A special role for anterior cingulate cortex, but not orbitofrontal cortex or basolateral amygdala, in choices involving information.

Subjects are often willing to pay a cost for information. In a procedure that promotes paradoxical choices, animals choose between a richer option followed by a cue that is rewarded 50% of the time (No Info) vs. a leaner option followed by one of two cues that signal certain outcomes: one always rewarded (100%) and the other never rewarded, 0% (Info). Since decisions involve comparing the subjective value of options after integrating all their features, preference for information may rely on cortico-amygdalar circuitry. To test this, male and female rats were prepared with bilateral inhibitory Designer Receptors Exclusively Activated by Designer Drugs (DREADDs) in the anterior cingulate cortex, orbitofrontal cortex, basolateral amygdala, or null virus (control). We inhibited these regions after stable preference was acquired. We found that inhibition of the anterior cingulate cortex destabilized choice preference in female rats without affecting latency to choose or response rate to cues. A logistic regression fit revealed that previous choice predicted current choice in all conditions, however previously rewarded Info trials strongly predicted preference in all conditions except in female rats following anterior cingulate cortex inhibition. The results reveal a causal, sex-dependent role for the anterior cingulate cortex in decisions involving information.

Insights Into Eye Care Accessibility: Geospatial Distribution of Eye Care Providers and Socioeconomic Factors by ZIP Code.

Purpose: In the United States, the ZIP Code has long been used to collect geospatial data revealing disparities in social determinants of health. This cross-sectional study examines the distribution of eye care access in association with local socioeconomic factors at a ZIP Code level. Methods: Data from the 2020 Centers of Medicare and Medicaid Services and American Community Survey were used to examine locations of 47,949 providers (17,631 ophthalmologists and 30,318 optometrists) and corresponding local socioeconomic variables (education, employment, and income). Multivariable zero-inflated negative binomial regression was used to model eye care provider count per capita in each ZIP Code area with socioeconomic factors as independent covariates. Results: For every 1% increase in percentage of population over 25 years with a bachelor's degree or higher, the expected number of providers increases by 4.4% (incidence rate ratio [IRR] = 1.044; 95% confidence interval [CI], 1.041-1.046; P < 0.001). For every 1% increase in percentage unemployment, the expected number of providers decreases by 2.7% (IRR = 0.973; 95% CI, 0.964-0.983; P < 0.001). However, for every $1000 increase in median household income, the expected number of providers decreases by 1.6% (IRR = 0.984; 95% CI, 0.983-0.986; P < 0.001). Conclusions: Disparities in access exist in areas of lower employment and educational attainment, as both have positive correlations with eye care provider access. Conversely, areas of greater median household income have lower access to providers. Translational Relevance: This research contributes to a greater field studying social determinants of health and may inform public health strategies on allocation of providers to improve equitable access to vision care.

Conjunctival Biopsy of a Patient With Mpox.

This case report describes a conjunctival biopsy of a patient with mpox infection.

Time, uncertainty, and suboptimal choice.

Under certain conditions, pigeons prefer information about whether food will be forthcoming at the end of an interval to a higher chance of obtaining the food. In the typical protocol, choosing one option (Informative) is followed by one of two 10-s long terminal-link stimuli: SG always ending in food or SR never ending in food, with SG occurring only 20% of the trials. The other option (Non-informative) is also followed by one of two 10-s long terminal-link stimuli: SB or SY, both ending in food 50% of the trials. Although the Informative option yields food with a lower probability than the Non-informative (0.2 vs. 0.5), pigeons prefer it. To determine whether such preference occurs because SG and SR disambiguate the trial outcome immediately upon choice, we delayed the moment the disambiguation took place in two experiments. In Experiment 1, when the Informative option was chosen, SG always ensued for t seconds of the terminal-link, and then the standard contingencies followed. Experiment 2 was similar, except that SR always ensued for t seconds. Across conditions, t varied from 0 to 10 s. In both experiments, preference for the Informative option decreased with t, but the effect was stronger in Experiment 1. We discuss the implication of these findings for functional and mechanistic models of suboptimal choice.

[Asociación de exposición a humo de camiones en adolescentes con asma de un centro de referencia del noreste de México].

