19 results on '"Gallardo JA"'
Search Results
2. PIN23 - Costo-Efectividad De La Vacuna Contra El Dengue 2014
- Author
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Castro Rodriguez, R, Rueda-Gallardo, JA, Avella Niño, MF, Lopez, JG, and Caicedo Navas, AG
- Published
- 2015
- Full Text
- View/download PDF
3. Field Applications of Fluorinated Nematicides for Meloidogyne enterolobii Management on Tomato.
- Author
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Castro-López R, López-Orona CA, Martínez-Gallardo JA, Tirado-Ramírez MA, Gómez G, Rubio-Aragón W, Edeza-Urias JA, and Villa-Medina MC
- Abstract
Mexico is the 8
th largest producer of tomatoes. Meloidogyne enterolobii is reported in Sinaloa, affecting tomato cultivars with genetic resistance to Meloidogyne spp. We aimed to evaluate field applications of fluopyram, fluensulfone, and fluazaindolizine treatments for managing M. enterolobii on tomatoes. Experiments were set on raised beds in a shade house. Nematicides were applied via drip irrigation. Under fluopyram treatment, M. enterolobii did not reduce the number of extra-large-size fruits. The number of large-size fruits with fluopyram and fluazaindolizine plus fluopyram treatments was also unaffected by M. enterolobii . Yield from the treatments fluopyram, fluazaindolizine plus fluopyram, and fluensulfone plus fluopyram was similar to the control treatment without M. enterolobii . Finally, fluazaindolizine plus fluopyram, fluopyram, and fluensulfone plus fluopyram treatments showed the highest reduction of root galling. We conclude that the fluopyram was more effective as an individual treatment. Pre-plant applications of fluensulfone and fluazaindolizine reduced the damage to the plant and the loss of yield; however, the complementary application of fluorinated nematicides improved the management of M. enterolobii in the tomato crop., (© 2024 R. Castro-López et al., published by Sciendo.)- Published
- 2024
- Full Text
- View/download PDF
4. Prevalence of Drug-Resistant Tuberculosis in HIV-Positive and Diabetic Patients in Sinaloa, Mexico: A Retrospective Cross-Sectional Study.
- Author
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Aispuro Pérez A, Osuna-Martínez U, Espinoza-Gallardo JA, Dorantes-Álvarez LA, Inzunza-Leyva GK, Dorantes-Bernal KE, and Quiñonez-Bastidas GN
- Abstract
Tuberculosis (TB) is a disease caused by the bacillus Mycobacterium tuberculosis (MTB). Human immunodeficiency virus (HIV) infection and type 2 diabetes mellitus (T2DM) are among the main risk factors for the development of TB and increase the risk of drug-resistant TB developing (DR-TB). The aim of this study was to estimate the prevalence of DR-TB in patients with HIV or T2DM in Sinaloa, Mexico. This was an observational and cross-sectional study. The analysis was conducted using the clinical data of patients registered on the National Epidemiological Surveillance System for TB (SINAVE/PUI-TB) platform with a presumed diagnosis of TB during 2019 to 2021 in Sinaloa, Mexico. The prevalence of DR-TB was estimated in HIV and T2DM patients, as well as the odds ratios for their sociodemographic variables, using the Chi-square test. There were 2, 4, and 4 TB-HIV cases and 2, 6, and 9 TB-T2DM cases during 2019, 2020, and 2021, respectively, whereas there were 2 and 1 DRTB-HIV and DRTB-T2DM cases, respectively. The results indicated that the WHO guidelines for DR-TB were not properly applied to this high-risk population. Hence, the appropriate application of guidelines for TB and DR-TB detection in these patients needs to be immediately implemented by the State health system.
- Published
- 2024
- Full Text
- View/download PDF
5. Immune response induced by coinfection of the sea louse Caligus rogercresseyi and the intracellular bacteria Piscirickettsia salmonis in vaccinated Atlantic salmon.
