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Research reported that sucralose induces metabolic derangements via gut microbiota modulation. However, rebaudioside A (reb A) exposure on gut microbiota has barely been evaluated. The aim of this study was to examine the gut microbiota response to sucralose or reb A in rats under two dietary conditions. Male Wistar rats (150–200 g) on normal diet (ND) or high-fat diet (HFD) were randomized to receive sucralose (SCL), reb A (REB), glucose (GLU, control), or sucrose (SUC). After eight weeks, fecal samples were analyzed by 16S ribosomal RNA gene sequencing. The diversity and the structure of the gut microbiota were not modified by NNS. In ND rats, SCL decreased phylum Firmicutes and increased Bacteroidetes and its genus Bacteroidia. At class level, in HFD rats, REB reduced Bacilli proportions. The genus Romboutsia was reduced with SCL and REB along ND. Lactobacillus increased with SCL and reduced with REB in HFD. After comparative analyses between the two types of diets, we observed that only HFD in combination with SCL increased Bacilli and diminished Bacteroidiaabundances relative to ND. Exposure to NNS, at equivalent doses to the ADI, slightly induce modifications on gut microbiota in ND and HFD feeding rats, and the effects were more pronounced with sucralose ingestion combined with the HFD regimen. Further studies are needed to examine the potential mechanisms involved.

Mental health disorders are relatively common in the general population and were already an important issue for the healthcare sector before COVID-19. COVID-19, being a worldwide crucial event and evidently a great stressor has increased both the prevalence and incidence of these. Therefore, it is evident that COVID-19 and mental health disorders are closely related. Moreover, several coping strategies exist to endure said disorders such as depression and anxiety, which are used by the population to confront stressors, and healthcare workers are not the exception. This was an analytical cross-sectional study, conducted from August to November 2022, via an online survey. Prevalence and severity of depression, anxiety, and stress were assessed via the DASS-21 test, and coping strategies were assessed via the CSSHW test. The sample consisted of 256 healthcare workers and of those, 133 (52%) were males with a mean age of 40.4 ± 10.35, and 123 (48%) were females with a mean age of 37.28 ± 9.33. Depression was prevalent in 43%, anxiety in 48%, and stress in 29.7%. Comorbidities were a significant risk factor for both depression and anxiety with an OR of 10.9 and 4.18, respectively. The psychiatric background was a risk factor for depression with an OR of 2.17, anxiety with an OR of 2.43, and stress with an OR of 3.58. The age difference was an important factor in the development of depression and anxiety. The maladaptive coping mechanism was prevalent in 90 subjects and was a risk factor for depression (OR of 2.94), anxiety (OR of 4.46) and stress (OR of 3.68). The resolution coping mechanism was a protective factor for depression (OR of 0.35), anxiety (OR of 0.22), and stress (OR of 0.52). This study shows that mental health disorders are highly prevalent among healthcare workers in Mexico and that coping strategies are associated with their prevalence. It also implies that not only occupations, age, and comorbidities might affect mental health, but also the way patients confront reality and the behavior and decisions they take towards stressors.

In recent years, resistant starch (RS) and slowly digestible starch (SDS) have been linked to the prevention of chronic noncommunicable diseases, such as obesity and its complications. Southern Mexico has an important role in the tuber crop production of M. esculenta and I. batatas, which contain considerable amounts of starch. The aim of this study was to evaluate the morphological and physicochemical changes of M. esculenta and I. batatas after pyrodextrinization, including the production of RS and SDS. The factors used in this study were the starch/acid ratio (2.2 HCl) (80:1 and 160:1 p/v); temperature (90 °C and 110 °C) and reaction time (1 and 3 h). The highest production of RS in M. esculenta was obtained with the highest starch/acid ratio and temperature, and the lowest reaction time. For pyrodextrins, loss of crystallinity and an increase in swelling power and water absorption capacity were observed. The highest production of RS in I. batatas was obtained with the highest starch/acid ratio and reaction time, and the lowest temperature. Crystallinity and enthalpy of gelatinization decreased in modified starches. The solubility, swelling power and water absorption capacity increased in both sources.

