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Article ; Online: Effectiveness of a multidrug therapy consisting of Ivermectin, Azithromycin, Montelukast, and Acetylsalicylic acid to prevent hospitalization and death among ambulatory COVID-19 cases in Tlaxcala, Mexico.

Lima-Morales, René / Méndez-Hernández, Pablo / Flores, Yvonne N / Osorno-Romero, Patricia / Sancho-Hernández, Christian Ronal / Cuecuecha-Rugerio, Elizabeth / Nava-Zamora, Adrián / Hernández-Galdamez, Diego Rolando / Romo-Dueñas, Daniela Karola / Salmerón, Jorge

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

2021 Volume 105, Page(s) 598–605

Abstract: Objective: There is an urgent need for effective treatments to prevent or attenuate lung and systemic inflammation, endotheliitis, and thrombosis related to COVID-19. This study aimed to assess the effectiveness of a multidrug-therapy consisting of ... ...

Abstract	Objective: There is an urgent need for effective treatments to prevent or attenuate lung and systemic inflammation, endotheliitis, and thrombosis related to COVID-19. This study aimed to assess the effectiveness of a multidrug-therapy consisting of Ivermectin, Azithromycin, Montelukast, and Acetylsalicylic acid ("TNR4" therapy) to prevent hospitalization and death among ambulatory COVID-19 cases in Tlaxcala, Mexico. Design and methods: A comparative effectiveness study was performed among 768 confirmed SARS-CoV-2 cases aged 18-80 years, who received ambulatory care at the Ministry of Health of Tlaxcala. A total of 481 cases received the TNR4 therapy, while 287 received another treatment (comparison group). All participants received home visits and/or phone calls for clinical evaluation during the 14 days after enrollment. Results: Nearly 85% of cases who received the TNR4 recovered within 14 days compared to 59% in the comparison group. The likelihood of recovery within 14 days was 3.4 times greater among the TNR4 group than in the comparison group. Patients treated with TNR4 had a 75% and 81% lower risk of being hospitalized or death, respectively, than the comparison group. Conclusions: TNR4 therapy improved recovery and prevented the risk of hospitalization and death among ambulatory COVID-19 cases.
MeSH term(s)	Acetates/therapeutic use ; Adult ; Aged ; Aged, 80 and over ; Antiviral Agents/therapeutic use ; Aspirin/therapeutic use ; Azithromycin/therapeutic use ; Cyclopropanes/therapeutic use ; Drug Therapy, Combination ; Hospitalization ; Humans ; Ivermectin/therapeutic use ; Male ; Mexico ; Middle Aged ; Quinolines/therapeutic use ; SARS-CoV-2 ; Sulfides/therapeutic use ; Treatment Outcome ; Young Adult ; COVID-19 Drug Treatment
Chemical Substances	Acetates ; Antiviral Agents ; Cyclopropanes ; Quinolines ; Sulfides ; Ivermectin (70288-86-7) ; Azithromycin (83905-01-5) ; montelukast (MHM278SD3E) ; Aspirin (R16CO5Y76E)
Language	English
Publishing date	2021-02-10
Publishing country	Canada
Document type	Journal Article
ZDB-ID	1331197-9
ISSN	1878-3511 ; 1201-9712
ISSN (online)	1878-3511
ISSN	1201-9712
DOI	10.1016/j.ijid.2021.02.014
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Article ; Online: Increased Risk of Hospitalization and Death in Patients with COVID-19 and Pre-existing Noncommunicable Diseases and Modifiable Risk Factors in Mexico.

Hernández-Galdamez, Diego Rolando / González-Block, Miguel Ángel / Romo-Dueñas, Daniela Karola / Lima-Morales, René / Hernández-Vicente, Irma Alejandra / Lumbreras-Guzmán, Marivel / Méndez-Hernández, Pablo

Archives of medical research

2020 Volume 51, Issue 7, Page(s) 683–689

Abstract: Background: The population in Mexico has high prevalence rates of noncommunicable diseases (NCDs). Hospitalization and death of COVID-19 patients in the countries most affected by the pandemic has been associated to chronic comorbidities.: Objective: ...

