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Exposure to arsenic (As) concentrations in drinking water > 150 μg/L has been associated with risk of diabetes and cardiovascular disease, but little is known about the effects of lower exposures. This study aimed to examine whether moderate As exposure, or indicators of individual As metabolism at these levels of exposure, are associated with cardiometabolic risk. We analyzed cross-sectional associations between arsenic exposure and multiple markers of cardiometabolic risk using drinking-water As measurements and urinary As species data obtained from 1,160 adults in Chihuahua, Mexico, who were recruited in 2008-2013. Fasting blood glucose and lipid levels, the results of an oral glucose tolerance test, and blood pressure were used to characterize cardiometabolic risk. Multivariable logistic, multinomial, and linear regression were used to assess associations between cardiometabolic outcomes and water As or the sum of inorganic and methylated As species in urine. After multivariable adjustment, concentrations in the second quartile of water As (25.5 to < 47.9 μg/L) and concentrations of total speciated urinary As (< 55.8 μg/L) below the median were significantly associated with elevated triglycerides, high total cholesterol, and diabetes. However, moderate water and urinary As levels were also positively associated with HDL cholesterol. Associations between arsenic exposure and both dysglycemia and triglyceridemia were higher among individuals with higher proportions of dimethylarsenic in urine. Moderate exposure to As may increase cardiometabolic risk, particularly in individuals with high proportions of urinary dimethylarsenic. In this cohort, As exposure was associated with several markers of increased cardiometabolic risk (diabetes, triglyceridemia, and cholesterolemia), but exposure was also associated with higher rather than lower HDL cholesterol. Mendez MA, González-Horta C, Sánchez-Ramírez B, Ballinas-Casarrubias L, Hernández Cerón R, Viniegra Morales D, Baeza Terrazas FA, Ishida MC, Gutiérrez-Torres DS, Saunders RJ, Drobná Z, Fry RC, Buse JB, Loomis D, García-Vargas GG, Del Razo LM, Stýblo M. 2016. Chronic exposure to arsenic and markers of cardiometabolic risk: a cross-sectional study in Chihuahua, Mexico. Environ Health Perspect 124:104-111; http://dx.doi.org/10.1289/ehp.1408742.

This work was supported by a grant from the Spanish Instituto de Salud Carlos III (PI19/01353) and FEDER European Union. C.S-B holds a Severo Ochoa grant (BP19-066) by FICYT. S.L-H is currently supported by Instituto Universitario de Oncología del Principado de Asturias (IUOPA) (SV-PA-21-01).

The family of innate lymphoid cells (ILCs), consisting of Group 1 ILCs (natural killer cells and ILC1), ILC2, and ILC3, are critical effectors of innate immunity, inflammation, and homeostasis post-natally, but also exert essential functions before birth. Recent studies during critical developmental periods in the embryo have hinted at complex waves of tissue colonization, and highlighted the breadth of multipotent and committed ILC progenitors from both classic fetal hematopoietic organs such as the liver, as well as tissue sites such as the lung, thymus, and intestine. Assessment of the mechanisms driving cell fate and function of the ILC family in the embryo will be vital to the understanding ILC biology throughout fetal life and beyond.

Background Life skills are essential for school health in adolescents; however, their conceptual understanding remains limited, so this concept will be explored. Objective To analyse the concept of \"life skills that promote school health in adolescents\" in the literature. Method Concept analysis followed the eight steps described by Walker and Avant. In the evidence synthesis, an integrative review was conducted, following the PRISMA 2020 methodological guidelines. The literature review was performed on the Web of Science platform, and in the PubMed, Scopus, and ScienceDirect databases, for articles published between 2020 and 2024, written in Spanish or English, and including qualitative, quantitative, mixed-methods studies, or systematic reviews. Results Eighteen studies were included, from which four key attributes of life skills were identified: decision-making, effective communication, stress management, and problem solving. These skills contribute to reducing risky behaviours, improving resilience, and strengthening overall well-being. Conclusions Despite the limited evidence linking life skills that promote adolescent school health these can be defined as a set of essential psychosocial competencies that enable adolescents to effectively cope with health-related challenges in school and social environments. The theoretical framework for understanding life skills provided in this study can be used to develop specific educational programs and interventions for adolescents.

