. No positive correlation was noted between exposure time and tail length and micronuclei frequencies. No significant effect on genetic damage was observed as a result of age, smoking, and alcohol consumption. The MN and comet assay in exfoliated buccal cells are useful and minimally invasive methods for monitoring genetic damage in individuals exposed to pesticides. This study provided valuable data for establishing the possible risk to human health associated with pesticide exposure.

Aflatoxin (B1 , B2 , G1 , and G2 ) contamination in rice of Mexico and Spain, from local sources or imported.

Rice is an important cereal but it is often contaminated with aflatoxins (AFs). The purpose of this study was to identify and quantify AF (B1 , B2 , G1 , and G2 ) in 67 rice samples cultivated in Mexico and Spain, and from imported crops collected in 2008 and 2009. The methodology was validated, the rice samples were concentrated and purified with immunoaffinity columns and were quantified by high-pressure liquid chromatography (HPLC). The average total AF (AFt) in the Spanish rice was 37.3 µg/kg, the range was from 1.6 to 1383 µg/kg, the most contaminated samples being from San Juan de Aznalfarache, Sevilla (AFt = 138.6 µg/kg), from Tortosa, Tarragona (AFt = 104.6 µg/kg), and Calasparra, Murcia (AFt = 103.9 µg/kg). The rice imported from France to Spain had AFt of 26.6 µg/kg and from Pakistan AFt of 18.4 µg/kg, showing less AF contamination than the local one. The rice which originated from Mexico contained (AFt = 16.9 µg/kg), and those imported from the United States (AFt = 14.4 µg/kg) and Uruguay (AFt = 15.6 µg/kg). The imported rice had better quality in terms of the presence of AFs.

Composition and mutagenicity of PAHs associated with urban airborne particles in Córdoba, Argentina.

The comet assay and micronucleous test were used to assess the genotoxicity of organic compounds associated with particulate material collected in the city of Córdoba, Argentina. Samples were collected on fiber glass filters and their organic extracts were analyzed by GC-MS. These extracts were used for the comet assay on human lymphocytes and for the MCN test with Tradescantia pallida. The concentrations of polycyclic aromatic hydrocarbons as well as some of their nitro derivates were higher during winter. Their composition suggested that their main emission sources were gasoline and diesel vehicles. We observed genotoxic effects of these organic extracts due to the presence of both direct and indirect acting mutagens. We found a good agreement between the two test systems employed, which encourages the further use of plant bioassays for air pollution monitoring, especially in developing countries, due to their flexibility, low cost and efficiency.

The role of plant metabolism in the mutagenic and cytotoxic effects of four organophosphorus insecticides in Salmonella typhimurium and in human cell lines.

This study used a cell/microbe co-incubation assay to evaluate the effect of four organophosphorus insecticides (parathion-methyl, azinphos-methyl, omethoate, and methamidophos) metabolized by coriander (Coriandrum sativum). The reverse mutation of Salmonella typhimurium strains TA98 and TA100 was used as an indicator of genetic damage. Treatments with these insecticides inhibited peroxidase activity in plant cells by between 17% (omethoate) and 98% (azinphos-methyl) and decreased plant protein content by between 36% (omethoate) and 99.6% (azinphos-methyl). Azinphos-methyl was the most toxic when applied directly. In the Ames test, treatments applied directly to strain TA100 killed the bacteria; however, the presence of plant metabolism detoxified the system and permitted the growth of bacteria. In strain TA98, plant metabolites of insecticides were mutagenic. This result suggests that the tested pesticides produce mutations through frameshifting. The same pesticides were applied to human skin (HaCaT) and lung (NL-20) cell lines to evaluate their effects on cell viability. Pesticides applied directly were more cytotoxic than the combination of pesticide plus coriander metabolic fraction. Omethoate and methamidophos did not affect the viability of HaCaT cells, but azinphos-methyl and parathion-methyl at 100 and 1000µgmL(-1) significantly decreased viability (p<0.05). The NL-20 cell line was remarkably sensitive to the direct application of insecticides. All of the treatment conditions caused decreases in NL-20 cell viability (e.g., viability decreased to 12.0% after parathion-methyl treatment, to 14.7% after azinphos-methyl treatment, and to 6.9% after omethoate treatment). Similar to the Ames test, all of the insecticides showed decreased toxicity in human cells when they were cultured in the presence of plant metabolism. In conclusion, when the studied organophosphorus insecticides were plant-metabolized, they induced mutations in the bacterial strain TA98. In human cell lines, plant metabolism reduced the cytotoxic properties of the insecticides, and human keratinocytes were more resistant to mortality than bronchial cells.

Evaluation of genotoxic and cytotoxic effects in human peripheral blood lymphocytes exposed in vitro to neonicotinoid insecticides news.

