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INTRODUCCIÓN: La rickettsiosis, enfermedad potencialmente mortal, es trasmitida por vectores como Rhipicephalus sanguineus, Dermacentor variabilis y D. andersonii, reservorios de Rickettsia rickettsii. En Baja California, México, es endémica, multifactorial, tiene alta letalidad, sus manifestaciones clínicas inespecíficas y ataque multisistémico dificultan el diagnóstico y tratamiento oportuno. OBJETIVO: Identificar los factores de riesgo asociados a la letalidad por rickettsiosis trasmitida por garrapatas en Mexicali, Baja California. PACIENTES Y MÉTODOS : Estudio observacional, analítico, transversal, retrospectivo, de 40 registros de pacientes con diagnóstico confirmado de rickettsiosis, periodo 2014 a 2018. Variables analizadas: sociodemográficas, clínicas, laboratorio clínico, evolución y desenlace. Se reportan frecuencias y medidas de asociación. RESULTADOS: 24 defunciones y 16 vivos. Más de 90% tuvo contacto conocido con garrapatas. Afectó en su mayoría a < 45 años en ambos grupos. La evolución antes del ingreso fue similar y la estancia hospitalaria fue mayor en los pacientes vivos (3,2 ± 4.7 vs 10,62 ± 7,6 p = 0,0002). Fiebre, cefalea, mialgias fueron predominantes. Datos asociados con letalidad: disfunción respiratoria (OR 38,33 IC95% 4,06-361,3 p < 0,0001), creatinina elevada (OR 15,4 IC95% 3,08-76,77 p < 0,0003), retardo del llenado capilar (OR 13,0 IC95% 2,73-61,78 p = 0,0005), dolor abdominal (OR 8,33, IC95% 1,90-36,44 p = 0,0029), AST (OR 7,5, IC95% 1,69-33,27 p = 0,005). CONCLUSIÓN: Esta enfermedad requiere de identificación temprana de factores que se asocian con letalidad para un tratamiento oportuno y adecuado.

BACKGROUND: Rickettsiosis, a potentially fatal disease, is transmitted by vectors such as Rhipicephalus sanguineus, Dermacentor variabilis and D. andersonii, reservoirs of Rickettsia rickettsii. In Baja California, Mexico, it is endemic, multifactorial, has high lethality, its nonspecific clinical manifestations and multisystem attack make diagnosis and timely treatment difficult. AIM: Identify the risk factors associated with lethality due to tick-transmitted rickettsiosis in Mexicali, Baja California. METHODS: Observational, analytical, cross-sectional, retrospective study of 40 records of patients with a confirmed diagnosis of rickettsiosis, period 2014 to 2018. Analyzed variables: sociodemographic, clinical, clinical laboratory, evolution and outcome. Frequencies and association measures are reported. RESULTS: 24 patients died and 16 survived. More than 90% had reported contact with ticks. It mostly affected ≤ 45 years in both groups. The evolution before admission was similar, and the hospital stay was longer in patients who lived (3.2 ± 4.7 vs 10.62 ± 7.6 p = 0.0002). Fever, headache, and myalgia are predominant. Data associated with lethality: respiratory dysfunction (OR 38.33 95% CI 4.06-361.3 p < 0.0001), elevated creatinine (OR 15.4 95% CI 3.08-76.77 p < 0.0003), delayed capillary refill (OR 13.0, 95% CI 2.73-61.78 p = 0.0005), abdominal pain (OR 8.33, 95% CI 1.90-36.44 p = 0.0029), AST (OR 7.5, 95% CI 1.69-33.27 p = 0.005). CONCLUSION: This disease requires early identification of factors that are associated with lethality for timely and adequate treatment.

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INTRODUCTION: Canine monocytic ehrlichiosis (CME) is a disease caused by the Gram-negative bacteria Ehrlichia canis, a bacterium that affects domestic dogs but can also infect humans. The diagnosis implies a challenge due to its diversity in clinical manifestations. METHODOLOGY: The frequency of E. canis infection, risk factors, and clinical-pathological parameters associated with seropositivity were calculated with the PROC FREQ TABLES and PROC LOGISTIC procedures of the SAS statistical software. RESULTS: The study showed a seroprevalence of 26.62% (156/586). Association between seropositivity and risk factors was found. The age and the presence of ticks including clinical signs such as anorexia, seizures, cough, petechiae, epistaxis, and hematochezia, as well as multiple blood and biochemical alterations were analyzed. The logistic regression analysis showed a high predictive power (c = 0.98) for CME for thrombocytopenia, leukopenia, and anemia. CONCLUSIONS: The high prevalence of E. canis in endemic areas makes its diagnosis difficult. Thus, clinical signs must be considered, along with blood and biochemical alterations, as a possible predictor of the disease.

