52 research outputs found

    Immigrant IBD Patients in Spain Are Younger, Have More Extraintestinal Manifestations and Use More Biologics Than Native Patients

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    Crohn's disease; Immigrant; Inflammatory bowel diseaseEnfermedad de Crohn; Inmigrante; Enfermedad inflamatoria intestinalMalaltia de Crohn; Immigrant; Malaltia inflamatòria de l'intestíBackground: Previous studies comparing immigrant ethnic groups and native patients with IBD have yielded clinical and phenotypic differences. To date, no study has focused on the immigrant IBD population in Spain. Methods: Prospective, observational, multicenter study comparing cohorts of IBD patients from ENEIDA-registry who were born outside Spain with a cohort of native patients. Results: We included 13,524 patients (1,864 immigrant and 11,660 native). The immigrants were younger (45 ± 12 vs. 54 ± 16 years, p < 0.001), had been diagnosed younger (31 ± 12 vs. 36 ± 15 years, p < 0.001), and had a shorter disease duration (14 ± 7 vs. 18 ± 8 years, p < 0.001) than native patients. Family history of IBD (9 vs. 14%, p < 0.001) and smoking (30 vs. 40%, p < 0.001) were more frequent among native patients. The most prevalent ethnic groups among immigrants were Caucasian (41.5%), followed by Latin American (30.8%), Arab (18.3%), and Asian (6.7%). Extraintestinal manifestations, mainly musculoskeletal affections, were more frequent in immigrants (19 vs. 11%, p < 0.001). Use of biologics, mainly anti-TNF, was greater in immigrants (36 vs. 29%, p < 0.001). The risk of having extraintestinal manifestations [OR: 2.23 (1.92-2.58, p < 0.001)] and using biologics [OR: 1.13 (1.0-1.26, p = 0.042)] was independently associated with immigrant status in the multivariate analyses. Conclusions: Compared with native-born patients, first-generation-immigrant IBD patients in Spain were younger at disease onset and showed an increased risk of having extraintestinal manifestations and using biologics. Our study suggests a featured phenotype of immigrant IBD patients in Spain, and constitutes a new landmark in the epidemiological characterization of immigrant IBD populations in Southern Europe

    La paleodieta de cinco especies de mamíferos herbívoros rancholabreanos de valsequillo (Puebla, México)

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    Through the use of the 13C/12C and 18O/16O isotopic relationships found at enamel and osteodentine, here it is inferred the diet and preferred habitat in which five extinct herbivore species from the Late Pleistocene of Valsequillo, Puebla, México. The horses, mammoths, and sloths showed a diet mainly based in C4, meanwhile the capybaraand gomphotheres were mixed C3/C4 feeders. The vegetation in which those animals lived was open with some trees, similar to the one proposed in other studies based in some macromammals species found in the locality.Usando las relaciones isotópicas de 13C/12C y 18O/16O presentes en el esmalte y la osteodentina, se infirió la dieta y el ambiente en el cual vivieron cinco especies extintas de herbívoros procedentes del Pleistoceno Tardío de Valsequillo, Puebla, México. Los caballos, los mamutes y el perezoso mostraban una dieta basada exclusivamente en plantas C4, mientras que el carpincho y los gonfoterios exhibían una dieta mixta C3/C4. El tipo de vegetación en el cual estos animales habitaron fue abierto con poca cobertura arbórea, misma que ha sido propuesta en otros estudios usando la presencia de algunas especies de micromamíferos encontradosen la zona

    Risk of Dengue Incidence in Children and Adolescents in Zulia, Venezuela, using a Negative Binomial Generalized Linear Mixed Model

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    Introduction: Dengue is the most important arboviral disease. Its incidence has increased 30-fold over the last 50 years, causing global concerns. Studies have showed children to be the most vulnerable. Methods: Observational study using dengue cases from Zulia state, Venezuela, modelling through a Negative Binomial Generalized Linear Mixed Model (GLMM) accounting for heterogeneity in the variance via a hierarchical Bayesian framework, was done. We assessed risk factors such as age and sex. The Bayesian framework enabled the estimation of Relative Risk (RR) and a Binomial regression was run using the WinBUGS software. Results: During 2002-2008, there were 49,330 cases of dengue in Zulia state, Venezuela. Most of them (18.71%) in 2007. The model revealed that children aged from 5 to 14 y-old had 1.59-higher risk (95%CI 1.41-1.79) compared with those aged from 0-4 y-old. Those aged 25-44 years old and ≥45, have significantly less RR than the baseline category, RR 0.5228 (95%CI 0.46-0.59) and 0.3069 (95%CI 0.27-0.34). Conclusions: The findings confirmed that groups most at risk were children aged 5 to 14 years. Modelling and predicting dengue epidemiology are still a need in multiple countries, especially those at risk of newer epidemics, as is the case of Zulia and Venezuela

