Virulence genes, antimicrobial resistance profile, phylotyping and pathotyping of diarrheagenic Escherichia coli isolated from children in Southwest Mexico.

Diarrheagenic E. coli (DEC) strains are one of the most important etiology factors causing diarrhea in children worldwide, especially in developing countries. DEC strains have characteristic virulence factors; however, other supplemental virulence genes (SVG) may contribute to the development of diarrhea in children. Therefore, this study aimed to determine the prevalence of DEC in children with diarrhea in southwestern Mexico and to associate childhood symptoms, SVG, and pathotypes with diarrhea-causing DEC strains. DEC strains were isolated from 230 children with diarrhea aged 0-60 months from the state of Oaxaca, southwestern Mexico; clinical data were collected, and PCR was used to identify SVG and pathotypes. Antibiotic resistance profiling was performed on DEC strains. 63% of samples were DEC positive, single or combined infections (two (21%) or three strains (1.3%)) of aEPEC (51%), EAEC (10.2%), tEPEC (5.4%), DAEC (4.8%), ETEC (4.1%), EIEC (1.4%), or EHEC (0.7%) were found. Children aged ≤ 12 and 49-60 months and symptoms (e.g., fever and blood) were associated with DEC strains. SVG related to colonization (nleB-EHEC), cytotoxicity (sat-DAEC and espC-tEPEC), and proteolysis (pic-aEPEC) were associated with DECs strains. E. coli phylogroup A was the most frequent, and some pathotypes (aEPEC-A, DAEC-B), and SVG (espC-B2, and sat-D) were associated with the phylogroups. Over 79% of the DEC strains were resistant to antibiotics, and 40% were MDR and XDR, respectively. In conclusion aEPEC was the most prevalent pathotype in children with diarrhea in this region. SVG related to colonization, cytotoxicity, and proteolysis were associated with diarrhea-producing DEC strains, which may play an essential role in the development of diarrhea in children in southwestern Mexico.

Foliar Application of CaCO3-Rich Industrial Residues on 'Shiraz' Vines Improves the Composition of Phenolic Compounds in Grapes and Aged Wine.

The quality of wine grapes and wine depends on their content of phenolic compounds. Under commercial conditions, the phenolic maturity of grapes is mostly achieved by applying abscisic acid analogues. Some Ca forms represent a cost-effective alternative for these compounds. In this study, 'Shiraz' vines (veraison of 90%) were sprayed with CaCO3-rich residues from the cement industry (4.26 g of Ca per L). Fruit from treated and untreated vines was harvested 45 days after CaCO3 spraying and evaluated for quality. The fruit was vinified, and the obtained wines were bottled and stored in darkness for 15 months at 20 °C. Wines were evaluated for quality after storage. The evaluation of grape and wine quality included the content of phenolic compounds and antioxidant capacity. The treatment with CaCO3 did not affect the ripening rate of grapes. However, the treatment improved the fruit yield as well as the color development, the content of phenolic compounds, and antioxidant capacity of grapes and wine. The treatment favored especially the accumulation of malvidin-3-O-glucoside, pelargonidin-3-O-glucoside, caftaric acid, caffeic acid, trans-cinnamic acid, quercetin, catechin, epicatechin, resveratrol, and the procyanidins B1 and B2. Wine made with treated fruit was of higher quality than that of control fruit.

Population level genetic divergence and phylogenetic placement of Mexican shortfin mollies (Mollienesia: Poecilia: Poeciliidae)

Mexico is a megadiverse region with a complex geological history, but it remains unclear to what extent the distribution of freshwater fish has been influenced by geographic barriers. This study examines the population level genetic divergence and phylogenetic relationships of species in the shortfin group of the subgenus Mollienesia (genus Poecilia), a group of live-bearing fishes that are widely distributed across Mexico, with sampling at a small geographic scale. Samples from over 50 locations were analyzed for six species by using phylogenetic and haplotype network approaches to assess genetic diversity across geographic ranges and to refine the distributions of species in this group. The results indicate that Mexican species have diversified following multiple, independent invasions from Middle America. Two species found north of the Trans-Mexican Volcanic Belt (TMVB) and one transversal species exhibited weak phylogenetic structure, likely due to the lack of physiographic barriers, recent colonization, and high dispersal rates among regions. In contrast, three species found south of the TMVB exhibited strong phylogenetic structure, reflecting a longer presence in the area and multiple physiographic barriers that isolated populations. This study identified mechanisms driving divergence and speciation, expanded the known range of several species, and resolved taxonomic uncertainties of populations.(AU)