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ABSTRACT: The study compared the economic results between five groups of Holstein steers with different arrival body weights (ABW) but similar ages in the feedlot. The average ABW were 105, 112, 117, 123 and 129 kg (30, 90, 87, 60, and 30 calves, respectively) with an age of 113 ± 1d. The calves were randomly distributed using an unbalanced design. The calves were weighed upon arrival at the feedlot and subsequently on days 112, 224, and 361 of the study. The calves were fed a steam- flaked corn-based diets. A receiving diet (2.21 Mcal of NEm/kg DM) was provided during the initial 112 days of feeding. From day 112 until harvest all steers received a finishing diet (2.27 Mcal of NEm/kg DM). Because two different diets were used, two partial (day 1 to day 112 and day 113 to day 361), and one full period (day1 to day 361) feeding periods were evaluated. Statistical differences between the final weights of all the groups were observed, which allowed a profit estimation, obtained by subtracting the purchase cost of calves plus the total feed cost from the revenue obtained from the sale of the steers. Overall weight gain and feed intake were higher with increased ABW, feeding efficiency was better for intermediate ABW groups (112 and 117 kg), with the calves with ABW of 112 kg being the most profitable (USD 15.8 more profit than the 117 Kg. group)

RESUMO: O estudo comparou os resultados econômicos entre cinco grupos de bezerros de raça holandesa com pesos vivos de chegada diferente, mas com idades semelhante em confinamento. Os pesos corporais médios de chegada foram 105, 112, 123 e 129 kg (30, 90, 87, 60 e 30 bezerros, respectivamente) com idade de 113 ± 1-d. Os bezerros foram distribuídos em um desenho não balanceado completamente aleatório. Os bezerros foram pesados da chegada ao confinamento e, posteriormente, nos dias 112, 22 e 361 do estudo. Os bezerros foram alimentados com dietas à base de milho floculado. A dieta de adaptação (2,21 Mcal de NEm / kg MS) foi fornecida durante os 112 dias iniciais de ração. Após 112 até o final do estudo todos os novilhos receberam a dieta de terminação (2,27 Mcal de NEm /kg MS). Diante do exposto, foram avaliados dois períodos parciais de alimentação e um período completo (1 a 112, 113 a 361 e 1 a 361 d, respectivamente). O lucro de cada grupo foi estimado subtraindo o custo de compra dos bezerros mais o custo total da alimentação da receita obtida com a venda dos novilhos. O ganho de peso geral e o consumo de ração aumentaram com o aumento do ABW, mas a eficiência alimentar foi melhor para os grupos intermediários ABW (112 e 117 kg), sendo os novilhos com ABW de 112 kg os mais lucrativos (USD 15, 8 a mais do que o grupo de 117 kg.)

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The study compared the economic results between five groups of Holstein steers with different arrival body weights (ABW) but similar ages in the feedlot. The average ABW were 105, 112, 117, 123 and 129 kg (30, 90, 87, 60, and 30 calves, respectively) with an age of 113 ± 1d. The calves were randomly distributed using an unbalanced design. The calves were weighed upon arrival at the feedlot and subsequently on days 112, 224, and 361 of the study. The calves were fed a steam- flaked corn-based diets. A receiving diet (2.21 Mcal of NEm/kg DM) was provided during the initial 112 days of feeding. From day 112 until harvest all steers received a finishing diet (2.27 Mcal of NEm/kg DM). Because two different diets were used, two partial (day 1 to day 112 and day 113 to day 361), and one full period (day1 to day 361) feeding periods were evaluated. Statistical differences between the final weights of all the groups were observed, which allowed a profit estimation, obtained by subtracting the purchase cost of calves plus the total feed cost from the revenue obtained from the sale of the steers. Overall weight gain and feed intake were higher with increased ABW, feeding efficiency was better for intermediate ABW groups (112 and 117 kg), with the calves with ABW of 112 kg being the most profitable (USD 15.8 more profit than the 117 Kg. group)

