37 results on '"Martínez-Astorquiza, Txantón"'
Search Results
2. Consensus document on the prevention of methylmercury exposure in Spain: Study group for the prevention of Me-Hg exposure in Spain (GEPREM-Hg)
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González-Estecha, Montserrat, Bodas-Pinedo, Andrés, Guillén-Pérez, José Jesús, Rubio-Herrera, Miguel Ángel, Martínez-Álvarez, Jesús Román, Herráiz-Martínez, Miguel Ángel, Martell-Claros, Nieves, Ordóñez-Iriarte, José Mª, Sáinz-Martín, María, Farré-Rovira, Rosaura, Martínez-Astorquiza, Txantón, García-Donaire, José Antonio, Calvo-Manuel, Elpidio, Bretón-Lesmes, Irene, Prieto-Menchero, Santiago, Llorente-Ballesteros, Mª Teresa, Martínez-García, Mª José, Moreno-Rojas, Rafael, Salas-Salvadó, Jordi, Bermejo-Barrera, Pilar, Cuadrado-Cenzual, Mª Ángeles, Gallardo-Pino, Carmen, Fuentes, María Blanco, Torres-Moreno, Miriam, Trasobares-Iglesias, Elena M., Martín, Bernardino Barceló, Arroyo-Fernández, Manuel, and Calle-Pascual, Alfonso
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- 2015
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- View/download PDF
3. Detection of thyroid dysfunction in pregnant women: Universal screening is justified
- Author
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Vila, Lluís, Velasco, Inés, González, Stella, Morales, Francisco, Sánchez, Emilia, Lailla, José Maria, Martinez-Astorquiza, Txanton, and Puig-Domingo, Manel
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- 2012
- Full Text
- View/download PDF
4. A prospective study of the factors associated with the success rate of external cephalic version for breech presentation at term
- Author
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Burgos, Jorge, Melchor, Juan Carlos, Pijoán, José Ignacio, Cobos, Patricia, Fernández-Llebrez, Luis, and Martínez-Astorquiza, Txantón
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- 2011
- Full Text
- View/download PDF
5. A Digenic Combination of Polymorphisms Within ESR1 and ESR2 Genes Are Associated With Age at Menarche in the Spanish Population
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Mendoza, Nicolás, Morón, Francisco Jesús, Quereda, Francisco, Vázquez, Francisco, Rivero, Mari C., Martínez-Astorquiza, Txantón, Real, Luis M., Sánchez-Borrego, Rafael, González-Pérez, Antonio, and Ruiz, Agustín
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- 2008
- Full Text
- View/download PDF
6. The diagnosis of rupture of fetal membranes (ROM): a meta-analysis
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Ramsauer, Babett, Vidaeff, Alex C., Hösli, Irene, Park, Joong Shin, Strauss, Alexander, Khodjaeva, Zulfiya, de la Cruz, Ángel Aguarón, Martínez-Astorquiza, Txantón, Horovitz, Jacques, Coatleven, Frederic, and Helmer, Hanns
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- 2013
- Full Text
- View/download PDF
7. Multilocus analysis of estrogen-related genes in Spanish postmenopausal women suggests an interactive role of ESR1, ESR2 and NRIP1 genes in the pathogenesis of osteoporosis
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Morón, Francisco Jesús, Mendoza, Nicolás, Vázquez, Francisco, Molero, Eva, Quereda, Francisco, Salinas, Ana, Fontes, Juan, Martínez-Astorquiza, Txantón, Sánchez-Borrego, Rafael, and Ruiz, Agustín
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- 2006
- Full Text
- View/download PDF
8. Clinical score for the outcome of external cephalic version: A two-phase prospective study
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BURGOS, Jorge, COBOS, Patricia, RODRIGUEZ, Leire, PIJOÁN, José Ignacio, FERNÁNDEZ-LLEBREZ, Luis, MARTÍNEZ-ASTORQUIZA, Txantón, and MELCHOR, Juan Carlos
- Published
- 2012
- Full Text
- View/download PDF
9. Oxytocin versus dinoprostone vaginal insert for induction of labor after previous cesarean section: a retrospective comparative study
- Author
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Gómez, Leire Rodríguez, Burgos, Jorge, Cobos, Patricia, Melchor, Juan Carlos, Osuna, Carmen, del Mar Centeno, Maria, Larrieta, Rosa, Fernández-Llebrez, Luis, and Martínez-Astorquiza, Txantón
- Published
- 2011
10. External Cephalic Version: A Review of the Evidence
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Burgos, Jorge, Cobos, Patricia, Rodriguez, Leire, Osuna, Carmen, Melchor, Juan Carlos, Fernández-Llebrez, Luis, and Martínez-Astorquiza, Txantón
- Published
- 2011
11. Patient opinion of analgesia during external cephalic version at term in singleton pregnancy
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Rodríguez, Leire, primary, Osuna, Carmen, additional, Pijoan, José I, additional, Cobos, Patricia, additional, Centeno, María M, additional, Serna, Rosa, additional, Jiménez, Antonia, additional, Artola, Izaskun, additional, Melchor, Iñigo, additional, Martínez-Astorquiza, Txantón, additional, Melchor, Juan C, additional, and Burgos, Jorge, additional