México es una región megadiversa con una historia geológica compleja, pero se desconoce el nivel de influencia de las barreras geográficas sobre las distribuciones de los peces dulceacuícolas. Este estudio examina las relaciones filogenéticas, a escala geográfica pequeña, de las especies del grupo de aletas cortas del subgénero Mollienesia (género Poecilia), un grupo de peces vivíparos ampliamente distribuidos en México. Se analizaron muestras de seis especies en más de 50 localidades, utilizando métodos filogenéticos y de redes de haplotipos, para evaluar la diversidad genética y precisar las distribuciones de especies en este grupo. Los resultados indican que las especies mexicanas se han diversificado a partir de múltiples invasiones independientes desde Mesoamérica. Se detectó estructura filogenética débil en dos especies distribuidas al norte del Eje Neovolcánico y una especie que atraviesa el Eje Neovolcánico, posiblemente debido a la ausencia de barreras fisiográficas, colonización reciente y altas tasas de dispersión entre regiones. En contraste, se detectaron niveles altos de estructura filogenética en tres especies distribuidas del Eje Neovolcánico, lo que refleja una presencia más prolongada en el área y la existencia de múltiples barreras fisiográficas que aislaron a las poblaciones. Este estudio identificó mecanismos que promueven la divergencia y la especiación, expandió el rango conocido de varias especies y resolvió incertidumbres taxonómicas de algunas poblaciones.(AU)

Diversity of Cichlid Fishes (Cichliformes: Cichlidae) in Chiapas, Mexico: A practical identification key with updated distribution maps.

To accurately identify the species that make up the assemblage of the family Cichlidae in the Mexican state of Chiapas, we first updated the total species account (36 species) for the state and then created an identification key. For the distribution maps, the geographic records were projected using a geographic information system considering the layers of the two largest basins in the state (Grijalva and Usumacinta) and the Chiapas coast basin. The dichotomous key includes meristic, morphometric and coloration patterns that facilitate species identification present in the state. Rheoheros coeruleus (Stawikowski and Werner 1987) and Vieja breidohri Werner and Stawikowski 1987 are included in a key for the first time. The distributions of Paraneetroplus gibbiceps Steindachner 1864a, Rheoheros coeruleus, and Vieja zonata Meek 1905 in the state are mapped for the first time, and the range of 16 species was expanded. By updating and creating tools of great taxonomic use, we contribute to the study of this complex family with high morphological diversity.

Characterization of Cabernet Sauvignon Wines by Untargeted HS-SPME GC-QTOF-MS.

Untargeted metabolomics approaches are emerging as powerful tools for the quality evaluation and authenticity of food and beverages and have been applied to wine science. However, most fail to report the method validation, quality assurance and/or quality control applied, as well as the assessment through the metabolomics-methodology pipeline. Knowledge of Mexican viticulture, enology and wine science remains scarce, thus untargeted metabolomics approaches arise as a suitable tool. The aim of this study is to validate an untargeted HS-SPME-GC-qTOF/MS method, with attention to data processing to characterize Cabernet Sauvignon wines from two vineyards and two vintages. Validation parameters for targeted methods are applied in conjunction with the development of a recursive analysis of data. The combination of some parameters for targeted studies (repeatability and reproducibility < 20% RSD; linearity > 0.99; retention-time reproducibility < 0.5% RSD; match-identification factor < 2.0% RSD) with recursive analysis of data (101 entities detected) warrants that both chromatographic and spectrometry-processing data were under control and provided high-quality results, which in turn differentiate wine samples according to site and vintage. It also shows potential biomarkers that can be identified. This is a step forward in the pursuit of Mexican wine characterization that could be used as an authentication tool.

Genetic diversity and structure of one of the most endangered freshwater fish species in Mexico: Tlaloc hildebrandi (Miller, 1950) and recognition of its evolutionarily significant units.

