SARS-CoV-2 Neutralizing Antibodies in Mexican Population: A Five Vaccine Comparison.

Neutralizing antibodies (NAs) are key immunological markers and are part of the humoral response of the adaptive immune system. NA assays determine the presence of functional antibodies to prevent SARS-CoV-2 infection. We performed a real-world evidence study to detect NAs that confer protection against SARS-CoV-2 after the application of five vaccines (Pfizer/BioNTech, AstraZeneca, Sinovac, Moderna, and CanSino) in the Mexican population. Side effects of COVID-19 vaccines and clinical and demographic factors associated with low immunogenicity were also evaluated. A total of 242 SARS-CoV-2-vaccinated subjects were recruited. Pfizer/BioNTech and Moderna proved the highest percentage of inhibition in a mono-vaccine scheme. Muscular pain, headache, and fatigue were the most common adverse events. None of the patients reported severe adverse events. We found an estimated contagion-free time of 207 (IQR: 182-231) and 187 (IQR: 184-189) days for Pfizer/BioNTech and CanSino in 12 cases in each group. On the basis of our results, we consider that the emerging vaccination strategy in Mexico is effective and safe.

Identification of Germline Variants in Patients with Hereditary Cancer Syndromes in Northeast Mexico.

Hereditary cancer syndromes (HCS) are genetic diseases with an increased risk of developing cancer. This research describes the implementation of a cancer prevention model, genetic counseling, and germline variants testing in an oncologic center in Mexico. A total of 315 patients received genetic counseling, genetic testing was offered, and 205 individuals were tested for HCS. In 6 years, 131 (63.90%) probands and 74 (36.09%) relatives were tested. Among the probands, we found that 85 (63.9%) had at least one germline variant. We identified founder mutations in BRCA1 and a novel variant in APC that led to the creation of an in-house detection process for the whole family. The most frequent syndrome was hereditary breast and ovarian cancer syndrome (HBOC) (41 cases with BRCA1 germline variants in most of the cases), followed by eight cases of hereditary non-polyposic cancer syndrome (HNPCC or Lynch syndrome) (with MLH1 as the primarily responsible gene), and other high cancer risk syndromes. Genetic counseling in HCS is still a global challenge. Multigene panels are an essential tool to detect the variants frequency. Our program has a high detection rate of probands with HCS and pathogenic variants (40%), compared with other reports that detect 10% in other populations.

Prolactin Expression in the Baboon (Papio hamadryas) Eye.

Prolactin (PRL) is a hormone expressed in lactotrophs cells of the pituitary gland in primates. Extra pituitary expression of PRL has been reported, including the eye; however, expression in the developing eye of primates is limited. The aim of the study was determining the expression of PRL and PRL receptor (PRLR) (mRNAs and proteins) in adult and fetal baboon (Papio hamadryas) ocular tissues. METHODS: We analyzed PRL and PRLR in baboon eyes tissues by immunofluorescence. The mRNAs of PRL and PRLR were detected by RT-PCR, cDNA was cloned, and sequenced. Furthermore, we performed a phylogenetic analysis to identify the evolutionary forces that underlie the divergence of PRL and PRLR primate genes. RESULTS: We observed the expression of PRL and PRLR (mRNAs and proteins) in all retinal cell lineages of fetal and adult baboon. PRL and PRLR fit the hypothesis of evolutionary purifying gene selection. CONCLUSIONS: mRNA and protein of PRL and PRLR are expressed in fetal and adult baboon retinal tissue. PRL may trigger autocrine and paracrine-specific actions in retinal cell lines.

Epidemiological Algorithm for Early Detection of COVID-19 Cases in a Mexican Oncologic Center.

