Effects of Microencapsulated Essential Oils on Equine Health: Nutrition, Metabolism and Methane Emission.

This review examines the available data regarding the positive effects of microencapsulated essential oils (EOs) on the nutrition, metabolism, and possibly the methane emission of horses. A literature review was conducted on the effect of microencapsulated (EOs) on the health of horses. The information comprises articles published in recent years in indexed journals. The results indicate that mixtures of microencapsulated EOs may be beneficial to equine health due to their antimicrobial and antioxidant activity, as well as their effects on enteric methane production, nutrient absorption, and immune system enhancement. Moreover, encapsulation stabilizes substances such as EOs in small doses, primarily by combining them with other ingredients.

Thermoregulatory Response of Blackbelly Adult Ewes and Female Lambs during the Summer under Tropical Conditions in Southern Mexico.

High environmental temperatures cause heat stress in ewes, resulting in thermoregulatory problems. In this study, the thermoregulatory responses of Blackbelly adult ewes (G1, n = 14) and female lambs (G2, n = 7), during the summer under tropical conditions, in southern Mexico were analyzed. Different physiological variables and skin temperatures (ST) of the ewes were recorded. Breathing frequency (BF) values were similar between groups at 116.73 ± 33.598 bpm (G1) and 113.661 ± 34.515 bpm (G2) (p > 0.05). In the case of skin elasticity (SE), there were no significant differences between the time of day and the age of the ewes (p > 0.05). Significant differences were observed between groups for BF, rectal temperature (RT), and heart rate (HR) values (p < 0.05). All ST values, for both groups, were significantly higher during the afternoon (p < 0.001). In general, all Blackbelly adult ewes and female lambs during the summer present severe heat stress conditions as a result of an increase in physiological constants and ST. It is concluded that all ewes thermoregulate body temperature by modifying different physiological variables to counteract the effect of heat stress.

High-Risk HPV with Multiple Infections Promotes CYP2E1, Lipoperoxidation and Pro-Inflammatory Cytokines in Semen of Asymptomatic Infertile Men.

High-risk human papillomavirus (HR-HPV) infection, followed by chronic inflammation and oxidative stress, is a major risk factor of male infertility. In this study, we explored the potential impact of high-risk (HR) HPV genotypes in single infection (SI) and multiple infections (MI) that promote CYP2E1 expression, oxidative damage and pro-inflammatory cytokines, possibly contributing to sperm damage and male infertility. Semen samples from 101 infertile military men were studied. We analyzed seminal parameters, namely, HPV genotyping, cytochrome P450 2E1 (CYP2E1), oxidative stress biomarkers (total antioxidant capacity (TAC), catalase (CAT) and superoxide dismutase (SOD)), lipid peroxidation (LPO), 8-hydroxiguanosine (8-OHdG) and pro-inflammatory cytokines (IFN-γ, IL-1ß, IL-4, IL-6 and IL-8). Eighty-one men (80.2%, 81/101) were positive for HPV infection, and MI-HR-HPV was higher than SI-HR-HPV (63% vs. 37%). HPV-52 was the most frequently detected type (18.5%), followed by HPV-33 (11.1%), and the most frequent combination of genotypes detected was HPV-33,52 (11.1%), followed by HPV-18,31 (6.2%). The group with infected samples presented lower normal morphology and antioxidant levels compared to non-infected samples. In concordance, the infected group showed high levels of LPO, IFN-γ, IL-1ß, IL-4 and IL-6 and downregulation of CAT and SOD enzymes. Interestingly, changes in motility B, low levels of TAC, overexpression of CYP2E1, LPO and IL-8 levels were higher in MI-HR-HPV than SI-HR-HPV, suggesting that HPV infection promotes a chronic inflammatory process and a toxic and oxidative microenvironment, which increases with MI-HPV infections.

Trauma patients with human immunodeficiency virus (HIV): a propensity matched analysis.