The endangered Chiapas killifish Tlaloc hildebrandi is an endemic freshwater species that lives in four subbasins of the Grijalva and Usumacinta basins, and one of the most geographically restricted species of the Produndulidae family. The species was originally described as endemic to springs in the high limestone plateau in San Cristóbal de Las Casas in the Río Amarillo subbasin (upper Grijalva basin). However, it was recently recorded in the Jataté and Tzaconejá subbasins in the upper Usumacinta basin, thereby expanding its known distribution range. The discovery of these populations is relevant not only for the conservation of the species but also for a better understanding of its evolutionary history. Currently, the scarce populations of T. hildebrandi, found in only a few localities in the Grijalva and Usumacinta basins, are fragmented and living under unfavorable conditions. Here, we analyzed three mitochondrial (mt-atp8&6 and mt-nd2) and one nuclear (nuc-s7) marker in order to assess the genetic diversity and population structure of T. hildebrandi. We found that, in comparison with other endangered freshwater fish species from Mexico, T. hildebrandi showed a lower level of genetic diversity (mt-nd2: h = 0.469, π = 0.0009; mt-atp8&6: h = 0.398, π = 0.001; and nuc-S7: h = 0.433, π = 0.001). Moreover, the analyzed populations exhibited a strong genetic structure in accordance with their geographic distribution, and can be placed into three genetic clusters: (1) Amarillo plus Chenhaló in the upper Grijalva basin, (2) Jataté, and (3) Tzaconejá, both in the upper Usumacinta basin. On the basis of our results, we propose the recognition of at least three evolutionarily significant units (ESUs) for the species and the urgent implementation of ex situ and in situ conservation and management efforts that consider the genetic background of the species.

Metabolomic analysis and physical attributes of ripe fruits from Mexican Creole (Persea americana var. Drymifolia) and 'Hass' avocados.

The physicochemical properties, including nutrient and bioactive compound compositions, in fruit of four creole avocados (CA) from Mexico were determined and compared with those of 'Hass' fruit. 'Hass' pulp and some CA pulps contained similar concentrations of lutein, chlorophyll a, ß-sitosterol and α-tocopherol. CA pulp contained 3.91-9.55% more oil than 'Hass'. Oil from CA pulp contained 10.10-26.79% more oleic acid than 'Hass' pulp. However, CA were small (CA = 81.40-137.15 g, 'Hass' = 188.59 g) and their pulp contents were low (CA = 39.83-84.82 g, 'Hass' = 144.14 g). CA peels were very thin, making these avocado peels edible but prone to mechanical damage. CA peels also contained higher concentrations and greater diversity of anthocyanins and glycosylated quercetin compounds than 'Hass' peels. Some CA were particularly rich in mannoheptulose and perseitol. Consumption of CA, including their peel, might result in higher intakes of some nutrients and bioactive compounds compared with 'Hass' avocados.

Effect of cultivar on the content of selected phytochemicals in avocado peels.

The peels of ripe fruit of 'Hass' and 'Hass' type (HT) avocado cultivars were evaluated for phytochemical composition and other attributes. Peels represented from 8.78 to 14.11% of fruit weight. Their color ranged from homogeneous black to black with very small greenish spots. The oil content in the peels was low. Twelve fatty acids were identified in peel oil and the ratio of unsaturated to saturated fatty acids suggested that peel oil might contribute to human health. The phytochemical composition varied significantly with cultivar. However, many HT peels were superior than 'Hass' peel in their content of α-tocopherol, ß-sitosterol, perseitol, and cyanidin-3-glucoside, which was up to 211.67, 45.92, 337.17, and 519.27% higher in HT peels, respectively. The content of some phenolic compounds, especially procyanidin B2 and epicatechin, was significantly lower in 'Hass' than in many HT peels. Few HT peels showed a higher content of carotenoids and chlorophyll than 'Hass' peels. Lutein was the most abundant carotenoid. Chlorophyll a and b were also abundant in peels and low concentrations of chlorophyll derivatives were observed. Avocado peels are an important source of bioactive compounds, including some carotenoids, acids, sterols, and volemitol, which were observed for the first time.

Clinical outcomes of FOLFIRINOX and gemcitabine-nab paclitaxel for metastatic pancreatic cancer in the real world setting.

