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Nitrogen input to the Gulf of Mexico.

Historical streamflow and concentration data were used in regression models to estimate the annual flux of nitrogen (N) to the Gulf of Mexico and to determine where the nitrogen originates within the Mississippi Basin. Results show that for 1980-1996 the mean annual total N flux to the Gulf of Mexico was 1,568,000 t yr-1. The flux was about 61% nitrate N, 37% organic N, and 2% ammonium N. The flux of nitrate N to the Gulf has approximately tripled in the last 30 years with most of the increase occurring between 1970 and 1983. The mean annual N flux has changed little since the early 1980s, but large year-to-year variations in N flux occur because of variations in precipitation. During wet years the N flux can increase by 50% or more due to flushing of nitrate N that has accumulated in the soils and unsaturated zones in the basin. The principal source areas of N are basins in southern Minnesota, Iowa, Illinois, Indiana, and Ohio that drain agricultural land. Basins in this region yield 1500 to more than 3100 kg N km-2 yr-1 to streams, several times the N yield of basins outside this region.

Eutrophication↗

Prevalence of coronary artery disease risk factors in workers at the general hospital of Mexico of the ministry of health.

OBJECTIVE: To assess the prevalence of coronary risk factors in 2,463 health-care workers at the General Hospital of Mexico. METHODS: The study participants--1,620 women (65.8%) and 843 men (34.2%)--ranged in age from 16 to 65 years old. Study subjects were classified into five occupational subgroups: maintenance workers, 477 (19.4%); administrators, 697 (28.3%); physicians, 495 (20.1%); nursing staff, 559 (22.7%); and students, 235 (9.5%). For each participant, a clinical history was elicited, anthropometric determinations were done, and samples were obtained for determining blood glucose, total cholesterol, low-density lipoprotein, high-density lipoprotein, and triglyceride levels. RESULTS: Cholesterol levels above 6.2 mmol/L (>240 mg/dL) were found in 14.9% of the women and 14.8% of the men in the overall study group. Triglyceride levels of more than 2.25 mmol/L (>200 mg/dL) were found in 471 participants (19.1%). The prevalence of obesity was 13.5%, and high blood pressure was detected in 22.2% of study participants. Only 32.2% of subjects engaged in physical exercise one or more times per week; moreover, 32% of those surveyed smoked. The prevalence for diabetes mellitus was 6.25%. The multifactorial coronary risk index was high in 13.2% of men and 43.2% of women older than 30 years of age. CONCLUSION: This study confirmed the high prevalence of risk factors for cardiovascular diseases in personnel of the General Hospital of Mexico. Because many of these risk factors are modifiable, educational efforts and preventive measures should be implemented.

Journal Article↗

Type 2 diabetes genetics in 125,000 admixed adults from Mexico City.

Type 2 diabetes (T2D) is a highly heritable, polygenic disease with over 600 loci identified through genome-wide association studies (GWAS). However, despite possessing unique genetic variation shaped by demographic history and admixture, Latin American populations remain markedly underrepresented in global genomic research. To address this gap, we conducted genome- and exome-wide analyses of 19,431 T2D cases and 105,611 controls from the Mexico City Prospective Study (MCPS). We identified 86 independent GWAS associations, including 21 novel signals, 15 of which replicated in external cohorts. Risk alleles at novel loci were enriched in individuals with Indigenous American ancestry. Exome analyses revealed rare and ultra-rare missense variants with substantial risk effects at HNF1A and GCK, as well as a protein-damaging variant in SLC30A8 that reduced T2D risk by 45% in carriers. Integrative analyses indicate that T2D genetic architecture in Mexico is predominantly driven by common regulatory variation acting in the endocrine pancreas. Polygenic risk scores strongly stratified T2D risk and transferred to Indigenous Mexican populations. These findings demonstrate the power of large-scale genetic discovery in diverse populations to refine disease architecture and identify loci with potential therapeutic relevance.

Journal Article↗

Postmortem diagnosis of morbillivirus infection in bottlenose dolphins (Tursiops truncatus) in the Atlantic and Gulf of Mexico epizootics by polymerase chain reaction-based assay.