    Risk of Dengue Incidence in Children and Adolescents in Zulia, Venezuela, using a Negative Binomial Generalized Linear Mixed Model

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    Introduction: Dengue is the most important arboviral disease. Its incidence has increased 30-fold over the last 50 years, causing global concerns. Studies have showed children to be the most vulnerable. Methods: Observational study using dengue cases from Zulia state, Venezuela, modelling through a Negative Binomial Generalized Linear Mixed Model (GLMM) accounting for heterogeneity in the variance via a hierarchical Bayesian framework, was done. We assessed risk factors such as age and sex. The Bayesian framework enabled the estimation of Relative Risk (RR) and a Binomial regression was run using the WinBUGS software. Results: During 2002-2008, there were 49,330 cases of dengue in Zulia state, Venezuela. Most of them (18.71%) in 2007. The model revealed that children aged from 5 to 14 y-old had 1.59-higher risk (95%CI 1.41-1.79) compared with those aged from 0-4 y-old. Those aged 25-44 years old and ≥45, have significantly less RR than the baseline category, RR 0.5228 (95%CI 0.46-0.59) and 0.3069 (95%CI 0.27-0.34). Conclusions: The findings confirmed that groups most at risk were children aged 5 to 14 years. Modelling and predicting dengue epidemiology are still a need in multiple countries, especially those at risk of newer epidemics, as is the case of Zulia and Venezuela

    Proyecto de inversión de una granja de ganado porcino en el municipio de Delicias, Chihuahua

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    El presente trabajo se realizó en   el Municipio de   Delicias, Chihuahua para evaluar la factibilidad financiera y   economica de una granja de ganado porcino.   Se utilizó el formato de formulación y evaluación  de proyectos  de inversión  de  Programa de  Apoyo  para la  Productividad de  la Mujer Emprendedora de la SAGARPA. La granja es de ciclo completo con una produccion el primer año de 453 cerdos cuya raza es hibrida, son cruza de Landrace, Yorkshire y Duroc; y asi aumentando propocionalmente año con año. El canal de distribución   más conveniente para el proyecto es el representado por    Productor – Introductor – Consumidor final.    La evaluación economica dio como resultados  una TIR  del  45.51%   con  una VAN(10%)  de   $865,751.57    ademas  de una  relación Beneficio Costo de (10%)  1.14  por lo que el proyecto es financieramente viable

    Feeding habits and habitat of herbivorous mammals from the Early–Late Hemphillian (Miocene) of Costa Rica

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    Carbon and oxygen stable isotope values in the dental enamel of fossils were used to infer the diet and habitat of the extinct equids Calippus hondurensis, Dinohippus mexicanus, and Protohippus gidleyi, the gomphothere Gomphotherium hondurensis, and the llama Hemiauchenia vera of the Early–Late Hemphillian (Hh2) from San Gerardo de Limoncito, Puntarenas province, Costa Rica. The results suggest that these mammals fed mainly on C3 plants and lived in clearings of rainforests. This contrasts with previous studies from North America that indicated that the same species lived in forest savannas and fed mainly on C4 plants, but it is similar to the results obtained from the palynological record of the area, as well as with several vegetation models suggesting the presence of humid tropical forest during the Miocene in Central America

    Mendelian Randomization Analysis of the Relationship Between Native American Ancestry and Gallbladder Cancer Risk

