The Weight of Bariatric Surgery: Wernicke-Korsakoff Syndrome after Vertical Sleeve Gastrectomy-A Case Series.

In this case series, the simultaneous occurrence of Wernicke's encephalopathy (WE) and dry beriberi was reported in three patients who underwent vertical sleeve gastrectomy (VSG) between May 2021 and May 2023. All patients were obese women who underwent vertical sleeve gastrectomy (VSG) without immediate postoperative complications, but two weeks later, hyperemesis and subsequent encephalopathy with ocular movement abnormalities and weakness were observed over the following thirty days. Patients were referred to neurology, where due to the high suspicion of WE, thiamine replacement therapy was initiated; meanwhile, diagnostic neuroimaging and blood tests were conducted. Neurological and psychiatric evaluations and neuroconduction studies were performed to assess the clinical evolution and present sequelae. One year after diagnosis, all patients exhibited affective and behavioral sequelae, anterograde memory impairment, and executive functioning deficits. Two patients met the criteria for Korsakoff syndrome. Additionally, peripheral nervous system sequelae were observed, with all patients presenting with sensorimotor polyneuropathy. In conclusion, Wernicke's encephalopathy requires a high diagnostic suspicion for timely intervention and prevention of irreversible sequelae, which can be devastating. Therefore, raising awareness among medical professionals regarding the significance of this disease is essential.

COVID-19: Unveiling the Neuropsychiatric Maze-From Acute to Long-Term Manifestations.

The SARS-CoV-2 virus has spread rapidly despite implementing strategies to reduce its transmission. The disease caused by this virus has been associated with a diverse range of symptoms, including common neurological manifestations such as dysgeusia, anosmia, and myalgias. Additionally, numerous cases of severe neurological complications associated with this disease have been reported, including encephalitis, stroke, seizures, and Guillain-Barré syndrome, among others. Given the high prevalence of neurological manifestations in this disease, the objective of this review is to analyze the mechanisms by which this virus can affect the nervous system, from its direct invasion to aberrant activation of the immune system and other mechanisms involved in the symptoms, including neuropsychiatric manifestations, to gain a better understanding of the disease and thus facilitate the search for effective therapeutic strategies.

Organochlorine pesticide distribution in an organic production system for cow's milk in Chiapas, Mexico.

The objective of this study was to evaluate the presence of organochlorine pesticides in samples of forage, soil, water, and milk in four units of an organic production system for cow´s milk (samples of forage, milk, soil, and water) in Tecpatan, Chiapas, Mexico. The organochlorine pesticides were extracted from forage, soil and water based on the USEPA (2005) guideline and from milk based on the IDF 1991 guideline. The pesticides were identified and quantified by gas chromatography with electron capture detector (CG-ECD). In general, the highest average concentration of total pesticides was found in the samples of milk and forage (311 ± 328 and 116.5 ±77 ng g(-1) respectively). Although, the production systems analyzed are organic, organochlorine pesticides were detected in all environmental samples (forage, soil, water, and organic milk). Although no values surpassed the defined limits of Mexican and International regulation it is advisable that a monitoring program of contaminants in these production systems is continued.

Presence of PAHs in milk of industrial farms from Tizayuca, Hidalgo, Mexico.

The objective of this study was to determine the concentrations of polycyclic aromatic hydrocarbons (PAHs) in cow's milk from industrial farms that are located near an industrial park in Hidalgo, Mexico. It was found that the concentrations of PAHs in the raw milk of cattle from industrial farms have increased in recent years. Composite samples were collected between 2008 and 2010 and analysis carried out according to 8100 EPA procedures and analyzed by gas chromatography with FID detection. The results show that combustion PAHs were mostly Ace, Acy, and Fla (0.25, 0.32, and 0.22 µg g(-1), respectively). Diagnostic ratios were used to show that the probable sources were grass and fuel combustion. The sum of concentrations of 16 individual PAHs did not breach permissible levels in milk (25 µg g(-1) according to the United States EPA), indicating a limited health risk to animals and humans in the study area. The industrial park has adequate pollutant emission regulations.

Residues levels of organochlorine pesticide in cow's milk from industrial farms in Hidalgo, Mexico.