Lung tissue from 39 bottlenose dolphins (Tursiops truncatus) found dead off the U.S. Atlantic and Gulf of Mexico coasts from 1987 to 1994 was examined for the presence of morbillivirus using a reverse transcriptase polymerase chain reaction (RT-PCR) technique. Of the Atlantic cases examined, six of six were positive using this assay; 18 of 25 Gulf of Mexico cases with amplifiable RNA also were found to be positive, and eight additional specimens had no amplifiable RNA. The RT-PCR allowed the diagnosis of morbillivirus infection to be made from either sections of paraffin-embedded formalin-fixed material or from unfixed tissue. Conformation of diagnosis was made by subsequent hybridization of the amplified products with a dolphin morbillivirus specific probe using the Southern blot technique. Application of this method to autolyzed post-mortem tissues allows diagnoses of morbillivirus infection to be made in specimens which cannot be evaluated by histologic and immunocytochemical techniques.

Animals↗

Monitoring and Protecting Health and Human Rights in Mexico.

This paper describes a unique system through which health care-related human rights are now being monitored and protected in Mexico. Based on the ombudsman concept, the system focuses on identifying and responding to violations of human rights and dignity which may occur in the context of health care delivery. Experience thus far has been encouraging; the Mexican population has identified and used the National Commission of Human Rights as a forum for a variety of health-related complaints. The Mexican system, while requiring strengthening and expansion, is an effort to integrate the monitoring and protection of health-related human rights into the broader field of human rights work in Mexico.

Journal Article↗

[Abortion and physicians in training: the opinion of medical students in Mexico City]

This research project explores doctors' views regarding induced abortion. Abortion's penalization in Mexico greatly conditions its relevance as a social and public health problem. Physicians constitute a professional sector that can play an important role in reforming current laws on abortion. As a professional group, they have taken a conservative stance towards abortion. Their attitudes are to a great extent influenced by the medical training they receive. In this article we present results from a survey of 96 medical students from the Universidad Autónoma Metropolitana Xochimilco, in Mexico City. Data were processed with the SPSS program. Simple frequencies show that students have limited knowledge concerning the legal status of abortion and that they tolerate it with restrictions and in limited situations. Women students apparently take a more conservative stance, but statistical analysis with the c-square test did not show significant differences by gender. The article poses the need to modify doctors' training in the reproductive health field, allowing future doctors to acquire a broader view of health problems related to sexuality and reproduction. In the long run, this should also promote a kind of comprehensive health care practice in medical services, thus responding more satisfactorily to women's needs.

Journal Article↗

Neural tube defect surveillance and folic acid intervention--Texas-Mexico border, 1993-1998.

Neural tube defects (NTDs) are common and serious malformations that originate early in pregnancy. In the United States, approximately 4000 pregnancies each year are affected by the two most common NTDs (spina bifida and anencephaly). In 1992, the Texas Department of Health (TDH), with support from a CDC cooperative agreement, implemented the Texas Neural Tube Defect Project (TNTDP), a program of NTD surveillance and risk-reduction activities in the 14 counties that border Mexico. The project was initiated in response to an anencephaly cluster identified during 1990-1991 in Brownsville (Cameron County), Texas (1). Whether the high anencephaly rate (19.7 per 10,000 live births) was unique to Cameron County or was characteristic of the entire border was unknown. This report summarizes NTD surveillance rates for the 14 Texas-Mexico border counties for 1993-1998 and presents preliminary results of TNTDP efforts to prevent the recurrence of NTDs by providing folic acid to high-risk women. Findings indicate that the baseline rate along the border is high (13.4 per 10,000 live births) and largely reflects the rate among Hispanics (13.8). Although a longer period is needed to obtain definitive results, folic acid appears to be effective for reducing the risk for NTD recurrence in Hispanics.

Female↗

Lime-treated maize husks lower plasma LDL-cholesterol levels in normal and hypercholesterolaemic adult men from northern Mexico.

