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PubMed2001

[Nutritional status in the pediatric population of a rural area on the Ecuadorian coast].

OBJECTIVES: To determine the effects of a diet based on carbohydrates on the nutritional status of a pediatric population through a study performed in a rural area of the province of Los Ríos (Ecuador). PATIENTS AND METHODS: We evaluated 871 Ecuadorian children from a rural environment in an ambulatory medical clinic created for the purposes of the study. Basic anthropometric measurements (weigh, height, head circumference and upper arm circumference) and clinical data from physical examination were recorded. The anthropometric measurements were compared with the growth charts used in Spanish children, which were taken as the standard reference measurements. Information on nutrition was obtained from interviews with the mothers. RESULTS: A total of 871 children were evaluated (53 % boys; 47 % girls). Mean age was 6.39 years (range: 0-14 years; mode 4). Comparison of the data obtained with the standard growth charts for the Spanish pediatric population revealed significant differences in body mass index in boys aged 5-14 years and in girls aged 3-12 years and highly significant differences in boys aged 6-13 years and in girls aged 3-12 years. Significant differences in middle upper arm circumference were found in boys and girls aged 1-14 years and highly significant differences were found in boys aged 1-12 years and in girls aged 2-12 years. A middle upper arm circumference of less than 14 cm (slight malnutrition) was found in 6.67 % of boys and in 9.15 % of girls; a middle upper arm circumference of less than 12.5 cm (serious malnutrition) was found in 1.82 % of boys and in 2.82 % of girls. Nutritional interviews revealed that the overall caloric intake was approximately 1,500 cal/ day. Eight percent of calories came from carbohydrates, 15 % from fats and 5 % from proteins. CONCLUSIONS: A poor diet affects the child population's nutritional status qualitatively but not quantitatively. Nutritional deficit favors the prevalence of childhood diseases that could be avoided by suitable feeding and hygiene. Because of the lack of economic and health resources, prevention is the fundamental weapon for maintaining health in underdeveloped countries. Childhood nutritional status is influenced by diet, which in turn is influenced by physical, climatic, cultural and political factors, and by stress, which is provoked by infections and parents' behavior. Nutritional status in children is a clear reflection of the socioeconomic status of a given population.

Adolescent↗
PubMedDate not supplied

[Gender, equality, and health services access: an empirical approximation].

This piece describes the conceptual framework and the objectives that guided a research initiative in the Region of the Americas that was called "Gender, Equity, and Access to Health Services" and that was sponsored in 2001 by the Pan American Health Organization. The piece does not summarize the results of the six projects that were carried under the initiative, whose analyses have not all been completed. Instead, the piece discusses some of the foundations of the initiative and provides a general introduction to the country studies that were done. The six studies were done in Barbados/Jamaica, Brazil, Chile, Colombia, Ecuador, and Peru. The primary objective of the initiative was to stimulate the use of existing quantitative information in the countries, with the goal of starting a process of systematically documenting two things: 1) the unfair, unnecessary, and avoidable inequalities between men and women in their access to health care and 2) the linkages between those inequalities and other socioeconomic factors. The concept of gender equity that guided this examination of health care was not the usual one calling for the equal distribution of resources. Rather, it was the notion that resources should be allocated differentially, according to the particular needs of men and of women, and that persons should pay for health services according to their economic ability rather than their risk level. The starting point for the initiative was the premise that gender inequities in utilizing and paying for health care result from gender differences in the macroeconomic and microeconomic distribution of resources. The piece concludes that achieving equity in health care access will require a better understanding of the gender needs and gender barriers that are linked to social structures and health systems.

Barbados↗
PubMed1992

[Fertility preferences in Latin America: trends and differentials in seven countries].

The authors use Bongaarts's fertility preference measurement methodology to examine and compare changes in fertility preferences in Colombia, Costa Rica, the Dominican Republic, Ecuador, Jamaica, Peru, and Trinidad and Tobago over the period 1975-1989. "The trends of observed and desired fertility are examined at the national level and by level of education and rural-urban place of residence. The data used comes from fertility surveys....such as the World Fertility Survey (WFS) and the Demographic and Health Survey (DHS). The analysis suggests that the changes in fertility between the dates of the two surveys...are not due to changes in desired fertility, but mainly to differences in the degree to which fertility is controlled to coincide with desired levels.... Both the WFS and the DHS show that unwanted fertility was significant in all countries, specially in the lower socioeconomic strata." (SUMMARY IN ENG)

Americas↗
PubMedDate not supplied

[Institutional intervention in the reduction of fertility and infant mortality].

