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Neuropathies secondary to tophus compression in gout patients are well known; however, limited data exist on other types of peripheral neuropathies (PN). Our aim was to describe PN frequency, characteristics, distribution, patterns, and associated factors in gout patients through clinical evaluation, a PN questionnaire, and nerve conduction studies (NCS). This cross-sectional descriptive study included consecutive gout patients (ACR/EULAR 2015 criteria) from our clinic. All underwent evaluation by Rheumatology and Rehabilitation departments, with IRB approval. Based on NCS, patients were categorized as PN + (presence) or PN- (absence). PN + patients were further classified as local peripheral neuropathy (LPN) or generalized somatic peripheral neuropathy (GPN). We enrolled 162 patients, 98% male (72% tophaceous gout). Mean age (SD): 49.4 (12) years; mean BMI: 27.9 (6.0) kg/m2. Comorbidities included dyslipidemia (53%), hypertension (28%), and obesity (23.5%). Abnormal NCS: 65% (n = 106); 52% LPN, 48% GPN. PN + patients were older, had lower education, and severe tophaceous gout. GPN patients were older, had lower education, and higher DN4 scores compared to LPN or PN- groups (p = 0.05); other risk factors were not significant. Over half of gout patients experienced neuropathy, with 48% having multiplex mononeuropathy or polyneuropathy. This was associated with joint damage and functional impairment. Mechanisms and risk factors remain unclear. Early recognition and management are crucial for optimizing clinical outcomes and quality of life in these patients. Key Points Peripheral neuropathies in gout patients had been scarcely reported and studied. This paper report that: • PN in gout is more frequent and more diverse than previously reported. • Mononeuropathies are frequent, median but also ulnar, peroneal and tibial nerves could be injured. • Unexpected, generalized neuropathies (polyneuropathy and multiplex mononeuropathy) are frequent and associated to severe gout. • The direct role of hyperuricemia /or gout in peripheral nerves require further studies.

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Mexican and Hispanic children in Mexico and the United States, respectively, have the highest incidence and worst outcomes of pre-B acute lymphoblastic leukemia (ALL) compared with other racial/ethnic groups. Terminal deoxynucleotidyl transferase (TdT) is an intranuclear DNA polymerase normally present on immature lymphocytes (TdT-positive) and distinguishes ALL from mature lymphoid malignancies. We performed a multisite retrospective study to determine the incidence of TdT-negative precursor B-cell acute lymphoblastic leukemia (pre-B ALL) among Mexican, Caucasian, and US-born Hispanic children to correlate TdT expression with patient characteristics and known prognostic factors. Fisher exact test was performed for categorical variables and the Wilcoxon rank-sum test was used for continuous variables. TdT-negative pre-B ALL was most frequently identified in patients with National Cancer Institute high-risk disease ( P =0.014). TdT-negative expression was also most frequently associated with hypodiploid pre-B ALL ( P =0.001) and KMT2A gene rearrangement ( P =0.0012). Mexican children had the highest incidence of TdT-negative ALL compared with Caucasians and US Hispanics ( P <0.001), with an increased incidence of poor prognostic features as well. This study demonstrates significant differences in TdT-negative expression, genomic alterations, and leukemic ploidy based on race and ethnicity.

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A total of twentymixtures of weed, B-Lac and molasses were prepared in orderto evaluate an accelerated liquid fertilizer (ALF) based on these plants. A mixture of 85% weed: water (1:1), 10% molasses and 5% B-Lac showed the best characteristics and was reproduced at a pilot scale. ALF was applied to lettuce using the following treatments: one foliar application per week of 10 mL L-1 (FA1), two foliar applications per week of 10 mL L-1 (FA2), one drench application of 50 mL L-1 every week (DA1), a drench application of 50 mL L-1 every two weeks (DA2) and a control without application (CWA). The variables evaluated were total yield, commercial yield, fresh weight, height, head diameter, percentage of dry matter and the concentration of foliar nitrogen, phosphorus, and potassium.The mixtures in the laboratoryand pilot phase were evaluated in a completely randomized design. The field phase was assessed in a completely randomized block design with five treatments and four replications. No significant differences were found between the treatments, except in the percentage of dry matter and potassium content, where FA2 showed the best results (2.35% and 541 mg plant-1, respectively). The highest total yield (26.4 t ha-1) and commercial (24.11 t ha-1) were achieved with DA2; however, the nutritional content was lower than that in the other treatments. Using homolactic fermentation it was possible to recycle weeds and produce ALF, which has potential as a biofertilizer according to its chemical characterization and effects shown on lettuce cultivation.(AU)