An early detection tool for latent COVID-19 infections in oncology staff and patients is essential to prevent outbreaks in a cancer center. (1) Background: In this study, we developed and implemented two early detection tools for the radiotherapy area to identify COVID-19 cases opportunely. (2) Methods: Staff and patients answered a questionnaire (electronic and paper surveys, respectively) with clinical and epidemiological information. The data were collected through two online survey tools: Real-Time Tracking (R-Track) and Summary of Factors (S-Facts). Cut-off values were established according to the algorithm models. SARS-CoV-2 qRT-PCR tests confirmed the positive algorithms individuals. (3) Results: Oncology staff members (n = 142) were tested, and 14% (n = 20) were positives for the R-Track algorithm; 75% (n = 15) were qRT-PCR positive. The S-Facts Algorithm identified 7.75% (n = 11) positive oncology staff members, and 81.82% (n = 9) were qRT-PCR positive. Oncology patients (n = 369) were evaluated, and 1.36% (n = 5) were positive for the Algorithm used. The five patients (100%) were confirmed by qRT-PCR. (4) Conclusions: The proposed early detection tools have proved to be a low-cost and efficient tool in a country where qRT-PCR tests and vaccines are insufficient for the population.

Risk Association of TOX3 and MMP7 Gene Polymorphisms with Sporadic Breast Cancer in Mexican Women.

Breast cancer (BC) has one of the highest incidences and mortality worldwide. Single nucleotide polymorphisms (SNPs) in TOX3 rs3803662 and MMP7 rs1943779 have been associated with susceptibility to BC. In this case-control study, we evaluated the association of rs3803662 (TOX3)/rs1943779 (MMP7) SNPs with clinical features, immunohistochemical reactivity, and risk association with BC in women from northeastern Mexico. We compared 212 BC cases and 212 controls. DNA was isolated from peripheral blood to perform the polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay. We calculated genotype frequencies, odds ratios, and 95% confidence intervals. We found that CT (Cytocine-Thymine) and TT (Thymine -Thymine) genotypes, and T alleles of TOX3 rs3803662, were associated with BC risk (p = 0.034, p = 0.011, respectively). SNP TOX3 rs3803662 was associated with positive progesterone receptors (PR) and triple-negative BC (TNBC) but not with estrogen receptor (ER) or HER2 reactivity. CT and TT genotypes (p = 0.006) and T alleles (p = 0.002) of SNP MMP7 rs1943779 were associated with risk of BC. We found that T alleles of TOX3 rs3803662 and MMP7 rs1943779 SNPs are associated with BC risk. These findings contribute to personalized medicine in Mexican women.

Factores de riesgo de Bronquiolitis en pacientes menores de 2 años

Resumen Introducción: Se estima que a nivel mundial, cada año alrededor del 10% de los lactantes tienen bronquiolitis. Se produce un pico entre los 2 y los 6 meses de edad. Objetivo: Determinar los factores de riesgo de bronquiolitis en menores de dos años que consultaron al servicio de Pediatría del Instituto de Medicina Tropical entre el 2018 y 2019. Método: Estudio de tipo descriptivo, transversal en el que se incluyeron pacientes menores de 2 años internados en el Servicio de Pediatría del Instituto de Medicina Tropical de enero de 2018 a febrero de 2019 con diagnóstico de bronquiolitis en el que se analizaron los factores de riesgo de la enfermedad. Resultados: Se estudió una población de 38 pacientes que presentaron bronquiolitis antes de los 2 años, 19 fueron niños (50%) La edad media al ingreso fue de 3,5 ± 2,8 meses (límites, 1-10 meses). No se han encontrado datos de tabaco en el embarazo. Se detectó VRS en el aspirado nasofaríngeo de 8 niños (21%), la detección viral fue negativa en 14 niños (37%) y no se realizó la determinación en 18 casos (47%). Los siguientes factores de riesgo se asociaron de forma independiente con la bronquiolitis: Asma de los padres, infección por VSR, sibilancia, cianosis y hacinamiento. Los factores de riesgo estudiado, exposición al tabaco, sexo, edad en el momento de la bronquiolitis o lactancia materna exclusiva, no se asociaron con el ingreso a UTI de los pacientes con bronquiolitis. Conclusión: Hemos encontrado factores de riesgo asociado relacionados al huésped como asma de los padres, y otros como sibilancia, cianosis, hacinamiento e infección por VRS.