O estudo comparou os resultados econômicos entre cinco grupos de bezerros de raça holandesa com pesos vivos de chegada diferente, mas com idades semelhante em confinamento. Os pesos corporais médios de chegada foram 105, 112, 123 e 129 kg (30, 90, 87, 60 e 30 bezerros, respectivamente) com idade de 113 ± 1-d. Os bezerros foram distribuídos em um desenho não balanceado completamente aleatório. Os bezerros foram pesados da chegada ao confinamento e, posteriormente, nos dias 112, 22 e 361 do estudo. Os bezerros foram alimentados com dietas à base de milho floculado. A dieta de adaptação (2,21 Mcal de NEm / kg MS) foi fornecida durante os 112 dias iniciais de ração. Após 112 até o final do estudo todos os novilhos receberam a dieta de terminação (2,27 Mcal de NEm /kg MS). Diante do exposto, foram avaliados dois períodos parciais de alimentação e um período completo (1 a 112, 113 a 361 e 1 a 361 d, respectivamente). O lucro de cada grupo foi estimado subtraindo o custo de compra dos bezerros mais o custo total da alimentação da receita obtida com a venda dos novilhos. O ganho de peso geral e o consumo de ração aumentaram com o aumento do ABW, mas a eficiência alimentar foi melhor para os grupos intermediários ABW (112 e 117 kg), sendo os novilhos com ABW de 112 kg os mais lucrativos (USD 15, 8 a mais do que o grupo de 117 kg.)

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The objective was to determine the risk factors associated to dark-cutting in bovine carcasses. The study was conducted at a Federal Inspection abattoir located in northeastern Mexico. A random sample of 394 animals at slaughter was used. A total of 26 explanatory variables were evaluated; the analysis included environmental, animal-specific, and management factors both at pre- and post- slaughter periods. Only four variables were statistically significant within the final logistic regression model (P < .001). The frequency of dark-cutting carcasses was 13.45%. Lairage time was directly proportional to the percentage of risk for dark-cutting beef. Improper desensitization also increased the frequency of carcasses with this anomaly. Backfat thickness and the 24-h pH differential of the carcasses were inversely proportional to the risk for dark-cutting beef. An interesting finding was that risk factors for DFD meat are present in all stages of the slaughter process and thus to effectively address this problem an integral evaluation is needed throughout the slaughter process.

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La diarrea es un efecto secundario habitual a la toma de fármacos, y en algunas ocasiones la enteropatía perdedora de proteínas tipo "sprue like" puede estar detrás de esta patología. El estudio de esta enfermedad puede suponer un desafío importante para el clínico, sobre todo en los casos que cursan con serología negativa para enfermedad celiaca. La atrofia vellositaria duodenal secundaria a la ingesta de micofenolato-mofetil y metotrexate es bien conocida y descrita desde hace tiempo, pero desde la inclusión en la posológica habitual de olmesartán como antihipertensivo de primera elección hemos objetivado un repunte importante de esta entidad. Debido al amplio uso de esta medicación, queremos poner de manifiesto esta enteropatía iatrogénica a través de dos casos clínicos ocurridos en nuestro hospital en 2014.(AU()

Diarrhea is a common side effect of medical treatment. "Sprue like" enteropathy may be behind this pathology. The study of this disease can be an important clinical challenge, especially in those cases with negative serology for celiac disease. Duodenal villous atrophy secondary to the intake of mycophenolate mofetil and methotrexate have been well known and described but since the inclusion of olmesartán as a first-line antihypertensive, we have seen an important rebound of this entity. Due to the wide use of this medication we want to report this iatrogenic effect through two clinical cases that occurred in our hospital in 2014.(AU)

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INTRODUCTION: Rickettsiosis caused by Rickettsia rickettsii is capable of infecting vertebrates, including humans. The symptoms are high fever, headache, myalgia, nausea, vomiting, abdominal pain, and cough. Mortality can be up to 30% in untreated patients. AIMS: To prove the existence of rickettsiosis in Ensenada, Baja California, Mexico, because no human cases have been reported. MATERIAL AND METHODS: This observational, cross-sectional, descriptive study included 384 samples of humans in Ensenada, Baja California. Antibodies against R. rickettsii were measured with the kit R. rickettsii ELISA(®) Helica Biosystems, Inc., adapted for use in humans using human IgG conjugate antibodies. To determine the sensitivity and specificity, 32 human samples were submitted to IFA. Specific primers were used for the molecular diagnosis of R. rickettsii in dogs and ticks. RESULTS: The seroprevalence adjusted rickettsiosis in humans was 2.9% (95% CI: 0.8-5.3), seropositivity was not associated with sex, age, occupation, household, dogs, pet deworming program against ticks, the type of yard, and mobility of the dog between home and the street. CONCLUSIONS: With substantial agreement of k between ELISA and IFA, it follows that the results of seroprevalence of this work are reliable.

