Adverse Childhood Experiences in Mexico: Prevalence and Association with Sociodemographic Variables and Health Status.

Background: Adverse Childhood Experiences (ACEs) refer to a semantic field of negative childhood events that, in conjunction with insufficient personal, family, or contextual coping resources, have the potential of becoming traumatic. Objective: To assess the prevalence of Adverse Childhood Experiences (ACEs) and their association with sociodemographic variables and physical and mental illnesses in a Mexican sample. Design: A cross-sectional design was used. The sample included 917 Mexican adults who responded to the Adverse Childhood Experiences International Questionnaire (ACE-IQ). Most of the participants were female (79.3%) with an average age of 37 years, a monthly income between 500 and 2,500 USD (59.2%), had completed university education (45.6%) and were married or in a common-law marriage (53.1%). Data was collected through Google Forms, and the link to the form was shared through electronic social networks. Results: A total of 48.3% of the participants presented seven to nine types of ACEs. Among their responses, the most prevalent categories were emotional neglect (95.1%), family violence (83.3%), and emotional abuse (78.6%). A significant association was found between the number of ACEs and the mental illness diagnosis (x2(20) = 15.16; p<001). Women were found to report more experiences of sexual abuse (z = -6.62, p<. 001), whereas men reported more experiences of community violence (z= -4.27, p < .001) and collective violence (z = -3.94, p<.001). Conclusions: The prevalence of ACEs in the Mexican population is high. However, men and women reported differences in certain types of ACEs. It was found that people with a diagnosis and family history of mental illnesses presented a higher number of ACE categories.

Trophic ecology of juvenile bull sharks (Carcharhinus leucas) in the Coyote estuary, Costa Rica.

Bull shark (Carcharhinus leucas) is a near-threatened elasmobranch species capable of moving between the fresh and salty waters of tropical and subtropical coastal areas, for which we still lack important ecological information. During their first years of life, bull sharks use estuarine systems as nursery areas, making them highly susceptible to environmental and anthropogenic pressures. We studied the trophic ecology of juveniles found in the Coyote estuary, a potential nursery area in Costa Rica, to understand the potential impact of further bull shark declines and gain knowledge that could aid in their conservation. We analysed the trophic ecology of juvenile bull sharks [81-103 cm total length (TL)] in the Coyote estuary, Costa Rica, using stable isotopes of δ15 N and δ13 C. Since one problem using this technique in juveniles is the confounding effect of the maternal signature, we sampled different tissues (muscle and plasma), verified the status of the shark's umbilical scar and identified the size at which the isotope signature is a result of the animal's current diet. The isotopic values of the muscle tissue reflected the maternal isotopic signature. In contrast, plasma values reflected the diet of juvenile bull sharks >95 cm TL and with a closed umbilical scar. Juvenile bull sharks fed primarily on teleost fishes of the order Anguilliformes and Siluriformes, and have a high trophic position (≥4.0) in the Coyote estuary. Our findings suggest that this estuary is an important feeding site for juvenile bull sharks of the Pacific of Costa Rica. Thus, the protection of essential habitats such as the Coyote estuary will benefit not only bull shark conservation, but also the conservation of an array of fish species that also use this habitat as a rookery, many of which are of commercial interest.

A priority nursery area for the conservation of the scalloped hammerhead shark Sphyrna lewini in Mexico.

This study describes the genetic diversity and level of genetic differentiation of the scalloped hammerhead shark Sphyrna lewini from eight putative nursery areas in the Mexican Pacific Ocean, using the mtDNA control region. Genetic analyses revealed a particular spatial divergence between La Reforma and all the remaining sites, with five exclusive haplotypes and the highest genetic diversity. This pattern may be interpreted as the signature of regional female philopatry, relatively to a particular female-mediated gene flow for La Reforma, which shows a strong subdivision in the Gulf of California.

Heavy metal concentrations in the Pacific sharpnose shark Rhizoprionodon longurio from the Santa Rosalia mining zone, Baja California Sur, Mexico.

Rhizoprionodon longurio is an important commercial species captured in an area with heavy metal presence due to the mining waste from Santa Rosalia, Gulf of California, and levels of heavy metals in its muscle remain unknown. This study aimed to investigate whether contamination levels are below the limits allowed for human consumption and to prevent health damage. Concentrations of essential (Cu, Fe, Mn, and Zn) and non-essential (Ag, Cd, and Pb) trace elements were determined in fifty-seven muscle samples of R. longurio. The average concentrations of Fe > Zn > Cu > Mn > Cd > Ag did not exceed the permissible limits for human consumption established by the Mexican norm, WHO, and FAO. The mineral daily ingestion was 0.10 to 0.53 % × 100 g of muscle, and the percentage of weekly consumption was 2.5 % to <12 % concerning corporal weight. The meat from this shark can be consumed due to its low toxic potential for human health.

How to stay together? Habitat use by three sympatric sharks in the western coast of Baja California Sur, Mexico.