- Author
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Bustos P, Figueroa C, Cádiz B, Santander T, Dixon B, Gallardo JA, and Conejeros P
- Subjects
- Animals, Immunity, Salmo salar, Copepoda physiology, Coinfection veterinary, Fish Diseases, Piscirickettsia, Phthiraptera
- Abstract
Recently, we showed that Atlantic salmon vaccinated against Piscirickettsia salmonis lose their protection upon coinfection with Caligus rogercresseyi (sea lice). However, the causes of the overriding effect of C. rogercresseyi infection have not been elucidated, and the molecular basis of the cellular and humoral immune responses upon C. rogercresseyi infection has not been described for vaccinated salmon. Therefore, we studied changes in the transcription of immune genes in vaccinated Atlantic salmon that were experimentally challenged by co-infecting them with C. rogercresseyi and P. salmonis. In general, coinfection treatments showed immune gene expression similar to treatments with a single P. salmonis infection, showing a decreased cellular response. However, a high variance was found between individual fish in the case of crucial cellular immune genes, with a few fish reacting overwhelmingly highly compared to the majority. This supports our previous findings on vaccination response variation and reinforces the idea that vaccination failures in the field might be caused by an overwhelming amount of vaccinated fish that display a deficient immune response to the infection., (© 2023 John Wiley & Sons Ltd.)
- Published
- 2023
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6. Occurrence and Dietary Exposure Assessment to Enniatin B through Consumption of Cereal-Based Products in Spain and the Catalonia Region.
- Author
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Gallardo JA, Marín S, Ramos AJ, Cano-Sancho G, and Sanchis V
- Subjects
- Child, Child, Preschool, Humans, Infant, Food Contamination analysis, Spain, Tandem Mass Spectrometry, Dietary Exposure analysis, Edible Grain chemistry, Mycotoxins analysis
- Abstract
Enniatin B (ENNB) is a mycotoxin produced by moulds from the Fusarium genera and its toxic effects are still not fully elucidated, hence a safe reference exposure value has not been established yet. ENNB is the most prevalent emerging mycotoxin and is widely found in cereal-based products, nevertheless, there are no comprehensive exposure assessment studies. For that reason, the aim of this study was to characterise the occurrence of ENNB and estimate the exposure of the Spanish and Catalan populations. A total of 347 cereal-based products were collected in 2019 and were analysed using liquid chromatography-tandem mass spectrometry. Consumption data were obtained from the national food consumption surveys (ENALIA) and a regional survey conducted in Catalonia. The global exposure was estimated using deterministic and probabilistic methods. The results showed a high occurrence of close to 100% in all foodstuffs, with a range from 6 to 269 µg/kg, and a strong correlation with the levels of deoxynivalenol. Children aged one-nine years were the most exposed, showing mean estimates in the range 308-324 ng/kg bw/day and 95th percentiles 697-781 ng/kg bw/day. This study stresses the need for further toxicological data to establish reference doses and conclude formal risk assessment, accounting for the co-occurrence with deoxynivalenol.
- Published
- 2022
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7. Fabrication of ultra-high numerical aperture GeO 2 -doped fiber and its use for broadband supercontinuum generation: publisher's note.
- Author
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Reddy PH, Kir'yanov AV, Dhar A, Das S, Dutta D, Pal M, Barmenkov YO, Minguella-Gallardo JA, Bhadra SK, and Paul MC
- Abstract
This publisher's note serves to correct Appl. Opt.56, 9315 (2017)APOPAI0003-693510.1364/AO.56.009315.
- Published
- 2022
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8. Deterministic and Probabilistic Dietary Exposure Assessment to Deoxynivalenol in Spain and the Catalonia Region.