A survey was carried out from 2008 to 2010 to determine the concentrations of 16 organochlorine pesticide residues (OPRs) from Tizayuca, Hidalgo, Mexico. Organochlorine residue determinations were made from milk fat, using chromatographic cleanup and analysis by gas chromatography with an electron capture detector. The OPR concentrations found were from below the detection limit (DL) to 0.91 ng g(-1) in 2008, DL to 0.38 ng g(-1) in 2009 and DL to 0.59 ng g(-1) in 2010. In general concentrations of organochlorine pesticides were higher in the wet season (3.37 ng g(-1) and 4.79 ng g(-1)) than the dry season (1.92 ng g(-1) and 2.71 ng g(-1)) for 2009 and 2010, due to control of pests in the pasture and sheds. According to Codex Alimentarius regulations, individual pesticides did not exceed the permissible limits, which for example were 10 µg kg(-)1 for alpha hexachlorocyclohexane (HCH) and endosulfan I, 20 µg kg(-1) for p,p'-DDT, and 6 µg kg(-1) for dieldrin, endrin and heptachlor. A reduction of organochlorine pesticide concentrations in cow's milk was noted, indicating that the Mexican government has achieved reduction or elimination of some organochlorine pesticides in response to global agreements on persistent organic pollutants.

Residues of legacy organochlorine contaminants in the milk of Alpine and Saanen goats from the central region of Mexico.

This study investigated a suite of legacy organochlorine contaminants in the milk of two breeds of goats raised in the central region of Mexico, where this agricultural production is of national (Mexican) economic importance. Forty milk samples from Alpine and Saanen goats were assessed. It was found that the concentrations of the majority of organochlorine pesticides in milk samples were lower than those stipulated in Mexican and international regulation. The values in both breeds of goat exceeded the upper permissible limits of Codex Alimentarius for delta hexachloro cyclohexane (HCH) (17.3 of samples of Saanen) and heptachlor plus heptachlor epoxide (50 % and 13 % of samples). It may be concluded that milk from these goat breeds from central Mexico showed some risks of contamination in certain times of the year (dry season). However, under further assessment and use of pesticides the goat's milk will likely be safe for human consumption and for use in products such as cheeses, regional candies and desserts (cajeta). In recent years, goat milk production has increased in the central regions and it is an economic alternative to milk from livestock. It is necessary to continue the monitoring of goat's milk to assess the presence and control of HCHs through best management practices.

Organochlorine pesticide residues in bovine milk from organic farms in Chiapas, Mexico.

Thirty six samples of bovine milk were collected from Chiapas State, Mexico between January 2011 and December 2011 with the intention of identifying and quantifying organochlorine pesticide residues in organic farms. The analyses were done using gas chromatography with an electron capture detector (Ni(63)). In general the values found in raw milk were lower than the permissible limit proposed by FAO/WHO/Codex Alimentarius 2006. Average concentrations for alpha + beta HCH were 3.62 ng/g, gamma HCH 0.34 ng/g, heptachlor + epoxide 0.67 ng/g, DDT and isomers 1.53 ng/g, aldrin + dieldrin 0.77 ng/g, and endrin 0.66 ng/g (only present in samples from farm 2). The organic milk from Chiapas has shown low concentrations of pesticide residues in recent years and satisfies international and national regulations for commercialization.

Polychlorinated biphenyls (PCBs) residues in milk from an agroindustrial zone of Tuxpan, Veracruz, Mexico.

The coasts of the Gulf of Mexico are zones exposed to the exploration and exploitation of petroleum sources, and the products generated in agricultural zones may become contaminated by persistent organic pollutants (POPs). The objective of the present study was to evaluate the presence of polychlorinated biphenyl compounds (PCBs) in milk from dairy production units near sources of environmental pollutants. It was confirmed that the seven congeners of nondioxin-like PCBs (NDL-PCBs) are present in milk where compounds PCB101, PCB118, PCB153 and PCB180 appear in 100% of the samples analyzed, the rank of concentration for the sum of the seven congeners fluctuating between 2.6 and 26 ng g(-1) with a median of 6 ng g(-1). None of the samples surpassed the provisional value established by the EU of 40 ng g(-1) of milk fat for the sum of the seven congeners, indicator that was not affected by the season of the year (p<0.05), whose median of 8.6 ng g(-1) and 6.3 ng g(-1) for rain and drought respectively. The concentrations of NDL-PCBs found in milk do not represent a problem for human health; however, they alert the existence of spontaneously generated, uncontrolled sources that may represent a potential danger for human and animal health.

