Dating Violence, Lifestyle and Risk of Type 2 Diabetes in Mexican Women University Students.

BACKGROUND: Dating violence is a prevalent issue among Mexican women, as is the incidence and prevalence of Type 2 diabetes mellitus (T2DM). The effects of dating violence can negatively impact lifestyle and, consequently, increase the risk of T2DM. OBJECTIVE: This study aimed to explore the influence of dating violence on lifestyle and the risk of T2DM in women university students from Mexico. METHODS: The study employed a cross-sectional and correlational design. The study population consisted of women university students. The sample size included 255 participants. Women aged 18 to 39 with current dating relationships and residency in Mexicali, Baja California, Mexico, were included. Data collection was conducted from February to May 2023. Correlations and multiple linear regression models were conducted. RESULTS: A total of 255 women participated, with an average age of 21.6 years (SD = 3.2), and 32.2% had a history of intrafamily violence during childhood. 58.8% of the participants exhibited some level of risk of T2DM, and 56.7% of the lifestyle was mostly categorized as poor/fair. Detachment was the most prevalent type of dating violence, followed by coercion. Dating violence was correlated with lifestyle (r = -.430) and the risk of T2DM (r = .321). In the multiple linear regression model, dating violence influenced the risk of T2DM. CONCLUSIONS: Women who reported higher levels of dating violence have a less healthy lifestyle and a greater risk of T2DM. It is important to consider dating violence to improve lifestyle and prevent T2DM in Mexican women university students.

Genetic diversity of G9, G3, G8 and G1 rotavirus group A strains circulating among children with acute gastroenteritis in Vietnam from 2016 to 2021.

Rotavirus group A (RVA) is the most common cause of severe childhood diarrhea worldwide. The introduction of rotavirus vaccination programs has contributed to a reduction in hospitalizations and mortality caused by RVA. From 2016 to 2021, we conducted surveillance to monitor RVA prevalence and genotype distribution in Nam Dinh and Thua Thien Hue (TT Hue) provinces where a pilot Rotavin-M1 vaccine (Vietnam) implementation took place from 2017 to 2020. Out of 6626 stool samples, RVA was detected in 2164 (32.6%) by ELISA. RT-PCR using type-specific primers were used to determine the G and P genotypes of RVA-positive specimens. Whole genome sequences of a subset of 52 specimens randomly selected from 2016 to 2021 were mapped using next-generation sequencing. From 2016 to 2021, the G9, G3 and G8 strains dominated, with detected frequencies of 39%, 23%, and 19%, respectively; of which, the most common genotypes identified were G9P[8], G3P[8] and G8P[8]. G1 strains re-emerged in Nam Dinh and TT Hue (29.5% and 11.9%, respectively) from 2020 to 2021. G3 prevalence decreased from 74% to 20% in TT Hue and from 21% to 13% in Nam Dinh province between 2017 and 2021. The G3 strains consisted of 52% human typical G3 (hG3) and 47% equine-like G3 (eG3). Full genome analysis showed substantial diversity among the circulating G3 strains with different backgrounds relating to equine and feline viruses. G9 prevalence decreased sharply from 2016 to 2021 in both provinces. G8 strains peaked during 2019-2020 in Nam Dinh and TT Hue provinces (68% and 46%, respectively). Most G8 and G9 strains had no genetic differences over the surveillance period with very high nucleotide similarities of 99.2-99.9% and 99.1-99.7%, respectively. The G1 strains were not derived from the RVA vaccine. Changes in the genotype distribution and substantial diversity among circulating strains were detected throughout the surveillance period and differed between the two provinces. Determining vaccine effectiveness against circulating strains over time will be important to ensure that observed changes are due to natural secular variation and not from vaccine pressure.

Coding-complete genome sequences of rotavirus A reference strains EDIM, Ph158, and CC425.

This study reports the coding-complete genome sequences of three rotavirus A (RVA) reference strains previously adapted in tissue culture: RVA/Mouse-tc/USA/EDIM/XXXX/G16P[16] with a G16-P[16]-I7-R7-C7-M8-A7-N7-T10-E7-H9 genotype constellation, RVA/Human-tc/USA/Ph158/1998/G9P[6] with a G9-P[6]-I2-R2-C2-M2-A2-N2-T2-E2-H2 genotype constellation, and RVA/Human-tc/USA/CC425/1998/G3P[9] with a G3-P[9]-I2-R2-C2-M2-A3-N2-T1-E2-H3 genotype constellation.