- Published
- 2019
- Full Text
- View/download PDF
12. Patient opinion of analgesia during external cephalic version at term in singleton pregnancy.
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Rodríguez, Leire, Osuna, Carmen, Pijoan, José I, Cobos, Patricia, Centeno, María M, Serna, Rosa, Jiménez, Antonia, Artola, Izaskun, Melchor, Iñigo, Martínez-Astorquiza, Txantón, Melchor, Juan C, and Burgos, Jorge
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RANDOMIZED controlled trials ,ANALGESIA ,NITROUS oxide ,PREGNANT women ,ABDOMINAL muscles ,OBSTETRICAL analgesia ,THERAPEUTIC use of narcotics ,PAIN management ,RESEARCH ,PAIN measurement ,FETAL version (Obstetrics) ,DURATION of pregnancy ,ANALGESICS ,NONOPIOID analgesics ,RESEARCH methodology ,PATIENT satisfaction ,BREECH delivery ,MEDICAL cooperation ,EVALUATION research ,COMPARATIVE studies - Abstract
To assess the opinion and the level of satisfaction of patients concerning analgesia during external cephalic version (ECV), we present the results of a survey of 120 women undergoing ECV at term during a randomised controlled trial (July 2012 to February 2013) comparing remifentanil and nitrous oxide. Overall, 110 (91.7%) women said they would repeat the procedure and 111 (92.5%) that they would recommend it to another pregnant woman, with no significant differences by type of analgesia. The administration and sense of comfort were rated better in the remifentanil group (p < .01). In conclusion, the use of analgesia during ECV is associated with a high rate of willingness among women to repeat the procedure and recommend it to other pregnant women.Impact statementWhat is already known on this subject? ECV is commonly a painful manoeuvre for the woman. This pain triggers maternal reactive abdominal muscle contraction and involuntary abdominal tensing, reducing the likelihood of successful version and causing some women to reject the technique.What do the results of this study add? The use of analgesia during ECV is associated with a high rate of willingness among women to repeat the procedure and recommend it to other pregnant women. The sense of comfort during ECV was also significantly better in the remifentanil group, probably because of its greater analgesic power and greater comfort during its administration.What are the implications of these findings for clinical practice and/or further research? ECV should be carried out under analgesia, when available, not only to decrease pain but also to encourage wider adoption of the technique and enable more women to benefit from it. [ABSTRACT FROM AUTHOR]
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- 2020
- Full Text
- View/download PDF
13. [Consensus document on the prevention of exposure to methylmercury in Spain]
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González-Estecha, Montserrat, Bodas-Pinedo, Andrés, Guillén-Pérez, José Jesús, Rubio-Herrera, Miguel Ángel, Martínez-Álvarez, Jesús Román, Herráiz-Martínez, Miguel Ángel, Martell-Claros, Nieves, Ordóñez-Iriarte, José Mª, Sáinz-Martín, María, Farré-Rovira, Rosaura, Martínez-Astorquiza, Txantón, García-Donaire, José Antonio, Calvo-Manuel, Elpidio, Bretón-Lesmes, Irene, Prieto-Menchero, Santiago, Llorente-Ballesteros, María Teresa, Martínez-García, María José, Moreno-Rojas, Rafael, Salas-Salvadó, Jordi, Bermejo-Barrera, Pilar, Cuadrado-Cenzual, María Ángeles, Gallardo-Pino, Carmen, Blanco Fuentes, María, Torres-Moreno, Miriam, Trasobares-Iglesias, Elena M., Barceló Martín, Bernardino, Arroyo-Fernández, Manuel, and Calle-Pascual, Alfonso
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Adult ,Consensus ,Advisory ,Metilmercurio ,Salud ,Methylmercury ,Cost-benefit ,Food Contamination ,Coste-beneficio ,Methylmercury Compounds ,Diet, Mediterranean ,Biomarcadores ,Fish ,Seafood ,Health ,Spain ,Recomendaciones ,Humans ,Child ,Biomarkers ,Pescado - Abstract
Los efectos beneficiosos del consumo de pescado tanto en niños como en adultos han sido bien reconocidos. Sin embargo, la ingesta de metilmercurio principalmente a través del pescado y marisco contaminado puede producir efectos adversos en la salud. El grupo de estudio para la prevención de la exposición al metilmercurio (GEPREM-Hg), constituido por representantes de diferentes sociedades científicas españolas, ha elaborado un documento de consenso donde se recogen en forma de preguntas y respuestas las principales conclusiones, recomendaciones y propuestas planteadas en el grupo. El objetivo del documento es profundizar en el conocimiento de los factores asociados a la exposición al metilmercurio, los posibles efectos sobre la salud en la población española, los métodos de análisis, la interpretación de los resultados, el coste económico y establecer finalmente recomendaciones de consumo de pescados y mariscos. El grupo considera acertadas todas las iniciativas encaminadas a reducir o prohibir el uso del mercurio y la necesidad de conocer los resultados de los análisis de contaminantes que se realizan en los pescados y mariscos que se comercializan en España. Además, opina que se deberían establecer sistemas de biomonitorización para conocer la evolución de la exposición al metilmercurio en niños y adultos y realizar estudios diseñados para conocer los posibles efectos sobre la salud de las concentraciones halladas en la población española, teniendo en cuenta el estilo de vida, los patrones de consumo alimentarios y la dieta mediterránea. The beneficial effects of fish consumption in both children and adults are well known. However, the intake of methylmercury, mainly from contaminated fish and shellfish, can have adverse health effects. The study group on the prevention of exposure to methylmercury (GEPREM-Hg), made up of representatives from different Spanish scientific societies, has prepared a consensus document in a question and answer format, containing the group’s main conclusions, recommendations and proposals. The objective of the document is to provide broader knowledge of factors associated with methylmercury exposure, its possible effects on health among the Spanish population, methods of analysis, interpretation of the results and economic costs, and to then set recommendations for fish and shellfish consumption. The group sees the merit of all initiatives aimed at reducing or prohibiting the use of mercury as well as the need to be aware of the results of contaminant analyses performed on fish and shellfish marketed in Spain. In addition, the group believes that biomonitoring systems should be set up in order to follow the evolution of methylmercury exposure in children and adults and perform studies designed to learn more about the possible health effects of concentrations found in the Spanish population, tacombusking into account the lifestyle, eating patterns and the Mediterranean diet.