BACKGROUND: Given the growing number of people worldwide living with human immunodeficiency virus (HIV), a larger subset of these patients are now susceptible to sustaining a traumatic injury. However, the impact of HIV on outcomes in trauma with modern antiretroviral treatment remains unclear. We hypothesized mortality and rates of infectious and inflammatory complications would be higher in HIV positive (HIV+) trauma patients. METHODS: The Trauma Quality Improvement Program was queried to identify trauma patients ≥ 18 years of age with HIV. Due to the imbalance between HIV+ and HIV negative (HIV-) trauma patients, a 1:2 propensity-matched model was utilized. Matched variables included age, injury severity score, mechanism of injury, systolic blood pressure, pulse rate, Glasgow Coma Scale score, and patient comorbidities. RESULTS: 84 HIV+ patients were matched to 168 HIV- patients. Compared to HIV- patients, HIV+ patients had no significant differences in mortality rate (9.5% vs. 4.8%, p = 0.144) or infectious complications, including pneumonia (6.0% vs. 4.2%, p = 0.530), urinary tract infection (1.2% vs. 1.2%, p = 1.000), or severe sepsis (1.2% vs. 0.0%, p = 0.156). However, higher rates of acute respiratory distress syndrome (ARDS) (9.5% vs. 0.6%, p < 0.001) and acute kidney injury (AKI) (4.8% vs. 0.0%, p = 0.004) were observed. CONCLUSION: HIV+ trauma patients are not at higher risk of mortality or infectious complications, likely due to the advent and prevalence of combination antiretroviral therapy. However, HIV positivity appears to increase the risk of AKI and ARDS in trauma patients. Further research is needed to confirm this finding to elucidate the etiology underlying this association.

Proinflammatory and Oxidative Stress States Induced by Human Papillomavirus and Chlamydia trachomatis Coinfection Affect Sperm Quality in Asymptomatic Infertile Men.

Background and Objectives: To investigate the effect of infection with human papillomavirus (HPV) or Chlamydia trachomatis (CT) and HPV + CT coinfection on sperm quality, inflammation, and the state of oxidative stress (OS) in asymptomatic infertile men. Materials and Methods: Semen samples from 84 asymptomatic military infertile men were studied. The polymerase chain reaction (PCR) was used for the molecular detection of HPV and CT. Semen parameters were analyzed according to the World Health Organization guidelines. Inflammation was evaluated by an IL-1ß, IL-6, and IFN-γ enzyme-linked immunosorbent assay (ELISA) and OS by the quantification of lipid peroxidation (LPO), 8-hydroxydeoxyguanosine (8-OHdG), and total antioxidant capacity (TAC). Results: A total of 81 of the 84 (96.4%) samples were positives for the pathogens, with 55/81 (68%) being positive for HPV, 11/81 (13.5%) for CT, and 15/81 (18.5%) for HPV + CT coinfection. Seminal parameters were affected in the infected groups, including pH increases above the normal range in all groups. An abnormal sperm morphology was observed in the HPV and HPV + CT groups. Higher cytokine levels were detected in the HPV group and the highest IL-1ß level was found in the HPV + CT group. No cytokines were detected in the CT group. High LPO and 8-OHdG levels were found in all groups with a lower TAC. Comparisons between groups showed the highest OS state was observed in the HPV group. Conclusions: High HPV infection or coinfection (HVP + CT) in these infertile men suggest compromising male fertility by inducing a proinflammatory state and OS. Infection with CT suggests an alteration of the state of OS by promoting an alkaline pH.