"This document discusses the impact of the social institutions in the childbearing experience of...families and the reproduction of...society. Despite the difficulties of empirically demonstrating the association of the macro and micro spheres, the paper presents evidence of the relationship, introducing the case of Ecuador, based on broad indices of fertility and child mortality.... The analysis utilizes the Demographic and Health Survey (DHS), individual and community questionnaire." (SUMMARY IN ENG)

Americas↗
PubMed1984

[Toward a universal typology of urban stability].

"In this study, [the author has] sought to apply the urban typology proposed by J. Hardoy, to the regions of three Latin American countries (Argentina, Ecuador, and Mexico). This application has led to the definition of a new typology that has several advantages, in relation to Hardoy's. For example, it includes both extremes of urban stability, that is: regions that are stable because urban development has not yet begun and regions that are stable because the urban development has already ended." Other advantages of the proposed typology are described. (summary in ENG, SPA)

Americas↗
PubMed1989

[The intercensal comparability problems in the retrospective infant mortality statistics].

In infant mortality estimates, using the Coale-Trussell procedure with information from 2 successive population censuses of a country, reveals differences in the levels for the overlapping years of periods. This paper deal with this problem using the 1974 and 1982 censuses of Ecuador. The contribution of his analysis consists in demonstrating that infant mortality in a given year--estimated from a specific age group--is a weighted average between zero mortality--women declaring no deaths among their children and mortality with a value different from zero--women declaring some child dead. The weighing values are the age structure of women according to the condition of having dead children and corrected by the mean parity of the corresponding age group. Looking at the structure--women with or without dead children--of both censuses, a strong increase in the proportion of women without dead children occurred in 1982 as compared with the proportion in 1974. In order to eliminate this lack of comparability a reweighing was introduced in the 1982 information. New estimates were obtained, and these are much closer to the estimates obtained from the 1974 census.

Age Factors↗
PubMed1993

[Migration and integration policies within the Andean Pact].

"After a review of the institutions belonging to the 1969 Andean Pact, migration topics within this context are analyzed, considering three main issues: labor migration,...circulation of persons, where a series of agreements tending to simplify procedures at bordersites are still not practically in force for reasons concerning internal safety, drug traffic and unemployment, and migration across borders as related to borderline integration, which was dealt with in the Macchu Picchu Summit in 1990 and in a Decision Project in 1991." The five pact countries are Bolivia, Chile, Colombia, Ecuador, and Peru. (SUMMARY IN ENG)

Americas↗
PubMed2002

Design and implementation of a measuring campaign to model pesticide impacts in an Ecuadorian watershed.

The first important issue in pesticide assessment for a watershed is the availability of soil and water quality information in the form of charts, maps or records. However, developing countries generally do not have enough historical data. Thus, sampling programs are crucial for the success of the evaluation, although in developing countries they always represent a controversial task between limited available budget and a precise assessment. This paper shows the steps taken to generate soil and water data to be used in a pesticide assessment project for a 34,000 ha watershed in Ecuador, South America. Sampling campaigns are still being run, so the methodology and the first results are shown here.

Ecuador↗
PubMedDate not supplied

[Frequency of apolipoprotein E in a Nahua population].

The presence of different ethnic groups in Mexico may give rise to genetic diversity between the native Indian population and the Mestizos. It is therefore of medical and anthropological interest to analyze the genotypes of disease-associated loci, such as polymorphism in the apolipoprotein E gene, whose 4/4 allele increases the risk of Alzheimer's disease and coronary heart disease in other populations. We studied a Nahua Indian-population in the State of Morelos (Santo Domingo Ocotitlan). The ABO blood type of all individuals was determined and compared with the findings of other Nahua group from the State of Puebla. Without statistical significant differences in O, A and AB groups between both populations (p > 0.05). The allelic and genotypic frequency of apolipoprotein E was similar to that observed in other Mexican indian (Mazatecans, Mayans) and Mestizo populations, however there was a statistically significant difference when the results were compared to the allelic frequencies of other Amerinds: The Cayapa (Ecuador) for the epsilon 3 and epsilon 4 alleles (p < 0.002); the Nuuk (Greenland) for epsilon 3 and epsilon 4 alleles (p < 0.0001 and p < 0.002 respectively); and the Ammssalik (Greenland) for both alleles with p < 0.0001 and p = 0.04 respectively. In the case of the genotypes, there was statistically significant difference for the 4/3 genotypes, but a non significant difference for the 4/4 genotype. This is a descriptive study which contributes to the knowledge of the genetic structure of Mexican population.