Abstract Introduction: It is estimated that globally, each year around 10% of infants have bronchiolitis. A peak occurs between 2 and 6 months of age Objective: To determine the risk factors of bronchiolitis in children less than two years of age who admitted at the pediatric service of the Institute of Tropical Medicine between 2017 and 2019 Method: A descriptive, cross-sectional study in which patients under 2 years of age admitted to the Pediatric Service of the Institute of Tropical Medicine from January 2018 to February 2019 were included with a diagnosis of bronchiolitis in which the risk factors of the disease were analyzed. Results: We studied a population of 38 patients who presented bronchiolitis before 2 years, 19 were children (50%) The average age at admission was 3.5 ± 2.8 months (range, 1-10 months). No tobacco data were found in pregnancy. RSV was detected in the nasopharyngeal aspirate of 8 children (21%), viral detection was negative in 14 children (37%) and the determination was not made in 18 cases (47%). The following risk factors were independently associated with bronchiolitis: Asthma of the parents, RSV infection, wheezing, cyanosis and overcrowding. The risk factors studied exposure to tobacco, sex, age at the time of bronchiolitis or exclusive breastfeeding were not associated with admission to the ICU of patients with bronchiolitis. Conclusion: We have found associated risk factors related to the host such as asthma of the parents, and others such as wheezing, cyanosis, overcrowding and RSV infection.

Sulfonated and gamma-irradiated waste expanded polystyrene with iron oxide nanoparticles, for removal of indigo carmine dye in textile wastewater.

In this work, waste expanded polystyrene (WEPS) was irradiated with gamma rays, ranging doses from 100 kGy to 1,000 kGy. After irradiation, the WEPS had decrease on its glass transition temperature (Tg), as consequence of the scissions of its polymer chains. Then, the irradiated WEPS was sulfonated, and its degree of sulfonation (DS) was measured. The highest DS value, 46.6%, was obtained for an irradiation dose of 200 kGy. The sulfonated and irradiated polystyrene (denominated as iS-WEPS), was used as a support of iron oxide nanoparticles. Such composite system was denominated (FeO-NPs + iS-WEPS). The results show nanoparticle sizes of 31.5 nm containing 21.97% iron oxide. The composites followed a pseudo-second order model, with a maximum adsorption capacity of 20 mg/g, and an equilibrium time of 30 min, according to the Langmuir model. Moreover, the optimal conditions followed by the Fenton process were: pH = 3.2, H2O2 concentration = 0.32 mM/L, composite concentration (FeO-NPs + iS-WEPS) = 2 g/L, and a reaction time 20 min. Finally, 99% removal of indigo carmine dye was achieved, and a reduction of 83% of COD in textile wastewater.

Avocado waste for finishing pigs: Impact on muscle composition and oxidative stability during chilled storage.

The utilization of agricultural waste materials for pig feeding may be an interesting option for reducing production costs and contributing to sustainability and environmental welfare. In the present study, a mixed diet enriched with avocado waste (TREATED) is used for finishing industrial genotype pigs. The muscle longissimus thoracis et lomborum (LTL) from TREATED pigs was analyzed for composition and oxidative and color stability and compared with muscles obtained from pigs fed a CONTROL diet. Dietary avocado had significant impact on the content and composition of intramuscular fat (IMF), reducing the lipid content in LTL muscles and increasing the degree of unsaturation. This did not increase the oxidative instability of samples. On the contrary, muscles from TREATED pigs had significantly lower lipid and protein oxidation rates during chilled storage. The color of the muscles from TREATED pigs was also preserved from oxidation.

Findings and lessons learned from a multi-partner collaboration to increase cervical cancer prevention efforts in Bolivia.

Cervical cancer is a leading cause of cancer death among women in Bolivia, where cytology based screening has not performed well due to health-systems constraints. In response, the Centers for Disease Control and Prevention and the Pan American Health Organization partnered with the Bolivian Ministry of Health and the Peruvian Cancer Institute (INEN) to build capacity in Bolivia for the use of visual inspection of the cervix with acetic acid (VIA) and cryotherapy. Four 5-day courses on basic clinical skills to perform these procedures, provide related counseling, and manage side effects and infections were conducted from September 2010 to December 2012 for 61 Bolivian nurses and physicians. Of these courses, two were conducted by Bolivian trainers that were certified through a Training-of-Trainers course taught by the INEN. Classroom didactic sessions included lectures and practice with anatomic models followed by clinical practice sessions to provide trainees with practical experience in VIA and cryotherapy. Pre- and post-training evaluations were administered to ascertain knowledge gained. Evaluation of competency was conducted during simulation exercises in the classroom and during supervised performances of procedures in clinical settings. This report summarizes findings and lessons learned that will be useful for planning the supervision and monitoring phase of this project as well as for future partnerships in the Latin American and the Caribbean region.