Objective: To compare whether adolescents who are exposed to truck smoke have a higher prevalence of asthma symptomatology versus those who are not exposed. Methods: A cross-sectional, descriptive, and comparative study. Adolescents aged 13 and 14 years were included and completed a self-report questionnaire. Subjects were selected following the same methodology as in ISAAC phase III. They underwent an epidemiological survey for the presence of symptoms. Ex- posure to truck smoke was defined as passing trucks most of the day as perceived by the patient. The distribution was assessed with the Kolmogorov-Smirnov test. Comparisons with Chi-square or Student's t-test, as appropriate. A value of p³0.05 was considered statistically significant. Results: A total of 492 patients were included. The demographic variables can be seen in Table 1. When performing the association between the groups of ad- olescents with asthma exposed to truck smoke, a significant difference was found in the prevalence of respiratory symptomatology and asthma (26.0% vs 9.6%, p=0.000) (Table 1). Conclusions: Adolescent patients with asthma who are exposed to truck smoke demonstrated a significant difference in the presence of respiratory symptom- atology and asthma compared to patients without exposure.

Objetivo: Comparar si los adolescentes que están expuestos a humo de camiones tienen mayor prevalencia de sintomatología de asma contra quienes no están expuestos. Métodos: Estudio transversal, descriptivo y comparativo. Se incluyeron adolescentes de 13 y 14 años de edad quienes completaron un cuestionario autoinfor- mado. Los sujetos se seleccionaron siguiendo la misma metodología que en la fase III de ISAAC. Se les realizó una encuesta epidemiológica para la presencia de síntomas. Exposición al humo de camiones se definió como el paso de camiones la mayoría del día a percepción del paciente. La distribución fue evaluada con la prueba de Kolmogórov-Smirnov. Comparaciones con prueba de Chi-cuadrada o T de Student, según corresponda. Un valor de p £ 0.05 fue considerado estadísticamente significativo. Resultados: Se incluyeron un total de 492 pacientes. Las variables demográficas se pueden observar en la Tabla 1. Al realizar la asociación entre los grupos de adolescentes con asma que se encuentran expuestos a humo de camiones se encontró una diferencia significativa en la prevalencia de sintomatología respira- toria y asma (26.0% vs 9.6%, p = 0.000). Conclusiones: Los pacientes adolescentes con asma que se encuentran expuestos al humo de camiones demostraron tener diferencia significativa en la presencia de sintomatología respiratoria y asma en comparación con los pacientes sin exposición.

Prevalence of electrocardiographic abnormalities in elite and sub-elite professional athletes / Prevalencia de alteraciones electrocardiográficas en deportistas élite y sub-élite

Objective: The objective of this study is to determine the prevalence of electrocardiographic abnormalities that could endanger the lives of elite and sub-elite professional athletes based on normal, borderline, and abnormal findings described in international recommendations. Material and method: This retrospective observational study was performed only on men elite football players, men elite baseball players, men elite basketball players, and men sub-elite football players (second division, third division, U-15, U-17, and U-20). Data were collected from pre-competition ECGs performed by team-affiliated physicians in the 2012 – 2019 preseasons of active-roster athletes and sub-elite players. The qualitative characteristics of each ECG were analyzed using the international recommendations for electrocardiographic interpretation in athletes to detect accepted training-related ECG findings and findings classified as borderline and abnormal. Results: A total of 716 ECGs were included. Common training-related ECG changes were found in 63.1%; sinus bradycardia was the most prevalent training-related ECG change (47.2%). The prevalence of borderline ECG readings among all the participants was 3.9%; the most frequent change was right axis deviation. The prevalence of abnormal ECG findings overall was 4.2%. Conclusion: Electrocardiographic changes in athletes are frequently seen; however, a constant review of changes within abnormal or borderline parameters is recommended. It is suggested that further research studies should study the electrocardiographic changes in elite and sub-elite athletes and compare these changes considering the biological sex of the athletes to see if there are any differences.(AU)