ABO Blood-Group System↗
PubMed2003

Practical aspects of in vivo antimalarial drug efficacy testing in the Americas.

The World Health Organization (WHO) has developed guidelines for in vivo antimalarial drug efficacy testing for Plasmodium falciparum and Plasmodium vivax in areas with low-to-moderate transmission, such as the Americas. These guidelines are used widely by ministries of health and national malaria control programs to assess the efficacy of their first-line and second-line drugs for the treatment of malaria and to provide the information necessary to update national malaria treatment policies. Following the WHO guidelines, we have conducted in vivo efficacy trials with a variety of drugs and drug combinations against P. falciparum and P. vivax at 13 sites in Peru, Bolivia, and Ecuador. Based on these experiences, we have identified several modifications that we believe should be made in the WHO recommendations to make them more suitable to the relatively low levels of P. falciparum transmission in the Americas and to the logistic challenges of carrying out such studies in sparsely populated areas, such as the Amazon Basin. These include changes in inclusion and exclusion criteria, in enrollment and follow-up procedures, and in the measurement of study outcomes.

Animals↗
PubMed1992

Two new coccidian parasites from the slate-colored grosbeak (Pitylus grossus) of South America.

In July and August 1990, fecal samples from 2 slate-colored grosbeaks were collected from the rain forest of Ecuador. Upon examination, 2 new species of coccidia were discovered. Oocysts of Isospora pityli n. sp. are spheroid or subspheroid, 20.1 x 18.8 (20-20.5 x 17-20) microns, with a shape index of 1.07 (1.0-1.18) but lacking a micropyle, oocyst residuum, and polar granules. Sporocysts are ovoid, 14.7 x 9.4 (12-17 x 8-11) microns, with small nipplelike Stieda bodies, no substieda bodies, and residua composed of an amorphous cluster of coarse, nonuniform granules. Sporozoites each possess a large refractile body at 1 end and appear to be enclosed in a thin membrane within the sporocyst along with the residuum. Oocysts of L. formarum n. sp. are spheroid or subspheroid, 24.6 x 23.5 (21-27 x 20-25) microns, with a shape index of 1.05 (1.0-1.09) but with no micropyle, oocyst residuum, or polar granules. Sporocysts are ovoid, 15.7 x 11.3 (14-17 x 10-13) microns, with small, nipplelike Stieda bodies and large triangular or conical-shaped substieda bodies with irregular lower edges. Sporozoites each possess an oblong refractile body at 1 end and appear packed together randomly and enclosed in a membrane along with a spheroid residuum composed of fine, uniform granules.

Animals↗
PubMed2003

[Eugenio Espejo, the Quito physician: pioneer of bacteriology in the Americas].

Eugenio Espejo (1747-1795). Mestizo. Was born in the Royal Audience of Quito. Today, the Republic of Ecuador. The 18th century was isf illustration and enlightment for the Quiteños. Espejo's extraordinary erudition is explained by the full access he had to yhe libraries created in Quito by the Jesuits. The best in the continent at that time. His work, Reflections on Smallpox, makes or Espejo outstanding in his field. Pioneer in bacteriology and of the biopathological observations in America. The first newspaper in Quito, Primicies of the culture of Quito, was his own work. Furthermore, Espejo is considered the precursor of the independence of Hispanoamerica.

Bacteriology↗
PubMed2003

Bioassay screening of Amazonian plants.