Dimensiones culturales del concepto pie diabético en personas con diabetes mellitus y en estudiantes de medicina mexicanos / Cultural Dimensions of the Diabetic Foot Concept in People with Diabetes Mellitus and in Mexican Medical Students

RESUMEN Objetivo: Analizar las dimensiones culturales del concepto pie diabético en personas con diabetes mellitus y en estudiantes de medicina. Material y métodos: Estudio descriptivo exploratorio con base en los fundamentos de la antropología cognitiva y la teoría del consenso cultural. Participaron 40 personas (20 personas con diabetes y 20 estudiantes de medicina de séptimo semestre). El estudio se realizó en Guadalajara (México), en un hospital de segundo nivel, en los primeros tres meses de 2019. Se utilizaron listados libres y pile sort para identificar el contenido y la organización de las dimensiones. En el caso de los valores agregados, las matrices fueron analizadas mediante conglomerados jerárquicos. En el caso de los valores individuales, las matrices fueron analizadas mediante un modelo de consenso cultural. Resultados: Para las personas con diabetes, el concepto de pie diabético se conformó por las dimensiones de consecuencias y prevención. Para los estudiantes de medicina, el concepto de pie diabético se conformó por las dimensiones consecuencias y complicaciones. Se encontró consenso cultural en ambos grupos (Razón F1:F2, personas con diabetes: 3.14; estudiantes de medicina: 6.73). Las dimensiones tuvieron valores de ajuste adecuados: stress 0.21 en las personas con diabetes y 0.13 en los estudiantes. Conclusiones: Gracias a los resultados y acercamiento hacia ambos grupos, se pudieron reconocer elementos claves para la futura aplicación de programas de prevención para la salud, y una atención más integral para las personas con diabetes mellitus.

ABSTRACT Objective: Analyze the cultural dimensions of the diabetic foot concept in people with diabetes mellitus and in medical students. Material and Methods: Exploratory descriptive study based on the foundations of cognitive anthropology and the theory of cultural consensus. Forty people participated (20 people with diabetes and 20 medical students in the seventh semester). The study was conducted in Guadalajara, Mexico, in a second level hospital, in the first three months of the year 2019. Free lists and pile sort were used to identify the content and the organization of the dimensions. In the case of the aggregated values, hierarchical conglomerates analyzed the matrices. In the case of individual values, the matrices were analyzed using a cultural consensus model. Results: People with diabetes mellitus conformed the concept of diabetic foot by the dimensions of consequences and complications, whereas the medical students conformed the concept by the dimensions of consequences and complications. The cultural consensus was found in both groups with the following reasons F1:F2, people with diabetes: 3.14; medical students: 6.73. The dimensions had adequate values with the stress of 0.21 for the people with diabetes, and of 0.13 for the medical students. Conclusions: Gratefully, these results and the approach towards these two groups' key elements could be found for a future application of programs of health prevention and deeper and integral treatment process for the people with diabetes mellitus.

Vices-paradox in trauma: Positive alcohol and drug screens associated with decreased mortality.

BACKGROUND: Improved survival in trauma patients with acute alcohol intoxication has been previously reported. The effect of illegal and controlled substances on mortality is less clear. We hypothesized that alcohol, illegal and controlled substances are each independently associated with lower odds of mortality in adult trauma patients. METHODS: The Trauma Quality Improvement Program (2010-2016) was queried for patients screening positive for alcohol, illegal or controlled substances on admission. A multivariate logistic regression analysis was used to determine odds of mortality. A similar analysis was used after stratification by injury severity scale (ISS). RESULTS: From 1,299,705 adult patients, 660,135 were screened for substance use. Of these patients, 497,872 were male, 227,995 (34.5 %) screened positive for alcohol, 155,437 (23.5 %) for illegal substances and 90,259 (13.7 %) for controlled substances. Mortality rate was 6.2 % with alcohol, 5.1 % with illegal substances, and 5.7 % with controlled substances compared to 8.0 % with no substance use (p < 0.001). After controlling for covariates, all groups had lower odds of mortality: alcohol (OR = 0.88, CI = 0.84-0.92, p < 0.001), illegal substances (OR = 0.83, CI = 0.77-0.90, p < 0.001), controlled substances (OR = 0.72, CI = 0.67-0.79, p < 0.001). When stratified by ISS, alcohol and illegal substances continued to be associated with decreased mortality until ISS 50. Controlled substances were associated with decreased mortality when ISS > 16. CONCLUSION: Patients positive for alcohol, illegal or controlled substances have 12 %, 17 %, and 28 % decreased odds of mortality, respectively. This paradoxical association should be confirmed with future clinical studies and merits basic science research to identify biochemical or physiological components conferring a protective effect on survival in trauma patients.