Objetivo: El objetivo del presente estudio es evaluar la prevalencia de anormalidades electrocardiográficas que puedan poner en peligro la vida de deportistas profesionales élite y sub-élite, a partir de hallazgos normales, limítrofes y anormales en el ECG descritas en consensos internacionales. Material y método: Estudio retrospectivo y observacional donde se analizaron los ECGs de 12 derivaciones en reposo de jugadores de élite de fútbol, béisbol y baloncesto y jugadores sub-élite de fútbol, solamente del género masculino. Los datos se recopilaron de ECGs previos a la competencia realizados por médicos afiliados al equipo en las pretemporadas 2012-2019 en deportistas de la lista activa y jugadores sub-élite. Se utilizaron las recomendaciones internacionales para la interpretación electrocardiográfica de deportistas en las variables cuantitativas para conocer las alteraciones electrocardiográficas aceptadas y evaluar la detección de anormalidades en el trazo para clasificarlas en anormal o en el límite.Resultados: Un total de 716 ECGs fueron incluidos. Se encontraron cambios comunes en el ECG relacionados con el entrenamiento en el 63,1%; la bradicardia sinusal fue el cambio en el ECG relacionado con el entrenamiento más frecuente (47,2%). La prevalencia de lecturas limítrofes de ECG entre todos los participantes fue del 3,9%; el cambio más frecuente fue la desviación del eje a la derecha. La prevalencia de hallazgos ECG anormales en general fue del 4,2%. Conclusiones: Los cambios electrocardiográficos en los deportistas se ven con frecuencia, sin embargo, se recomienda constante revisión de cambios dentro de parámetros anormales o en limitrófes. Se sugiere que estudios de investigación estudien los cambios electrocardiográficos en deportistas élite y sub-élite y que se comparen estos cambios teniendo en cuenta el sexo biológico de los deportistas para ver si existen diferencias.(AU)

A special role for anterior cingulate cortex, but not orbitofrontal cortex or basolateral amygdala, in choices involving information.

Subjects often are willing to pay a cost for information. In a procedure that promotes paradoxical choices, animals choose between a richer option followed by a cue that is rewarded 50% of the time (No-info) vs a leaner option followed by one of two cues that signal certain outcomes: one always rewarded (100%), and the other never rewarded, 0% (Info). Since decisions involve comparing the subjective value of options after integrating all their features, preference for information may rely on cortico-amygdalar circuitry. To test this, male and female rats were prepared with bilateral inhibitory DREADDs in the anterior cingulate cortex (ACC), orbitofrontal cortex (OFC), basolateral amygdala (BLA), or null virus (control). We inhibited these regions after stable preference was acquired. We found that inhibition of ACC destabilized choice preference in female rats without affecting latency to choose or response rate to cues. A logistic regression fit revealed that the previous choice strongly predicted preference in control animals, but not in female rats following ACC inhibition. The results reveal a causal, sex-dependent role for ACC in decisions involving information.

Inhibition and paradoxical choice.

The present study evaluated the role of inhibition in paradoxical choice in pigeons. In a paradoxical choice procedure, pigeons receive a choice between two alternatives. Choosing the "suboptimal" alternative is followed 20% of the time by one cue (the S+) that is always reinforced, and 80% of the time by another cue (S-) that is never reinforced. Thus, this alternative leads to an overall reinforcement rate of 20%. Choosing the "optimal" alternative, however, is followed by one of two cues (S3 or S4), each reinforced 50% of the time. Thus, this alternative leads to an overall reinforcement rate of 50%. González and Blaisdell (2021) reported that development of paradoxical choice was positively correlated to the development of inhibition to the S- (signal that no food will be delivered on that trial) post-choice stimulus. The current experiment tested the hypothesis that inhibition to a post-choice stimulus is causally related to suboptimal preference. Following acquisition of suboptimal preference, pigeons received two manipulations: in one condition one of the cues in the optimal alternative (S4) was extinguished and, in another condition, the S- cue was partially reinforced. When tested on the choice task afterward, both manipulations resulted in a decrement in suboptimal preference. This result is paradoxical given that both manipulations made the suboptimal alternative the richer option. We discuss the implications of our results, arguing that inhibition of a post-choice cue increases attraction to or value of that choice.

The conjunction fallacy in rats.

Humans and other animals are capable of reasoning. However, there are overwhelming examples of errors or anomalies in reasoning. In two experiments, we studied if rats, like humans, estimate the conjunction of two events as more likely than each event independently, a phenomenon that has been called conjunction fallacy. In both experiments, rats learned through food reinforcement to press a lever under some cue conditions but not others. Sound B was rewarded whereas Sound A was not. However, when B was presented with the visual cue Y was not rewarded, whereas AX was rewarded (i.e., A-, AX+, B+, BY-). Both visual cues were presented in the same bulb. After training, rats received test sessions in which A and B were presented with the bulb explicitly off or occluded by a metal piece. Thus, on the occluded condition, it was ambiguous whether the trials were of the elements alone (A or B) or of the compounds (AX or BY). Rats responded on the occluded condition as if the compound cues were most likely present. The second experiment investigated if this error in probability estimation in Experiment 1, could be due to a conjunction fallacy, and if this could be attenuated by increasing the ratio of element/compound trials from the original 50-50 to 70-30 and 90-10. Only the 90-10 condition (where 90% of the training trials were of just A or just B) did not show a conjunction fallacy, though it emerged in all groups with additional training. These findings open new avenues for exploring the mechanisms behind the conjunction fallacy effect.