OBJECTIVE: The purpose of this study was to evaluate several biological activities of thirty plant extracts collected in the North West Amazon (Ecuador). Some of these plants are being used for their reputed medicinal properties by the natives of this region. METHODS: Five in vitro bioassays were used to screen the plant material. 1. The brine shrimp lethality examination (BSLT) in microplate is a general test that seems capable of detecting a broad spectrum of bioactivity present in crude plant extracts. 2. Free radical scavenging properties were studied in a colorimetric assay using 2,2-diphenyl-1-picrylhydrazyl (DPPH). 3. The beta-glucosidase inhibition test is thought to be a method for the evaluation of anti-AIDS, anti-diabetic or anti-obesity compounds. 4. The xanthine oxidase inhibition assay is used to identify potential anti-gout agents. 5. The antibacterial activity that is being used to isolate and identify antibiotic drugs. RESULTS: In the BSLT, we found that Piscidia carthagenensis demonstrated very good activity with a LC50: 21.81 micrograms/mL. It is considered that plant extracts with low LC50 values may contain metabolites with cytotoxic, antifungal, insecticidal or pesticide activities. In the antioxidant activity bioassay, several plant extracts were confirmed to have excellent free radical scavenging properties. Rhus juglandifolia and Clusia venusta leaves exhibited an ED50: 3.12 micrograms/mL and 3.61 micrograms/mL, respectively. Piper reticulatum (84%), Inga heteroptera (77%), Clusia venusta (70.9%), and Rhus juglandifolia (70.5%) showed fairly good inhibition activity for beta-glucosidase. On the other hand, none of the plant extracts was capable of inhibiting xanthine oxidase. Finally, the Gram-positive microorganisms Staphylococcus aureus and Corynebacterium diphteriae were found to be sensitive to the majority of the plant extracts, whereas the Gram-negative bacteria Escherichia coli, Pseudomonas aeruginosa, Proteus vulgaris, and Salmonella typhi were proved to be resistant toward the plant extracts. CONCLUSIONS: It is important to continue investigating our plant kingdom, especially the world tropical reserves as an alternative for finding new or better drugs. It should be essential to follow-up this type of investigation to isolate and elucidate the active principles of the bio-positive plants.

Animals↗
PubMed2005

An evidence-based approach to benchmarking the fairness of health-sector reform in developing countries.

The Benchmarks of Fairness instrument is an evidence-based policy tool developed in generic form in 2000 for evaluating the effects of health-system reforms on equity, efficiency and accountability. By integrating measures of these effects on the central goal of fairness, the approach fills a gap that has hampered reform efforts for more than two decades. Over the past three years, projects in developing countries on three continents have adapted the generic version of these benchmarks for use at both national and subnational levels. Interdisciplinary teams of managers, providers, academics and advocates agree on the relevant criteria for assessing components of fairness and, depending on which aspects of reform they wish to evaluate, select appropriate indicators that rely on accessible information; they also agree on scoring rules for evaluating the diverse changes in the indicators. In contrast to a comprehensive index that aggregates all measured changes into a single evaluation or rank, the pattern of changes revealed by the benchmarks is used to inform policy deliberation aboutwhich aspects of the reforms have been successfully implemented, and it also allows for improvements to be made in the reforms. This approach permits useful evidence about reform to be gathered in settings where existing information is underused and where there is a weak information infrastructure. Brief descriptions of early results from Cameroon, Ecuador, Guatemala, Thailand and Zambia demonstrate that the method can produce results that are useful for policy and reveal the variety of purposes to which the approach can be put. Collaboration across sites can yield a catalogue of indicators that will facilitate further work.

Benchmarking↗
PubMed2006

The origin and diversification of Galapagos mockingbirds.

Evolutionary radiations of colonists on archipelagos provide valuable insight into mechanisms and modes of speciation. The apparent diversification of Galapagos mockingbirds (Nesomimus) provoked Darwin's initial conception of adaptive radiation, but the monophyly of this historically important exemplar has not been evaluated with molecular data. Additionally, as with most Galapagos organisms, we have a poor understanding of the temporal pattern of diversification of the mockingbirds following colonization(s) from source populations. Here we present a molecular phylogeny of Galapagos and other mockingbird populations based on mitochondrial sequence data. Monophyly of Galapagos mockingbirds was supported, suggesting a single colonization of the archipelago followed by diversification. Our analyses also indicate that Nesomimus is nested within the traditional genus Mimus, making the latter paraphyletic, and that the closest living relatives of Galapagos mockingbirds appear to be those currently found in North America, northern South America, and the Caribbean, rather than the geographically nearest species in continental Ecuador. Thus, propensity for over-water dispersal may have played a more important role than geographic proximity in the colonization of Galapagos by mockingbirds. Within Galapagos, four distinct mitochondrial DNA clades were identified. These four clades differ from current taxonomy in several important respects. In particular, mockingbirds in the eastern islands of the archipelago (Española, San Cristóbal, and Genovesa) have very similar mitochondrial DNA sequences, despite belonging to three different nominal species, and mockingbirds from Isabela, in the west of the archipelago, are more phylogenetically divergent than previously recognized. Consistent with current taxonomy is the phylogenetic distinctiveness of the Floreana mockingbird (N. trifasciatus) and close relationships among most mockingbirds from the central and northern region of the archipelago (currently considered conspecific populations of N. parvulus). Overall, phylogeographic patterns are consistent with a model of wind-based dispersal within Galapagos, with colonization of more northerly islands by birds from more southern populations, but not the reverse. Further radiation in Galapagos would require coexistence of multiple species on individual islands, but this may be prevented by relatively limited morphological divergence among mockingbirds and by lack of sufficient habitat diversity in the archipelago to support more than one omnivorous mimid.

