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Biomedical subjects

A Chávez

Publications and source records attributed to A Chávez.

At least 19 recordsLinked to original sources

[An epidemiological index to assess the nutritional status of children based in a polynomial model of values from Z punctuation for the age in Mexico].

A nutritional status index was built by modeling the mathematical function of the mean Z scores of weight for age, from 60,079 children under five years of age, selected in a probabilistic fashion from the Mexican population. The most precise mathematical model was a fifth degree polynomial. The correlation coefficient was between .937<R<.999. The proposed index is the integral of the polynomial function, which represents the nutritional gap between the observed and the reference population. This model is used to analyze the characteristics of the different study populations. The index shows an improvement of -39.6 to -16.8 at the national level, between the years 1988 and 1999. This improvement is greater in urban (-36-4 to -8.4) than in rural areas (-48.8 in 1989, to -37.7 in 1999). The indigenous rural population of the country showed the highest levels of malnutrition (-54.4), as compared to the non-indigenous rural population (-37.1). In Mexico, City, the index was -5.9 in 1995, which represents an average of extreme nutritional values: -17.3 in the lower socioeconomic strata and 18.0 in the higher strata, the latter suggesting the presence of childhood obesity. This index is useful to estimate the epidemiological burden and the characteristics of malnutrition at early ages, as well as to assess the impact of interventions, without being altered by common biases related to the utilization of malnutrition prevalence values.

Body Weight↗

Quality assessment of an aquifer recharged with wastewater for its potential use as drinking source: "El Mezquital Valley" case.

Mexico City, with a population of 18 million, has been sending its wastewater for more than 100 years to the Tula Valley where it is used to irrigate 90,000 ha. Due to the large wastewater volume (60 m3/s) sent through unlined channels, combined with the use of very high irrigation rates, artificial recharge of the local aquifer has been occurring. This recharge is estimated in more than 25 m3/s. As a consequence, the water table has raised and several springs have appeared in the last decades with flows between 100 to 600 L/s. These springs and several wells are the water sources in the region. An evaluation of the Tula Valley aquifer quality was performed to analyze the use of such water as source of drinking water for Mexico City. The work is divided into 5 individual projects: (a) drinking water quality in the Tula Valley; (b) water availability in the Tula Valley; (c) wastewater treatment due to its use for irrigation, (d) use of membrane processes to treat groundwater; and (d) biota developed in the new surface water reservoirs. Results show that it is feasible to use this reclaimed water as drinking source.

Cities↗

Pregnancy rate in zebu cows with two different postpartum intervals exposed to a two-bull rotational system.

In order to evaluate the reproductive effect of a rotational breeding system, the pregnancy rate of 69 Zebu cows was assessed, 32 late postpartum (211 +/- 93 days postpartum, LP) and 37 early postpartum (averaging 63 +/- 8 days after calving, EP). In the LP group, 60% (19/32) were cycling before exposure to the bulls but only 38% (14/37) in the EP group. The two groups were dissimilar from the start (p < 0.05). The cows were exposed in a rotational breeding system, with six Brahman bulls with previous sexual experience paired off in three groups (A-B, C-D and E-F). The cows were exposed to each pair of bulls for a period of 3 weeks, with one week in between each period, when the females were without the presence of a male. In the LP group, the pair of bulls A B obtained a pregnancy rate of 72% (23/32), whereas for bulls C-D the pregnancy rate was 33% (3/9) and for bulls E-F the pregnancy rate was 67% (4/6). In contrast, for the EP cows, bulls A-B obtained a pregnancy rate of 32% (12/37), bulls C-D a pregnancy rate of 67% (12/18) and for bulls E-F a pregnancy rate of 55% (6/11). The percentage pregnancy obtained using the pair of bulls A-B differed (p < 0.05) between LP and EP, whereas for bulls C-D and E-F it was similar. The pregnancy rate was different (p < 0.05) in the first 3 weeks of mating for the LP group, the highest number of cows becoming pregnant during the first 3 weeks of the study. In contrast, the highest number of pregnancies in EP occurred evenly during the last 6 weeks. This study suggests that the reproductive performance of pairs of bulls in a 9-week rotational programme with the overall pregnancy rate is similar (94% in the LP and 81% in the EP). However, the time taken for the females to become pregnant, and hence the performance of the bulls, is related to the average number of days postpartum for the cows.

Animals↗

Nutrigenomics in public health nutrition: short-term perspectives.

