A pilot community science program in Mexico for passive triatomine surveillance and increase Chagas disease awareness / Programa piloto de ciencia ciudadana en México para vigilancia pasiva de triatominos y concientizar sobre la enfermedad de Chagas

Objective. To generate data about Chagas disease vectors through passive surveillance and inform the public using social media and community science. Materials and methods. We used social media to inform, raise awareness and to promote the public to report their triatomine encounters. We received pictures and specimens collected to be tested for Trypanosoma cruzi and to identify recent bloodmeal source through PCR. Results. Community scientists reported 44 triatomines from 15 states in Mexico and one triatomine from Nicaragua, including 9 species with Triatoma dimidiata sensu lato and T. gerstaeckeri being the most common. We received 12 collected specimens and T. cruzi was detected in 8 (67%) of the discrete typing unit TcI. We identified recent bloodmeal source in 6 triatomines including: human (Homo sapiens), dog (Canis lupus familiaris), wood rat (Neotoma sp.), dove (Columbidae) and amphibius (Bufonidae). Conclusion. The use of community science can be a complementary method to generate information about the ecology and epidemiology of Chagas disease vectors.

Objetivo. Generar datos sobre vectores de la enfermedad de Chagas (EC) mediante vigilancia pasiva e informar a la población mediante redes sociales y ciencia ciudadana. Material y métodos. Utilizando redes sociales informamos, concientizamos y alentamos al público a reportarnos sus encuentros con triatominos. Recibimos reportes fotográficos y especímenes colectados a los que analizamos para detectar infección por Trypanosoma cruzi e identificar la fuente reciente de alimentación mediante PCR. Resultados. Nos reportaron 44 triatominos de 15 estados en México y uno de Nicaragua, incluyendo 9 especies siendo Triatoma dimidiata sensu lato y T. gerstaeckeri las más comunes. Recibimos 12 especímenes colectados y encontramos T. cruzi en 8 (67%) de la unidad taxonómica discreta TcI. Identificamos fuente reciente de alimentación en 6 triatominos incluyendo: humano (Homo sapiens), perro (Canis lupus familiaris), rata de campo (Neotoma sp.), paloma (Columbidae) y anfibio (Bufonidae). Conclusión. Ciencia ciudadana puede ser un método complementario para generar información sobre ecología y epidemiología de EC.

Identification and distribution of Brachyspira species in feces from finishing pigs in Argentina.

BACKGROUND AND AIM: Brachyspira are Gram-negative, aerotolerant spirochetes that colonize the large intestine of various species of domestic animals and humans. The aim of this study was to determine the presence and distribution of different species of Brachyspira presents in feces from finishing pigs in Argentina. MATERIALS AND METHODS: Fecal samples (n=1550) were collected from finishing pigs in 53 farms of the most important swine production areas of Argentina, and Brachyspiras species were identified by bacteriological and molecular methods. RESULTS: The regional prevalence of Brachyspira spp. was at the level of 75.5% (confidence interval 95%, 62.9-87.9), and it was lower among those farms with >1001 sows. One hundred and twenty-eight isolates of Brachyspira were properly identified and the species found were: Brachyspira hyodysenteriae, Brachyspira pilosicoli, Brachyspira innocens, and Brachyspira murdochii. B. hyodysenteriae and B. pilosicoli had low prevalence (1.9% and 7.5%, respectively), B. innocens was isolated from 34% of the farms and B. murdochii was found in 39.6%. CONCLUSION: The present study provides epidemiological data about herd prevalence of the different Brachyspira species in Argentina, showing that the prevalence figure seems to be higher than that reported in other countries.

Covalently Functionalized Carbon Nano-Onions Integrated Gelatin Methacryloyl Nanocomposite Hydrogel Containing γ-Cyclodextrin as Drug Carrier for High-Performance pH-Triggered Drug Release.