An integrated electrocoagulation-phytoremediation process for the treatment of mixed industrial wastewater.

The elimination of organic contaminants in highly complex wastewater was tested using a combination of the techniques: electrocoagulation with aluminum electrodes and phytoremediation with Myriophyllum aquaticum. Under optimal operating conditions at a pH of 8 and a current density of 45.45 A m(-2), the electrochemical method produces partial elimination of contaminants, which was improved using phytoremediation as a polishing technique. The combined treatment reduced chemical oxygen demand (COD) by 91%, color by 97% and turbidity by 98%. Initial and final values of contaminants in wastewaters were monitored using UV-vis spectrometry and cyclic voltammetry. Finally, the morphology and the elemental composition of the biomass were characterized with using scanning electron microscopy (SEM) and energy dispersion spectroscopy (EDS). The presence of Al in the roots of plants in the system indicates that the aluminum present in the test solution could be absorbed.

Cr(VI) reduction in wastewater using a bimetallic galvanic reactor.

The electrochemical reduction of Cr(VI)-Cr(III) in wastewater by iron and copper-iron bimetallic plates was evaluated and optimized. Iron has been used as a reducing agent, but in this work a copper-iron galvanic system in the form of bimetallic plates is applied to reducing hexavalent chromium. The optimal pH (2) and ratio of copper to iron surface areas (3.5:1) were determined in batch studies, achieving a 100% reduction in about 25 min. The Cr(VI) reduction kinetics for the bimetallic system fit a first order mechanism with a correlation of 0.9935. Thermodynamic analysis shows that the Cr(VI) reduction is possible at any pH value. However, at pH values above 3.0 for iron and 5.5 for chromium insoluble species appear, indicating that the reaction will be hindered. Continuous column studies indicate that the bimetallic copper-iron galvanic system has a reduction capacity of 9.5890 mg Cr(VI) cm(-2) iron, whereas iron alone only has a capacity of 0.1269 mg Cr(VI) cm(-2). The bimetallic copper-iron galvanic system is much more effective in reducing hexavalent chromium than iron alone. The exhausted plates were analyzed by SEM, EDS, and XRD to determine the mechanism and the surface effects, especially surface fouling.

A comparative study of natural, formaldehyde-treated and copolymer-grafted orange peel for Pb(II) adsorption under batch and continuous mode.

Natural, formaldehyde-treated and copolymer-grafted orange peels were evaluated as adsorbents to remove lead ions from aqueous solutions. The optimum pH for lead adsorption was found to be pH 5. The adsorption process was fast, reaching 99% of sorbent capacity in 10 min for the natural and treated biomasses and 20 min for the grafted material. The treated biomass showed the highest sorption rate and capacity in the batch experiments, with the results fitting well to a pseudo-first order rate equation. In the continuous test with the treated biomass, the capacity at complete exhaustion was 46.61 mg g(-1) for an initial concentration of 150 mg L(-1). Scanning electronic microscopy and energy dispersive X-ray spectroscopy indicated that the materials had a rough surface, and that the adsorption of the metal took place on the surface. Fourier transform infrared spectroscopy revealed that the functional groups responsible for metallic biosorption were the -OH, -COOH and -NH(2) groups on the surface. Finally, the thermogravimetric analysis indicates that a mass reduction of 80% can be achieved at 600 degrees C.

A combined electrocoagulation-sorption process applied to mixed industrial wastewater.

The removal of organic pollutants from a highly complex industrial wastewater by a aluminium electrocoagulation process coupled with biosorption was evaluated. Under optimal conditions of pH 8 and 45.45 Am(-2) current density, the electrochemical method yields a very effective reduction of all organic pollutants, this reduction was enhanced when the biosorption treatment was applied as a polishing step. Treatment reduced chemical oxygen demand (COD) by 84%, biochemical oxygen demand (BOD(5)) by 78%, color by 97%, turbidity by 98% and fecal coliforms by 99%. The chemical species formed in aqueous solution were determined. The initial and final pollutant levels in the wastewater were monitored using UV-vis spectrometry and cyclic voltammetry. Finally, the morphology and elemental composition of the biosorbent was characterized with scanning electron microscopy (SEM) and energy dispersion spectra (EDS).