Knowledge of the human genome is helping us better understand nutrition. The nutrition-health relationship depends on the adaptive capacity of genes and their functioning with the diet consumed. The greater the efficiency of the system, the lower the metabolic wear suffered. Several epidemiological studies have reported that early-life metabolic imprinting occurs in Man. Both in the uterus and during the first years of life, under and overfed mother-child units imprint gene changes that lead to chronic metabolic problems in later life. Many other mechanisms can modify gene performance, such as gene silencing, gene compensation by a vitamin or a bioactive phytochemical, or simply DNA multiplication during cell reproduction and polyploidisation. The new area of science related to the lateral transfer of recombinant genes is opening new horizons to the nutritional sciences changing the nutritional value or the organoleptic characteristics of food, or even changing genes in persons at risk of chronic disease. Many recent studies provide details about the kinds of diet, nutrients and other compounds that are the best for Man; biotechnology is becoming an instrument enabling food to be offered in the best of conditions.

Genome, Human↗

Membrane fusion by an RGD-containing sequence from the core protein VP3 of hepatitis A virus and the RGA-analogue: implications for viral infection.

The interaction of an RGD-containing epitope from the hepatitis A virus VP3 capsid protein and its RGA-analogue with lipid membranes was studied by biophysical methods. Two types of model membrane were used: vesicles and monolayers spread at the air/water interface, with a composition that closely resembles the lipid moiety of hepatocyte membranes: PC/SM/PE/PC (40:33:12:15; PC: 1-palmitoyl-2-oleoylglycero-sn-3-phosphocholine; SM: sphingomyelin from chicken egg yolk; PE, 1,2-dipalmitoyl-phosphatidylethanolamine; PS: L-alpha-phosphatidyl-L-serine from bovine brain). In addition, zwitterionic PC/SM/PE (47:39:14) and cationic PC/SM/PE/DOTAP (40:33:12:15; DOTAP: 1,2-dioleoyl-3-trimethylammonium-propane) membranes were also prepared in order to dissect the electrostatic and hydrophobic components in the interaction. Changes in tryptophan fluorescence, acrylamide quenching, and resonance energy transfer experiments in the presence of vesicles, as well as the kinetics of insertion in monolayers, indicate that both peptides bind to the three types of membrane at neutral and acidic pH; however, binding is irreversible only at low pH. Membrane-destabilizing and fusogenic activities are triggered by acidification at pH 4-6, characteristic of the endosome. Fluorescence experiments show that VP3-RGD and VP3-RGA induce mixing of lipids and leakage or mixing of aqueous contents in anionic and cationic vesicles at pH 4-6, indicating leaky fusion. Interaction with zwitterionic vesicles (PC/SM/PE) results in leakage without lipid mixing, indicating pore formation. Replacement of aspartic acid in the RGD motif by alanine maintains the membrane-destabilizing properties of the peptide at low pH, but not its antigenicity. Since the RGD tripeptide is related to receptor-mediated cell adhesion and antigenicity, results suggest that receptor binding is not a molecular requirement for fusion. The possible involvement of peptide-induced membrane destabilization in the mechanism of hepatitis A virus infection of hepatocytes by the endosomal route is discussed.

Amino Acid Sequence↗

Unusually high prevalence rates of obesity in four Mexican rural communities.

OBJECTIVE: To establish the nutritional status of previously studied rural populations. DESIGN AND SUBJECTS: A total of 139 households with 245 males and 301 females from four relatively isolated Mexican rural communities were randomly selected to be surveyed in 1996. RESULTS: Underweight was not a problem in either children or adults. In children <5 y only three (4.2%) were stunted but the age- and sex-specific distributions of body mass index (BMI) in children showed 17% of boys and 19% of girls exceeded the proposed International Obesity Task Force limits for classifying the overweight. Triceps skinfold values were similar to NHANESI values for white USA children. Of the adult men 42% were overweight (BMI 25.0-29.9) and 9% obese; 40% of adult women were overweight and a further 33% obese. Adjusting BMI values with corrected total heights by relating them to measured knee height reduced the BMI of women >50 y by 2.0 units; the male data were essentially unchanged. The prevalence of abdominal obesity in women, based on waist measurements and WHO cut-off points was high with 25% of women having elevated values despite a normal BMI; 43% of the overweight women had substantial increases in waist measurements, indicative of high risk, as did 91% of obese women. The men's waist measurements were greater in relation to both BMI and body fat but the prevalence of values in excess of the suggested sex-specific WHO limits was less than half that of women. CONCLUSIONS: The high prevalence of overweight and obesity is now evident in poor and relatively isolated rural communities of Mexico. SPONSORSHIP: The Chronic Disease Office, from the Ministry of Health in Mexico partially financed this study.

Adipose Tissue↗

Trypanosoma evansi isolated from capybara (Hidrochaeris hidrochaeris).