Lime-treated maize husks (LTCH), a by-product of tortilla manufacturing in Mexico, have been shown to decrease plasma LDL-cholesterol levels in guinea-pigs by specific alterations in hepatic cholesterol metabolism. To determine whether LTCH would also lower plasma cholesterol levels in normal and hyperlipidaemic individuals, the fibre content of a typical diet was increased by supplementing free-living subjects in North-West Mexico with cookies containing 450 g LTCH/kg. Normal subjects (n 11) with plasma cholesterol levels of less than 5.7 mmol/l and hypercholesterolaemic subjects (n 12) with plasma cholesterol levels higher than 5.7 mmol/l participated in the study. Plasma glucose, cholesterol, triacylglycerol, LDL-cholesterol and HDL-cholesterol concentrations, LDL:HDL values and blood pressure were determined at baseline and after 6 weeks of supplementation with LTCH. LTCH supplementation significantly lowered the plasma total cholesterol level by 11-15% and LDL-cholesterol by 25%, and improved the LDL:HDL value by 29-33% (P < 0.01) in both normal and hypercholesterolaemic subjects. HDL-cholesterol, triacylglycerol and glucose concentrations did not change. Both groups consumed equal amounts of LTCH per week; individuals showed excellent compliance and good acceptance of the product. Neither group changed their dietary habits during the time of the experiment as determined by 3 d dietary records at baseline and at week 6. We conclude that LTCH supplements are suitable to increase fibre intake and reduce plasma LDL-cholesterol levels in healthy and hypercholesterolaemic subjects in this population.

Adult↗

Characterization by single strand conformation polymorphism of mutations in the rpoB gene of rifampin-resistant Mycobacterium tuberculosis in strains from Vancouver, Mexico City and New Delhi.

OBJECTIVE: The study was conducted to evaluate usefulness of single strand conformation polymorphism (SSCP) over DNA sequencing in the diagnosis of rifampicin (Rif)-resistant tuberculosis. METHODS: Forty seven isolates of Mycobacterium tuberculosis (MTB) Rif-resistant and 25 Rif-sensitive were obtained from Vancouver, Mexico city and New Delhi and were analyzed by polymerase chain reaction (PCR) amplification of rpoB gene and the mutations were identified by DNA sequencing and SSCP. RESULTS: The mutations observed by DNA sequencing in 47 RIF-resistant isolates showed that the most common mutation among Vancouver isolates was in codon 526, Hist-->Arg and in Mexico isolates was in codon 531, Ser-Leu and New Delhi isolates was in codon 516, Asp-->Val. Using fluorescence based PCR-SSCP, it was possible to distinguish Rif-resistant isolates from Rif-sensitive isolates. CONCLUSION: DNA sequencing is a highly accurate method for the detection of mutations associated with drug resistance in tuberculosis but is more expensive and requires special equipment and personnel. SSCP is a simple, accurate method and suitable for analysis of large number of samples and the results are available in less than 72 hours.

DNA Mutational Analysis↗

[Dermatophytoses in Mexico].

The dermatophytic infections are superficial mycoses common in Mexico, they have an estimated frequency of 5% in dermatological outpatients. In this review we present a global view of these mycoses as well as their etiological agents in tinea capitis, tinea pedis, tinea corporis, tinea cruris and onychomycosis and also uncommon infections such as tinea imbricata and epidermophytosis of the diaper area. We also analyze these infections in diabetic patients, healthy carriers and dermatophytic infections in pets and laboratory animals. The most important publications about dermatophytosis in Mexico in the dermatological, epidemiological or mycological area are reviewed, specially those published in the last ten years.

English Abstract↗

Detection of gaps in the spatial coverage of coral reef monitoring projects in the US Caribbean and Gulf of Mexico.