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- 2015
14. [Methylmercury: existing recommendations; methods of analysing and interpreting the results; economic evaluation]
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González-Estecha, Montserrat, Bodas-Pinedo, Andrés, Martínez-García, María José, Trasobares-Iglesias, Elena M., Bermejo-Barrera, Pilar, Ordóñez-Iriarte, José María, Llorente-Ballesteros, María Teresa, Prieto-Menchero, Santiago, Guillén-Pérez, José Jesús, Martell-Claros, Nieves, Cuadrado-Cenzual, María Ángeles, Rubio-Herrera, Miguel Ángel, Martínez-Álvarez, Jesús Román, Calvo-Manuel, Elpidio, Farré-Rovira, Rosaura, Herráiz-Martínez, Miguel Ángel, Bretón Lesmes, Irene, García-Donaire, José Antonio, Sáinz-Martín, María, Martínez-Astorquiza, Txantón, Gallardo-Pino, Carmen, Moreno-Rojas, Rafael, Salas-Salvadó, Jordi, Blanco Fuentes, María, Arroyo-Fernández, Manuel, and Calle Pascual, Alfonso
- Subjects
Terapia quelante ,Advisory ,Cost-Benefit Analysis ,Metilmercurio ,Fishes ,Methylmercury ,Cost-benefit ,Food Contamination ,Coste-beneficio ,Methylmercury Compounds ,Chelation Therapy ,Biomarcadores ,Fish ,Recomendaciones ,Animals ,Humans ,Biomarkers ,Pescado - Abstract
Los efectos beneficiosos del consumo de pescado son bien reconocidos. Sin embargo, existe preocupación a nivel mundial sobre los niveles de metilmercurio en el pescado, por lo que muchos países como Estados Unidos, Australia, Nueza Zelanda, Canadá y muchos países europeos han realizado recomendaciones de consumo de pescado a la población , especialmente a los grupos vulnerables con el fin de reducir la ingesta de metilmercurio. La sangre y el pelo son las mejores muestras biológicas para medir el metilmercurio. El método de análisis más empleado ha sido la espectroscopia de absorción atómica con la técnica del vapor frío, aunque existen también métodos directos que se basan en la descomposición térmica de la muestra. En los últimos años han aumentado los laboratorios que miden el mercurio por espectrometría de masas con plasma acoplado por inducción. Además, se puede diferenciar las distintas especies de mercurio acoplando métodos de separación cromatográficos. Es necesario que los laboratorios que analizan mercurio en muestras biológicas participen en programas de garantía externa de la calidad. Aunque se logre reducir las emisiones de mercurio, el mercurio del medio ambiente altodavía puede permanecer muchos años, por lo que es fundamental el consejo dietético para disminuir la exposición. No es aconsejable el uso de terapia quelante con fines diagnósticos o en pacientes asintomáticos. Es preciso proponer medidas de salud pública encaminadas a la disminución de la exposición al mercurio y que se evalúe también los beneficios de las mismas desde el punto de vista económico y social. The beneficial effects of fish consumption are well- known. Nevertheless, there is worldwide concern regard methylmercury concentrations in fish, which is why many countries such as the United States, Australia, New Zealand, Canada and numerous European countries have made fish consumption recommendations for their populations, particularly vulnerable groups, in order to México methylmercury intake. Blood and hair are the best biological samples for measuring methylmercury. The most widely-used method to analyse methylmercury is cold vapor atomic absorption spectrometry, although there are also direct methods based on the thermal decomposition of the sample. In recent years, the number of laboratories that measure mercury by inductively coupled plasma mass spectrometry has increased. In addition, the different kinds of mercury can be distinguished by coupling chromatography methods of separation. Laboratories that analyse mercury in biological samples need to participate in external quality control programmes. Even if mercury emissions are reduced, mercury may remain in the environment for many years, so dietary recommendations are fundamental in order to reduce exposure. It is necessary to propose public health measures aimed at decreasing mercury exposure and to evaluate the benefits of such measures from the economic and social standpoints.