Latent autoimmune diabetes in adults (LADA) has clinical and metabolic features of type 1 and type 2 diabetes. LADA does not have specific features for its diagnosis apart from autoantibody detection; however, these tests are not affordable in clinical settings. In this cross-sectional study, we analyzed clinical criteria, metabolic control, pharmacological treatment, and diabetic complications in two groups of patients with diabetes -LADA and T2D- in order to identify specific characteristic of these clinical entities. Finally, we evaluated if the estimated glucose disposal rate (eGDR) and age at diagnosis of diabetes could be used as a diagnostic criterion for LADA. Demographic, biochemical, clinical and treatment were measured in 377 individuals with diabetes. The diagnostics of LADA were determined using Glutamic acid decarboxylase autoantibodies levels. Chi-square test or t-Student test were used to establish differences between groups. To identify factors associated with LADA, a logistic regression analysis was used. Finally, a ROC curve was plotted to assess the possible variables as diagnostic criteria for LADA. The 377 patients with diabetes were separated into 59 patients with LADA and 318 patients with T2D. Patients with LADA showed lower fasting glucose values, fewer diabetic complications, younger age at diagnosis of diabetes, higher insulin use, and higher eGDR in comparison to patients with T2D. Both groups had a mean BMI classified as overweight. The ROC evaluated the sensitivity and specificity, this analysis indicated that an age younger than 40.5 years and an eGDR value higher than 9.75 mg/kg/min correlated better with LADA. These parameters could be useful to identify patients suspected to have LADA at the first level of medical care in the population of southeastern Mexico and refer them to a second level of care.

The COVID-19 pandemic is currently a worldwide threat and concern, not only because of COVID-19 itself but its sequelae. The aim of this study was to evaluate whether a relation between COVID-19, Long COVID, and the prevalence of mental health disorders exist. A total of 203 people from Tabasco were included in this study, answering a survey integrated by three dominions: General and epidemiological data, the DASS-21 test (to determine the presence of signs or symptoms suggestive of depression, anxiety, and/or stress) and an exploratory questionnaire about Long COVID syndrome. A descriptive and inferential statistical analysis was made via Microsoft Excel and Graphpad Prism software, evaluating differences through the Mann–Whitney U test and considering p < 0.05 as statistically significant. Of the 203 people surveyed, 96 (47.29%) had had COVID-19 and 107 (52.71%) had not; from the ones that had COVID-19, 29 (30.21%) presented mental health disorders and 88 (91.66%) presented at least one symptom or sign of Long COVID syndrome; meanwhile, 31 (32.29%) presented 10 or more symptoms or signs. From the comparison between the population with previous mental health disorders and COVID-19 and those without background disorders or COVID-19, the results were the following: 27.58% vs. 16.82% presented severe depression, 48.27% vs. 17.75% presented severe anxiety, and 27.58% vs. 20.56% presented severe stress. A high prevalence of mental health effects was observed in patients without COVID-19 and increased in the population with Long COVID syndrome and previous mental health disorders.

Vaccinations have helped to control the COVID-19 pandemic; however, few studies focus on the adverse effects and allergic reactions of these vaccines and fewer have a scope in the Latin American population. The objective of this study was to assess the associations between vaccinations, sex, age, allergic reactions, and adverse effects. This was an analytical cross-sectional study conducted between 1 July and 1 October 2022. The sample consisted of 443 surveyed participants, with a total of 1272 COVID-19 vaccine doses. Seven vaccines (Pfizer BioNTech, Oxford-AstraZeneca, CanSino, Moderna, Johnson and Johnson, Sinovac, and Sputnik V) were evaluated. A total of 12.6% of those surveyed had at least one allergic reaction posterior to vaccination, and females had a greater chance of developing one (p < 0.001, OR 3.1). The most common allergic reaction was chest pain, and Pfizer-BioNTech and Oxford-AstraZeneca were associated with the onset of allergic reactions (p < 0.005). A total of 54.6% of those surveyed developed adverse effects, the most common of which were myalgia, fever, cephalea, asthenia or adynamia, and arthralgia; moreover, older age was associated with the onset of adverse effects (p < 0.5). This study concludes that the BNT162b2 (Pfizer BioNTech) and ChAdOX1 nCOV-19 (Oxford-AstraZeneca) vaccines are strongly associated with the onset of allergic reactions, with ORs of 1.6 (CI 95%, 1.18 to 2.3) and 1.87 (CI 95%, 1.35 to 2.6), respectively. In addition, females have a greater chance of developing allergic reactions associated with COVID-19 vaccinations, and there was a relation found between older age and a greater prevalence of comorbidities, adverse effects after vaccination, and COVID-19 infection after vaccination.