Coding-Complete Genome Sequences of G6P[14] Rotavirus Strain Detected in a Human Stool Specimen within the United States.

In this study, we report the detection of a G6P[14] rotavirus strain from a human stool sample within the United States. The full genotype constellation of the G6P[14] strain was identified as G6-P[14]-I2-R2-C2-M2-A11-N2-T6-E2-H3.

Genotypic investigation of a rotavirus cluster at a quaternary-care pediatric hospital.

Rotavirus (RV) was a common healthcare-associated infection prior to the introduction of the RV vaccine. Following widespread RV vaccination, healthcare-associated rotavirus cases are rare. We describe an investigation of a cluster of rotavirus infections in a pediatric hospital in which an uncommon genotype not typically circulating in the United States was detected.

Performance of Holstein-Friesian calves drinking desalinated water in the preweaning period

Background: High salinity of drinking water can adversely affect health and productive performance of calves during artificial rearing. Objective: To evaluate the effect of drinking water total dissolved salts (TDS) content on productive performance of Holstein-Friesian calves during artificial rearing. Methods: Twenty-nine newborn Holstein-Friesian calves weighing 39±0.94 kg at birth were randomly assigned to two treatment groups for 56 d. Treatment 1 (n=14) consisted of drinking water with 1,469±75 mg L-1 TDS, while treatment 2 (n=15) used drinking water from the same source but filtered by reverse osmosis to contain 107±31 mg L-1 TDS. Results: Water intake was numerically affected by TDS concentration, increasing 13% (p>0.08) when drinking low-TDS water (3,554 versus 3,088 ml d-1). Feed intake (dry basis) decreased 26% (500 versus 676 g d-1; p0.05) by TDS content in the drinking water. Conclusion: Desalinated water improves productive performance of Holstein-Friesian calves during artificial rearing.

Antecedentes: Una alta salinidad del agua de bebida puede afectar negativamente la salud y el comportamiento productivo de los terneros durante la crianza. Objetivo: Evaluar el efecto del contenido de sales disueltas totales (SDT) en el agua de bebida sobre el comportamiento productivo de los terneros durante la crianza artificial. Métodos: Veintinueve terneros Holstein- Friesian recién nacidos, con 39±0,94 kg de peso vivo fueron asignados aleatoriamente a dos tratamientos. El tratamiento 1 consistió de 14 terneros que bebieron agua con 1.469±75 mg L-1 de SDT; mientras que al tratamiento 2 se asignaron 15 terneros que recibieron agua de la misma fuente, pero filtrada mediante el procedimiento de ósmosis inversa y conteniendo 107±31 mg L-1 de SDT. Resultados: La concentración de SDT afectó numéricamente el consumo de agua durante los 56 días de lactancia (p>0,08), incrementándose 13% cuando los terneros bebieron agua con bajo contenido de sales (3.554 vs 3.088 ml d-1). El consumo de alimento (base seca) disminuyó 26% (500 vs 676 g d-1; p0,05). Conclusión: El agua de bebida desalinizada mejora el comportamiento productivo de terneros Holstein durante la crianza artificial.

Antecedentes: Alta salinidade da água potável pode afetar adversamente a saúde e o desempenho produtivo de bezerros durante o acasalamento. Objetivo: Avaliar o efeito do total de sais dissolvidos (TSD) na água potável sobre o comportamento dos bezerros durante a lactação. Métodos: Vinte e nove terneiros Holstein-Friesian recém-nascidos, com 39±0,94 kg de peso vivo, foram designados aleatoriamente a dois tratamentos. O tratamento 1 considerou 14 terneiros os quais beberam água com 1.469±75 mg L-1 do total de sais dissolvidos (TSD); enquanto ao tratamento 2 se designaram 15 terneiros bebendo água da mesma fonte filtrada através do procedimento de osmose inversa e contendo 107±31 mg L-1 de TSD. Resultados: O consumo de água de bezerros durante os 56 dias de lactação artificial foi ligeiramente afetado pela concentração de TDS na água potável (p>0,08) e aumentou em 13% quando os bezerros beberam água com baixo teor de sal (3.554 vs 3.088 ml d-1); o consumo de alimento sólido (base seca) diminuiu em 26% (500 vs 676 g d-1; p0,05) pelo conteúdo de TSD na água de beber. Conclusão: A dessalinização da água de beber melhora o comportamento produtivo de terneiros Holstein durante o período de lactação artificial..