Herein, poly (n-(4-aminophenyl) methacrylamide)) carbon nano-onions (PAPMA-CNOs = f-CNOs) and γ-cyclodextrin/DOX-complex (CD) reinforced gelatin methacryloyl (GelMA)/f-CNOs/CD supramolecular hydrogel interfaces were fabricated using the photo-crosslinking technique. The physicochemical properties, morphology, biodegradation, and swelling properties of hydrogels were investigated. The composite hydrogels demonstrated enriched drug release under the acidic conditions (pH 4.5 = 99%, and pH 6.0 = 82%) over 18 days. Owing to the f-CNOs inclusion, GelMA/f-CNOs/CD supramolecular hydrogels presented augmented tensile strength (σult = 356.1 ± 3.4 MPa), toughness (K = 51.5 ± 0.24 Jg-1), and Young's modulus (E = 41.8 ± 1.4 GPa). The strengthening of GelMA/f-CNOs/CD hydrogel systems indicates its good dispersion and the degree of polymer enveloping of f-CNOs within GelMA matrixes. Furthermore, the obtained hydrogels showed improved cell viability with human fibroblast cells. Nevertheless, the primed supramolecular hydrogels would pave the way for the controlled delivery systems for future drug delivery.

Carbon Nano-Onions Reinforced Multilayered Thin Film System for Stimuli-Responsive Drug Release.

Herein, poly (N-(4-aminophenyl) methacrylamide))-carbon nano-onions (PAPMA-CNOs = f-CNOs) and anilinated-poly (ether ether ketone) (AN-PEEK) have synthesized, and AN-PEEK/f-CNOs composite thin films were primed via layer-by-layer (LbL) self-assembly for stimuli-responsive drug release. The obtained thin films exhibited pH-responsive drug release in a controlled manner; pH 4.5 = 99.2% and pH 6.5 = 59.3% of doxorubicin (DOX) release was observed over 15 days. Supramolecular π-π stacking interactions between f-CNOs and DOX played a critical role in controlling drug release from thin films. Cell viability was studied with human osteoblast cells and augmented viability was perceived. Moreover, the thin films presented 891.4 ± 8.2 MPa of the tensile strength (σult), 43.2 ± 1.1 GPa of Young's modulus (E), and 164.5 ± 1.7 Jg-1 of toughness (K). Quantitative scrutiny revealed that the well-ordered aligned nanofibers provide critical interphase, and this could be responsible for augmented tensile properties. Nonetheless, a pH-responsive and mechanically robust biocompatible thin-film system may show potential applications in the biomedical field.

Development of Functionalized Carbon Nano-Onions Reinforced Zein Protein Hydrogel Interfaces for Controlled Drug Release.

In the current study, poly 4-mercaptophenyl methacrylate-carbon nano-onions (PMPMA-CNOs = f-CNOs) reinforced natural protein (zein) composites (zein/f-CNOs) are fabricated using the acoustic cavitation technique. The influence of f-CNOs inclusion on the microstructural properties, morphology, mechanical, cytocompatibility, in-vitro degradation, and swelling behavior of the hydrogels are studied. The tensile results showed that zein/f-CNOs hydrogels fabricated by the acoustic cavitation system exhibited good tensile strength (90.18 MPa), compared with the hydrogels fabricated by the traditional method and only microwave radiation method. It reveals the magnitude of physisorption and degree of colloidal stability of f-CNOs within the zein matrix under acoustic cavitation conditions. The swelling behaviors of hydrogels were also tested and improved results were noticed. The cytotoxicity of hydrogels was tested with osteoblast cells. The results showed good cell viability and cell growth. To explore the efficacy of hydrogels as drug transporters, 5-fluorouracil (5-FU) release was measured under gastric and intestinal pH environment. The results showed pH-responsive sustained drug release over 15 days of study, and pH 7.4 showed a more rapid drug release than pH 2.0 and 4.5. Nonetheless, all the results suggest that zein/f-CNOs hydrogel could be a potential pH-responsive drug transporter for a colon-selective delivery system.

Biomechanical Comparison of Inflatable Penile Implants: A Cadaveric Pilot Study.