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- 2015
15. [The effects of methylmercury on health in children and adults; national and international studies]
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González-Estecha, Montserrat, Bodas-Pinedo, Andrés, Rubio-Herrera, Miguel Ángel, Martell-Claros, Nieves, Trasobares-Iglesias, Elena M., Ordóñez-Iriarte, José M.ª, Guillén-Pérez, José Jesús, Herráiz-Martínez, Miguel Ángel, García-Donaire, José Antonio, Farré-Rovira, Rosaura, Calvo-Manuel, Elpidio, Martínez-Álvarez, Jesús Román, Llorente-Ballesteros, M.ª Teresa, Sáinz-Martín, María, Martínez-Astorquiza, Txantón, Martínez-García, M.ª José, Bretón Lesmes, Irene, Cuadrado-Cenzual, M.ª Ángeles, Prieto-Menchero, Santiago, Gallardo-Pino, Carmen, Moreno-Rojas, Rafael, Bermejo-Barrera, Pilar, Torres-Moreno, Miriam, Arroyo-Fernández, Manuel, and Calle-Pascual, Alfonso
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Adult ,Metilmercurio ,Enfermedad cardiovascular ,Neurodevelopment ,Fishes ,Infant, Newborn ,Infant ,Salud ,Neurodesarrollo ,Methylmercury ,Methylmercury Compounds ,Cardiovascular diseases ,Seafood ,Health ,Pregnancy ,Prenatal exposure ,Mercury Poisoning ,Exposición prenatal ,Animals ,Humans ,Female - Abstract
Los efectos beneficiosos del consumo de pescado tanto en niños como en adultos han sido bien reconocidos. Sin embargo, se ha referido que la ingesta excesiva de metilmercurio procedente del pescado contaminado produce toxicidad neurológica en los niños afectando a la función cognitiva, la memoria, la función visual-motora y al lenguaje. Después de las intoxicaciones de Minamata e Iraq, se realizaron grandes estudios epidemiológicos en Nueva Zelanda, las islas Féroe y las islas Seychelles y se establecieron recomendaciones internacionales sobre el consumo de pescado y marisco en las mujeres embarazadas y niños pequeños. En España, el proyecto Infancia y Medio Ambiente (INMA) ha estudiado los efectos del medio ambiente y de la dieta sobre el desarrollo fetal e infantil en diversas zonas geográficas de España. Los estudios realizados nacionales e internacionales muestran que la concentración de mercurio depende principalmente del consumo de pescado, aunque existe una variabilidad entre los países que podría explicarse no solo por la cantidad de pescado consumida, sino también por el tipo o especies de pescados que se consumen, así como por otro tipo de factores. Aunque los efectos perjudiciales del metilmercurio mejor documentados son los que se producen sobre el desarrollo del sistema nervioso en el feto y en el recién nacido, cada vez hay más estudios que indican que también puede afectar a la función cognitiva, reproducción y especialmente al riesgo cardiovascular en la población adulta. Sin embargo, son necesarios más estudios para confirmarlo y establecer la existencia de una relación causal. The benefit of fish consumption in children and adults is well-known. However, it has been pointed out that excessive methylmercury intake due to consumption of contaminated fish leads to neurological toxicity in children, affecting cognitive function, memory, visual-motor function and language. After the intoxications in Minamata and Iraq, wide-ranging epidemiological studies were carried out in New Zealand, the Faroe Islands and the Seychelles and international recommendations were established for fish consumption in pregnant women and small children. In Spain, the Childhood and Environmental project (INMA, its Spanish acronym) has studied the effects of diet and the environment on fetal and childhood development in different geographic areas of Spain. National and international sudies have demonstrated that mercury concentrations are mainly dependent on fish consumption, although there are variations among countries which can be explained not only by the levels of fish consumption, but also by the type or species of fish that is consumed, as well as other factors. Although the best documented adverse effects of methylmercury are the effects on nervous sytem development in fetuses and newborns, an increasing number of studies indicate that cognitive function, reproduction and, especially, cardiovascular risk in the adult population can also be affected. However, more studies are necessary in order to confirm this and establish the existance of a causal relationship.
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- 2014
16. Universal screening of thyroid dysfunction in the pregnant population
- Author
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Vila, Lluís, Velasco, Inés, González, Stella, Morales, Francisco, Sánchez, Emilia, Lailla, José Maria, Martinez-Astorquiza, Txanton, and Puig-Domingo, Manel
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- 2013
- Full Text
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17. Cribado de parto pretérmino en el primer trimestre de la gestación
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Molina, Francisca S., primary, Touzet, Giselle B., additional, Martínez-Astorquiza, Txantón, additional, and Nicolaides, Kypros H., additional
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- 2014
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18. Influence of chorionicity in intra-partum management of twin deliveries
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Quintana, Eider, primary, Burgos, Jorge, additional, Eguiguren, Nekane, additional, Melchor, Juan Carlos, additional, Fernández-Llebrez, Luis, additional, and Martínez-Astorquiza, Txantón, additional
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- 2012
- Full Text
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19. Transposición pene-escrotal completa: diagnóstico prenatal
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Burgos, Jorge, primary, Cobos, Patricia, additional, Mozo de Rosales, Fernando, additional, Barbazán, Maria Jose, additional, Recio, Virginia, additional, Vidaurrazaga, Nerea, additional, Uribarren, Adolfo, additional, and Martínez-Astorquiza, Txantón, additional
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- 2012
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20. Induction at 41 weeks increases the risk of caesarean section in a hospital with a low rate of caesarean sections
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Burgos, Jorge, primary, Rodríguez, Leire, additional, Otero, Borja, additional, Cobos, Patricia, additional, Osuna, Carmen, additional, Centeno, María del Mar, additional, Melchor, Juan Carlos, additional, Fernández-Llebrez, Luis, additional, and Martínez-Astorquiza, Txantón, additional
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- 2012
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21. Clinical score for the outcome of external cephalic version: A two‐phase prospective study
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BURGOS, Jorge, primary, COBOS, Patricia, additional, RODRIGUEZ, Leire, additional, PIJOÁN, José Ignacio, additional, FERNÁNDEZ‐LLEBREZ, Luis, additional, MARTÍNEZ‐ASTORQUIZA, Txantón, additional, and MELCHOR, Juan Carlos, additional
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- 2011
- Full Text
- View/download PDF
22. Oxytocin Versus Dinoprostone Vaginal Insert for Induction of Labor After Previous Cesarean Delivery: A Retrospective Comparative Study