Rotavirus Strain Trends in United States, 2009-2016: Results from the National Rotavirus Strain Surveillance System (NRSSS).

Before the introduction of vaccines, group A rotaviruses (RVA) were the leading cause of acute gastroenteritis in children worldwide. The National Rotavirus Strain Surveillance System (NRSSS) was established in 1996 by the Centers for Disease Control and Prevention (CDC) to perform passive RVA surveillance in the USA. We report the distribution of RVA genotypes collected through NRSSS during the 2009-2016 RVA seasons and retrospectively examine the genotypes detected through the NRSSS since 1996. During the 2009-2016 RVA seasons, 2134 RVA-positive fecal specimens were sent to the CDC for analysis of the VP7 and VP4 genes by RT-PCR genotyping assays and sequencing. During 2009-2011, RVA genotype G3P[8] dominated, while G12P[8] was the dominant genotype during 2012-2016. Vaccine strains were detected in 1.7% of specimens and uncommon/unusual strains, including equine-like G3P[8] strains, were found in 1.9%. Phylogenetic analyses showed limited VP7 and VP4 sequence variation within the common genotypes with 1-3 alleles/lineages identified per genotype. A review of 20 years of NRSSS surveillance showed two changes in genotype dominance, from G1P[8] to G3P[8] and then G3P[8] to G12P[8]. A better understanding of the long-term effects of vaccine use on epidemiological and evolutionary dynamics of circulating RVA strains requires continued surveillance.

Whole genome analysis of rotavirus strains circulating in Benin before vaccine introduction, 2016-2018.

Species A rotaviruses (RVA) still play a major role in causing acute diarrhea in children under five years old worldwide. Currently, an 11-gene classification system is used to designate the full genotypic constellations of circulating strains. Viral proteins and non-structural proteins in the order VP7-VP4-VP6-VP1-VP2-VP3-NSP1-NSP2-NSP3-NSP4-NSP5/6 are represented by the genotypes Gx-P[x]-Ix-Rx-Cx-Mx-Ax-Nx-Tx-Ex-Hx, respectively. In Benin, ROTAVAC® vaccine was introduced into the Expanded Programme on Immunization in December 2019. To monitor circulating RVA strains for changes that may affect vaccine performance, in-depth analysis of strains prior to vaccine introduction are needed. Here we report, the whole-gene characterization (11 ORFs) for 72 randomly selected RVA strains of common and unusual genotypes collected in Benin from the 2016 to 2018 seasons. The sequenced strains were 15 G1P[8], 20 G2P[4], 5 G9P[8], 14 G12P[8], 9 G3P[6], 2 G1P[6], 3 G2P[6], 2 G9P[4], 1 G12P[6], and 1 G1G9P[8]/P[4]. The study strains exhibited two genetic constellations designed as Wa-like G1/G9/G12-P[6]/P[8]-I1-R1-C1-M1-A1-N1-T1-E1-H1 and DS-1-like G2/G3/G12-P[4]/P[6]-I2-R2-C2-M2-A2-N2-T2-E2-H2. Genotype G9P[4] strains possessed a DS-1-like genetic constellation with an E6 NSP4 gene, G9-P[4]-I2-R2-C2-M2-A2-N2-T2-E6-H2. The mixed genotype showed both Wa-like and DS-1-like profiles with a T6 NSP3 gene G1/G9P[8]/[4]-I1/I2-R1/R2-C1/C2-M1/M2-A1/A2-N1/N2-T1/T6-E1/E6-H1/H2. At the allelic level, the analysis of the Benin strains, reference strains (with known alleles), vaccine strains (with known alleles) identified 2-13 and 1-17 alleles for DS-1-like and Wa-like strains, respectively. Most of the study strains clustered into previously defined alleles, but we defined 3 new alleles for the VP7 (G3 = 1 new allele and G12 = 2 new alleles) and VP4 (P[4] = 1 new allele and P[6] = 2 new alleles) genes which formed the basis of the VP7 and VP4 gene clusters, respectively. For the remaining 9 genes, 0-6 new alleles were identified for both Wa-like and DS-1-like strains. This analysis of whole genome sequences of RVA strains circulating in Benin described genetic point mutations and reassortment events as well as novel alleles. Further detailed studies on these new alleles are needed and these data can also provide a baseline for studies on RVA in the post-vaccination period.