BACKGROUND: Throughout the last decade there has been a growing interest in the biomechanical differences between inflatable penile prostheses (IPPs) and their significance with regard to the patient experience. AIM: To present our findings assessing the biomechanical properties of IPPs with and without rear tip extenders (RTEs). METHODS: This is a biomechanical study of the 3 most commonly used IPPs (AMS CX, AMS LGX, and Coloplast Titan) as assessed by column compression, modified cantilever deflection, and 3-point bending methods. The IPPs were surgically placed into 3 fresh cadavers via an infrapubic technique by a single large-volume implanter. A biomechanical evaluation of the properties of each IPP inside the fibroelastic tunica albuginea was assessed in blinded testing, and analyses were based on industry standard methods for assessment. OUTCOMES: Maximum axial load; kink formation; horizontal stiffness; and resistance to 3-point flexure testing were measured. RESULTS: At maximum inflation, all 3 implants had similar performance. Differences appear to be most affected by fill pressures. In fact, only the AMS LGX at less than maximum inflation (LTMI) was unable to consistently withstand the roughly 0.9 kg (2 lbs) of pressure for column load testing mimicking vaginal intromission. The Coloplast Titan showed slightly better rigidity than the AMS LGX and CX devices in horizontal load testing, and, with 3-point flexure testing, the CX showed the best rigidity in the shortest phallus (A). Overall, the Titan showed slightly better rigidity in the longest phallus (C) and the phallus with mild Peyronie's disease (B). CLINICAL TRANSLATIONS: Penile implants with circumferential expansion had higher rigidity on biomechanical testing and should be considered in a patient's decision during selection of a penile implant. STRENGTHS AND LIMITATIONS: Strengths include blinding of the biomechanical testing and analyses, surgical procedures performed by a highly experienced surgeon, and that this is the "closest to" in vivo evaluation (inside the tunica albuginea) of penile implant function and properties to date. Weaknesses are that this study was performed in cadavers and not in live patients. It also has a small sample size, including the use of only 3 cadavers, and there was no correlation of performance to patient satisfaction. CONCLUSION: The results of this study support the conclusion that all devices are capable of functionally restoring erectile capacity. However, we observed that, in general, the 2 circumferentially expanding penile prosthesis showed greater resistance in biomechanical testing when compared with longitudinal and circumferential expanding devices. This should be considered as a guide during device selection for a patient undergoing penile prosthesis. Wallen JJ, Barrera EV, Ge L, et al. Biomechanical Comparison of Inflatable Penile Implants: A Cadaveric Pilot Study. J Sex Med 2018;15:1034-1040.

Cytotoxicity evaluation of unfunctionalized multiwall carbon nanotubes-ultrahigh molecular weight polyethylene nanocomposites.

The carbon nanotubes were chosen for this study since long, small to medium diameter, and unfunctionalized nanotubes are considered less favorable for nontoxic applications. The intent of the study is to expand the use of CNTs beyond current understood nontoxic means. Multiwall carbon nanotube/ultrahigh molecular weight polyethylene (MWCNT/UHMWPE) nanocomposites were prepared by reinforcing long chain UHMWPE with MWCNTs. These nanocomposites were prepared to study their cytotoxicity assessments with human fibroblast cell lines. Cell adhesion, proliferation, and differentiation were studied with human fibroblast cell lines. In vitro studies revealed good cell viability on the surface of MWCNT/UHMWPE composites even after 72 h. The nanocomposites showed better cell attachment for fibroblasts than pristine UHMWPE. Overall, the results showed that MWCNT/UHMWPE composites displayed good cellular growth and biocompatibility indicating another way CNTs can be nontoxic. These nanocomposites offer nontoxic conditions that can be used in biomedical devices because the long chain UHMWPE is entangled with long MWCNTs. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 105A: 3042-3049, 2017.

Longitudinal and Horizontal Load Testing of Inflatable Penile Implant Cylinders of Two Manufacturers: An Ex Vivo Demonstration of Inflated Rigidity.

INTRODUCTION: Since the inception of the inflatable penile prosthesis, a new era has been ushered in for the management of erectile dysfunction. Despite multiple innovations to improve function and reliability, there are no current data comparing the biomechanical properties of these devices. AIM: To compare the resistance of the Coloplast Titan (Minneapolis, MN, USA) with that of the AMS 700 LGX (Minnetonka, MN, USA) penile prosthesis cylinders to longitudinal (penetration) and horizontal (gravity) forces. METHODS: We compared two cylinder sizes from each company: the Coloplast Titan (18 and 22 cm) and the AMS 700 LGX (18 and 21 cm). To evaluate axial rigidity, which simulates forces during penetration, we performed a longitudinal load compression test to determine the load required to cause the cylinder to kink. To test horizontal rigidity, which simulates the horizontal forces exerted by gravity, we performed a modified cantilever test and measured the degrees of bend for each device. All devices were tested at 10, 15, and 20 PSI to simulate in vivo pressures. MAIN OUTCOME MEASURES: The main outcome measurement for the longitudinal load test (penetration) was the force required for the inflated cylinder to bend, thereby affecting its rigidity. The main outcome for the horizontal rigidity test (gravity) was the angle of displacement, in which a smaller angle represents a more horizontally rigid device. RESULTS: Longitudinal column testing (penetration) demonstrated that less force was required for the AMS device to kink compared with the Coloplast implant across all three fill pressures tested. The Coloplast Titan also had a smaller angle of displacement at the modified cantilever test (gravity) compared with the AMS implant across all fill pressures. CONCLUSION: The Coloplast Titan demonstrated greater resistance to longitudinal (penetration) and horizontal (gravity) forces in this study. The AMS device was very sensitive to fill pressures. In contrast, the Coloplast Titan's ability to resist these forces was less dependent on the device fill pressure.