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Rodríguez Gómez, Leire, primary, Burgos, Jorge, additional, Cobos, Patricia, additional, Carlos Melchor, Juan, additional, Osuna, Carmen, additional, del Mar Centeno, Maria, additional, Larrieta, Rosa, additional, Fernández-Llebrez, Luis, additional, and Martínez-Astorquiza, Txantón, additional
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- 2011
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23. A prospective study of the factors associated with the success rate of external cephalic version for breech presentation at term
- Author
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Burgos, Jorge, primary, Melchor, Juan Carlos, additional, Pijoán, José Ignacio, additional, Cobos, Patricia, additional, Fernández-Llebrez, Luis, additional, and Martínez-Astorquiza, Txantón, additional
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- 2010
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24. Lowering the Age at Menarche and Risk of Early Menarche in a Population of Spanish Postmenopausal Women During the Past Two Decades
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Mendoza, Nicolás, primary, Galliano, Daniela, additional, Salamanca, Alberto, additional, Castro, Juan Eloy Ruiz, additional, Mozas, Juan, additional, Sánchez-Borrego, Rafael, additional, Quereda, Francisco, additional, Vázquez, Francisco, additional, and Martínez-Astorquiza, Txantón, additional
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- 2010
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25. Multigenic combination of estrogen-related genes is associated with age at natural menopause in a Spanish population
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Mendoza, Nicolás, primary, Sánchez-Borrego, Rafael, additional, Galiano, Daniela, additional, Salamanca, Alberto, additional, Mozas, Juan, additional, Quereda, Francisco, additional, Vázquez, Francisco, additional, Martínez-Astorquiza, Txantón, additional, and Moron, Francisco, additional
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- 2009
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26. Análisis del dolor en la versión cefálica externa
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Burgos, Jorge, primary, Melchor, Juan Carlos, additional, Cobos, Patricia, additional, Eguiguren, Nekane, additional, del Mar Centeno, M., additional, Fernández-Llebrez, Luis, additional, and Martínez-Astorquiza, Txantón, additional
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- 2009
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27. Pyrosequencing Technology for Automated Detection of the BMP15 A180T Variant in Spanish Postmenopausal Women
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Morón, Francisco J, primary, Mendoza, Nicolás, primary, Quereda, Francisco, primary, Vázquez, Francisco, primary, Ramírez-Lorca, Reposo, primary, Velasco, Juan, primary, Gallo, Jose L, primary, Salinas, Ana, primary, Martínez-Astorquiza, Txantón, primary, Sánchez-Borrego, Rafael, primary, Sáez, Maria E, primary, and Ruiz, Agustín, primary
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- 2007
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28. Weighting the effect of CYP19A gene in bone mineral density of postmenopausal women
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Mendoza, Nicolás, Morón, Francisco J., Vázquez, Francisco, Quereda, Francisco, Sáez, María E., Martínez-Astorquiza, Txanton, González-Pérez, Antonio, Sánchez-Borrego, Rafael, and Ruiz, Agustín
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- 2006
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29. Influence of chorionicity in intra-partum management of twin deliveries.
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Quintana, Eider, Burgos, Jorge, Eguiguren, Nekane, Melchor, Juan Carlos, Fernández-Llebrez, Luis, and Martínez-Astorquiza, Txantón
- Subjects
LABOR (Obstetrics) ,VAGINAL birth after cesarean ,UMBILICAL arteries ,TWINS ,PREGNANCY complications - Abstract
Objective: To analyze morbidity and mortality in twin pregnancies as a function of the type of delivery and chorionicity. Design: Retrospective cohort study . Methods: Analysis of the type of delivery, intertwin time interval, and perinatal variables of >1000 twin deliveries during a 10-year period. Main outcome measure: Influence of delivery type and chorionicity on perinatal outcome. Results: The rate of cesarean sections was 42.4%. No differences were found as a function of chorionicity or as a function of presentation of the second twin. Cesarean sections were performed after vaginal delivery of the first twin in 1.8% of cases, being more common if the second baby was in a non-cephalic presentation (6.9% vs. 0.4%, p < 0.05). The average twin-to-twin delivery time interval was longer in the cases where the second had a cephalic presentation (8.26 ± 7.75 min vs. 6.81 ± 5.97 min, p < 0.05). The umbilical artery pH was lower the longer the interval between the birth of the twins, both in monochorionic and dichorionic. Conclusions: According to the results, vaginal delivery is as safe as elective caesarean section in twin pregnancies where the first twin is in cephalic presentation and the intrapartum management should not vary due to chorionicity. [ABSTRACT FROM AUTHOR]
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- 2013
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30. The diagnosis of rupture of fetal membranes (ROM): a meta-analysis
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Ramsauer, Babett, Vidaeff, Alex C., Hösli, Irene, Park, Joong Shin, Strauss, Alexander, Khodjaeva, Zulfiya, de la Cruz, Ángel Aguarón, Martínez-Astorquiza, Txantón, Horovitz, Jacques, Coatleven, Frederic, Helmer, Hanns, Ramsauer, Babett, Vidaeff, Alex C., Hösli, Irene, Park, Joong Shin, Strauss, Alexander, Khodjaeva, Zulfiya, de la Cruz, Ángel Aguarón, Martínez-Astorquiza, Txantón, Horovitz, Jacques, Coatleven, Frederic, and Helmer, Hanns
- Abstract
Aim: The aim of this study was to compare the performance of tests based on the detection of insulin-like growth factor binding protein 1 (IGFBP-1) and placental α-microglobulin-1 (PAMG-1) in diagnosing rupture of fetal membranes (ROM) across different patient populations. Methods: A meta-analysis was conducted on prospective observational or cohort studies investigating ROM tests based on the detection of IGFBP-1 and PAMG-1 meeting the following criteria: (1) performance metrics calculated by comparing results to an adequate reference method; (2) sensitivity thresholds of the investigated tests matching those of the currently available tests; (3) study population, as a minimum, included patients between 25 and 37 weeks of gestation. Sensitivities, specificities, and diagnostic odds ratios were calculated. Results: Across all patient populations, the analyzed performance measures of the PAMG-1 test were significantly superior compared with those of the IGFBP-1 test. Of particular clinical relevance, PAMG-1 outperformed IGFBP-1 in the equivocal group, which comprised patients with uncertain rupture of membranes (sensitivity, 96.0% vs. 73.9%; specificity, 98.9% vs. 77.8%; PAMG-1 vs. IGFBP-1 tests, respectively). Conclusions: Compared with its performance in women with known membrane status, the accuracy of the IGFBP-1 test decreases significantly when used on patients whose membrane status is unknown. In this latter clinically relevant population, the PAMG-1 test has higher accuracy than the IGFBP-1 test