Sharks are top predators and play an important role in the regulation of marine ecosystems at lower trophic position. Mustelus californicus, Sphyrna zygaena, and Isurus oxyrinchus prove to be important fishery resources along the western coast of Baja California Sur and cohabit the same coastal areas, probably sharing resources. However, our knowledge about ecological dynamics of multiple species coexisting and sharing similar habitat resources is still limited, particularly for predators such as sharks. Therefore, this study focuses on the analysis of trophic ecology of the sharks species, using carbon (13C) and nitrogen (15N) stable isotope values in muscle tissues coupled with trace element concentration (Hg, Se, and Cd) in muscle and hepatic tissues of sharks. The values of δ13C (M. californicus -17.3 ± 1.1‰, S. zygaena -17.9 ± 0.5‰, and I. oxyrinchus -18.3 ± 0.3‰) and δ15N (M. californicus 18.2 ± 1.1‰, S. zygaena 18.4 ± 0.9‰, and I. oxyrinchus 17.8 ± 1.1‰) indicated that these species feed in the Gulf of Ulloa all throughout the year, and for extended periods with similar habitat use and trophic niche. The above-mentioned statement is also a conclusion supported by the significant correlation between isotopic and trace element concentrations in the muscular tissues in all studied species. Thus, the results of the present study emphasize the habitat and niche characteristics of three sympatric sharks off the coast of Baja California Sur, Mexico.

Clinical Hypnosis For Pain Reduction In Breast Cancer Mastectomy: A Randomized Clinical Trial.

Surgical procedures for breast cancer treatment are commonly followed by pain. Clinical hypnosis has been shown to be effective in reducing pain during and after surgery, but most of the studies have used analogical scales, which only measure pain intensity. The aim of this study was to evaluate the effect of clinical hypnosis on pain intensity and its interference in daily activities in patients before and after mastectomy. The patients were evaluated using the Brief Pain Inventory. Forty patients were randomly assigned to an experimental or control group and evaluated 5 times: 1) baseline, 2) after clinical hypnosis session, 3) before surgery, 4) 1 day after surgery, and 5) 1 week after the surgery (follow-up). The results showed that after surgery the hypnosis group had a statistically significant reduction in pain intensity, less interference of pain with daily activities, sleep and life enjoyment compared with a control group. Clinical hypnosis may be recommended as a complementary treatment procedure for postmastectomy pain reduction and improving the quality of life of these patients.

Mercury and selenium concentrations in different tissues of brown smooth-hound shark (Mustelus henlei) from the western coast of Baja California Sur, Mexico.

A study on mercury (Hg) and selenium (Se) concentrations in the liver and muscle of brown smooth-hound shark Mustelus henlei and its principal prey items, was conducted in the western coast of Baja California Sur, Mexico. Average Hg concentrations were found to be high in the muscle than in the liver; however, Hg concentrations were below the maximum permissible limits, and hence, the consumption of this species does not constitute a risk to human health. The mean Se concentrations were higher in the liver than in the muscle. The results of Hg: Se molar ratio revealed that Se counteracts the toxicity of Hg in hepatic tissues, whereas the contrary occurs in the muscle. Significant differences in Hg and Se accumulation were observed between females and males. Biomagnification factor values >1 demonstrate a biomagnification process from its principal prey species (i.e., red crab, Pleuroncodes planipes and Pacific mackerel, Scomber japonicus).

Bioaccumulation and trophic transfer of Cd in commercially sought brown smoothhound Mustelus henlei in the western coast of Baja California Sur, Mexico.

A study on cadmium concentration in Mustelus henlei (liver and muscle) was carried out in an area influenced by natural phosphorite deposits and coastal upwelling. Our results indicate that liver (0.96 µg/g) concentrations were higher compared to the muscle (0.040 µg/g) suggesting it is on the safer level for human consumption. The male/female ratio indicates higher values (based on liver & muscle) in males (0.899 µg/g), which contributes to these differences in concentration. Higher values in the liver (0.96 µg/g) is due to the influence of phosphorite deposits in the region as well as the high metabolic activity. The other important factor responsible for these high Cd values are the prey, which also poses high values and is well supported by the biomagnification (1.08 & 4.57) of this element. The study also benefited in evaluating the environmental conditions for this particular species and elemental concentration in relation to human health.

Enfermedad diverticular del colon / Diverticular disease of the colon

México ha sido considerado uno de los países con menor frecuencia de enfermedad ventricular del colon, lo que actualmente no parece real por ser la diverticulosis la lesión más aparentemente observada en los estudios radiológicos del colon. Se investigó en forma intencionada a 796 pacientes a los cuales se les había solicitado enema de bario, encontrando 96 casos de enfermedad diverticular, con una frecuencia de 16.9 por ciento en personas con edad superio a los 40 años, quienes en su mayoría consumían una dieta deficiente en fibra (88) y presentaban obesidad (40). Las complicaciones encontradas fueron hemorragia en 18.7 por ciento y diverticulitis aguda en 6.2 por ciento. Se analizó la etiopatogenia y discutió la utilidad de los exámenes de gabinete en el diagnóstico. Se concluye que esta enfermedad fue la lesión orgánica que más frecuentemente observamos en los enema de bario, probablemente debido a que los hábitos dietéticos están cambiando hacia una dieta pobre en fibra favorecedora de esta entidad; la diverticulitis aguda fue escasa en este estudio y la diverticulosis representó una causa frecuente de hemorragia profusa de tubo digestivo bajo

Colitis colagenosa: revisión clinicopatológica y presentación de un caso / Collagenous colitis. A clinical-pathologic review and presentation of a case

Se presenta el caso de una paciente del sexo femenino de 52 años de edad, con un cuadro diarreico de ocho meses de evolución y una pérdida de 10 kg de peso, con estudios radiológicos y endoscopidos del recto y del sigmoides sin alteraciones aparentes. La biopsia del recto mostró cambios imflamatorios correspondientes a una colitis colagenosa. La paciente fue tratada con 3 g diarios de sulfasalazina durante ocho semanas, obteniéndose una remisión total de la sintomatología. Se hace una revisión del tema y se enfatiza el diagnóstico diferencial clínico e histológico