Ballistic Fracturing of Carbon Nanotubes.

Advanced materials with multifunctional capabilities and high resistance to hypervelocity impact are of great interest to the designers of aerospace structures. Carbon nanotubes (CNTs) with their lightweight and high strength properties are alternative to metals and/or metallic alloys conventionally used in aerospace applications. Here we report a detailed study on the ballistic fracturing of CNTs for different velocity ranges. Our results show that the highly energetic impacts cause bond breakage and carbon atom rehybridizations, and sometimes extensive structural reconstructions were also observed. Experimental observations show the formation of nanoribbons, nanodiamonds, and covalently interconnected nanostructures, depending on impact conditions. Fully atomistic reactive molecular dynamics simulations were also carried out in order to gain further insights into the mechanism behind the transformation of CNTs. The simulations show that the velocity and relative orientation of the multiple colliding nanotubes are critical to determine the impact outcome.

The structural and dynamical aspects of boron nitride nanotubes under high velocity impacts.

This communication report is a study on the structural and dynamical aspects of boron nitride nanotubes (BNNTs) shot at high velocities (∼5 km s(-1)) against solid targets. The experimental results show unzipping of BNNTs and the formation of hBN nanoribbons. Fully atomistic reactive molecular dynamics simulations were also carried out to gain insights into the BNNT fracture patterns and deformation mechanisms. Our results show that longitudinal and axial tube fractures occur, but the formation of BN nanoribbons from fractured tubes was only observed for some impact angles. Although some structural and dynamical features of the impacts are similar to the ones reported for CNTs, because BNNTs are more brittle than CNTs this results in a larger number of fractured tubes but with fewer formed nanoribbons.

Surface functionalization of two-dimensional metal chalcogenides by Lewis acid-base chemistry.

Precise control of the electronic surface states of two-dimensional (2D) materials could improve their versatility and widen their applicability in electronics and sensing. To this end, chemical surface functionalization has been used to adjust the electronic properties of 2D materials. So far, however, chemical functionalization has relied on lattice defects and physisorption methods that inevitably modify the topological characteristics of the atomic layers. Here we make use of the lone pair electrons found in most of 2D metal chalcogenides and report a functionalization method via a Lewis acid-base reaction that does not alter the host structure. Atomic layers of n-type InSe react with Ti(4+) to form planar p-type [Ti(4+)n(InSe)] coordination complexes. Using this strategy, we fabricate planar p-n junctions on 2D InSe with improved rectification and photovoltaic properties, without requiring heterostructure growth procedures or device fabrication processes. We also show that this functionalization approach works with other Lewis acids (such as B(3+), Al(3+) and Sn(4+)) and can be applied to other 2D materials (for example MoS2, MoSe2). Finally, we show that it is possible to use Lewis acid-base chemistry as a bridge to connect molecules to 2D atomic layers and fabricate a proof-of-principle dye-sensitized photosensing device.

Unzipping carbon nanotubes at high impact.

The way nanostructures behave and mechanically respond to high impact collision is a topic of intrigue. For anisotropic nanostructures, such as carbon nanotubes, this response will be complicated based on the impact geometry. Here we report the result of hypervelocity impact of nanotubes against solid targets and show that impact produces a large number of defects in the nanotubes, as well as rapid atom evaporation, leading to their unzipping along the nanotube axis. Fully atomistic reactive molecular dynamics simulations are used to gain further insights of the pathways and deformation and fracture mechanisms of nanotubes under high energy mechanical impact. Carbon nanotubes have been unzipped into graphene nanoribbons before using chemical treatments but here the instability of nanotubes against defect formation, fracture, and unzipping is revealed purely through mechanical impact.