Whole gene analysis of a genotype G29P[6] human rotavirus strain identified in Central African Republic.

OBJECTIVE: Rotavirus A (RVA) remains the main causative agent of gastroenteritis in young children and the young of many mammalian and avian species. In this study we describe a RVA strain detected from a 6-month-old child from Central African Republic (CAR). RESULTS: We report the 11 open reading frame sequences of a G29-P[6]-I2-R2-C2-M2-A2-N2-T2-E2-H2 rotavirus strain, RVA/Human-wt/CAR/CAR91/2014/G29P[6]. Nine genes (VP1-VP3, VP6, NSP1-NSP5) shared 90-100% sequence similarities with genogroup 2 rotaviruses. Phylogenetically, backbone genes, except for VP3 and NSP4 genes, were linked with cognate gene sequences of human DS-1-like genogroup 2, hence their genetic origin. The VP3 and NSP4 genes, clustered genetically with both human and animal strains, an indication genetic reassortment human and animal RVA strains has taken place. The VP7 gene shared nucleotide (93-94%) and amino acid (95.5-96.7%) identities with Kenyan and Belgian human G29 strains, as well as to buffalo G29 strain from South Africa, while the VP4 gene most closely resembled P[6]-lineage I strains from Africa and Bangladesh (97%).

Stool metabolome-microbiota evaluation among children and adolescents with obesity, overweight, and normal-weight using 1H NMR and 16S rRNA gene profiling.

Characterization of metabolites and microbiota composition from human stool provides powerful insight into the molecular phenotypic difference between subjects with normal weight and those with overweight/obesity. The aim of this study was to identify potential metabolic and bacterial signatures from stool that distinguish the overweight/obesity state in children/adolescents. Using 1H NMR spectral analysis and 16S rRNA gene profiling, the fecal metabolic profile and bacterial composition from 52 children aged 7 to 16 was evaluated. The children were classified into three groups (16 with normal-weight, 17 with overweight, 19 with obesity). The metabolomic analysis identified four metabolites that were significantly different (p < 0.05) among the study groups based on one-way ANOVA testing: arabinose, butyrate, galactose, and trimethylamine. Significantly different (p < 0.01) genus-level taxa based on edgeR differential abundance tests were genus Escherichia and Tyzzerella subgroup 3. No significant difference in alpha-diversity was detected among the three study groups, and no significant correlations were found between the significant taxa and metabolites. The findings support the hypothesis of increased energy harvest in obesity by human gut bacteria through the growing observation of increased fecal butyrate in children with overweight/obesity, as well as an increase of certain monosaccharides in the stool. Also supported is the increase of trimethylamine as an indicator of an unhealthy state.

Whole genome and in-silico analyses of G1P[8] rotavirus strains from pre- and post-vaccination periods in Rwanda.

Rwanda was the first low-income African country to introduce RotaTeq vaccine into its Expanded Programme on Immunization in May 2012. To gain insights into the overall genetic make-up and evolution of Rwandan G1P[8] strains pre- and post-vaccine introduction, rotavirus positive fecal samples collected between 2011 and 2016 from children under the age of 5 years as part of ongoing surveillance were genotyped with conventional RT-PCR based methods and whole genome sequenced using the Illumina MiSeq platform. From a pool of samples sequenced (n = 158), 36 were identified as G1P[8] strains (10 pre-vaccine and 26 post-vaccine), of which 35 exhibited a typical Wa-like genome constellation. However, one post vaccine strain, RVA/Human-wt/RWA/UFS-NGS:MRC-DPRU442/2012/G1P[8], exhibited a RotaTeq vaccine strain constellation of G1-P[8]-I2-R2-C2-M2-A3-N2-T6-E2-H3, with most of the gene segments having a close relationship with a vaccine derived reassortant strain, previously reported in USA in 2010 and Australia in 2012. The study strains segregated into two lineages, each containing a paraphyletic pre- and post-vaccine introduction sub-lineages. In addition, the study strains demonstrated close relationship amongst each other when compared with globally selected group A rotavirus (RVA) G1P[8] reference strains. For VP7 neutralization epitopes, amino acid substitutions observed at positions T91A/V, S195D and M217T in relation to the RotaTeq vaccine were radical in nature and resulted in a change in polarity from a polar to non-polar molecule, while for the VP4, amino acid differences at position D195G was radical in nature and resulted in a change in polarity from a polar to non-polar molecule. The polarity change at position T91A/V of the neutralizing antigens might play a role in generating vaccine-escape mutants, while substitutions at positions S195D and M217T may be due to natural fluctuation of the RVA. Surveillance of RVA at whole genome level will enhance further assessment of vaccine impact on circulating strains, the frequency of reassortment events under natural conditions and epidemiological fitness generated by such events.