Chemical and Physical Implications of the Use of Alternative Vessels to Oak Barrels during the Production of White Wines.

Recently, the use of alternative vessels to oak barrels during winemaking has become increasingly popular, but little is known about their impact on the chemical composition of the resulting wines. To address this issue, a Sauvignon Blanc wine was elaborated from the same grape juice by using cylindrical stainless-steel tanks, oval-shaped concrete vessels, oval-shaped polyethylene vessels, and clay jars in triplicate. Each vessel was used for alcoholic fermentation and the aging of wines over its own lees. Wines elaborated in concrete vessels showed the highest pH and the lowest titratable acidity, most likely related to the observed release of inorganic compounds from the concrete walls. Little effect of the vessels was seen on the wine color and phenolic composition. Wines elaborated in clay jars showed the highest turbidity and the highest content of soluble polysaccharides, while those made using cylindrical stainless-steel tanks showed the highest content of volatile compounds. Despite the observed differences, all of the vessels tested seem suitable for white wine production since every wine showed chemical features that corresponded with the quality standards of Sauvignon Blanc wines.

Nonaccidental Trauma Is an Independent Risk Factor for Mortality Among Injured Infants.

OBJECTIVES: The Centers for Disease Control disclosed over 600,000 cases of child abuse or neglect in 2016. Single-institution studies have shown that nonaccidental trauma (NAT) has higher complication rates than accidental trauma (AT). Nonaccidental trauma is disproportionately represented in infants. We hypothesized that NAT would increase the risk of mortality in infants. This study aims to provide a contemporary descriptive analysis for infant trauma patients and determine the association between NAT and mortality. METHODS: Infants (<1 year of age) within the Pediatric Trauma Quality Improvement Program database (2014-2016) were identified. Descriptive statistics (χ2 and t test) were used to compare NAT infants to AT infants. A multivariable logistic regression was used to determine the risk of mortality associated with select variables including NAT. RESULTS: From 14,965 infant traumas, most presented to a level I pediatric trauma center (53.5%) with a median injury severity score of 9. The most common mechanism was falls (48.6%), followed by NAT (14.5%). Overall mortality was 2.1%. Although most NAT infants were white (60.2%), black infants were overrepresented (23.6% vs 18.3%; P < 0.0001) compared with AT infants. The incidence of mortality was higher in NAT infants (41.6% vs 13.9%; P < 0.0001), and they were more likely to have traumatic brain injury (TBI) (63.1% vs 50.6%; P < 0.001). Nonaccidental trauma [odds ratio (OR), 2.48; P < 0.001], hypotension within 24 hours (OR, 8.93; P < 0.001), injury severity score (OR, 1.12; P < 0.001), and severe abbreviated injury scale-head (OR 1.62, P = 0.014) had the highest association with mortality. CONCLUSIONS: This study confirms the incidence of TBI and NAT in infants. Although providers should be vigilant for NAT, suspicion of NAT should prompt close surveillance, as there is a 2-fold increased risk of mortality independent of injury or TBI.

Obesity associated with increased postoperative pulmonary complications and mortality after trauma laparotomy.