As part of the US Coral Reef Task Force's National Program to Map, Assess, Inventory, and Monitor US Coral Reef Ecosystems, a comprehensive survey of projects/programs monitoring coral reef ecosystems and related habitats (i.e., seagrass beds and mangroves) in the US Caribbean and Pacific was undertaken. Information was gathered on a total of 296 monitoring and assessment projects conducted since 1990 in the US Caribbean and the Gulf of Mexico. Substantial gaps in monitoring coverage of US coral reef ecosystems were revealed through geographic information system (GIS) analysis of survey metadata. Although southern Florida contains approximately two-thirds of all marine monitoring projects found in the US Caribbean and Gulf of Mexico, we were unable to identify any ongoing projects that monitor coral reefs along Florida's western coast and off of the Florida Middle Grounds. Additionally, Florida is covered by approximately 1 900 km2 of mangroves, yet there were only four ongoing projects that monitor this ecosystem, leaving gaps in coverage in the Lower and Middle Keys and along the eastern and western coasts. The Flower Garden Banks National Marine Sanctuary, located offshore of the Texas/Louisiana border, has an integral long-term monitoring program, but lacks a monitoring project that gathers long-term, quantitative data on reef lish abundance and certain water quality parameters. Numerous coral reef monitoring projects in Puerto Rico are concentrated on the island's southwestern coast surrounding La Parguera, while far fewer monitoring projects are conducted along the northern and southeastern coasts and around Vieques Island. In the US Virgin Islands, the paucity of monitoring projects in large areas of St. Croix and St. Thomas contrasts with monitoring activity in three marine protected areas (MPAs), where 66% of the US Virgin Islands' coral reef monitoring sites were found. Only a series of assessments have been conducted at Navassa, a small, uninhabited island located 55 km west of Haiti and 137 km northeast of Jamaica. In order to better understand changes in coral reef communities and to produce a series of biennial reports on the status of US coral reef ecosystems, the National Oceanic and Atmospheric Administration (NOAA) is developing a national coral reef monitoring network. This network has already begun to fill some of these gaps in monitoring coverage through issuing cooperative grants to states and territories to build long-term monitoring capacity.

Animals↗

Aflatoxin synthesis in corn fields in Guanajuato, Mexico.

Aflatoxin contamination of corn is an important problem internationally, particularly in tropical and subtropical conditions that favor infection and synthesis by Aspergillus. Environmental conditions (drought) and agronomic practices i.e. N fertilization have been reported as favorable to aflatoxin synthesis in the field. This study was undertaken to investigate whether the contamination of corn commonly observed in stored conditions in this important corn producing region of Mexico known as "El Bajio" is related to infection by Aspergillus under field conditions. Results using three corn hybrids of recognized susceptibility to infection showed that corn ears artificially inoculated in the field with a toxigenic strain of Aspergillus parasiticus presented a low content of aflatoxin ranging from 13.6 to 24.7 microg Kg(-1). No significant differences were observed between the hybrids tested. Similarly, N fertilization practices, 260 Kg N ha(-1), applied at sowing did not have an effect on the extent of the contamination observed of 6.2 and 19.3 mg of aflatoxin kg(-1) in natural infected and inoculated samples with A. parasiticus NRRL 2999, respectively. Our data suggest that the cases of aflatoxin contamination of corn in this part of Mexico are not related to infection occurring during the crops growing period but most probably to poor storage conditions of corn.

Journal Article↗

Geographic disparities in diabetes-related amputations--Texas-Mexico border, 2003.

The risk for lower extremity amputation (LEA) is estimated at 15 to 40 times higher among persons with diabetes than among persons without diabetes. In Texas, the prevalence of diabetes is higher near the Mexico border, where persons are more likely to have lower levels of education, lower incomes, no health insurance, and other barriers to obtaining health care. To determine whether diabetes-related LEA rates are higher near the Texas-Mexico border, rates were calculated, in both the general population and among persons with diabetes, for diabetes-related LEAs in border and nonborder counties. Data used for this analysis included 2003 Texas Inpatient Hospital Discharge Data (TIHDD), 2003 Texas population estimates, and data from the 2003 Texas Behavioral Risk Factor Surveillance System (BRFSS). The results of the analysis indicated that the age- and sex-adjusted rate of diabetes-related LEAs in the general population along the border was nearly double the rate of nonborder counties. Among persons with diabetes, the rate along the border also was significantly higher than among those in nonborder counties, but the rate differences were primarily among men aged > or =45 years. Additional measures to prevent diabetes and improve education regarding diabetes care are needed to reduce the excess burden of LEAs among persons with diabetes along the border.

Adult↗

[Nursing in primary care in Mexico].