Ameloplastia positiva en relación céntrica como método auxiliar durante la finalización en el tratamiento de ortodoncia en un paciente bruxista / Positive ameloplasty in centric relationship as an auxiliary method during finalization in the orthodontic treatment in a bruxist patient

A continuación se presenta un caso de un paciente de 12 años de edad, con antecedente de bruxismo, con biotipo mesofacial, tercio inferior dolicofacial, hipertonicidad muscular en maseteros, cierre labial forzado con incompetencia labial de 4 milímetros con dolor en sinoviales anteriores inferiores. Los objetivos de tratamiento consistieron en lograr relajación muscular y promover un posicionamiento condilar ortopédicamente funcional y estable, realizar control vertical para disminuir gap interlabial, alinear líneas medias, mantener clase I molar bilateral, clase I canina bilateral y clase I incisiva, crear overjet y overbite adecuados, con recuperación estética y función del segmento anterior. Debido a eventos adversos durante la etapa de cierre de espacios, la clase molar y canina I no se logró, pero se aseguró mediante ameloplastias positivas la función y estética adecuadas para tener un tratamiento de ortodoncia estable a largo plazo (AU)

The following is a case of a 12-year-old patient, with a history of bruxism, with a mesofacial biotype, lower third of the facial area, muscular hypertonicity in the masseters, a forced labial closure with a 4-millimeter labial incompetence with pain in inferior anterior synoviums. Treatment objectives consisted of achieving muscle relaxation and promoting orthopedically functional and stable condylar positioning, perform vertical control to decrease interlabial gap, align midlines, maintain bilateral molar class I, bilateral canine class I and incisive class I, create adequate overjet and overbite, with aesthetic recovery and function of the anterior segment. Due to adverse events during the closing phase of spaces, the molar and canine I class was not achieved, but positive function and aesthetics were ensured by positive ameloplasties in order to have a long-term stable orthodontic treatment (AU)

Determining the maximum length of logical rules in a classifier and visual comparison of results.

Supervised learning problems can be faced by using a wide variety of approaches supported in machine learning. In recent years there has been an increasing interest in using the evolutionary computation paradigm as the classifier search method, helping the technique of applied machine learning. In this context, the knowledge representation in form of logical rules has been one of the most accepted machine learning approaches, because of its level of expressiveness. This paper proposes an evolutionary framework for rule-based classifier induction and is based on the idea of sequential covering. We introduce genetic programming as the search method for classification-rules. From this approach, we have given results on subjects as maximum rule length, number of rules needed in a classifier and the rule intersection problem. The experiments developed on benchmark clinical data resulted in a methodology to follow in the learning method evaluation. Moreover, the results achieved compared to other methods have shown that our proposal can be very useful in data analysis and classification coming from the medical domain.•The method is based on genetic programming techniques to find rules holding each class in a dataset.•The method is approached to solve the problem of rule intersection from different classes.•The method states the maximum length of a rule to generalize.

Metabolism of cis- and trans-Resveratrol and Dihydroresveratrol in an Intestinal Epithelial Model.