BACKGROUND: Patient-related risk factors for the development of postoperative pulmonary complications (PPCs) include age ≥ 60-years, congestive heart failure, hypoalbuminemia and smoking. The effect of obesity is unclear and has not been shown to independently increase the likelihood of PPCs in trauma patients undergoing trauma laparotomy. We hypothesized the likelihood of mortality and PPCs would increase as body mass index (BMI) increases in trauma patients undergoing trauma laparotomy. METHODS: The Trauma Quality Improvement Program (2010-2016) was queried to identify trauma patients ≥ 18-years-old undergoing trauma laparotomy within 6-h of presentation. A multivariable logistic regression analysis was used to determine the likelihood of PPCs and mortality when stratified by BMI. RESULTS: From 8,330 patients, 2,810 (33.7%) were overweight (25-29.9 kg/m2), 1444 (17.3%) obese (30-34.9 kg/m2), 580 (7.0%) severely obese (35-39.9 kg/m2), and 401 (4.8%) morbidly obese (≥ 40 kg/m2). After adjusting for covariates including age, injury severity score, chronic obstructive pulmonary disease, smoking, and rib/lung injury, the likelihood of PPCs increased with increasing BMI: overweight (OR = 1.37, CI 1.07-1.74, p = 0.012), obese (OR = 1.44, CI 1.08-1.92, p = 0.014), severely obese (OR = 2.20, CI 1.55-3.14, p < 0.001), morbidly obese (OR = 2.42, CI 1.67-3.51, p < 0.001), compared to those with normal BMI. In addition, the adjusted likelihood of mortality increased for the morbidly obese (OR = 2.60, CI 1.78-3.80, p < 0.001) compared to those with normal BMI. CONCLUSION: Obese trauma patients undergoing emergent trauma laparotomy have a high likelihood for both PPCs and mortality, with morbidly obese trauma patients having the highest likelihood for both. This suggests obesity should be accounted for in risk prediction models of trauma patients undergoing laparotomy.

Sustainable Strategies to Prevent Iron Deficiency, Improve Yield and Berry Composition in Blueberry (Vaccinium spp.).

The aim of this investigation was to study the effect of sustainable strategies to correct iron deficiency in blueberries, based on Fe-heme applications or intercropping with graminaceous species, on yield, and berry quality variables. The experiment was conducted in a blueberry orchard established in a sub-alkaline soil. The association with grasses increased the crop load and yield (only Festuca rubra), and decreased the skin/flesh ratio. In addition, these treatments increased anthocyanins as well as some hydroxybenzoic acids, hydroxycinnamic acids, flavanols, and flavonol concentrations in skins with a similar effectiveness as Fe-EDDHA, whereas the Fe-heme applications did not influence such parameters. Moreover, data revealed that the association with both grasses decreased the firmness of the berries, whereas none of the treatments assessed changed the soluble solids, pH, acidity, and the soluble solids/acidity rate compared to the control. These results suggest that Fe nutrition is crucial for yield and berry quality in blueberry, and that intercropping with grasses may be an effective and sustainable alternative to counteract Fe deficiency in blueberry, with a similar effect on berries to that achieved with Fe-EDDHA.

[Risk factors associated to neonatal cross-infection]. / Factores de riesgo asociados a sepsis neonatal nosocomial.

BACKGROUND: Late-onset sepsis (occurring after 3 days of age) either cross-infection (CI) or perinatal is the first cause of morbidity and mortality in neonatal intensive care units (NICU) around the world. Our objective was to determine the current incidence of CI risk factors in neonates admitted to the NICU of the Hospital Civil de Guadalajara during a 9-month period. METHODS: A case-control study with 114 newborns; 38 with CI and 76 controls. Odds ratio with 95 % confidence interval were calculated. RESULTS: Associated risk factors were total parenteral nutrition (OR = 16.54, CI = 6.30-43.39, p < 0.001); weight < 1000 g (OR = 7.33, CI = 2.15-25.01, p < 0.001); intravascular catheter (OR = 6.79, CI = 2.68-17.00, p < 0.001); gestational age < 30 weeks (OR = 4.54, CI = 1.61-12.81, p < 0.003); intratracheal intubation and mechanical ventilation with (OR = 6.98, CI = 2.94-16.5, p < 0.001). CONCLUSIONS: Total parenteral nutrition and weight < 1000 g showed the greatest association with cross-infection; in this study, male gender was not a risk factor.