- Author
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Gallardo JA, Marin S, Ramos AJ, Cano-Sancho G, and Sanchis V
- Subjects
- Adult, Body Weight, Child, Diet, Edible Grain chemistry, Food Contamination analysis, Humans, Infant, Spain, Trichothecenes, Dietary Exposure adverse effects, Dietary Exposure analysis, Mycotoxins analysis
- Abstract
Deoxynivalenol (DON) remains one of the most concerning mycotoxins produced by the Fusarium genus due to the wide occurrence in highly consumed cereal-based food and its associated toxicological effects. Previous studies conducted in Spain and other European countries suggested that some vulnerable groups such as children could be exceeding the tolerable daily intakes. Thus, the aim of this study was to conduct a comprehensive and updated dietary exposure assessment study in Spain, with a specific analysis in the region of Catalonia. Cereal-based food samples collected during 2019 were analysed using liquid chromatography coupled to tandem mass spectrometry for multi-mycotoxin detection including DON and its main metabolites and derivatives. Consumption data were gathered from the nation-wide food surveys ENALIA and ENALIA2 conducted in Spain, and a specific survey conducted in Catalonia. The data were combined using deterministic and semi-parametric probabilistic methods. The results showed that DON was widely present in cereal-based food highly consumed in Spain and the Catalonia region. Exposure to DON among the adult population was globally low; however, among infants aged 3-9 years, it resulted in the median of 192 ng/kg body weight/day and the 95th percentiles of 604 ng/kg body weight/day, that would exceed the most conservative safety threshold for infants. Bread and pasta were the main contributing foodstuffs to the global exposure to DON, even among infants; thus, those foods should be considered a priority for food control or to develop strategies to reduce the exposure. In any case, further toxicological and epidemiological studies are required in order to refine the safety thresholds accounting for the sensitivity of the infant population.
- Published
- 2022
- Full Text
- View/download PDF
9. Commercial Vaccines Do Not Confer Protection against Two Genogroups of Piscirickettsia salmonis , LF-89 and EM-90, in Atlantic Salmon.
- Author
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Figueroa C, Torrealba D, Morales-Lange B, Mercado L, Dixon B, Conejeros P, Silva G, Soto C, and Gallardo JA
- Abstract
In Atlantic salmon, vaccines have failed to control and prevent Piscirickettsiosis , for reasons that remain elusive. In this study, we report the efficacy of two commercial vaccines developed with the Piscirickettsia salmonis isolates AL100005 and AL 20542 against another two genogroups which are considered highly and ubiquitously prevalent in Chile: LF-89 and EM-90. Two cohabitation trials were performed to mimic field conditions and vaccine performance: (1) post-smolt fish were challenged with a single infection of LF-89, (2) adults were coinfected with EM-90, and a low level coinfection of sea lice. In the first trial, the vaccine delayed smolt mortalities by two days; however, unvaccinated and vaccinated fish did not show significant differences in survival (unvaccinated: 60.3%, vaccinated: 56.7%; p = 0.28). In the second trial, mortality started three days later for vaccinated fish than unvaccinated fish. However, unvaccinated and vaccinated fish did not show significant differences in survival (unvaccinated: 64.6%, vaccinated: 60.2%, p = 0.58). Thus, we found no evidence that the evaluated vaccines confer effective protection against the genogroups LF-89 and EM-90 of P. salmonis with estimated relative survival proportions (RPSs) of -9% and -12%, respectively. More studies are necessary to evaluate whether pathogen heterogeneity is a key determinant of the lack of vaccine efficacy against P. salmonis .
- Published
- 2022
- Full Text
- View/download PDF
10. Effects of High-Intensity Interval Training With Specific Techniques on Jumping Ability and Change of Direction Speed in Karate Athletes: An Inter-individual Analysis.
- Author
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Ojeda-Aravena A, Herrera-Valenzuela T, Valdés-Badilla P, Martín EB, Cancino-López J, Gallardo JA, Zapata-Bastías J, and García-García JM
- Abstract
This study investigated the effect of 4weeks of high-intensity interval training (HIIT) with specific techniques and analyzed inter-individual variability [classified in responders (Rs) and non-responders (NRs)] on jumping ability and change of direction speed (CODS) in youth karate athletes. Athletes of both genders ( n =10) were randomly assigned into experimental group (EG; n =5) and the control group (CG; n =5). The EG trained 2-3days per week applying HIIT (three rounds [15 sets of 4s all-out specific efforts with 8s of dynamical pauses] with 3min of recovery between rounds) during their usual training during 4weeks. Assessments included squat jump (SJ) and countermovement jump (CMJ) and CODS by T-test. No significant interaction effect group by time was found. Although, in percentage and effect size (ES) terms increases were reported in both groups for SJ (EG: 15.2%, ES=0.91 vs. CG: 12.4%, ES=0.02) and only in EG for the T-test (-1.7%; ES=-0.35). In turn, a trend toward a higher proportion of Rs was observed in the EG (40% Rs) vs. CG (20% Rs) for SJ and CODS, respectively. In conclusion, the addition to regular training of a HIIT with specific techniques and based on the temporal combat structure after 4weeks was not a sufficient stimulus to increase jumping ability and CODS in karate athletes., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Ojeda-Aravena, Herrera-Valenzuela, Valdés-Badilla, Martín, Cancino-López, Azócar-Gallardo, Zapata-Bastías and García-García.)
