The burden of musculoskeletal disorders in Mexico at national and state level, 1990-2016: estimates from the global burden of disease study 2016.

Worldwide, musculoskeletal (MSK) disorders are the second cause of living with disability. According to our data, in Mexico, MSK conditions are an important cause of disability, at national and state level. Preventive actions promoted by health systems to reduce the burden of MSK disorders are essential. INTRODUCTION: We describe premature mortality and disability due to musculoskeletal (MSK) disorders in Mexico at national and state level from 1990 to 2016. METHODS: Using data from the global burden of disease study 2016 (GBD 2016), we present rates and trends in years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs) caused by MSK disorders in Mexico by state from 1990 to 2016. The burden of MSK disorders was computed using standard GBD methodology. To compare the burden of MSK disorders across the country, states were grouped by sociodemographic index (SDI). RESULTS: In Mexico, MSK disorders were the 3rd and 17th greatest cause of YLDs and YLLs in 2016, respectively, accounting for 1.95 million (95% UI 1.4-2.5) DALYs. Among all MSK disorders, low back and neck pain had the highest all-ages DALYs rate and represented 3.6% of total DALYs. All-ages YLLs and YLDs rates of MSK disorders were 234 and 37% higher in females (YLLs 102.2, 95% UI 79.9-110.7; YLDs 1677.9, 95% UI 1213.5-2209.4) than in males (YLLs 30.6, 95% UI 28.3-34.0; YLDs 1224.7, 95% UI 887.2-1608.3), respectively. Northern and high SDI states had higher rates of MSK disorders in comparison with southern and low SDI states. Only 16% of YLDs caused by all MSK disorders could be attributed to risk factors currently assessed in GBD. CONCLUSION: MSK conditions are an important cause of premature mortality and disability. Researcher engagement and cross-sectorial actions to address the burden of MSK disorders are essential.

Determination of cadmium by flow injection-chemical vapor generation-atomic absorption spectrometry.

A method was developed for the generation of a "cold vapor" of cadmium by means of flow injection-chemical vapor generation from aqueous samples, the determination being conducted with an atomic absorption spectrometer (Pyrex glass T-cell). Several gas-liquid separator designs, atomizer designs, and the effect of several reagents previously reported as sensitivity enhancers (including cobalt, nickel, thiourea and didodecyl-dimethylammonium bromide) were investigated. The limit of detection, calculated as the concentration giving a signal equal to three times the standard deviation of the blank, was 16 ng L(-1), and the relative standard deviation was 1.4% for a concentration of 2 microg L(-1) and 3.8% for 0.1 microg L(-1). The addition of nickel and thiourea to the samples provided improved tolerance to the interference of coexisting ions. Two NIST certified reference materials, Montana Soil and Apple Leaves (respectively containing 41.7+/-0.25 mg kg(-1) Cd and 0.013+/-0.002 mg kg(-1) Cd) were accurately analyzed. The interference of lead was overcome by coprecipitation with barium sulfate, and the experimental values obtained were 41+/-1 mg kg(-1) Cd and 0.013+/-0.002 mg kg(-1) Cd, respectively.