Abstract	Background: The population in Mexico has high prevalence rates of noncommunicable diseases (NCDs). Hospitalization and death of COVID-19 patients in the countries most affected by the pandemic has been associated to chronic comorbidities. Objective: To describe the prevalence of NCDs in patients with COVID-19 in Mexico and analyze the increased risk due to comorbidities and risk factors on hospitalization, utilization of intensive care units and death. Methods: A cross-sectional study was performed from 212,802 confirmed COVID-19 cases reported by the Ministry of Health up to June 27, 2020. Odds ratios were performed using logistic regression model. Results: Up to 47.40% of patients with COVID-19 diagnosis were also reported with a comorbidity, with hypertension being the most frequent (20.12%). The report of at least one NCD significantly increased the risk of death with respect to patients without such diagnoses. Chronic kidney disease increased the risk of death the most (OR 2.31), followed by diabetes (OR 1.69), immunosuppression (OR 1.62), obesity (OR 1.42), hypertension (OR 1.24), chronic obstructive pulmonary disease (OR 1.20). The comorbidities that most increased the risk of ICU and of intubation were diabetes, immunosuppression and obesity. Conclusion: NCD comorbidities increase the severity of COVID-19 infection. Given high NCD prevalence rates among the Mexican population, the pandemic poses a special threat to the health system and to society. Special prevention measures need to be strengthened for persons with NCD diagnoses in the short-term. In the mid-term, disease control strategies need to be improved to protect these patients against COVID-19 severity.
MeSH term(s)	COVID-19/complications ; COVID-19/epidemiology ; COVID-19/mortality ; Comorbidity ; Cross-Sectional Studies ; Diabetes Mellitus ; Hospitalization/statistics & numerical data ; Humans ; Mexico/epidemiology ; Noncommunicable Diseases/epidemiology ; Obesity ; Prevalence ; Risk Factors ; SARS-CoV-2
Keywords	covid19
Language	English
Publishing date	2020-07-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	1156844-6
ISSN	1873-5487 ; 0188-4409 ; 0188-0128
ISSN (online)	1873-5487
ISSN	0188-4409 ; 0188-0128
DOI	10.1016/j.arcmed.2020.07.003
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Article ; Online: Increased Risk of Hospitalization and Death in Patients with COVID-19 and Pre-existing Noncommunicable Diseases and Modifiable Risk Factors in Mexico

Archives of Medical Research

2020 Volume 51, Issue 7, Page(s) 683–689

Keywords	General Medicine ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
ZDB-ID	1156844-6
ISSN	0188-4409 ; 0188-0128
ISSN	0188-4409 ; 0188-0128
DOI	10.1016/j.arcmed.2020.07.003
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Article: Increased Risk of Hospitalization and Death in Patients with COVID-19 and Pre-existing Noncommunicable Diseases and Modifiable Risk Factors in Mexico

Arch. med. res

Abstract: BACKGROUND: The population in Mexico has high prevalence rates of noncommunicable diseases (NCDs). Hospitalization and death of COVID-19 patients in the countries most affected by the pandemic has been associated to chronic comorbidities. OBJECTIVE: To ... ...

Abstract	BACKGROUND: The population in Mexico has high prevalence rates of noncommunicable diseases (NCDs). Hospitalization and death of COVID-19 patients in the countries most affected by the pandemic has been associated to chronic comorbidities. OBJECTIVE: To describe the prevalence of NCDs in patients with COVID-19 in Mexico and analyze the increased risk due to comorbidities and risk factors on hospitalization, utilization of intensive care units and death. METHODS: A cross-sectional study was performed from 212,802 confirmed COVID-19 cases reported by the Ministry of Health up to June 27, 2020. Odds ratios were performed using logistic regression model. RESULTS: Up to 47.40% of patients with COVID-19 diagnosis were also reported with a comorbidity, with hypertension being the most frequent (20.12%). The report of at least one NCD significantly increased the risk of death with respect to patients without such diagnoses. Chronic kidney disease increased the risk of death the most (OR 2.31), followed by diabetes (OR 1.69), immunosuppression (OR 1.62), obesity (OR 1.42), hypertension (OR 1.24), chronic obstructive pulmonary disease (OR 1.20). The comorbidities that most increased the risk of ICU and of intubation were diabetes, immunosuppression and obesity. CONCLUSION: NCD comorbidities increase the severity of COVID-19 infection. Given high NCD prevalence rates among the Mexican population, the pandemic poses a special threat to the health system and to society. Special prevention measures need to be strengthened for persons with NCD diagnoses in the short-term. In the mid-term, disease control strategies need to be improved to protect these patients against COVID-19 severity.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #705544
Database	COVID19