Trans-resveratrol, a well-known plant phenolic compound, has been intensively investigated due to its association with the so-called French paradox. However, despite its high pharmacological potential, trans-resveratrol has shown relatively low bioavailability. Trans-resveratrol is intensively metabolized in the intestine and liver, yielding metabolites that may be responsible for its high bioactivity. The aim of this study was to investigate and compare the metabolism of trans-resveratrol (tRes), cis-resveratrol (cRes) and dihydroresveratrol (dhRes) in an in vitro epithelial model using Caco-2 cell lines. Obtained metabolites of tRes, cRes and dhRes were analyzed by LC/MS Q-TOF, and significant differences in the metabolism of each compound were observed. The majority of tRes was transported unchanged through the Caco-2 cells, while cRes was mostly metabolized. The main metabolite of both cis- and trans-resveratrol observed as a result of colon microbial metabolism, dhRes, was metabolized almost completely, with only traces of the unchanged molecule being found. A sulphate conjugate was identified as the main metabolite of tRes in our model, while a glucuronide conjugate was the major metabolite of cRes and dhRes. Since metabolism of simple phenolics and polyphenols plays a crucial role in their bioavailability, detailed knowledge of their transformation is of high scientific value.

Biotransformation of Silymarin Flavonolignans by Human Fecal Microbiota.

Flavonolignans occur typically in Silybum marianum (milk thistle) fruit extract, silymarin, which contains silybin, isosilybin, silychristin, silydianin, and their 2,3-dehydroderivatives, together with other minor flavonoids and a polymeric phenolic fraction. Biotransformation of individual silymarin components by human microbiota was studied ex vivo, using batch incubations inoculated by fecal slurry. Samples at selected time points were analyzed by ultrahigh-performance liquid chromatography equipped with mass spectrometry. The initial experiment using a concentration of 200 mg/L showed that flavonolignans are resistant to the metabolic action of intestinal microbiota. At the lower concentration of 10 mg/L, biotransformation of flavonolignans was much slower than that of taxifolin, which was completely degraded after 16 h. While silybin, isosilybin, and 2,3-dehydrosilybin underwent mostly demethylation, silychristin was predominantly reduced. Silydianin, 2,3-dehydrosilychristin and 2,3-dehydrosilydianin were reduced, as well, and decarbonylation and cysteine conjugation proceeded. No low-molecular-weight phenolic metabolites were detected for any of the compounds tested. Strong inter-individual differences in the biotransformation profile were observed among the four fecal-material donors. In conclusion, the flavonolignans, especially at higher (pharmacological) doses, are relatively resistant to biotransformation by gut microbiota, which, however, depends strongly on the individual structures of these isomeric compounds, but also on the stool donor.

Incertidumbre y calidad de vida en pacientes con hipertensión / Uncertainty and quality of life in patients with hypetension / Incerteza e qualidade de vida em pacientes com hipertensão

Objetivo: determinar la correlación entre el nivel de incertidumbre, la calidad de vida y la presión arterial en adultos con hipertensión de Santiago Pinotepa Nacional Oaxaca. Método: el diseño del estudio fue transversal y correlacional. La población de interés fueron pacientes hipertensos de 20 años de edad y más, con diagnóstico mínimo de 6 meses y que no presenten otras enfermedades crónicas. El muestreo fue no aleatorio por conveniencia. La recolección de datos se realizó por medio de visitas domiciliarias. Resultados: la muestra estuvo integrada por 119 pacientes, la edad promedio fue de 65.7 años (DE = 14.7). En la muestra predominó el sexo femenino, casado y analfabeta, el 73.9% reportó una incertidumbre baja, el 50.4% señaló tener una muy buena calidad de vida y el 52.9% presentó cifras de presión sistólica >140mmHg. La calidad de vida se correlacionó significativamente con la presión arterial. Conclusión: es necesario realizar detección de la incertidumbre en los pacientes para dirigir intervenciones individualizadas con la finalidad de generar un afrontamiento positivo, favorecer la calidad de vida y coadyuvar a mejorar el control de la presión arterial en esta población.

Objective: to determine the correlation between the uncertainty level, quality of life and blood pressure in adults with hypertension of Santiago Pinotepa Nacional, Oaxaca. Method: it was a cross-sectional and correlational study. The population of interest were hypertensive patients aged 20 years and over, with a minimum diagnosis of 6 months and no other chronic diseases. Sampling was not random sampling by convenience. Data gathering was made by home visits. Results: the sample consisted of 119 patients, the average age was 65.7 years old (SD = 14.7). Female, married and illiterate predominated in the sample, 73.9% reported low uncertainty, 50.4% reported very good quality of life and 52.9% had Systolic BP > 140mmHg. Quality of life is significantly correlated with blood pressure. Conclusion: it is necessary to make an identification of uncertainty on patients to manage personal interventions with the purpose of creating a positive confrontation, favor the quality of life and contribute improving the management of blood pressure among this population.