Azospirillum is one of the most studied plant growth-promoting bacteria (PGPB); it represents a common model for plant-bacterial interactions. While Azospirillum brasilense is the species that is most widely known, at least 22 species, including 17 firmly validated species, have been identified, isolated from agricultural soils as well as habitats as diverse as contaminated soils, fermented products, sulfide springs, and microbial fuel cells. Over the last 40 years, studies on Azospirillum-plant interactions have introduced a wide array of mechanisms to demonstrate the beneficial impacts of this bacterium on plant growth. Multiple phytohormones, plant regulators, nitrogen fixation, phosphate solubilization, a variety of small-sized molecules and enzymes, enhanced membrane activity, proliferation of the root system, enhanced water and mineral uptake, mitigation of environmental stressors, and competition against pathogens have been studied, leading to the concept of the Multiple Mechanisms Hypothesis. This hypothesis is based on the assumption that no single mechanism is involved in the promotion of plant growth; it posits that each case of inoculation entails a combination of a few or many mechanisms. Looking specifically at the vast amount of information about the stimulatory effect of phytohormones on root development and biological nitrogen fixation, the Efficient Nutrients Acquisition Hypothesis model is proposed. Due to the existence of extensive agriculture that covers an area of more than 60 million hectares of crops, such as soybeans, corn, and wheat, for which the bacterium has proven to have some agronomic efficiency, the commercial use of Azospirillum is widespread in South America, with over 100 products already in the market in Argentina, Brazil, and Uruguay. Studies on Azospirillum inoculation in several crops have shown positive and variable results, due in part to crop management practices and environmental conditions. The combined inoculation of legumes with rhizobia and Azospirillum (co-inoculation) has become an emerging agriculture practice in the last several years, mainly for soybeans, showing high reproducibility and efficiency under field conditions. This review also addresses the use of Azospirillum for purposes other than agriculture, such as the recovery of eroded soils or the bioremediation of contaminated soils. Furthermore, the synthetic mutualistic interaction of Azospirillum with green microalgae has been developed as a new and promising biotechnological application, extending its use beyond agriculture.

ObjectiveTo examine the association between low-intensity smoking (10 or less cigarettes per day) and all-cause and cause-specific mortality risk among women who smoke and by age at cessation among women who previously smoked.MethodsIn this study, 104 717 female participants of the Mexican Teachers’ Cohort Study were categorised according to self-reported smoking status at baseline (2006/2008) and were followed for mortality through 2019. We estimated HRs and 95% CIs for all-cause and cause-specific mortality using multivariable Cox proportional hazards regression models with age as the underlying time metric.ResultsSmoking as few as one to two cigarettes per day was associated with higher mortality risk for all causes (HR: 1.36; 95% CI 1.10 to 1.67) and all cancers (HR: 1.46; 95% CI 1.05 to 2.02), compared with never smoking. Similarly, slightly higher HRs were observed among participants smoking ≥3 cigarettes per day (all causes HR: 1.43; 95% CI 1.19 to 1.70; all cancers HR: 1.48; 95% CI 1.10 to 1.97; cardiovascular disease HR: 1.58; 95% CI 1.09 to 2.28).ConclusionsIn this large study of Mexican women, low-intensity smoking was associated with higher mortality risk for all causes and all cancers. Interventions are needed to promote cessation among women who smoke at low-intensity in Mexico, regardless of how few cigarettes they smoke per day.