31. Documento de consenso sobre la prevención de la exposición al metilmercurio en España.
- Author
-
González-Estecha, Montserrat, Bodas-Pinedo, Andrés, Guillén-Pérez, José Jesús, Rubio-Herrera, Miguel Ángel, Martínez-Álvarez, Jesús Román, Herráiz-Martínez, Miguel Ángel, Martell-Claros, Nieves, Ordóñez-Iriarte, José Ma, Sáinz-Martín, María, Farré-Rovira, Rosaura, Martínez-Astorquiza, Txantón, García-Donaire, José Antonio, Calvo-Manuel, Elpidio, Bretón-Lesmes, Irene, Prieto-Menchero, Santiago, Llorente-Ballesteros, María Teresa, Martínez-García, María José, Moreno-Rojas, Rafael, Salas-Salvadó, Jordi, and Bermejo-Barrera, Pilar
- Subjects
- *
METHYLMERCURY , *MERCURY content of fish , *SPANIARDS , *BIOMARKERS , *COST effectiveness , *HEALTH , *PHYSIOLOGY - Abstract
The beneficial effects of fish consumption in both children and adults are well known. However, the intake of methylmercury, mainly from contaminated fish and shellfish, can have adverse health effects. The study group on the prevention of exposure to methylmercury (GEPREM-Hg), made up of representatives from different Spanish scientific societies, has prepared a consensus document in a question and answer format, containing the group's main conclusions, recommendations and proposals. The objective of the document is to provide broader knowledge of factors associated with methylmercury exposure, its possible effects on health among the Spanish population, methods of analysis, interpretation of the results and economic costs, and to then set recommendations for fish and shellfish consumption. The group sees the merit of all initiatives aimed at reducing or prohibiting the use of mercury as well as the need to be aware of the results of contaminant analyses performed on fish and shellfish marketed in Spain. In addition, the group believes that biomonitoring systems should be set up in order to follow the evolution of methylmercury exposure in children and adults and perform studies designed to learn more about the possible health effects of concentrations found in the Spanish population, taking into account the lifestyle, eating patterns and the Mediterranean diet. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
32. Metilmercurio: Recomendaciones existentes; métodos de análisis e interpretación de resultados; evaluación económica.
- Author
-
González-Estecha, Montserrat, Bodas-Pinedo, Andrés, Martínez-García, María José, Trasobares-Iglesias, Elena M., Bermejo-Barrera, Pilar, Ordóñez-Iriarte, José María, Llorente-Ballesteros, María Teresa, Prieto-Menchero, Santiago, Guillén-Pérez, José Jesús, Martell-Claros, Nieves, Cuadrado-Cenzual, María Ángeles, Rubio-Herrera, Miguel Ángel, Martínez-Álvarez, Jesús Román, Calvo-Manuel, Elpidio, Farré-Rovira, Rosaura, Herráiz-Martínez, Miguel Ángel, Bretón Lesmes, Irene, García-Donaire, José Antonio, Sáinz-Martín, María, and Martínez-Astorquiza, Txantón
- Subjects
- *
METHYLMERCURY , *ECONOMICS , *MERCURY content of fish , *BIOMARKERS , *COST effectiveness , *CHELATION therapy - Abstract
The beneficial effects of fish consumption are well-known. Nevertheless, there is worldwide concern regard methylmercury concentrations in fish, which is why many countries such as the United States, Australia, New Zealand, Canada and numerous European countries have made fish consumption recommendations for their populations, particularly vulnerable groups, in order to México methylmercury intake. Blood and hair are the best biological samples for measuring methylmercury. The most widely-used method to analyse methylmercury is cold vapor atomic absorption spectrometry, although there are also direct methods based on the thermal decomposition of the sample. In recent years, the number of laboratories that measure mercury by inductively coupled plasma mass spectrometry has increased. In addition, the different kinds of mercury can be distinguished by coupling chromatography methods of separation. Laboratories that analyse mercury in biological samples need to participate in external quality control programmes. Even if mercury emissions are reduced, mercury may remain in the environment for many years, so dietary recommendations are fundamental in order to reduce exposure. It is necessary to propose public health measures aimed at decreasing mercury exposure and to evaluate the benefits of such measures from the economic and social standpoints. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