Objetivo: determinar a correlação entre o nível de incerteza, qualidade de vida e pressão arterial em adultos com hipertensão de Santiago Pinotepa Nacional Oaxaca. Método: o desenho do estudo foi transversal e correlacional. A população de interesse eram hipertensos com 20 anos ou mais, com diagnóstico mínimo de 6 meses e sem outras doenças crônicas. A amostragem foi não aleatória por conveniência. A coleta de dados foi realizada por meio de visitas domiciliares. Resultados: A amostra foi composta por 119 pacientes, a idade média foi de 65,7 anos (DP = 14,7). Na amostra predominou o sexo feminino, casado e analfabeto, 73,9% relataram baixa incerteza, 50,4% referiram qualidade de vida muito boa e 52,9% apresentaram valores de PA Sistólica >140mmHg. A qualidade de vida correlacionou-se significativamente com a pressão arterial. Conclusão: é necessário realizar a detecção de incertezas nos pacientes para direcionar intervenções individualizadas, a fim de gerar enfrentamento positivo, melhorar a qualidade de vida e melhorar o controle da pressão arterial nessa população.

Metabolism of Stilbenoids by Human Faecal Microbiota.

Stilbenoids are dietary phenolics with notable biological effects on humans. Epidemiological, clinical, and nutritional studies from recent years have confirmed the significant biological effects of stilbenoids, such as oxidative stress protection and the prevention of degenerative diseases, including cancer, cardiovascular diseases, and neurodegenerative diseases. Stilbenoids are intensively metabolically transformed by colon microbiota, and their corresponding metabolites might show different or stronger biological activity than their parent molecules. The aim of the present study was to determine the metabolism of six stilbenoids (resveratrol, oxyresveratrol, piceatannol, thunalbene, batatasin III, and pinostilbene), mediated by colon microbiota. Stilbenoids were fermented in an in vitro faecal fermentation system using fresh faeces from five different donors as an inoculum. The samples of metabolized stilbenoids were collected at 0, 2, 4, 8, 24, and 48 h. Significant differences in the microbial transformation among stilbene derivatives were observed by liquid chromatography mass spectrometry (LC/MS). Four stilbenoids (resveratrol, oxyresveratrol, piceatannol and thunalbene) were metabolically transformed by double bond reduction, dihydroxylation, and demethylation, while batatasin III and pinostilbene were stable under conditions simulating the colon environment. Strong inter-individual differences in speed, intensity, and pathways of metabolism were observed among the faecal samples obtained from the donors.

Effect of Selected Stilbenoids on Human Fecal Microbiota.

Dietary phenolics or polyphenols are mostly metabolized by the human gut microbiota. These metabolites appear to confer the beneficial health effects attributed to phenolics. Microbial composition affects the type of metabolites produced. Reciprocally, phenolics modulate microbial composition. Understanding this relationship could be used to positively impact health by phenolic supplementation and thus create favorable colonic conditions. This study explored the effect of six stilbenoids (batatasin III, oxyresveratrol, piceatannol, pinostilbene, resveratrol, thunalbene) on the gut microbiota composition. Stilbenoids were anaerobically fermented with fecal bacteria from four donors, samples were collected at 0 and 24 h, and effects on the microbiota were assessed by 16S rRNA gene sequencing. Statistical tests identified affected microbes at three taxonomic levels. Observed microbial composition modulation by stilbenoids included a decrease in the Firmicutes to Bacteroidetes ratio, a decrease in the relative abundance of strains from the genus Clostridium, and effects on the family Lachnospiraceae. A frequently observed effect was a further decrease of the relative abundance when compared to the control. An opposite effect to the control was observed for Faecalibacterium prausnitzii, whose relative abundance increased. Observed effects were more frequently attributed to resveratrol and piceatannol, followed by thunalbene and batatasin III.

Study of pharmaceuticals in surface and wastewater from Cuernavaca, Morelos, Mexico: Occurrence and environmental risk assessment.