A study was conducted to determine the morphological and biometric characteristics of Trypanosoma isolated from 50 capybaras animals, raised in captivity in the Peruvian Amazon. Trypanosoma was found in 14 blood samples using the microhaematocrit, wide drop, and Giemsa-stain methods and T. evansi was identified through morphological details in all 14 positive samples (the subterminal kinetoplast, the developed undulating membrane, and a long free flagellum were used for the identification of the agent).

Animals↗

Removal of microorganisms in different stages of wastewater treatment for Mexico City.

In this study the removal of a diversity of microorganisms during different stages of treatment was evaluated. The process scheme consisted of Advanced Primary Treatment (APT), sand filtration, and chlorine disinfection. During the first 2 stages, fecal coliforms were reduced from 1.24 x 10(9) to 1.2 x 10(8) MPN/100 mL and helminth ova were reduced to less than 1 ova/L. Nevertheless, to obtain an effluent water quality that meets the microbiological standards recommended by the World Health Organization (1989) and the Mexican norm for water destined for agricultural reuse it was necessary to disinfect the effluent with a chlorine dose of 12 mg/L for a 3 hour contact time. Under these conditions, fecal coliforms were reduced from 1.2 x 10(9) to 5.8 x 10(1) MPN/100 mL, Salmonella spp. from 5.0 x 10(8) MPN/100 mL to below the detection limit, Pseudomonas aeruginosa from 2.0 x 10(5) MPN/100 mL to below the detection limit, and protozoan cysts from 1052 to 31 cysts/L. Regrowth of bacteria was never observed during the 48 hours period following disinfection. The active chlorine was primarily in the form of chloramines thus reducing the formation of other potentially carcinogenic disinfection byproducts.

Chlorine↗

[Investigation needs on carotenoids in Latin America].

Many recent papers show the important role of bioactive phytochemicals to maintain a good health status. Among them the carotenoids are the best known. About 637 have been described and possibly 70 of them could have an important role in human health, 16 have been found in human brain in high amounts. Most of the studies have found relations between the carotenoids and chronic non-communicable diseases like several types of cancer, atherogenic disease and some degenerative pathology of the eye. This relation is mediated by genes and age. Studies of carotenoids are of scientific and economic interest for Latin America as many tropical products are high sources of these compounds. Therefore the first task is to analyze them and iniciate some evaluation on its metabolic availability. A coordinated regional work is proposed, in which 40 or 50 fruits and vegetables are analyzed in terms of the seven carotenoids most related to human health. At the same time it will be important to start epidemiological studies that will compare groups with different levels of consumption of fruits and vegetables and make chronic disease risk analysis. In some countries of the Latin American region, with the support of FAO and INFOODS, some courses and meetings are taking place so that in a short time period the carotenoid composition of the important regional foods will be completed and a carotenoid regional food composition table be published.

Antioxidants↗

pH-induced destabilization of lipid bilayers by a peptide from the VP3 protein of the capsid of hepatitis A virus.

The membrane destabilizing and fusogenic properties of the synthetic peptide VP3(110-121), corresponding to an immunogenic sequence of the hepatitis A virus (HAV) VP3 capsid protein, were studied. By tryptophan fluorescence and acryalmide quenching it was demonstrated that the peptide binds liposomes of POPC-SM-DPPE (47 + 39 + 14) and POPC-SM-DPPE-DOTAP (40 + 33 + 12 + 15) and penetrates the membrane, at both neutral and acidic pH (POPC = 1-palmitoyl-2-oleoylglycero-sn-3-phosphocholine; SM = sphingomyelin; DPPE = 1,2-dipalmitoylphosphatidylethanolamine; DOTAP = 1,2-dioleoyl-3-trimethylammoniumpropane). VP3(110-121) did not have membrane-destabilizing properties at neutral pH. Acid-induced destabilization of the vesicles was demonstrated by fluorescence techniques and dynamic light scattering. VP3(110-121) induced aggregation of POPC-SM-DPPE-DOTAP (40 + 33 + 12 + 15) vesicles, lipid mixing and leakage of vesicle contents, all consistent with fusion of vesicles. In POPC-SM-DPPE (47 + 39 + 14) vesicles, at acidic pH, VP3(110-121) induced membrane destabilization with leakage of contents but without aggregation of vesicles or lipid mixing. The peptide only showed fusogenic properties when bound to the vesicles at neutral pH before acidification to pH below 6.0, and no effect was seen if the peptide was added to vesicles already set at acidic pH. These results may have physiological significance in the mechanism of infection of host hepatic cells by HAV.