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    Background A strong association between the proportion of Native American ancestry and the risk of gallbladder cancer (GBC) has been reported in observational studies. Chileans show the highest incidence of GBC worldwide, and the Mapuche are the largest Native American people in Chile. We set out to investigate the causal association between Native American Mapuche ancestry and GBC risk, and the possible mediating effects of gallstone disease and body mass index (BMI) on this association. Methods Markers of Mapuche ancestry were selected based on the informativeness for assignment measure and then used as instrumental variables in two-sample mendelian randomization (MR) analyses and complementary sensitivity analyses. Result We found evidence of a causal effect of Mapuche ancestry on GBC risk (inverse variance-weighted (IVW) risk increase of 0.8% for every 1% increase in Mapuche ancestry proportion, 95% CI 0.4% to 1.2%, p = 6.6×10-5). Mapuche ancestry was also causally linked to gallstone disease (IVW risk increase of 3.6% per 1% increase in Mapuche proportion, 95% CI 3.1% to 4.0%, p = 1.0×10-59), suggesting a mediating effect of gallstones in the relationship between Mapuche ancestry and GBC. In contrast, the proportion of Mapuche ancestry showed a negative causal effect on BMI (IVW estimate -0.006 kg/m2 per 1% increase in Mapuche proportion, 95% CI -0.009 to -0.003, p = 4.4×10-5). Conclusions The results presented here may have significant implications for GBC prevention and are important for future admixture mapping studies. Given that the association between Mapuche ancestry and GBC risk previously noted in observational studies appears to be causal, primary and secondary prevention strategies that take into account the individual proportion of Mapuche ancestry could be particularly efficient

    4to. Congreso Internacional de Ciencia, Tecnología e Innovación para la Sociedad. Memoria académica

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    Este volumen acoge la memoria académica de la Cuarta edición del Congreso Internacional de Ciencia, Tecnología e Innovación para la Sociedad, CITIS 2017, desarrollado entre el 29 de noviembre y el 1 de diciembre de 2017 y organizado por la Universidad Politécnica Salesiana (UPS) en su sede de Guayaquil. El Congreso ofreció un espacio para la presentación, difusión e intercambio de importantes investigaciones nacionales e internacionales ante la comunidad universitaria que se dio cita en el encuentro. El uso de herramientas tecnológicas para la gestión de los trabajos de investigación como la plataforma Open Conference Systems y la web de presentación del Congreso http://citis.blog.ups.edu.ec/, hicieron de CITIS 2017 un verdadero referente entre los congresos que se desarrollaron en el país. La preocupación de nuestra Universidad, de presentar espacios que ayuden a generar nuevos y mejores cambios en la dimensión humana y social de nuestro entorno, hace que se persiga en cada edición del evento la presentación de trabajos con calidad creciente en cuanto a su producción científica. Quienes estuvimos al frente de la organización, dejamos plasmado en estas memorias académicas el intenso y prolífico trabajo de los días de realización del Congreso Internacional de Ciencia, Tecnología e Innovación para la Sociedad al alcance de todos y todas

    Relación entre el reclutamiento, la temperatura superficial del mar y la mortalidad denso independiente de la sardina del pacífico (Sardinops caeruleus) de la costa suroeste de la península de Baja California, México

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    The density-independent mortality, considered in the stock-recruitment model of Ricker, was related to the interannual variability of the sea surface temperature (SST) during 1981 to 1993 in Bahía Magdalena, Baja California Sur and Isla Cedros, Baja California, Mexico. From the stock-recruitment curve fitted to the observed data the variation in the density-independent mortality was estimated, maintaining fixed the value of the density-dependent coefficient. The density-independent parameters estimated in this way were related to the SST by using a functional relationship that considers six principal components. This function permitted identification of the changes of the density-independent mortality and its relation to the recruitment of the Pacific sardine Sardinops caeruleus. We determined density-independent mortality greater than 3.38 as years with recruitment greater than 25,000 t, and density-independent mortality less than 3.38 as years with recruitment less than 15,000 t. The seasons of greatest influence on the density-independent mortality in relation to the SST were autumn, winter and spring in both regions (Bahía Magdalena and Isla Cedros). In these seasons when the SST > 19.3°C (warmer waters) the variations in recruitment of Pacific sardine were observed.La mortalidad denso independiente considerada en el modelo de stock reclutamiento de Ricker fue relacionada con la variabilidad interanual de la temperatura superficial del mar (TSM), durante el periodo de 1981 a 1993 en Bahía Magdalena, Baja California Sur e Isla Cedros, Baja California, México. Ajustando la curva stock reclutamiento a los datos observados, se estimó la variación de la mortalidad denso independiente, manteniendo constante el valor del coeficiente de mortalidad denso dependiente. Los parámetros de denso independencia estimados de ésta forma, fueron relacionados con la TSM usando una relación funcional que considera seis componentes principales. Esta función permitió identificar los cambios en la mortalidad denso independiente y su relación con el reclutamiento de la sardina del pacífico Sardinops caeruleus. Se determinó una mortalidad denso independiente > 3.38 como años con reclutamiento > 25,000 t, y mortalidad denso independiente 19.3°C (aguas cálidas)
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