Cryptosporidiosis and other intestinal protozoan infections in children less than one year of age in Mexico City.

Parasitic diseases are very important in Mexico because of their economic impact and adverse effects on normal growth in children. Cryptosporidiosis has been associated with acute diarrhea in immune competent and incompetent human hosts, fecal contamination of drinking water sources, and handling of animals. Due to the lack of reports on cryptosporidiosis in Mexico, we conducted a parasitologic study in children with diarrhea and other clinical symptoms. The main objectives were 1) to determine the prevalence of cryptosporidiosis in children less than one year of age in Mexico City, and 2) to correlate Cryptosporidium infection with gastrointestinal symptoms. Two hundred fecal samples from children seen at the Gabriel Mancera Familiar Medicine Unit of the Instituto Mexicano del Seguro Social were studied. Children were divided into two groups. Group A was composed of sick children with 6-8 watery diarrheic episodes every 24 hours attended at the emergency service. Group B was composed of healthy babies getting routine check ups. Only children in group A were found to be infected with intestinal protozoa (50% with Giardia lamblia, 41% with Cryptosporidium spp., and 4% with Entamoeba histolytica). The results suggested a high incidence of Cyrptosporidium infections in children in Mexico City, which make these observations useful for future studies.

O planejamento qualitativo do ensino médico na graduaçäo : proposta metodológica para a definiçäo do perfil profissional do médico geral / Qualitative planning of graduate medical education : methodological proposal for defining the professional profile of the general physician

Analisa as transformaçöes do ensino médico no México que acompanham o auge e a crise do modelo de atençäo hospitalar especializado. Salientam-se os desequilíbrios quantitativos e os atrasos qualitativos que afetam esta atividade nas décadas de 70 e 80, como resultado de seu desenvolvimento improvisado. Observa que, neste período, o ensino de graduaçäo assume apenas um caráter propedêutico e passa a formar somente médicos indiferenciados ou pré-especialistas. Entende que para superar a crise que afeta o modelo hospitalar especializado foi adotado um novo modelo de atençäo à saúde. Apresenta as razöes que exigem a recuperaçäo do caráter profissionalizante do ensino médico na graduaçäo, mas com uma orientaçäo muito específica: a de formar um médico geral, considerando-se a medicina geral como uma especialidade clínica própria dos serviços de baixa densidade tecnológica. Indicam-se as dificuldades para definir as características deste tipo de médico. Propöem-se conceitos básicos que väo permitir o perfil profissional deste tipo de médico de acordo com as exigências de saúde de cada país.(AU)

Evaluación comparativa de dos planes de estudio de la carrera de médico cirujanjo: un enfoque teórico-conceptual / Comparative evoluation of 2 plans of study for the medical doctor and surgeon degree program: a theoretical and conceptual approach

Los autores relatan una experiencia específica en la carrera de médico cirujano de la Escuela Nacional de Estudios Profesionales Zaragoza de la Universidad Nacional Autónoma de México (ENEP-Zaragoza), que tuvo lugar a propósito de la concurrencia, en determinado momento, de dos planes de estudio simultáneos: uno, el tradicional, iniciado varios años atrás, y otro de tipo modular de reciente implantación. El análisis objeto de este artículo se llevó a cabo utilizando el método de Autoevaluación prospectiva originado por el Programa de Desarrollo de Recursos Humanos de la Organización Panamericana de la Salud en 1986. Los resultados indicaron que el plan de estudios modular aproxima la educación médica al patrón ideal del médico que requieren los servicios de salud de México, en una forma más consistente y concluyente que el plan tradicional a base de asignaturas. De los 41 indicadores utilizados, el plan modular obtuvo calificación superior en un 65,9%. La ENEP-Zaragoza está realizando otras dos investigaciones complementarias con el propósito de validar las previsiones que derivan del método de Autoevaluación, cuyos resultados serán publicados en próximos números de esta revista