Calypso (thiacloprid), Poncho (clothianidin), Gaucho (imidacloprid), and Jade (imidacloprid) are commercial neonicotinoid insecticides, a new class of agrochemicals in México. However, genotoxic and cytotoxic studies have not been performed. In the present study, human peripheral blood lymphocytes (PBL) were exposed in vitro to different concentrations of the four insecticides. The genotoxic and cytotoxic effects were evaluated using the alkaline comet and trypan blue dye exclusion assays. DNA damage was evaluated using two genotoxicity parameters: tail length and comet frequency. Exposure to 9.5 × 10(-6) to 5.7 × 10(-5) M Jade; 2.8 × 10(-4) to 1.7 × 10(-3) M Gaucho; 0.6 × 10(-1) to 1.4 × 10(-1) M Calypso; 1.2 × 10(-1) to 9.5 × 10(-1) M Poncho for 2 h induced a significant increase DNA damage with a concentration-dependent relationship. Jade was the most genotoxic of the four insecticides studied. Cytotoxicity was observed in cells exposed to 18 × 10(-3) M Jade, 2.0 × 10(-3) M Gaucho, 2.0 × 10(-1) M Calypso, 1.07 M Poncho, and cell death occurred at 30 × 10(-3) M Jade, 3.3 × 10(-3) M Gaucho, 2.8 × 10(-1) M Calypso, and 1.42 M Poncho. This study provides the first report of genotoxic and cytotoxic effects in PBL following in vitro exposure to commercial neonicotinoid insecticides.

Prevalencia, factores de riesgo, y estado nutricional de pacientes con enfermedad pulmonar obstructiva crónica, en el hospital Guayaquil, 2008 / Prevalence, risk factors, and nutritional status of chronic obstructive pulmonary disease, in the Guayaquil hospital, 2008

El propósito del presente trabajo es captar los pacientes con EPOC que acuden al hospital Guayaquil para investigar factores de riesgo y estado nutricional. Esta investigación es de tipo prospectivo, no experimental: longitudinal, descriptivo; incluye todos los pacientes de > 40 años, con diagnóstico clínico y de laboratorio de EPOC que acudan a la consulta externa del hospital Guayaquil, período enero a diciembre 2008. Las variables fueron: edad, sexo; estadíos Gold; tabaquismo activo; exposición con leña o carbón; antecedente de infecciones respiratoria; grupo sanguíneo; IMC; desnutrición protéica muscular; desnutrición protéica-visceral (Albúmina); desnutrición calórica. Los hallazgos relevantes: EPOC ocupa el segundo lugar entre las enfermedades más frecuentes después de la tuberculosis en la consulta externa. Predomina el sexo femenino de 40-44 años. El factor predominante en hombres fue el tabaquismo y en las mujeres el humo de leña. En el estado nutricional, la mayoría aunque con un IMC normal e incluso algunos con sobrepeso, tienen una depleción protéica muscular. El Estadío Gold tiene una relación inversamente proporcional al estado nutricional.

The purpose of this study is to collect the COPD patients that went to the hospital Guayaquil in order to investigate risk factors and nutritional status. This research is prospective, non-experimental, longitudinal, descriptive and includes all > 40 year-old patients with clinical and laboratory diagnosis of COPD who attended the outpatient service in the Guayaquil hospital from January to December 2008. The variables were age, sex, Gold stages, active smoking, exposure to wood or coal, record of respiratory infections, blood group, BMI, muscle protein malnutrition, visceral protein malnutrition (albumin) energy malnutrition. Relevant findings: COPD is in the second place among the most common diseases after tuberculosis in outpatient service. 40-44 year-old females predominate. The predominant factor in men was nicotine poisoning and wood smoke in women. In the nutritional status, most of them although with a normal BMI and some of them with overweight, have muscle protein depletion. The Gold Stage has an inverse relationship proportional to the nutritional status.

Principales complicaciones y etiología de la cirrosis hepática en hospital Doctor Abel Gilbert Pontón: enero a agosto 2007 / Main complication and etiology of hepatic cirrhosis at the Doctor Alberto Gilbert Pontón hospital: January to August 2007

La etiología de la cirrosis más frecuente es por alcoholismo y por hepatitis B-C, se presenta un estudio de tipo retrospectivo, descriptivo, explicativo en el hospital Guayaquil “Dr. Abel Gilbert Pontón” realizado de enero- agosto 2007, lapso en el que se atendió 43 pacientes ingresados por esta enfermedad al presentar complicaciones, el objetivo de esta investigación fue conocer la principal etiología y complicación de la cirrosis hepática, dando como resultado que 51.16 fueron de sexo masculino, la edad de mayor frecuencia fue la más de 70 años con 27,9, la complicación más frecuente fue la hemorragia digestiva 58,13, la etiología en hombres fue la alcohólica el 63, y en las mujeres la esteatohepatitis no alcohólica 57. Por lo que se concluye que la principal es la hemorragia digestiva por ruptura de várices esofágicas. La etiología en el género masculino fue el alcoholismo, y en el femenino, la esteatohepatitis no alcohólica.

The most frequent etiology of the cirrhosis is alcoholism and hepatitis B-C. We present a retrospective, descriptive and explanatory study in the Hospital “Dr. Abel Gilbert Pontón” of Guayaquil. It was carried out between January and August 2007, time when 43 patients were assisted because of the complications presented by this disease. The main purpose of this study was to know the main etiology and complications of cirrhosis. Such study resulted in 51.60 males, the most frequent complication was the digestive hemorrhage with 58.13, and the etiology in men was the alcoholic with 63, although in women it was the non-alcoholic esteatohepatitis with 57. As a result, we can conclude that the main complication is the digestive hemorrhage by rupture of esophageal varices. The etiology in males was alcoholism, and in the females, the non-alcoholic esteatohepatitis.