Cardiovascular health worsening in patients with autoimmune rheumatological diseases during the COVID-19 pandemic.

Rheumatic autoimmune diseases are associated with a myriad of comorbidities. Of particular importance due to their morbimortality are cardiovascular diseases. COVID-19 greatly impacted the world population in many different areas. Patients with rheumatic diseases had to face changes in their healthcare, in addition to unemployment, a decrease in physical activity, social isolation, and lack of access to certain medications. This review summarizes the impact of COVID-19 pandemic on cardiovascular risk factors, comorbidities, and unhealthy behaviors in patients with rheumatic inflammatory autoimmune diseases, particularly focused on rheumatoid arthritis and systemic lupus erythematosus. Searches were carried out in MEDLINE/PubMed and Scopus from August to December 2022. Four reviewers screened the title and abstract of retrieved records. Potentially eligible reports were then reviewed in full text. Differences were reconciled by either consensus or discussion with an external reviewer. During the COVID-19 pandemic, patients with rheumatic diseases showed an increase in the prevalence of mental health disorders (43.2-57.7%), reduced physical activity (56.8%), and a worsening in eating behaviors. Alcohol intake increased (18.2%), especially in early phases of the pandemic. Smoking prevalence decreased (28.2%). Dyslipidemia and hypertension showed no changes. The pandemic and lockdown affected rheumatic patients not only in disease-related characteristics but in the prevalence of their cardiovascular comorbidities and risk factors. Lifestyle changes, such as healthy eating, physical activity, and optimal management of their rheumatic diseases and comorbidities, are essential to manage the long-lasting consequences of the COVID-19 outbreak. Key Points • During the COVID-19 pandemic, anxiety, depression, sedentarism, obesity, and a worsening in eating behaviors increased. •Patients with rheumatic diseases and comorbidities have worse clinical outcomes and a higher cardiovascular disease burden than those without them. •Comparative studies are necessary to precisely elucidate the pandemic's impact on the prevalence of cardiovascular disease, risk factors, and comorbidities in patients with rheumatoid arthritis and systemic lupus erythematosus.

Uncloaking cell-impermeant gold nanorods via tumor microenvironmental cathepsin B facilitates cancer cell penetration and potent radiosensitization.

Major impediments to conveyance of intravenously administered drugs to tumors are biofouling, opsonization, and rapid clearance from the circulation by macrophages and reticuloendothelial phagocytes. Cloaking nanoparticles with stealth epilayers partly overcomes these hurdles but it also foils interactions with tumor cells. Here, we describe the synthesis, characterization, and validation of smart gold nanorods (GNRs) that spontaneously transform from inert passengers in the blood stream to active cell-penetrating nanoparticles within tumors to potently sensitize tumors to radiation therapy. Intrinsically cationic and cell-penetrating GNRs were shielded from phagocytosis with a cloaking polyethylene glycol epilayer containing an intervening cleavable peptide. In the absence of an external trigger, this epilayer is clipped off by the tumor microenvironmental protease, cathepsin B, in colorectal cancers to uncloak and expose the free-circulating native unPEGylated GNR that is readily internalized by cancer cells and turn into immovable small clusters of GNRs. Selective uncloaking of GNRs in the tumor reduced off-target toxicity confirmed by hematologic, biochemical, and histopathological analysis of blood, serum, and normal organs, respectively. Subsequent irradiation led to significant tumor growth delay and improved survival of mice. By addressing multiple barriers to efficient transport and cellular internalization of nanoparticles, our results demonstrate that clinically meaningful radiosensitization can be achieved with rationally designed GNRs.

Pancreatic tumor microenvironmental acidosis and hypoxia transform gold nanorods into cell-penetrant particles for potent radiosensitization.