In keeping with the global goal of health for all, the National Development Plan of Mexico describes health as a social right. To give effect to this right it is felt that the health sector must be restructured so as, among other purposes, to improve the coverage of services and strengthen the coordination of education institutions and social security agencies with health establishments, and to make the training of health personnel responsive to the country's real needs. No profession is better suited than nursing to the diversity of tasks in primary care. The authors describe the key role of this personnel in extending the coverage of health services to the entire population. They enumerate the range of basic--technical, administrative and educational--functions performed by nurses, and some factors that reinforce and others that restrict the contribution of nursing to primary health care in Mexico.

Health Education↗

Ethnic differences in mortality from cerebrovascular disease among New Mexico's Hispanics, Native Americans, and non-Hispanic whites, 1958 through 1987.

We analyzed vital statistics data collected from 1958 through 1987 to determine time trends and ethnic differences in cerebrovascular disease mortality rates in New Mexico's Hispanic, Native American, and non-Hispanic white populations. Over the 30-year period of our study, cerebrovascular disease mortality rates decreased in all three major ethnic groups in the state, comparable to national trends. We found that Native Americans of both sexes had the lowest cerebrovascular disease mortality rates, followed by Hispanics, during the initial 25-year span of our data. In the most recent 5-year period that we examined, 1983 through 1987, Hispanics had the highest cerebrovascular disease mortality rates of the three groups. Our data suggest that Hispanics in New Mexico are now at higher risk for cerebrovascular disease-related mortality than are non-Hispanic whites, and that prevention strategies aimed at decreasing cerebrovascular disease rates should be focused on this segment of the state's population.

Cerebrovascular Disorders↗

An economic model of haemophilia in Mexico.

A model was developed to assess the lifetime costs and outcomes associated with haemophilia in Mexico. A retrospective chart review of 182 type A haemophiliacs was conducted for patients aged 0-34 years receiving one of three treatments: (i) cryoprecipitate at clinic; (ii) concentrate at home; or (iii) concentrate at clinic. Patients treated at home experienced 30% less joint damage, used 13-54% less factor VIII, had four times fewer clinic visits, and utilized half as many hospital days than those treated at a clinic. For cryoprecipitate at clinic patients, the annual incidence rates of HCV and HIV were calculated to be 3.6% and 1.4% respectively. The life expectancy for patients receiving cryoprecipitate and those receiving concentrate was estimated to be 49 years and 69 years respectively, with 58% of cryoprecipitate patients predicted to die of AIDS before age 69. Across the lifespan, the average annual cost of care was US$11,677 (MN$110,464) for cryoprecipitate at clinic patients, US$10,104 (M$95,580) for concentrate at home patients and US$18,819 (MN$178,027) for concentrate at clinic patients. Using a 5% discount rate, the incremental lifetime cost per year of life added for treatment with concentrate at home compared with cryoprecipitate at a clinic was US$738 (MN$6981). Rank order stability analysis demonstrated that the model was most sensitive to the cost of fVIII. These results indicate that treatment with concentrate at home compared with cryoprecipitate at a clinic substantially improves clinical outcomes at reduced annual cost levels.

Adolescent↗

Survey research in New Mexico Hispanics: some methodological issues.

A prevalence survey of respiratory diseases was conducted in Albuquerque, New Mexico, with the objective of explaining differing patterns of respiratory disease epidemiology in Hispanic and non-Hispanic whites (Anglos). The study population was selected at random from the 1978 R.L. Polk & Co. Directory. This paper focuses on methodological issues raised during the conduct of the study: response rates, potential language barriers and bias, and identification of Hispanics by surnames. Mail, telephone, and personal interview approaches were used to obtain adequate response rates, which ranged from 60% in Hispanic males to 78% in Anglo females; 22% of Hispanic males refused interview. Fewer Hispanics returned mailed questionnaires than responded to telephone interviewing. Spanish language was increasingly preferred as the respondent's age increased. Two methods of ethnic identification by surname (1980 Census List of Spanish Surnames and a computer program, GUESS (Generally Useful Ethnic Search System) were compared to the self-reported ethnicity of respondents. The GUESS Program was more sensitive than the census list, but the census list was more specific. The combination of both methods produced a 90% sensitivity and 97% specificity in males. Intermarriage reduced the accuracy in females.

Adult↗