Foram preparadas vinte misturas de ervas daninhas, B-Lac e melaço para avaliar um fertilizante líquido acelerado (ALF) baseado nessas plantas. Uma misturade 85% erva:água (1:1), 10% melaço e 5% B-Lac apresentou as melhores características e foi reproduzida em escala piloto. A ALF foi aplicada à alface utilizando os seguintes tratamentos: uma aplicação foliar por semana de 10 mL L-1(AF1), duas aplicações foliares por semana de 10 mL L-1(AF2), uma aplicação via drench de 50 mL L-1a cada semana (AD1), uma aplicação via drench de 50 mL L-1a cada duas semanas (AD2) e um controle sem aplicação (CSA). As variáveis avaliadas foram produtividade total, produtividade comercial, massa fresca, altura, diâmetro da cabeça, porcentagem de matéria seca e concentração foliar de nitrogênio, fósforo e potássio. As misturas na fase de laboratório e piloto foram avaliadas em delineamentos inteiramente casualizados. A fase decampo foi avaliada em blocos casualizados com cinco tratamentos e quatro repetições. Não foram encontradas diferenças significativas entre os tratamentos, exceto no percentual de matéria seca e no teor de potássio, onde o AF2 apresentou os melhores resultados (2,35% e 541 mg planta-1, respectivamente). As maiores produtividades total (26,4 t ha-1) e comercial (24,11 t ha-1) foram obtidas com AD2; no entanto, o teor nutricional foi inferior aos demais tratamentos. Utilizando a fermentação homolática foi possível reciclar as ervas daninhas e produzir FLA, que tem potencial como biofertilizante de acordo com sua caracterização química e efeitos demonstrados no cultivo de alface.(AU)

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BACKGROUND: The objective was to investigate factors associated with patient-related timing (PRT) to seek healthcare and health service-related timing (HSRT) to diagnose cancer and provide treatment to children without social security in Mexico. PROCEDURE: A cross-sectional survey was conducted in 13 Ministry of Health hospitals in the states of Chihuahua, Jalisco, Mexico City, Morelos, Oaxaca, Puebla, Queretaro, State of Mexico, and Tlaxcala. Study participants were parents of recently diagnosed pediatric cancer patients (≤ 17 years of age). Three groups of factors were investigated: (1) patients (child and parent characteristics); (2) healthcare providers (HCPs) (first-contact HCP, institution, perceptions of barriers to healthcare, etc.); and (3) disease factors (cancer type/site, stage/risk at diagnosis). PRT and HSRT-associated factors were identified using multiple negative binomial regressions. RESULTS: The study included 265 children; 49% sought care when symptoms first appeared. The median PRT was seven days, and the median HSRT was 40 days. Parents' perceptions of long wait times for appointments were associated with longer PRT and HSRT. Residing in the lowest or highest socioeconomic regions and persistent or worsening symptoms increased the probability of longer PRT. Older patient age, HCP requests for imaging tests or prescription for steroids, a higher number of doctors consulted, having a urinary tract cancer, and having an advanced stage or high-risk cancer increased the probability of longer HSRT. CONCLUSION: Strategies to shorten lag time from symptom onset to diagnosis and treatment are urgently needed for childhood cancers in Mexico.

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This article considers how the global "academic pipeline problem" constrains immigrant, low-income, and ethnic minority students' pathways to higher education, and how some students build pathways to college and career identities. After aligning theories of social capital, alienation/belonging, and challenge and their integration in Bridging Multiple Worlds Theory, we summarize six longitudinal studies based on this theory from a 23-year university-community partnership serving low-income, primarily U.S. Mexican immigrant youth. Spanning from childhood to early adulthood, the studies revealed two overarching findings: First, students built pathways to college and career identities while experiencing capital, alienation/belonging, and challenges across their evolving cultural worlds. Second, by "giving back" to families, peers, schools, and communities, students became cultural brokers and later, institutional agents, transforming institutional cultures. Findings highlight the value of integrating interdisciplinary theories, research evidence, and educational systems serving diverse communities to open individual pathways and academic pipelines in multicultural societies.

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The prognostic role of N-glycolyl GM3 ganglioside (NeuGcGM3) expression in non-small cell lung carcinoma (NSCLC) still remains controversial. In this study, the NeuGcGM3 expression was reevaluated using an increased number of NSCLC cases and the 14F7 Mab (a highly specific IgG1 raised against NeuGcGM3). An immunohistochemical score integrating the percentage of 14F7-positive cells and the intensity of reaction was applied to reassess the relationship between NeuGcGM3 expression, some clinicopathological features, and the overall survival (OS) of NSCLC patients. The double and the triple expression of NeuGcGM3 with the epidermal growth factor receptor (EGFR) and/or its ligand, the epidermal growth factor (EGF), were also evaluated. NeuGcGM3 expression correlates with both S-Phase fraction (p = 0.006) and proliferation index (p = 0.000). Additionally, NeuGcGM3 expression was associated with a poor OS of patients in both univariate (p = 0.020) and multivariate (p = 0.010) analysis. Moreover, the double and/or the triple positivity of tumors to NeuGcGM3, EGFR, and/or EGF permitted us to identify phenotypes of NSCLC with a more aggressive biological behavior. Our results are in agreement with the negative prognostic significance of NeuGcGM3 expression in NSCLC patients. However, standardization of techniques to determine the expression of NeuGcGM3 in NSCLC as well as the implementation of a universal scoring system is recommended.

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