Carbon nanotube core graphitic shell hybrid fibers.

A carbon nanotube yarn core graphitic shell hybrid fiber was fabricated via facile heat treatment of epoxy-based negative photoresist (SU-8) on carbon nanotube yarn. The effective encapsulation of carbon nanotube yarn in carbon fiber and a glassy carbon outer shell determines their physical properties. The higher electrical conductivity (than carbon fiber) of the carbon nanotube yarn overcomes the drawbacks of carbon fiber/glassy carbon, and the better properties (than carbon nanotubes) of the carbon fiber/glassy carbon make up for the lower thermal and mechanical properties of the carbon nanotube yarn via synergistic hybridization without any chemical doping and additional processes.

Interface toughness of carbon nanotube reinforced epoxy composites.

Traditional single-fiber pull-out type experiments were conducted on individual multiwalled carbon nanotubes (MWNT) embedded in an epoxy matrix using a novel technique. Remarkably, the results are qualitatively consistent with the predictions of continuum fracture mechanics models. Unstable interface crack propagation occurred at short MWNT embedments, which essentially exhibited a linear load-displacement response prior to peak load. Deep embedments, however, enabled stable crack extension and produced a nonlinear load-displacement response prior to peak load. The maximum pull-out forces corresponding to a wide range of embedments were used to compute the nominal interfacial shear strength and the interfacial fracture energy of the pristine MWNT-epoxy interface.

Iodine doped carbon nanotube cables exceeding specific electrical conductivity of metals.

Creating highly electrically conducting cables from macroscopic aggregates of carbon nanotubes, to replace metallic wires, is still a dream. Here we report the fabrication of iodine-doped, double-walled nanotube cables having electrical resistivity reaching ∼10⁻7 Ω.m. Due to the low density, their specific conductivity (conductivity/weight) is higher than copper and aluminum and is only just below that of the highest specific conductivity metal, sodium. The cables exhibit high current-carrying capacity of 104∼105 A/cm² and can be joined together into arbitrary length and diameter, without degradation of their electrical properties. The application of such nanotube cables is demonstrated by partly replacing metal wires in a household light bulb circuit. The conductivity variation as a function of temperature for the cables is five times smaller than that for copper. The high conductivity nanotube cables could find a range of applications, from low dimensional interconnects to transmission lines.

In vitro antagonistic activities of Lactobacillus spp. against Brachyspira hyodysenteriae and Brachyspira pilosicoli.

The sensitivity of Brachyspira hyodysenteriae and Brachyspira pilosicoli, respectively the causative agents of Swine Dysentery and Porcine Intestinal Spirochaetosis to two probiotic Lactobacillus strains, L. rhamnosus CNCM-I-3698 and L. farciminis CNCM-I-3699 was studied through viability, motility and coaggregation assays. The cell-free supernatant of these lactobacilli contains lactic acid, that is stressful for Brachyspira (leading to the formation of spherical bodies), and lethal. It was demonstrated for the first time the in vitro coaggregation properties of two probiotic Lactobacillus strains (active or heat-treated) with two pathogenic strains of Brachyspira, leading to (1) trapping of spirochaetal cells in a physical network as demonstrated by SEM; (2) inhibition of the motility of Brachyspira. Such in vitro studies should encourage in vivo studies in animal model to evaluate the potential of the use of probiotic lactobacilli through a feeding strategy for the prevention of B. hyodysenteriae and B. pilosicoli.

Analysis of stress responsive genes induced by single-walled carbon nanotubes in BJ Foreskin cells.

Nanotechnology is finding its use as a potential technology in consumer products, defense, electronics, and medical applications by exploiting the properties of nanomaterials. Single-walled carbon nanotubes are novel forms of these nanomaterials with potential for large applications. However, the toxicity studies on this material are not explored in detail and therefore limiting its use. It has been earlier reported that single-walled carbon nanotubes induces oxidative stress and also dictates activation of specific signaling pathway in keratinocytes. The present study explores the effect of single-walled carbon nanotubes on stress genes in human BJ Foreskin cells. The results show induction of oxidative stress in BJ Foreskin cells by single-walled carbon nanotubes and increase in stress responsive genes. The genes included inducible genes like HMOX1, HMOX2, and Cyp1B1. In addition we validated increase for four genes by SWCNT, namely ATM, CCNC, DNAJB4, and GADD45A by RT-PCR. Moreover results of the altered stress related genes have been discussed and that partially explains some of the toxic responses induced by single-walled carbon nanotubes.