Presence of polycyclic aromatic hydrocarbons (PAHs) in top soils from rural terrains in Mexico City.

A soil survey was carried out to determine the levels and sources and concentrations of 16 polycyclic aromatic hydrocarbons in 2 semi-rural terrains in Mexico City (Tlahuac and Milpa Alta) during 2008-2009. PAH determination was made by Soxhlet extraction and chromatographic clean-up with final analysis by gas chromatography with a flame ionization detector. The concentrations in Tlahuac were 9.13 mg/kg (dry season) and 11.22 mg/kg (wet season) and in Milpa Alta were 11.43 mg/kg (dry season) and 35.77 mg/kg (wet season). The variation of total PAH concentrations are due to environmental and anthropogenic conditions within Mexico City and also the addition of compost to the soils. According to Mexican regulations BaP, DaA, BbF and Ind were within the permissible limit (2 mg/kg) for agricultural and residential soils and BkF was close to the limit (8 mg/kg). The total PAH concentrations do however surpass the permissible European limit of 1,000 µg/kg and there is probably some risk to human health, in spite of measures aimed at decreasing contamination in Mexico City. Long term monitoring of soils will be necessary.

Hydrocarbons derived from petroleum in bottled drinking water from Mexico City.

This paper describes the concentrations of polycyclic aromatic hydrocarbons (PAHs) and aliphatic hydrocarbons (AHs) derived from petroleum in bottled drinking water samples that were collected over 1 year from Mexico City in two bottle sizes (1.5 and 19 L), all brought in supermarkets. The analysis was by gas chromatography with flame ionization detection. -Concentrations of AHs (9.26-1.74 µg/L) were greater than PAHs (20.15-12.78 ng/L). Individual concentrations of PAHs such as fluoranthene, benzo(b)fluoranthene, benzo(k)fluoranthene, indeno(1,2,3-cd)pyrene and benzo(ghi)perylene were comparable with data reported by the World Health Organization (WHO). Total concentrations of PAHs for all samples (BDW1: 12.78 µg/L, BDW2: 16.72 µg/L, BDW3: 14.62 µg/L, BDW4: 20.15 µg/L and BDW5: 13.23 ng/L) were below the maximum permissible European level of 100 ng/L; no regulations exist for AHs although their values were greater than PAHs (BDW1: 3.11 µg/L, BDW2: 8.45 µg/L, BDW3: 1.74 µg/L, BDW4: 4.75 µg/L and BDW5: 9.26 µg/L).

Organochlorine pesticides residues in bottled drinking water from Mexico City.

This work describes concentrations of organochlorine pesticides in bottled drinking water (BDW) in Mexico City. The results of 36 samples (1.5 and 19 L presentations, 18 samples, respectively) showed the presence of seven pesticides (HCH isomers, heptachlor, aldrin, and p,p'-DDE) in bottled water compared with the drinking water standards set by NOM-127-SSA1-1994, EPA, and World Health Organization. The concentrations of the majority of organochlorine pesticides were within drinking water standards (0.01 ng/mL) except for beta-HCH of BW 3, 5, and 6 samples with values of 0.121, 0.136, and 0.192 ng/mL, respectively. It is important monitoring drinking bottled water for protecting human health.

Organophosphorus pesticide residues in Mexican commercial pasteurized milk.

A study was conducted to measure residues of 13 organophosphorus (OP) pesticides, widely used as dairy cattle ectoparasiticides or in crops used for animal feed, in homogenized and pasteurized Mexican milk samples. Four different milk brands with high distribution were collected biweekly during a 12 month period (n = 96) in supermarkets. OP pesticide residues were measured by gas chromatography with a flame photometric detector. Approximately 39.6% of the samples contained detectable levels of OP pesticide residues. Eight samples contained residues exceeding established maximum residue limits (MRL), and the OP pesticides present in these samples were dichlorvos (five samples), phorate, chlorpyrifos, and chlorfenvinphos (one sample, respectively). Average residues of 13 OP pesticides measured were below established MRLs ranging between 0.0051 and 0.0203 ppm.