- Published
- 2021
- Full Text
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11. Host genetic variation explains reduced protection of commercial vaccines against Piscirickettsia salmonis in Atlantic salmon.
- Author
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Figueroa C, Veloso P, Espin L, Dixon B, Torrealba D, Elalfy IS, Afonso JM, Soto C, Conejeros P, and Gallardo JA
- Subjects
- Animals, Fish Diseases genetics, Fish Diseases immunology, Phenotype, Piscirickettsia isolation & purification, Piscirickettsiaceae Infections genetics, Piscirickettsiaceae Infections immunology, Salmo salar genetics, Salmo salar microbiology, Vaccination methods, Vaccines immunology, Disease Resistance immunology, Fish Diseases prevention & control, Genetic Variation, Piscirickettsia pathogenicity, Piscirickettsiaceae Infections veterinary, Salmo salar immunology, Vaccines administration & dosage
- Abstract
Vaccination is a widely used control strategy to prevent Piscirickettsia salmonis causing disease in salmon farming. However, it is not known why all the currently available commercial vaccines generally fail to protect against this pathogenic bacteria. Here, we report, from two different populations, that between-family variation is a strong intrinsic factor that determines vaccine protection for this disease. While in some full-sib families, the protection added by vaccination increased the survival time in 13 days in comparison with their unvaccinated siblings; in other families, there was no added protection by vaccination or even it was slightly negative. Resistance to P. salmonis, measured as days to death, was higher in vaccinated than unvaccinated fish, but only a moderate positive genetic correlation was obtained between these traits. This disputes a previous hypothesis, that stated that both traits were fully controlled by the same genes, and challenges the use of unvaccinated fish as gold standard for evaluating and selecting fish resistant to P. salmonis, particularly if the offspring will be vaccinated. More studies are necessary to evaluate if variation in the host immune response to vaccination could explain the between-family differences in resistance observed in vaccinated fish.
- Published
- 2020
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12. Characteristics of Allergen Labelling and Precautionary Allergen Labelling in Packaged Food Products Available in Latin America.
- Author
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Ontiveros N, Gallardo JA, Arámburo-Gálvez JG, Beltrán-Cárdenas CE, Figueroa-Salcido OG, Mora-Melgem JA, Granda-Restrepo DM, Rodríguez-Bellegarrigue CI, Vergara-Jiménez MJ, Cárdenas-Torres FI, Gracia-Valenzuela MH, and Cabrera-Chávez F
- Subjects
- Food Labeling legislation & jurisprudence, Food Packaging, Humans, Latin America, Risk Assessment, Allergens, Food Hypersensitivity prevention & control, Food Ingredients analysis, Food Labeling trends
- Abstract
The characteristics of food allergen labelling are relevant for avoiding accidental exposure to the allergens of interest but no Latin American country has evaluated these characteristics. Our aim was to evaluate the characteristics of food allergen labelling and precautionary allergen labelling (PAL) in six Latin American countries. All data were collected directly from the supermarkets surveyed. A total of 10,254 packaged food products were analyzed, of which 63.3% ( n = 6494) and 33.2% ( n = 3405) featured allergen labelling and/or PAL, respectively. Most products complied with local regulations (≥87.4% for both locally produced and imported). Thirty-three types of PAL statements were detected; the most frequent was "may contain traces of…" (35.1%). Countries without regulations on the characteristics of allergen labelling had two-fold more products that contained allergens in their ingredients lists but no food allergen labelling. The use of PAL in countries that regulate it (38.2%) was as high as that in countries without PAL regulations (19.2%-44.7%). The findings suggest that the lack of regulations for the characteristics of allergen labeling increases the risk of accidental exposure to allergens of interest. Our findings also suggest that beyond regulations, a scientific approach is required for minimizing and standardizing the use of PAL.