33. Efectos sobre la salud del metilmercurio en niños y adultos; estudios nacionales e internacionales.
- Author
-
González-Estecha, Montserrat, Bodas-Pinedo, Andrés, Rubio-Herrera, Miguel Ángel, Martell-Claros, Nieves, Trasobares-Iglesias, Elena M., Ordóñez-Iriarte, José Ma, Guillen-Pérez, José Jesús, Herráiz-Martínez, Miguel Ángel, García-Donaire, José Antonio, Farré-Rovira, Rosaura, Calvo-Manuel, Elpidio, Martínez-Álvarez, Jesús Román, Llorente-Ballesteros, Ma Teresa, Sáinz-Martín, María, Martínez-Astorquiza, Txantón, Martínez-García, Ma José, Bretón Lesmes, Irene, Cuadrado-Cenzual, Ma Ángeles, Prieto-Menchero, Santiago, and Gallardo-Pino, Carmen
- Subjects
- *
PHYSIOLOGICAL effects of methylmercury compounds , *METHYLMERCURY , *CHILDREN'S health , *CARDIOVASCULAR diseases , *PRENATAL exposure delayed effects , *FISH research - Abstract
The benefit of fish consumption in children and adults is well-known. However, it has been pointed out that excessive methylmercury intake due to consumption of contaminated fish leads to neurological toxicity in children, affecting cognitive function, memory, visual-motor function and language. After the intoxications in Minamata and Iraq, wide-ranging epidemiological studies were carried out in New Zealand, the Faroe Islands and the Seychelles and international recommendations were established for fish consumption in pregnant women and small children. In Spain, the Childhood and Environmental project (INMA, its Spanish acronym) has studied the effects of diet and the environment on fetal and childhood development in different geographic areas of Spain. National and international sudies have demonstrated that mercury concentrations are mainly dependent on fish consumption, although there are variations among countries which can be explained not only by the levels of fish consumption, but also by the type or species of fish that is consumed, as well as other factors. Although the best documented adverse effects of methylmercury are the effects on nervous sytem development in fetuses and newborns, an increasing number of studies indicate that cognitive function, reproduction and, especially, cardiovascular risk in the adult population can also be affected. However, more studies are necessary in order to confirm this and establish the existance of a causal relationship. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
34. Exposición al metilmercurio en la población general; toxicocinética; diferencias según el sexo, factores nutricionales y genéticos.
- Author
-
González-Estecha, Montserrat, Bodas-Pinedo, Andrés, Guillén-Pérez, José Jesús, Rubio-Herrera, Miguel Ángel, Ordóñez-Iriarte, José Ma, Trasobares-Iglesias, Elena M., Martell-Claros, Nieves, Martínez-Álvarez, Jesús Román, Farré-Rovira, Rosaura, Herráiz-Martínez, Miguel Angel, Martínez-Astorquiza, Txantón, Calvo-Manuel, Elpidio, Sáinz-Martín, María, Bretón-Lesmes, Irene, Prieto-Menchero, Santiago, Llorente-Ballesteros, Ma Teresa, Martínez-García, Ma José, Salas-Salvadó, Jordi, Bermejo-Barrera, Pilar, and García-Donaire, José Antonio
- Subjects
- *
METHYLMERCURY , *TOXINS , *GENDER studies , *NUTRITION , *GENETICS , *MERCURY in the body , *UNSATURATED fatty acids - Abstract
Mercury is an environmental toxicant that causes numerous adverse effects on human health and natural ecosystems. The factors that determine the existance of adverse effects, as well as their severity are, among others: the chemical form of mercury (elemental, inorganic, organic), dosis, age, period of exposure, pathways of exposure and environmental, nutritional and genetic factors. In the aquatic cycle of mercury, once it has been deposited, it is transformed into methylmercury due to the action of certain sulphate-reducing bacteria, which bioaccumulates in the aquatic organisms and moves into the food chain. The methylmercury content of large, long-lived fish such as swordfish, shark, tuna or marlin, is higher. Methylmercury binds to protein in fish and is therefore not eliminated by cleaning or cooking the fish. Fetuses and small children are more vulnerable to the neurotoxic effects of methylmercury from the consumption of contaminated fish. Methylmercury is absorbed in the gastrointestinal tract and crosses the blood-brain barrier and the placenta. The intake of certain dietary components such as polyunsaturated fatty acids, selenium, fiber, thiol compounds, certain phytochemicals and other nutrients can modify methylmercury bioaccesibility and its toxicity. Apart from environmental factors, genetic factors can influence mercury toxicity and explain part of the individual vulnerability. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
35. [Consensus document on the prevention of exposure to methylmercury in Spain].
- Author
-
González-Estecha M, Bodas-Pinedo A, Guillén-Pérez JJ, Rubio-Herrera MÁ, Martínez-Álvarez JR, Herráiz-Martínez MÁ, Martell-Claros N, Ordóñez-Iriarte JM, Sáinz-Martín M, Farré-Rovira R, Martínez-Astorquiza T, García-Donaire JA, Calvo-Manuel E, Bretón-Lesmes I, Prieto-Menchero S, Llorente-Ballesteros MT, Martínez-García MJ, Moreno-Rojas R, Salas-Salvadó J, Bermejo-Barrera P, Cuadrado-Cenzual MÁ, Gallardo-Pino C, Blanco Fuentes M, Torres-Moreno M, Trasobares-Iglesias EM, Barceló Martín B, Arroyo-Fernández M, and Calle-Pascual A
- Subjects
- Adult, Child, Consensus, Diet, Mediterranean, Food Contamination analysis, Humans, Spain epidemiology, Methylmercury Compounds adverse effects, Methylmercury Compounds analysis, Seafood adverse effects, Seafood analysis
- Abstract
The beneficial effects of fish consumption in both children and adults are well known. However, the intake of methylmercury, mainly from contaminated fish and shellfish, can have adverse health effects. The study group on the prevention of exposure to methylmercury (GEPREM-Hg), made up of representatives from different Spanish scientific societies, has prepared a consensus document in a question and answer format, containing the group's main conclusions, recommendations and proposals. The objective of the document is to provide broader knowledge of factors associated with methylmercury exposure, its possible effects on health among the Spanish population, methods of analysis, interpretation of the results and economic costs, and to then set recommendations for fish and shellfish consumption. The group sees the merit of all initiatives aimed at reducing or prohibiting the use of mercury as well as the need to be aware of the results of contaminant analyses performed on fish and shellfish marketed in Spain. In addition, the group believes that biomonitoring systems should be set up in order to follow the evolution of methylmercury exposure in children and adults and perform studies designed to learn more about the possible health effects of concentrations found in the Spanish population, ta king into account the lifestyle, eating patterns and the Mediterranean diet., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
36. [Methylmercury: existing recommendations; methods of analysing and interpreting the results; economic evaluation].