Objective. Evaluate the hygienic-sanitary, physicochemical and microbiological quality of bovine milk for sale, produced in a family stable and in three public markets in Tabasco state. Materials and methods. The hygienic-sanitary quality was determined according to general information of the farm, facilities, milking process, cleaning and disinfection. Physicochemical quality was determined by evaluating total proteins, casein, butyric fat, lactose, non-fatty solids and density. Microbiological quality was determined by titratable acidity, alcohol test, somatic cell content, oxide-reduction potential, foreign matter, bacterial inhibitors, and aerobic mesophilic bacteria. Results. The milk produced in the family stable was evaluated with the highest physicochemical and microbiological quality, in reference to the standards evaluated by the official Mexican regulations established in Mexico by the Council for the promotion of the quality of milk and its derivatives, A. C. Instead, milk in three public markets, it was considered as rejection, indicating possible contamination during milking processes, as well as handling and transport to public markets. Conclusions. Milk samples from public markets were considered not suitable for human consumption or for the production of by-products., Objetivo. Evaluar la calidad higiénico-sanitaria, fisicoquímica y microbiológica de leche cruda bovina destinada a la venta, producida en un establo familiar y en tres mercados públicos del estado de Tabasco. Materiales y métodos. La calidad higiénico-sanitaria se determinó de acuerdo con la información general del predio, instalaciones, proceso de ordeño, limpieza y desinfección. La calidad fisicoquímica se determinó evaluando proteínas totales, caseína, grasa butírica, lactosa, sólidos no grasos y densidad. La calidad microbiológica fue determinada mediante la acidez titulable, prueba de alcohol, contenido de células somáticas, potencial de óxido-reducción, materia extraña, inhibidores bacterianos y bacterias mesofílicas aerobias. Resultados. La leche producida en el establo familiar, fue evaluada con la máxima calidad fisicoquímica y microbiológica en referencia a los estándares que evalúa la normatividad oficial mexicana establecidas en México por el Consejo para el fomento de la calidad de la leche y sus derivados, A. C. En cambio, la leche en los tres mercados públicos se consideró de rechazo, indicando posible contaminación durante los procesos de ordeña, así como en el manejo y transporte hacia los mercados públicos. Conclusiones. Las muestras de leche provenientes de los mercados públicos se consideraron no aptas para consumo humano ni para elaboración de subproductos.

Resumen El objetivo de este trabajo fue determinar el indice glucemico y la respuesta insulinica de una sopa conteniendo almidon nativo de banano. Los efectos beneficos del consumo de almidon resistente sobre el control glucemico han sido reportados previamente, pero estos parametros no han sido suficientemente estudiados. Las determinaciones se realizaron en 12 sujetos sanos y 12 con diabetes tipo 2 y el indice glucemico de la sopa fue de 31.79. Las areas bajo las curvas de glucosa e insulina fueron menores en los grupos con la sopa en comparacion con el alimento de referencia (P

La obesidad aumenta el riesgo de desarrollar enfermedades cardiovasculares, sin embargo, el riesgo depende significativamente de la distribución del tejido adiposo en el cuerpo. Evidencia reciente indica que cada depósito de grasa visceral es anatómica y funcionalmente diferente. Dada la proximidad al órgano, cada depósito de tejido adiposo visceral ejerce una modulación local más que un efecto sistémico. Debido a su peculiar localización y sus propiedades biomoleculares, el tejido adiposo epicárdico, se ha abierto campo como causante de arteriosclerosis. Este tejido puede ser medido con técnicas de imagen y está clínicamente relacionado con la masa del ventrículo izquierdo, la enfermedad arterial coronaria y el síndrome metabólico. Por tanto, la medición de la grasa epicárdica puede tener un papel en la estratificación del riesgo cardiometabólico y servir como blanco terapéutico.