Removal of chromium and toxic ions present in mine drainage by Ectodermis of Opuntia.

This work presents conditions for hexavalent and trivalent chromium removal from aqueous solutions using natural, protonated and thermally treated Ectodermis of Opuntia. A removal of 77% of Cr(VI) and 99% of Cr(III) can be achieved. The sorbent material is characterized using scanning electron microscopy, energy dispersive X-ray spectroscopy, infrared spectroscopy, thermogravimetric analysis, before and after the contact with the chromium containing aqueous media. The results obtained from the characterization techniques indicate that the metal ion remains on the surface of the sorbent material. The percentage removal is found to depend on the initial chromium concentration and pH. The Cr(VI) and Cr(III) uptake process is maximum at pH 4, using 0.1g of sorbent per liter of aqueous solution. The natural Ectodermis of Opuntia showed a chromium adsorption capacity that was adequately described by the Langmuir adsorption isotherm. Finally, an actual mine drainage sample that contained Cd, Cr, Cu, Fe Zn, Ni and Pb was tested under optimal conditions for chromium removal and Ectodermis of Opuntia was found to be a suitable sorbent material. The use of this waste material for the treatment of metal-containing aqueous solutions as well as mine drainage is effective and economical.

Acceso venoso percutáneo braquial: Su utilidad en el cateterismo diagnóstico e intervencionista en cardiopatías complejas / Brachial percutaneous venous access: Its usefulness in the diagnostic and interventionist catheterism of complex cardiopathies

Introducción: El acceso venoso a la vena cava superior es obligatorio en pacientes portadores de anastomosis tipo Glenn. En cardiopatías complejas, es habitual la repetición de cateterismos, encontrando frecuentemente dificultades de acceso femoral. Para evitar la punción venosa yugular interna, potencialmente peligrosa, hemos utilizado la vena mediana basílica como acceso inicial. Objetivo: Valorar la efectividad y seguridad de la vía venosa braquial en pacientes, que precisan cateterismo cardíaco. Material y métodos: Se intentó la punción en 37 pacientes. Edad media 10 años (3.1-33.5). Todos ellos postoperados de cardiopatías complejas y con un promedio de 2.45 cirugías y 3.6 cateterismos por paciente. 40% de los pacientes: trombosis femoroilíaca bilateral. Técnica: Compresión venosa axilar, punción venosa basílica y canalización con introductor 4 a 6F. Resultados: Acceso efectivo: en 34 de los 37 pacientes (91.8%). En todos se realizó cateterismo diagnóstico, en 3, prueba pronóstica de oclusión y en 6 -angioplastía de rama pulmonar. Complicaciones: 2 obstrucciones tardías de la vena mediana basílica derecha (6%). Conclusiones: La punción venosa braquial es una técnica alternativa útil que permite acceso a cava superior y cavidades derechas a partir de los 3 años de edad, asociándose a un bajo porcentaje de complicaciones. Ciertas dilataciones vasculares pueden realizarse por esta vía.

Venous access through the superior caval vein is mandatory to study the pulmonary arteries in patients with a Glenn anastomosis. In complex congenital heart disease, repeat catheterizations may lead to iliac vein thrombosis and superior access is needed. In order to avoid the internal jugular venous puncture, we have used puncture of the antecubital vein as an elective access. Material: Brachial puncture was attempted in 37 patients. Mean age: 10 years (3.1-33.5). 2.45 heart surgeries and 3.6 cardiac catheterizations per patient had been previously performed in this group. 40% of patients had bilateral iliac vein thrombosis. Technique: Axillary vein external compression, venous puncture and introduction of 4-6 F sheath. Results: Venous access through brachial vein was achieved in 34 of 37 pts (91.8%). Diagnostic catheterization was done in all, balloon test occlusion of the pulmonary valve in 3 and pulmonary artery branch dilation in 6 pts. Complications: 2 late thrombosis of the right brachial vein (6%). Conclusions: Antecubital venous puncture is an alternative and useful technique that allows easy catheterization of superior caval vein, pulmonary artery and right heart chambers. It is associated with minor complication rate, avoiding internal jugular vein puncture. Certain therapeutic procedures can be performed through such route.