Capsid↗

[Cardiac rhythm and systemic embolism in long-term follow up of patients with non-valvular paroxysmal atrial fibrillation].

BACKGROUND: Paroxysmal atrial fibrillation may predispose to systemic embolism. There is little information about the evolution of cardiac rhythm and the occurrence of new embolic events in these patients. AIM: To report the results of a long term follow up of patients with paroxysmal atrial fibrillation. PATIENTS AND METHODS: Patients consulting for non valvular paroxysmal atrial fibrillation were followed for a mean period of 5 years. An EKG, 2D echocardiogram and brain CT scans were performed on admission and at the end of the follow up period to all patients. RESULTS: Sixty eight patients aged 65 +/- 1.5 years were studied. Thirty two had an idiopathic atrial fibrillation, 28 had a history of mild hypertension and 8 had a history of coronary artery disease. Evidence of systemic emboli was found in 17 patients at entry (to the brain in 14 patients). During the follow up 87% of patients required antiarrhythmics, 27% were anticoagulated and 28% received aspirin. Five patients had new embolic episodes. Of these, four had a history of prior embolism. Forty one percent of patients continued in sinus rhythm and remained asymptomatic, 32% had at least one recurrence of paroxysmal atrial fibrillation and nine patients evolved to chronic atrial fibrillation. Five patients required a permanent pacemaker due to symptomatic bradycardia. CONCLUSIONS: Most patients with non valvular paroxysmal atrial fibrillation remain in sinus rhythm but one third have recurrences of the arrhythmia. A main risk factor for embolism is the history of previous embolic episodes.

Aged↗

[Standardization of the lethal dose 50% of Leptospira interrogans strains used in the control of the leptospirosis cuban vaccine for human use].

The LD50 of strains of L. interrogans used in the potency assay of the Cuban trivalent leptospiral vaccine intended for human use was standardized. The control of the leptospires content of the cultures by means of the adjusting dilution (10 to 12 leptospires per field) was introduced. That was the key of the standardization of the assay, since it guaranteed the reproducibility of the estimate of the LD50 value for each serogroup: 10(5.98) for canicola, 10(5.60) for icterohaemorrhagiae and 10(6.60) for pomona, with the following limits for an interval of 1 log10: 10(4.98)-10(6.98), 10(4.60)-10(6.60) and 10(5.49)-10(7.49), respectively; whereas for a 95% (+/- 2 SD) confidence interval the values were: 10(5.54)-10(6.19); 10(5.33)-10(5.75) and 10(6.35)-10(6.60), respectively. These values were lower than the previous ones, which means ever more reproducibility. The methodology described proved to be satisfactory for the standardization of the LD50 of the challenge strains and it could also be used for evaluating the virulence of other strains of L. interrogans, including those used for the vaccine production.

Cuba↗

Diet that prevents cancer: recommendations from the American Institute for Cancer Research.

The current epidemiological transition in less developed countries is resulting in an epidemic of chronic diseases, with cancer being the second most common cause of mortality. The evidence linking diet to the development of cancer is based largely on epidemiological analysis of the relationships of the frequency of different cancers to data on food consumption. Cohort results have made clearer the link between diet and cancer, as have data on a number of biological mechanisms. Based on the available data, recommendations on dietary practices that may prevent cancer have been published recently by the American Institute for Cancer Research and the World Cancer Research Fund. Key recommendations are: diet should be based on plant products; 400 g of vegetables and fruits, to provide more than 10% of energy, should be consumed daily; cereals, legumes and tubers should provide at least 50% of energy, and sugars less than 10%; no more than 80 g of meat should be consumed, preferably fish or poultry, and limited amounts that are cured or smoked; fat intake should be limited to no more than 30% of energy, with a predominance of monounsaturated and polyunsaturated forms; total salt consumption should be less than 6 g; perishable foods should be kept frozen or refrigerated and consumed promptly; foods should be cooked at low temperatures, better to be boiled or steamed rather than fried or grilled; alcohol should not exceed 2 drinks a day. In addition to these dietary guidelines, cancer prevention may be achieved by not smoking, by avoiding excess weight, and by increasing physical activity, including half an hour of exercise and 4 hr not resting in a chair or bed.

Developed Countries↗

Examining the gender gap in nutrition: an example from rural Mexico.