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BACKGROUND: Biopterins have a crucial role in the function of nitric oxide synthase, uncoupling of the enzyme leads to endothelial dysfunction and vascular damage, The aim of this study was to evaluate the relationship between the levels of biopterins with carotid intima-media thickness (CIMT) in hypertensive type-2 diabetic patients. METHODS: We studied 30 hypertensive type-2 diabetic patients and 30 normotensive non-diabetic age-matched subjects, in whom biopterins levels were measured by reverse phase high performance liquid chromatography with fluorescence detection. Additionally, the CIMT of both the common and internal carotid arteries was measured. The levels of biopterins and CIMT were correlated using the Pearson correlation coefficient test. RESULTS: We did not find a significantly correlation between biopterins levels and CIMT. However, we found a significantly inverse correlation between the BH4/BH2 ratio and the CIMT in patients (r = -0.54, p < 0.01). A multiple regression analysis revealed that the CIMT correlated significantly and independently with the BH4/BH2 ratio. CONCLUSION: Our results suggest that the BH4/BH2 ratio seems to be a better marker of vascular disease than biopterin levels.

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Con el fin de pronosticar la producción de carne de bovino en Baja California, México, se utilizó el método de Box-Jenkins para seleccionar un modelo autorregresivo de promedios móviles (ARMA). Para ello se usó la información de canales de bovinos procesadas mensualmente en los rastros del estado durante el periodo de 2003 a 2010. Debido a que la inspección de la gráfica de la serie y el correlograma de la misma no permitieron establecer la estacionariedad, se aplicó la prueba de Dickey-Fuller aumentada, en la que se encontró que la serie era estacionaria. Como resultado del procedimiento de identificación se seleccionaron los modelos AR(1) y ARMA (2,1), los cuales se estimaron utilizando mínimos cuadrados; se compararon ambos modelos con base en la significancia de sus coeficientes de regresión y los estadísticos de Akaike y Schwartz. Se llevó a cabo una evaluación diagnóstica para revisar la bondad de ajuste de los modelos mediante la gráfica de los residuales; el valor de los estadísticos Q se utilizó para determinar la ausencia de autocorrelación en los modelos propuestos. Debido a que los resultados fueron similares, se llevó a cabo una evaluación de la eficiencia predictiva de ambos modelos utilizando una serie de estadísticos. Los resultados de estas pruebas indicaron que el modelo ARMA (2,1) presentaba una mejor capacidad predictiva, que fue corroborada mediante una gráfica conjunta de la serie actual y la pronosticada, y una predicción para el mes de enero de 2011. Los resultados respaldan el uso de modelos ARMA para obtener, a corto plazo, predicciones de la producción de carne en Baja California.

The Box-Jenkins methodology was used to select an ARMA model to forecast beef production in Baja California, Mexico. The series of bovine carcasses processed monthly in the state's slaughterhouses between 2003 and 2010 was used. Because the inspection of the series graph and correlogram did not determine a stationary behavior, an augmented Dickey-Fuller test was performed and it was found that the series was stationary. As a result of identification procedure, an AR (1) and an ARMA (2, 1) models were selected and estimated using ordinary least squares. The estimated models were compared using the significance of the regression coefficient and the Akaike information and Schwartz Bayesian criteria. A diagnostic check was done examining the goodness of fit of the models by plotting the residuals; the Q statistic was used to test for autocorrelation. Because the results were similar, a predictive efficacy evaluation of two models was carried out using a group of forecast error statistics. The result of these tests indicated that the ARMA (2,1) had a better forecasting capability, this was supported by plotting together a forecasted series with the actual series and the out-of sample prediction for January of 2011. The results support the use of ARMA models to obtain reliable short term forecasts of beef production in Baja California.

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BACKGROUND: Hypoadiponectinemia and hyperresistinemia are associated with cardiovascular disease. The increase in the carotid intima-media thickness (CIMT) assessed by B-mode ultrasound has been directly associated with increased risk of myocardial infarction and stroke. OBJECTIVE: To evaluate the correlation between adipokine levels with CIMT in hypertensive type 2 diabetic patients. METHODS: Serum levels of adiponectin and resistin levels were measured by ELISA in 30 type 2 diabetic patients with never-treated hypertension and in age-matched healthy controls. The CIMT (B-mode color imaging of extracranial carotid arteries using high-resolution ultrasound) was also obtained. The relationship between adipokine levels and the adiponectin/resistin index with the CIMT was assessed by the Pearson correlation coefficient test. RESULTS: Adiponectin was lower (p < 0.05), and resistin higher (p < 0.01) in patients than in controls, CIMT correlated positively with resistin (R = 0.45, p < 0.02) and the adiponectin/resistin index (R = 0.58, p < 0.001), but not with adiponectin levels (r = -0.11, p > 0.1) in patients. Whereas only adiponectin levels correlated - negatively - with CIMT (r = -0.39, p < 0.02) in controls. CONCLUSION: Our results shown that the adiponectin/resistin index seems to be more strongly associated with atherosclerosis than adipokine levels, and may be used as a reliable marker of cardiovascular risk in type 2 diabetic hypertensive patients.

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