High-performance thin-layer chromatography-bioautography for multiple antibiotic residues in cow's milk.

An analytical method to identify and quantify multiple antibiotic residues (chloramphenicol, ampicillin, benzylpenicillin, dicloxacillin and erythromycin) in cow's milk by high-performance thin-layer chromatography (HPTLC) combined with bioautography was developed. The test microorganism used for bioautography was Bacillus subtilis ATCC 6633. Antibiotic residues were extracted with acetonitrile, fat eliminated with petroleum ether and residues isolated with dichloromethane The sensitivity of the method guarantees the detection of the above-mentioned antibiotics at levels below maximum residue limits (MRL) allowed for milk. Percentage recoveries ranged between 90 and 100%, with coefficients of variation between 7.2 and 21.3%. Some advantages of this methodology over thin-layer chromatography (TLC)/bioautography are also discussed.

Stability of sulfonamides, nitrofurans, and chloramphenicol residues in preserved raw milk samples measured by liquid chromatography.

A stability study was made of 10 antimicrobials: 6 sulfonamides, 3 nitrofurans, and chloramphenicol residues in raw milk samples preserved with 0.1 % potassium dichromate (K2Cr2O7) and 0.05% mercuric bichloride (HgCl2) during cold storage for 7 days. Preserved milk samples fortified with 50 ppb of each antimicrobial were analyzed by liquid chromatography (modified AOAC Method 993.32). Drugs were extracted with chloroform-acetone after solvent evaporation residues were dissolved with aqueous sodium acetate buffer solution (0.02M, pH 4.8), and fat was removed with hexane. Sulfonamides and chloramphenicol were detected at 275 nm (UV) by using a gradient system of sodium acetate buffer solution-acetonitrile starting at 95 + 5 (v/v) and finishing at 80 + 20 (v/v). Nitrofurans were detected at 375 nm (UV) isocratically with sodium acetate buffer solution-acetonitrile (80 + 20, v/v). Residues stability was measured through recovery data. Sulfamethoxazole, sulfachloropyridazine, nitrofurazone, furazolidone, and furaltadone residues remained stable in the presence of either preservative for 7 days. Sulfamethazine and chloramphenicol were not affected by K2Cr2O7, but had significant losses (p <0.05) when HgCl2 was used: 26.2 and 13.4%, respectively. Average recoveries of sulfamonomethoxine, sulfamerazine, and sulfathiazole significantly decreased by Day 7, with losses of 17.1, 17.2, and 23.2% for K2Cr2O7, and 23.3, 20.7, and 48.0% for HgCl2, respectively. During 5 days of cold storage all antimicrobials tested, except sulfathiazole, remained stable in milk samples preserved with 0.1 % K2Cr2O7 or 0.05% HgCl2.

Liquid chromatographic determination of multiple sulfonamides, nitrofurans, and chloramphenicol residues in pasteurized milk.

A rapid and selective liquid chromatographic method was developed to detect 6 sulfonamides, 3 nitrofurans, and chloramphenicol residues in pasteurized milk. The 10 drugs were extracted with chloroform-acetone and the organic phase was evaporated; the residues were dissolved in an aqueous sodium acetate buffer solution 0.02M (pH = 4.8), and the fat was removed by washing with hexane. The aqueous layer was collected, filtered, and injected. The 6 sulfonamides and chloramphenicol were detected at 275 nm ultraviolet (UV) using a gradient system starting with sodium acetate buffer solution-acetonitrile (95 + 5) and finishing with sodium acetate buffer solution-acetonitrile (80 + 20). Nitrofurans were detected at 375 nm (UV) isocratically with sodium acetate buffer solution-acetonitrile (80 + 20). For 50 ppb fortified milk, the average recoveries were (sulfathiazole) 65.52%; (sulfamerazine) 75.36%; (sulfamethazine) 93.94%; (sulfachlorpyridazine) 75.94%; (sulfamethoxazole) 85.18%; (sulfamonomethoxine) 83.45%; (chloramphenicol) 104.17%; (nitrofurazone) 91.81%; (furazolidone) 100.76%; and (furaltadone) 72.38%. Method detection limits ranged from 4 ppb (nitrofurazone) to 16 ppb (sulfamethazine). Some matrix interferences (3-7 ppb) were observed only with sulfonamides.