- Published
- 2020
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13. Screening for Resistance to Meloidogyne enterolobii in Capsicum annuum Landraces From Mexico.
- Author
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Carrillo-Fasio JA, Martínez-Gallardo JA, Ayala-Tafoya F, López-Orona CA, Allende-Molar R, and Retes-Manjarrez JE
- Subjects
- Animals, Mexico, Plant Diseases, Plant Roots, Capsicum, Tylenchoidea
- Abstract
Meloidogyne enterolobii has become an economically important plant parasitic nematode worldwide because of its high aggressiveness, increasing geographic distribution, wide host range, and pathogenicity in pepper ( Capsicum annuum ) cultivars carrying resistance genes to Meloidogyne incognita , Meloidogyne arenaria , and Meloidogyne javanica . The objectives of this study were to identify landraces of peppers resistant to M. enterolobii and analyze the relationship between resistance indicators and the phenotype parameters of plant height, stem width, leaf length, leaf width, relative chlorophyll, and number of flowers. Ninety landraces of C. annuum were collected from several states of Mexico and were inoculated with 2,000 eggs of M. enterolobii . Eleven resistant landraces were selected and confirmed with a second inoculation experiment. Seventy-five days after inoculation, in both experiments, the resistance of landraces UTC66, UTC90, UTC67, UTC88, and UTC81 to M. enterolobii was consistent. Although genotypes UTC24, UTC79, UTC65, UTC68, UTC69, and UTC25 were susceptible, these landraces had a significantly higher proportion of resistant plants, less root galling, and a lower reproductive index, in comparison with the rest of the 79 genotypes and the susceptible control, which were highly susceptible in both experiments. There was no correlation between resistant indicators and phenotypic parameters, although plant height, relative chlorophyll, and number of flowers were in general significantly affected compared with noninoculated controls, indicating that the nematodes reduce the growth and yield of peppers. Results indicate that all resistant plants from these landraces are promising sources of resistance for the development of pepper cultivars resistant to M. enterolobii .
- Published
- 2020
- Full Text
- View/download PDF
14. Food Allergy Prevalence in Salvadoran Schoolchildren Estimated by Parent-Report.
- Author
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Cabrera-Chávez F, Rodríguez-Bellegarrigue CI, Figueroa-Salcido OG, Lopez-Gallardo JA, Arámburo-Gálvez JG, Vergara-Jiménez MJ, Castro-Acosta ML, Sotelo-Cruz N, Gracia-Valenzuela MH, and Ontiveros N
- Subjects
- Anaphylaxis epidemiology, Child, Child, Preschool, El Salvador epidemiology, Female, Health Surveys, Humans, Hypersensitivity, Immediate epidemiology, Male, Parents, Prevalence, Food Hypersensitivity epidemiology
- Abstract
The prevalence of food allergy (FA) has not been estimated at a population level in Central American countries and, consequently, the magnitude and relevance of the problem in the Central American region remains unknown. Thus, our aim was to evaluate the parent-reported prevalence of FA in a population of schoolchildren from the Central American country El Salvador. A Spanish version of a structured questionnaire was utilized. Five hundred and eight (508) parents returned the questionnaire with valid responses (response rate, 32%). The estimated prevalence rates (95% CI) were: adverse food reactions 15.9 (13.0⁻19.3), "perceived FA, ever" 11.6 (9.1⁻14.6), "physician-diagnosed FA, ever" 5.7% (4.0⁻8.0), "immediate-type FA, ever" 8.8% (6.6⁻11.6), "immediate-type FA, current" 5.3% (3.6⁻7.6), and anaphylaxis 2.5% (1.5⁻4.3). The most common food allergens were milk (1.7%), shrimp (1.3), chili (0.7%), chocolate (0.7%), and nuts (0.3%). Most of the "food-dependent anaphylaxis" cases (60.5%) sought medical attention, but only one case reported the prescription of an epinephrine autoinjector. Mild and severe FA cases are not uncommon among Salvadoran schoolchildren and both the prescription of epinephrine autoinjectors by healthcare personnel and the use of the autoinjectors by anaphylactic individuals should be encouraged.