BACKGROUND/OBJECTIVES: The incidence of pancreatic cancer is increasing in developed countries. The incorporation of new therapies, to the first-line treatment of patients with good performance status led to better survival in clinical trials. However, there is a wide variability in their use and some concerns about the treatment of elderly patients who were not included in the clinical trials. METHODS: This is a retrospective multicenter study. Data from consecutive patients diagnosed with metastatic pancreatic cancer (mPC) treated with FOLFIRINOX (FFX) or gemcitabine plus nab-paclitaxel (GnP) were analysed to evaluate efficacy (overall survival-OS) and toxicity. RESULTS: A total of 119 patients were included. 49.6% were treated with FFX and 50.4% with GNP in first-line. The median OS was 12 months with no statistically significant differences between both regimens (12.7 m for FFX vs 10.2 m for GnP). Elevated Ca 19.9 levels and neutrophil-lymphocyte ratio (NLR) increased the risk of death. Patients who received both regimens in first/second line had a median OS longer than 15 months whichever the sequence. 32 patients (27%) were older than 70-y. 54% patients received a second-line treatment, 56% in the FFX group and 44% in the GnP group. The median OS for patients older than 70 was 9.5 m versus 12.3 m for patients younger than 70. Progression of the disease was the cause of death in 67.6% of the patients. CONCLUSIONS: In our setting, the use of FFX and GnP for treating mPC is quite similar, but superiority could not be demonstrated for any of the schemes in the first line. OS was determined by basal levels of Ca 19.9 and NLR. Patients receiving both regimens in first/second line whichever the sequence, exhibited the best survival rates. In our series, elderly patients had poorer survival rates.

Covid-19 transmission, outcome and associated risk factors in cancer patients at the first month of the pandemic in a Spanish hospital in Madrid.

BACKGROUND: There are no large reported series determining the Covid-19 cancer patient's characteristics. We determine whether differences exist in cumulative incidence and mortality of Covid-19 infection between cancer patients and general population in Madrid. MATERIAL AND METHODS: We reviewed 1069 medical records of all cancer patients admitted at Oncology department between Feb 1 and April 7, 2020. We described Covid-19 cumulative incidence, treatment outcome, mortality, and associated risk factors. RESULTS: We detected 45/1069 Covid-19 diagnoses in cancer patients vs 42,450/6,662,000 in total population (p < 0.00001). Mortality rate: 19/45 cancer patients vs 5586/42,450 (p = 0.0001). Mortality was associated with older median age, adjusted by staging and histology (74 vs 63.5 years old, OR 1.06, p = 0.03). Patients who combined hydroxychloroquine and azithromycin presented 3/18 deaths, regardless of age, staging, histology, cancer treatment and comorbidities (OR 0.02, p = 0.03). CONCLUSION: Cancer patients are vulnerable to Covid-19 with an increase in complications. Combined hydroxychloroquine and azithromycin is presented as a good treatment option.

The role of head shape and trophic variation in the diversification of the genus Herichthys in sympatry and allopatry.

In the present study we evaluated the putative cases of sympatric speciation in the genus Herichthys by studying the variation in head shape using principal component analysis, phylomorphospace and reconstructions of the ancestral states of feeding preferences. Herichthys includes both allopatric and sympatric sister species, as well as sympatric unrelated species and thus offers great potential for evolutionary studies of putatively sympatric speciation. Herichthys is the northernmost group of cichlids in America and one of the most ecologically disparate genera within Middle American cichlids. Fifteen anatomical points were recorded on the heads of 293 specimens of the 11 species recognized within the genus. The results show that in spite of having wide variation in consumed diets, most species of Herichthys are close in morphospace. However, morphological variation was great among the two pairs of sympatric sister species in agreement with the suggested sympatric model of speciation.