- Author
-
González-Estecha M, Bodas-Pinedo A, Martínez-García MJ, Trasobares-Iglesias EM, Bermejo-Barrera P, Ordóñez-Iriarte JM, Llorente-Ballesteros MT, Prieto-Menchero S, Guillén-Pérez JJ, Martell-Claros N, Cuadrado-Cenzual MÁ, Rubio-Herrera MÁ, Martínez-Álvarez JR, Calvo-Manuel E, Farré-Rovira R, Herráiz-Martínez MÁ, Bretón Lesmes I, García-Donaire JA, Sáinz-Martín M, Martínez-Astorquiza T, Gallardo-Pino C, Moreno-Rojas R, Salas-Salvadó J, Blanco Fuentes M, Arroyo-Fernández M, and Calle Pascual A
- Subjects
- Animals, Cost-Benefit Analysis, Fishes, Food Contamination analysis, Food Contamination economics, Humans, Methylmercury Compounds economics, Methylmercury Compounds analysis, Methylmercury Compounds toxicity
- Abstract
The beneficial effects of fish consumption are well- known. Nevertheless, there is worldwide concern regard methylmercury concentrations in fish, which is why many countries such as the United States, Australia, New Zealand, Canada and numerous European countries have made fish consumption recommendations for their populations, particularly vulnerable groups, in order to México methylmercury intake. Blood and hair are the best biological samples for measuring methylmercury. The most widely-used method to analyse methylmercury is cold vapor atomic absorption spectrometry, although there are also direct methods based on the thermal decomposition of the sample. In recent years, the number of laboratories that measure mercury by inductively coupled plasma mass spectrometry has increased. In addition, the different kinds of mercury can be distinguished by coupling chromatography methods of separation. Laboratories that analyse mercury in biological samples need to participate in external quality control programmes. Even if mercury emissions are reduced, mercury may remain in the environment for many years, so dietary recommendations are fundamental in order to reduce exposure. It is necessary to propose public health measures aimed at decreasing mercury exposure and to evaluate the benefits of such measures from the economic and social standpoints., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
37. [Methylmercury exposure in the general population; toxicokinetics; differences by gender, nutritional and genetic factors].
- Author
-
González-Estecha M, Bodas-Pinedo A, Guillén-Pérez JJ, Rubio-Herrera MÁ, Ordóñez-Iriarte JM, Trasobares-Iglesias EM, Martell-Claros N, Martínez-Álvarez JR, Farré-Rovira R, Herráiz-Martínez MÁ, Martínez-Astorquiza T, Calvo-Manuel E, Sáinz-Martín M, Bretón-Lesmes I, Prieto-Menchero S, Llorente-Ballesteros MT, Martínez-García MJ, Salas-Salvadó J, Bermejo-Barrera P, García-Donaire JA, Cuadrado-Cenzual MÁ, Gallardo-Pino C, Moreno-Rojas R, Arroyo-Fernández M, and Calle-Pascual A
- Subjects
- Aging, Animals, Female, Fishes, Humans, Male, Mercury metabolism, Mercury pharmacokinetics, Seafood, Sex Characteristics, Toxicokinetics, Mercury Poisoning genetics, Mercury Poisoning pathology, Methylmercury Compounds pharmacokinetics, Methylmercury Compounds toxicity, Nutritional Status
- Abstract
Mercury is an environmental toxicant that causes numerous adverse effects on human health and natural ecosystems. The factors that determine the existance of adverse effects, as well as their severity are, among others: the chemical form of mercury (elemental, inorganic, organic), dosis, age, period of exposure, pathways of exposure and environmental, nutritional and genetic factors. In the aquatic cycle of mercury, once it has been deposited, it is transformed into methylmercury due to the action of certain sulphate-reducing bacteria, which bioaccumulates in the aquatic organisms and moves into the food chain. The methylmercury content of large, long-lived fish such as swordfish, shark, tuna or marlin, is higher. Methylmercury binds to protein in fish and is therefore not eliminated by cleaning or cooking the fish. Fetuses and small children are more vulnerable to the neurotoxic effects of methylmercury from the consumption of contaminated fish. Methylmercury is absorbed in the gastrointestinal tract and crosses the blood-brain barrier and the placenta. The intake of certain dietary components such as polyunsaturated fatty acids, selenium, fiber, thiol compounds, certain phytochemicals and other nutrients can modify methylmercury bioaccesibility and its toxicity. Apart from environmental factors, genetic factors can influence mercury toxicity and explain part of the individual vulnerability., (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
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