Animals↗
PubMedDate not supplied

Prognostic prediction of the immunohistochemical expression of p16 and p53 in cutaneous melanoma: a comparison of two populations from different geographical regions.

p16INK4a and p53 are tumor-suppressor genes frequently altered in various malignancies, including cutaneous melanoma. The purpose of the study was to establish the prognostic value of immunohistochemical expression of p16INK4a a and p53 in sporadic cutaneous melanoma (CM) in two regions with a high-risk for melanoma in Italy and Ecuador. Immunohistochemical staining of p16 and p53 was performed in samples of primary CM from 82 patients with Stage I and II melanoma according to the American Joint Committee on Cancer (AJCC) staging system. Survival differences between categories of p16 or p53 expression were analyzed using the product-limit procedure (Kaplan-Meier method, log-rank test). Clinical variables (gender, age, tumor location, Clark's level, thickness) were correlated with survival and p16 or p53 expression. p16 nuclear immunoreactivity was observed in 85% of Italian patients compared to 48.7% of Ecuadorians; a small number of cases showed p53 immunoreactivity in both populations. Only nuclear p16 expression exhibited a significant correlation with survival (Italians p=0.001, Ecuadorians p=0.017) but did not appear to correlate with any clinicopathological parameter. No significant difference was observed in survival with regard to p53 expression or cytoplasmic p16. Our results demonstrate that nuclear expression of p16 can be considered a molecular prognostic factor in patients with sporadic CM and indicate its importance as a clinical marker.

Adolescent↗
PubMed1991

Microfilaricidal effect of amocarzine in skin punch biopsies of patients with onchocerciasis from Latin America.

Skin punch biopsies were performed in 54 selected patients with onchocerciasis participating in a clinical trial with amocarzine (CGP 6140) in Ecuador and Guatemala. Skin snipping for counting microfilariae of Onchocerca volvulus was done before treatment (day 0) and day 4 and 8 following start of the therapy which consisted of 3 mg/kg amocarzine postprandially twice daily for three consecutive days. The mean microfilarial skin density has been reduced by 45% on day 4 and 95% on day 8. Skin punch biopsies were taken on day 5, within 1 cm from the snip site on the iliac crest. Histopathologic examination revealed that the vast majority of the microfilariae in the upper as well as in the deeper dermis were degenerated or necrotic, surrounded often (57%) by minute foci of fibrinoid change of the collagen. There was usually slight, less frequently moderate eosinophilic, lympho-plasmocytic and initial histocytic inflammatory reaction in the vicinity. Microfilariae were frequently (69%) found at the dermal-epidermal junction and in the epidermis. Occasionally (7%) intra-epidermal microabscesses were noted. Microfilariae were detected also in the lumen of some dermal lymphatic vessels. Therefore it is concluded that amocarzine showed marked microfilaricidal effects in the skin of patients with onchocerciasis as evidenced histologically by mainly destroyed or moribund microfilariae which induced a mild to moderate inflammatory cell reaction.

Adult↗
PubMed1991

Cholera--New Jersey and Florida.

Through April 30, 1991, epidemic cholera has been reported from five countries in South America: Brazil, Chile, Colombia, Ecuador, and Peru. In addition, in the United States a total of 10 confirmed cases of epidemic-associated cholera have been reported in Georgia, New Jersey, and Florida. This report summarizes information regarding the cases reported in New Jersey and Florida.

Cholera↗