Coating nanoparticles with stealth epilayers increases circulation time by evading opsonization, macrophage phagocytosis, and reticuloendothelial sequestration. However, this also reduces internalization by cancer cells upon reaching the tumor. We designed gold nanorods (GNRs) with an epilayer that retains stealth properties in circulation but transforms spontaneously in the acidotic tumor microenvironment to a cell-penetrating particle. We used a customized stoichiometric ratio of l-glutamic acid and l-lysine within an amphiphilic polymer of poly(l-glutamic acid-co-l-lysine), or P(Glu-co-Lys), to effect this transformation in acidotic environments. P(Glu-co-Lys)-GNRs were internalized by cancer cells to facilitate potent in vitro radiosensitization. When administered intravenously in mice, they accumulate in the periphery and core of tumors without any signs of serum biochemical or hematological alterations, normal organ histopathological abnormalities, or overt deterioration in animal health. Furthermore, P(Glu-co-Lys)-GNRs penetrated the tumor microenvironment to accumulate in the hypoxic cores of tumors to potently radiosensitize heterotopic and orthotopic pancreatic cancers in vivo.

Elements of a compound elicit little conditioned reinforcement.

The acquisition of instrumental responding can be supported by primary reinforcers or by conditional (also known as secondary) reinforcers that themselves have an association to a primary reinforcer. While primary reinforcement has been heavily studied for the past century, the associative basis of conditioned reinforcement has received comparatively little experimental examination. Yet conditioned reinforcement has been employed as an important behavioral assay in neuroscience studies, and thus an analysis of its associative basis is called for. We evaluated the extent to which an element from a previously trained compound would facilitate conditioned reinforcement. Three groups of rats received Pavlovian conditioning with a visual-auditory compound cue followed by food. After training, a lever was made available that, when pressed, produced the same trained compound (group compound), only the auditory cue (group element), or a novel auditory cue (group control). The rats in group compound pressed the lever at a higher rate than did rats in either group element or group control, demonstrating a strong conditioned reinforcement effect only in group compound. Interestingly, there was almost no difference in responding between group element and group control. The implications of this generalization decrement in conditioned reinforcement are discussed-particularly as they relate to research in behavioral neuroscience. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Nectary structure is not related to pollination system in Trichocereeae cactus from Northwest Argentina.

Floral nectaries are essential for plant reproduction but little is known about the relationship between these secretory structures and pollination system in cacti. To test phenotypic patterns in nectaries associated with pollination syndromes and/or with its pollinators, we selected from evolutionarily related genera Cleistocactus, Denmoza, and Echinopsis, a set of species with bird-pollinated flowers and floral traits that may fit with ornithophily or with sphingophily, and other set of sphingophilous species with moths as effective pollinator. Observations were made under light microscope and scanning and transmission electron microscopes. Nectaries are located at the base of the filaments welded to the tube, forming a chamber. The nectary consists of the epidermis with distinctive features in each genus, a secretory parenchyma which may be vascularized and a non-secretory vascularized parenchyma. Anatomical variants observed in nectaries of different species are not consistent with the floral pollination syndromes neither with groups of pollinators. The basic structure of the nectar chamber is relatively conserved, a fact that may be explained by phylogenetic conservatism among the genera investigated. Our results revalue the role of anatomical traits for the systematics of Cactaceae.

The role of inhibition in the suboptimal choice task.

Given a choice, pigeons prefer an initial-link stimulus that is followed by reliable signals that food will be delivered (S+) or not (S-) after a delay, over an alternative initial-link stimulus that is followed by unreliable signals of food, even when the former yields a lower overall probability of food. This suboptimal preference has been attributed to the combination of a biased attraction to the S+ and ignoring the S-. We evaluated the inhibitory properties of the S- in three experiments to investigate its role in suboptimal choice. In Experiment 1, pigeons were trained in an autoshaping procedure with the four terminal link stimuli of the suboptimal choice task; S+ was continuously reinforced, S3 and S4 were each partially reinforced on a 50% schedule, and S- was never reinforced. Summation tests showed that S- acquired inhibitory properties during training. Experiment 2 replicated the summation tests after training on the full suboptimal choice procedure and found that S- inhibition was not attributable to external inhibition. In Experiment 3, pigeons were trained on the suboptimal choice procedure and the development of inhibition was assessed throughout training. An analysis of individual differences across birds revealed that the response rates to S- were negatively correlated with the strength of suboptimal preference, both within subject as each bird acquired suboptimal preference, and across subjects once all birds had reached asymptotic levels of suboptimal preference. Thus, rather than ignoring the S-, we found evidence that birds attended to S- as an inhibitory stimulus. Future models explaining performance in the suboptimal choice task should consider inhibition to the S- as a factor in suboptimal choice. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Readability and Suitability of Spanish-Language Hearing Aid User Guides.