Single-walled carbon nanotube induces oxidative stress and activates nuclear transcription factor-kappaB in human keratinocytes.

Carbon nanotubes are now becoming an important material for use in day to day life because of their unique physical properties. The toxicological impact of these materials has not yet been studied in detail, thereby limiting their use. In the present study, the toxicity of single-walled carbon nanotubes (SWCNT) was assessed in human keratinocyte cells. The results show increased oxidative stress and inhibition of cell proliferation in response to treatment of keratinocytes with SWCNT particles. In addition, the signaling mechanism in keratinocytes upon exposure to SWCNT particles was investigated. Results from the study suggest that SWCNT particles activate NF-kappaB in a dose-dependent manner in human keratinocytes. Further, the mechanism of activation of NF-kappaB was due to the activation of stress-related kinases by SWCNT particles in keratinocytes. In conclusion, these studies show the mechanism of toxicity induced by SWCNT particles.

Immunomagnetic separation of the intestinal spirochaetes Brachyspira pilosicoli and Brachyspira hyodysenteriae from porcine faeces.

Porcine intestinal spirochaetes are fastidious anaerobic organisms and, as a consequence, it has been necessary to develop various protocols to enhance their isolation from or detection in faeces. Immunomagnetic separation (IMS) is a method developed recently to improve separation of target cells from mixed cell suspensions. The purpose of the present study was to compare the relative sensitivity of IMS for isolation of Brachyspira pilosicoli and Brachyspira hyodysenteriae with current routine diagnostic methods (culture on selective media and PCR) for detection of these micro-organisms in pig faeces. Neither direct nor indirect IMS methods enhanced the sensitivity of detection of either organism when performed with the recommended washings during sample processing. Performance of the IMS procedure without washing gave sensitivity at levels similar to direct culture onto selective medium. Further development of IMS techniques is required to improve isolation rates of Brachyspira species from faecal samples.

[Comorbidity of obesity and eating behavior disorders]. / Comorbilidad de la obesidad con los trastornos de la conducta alimentaria.

UNLABELLED: In the few years various factors that influence obesity have been studied, including genetic, sociocultural, metabolic and endocrine factors. Research advances in this area will help enhance our knowledge, prevention and treatment of this syndrome. OBJECTIVE: Our first aim is to establish comorbidity between obesity and eating disorders (i.e., binge eating disorder, compulsive overeating disorder and bulimia). Our second aim is to establish the relation between psychiatric diagnoses and sociodemographic, anthropometric, endocrine and psychological variables. METHOD: We interviewed 97 outpatients that attended a specialized clinic for obesity control in Mexico City, 67 females and 30 males. These patients were interviewed by a nutrition specialist, an endocrinologist and a psychiatrist, all working in the obesity clinic. For the psychiatric diagnoses, DSM-IV criteria were applied to analyze the clinical information on the charts. RESULTS: Of all patients in the group 13.4% presented no psychiatric disorder, 53.6% met criteria for binge eating disorder, 12.4% for type six NOS-ED (Not Otherwise Specified Eating Disorder) (compulsive overeating) and 20.6% for bulimia. Endocrine disorders were found as follows: 80.4% presented no endocrine disorder, 11.3% diabetes mellitus, and 8.2% other diagnoses. Obesity degree: 8.2% normal weight, 28.9% overweight, 37.1% type 1 obesity, 18.6% type II obesity and 7.2% extreme obesity; binge eating disorder was related to all obesity types. Bulimic patients had a greater energetic expenditure. Patients with psychiatric disorders generally did not present endocrine comorbidity, only 13.4% comorbidity. The number of treatments to reduce weight was in direct relationship to patients with psychiatric disorders. Patients with a largest calorie intake presented binge eating disorder with more eating periods per hay. In sum, by measuring anthropometric variables and some nutritional variables, such as the way of eating and calorie intake, it was easier to predict eating disorders in obese patients. The medical variables themselves were not associated to the mental health of obese patients. CONCLUSIONS: We found there is an important relation between obesity and psychiatric disorders and we consider it necessary to undertake further multidisciplinary, longitudinal and prospective studies in other groups of patients or non patients.