The present work describes the first known study to date on the occurrence of pharmaceuticals in surface water and wastewater of Cuernavaca, the capital of the state of Morelos (México). Selected pharmaceuticals (a total of 35) were extracted from the collected water samples with a generic solid phase extraction (SPE) protocol and determined in the sample extracts by means of high-performance liquid chromatography coupled to electrospray ionization-tandem mass spectrometry (HPLC-ESI-MS/MS). A screening level risk assessment combining the measured environmental concentrations (MECs) with dose-response data based on predicted no-effect concentrations (PNECs) was also applied to estimate Hazard Quotients (HQs) for the pharmaceuticals detected in the investigated area. A total of twelve pharmaceuticals were found in the water samples analyzed, with detection frequencies above 78% and in most cases of 100%. Overall, the most abundant pharmaceuticals in surface water were the analgesic and anti-inflammatory drugs naproxen (732-4880ng/L), acetaminophen (354-4460ng/L), and diclofenac (258-1398ng/L), and the lipid regulator bezafibrate (286-2100ng/L). On the contrary, other compounds like the ß-blocker atenolol and the psychiatric drug carbamazepine were found at only a few ng or tens of ng per liter in the Apatlaco River. Despite the fact that some of the most abundant compounds showed good removal (>97%) during wastewater treatment, concentrations downstream the WWTP were only slightly lower than upstream. This indicates the existence of additional inputs of untreated wastewater into the river. Based on the obtained HQ-values, the concentrations of ibuprofen, sulfamethoxazole, diclofenac and naproxen present in the river could pose a high toxicity risk for the aquatic ecosystem. These findings highlight these pharmaceuticals as relevant organic contaminants in the area of study and the need to further monitor them in order to adopt appropriate measures to safeguard the ecosystem, and eventually human health.

Motivos para el consumo de alcohol en adolescentes de Chilpancingo Guerrero, México / Motives for alcohol consumption in Adolescents of Chilpancingo Guerrero, Mexico

El consumo de alcohol entre los adolescentes representa un problema de salud pública que conlleva a consecuencias adversas para la salud de la persona que lo consume, la familia y la sociedad. El objetivo del estudio fue determinar la relación de los motivos para el consumo de alcohol y el consumo de alcohol en adolescentes en 356 adolescentes del Estado de Guerrero, México a través de un estudio descriptivo correlacional. Se identificó que el 67.9% de los adolescentes han consumido alcohol alguna vez en la vida, 44.7% en el último año y el 22.7% en el último mes. La edad inicio del consumo de alcohol fue a los 14.4 años y los adolescentes consumen 2.6 bebidas alcohólicas en una sola ocasión. Se identificó que los principales motivos para el consumo de alcohol están relacionados con aspectos sociales ( = 8.7) y para el manejo de problemas emocionales ( = 7.6) del adolescente. Además los resultados muestran una relación positiva y significativa entre los motivos para el consumo de alcohol y la cantidad del bebidas alcohólicas consumidas en un día típico (r s = .184, p= .018). Estos hallazgos exponen la magnitud del consumo de alcohol en los adolescentes, así como las motivaciones para el consumo de alcohol, los cuales servirán de base para que los programas de atención a la salud a los adolescentes puedan reorientar sus acciones y poder influir en la modificación de las conductas de riesgo de los adolescentes

The use of alcohol among teenagers represents a public health problem that leads to a series of negative health consequences for consumers, their families and society. The aim of the study was to determine the relationship between the causes of alcohol consumption and alcohol consumption in teenagers, covering 356 teenagers from Estado de Guerrero, Mexico, through a correlational descriptive study. It was identified that 67.9% of teenagers have consumed alcohol at least once in their lives, 47.7% in the past year and 22.7% in the last month. The onset age of alcohol consumption was at 14.4 years old and teenagers consume 2.6 alcohol beverages on a single occasion. It was identified that the main reasons for the use of alcohol in teenagers are related with social aspects ( = 8.7) and for handling emotional problems ( = 7.6). In addition, the results show a positive and significant relationship between the reasons for alcohol consumption and the amount of alcoholic beverages on a typical day. (rs= .184, p= .018). These findings set forth the scale of the use of alcohol among teenagers, as well as the reasons for alcohol consumption, which will serve as a starting point to help programs for teenagers’ health care to redirect their action in order to influence and modify risk behaviors in teenagers