Purpose The purpose of this study was to evaluate the readability and suitability of Spanish-language hearing aid user guides. Method Hearing aid user guides in English and Spanish were downloaded for analysis. Readability for the English guides was calculated using the Flesch Reading Ease Scale and the Flesch-Kincaid Readability Formula, and readability for the Spanish guides was calculated using the Fernandez-Huerta and Spaulding Formula and Fry Graph. The Suitability Assessment of Materials was used to rate the suitability of each Spanish and English pair of hearing aid user guides. Results Of the nine manufacturers that had materials available in English, only five had guides available in Spanish. Although readability for the Spanish and English user guides was similar, both guides were written, on average, at the eighth grade level. Suitability for the analyzed Spanish and English user guides was 78% and 80%, respectively. Conclusions Spanish-language hearing aid user guides were lacking in readability and suitability. Given that patients with limited proficiency in English, including the Hispanic population, are at risk for low health literacy, providers and manufacturers are encouraged to create more Spanish-language materials. User guides in both languages would benefit from revisions to improve readability and suitability. Supplemental Material https://doi.org/10.23641/asha.14569497.

Effect of Partial Uncinectomy After Balloon Sinuplasty on Maxillary Sinus Irrigant Penetration: A Cadaveric Study.

OBJECTIVE: The uncinate process may play a role in the amount of irrigation penetrance. In this cadaver study, we aimed to investigate if the addition of partial uncinectomy provides better maxillary sinus irrigation penetrance than balloon sinuplasty (BSP) alone. STUDY DESIGN: Cadaveric study. SETTING: Simulation laboratory at the Mayo Clinic in Florida. METHODS: Five fresh-frozen human cadaveric heads (10 sides) were used to assess maxillary sinus irrigation penetration after 3 interventions performed sequentially: irrigation penetrance with no intervention, irrigation after BSP, and irrigation after BSP and partial removal of the uncinate. Penetrance was recorded with intrasinus endoscopy and scored by 4 blinded observers using a scale from 0 (no irrigation) to 5 (fully irrigated). The diameter of the maxillary ostium was measured before and after BSP. Internal consistency was evaluated with Cronbach's alpha. RESULTS: Mean ostium size increased from 4.1 to 6.8 mm after BSP (P = .013). Cronbach's alpha was 0.93. The median scores of irrigation penetration after no intervention, BSP, and BSP and partial uncinectomy were 2.5, 3, and 4, respectively. We found a significantly higher penetrance following partial uncinectomy plus BSP versus BSP alone (P = .008). Both interventions had a statistically significant difference in irrigation penetrance as compared with no intervention (P = .0001). CONCLUSION: Maxillary sinus irrigation penetration increased from baseline after BSP. The addition of a partial uncinectomy to the balloon dilation of the maxillary sinus was associated with a statistically significant increase in irrigation penetrance scores as compared with BSP alone.

Acrilamida en los alimentos: Valores de referencia, recomendaciones y acciones de mitigación

RESUMEN Diversas agencias internacionales han considerado que la acrilamida puede producir efectos dañinos en la salud de la población debido a una serie de estudios toxicológicos realizados en modelos animales, en los cuales se observan efectos cancerígenos, genotóxicos, neurotóxicos, inmunológicos y en la salud reproductiva. A pesar de la creciente preocupación en diversos países sobre los potenciales efectos en salud humana, los organismos encargados de determinar límites toxicológicos no han definido aún los límites máximos de acrilamida que pueden estar presente en los diferentes tipos de alimentos para que sean inocuos para la población. El objetivo de esta actualización es revisar las regulaciones existentes sobre la acrilamida y enfatizar la necesidad de establecer límites que la industria alimentaria pueda aplicar efectivamente, además de la necesidad de contar con valores máximos diarios tolerables para prevenir los efectos nocivos para la salud de la población.

ABSTRACT Several international agencies have considered that acrylamide can induce deleterious effects in human health due to a series of toxicological studies conducted in animal models, in which carcinogenic, genotoxic, neurotoxic, immunological and reproductive effects have been observed. Despite a growing concern about these effects on human health, agencies responsible for determining toxicological limits in various countries have not yet defined the maximum levels of acrylamide that may be present in the different types of food to be safe for the population. The objective of this updated review is to evaluate the existing regulations on acrylamide and emphasize the need to establish limits that the food industry can effectively apply, in addition to the need to have tolerable daily maximum values to prevent harmful effects on the population health.