- Published
- 2018
- Full Text
- View/download PDF
15. Coinfection takes its toll: Sea lice override the protective effects of vaccination against a bacterial pathogen in Atlantic salmon.
- Author
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Figueroa C, Bustos P, Torrealba D, Dixon B, Soto C, Conejeros P, and Gallardo JA
- Subjects
- Animals, Fish Diseases microbiology, Vaccination methods, Coinfection immunology, Copepoda immunology, Copepoda microbiology, Fish Diseases immunology, Salmo salar immunology, Salmo salar microbiology
- Abstract
Vaccination is considered crucial for disease prevention and fish health in the global salmon farming industry. Nevertheless, some aspects, such as the efficacy of vaccines, can be largely circumvented during natural coinfections. Sea lice are ectoparasitic copepods that can occur with a high prevalence in the field, are frequently found in co-infection with other pathogens, and are highly detrimental to fish health. The aim of this case-control study was to evaluate the interaction between the detrimental effects of coinfection and the protective effects of vaccination in fish. We used the interaction between the sea louse Caligus rogercresseyi, the bacterial pathogen Piscirickettsia salmonis, and their host, the Atlantic salmon Salmo salar, as a study model. Our results showed that coinfection decreased the accumulated survival (AS) and specific growth rate (SGR) of vaccinated fish (AS = 5.2 ± 0.6%; SGR = -0.05 ± 0.39%) compared to a single infection of P. salmonis (AS = 42.7 ± 1.3%; SGR = 0.21 ± 0.22%). Concomitantly, the bacterial load and clinical signs of disease were significantly increased in coinfected fish. Coinfection may explain the reduced efficacy of vaccines in sea cages and highlights the need to test fish vaccines in more diverse conditions rather than with a single infection.
- Published
- 2017
- Full Text
- View/download PDF
16. Fabrication of ultra-high numerical aperture GeO 2 -doped fiber and its use for broadband supercontinuum generation.
- Author
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Harshavardhan Reddy P, Kir'yanov AV, Dhar A, Das S, Dutta D, Pal M, Barmenkov YO, Minguella-Gallardo JA, Bhadra SK, and Paul MC
- Abstract
We report the fabrication, characterization, and application (broadband supercontinuum [SC] generation) of ultra-high numerical-aperture heavily (50 mol. %) GeO
2 -doped optical fiber, obtained through a modified chemical vapor deposition process and rod-in-tube method. The formation of Ge-related diamagnetic defect centers, such as germanium oxygen defect centers (GeODC) with nonbridging lone electron pairs, confirmed by x-ray photoelectron spectroscopy and optical absorption studies, inducing hypolarizable local dipoles, may be responsible in boosting the nonlinear effects and enhancing stimulated Raman scattering at pumping with high-power pulses, culminating in generation of broadband SC generation. The SC spans toward the Stokes side up to 2.4 μm, under the action of ns-range pulses launched from a smartly Q-switched erbium-doped fiber laser with operation wavelength (1.56 μm) matching the zero-dispersion wavelength of the high GeO2 -doped fiber.- Published
- 2017
- Full Text
- View/download PDF
17. The Burden of Dengue and the Financial Cost to Colombia, 2010-2012.
- Author
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Castro Rodríguez R, Carrasquilla G, Porras A, Galera-Gelvez K, Lopez Yescas JG, and Rueda-Gallardo JA
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Colombia epidemiology, Endemic Diseases, Female, Humans, Infant, Male, Middle Aged, Retrospective Studies, Young Adult, Dengue economics, Dengue epidemiology
- Abstract
Data on the burden of dengue and its economic costs can help guide health policy decisions. However, little reliable information is available for Colombia. We therefore calculated the burden of the disease, expressed in disability-adjusted life years (DALYs), for two scenarios: endemic years (average number of cases in non-epidemic years 2011 and 2012) and an epidemic year (2010, when the highest number of dengue cases was reported in the study period). We also estimated the total economic cost of the disease (U.S. dollars at the average exchange rate for 2012), including indirect costs to households derived from expenses such as preventing entry of mosquitos into the home and costs to government arising from direct, indirect, and prevention and monitoring activities, as well as the direct medical and non-medical costs. In the epidemic year 2010, 1,198.73 DALYs were lost per million inhabitants versus 83.88 in endemic years. The total financial cost of the disease in Colombia from a societal perspective was US$167.8 million for 2010, US$129.9 million for 2011, and US$131.7 million for 2012. The cost of mosquito prevention borne by households was a major cost driver (accounting for 46% of the overall cost in 2010, 62% in 2011, and 64% in 2012)., (© The American Society of Tropical Medicine and Hygiene.)