Association between heart rate, heart rate variability, cortisol, glucose and electrolytes in healthy newborn calves / Associação entre frequência cardíaca, variabilidade da frequência cardíaca, cortisol, glicose e eletrólitos em bezerros recém-nascidos saudáveis

This study aims at evaluating the effects of electrolytes, glucose and cortisol levels over heart rate (HR) and heart rate variability (HRV) in healthy newborn calves. Seventeen healthy Holstein calves were evaluated during their first month of life, and the plasma concentrations of glucose, cortisol, calcium, magnesium, inorganic phosphorus, sodium and potassium were analyzed. HRV indexes were determined in the time and frequency domains through the analysis of neonatal electrocardiogram recordings. In the first day, low blood levels of phosphorus presented a strong correlation with the HR and the increased high-frequency components of HRV. The plasma concentrations of magnesium decreased significantly throughout the 35 days, revealing a positive association with a decreasing low-frequency components of HRV at day 28. There was a strong correlation between HR, HRV indexes, some plasma electrolytes, glucose and cortisol during the studied period. Variations in the concentrations and correlations observed may be attributed to the adaptive neonatal period in calves.(AU)

Este estudo teve como objetivo avaliar os efeitos dos níveis de eletrólitos, glicose e cortisol sobre a frequência cardíaca (FC) e a variabilidade da frequência cardíaca (VFC) em bezerros recém-nascidos e saudáveis. Dezessete bezerros da raça Holandesa foram avaliados durante o primeiro mês de vida e foram analisadas as concentrações plasmáticas de glicose, cortisol, cálcio, magnésio, fósforo inorgânico, sódio e potássio. Os índices VFC foram determinados em domínios de tempo e frequência por meio da análise de gravações do eletrocardiograma neonatal. No primeiro dia, baixos níveis sanguíneos de fósforo correlacionaram-se fortemente com FC e aumento dos componentes de alta frequência da VFC. As concentrações plasmáticas de magnésio diminuíram significativamente ao longo dos 35 dias, revelando correlação positiva com a diminuição dos componentes de baixa frequência da VFC no dia 28. Houve uma forte correlação entre FC, índices de VFC, eletrólitos plasmáticos, glicose e cortisol durante o período estudado. As variações nas concentrações e correlações observadas podem ser atribuídas ao período neonatal adaptativo em bezerros.(AU)

Retrospective study of allometric relationship between heart rate, electrocardiographic parameters and bodyweight in dogs / Estudo retrospectivo da relação alométrica entre frequência cardíaca, parâmetros eletrocardiográficos e peso corporal em cães

The allometric relationship between bodyweight (BW) and heart rate (HR) has been described as inversely proportional in domestic species, but that has been refuted. The relationship between HR and electrocardiographic variables is described in literature. However, studies about the variation and influence of factors on the hemodynamic and electrocardiographic parameters in dogs are not abundant. As the metabolic rate is defined as the production and dissipation of heat by the body surface area (BSA) in m², it is essential to define that relationship. A retrospective study was conducted to analyze the correlation between HR, ECG parameters and BW in dogs. One thousand electrocardiographic tracings were analyzed in addition to the ECG parameters and clinical data such as gender, age and bodyweight. The determination of BSA was performed as follows: BSA (m2) = (10.1 x bodyweight 0.67) X 10-4. When the unified groups were analyzed, there was a negative but weak correlation (r= -0.14, P< 0.0001) between bodyweight and HR. There were differences between weight groups regarding electrocardiographic variables. There is no allometric relationship between BW and HR in dogs. Weight was associated with changes in ECG variables.(AU)

A relação alométrica entre peso corporal (PC) e frequência cardíaca (FC) foi descrita como inversamente proporcional em animais domésticos, mas isso tem sido refutado. A relação entre FC e variáveis eletrocardiográficas é descrita na literatura. No entanto, estudos sobre a variação e a influência de fatores nos parâmetros hemodinâmicos e eletrocardiográficos em cães não são abundantes. A taxa metabólica é definida como a produção e dissipação de calor pela área de superfície corporal (ASC), de modo que é essencial definir essa relação. Foi realizado um estudo retrospectivo para analisar a correlação entre FC, parâmetros eletrocardiográficos (ECG) e peso corporal em cães. Foram analisados mil traçados eletrocardiográficos, além dos parâmetros de ECG e dados clínicos, como gênero, idade e peso corporal. A determinação da ASC foi realizada da seguinte forma: ASC (m 2 ) = (10,1x peso corporal 0,67 ) x 10 -4 . Quando os grupos unificados foram analisados, houve uma correlação negativa, porém fraca (r= -0,14, P<0,0001) entre PC e FC. Houve diferenças entre os grupos de peso em relação às variáveis eletrocardiográficas. Não há relação alométrica entre PC e FC em cães. O peso foi associado a alterações nas variáveis de ECG.(AU)