Gender differences in nutrient and food intake were examined in Mexican Nutrition CRSP (Collaborative Research Support Program) infants (N = 75), preschoolers (N = 80), and school children (N = 91). No significant gender differences in dietary quality or quantity were seen for infants and preschoolers. For school children, the contribution of various foods to total energy intake (dietary quality) was also quite similar for girls and boys. Equity in dietary quality remained even under conditions of economic and demographic stress. Nevertheless, school girls consumed significantly less energy per day than boys (-300 kcal/d or 1.3 mJ/d), and less of all micronutrients examined. Gender differences in estimated basal metabolic rates of school children were slight (-20 kcal/d), and body composition and size were similar. When energy intakes were expressed as a percent of estimated requirement (calculated from age, sex and weight using WHO/FAO/UNU equations), intakes were adequate and not significantly different between girls (mean = 111%) and boys (mean = 113%). Playground observations showed girls to be less active than boys, which may reflect both cultural and biological influences. Apparently due to this lower activity, school girls consumed less energy, and may have been at much higher risk than boys of micronutrient deficiency. The lower food intakes of girls did not appear to be due to purposeful dietary discrimination, but rather to culturally patterned sex roles involving lower activity.

Basal Metabolism↗

[Effects of ramipril and spironolactone on ventricular remodeling after acute myocardial infarction: randomized and double-blind study].

BACKGROUND: Studies have shown that angiotensin converting enzyme (ACE) inhibition prevents left ventricular remodeling and cardiovascular events after an acute myocardial infarction. The role of aldosterone in ventricular remodeling after a myocardial infarction has not been addressed. AIM: To compare the effects of an ACE inhibitor, an aldosterone receptor antagonist and placebo on left ventricular remodeling after a first episode of transmural acute myocardial infarction. PATIENTS AND METHODS: Patients hospitalized for a first episode of acute myocardial infarction were blindly and randomly assigned to receive ramipril (2.5 mg bid), spironolactone (25 mg tid) or placebo. Ejection fraction, left ventricular end diastolic and end systolic volumes were measured by multigated radionuclide angiography, at baseline and after six months of treatment. RESULTS: Twenty four patients were assigned to placebo, 31 to ramipril and 23 to spironolactone. Age, gender, Killip class, treatment with thrombolytics, revascularization procedures and use of additional medications were similar in the three groups. After six months of treatment, ejection fraction increased from 34.5 +/- 2.3 to 40.2 +/- 2.4% in patients on ramipril, from 32.6 +/- 2.9 to 36.6 +/- 2.7% in patients on spironolactone, and decreased from 37 +/- 3 to 31 +/- 3% in patients on placebo (ANOVA between groups p < 0.05). Basal end systolic volume was similar in all three groups, increased from 43.4 +/- 3.4 to 61.4 +/- 6.0 ml/m2 in patients on placebo and did not change in patients on spironolactone or ramipril (ANOVA p < 0.05). End diastolic volume was also similar in the three groups, increased from 70.6 +/- 4.3 to 92.8 +/- 6.4 ml/m2 in patients on placebo and did not change with the other treatments. CONCLUSIONS: Ramipril and spironolactone had similar effects on ventricular remodeling after acute myocardial infarction, suggesting that aldosterone contributes to this phenomenon and that inhibition of its receptor may be as effective as ACE inhibition in its prevention.

Analysis of Variance↗

[Antigenic types of circulating rotavirus in children with acute diarrhea in Santiago de Chile].

Protective immunity against rotavirus infection is directed against antigenic epitopes on the outer capsid proteins VP7 and VP4. The aim of this study was to characterize the VP7 and VP4 antigenic types circulating in different hospital areas of Santiago, Chile, over different time periods. Between April 1993 and April 1994 a total of 1206 stool samples were obtained from children consulting for acute no bloody diarrhea in 5 hospitals representative of the 5 major health areas of Santiago. In addition, 256 rotavirus positive samples, obtained from children with acute diarrhea consulting in the north health area of Santiago between 1985-1987 were studied. All samples were processed for rotavirus by an ELISA and all rotavirus positive samples were VP7 typed (types G1-G4) by a monoclonal antibody based ELISA. 50 rotavirus positive samples were selected for VP4 typing by PCR (types P1-P4). A total of 782 rotavirus positive samples were obtained of which 618 (79%) were typable for one specific VP7 type. VP7 type G1 represented 63% of the rotavirus positive samples and predominated in all areas evaluated throughout the entire period of observation. VP7 type G2 represented 13% of rotavirus samples, following G1 in predominance. G2 types decreased progressively in all areas in both study periods. G4 types were detected mainly during 1985-1987, and G3 types have so far not been detected. Preliminary analysis of VP4 types suggests that P1 types are predominant and closely associated with VP7 G1 type. These results are relevant for the adoption of appropriate preventive strategies for rotavirus infection, specifically aimed to the development of effective vaccines.

Acute Disease↗