Dexmedetomidine (DEX) is a highly selective α2-adrenergic agonist with sedative and analgesic properties, with minimal respiratory effects. It is used as a sedative in the intensive care unit and the operating room. The opioid-sparing effect and the absence of respiratory effects make dexmedetomidine an attractive adjuvant drug for anesthesia in obese patients who are at an increased risk for postoperative respiratory complications. The pharmacodynamic effects on the cardiovascular system are known; however the mechanisms that induce cardioprotection are still under study. Regarding the pharmacokinetics properties, this drug is extensively metabolized in the liver by the uridine diphosphate glucuronosyltransferases. It has a relatively high hepatic extraction ratio, and therefore, its metabolism is dependent on liver blood flow. This review shows, from a basic clinical approach, the evidence supporting the use of dexmedetomidine in different settings, from its use in animal models of ischemia-reperfusion, and cardioprotective signaling pathways. In addition, pharmacokinetics and pharmacodynamics studies in obese subjects and the management of patients subjected to mechanical ventilation are described. Moreover, the clinical efficacy of delirium incidence in patients with indication of non-invasive ventilation is shown. Finally, the available evidence from DEX is described by a group of Chilean pharmacologists and clinicians who have worked for more than 10 years on DEX.

ObjectiveTo analyse trends in cigarette brand preference among Mexican smokers during the implementation period of key WHO’s Framework Convention on Tobacco Control recommendations.MethodsData came from two nationally representative, comparable surveys, namely the Global Adult Tobacco Survey 2009 and 2015 and the National Survey on Addictions 2011 and 2016. Logistic models were used to estimate the adjusted prevalence of each brand purchased, as well as individual correlates of purchasing the single brand with a large growth over the study period. Multiple linear regressions were also employed to analyse cigarette prices across brands.ResultsSix brand families accounted for about 90% of the cigarette market, with Marlboro clearly dominating all brands at 54%–61%. Only the share of Pall Mall brand, however, registered a rapid increase over the period—from 1% in 2009 to 14% in 2016. Women and younger smokers (15–24 years) were more likely to prefer Pall Mall over other brands. While the typical price segmentation between international (premium) brands and national (discount) brands was observed, the price of Pall Mall is within the range of the latter. Importantly, most varieties of this brand include flavour capsule varieties (FCVs).ConclusionsThis study suggests that the strong campaign of brand migration, the pricing strategy and the aggressive introduction of FCVs expanded Pall Mall in the Mexican cigarette market. Therefore, better control policies of cigarette contents and taxes that reduce price differentials across brands should be encouraged to promote public health.

Dengue cases rose to record levels during 2023-2024. We investigated dengue in Valle del Cauca, Colombia, to determine if specific virus serotypes or lineages caused its large outbreak. We detected all 4 serotypes and multiple lineages, suggesting that factors such as climatic conditions were likely responsible for increased dengue in Colombia.

A growing number of studies link chronic exposure to inorganic arsenic (iAs) with the risk of diabetes. Many of these studies assessed iAs exposure by measuring arsenic (As) species in urine. However, this approach has been criticized because of uncertainties associated with renal function and urine dilution in diabetic individuals. Our goal was to examine associations between the prevalence of diabetes and concentrations of As species in exfoliated urothelial cells (EUC) as an alternative to the measures of As in urine. We measured concentrations of trivalent and pentavalent iAs methyl-As (MAs) and dimethyl-As (DMAs) species in EUC from 374 residents of Chihuahua, Mexico, who were exposed to iAs in drinking water. We used fasting plasma glucose, glucose tolerance tests, and self-reported diabetes diagnoses or medication to identify diabetic participants. Associations between As species in EUC and diabetes were estimated using logistic and linear regression, adjusting for age, sex, and body mass index. Interquartile-range increases in trivalent, but not pentavalent, As species in EUC were positively and significantly associated with diabetes, with ORs of 1.57 (95% CI: 1.19, 2.07) for iAsIII, 1.63 (1.24, 2.15) for MAsIII, and 1.31 (0.96, 1.84) for DMAsIII. DMAs/MAs and DMAs/iAs ratios were negatively associated with diabetes (OR = 0.62; 95% CI: 0.47, 0.83 and OR = 0.72; 95% CI: 0.55, 0.96, respectively). Our data suggest that uncertainties associated with measures of As species in urine may be avoided by using As species in EUC as markers of iAs exposure and metabolism. Our results provide additional support to previous findings suggesting that trivalent As species may be responsible for associations between diabetes and chronic iAs exposure.