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Article ; Online: Flashing lights affect the photophysiology and expression of carotenoid and lipid synthesis genes in Nannochloropsis gaditana.

Lima, Serena / Lokesh, Jep / Schulze, Peter S C / Wijffels, Rene H / Kiron, Viswanath / Scargiali, Francesca / Petters, Sebastian / Bernstein, Hans C / Morales-Sánchez, Daniela

Journal of biotechnology

2022 Volume 360, Page(s) 171–181

Abstract: Nannochloropsis gaditana is a promising microalga for biotechnology. One of the strategies to stimulate its full potential in metabolite production is exposure to flashing lights. Here, we report how N. gaditana adapts to different flashing light regimes ...

Abstract	Nannochloropsis gaditana is a promising microalga for biotechnology. One of the strategies to stimulate its full potential in metabolite production is exposure to flashing lights. Here, we report how N. gaditana adapts to different flashing light regimes (5, 50, and 500 Hz) by changing its cellular physiology and the relative expression of genes related to critical cellular functions. We analyzed the differential mRNA abundance of genes related to photosynthesis, nitrogen assimilation and biosynthesis of chlorophyll, carotenoids, lipids, fatty acids and starch. Analysis of photosynthetic efficiency and high mRNA abundance of photoprotection genes supported the inference that excess excitation energy provided by light absorbance during photosynthesis was produced under low frequency flashing lights and was dissipated by photopigments via the xanthophyll-cycle. Increased relative expression levels of genes related to the synthesis of carotenoids and chlorophyll confirmed the accumulation of photopigments previously observed at low frequency flashing lights. Higher differential mRNA abundance of genes related to the triacylglycerol biosynthesis were observed at lower frequency flashing lights, possibly triggered by a poor nitrogen assimilation caused by low mRNA abundance of a nitrate reductase gene. This study advances a new understanding of algal physiology and metabolism leading to improved cellular performance and metabolite production.
MeSH term(s)	Biotechnology ; Lipids/genetics
Chemical Substances	Lipids
Language	English
Publishing date	2022-11-20
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	843647-2
ISSN	1873-4863 ; 0168-1656 ; 1389-0352
ISSN (online)	1873-4863
ISSN	0168-1656 ; 1389-0352
DOI	10.1016/j.jbiotec.2022.11.012
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Article ; Online: Flashing light emitting diodes (LEDs) induce proteins, polyunsaturated fatty acids and pigments in three microalgae.

Lima, Serena / Schulze, Peter S C / Schüler, Lisa M / Rautenberger, Ralf / Morales-Sánchez, Daniela / Santos, Tamára F / Pereira, Hugo / Varela, João C S / Scargiali, Francesca / Wijffels, René H / Kiron, Viswanath

Journal of biotechnology

2020 Volume 325, Page(s) 15–24

Abstract: As the periodic emission of light pulses by light emitting diodes (LEDs) is known to stimulate growth or induce high value biocompounds in microalgae, this flashing light regime was tested on growth and biochemical composition of the microalgae ... ...