Retrospective study of allometric relationship between heart rate, electrocardiographic parameters and bodyweight in dogs / Estudo retrospectivo da relação alométrica entre frequência cardíaca, parâmetros eletrocardiográficos e peso corporal em cães

The allometric relationship between bodyweight (BW) and heart rate (HR) has been described as inversely proportional in domestic species, but that has been refuted. The relationship between HR and electrocardiographic variables is described in literature. However, studies about the variation and influence of factors on the hemodynamic and electrocardiographic parameters in dogs are not abundant. As the metabolic rate is defined as the production and dissipation of heat by the body surface area (BSA) in m², it is essential to define that relationship. A retrospective study was conducted to analyze the correlation between HR, ECG parameters and BW in dogs. One thousand electrocardiographic tracings were analyzed in addition to the ECG parameters and clinical data such as gender, age and bodyweight. The determination of BSA was performed as follows: BSA (m2) = (10.1 x bodyweight 0.67) X 10-4. When the unified groups were analyzed, there was a negative but weak correlation (r= -0.14, P< 0.0001) between bodyweight and HR. There were differences between weight groups regarding electrocardiographic variables. There is no allometric relationship between BW and HR in dogs. Weight was associated with changes in ECG variables.(AU)

A relação alométrica entre peso corporal (PC) e frequência cardíaca (FC) foi descrita como inversamente proporcional em animais domésticos, mas isso tem sido refutado. A relação entre FC e variáveis eletrocardiográficas é descrita na literatura. No entanto, estudos sobre a variação e a influência de fatores nos parâmetros hemodinâmicos e eletrocardiográficos em cães não são abundantes. A taxa metabólica é definida como a produção e dissipação de calor pela área de superfície corporal (ASC), de modo que é essencial definir essa relação. Foi realizado um estudo retrospectivo para analisar a correlação entre FC, parâmetros eletrocardiográficos (ECG) e peso corporal em cães. Foram analisados mil traçados eletrocardiográficos, além dos parâmetros de ECG e dados clínicos, como gênero, idade e peso corporal. A determinação da ASC foi realizada da seguinte forma: ASC (m 2 ) = (10,1x peso corporal 0,67 ) x 10 -4 . Quando os grupos unificados foram analisados, houve uma correlação negativa, porém fraca (r= -0,14, P<0,0001) entre PC e FC. Houve diferenças entre os grupos de peso em relação às variáveis eletrocardiográficas. Não há relação alométrica entre PC e FC em cães. O peso foi associado a alterações nas variáveis de ECG.(AU)

Association between heart rate, heart rate variability, cortisol, glucose and electrolytes in healthy newborn calves / Associação entre frequência cardíaca, variabilidade da frequência cardíaca, cortisol, glicose e eletrólitos em bezerros recém-nascidos saudáveis

This study aims at evaluating the effects of electrolytes, glucose and cortisol levels over heart rate (HR) and heart rate variability (HRV) in healthy newborn calves. Seventeen healthy Holstein calves were evaluated during their first month of life, and the plasma concentrations of glucose, cortisol, calcium, magnesium, inorganic phosphorus, sodium and potassium were analyzed. HRV indexes were determined in the time and frequency domains through the analysis of neonatal electrocardiogram recordings. In the first day, low blood levels of phosphorus presented a strong correlation with the HR and the increased high-frequency components of HRV. The plasma concentrations of magnesium decreased significantly throughout the 35 days, revealing a positive association with a decreasing low-frequency components of HRV at day 28. There was a strong correlation between HR, HRV indexes, some plasma electrolytes, glucose and cortisol during the studied period. Variations in the concentrations and correlations observed may be attributed to the adaptive neonatal period in calves.(AU)