- Published
- 2016
- Full Text
- View/download PDF
18. Self-Reported Prevalence of Symptomatic Adverse Reactions to Gluten and Adherence to Gluten-Free Diet in an Adult Mexican Population.
- Author
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Ontiveros N, López-Gallardo JA, Vergara-Jiménez MJ, and Cabrera-Chávez F
- Subjects
- Adolescent, Adult, Aged, Data Collection, Female, Food Hypersensitivity, Humans, Lactose Intolerance, Male, Mexico epidemiology, Middle Aged, Surveys and Questionnaires, Young Adult, Celiac Disease epidemiology, Diet, Gluten-Free statistics & numerical data, Glutens adverse effects
- Abstract
The prevalence of symptomatic adverse reactions to gluten and adherence to gluten-free diet in Latin American countries is unknown. These measurements are strongly linked to gluten-related disorders. This work aimed to estimate the prevalence of adverse reactions to oral gluten and the adherence to gluten-free diet in the adult Mexican population. To reach this aim, a self-administered questionnaire was designed and tested for clarity/comprehension and reproducibility. Then, a self-administered questionnaire-based cross-sectional study was conducted in the Mexican population. The estimated prevalence rates were (95% CI): 11.9% (9.9-13.5) and 7.8 (6.4-9.4) for adverse and recurrent adverse reactions to gluten respectively; adherence to gluten-free diet 3.7% (2.7-4.8), wheat allergy 0.72% (0.38-1.37); celiac disease 0.08% (0.01-0.45), and NCGS 0.97% (0.55-1.68). Estimated pooled prevalence of self-reported physician-diagnosis of gluten-related disorders was 0.88% (0.49-1.5), and 93.3% respondents reported adherence to gluten-free diet without a physician-diagnosis of gluten-related disorders. Symptom comparisons between those who reported recurrent adverse reactions to gluten and other foods showed statistically significant differences for bloating, constipation, and tiredness (p < 0.05). Gluten-related disorders may be underdiagnosed in the Mexican population and most people adhering to a gluten-free diet are doing it without proper diagnostic work-up of these disorders, and probably without medical/dietician advice.
- Published
- 2015
- Full Text
- View/download PDF
19. Costs of dengue to the health system and individuals in Colombia from 2010 to 2012.
- Author
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Castro Rodriguez R, Galera-Gelvez K, López Yescas JG, and Rueda-Gallardo JA
- Subjects
- Adolescent, Adult, Colombia, Dengue virology, Female, Humans, Male, Severe Dengue virology, Young Adult, Dengue economics, Government Programs, Health Care Costs statistics & numerical data, Severe Dengue economics
- Abstract
Dengue fever (DF) is an important health issue in Colombia, but detailed information on economic costs to the healthcare system is lacking. Using information from official databases (2010-2012) and a face-to-face survey of 1,483 households with DF and dengue hemorrhagic fever (DHF) patients, we estimated the average cost per case. In 2010, the mean direct medical costs to the healthcare system per case of ambulatory DF, hospitalized DF, and DHF (in Colombian pesos converted to US dollars using the average exchange rate for 2012) were $52.8, $235.8, and $1,512.2, respectively. The mean direct non-medical costs to patients were greater ($29.7, $46.7, and $62.6, respectively) than the mean household direct medical costs ($13.3, $34.8, and $57.3, respectively). The average direct medical cost to the healthcare system of a case of ambulatory DF in 2010 was 57% of that in 2011. Our results highlight the high economic burden of the disease and could be useful for assigning limited health resources., (© The American Society of Tropical Medicine and Hygiene.)
- Published
- 2015
- Full Text
- View/download PDF
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