Abstract	As the periodic emission of light pulses by light emitting diodes (LEDs) is known to stimulate growth or induce high value biocompounds in microalgae, this flashing light regime was tested on growth and biochemical composition of the microalgae Nannochloropsis gaditana, Koliella antarctica and Tetraselmis chui. At low flashing light frequencies (e.g., 5 and 50 Hz, Duty cycle = 0.05), a strain-dependent growth inhibition and an accumulation of protein, polyunsaturated fatty acids, chlorophyll or carotenoids (lutein, β-carotene, violaxanthin and neoxanthin) was observed. In addition, a 4-day application of low-frequency flashing light to concentrated cultures increased productivities of eicosapentaenoic acid (EPA) and specific carotenoids up to three-fold compared to continuous or high frequency flashing light (500 Hz, Duty cycle = 0.05). Therefore, applying low-frequency flashing light as finishing step in industrial production can increase protein, polyunsaturated fatty acids or pigment contents in biomass, leading to high-value algal products.
MeSH term(s)	Biomass ; Chlorophyta ; Fatty Acids ; Fatty Acids, Unsaturated ; Microalgae ; Stramenopiles
Chemical Substances	Fatty Acids ; Fatty Acids, Unsaturated
Language	English
Publishing date	2020-11-25
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	843647-2
ISSN	1873-4863 ; 0168-1656 ; 1389-0352
ISSN (online)	1873-4863
ISSN	0168-1656 ; 1389-0352
DOI	10.1016/j.jbiotec.2020.11.019
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Article ; Online: Flashing lights affect the photophysiology and expression of carotenoid and lipid synthesis genes in Nannochloropsis gaditana

Lima, Serena / Lokesh, Jep / Schulze, Peter S.C. / Wijffels, Rene H. / Kiron, Viswanath / Scargiali, Francesca / Petters, Sebastian / Bernstein, Hans C. / Morales-Sánchez, Daniela

Journal of Biotechnology

2022 Volume 360

Abstract	Nannochloropsis gaditana is a promising microalga for biotechnology. One of the strategies to stimulate its full potential in metabolite production is exposure to flashing lights. Here, we report how N. gaditana adapts to different flashing light regimes (5, 50, and 500 Hz) by changing its cellular physiology and the relative expression of genes related to critical cellular functions. We analyzed the differential mRNA abundance of genes related to photosynthesis, nitrogen assimilation and biosynthesis of chlorophyll, carotenoids, lipids, fatty acids and starch. Analysis of photosynthetic efficiency and high mRNA abundance of photoprotection genes supported the inference that excess excitation energy provided by light absorbance during photosynthesis was produced under low frequency flashing lights and was dissipated by photopigments via the xanthophyll-cycle. Increased relative expression levels of genes related to the synthesis of carotenoids and chlorophyll confirmed the accumulation of photopigments previously observed at low frequency flashing lights. Higher differential mRNA abundance of genes related to the triacylglycerol biosynthesis were observed at lower frequency flashing lights, possibly triggered by a poor nitrogen assimilation caused by low mRNA abundance of a nitrate reductase gene. This study advances a new understanding of algal physiology and metabolism leading to improved cellular performance and metabolite production.
Keywords	Flashing lights ; Gene expression ; Lipids ; Nannochloropsis gaditana ; Photopigments ; Xanthophyll
Subject code	612
Language	English
Publishing country	nl
Document type	Article ; Online
ZDB-ID	843647-2
ISSN	1873-4863 ; 0168-1656 ; 1389-0352
ISSN (online)	1873-4863
ISSN	0168-1656 ; 1389-0352
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Flashing light emitting diodes (LEDs) induce proteins, polyunsaturated fatty acids and pigments in three microalgae

Lima, Serena / Schulze, Peter S.C. / Schüler, Lisa M. / Rautenberger, Ralf / Morales-Sánchez, Daniela / Santos, Tamára F. / Pereira, Hugo / Varela, João C.S. / Scargiali, Francesca / Wijffels, René H. / Kiron, Viswanath