Este estudo teve como objetivo avaliar os efeitos dos níveis de eletrólitos, glicose e cortisol sobre a frequência cardíaca (FC) e a variabilidade da frequência cardíaca (VFC) em bezerros recém-nascidos e saudáveis. Dezessete bezerros da raça Holandesa foram avaliados durante o primeiro mês de vida e foram analisadas as concentrações plasmáticas de glicose, cortisol, cálcio, magnésio, fósforo inorgânico, sódio e potássio. Os índices VFC foram determinados em domínios de tempo e frequência por meio da análise de gravações do eletrocardiograma neonatal. No primeiro dia, baixos níveis sanguíneos de fósforo correlacionaram-se fortemente com FC e aumento dos componentes de alta frequência da VFC. As concentrações plasmáticas de magnésio diminuíram significativamente ao longo dos 35 dias, revelando correlação positiva com a diminuição dos componentes de baixa frequência da VFC no dia 28. Houve uma forte correlação entre FC, índices de VFC, eletrólitos plasmáticos, glicose e cortisol durante o período estudado. As variações nas concentrações e correlações observadas podem ser atribuídas ao período neonatal adaptativo em bezerros.(AU)

Clozapine-associated neutropenia in Latin America: incidence report of 5380 Chilean users.

Systematic information about Latino clozapine users is still scarce. Our aim was to evaluate the risk of clozapine-associated neutropenia in a Chilean cohort using the last Food and Drug Administration's recommendations for clozapine monitoring. Findings should improve clinical practice and promote changes in clozapine guidelines in Latin America. We conducted a retrospective observational study of 5380 Chilean clozapine users that started clozapine treatment between 2003 and 2015. The absolute risk of severe neutropenia was 0.61% (33/5380) with an incidence of 0.086 cases per 100 person-years of follow-up. 87.9% of cases with severe neutropenia appeared during first 18 weeks. Cases of mild neutropenia were 3.9% of total sample and occurred almost constantly without a specific risk time. 77.5% of cases of moderate or severe neutropenia didn't present an event of mild neutropenia before. 22.8% of clozapine users (1227/5380) discontinued treatment for any cause and 4.2% (225/5380) due to neutropenia in any severity level. Clozapine-associated neutropenia risk in Latino users is similar than in the rest of the world. The evidence of a very low risk for severe neutropenia and the behaviour of mild neutropenia cases confirm the feasibility of changes in Latin American clozapine guidelines using current Food and Drug Administration's recommendations as a model.

Improvement of appropriate pharmacological prophylaxis in hospitalised cancer patients with a multiscreen e-alert system: a single-centre experience.

PURPOSE: Thromboprophylaxis use among medical inpatients, including cancer patients, is suboptimal. We aimed to evaluate the impact of a novel multiscreen version (v2.0) of an e-alert system for VTE prevention in hospitalised cancer medical patients compared to the original software. METHODS: Prospective study including 989 consecutive adult cancer patients with high-risk of VTE. Patients were followed-up 30 days post-discharge. Two periods were defined, according to the operative software. RESULTS: E-alert v2.0 was associated with an increase in the use of LMWH prophylaxis (65.5% vs. 72.0%); risk difference (95% CI) 0.064 (0.0043-0.12). Only 16% of patients in whom LMWH prophylaxis was not prescribed lacked a contraindication. No significant differences in the rates of VTE (2.9% vs. 3.2%) and major bleeding (2.7% vs. 4.0%) were observed. CONCLUSIONS: E-alert v2.0 further increased the use of appropriate thromboprophylaxis in hospitalised cancer patients, although was not associated with a reduction in VTE incidence.

Déficit de atención e hiperactividad: su relación con accidentes de tránsito en motocicletas / Attention-deficit/hyperactivity disorder and motorcycle accidents