[Brachial percutaneous venous access. Its usefulness in the diagnostic and interventionist catheterism of complex cardiopathies]. / Acceso venoso percutáneo braquial: Su utilidad en el cateterismo diagnóstico e intervencionista en cardiopatías complejas.

UNLABELLED: Venous access through the superior caval vein is mandatory to study the pulmonary arteries in patients with a Glenn anastomosis. In complex congenital heart disease, repeat catheterizations may lead to iliac vein thrombosis and superior access is needed. In order to avoid the internal jugular venous puncture, we have used puncture of the antecubital vein as an elective access. MATERIAL: Brachial puncture was attempted in 37 patients. Mean age: 10 years (3.1-33.5). 2.45 heart surgeries and 3.6 cardiac catheterizations per patient had been previously performed in this group. 40% of patients had bilateral iliac vein thrombosis. TECHNIQUE: Axillary vein external compression, venous puncture and introduction of 4-6 F sheath. RESULTS: Venous access through brachial vein was achieved in 34 of 37 pts (91.8%). Diagnostic catheterization was done in all, balloon test occlusion of the pulmonary valve in 3 and pulmonary artery branch dilation in 6 pts. COMPLICATIONS: 2 late thrombosis of the right brachial vein (6%). CONCLUSIONS: Antecubital venous puncture is an alternative and useful technique that allows easy catheterization of superior caval vein, pulmonary artery and right heart chambers. It is associated with minor complication rate, avoiding internal jugular vein puncture. Certain therapeutic procedures can be performed through such route.

Vulnerabilidad de los acuiferos del valle alto de cochabamba por un modelo de indices y superposicion / sss

Dentro de los parametros litologicos, el impacto de la zona no saturada es de mayor influencia sobre el indice global de vulnerabilidad, esta caracteristica estuvo presente en los dos metodos utilizados. Con los metodos de determinacion de la vulnerabilidad se obtuvo que los mayores indices de vulnerabilidad se ubican en zonas donde la recarga e infiltracion tiene mayor valor. Asi tambien donde las conformaciones litologicas estan relacionadas en arenas y gravas. Los indices de vulnerabilidad con el metodo DRASTIC son inferiores a los obtenidos con el metodo SINTACS. Con el metodo SINTACS se detectaron mayor superficie con vulnerabilidad de nivel medio y alto..

Vulnerabilidad de los acuiferos del valle alto de Cochabamba por un modelo de indices y superposicion / sss

Dentro de los parametros litologicos, el impacto de la zona no saturada es de mayor influencia sobre el indice global de vulnerabilidad, esta caracteristica estuvo presente en los dos metodos de determinacion de la vulnerabilidad se obtuvo que los mayores indices de vulnerabilidad se ubican en zonas donde se recarga e infiltracion tienen mayor valor. Asi tambien donde las conformaciones litologicas estan relacionadas a arenas y gravas. Los indices de vulnerabilidad con el metodo DRASTIC son inferiores a los obtenidos con el metodo SINTACS. Con el metodo SINTACS se detectaron mayor superficie con vulnerabilidad de nivel medio alto. El analisis de sensibilidad determino que el parametro impacto de la zona no saturada es el que mas influencia tiene al estimar el indice de vulnerabilidad. por el contrario, el parametro pendiente topografica es el que menor proporcion influye al indice de vulnerabilidad...

Discursos para la acción: medicina familiar y comunitaria: plan estratégico de salud, harinas con hierro para mejorar la nutrición, nutrición y alimentación alternativa, las mujeres deben ser actoras de su propio liberación, legislación de la salud, dia mundial de la salud, Colcapirhua primer municipio con medicina familiar y comunitaria / Plan of action: family and community medicine: strategic health plan, slower with iron to improve nutrition, nutrition and alternative feeding, women should be actresses of their own liberation health legislation and woned health day in Colcapirhua t

El documento que hoy ofrecemos, transmite en cada una de sus páginas la decisión explicita del Gobierno de Bolivia de generar cambios a partir de acciones concertadas con la población

Plan estratégico de salud de lucha contra la pobreza: medicina familiar y comunitaria / Strategic plan of health of fight against proverty: commutity and family medicine

El documento que hoy ofrecemos, transmite en cada una de sus páginas la decisión explícita del Gobierno de Bolivia de generar cambios a partir de acciones concertadas con la población