Journal of Biotechnology

2021 Volume 325

Abstract	As the periodic emission of light pulses by light emitting diodes (LEDs) is known to stimulate growth or induce high value biocompounds in microalgae, this flashing light regime was tested on growth and biochemical composition of the microalgae Nannochloropsis gaditana, Koliella antarctica and Tetraselmis chui. At low flashing light frequencies (e.g., 5 and 50 Hz, Duty cycle = 0.05), a strain-dependent growth inhibition and an accumulation of protein, polyunsaturated fatty acids, chlorophyll or carotenoids (lutein, β-carotene, violaxanthin and neoxanthin) was observed. In addition, a 4-day application of low-frequency flashing light to concentrated cultures increased productivities of eicosapentaenoic acid (EPA) and specific carotenoids up to three-fold compared to continuous or high frequency flashing light (500 Hz, Duty cycle = 0.05). Therefore, applying low-frequency flashing light as finishing step in industrial production can increase protein, polyunsaturated fatty acids or pigment contents in biomass, leading to high-value algal products.
Keywords	Duty cycle ; PUFA ; Pigments ; Pulsed light ; Total lipids
Language	English
Publishing country	nl
Document type	Article ; Online
ZDB-ID	843647-2
ISSN	1873-4863 ; 0168-1656 ; 1389-0352
ISSN (online)	1873-4863
ISSN	0168-1656 ; 1389-0352
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Article ; Online: Associations among environmental exposure to trace elements and biomarkers of early kidney damage in the pediatric population.

Ortega-Romero, Manolo / Rojas-Lima, Elodia / Rubio-Gutiérrez, Juan Carlos / Aztatzi-Aguilar, Octavio Gamaliel / Narváez-Morales, Juana / Esparza-García, Mariela / Barrera-Hernández, Ángel / Mejia, Miguel Ángel / Mendez-Hernández, Pablo / Medeiros, Mara / Barbier, Olivier Christophe

Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine

2024

Abstract: ... Discussion: and Conclusions. Among the explored metals, exposure to Cu and iodine impairs renal function ...

Abstract	Background: In kidney damage, molecular changes can be used as early damage kidney biomarkers, such as Kidney Injury Molecule-1 and Neutrophil gelatinase-associated lipocalin. These biomarkers are associated with toxic metal exposure or disturbed homeostasis of trace elements, which might lead to serious health hazards. This study aimed to evaluate the relationship between exposure to trace elements and early damage kidney biomarkers in a pediatric population. Methods: In Tlaxcala, a cross-sectional study was conducted on 914 healthy individuals. The participants underwent a medical review and a socio-environmental questionnaire. Five early damage kidney biomarkers were determined in the urine with Luminex, and molybdenum, copper, selenium, nickel, and iodine were measured with ICP-Mass. Results: The eGFR showed a median of 103.75 mL/min/1.73 m2. The median levels for molybdenum, copper, selenium, nickel, and iodine were 24.73 ng/mL, 73.35 ng/mL, 4.78 ng/mL, 83.68 ng/mL, and 361.83 ng/mL, respectively. Except for molybdenum and nickel, the other trace elements had significant associations with the eGFR and the early kidney damage biomarkers. Additionally, we report the association of different exposure scenarios with renal parameters. Discussion: and Conclusions. Among the explored metals, exposure to Cu and iodine impairs renal function. In contrast, Se may manifest as a beneficial metal. Interactions of Mo-Se and Mo-Iodine seem to alter the expression of NGAL; Mo-Cu for CLU; Mo-Cu, Mo-Se, and Mo-iodine for Cys-C and a-1MG; and Mo-Cu and Mo-iodine for KIM-1; were noticed. Our study could suggest that trace element interactions were associated with early kidney damage biomarkers.
Language	English
Publishing date	2024-04-20
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1112688-7
ISSN	1572-8773 ; 0966-0844
ISSN (online)	1572-8773
ISSN	0966-0844
DOI	10.1007/s10534-024-00603-3
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Article ; Online: Oxigenación con membrana extracorpórea

Antonio Fernández Reyes / Edgar Hernández Réndon / Marco Antonio Montes de Oca Sandoval / Eder Iván Zamarrón-López / Arturo Pérez Nieto / Manuel Alberto Guerrero Gutiérrez / Rafael Lima Linares / Vázquez Peralta Vázquez Peralta / Rubén Orlando / Raúl Soriano Orozoco Raúl Soriano Orozoco / Carlos Riera Kinkel / David Roldan Morales David Roldan Morales / Rene D. Gómez Gutiérrez

Revista Chilena de Anestesia, Vol 50, Iss 2, Pp 314-

2021 Volume 329

Keywords	Medicine ; R ; Anesthesiology ; RD78.3-87.3
Language	Spanish
Publishing date	2021-03-01T00:00:00Z
Publisher	Editorial Iku
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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