Los Accidentes de Tránsito (AT) son un problema mundial de salud pública. Existe evidencia de que los individuos que presentan Trastorno por Déficit de Atención e Hiperactividad (TDAH) tienen mayor riesgo de experimentar AT. Objetivos: determinar la presencia del TDAH y evaluar su relación sobre la incidencia de accidentes motociclísticos en pacientes lesionados por esta causa. Método: Estudio de casos transversal, con muestra pareada por sexo y edad con relación 2.1. La población estuvo conformada por pacientes de 18-63 años de cualquier género, ingresados en el área de emergencia u hospitalización debido a accidente en motocicleta y por causa diferente a AT. Fue un estudio de casos, transversal, analítico, basado en la historia clínica de los pacientes, a quienes se aplicó el test de TDAH según el DSM5 y se dividieron entre pacientes que asistían o no por accidentes de motocicleta. Tratamiento estadístico: se realizó estadística descriptiva y para las comparaciones se calculó el riesgo relativo (OR) con intervalos de confianza 95% y se aplicó chi cuadrado. Resultados: 47 fueron casos y 94 controles, se obtuvo una media de 33 ± 11,74 años. El 93,6% de la población fue masculina. Se evi- denció mayor proporción de manifestaciones aso- ciadas a TDAH en los casos respecto a los contro- les (OR=3,00, IC: 95%, p<0,05), siendo el TDAH inatento el más frecuente. Discusión: Los estudios mundiales demuestran una relación entre el TDAH y los accidentes de tránsito en motorizados, lo cual coincide con los hallazgos obtenidos en la presen- te investigación. Conclusión: Existe una asocia- ción positiva entre la presencia de TDAH y una mayor ocurrencia de accidentes de moto. Es importante el conocimiento y diagnóstico precoz de esta patología para contribuir en la prevención de AT en personas que presentan esta condición(AU)

Traffic accidents (TA) are a public health issue worldwide. Every year the mortality rate increases due to these events. It has been demonstrated that individuals with Attention Deficit Hyperactivity Disorder (ADHD) are at greater risk of having TA than healthy individuals. Objectives: to determine the presence of ADHD and evaluate its effect on motorcycle accident's incidence in injured patients due to these acci- dents. Methods: Prospective, transverse, case-control study with sample matched by sex and age; we evaluated 141 patients between 18-63 years-old. The population included patients who were admitted to the emergency ward or hospitalization areas due to motorcycle accidents (cases), and those who were admitted due to a cause different from AT (controls). Results: there were 47 cases and 94 controls. The mean age was 33 ± 11,74 years and 93,6% were men. It was evident that the cases had more ADHD manifestations than the controls (OR=3,00, IC: 95%, p<0,05) being the inattentive ADHD subtype the most frequent findings. Conclusion: There's a positive relationship between having ADHD and a greater motorcycle accident frequency(AU)

Redescription of Vieja hartwegi (Taylor Miller 1980) (Teleostei: Cichlidae) from the Grijalva River basin, Mexico and Guatemala, with description of a rheophilic morph.

Vieja hartwegi was described by Taylor and Miller in 1980 based on 45 juvenile and sub-adult specimens, but this species shows an enormous variation in coloration patterns during ontogenic development and between individuals. Additionally, morphological data have demonstrated the existence of two forms in V. hartwegi: the typical morph of a moderately deep to slightly elongated body shape with midlateral band, and a rheophilic morph with an elongated to slightly deep body shape and lack of midlateral band. Herein we redescribe V. hartwegi adding adults and individuals from broad geographic ranges, as well as a rheophilic morph recently discovered in the upper reaches of the Grijalva River basin in Mexico. The set of characters include coloration, meristic, morphometric and osteological features. Vieja hartwegi is a polymorphic species whose forms may be segregating because of habitat preferences and food habits.

Physiological response of Cucurbita pepo var. pepo mycorrhized by Sonoran desert native arbuscular fungi to drought and salinity stresses

ABSTRACT Plants response to symbiosis with arbuscular mycorrhizal fungi (AMF) under water stress is important to agriculture. Under abiotic stress conditions native fungi are more effective than exotics in improving plant growth and water status. Mycorrhization efficiency is related to soil fungi development and energy cost-benefit ratio. In this study, we assessed the effect on growth, water status and energy metabolism of Cucurbita pepo var. pepo when inoculated with native AMF from the Sonoran desert Mexico (mixed isolate and field consortium), and compared with an exotic species from a temperate region, under drought, low and high salinity conditions. Dry weights, leaf water content, water and osmotic potentials, construction costs, photochemistry and mycorrhization features were quantified. Under drought and low salinity conditions, the mixed isolate increased plant growth and leaf water content. Leaf water potential was increased only by the field consortium under drought conditions (0.5-0.9 MPa). Under high salinity, the field consortium increased aerial dry weight (more than 1 g) and osmotic potential (0.54 MPa), as compared to non-mycorrhized controls. Plants inoculated with native AMF, which supposedly diminish the effects of stress, exhibited low construction costs, increased photochemical capacity, and grew larger external mycelia in comparison to the exotic inoculum.