<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0028-3746</journal-id>
<journal-title><![CDATA[Neumología y cirugía de tórax]]></journal-title>
<abbrev-journal-title><![CDATA[Neumol. cir. torax]]></abbrev-journal-title>
<issn>0028-3746</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Neumología y Cirugía de Tórax; Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; Sociedad Cubana de Neumología; Sociedad Paraguaya de Neumología; Sociedad Boliviana de Neumología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0028-37462017000400315</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estacionalidad y variación circadiana del número de muertes en México]]></article-title>
<article-title xml:lang="en"><![CDATA[Seasonality and circadian variation in death rates in Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Padilla]]></surname>
<given-names><![CDATA[Rogelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Briseño]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Plata]]></surname>
<given-names><![CDATA[Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Camarena]]></surname>
<given-names><![CDATA[Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torre-Bouscoulet]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma Metropolitana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>76</volume>
<numero>4</numero>
<fpage>315</fpage>
<lpage>320</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462017000400315&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462017000400315&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462017000400315&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Varias enfermedades ocasionan fallecimientos con periodicidad estacional y algunas pueden tener periodicidad circadiana. El objetivo del trabajo fue identificar periodicidades en el número de fallecimientos en México. Se analizaron los certificados de defunción entre 2000 y 2010, con la décima versión de la Clasificación Internacional de Enfermedades (CIE-10), registrando la fecha y hora de muerte y seleccionando los siguientes padecimientos frecuentes: enfermedad pulmonar obstructiva crónica (EPOC), neumonía e influenza, insuficiencia cardíaca, cardiopatía izquierda (isquémica e hipertensiva), neoplasias malignas y diabetes mellitus (DM) y las causas restantes de muerte. Se buscaron asociaciones entre el número de fallecimientos y la hora, mes y año de defunción mediante modelos de regresión de Poisson, con variables indicadoras para hora, mes y año.  Resultados:  La neumonía e influenza tuvieron el patrón estacional (invernal) con mayor claridad y amplitud, pero también lo tuvieron la insuficiencia cardíaca, la cardiopatía izquierda, la EPOC y la DM, pero no las muertes perinatales. Observamos un patrón circadiano en el número de fallecimientos con un máximo entre las 7-11 a.m. y otro de menor amplitud cerca de las 8 p.m. en las enfermedades estudiadas salvo las perinatales.  Conclusiones:  La estacionalidad de las muertes analizadas probablemente se deba a los brotes de influenza y, si es así, son potencialmente prevenibles con vacunación. El mecanismo del incremento matutino en varios de los fallecimientos se desconoce, aunque se ha considerado secundario al incremento en actividad simpática relacionada con el estado alerta y el inicio de la actividad física.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Several diseases cause deaths with seasonal periodicity and some may have circadian periodicity. The objective was to identify periodicities in the number of certified deaths in Mexico. We analized death certificates from 2000 to 2010, with the tenth version of the International Classification of Diseases (ICD-10), including date and hour of death and selecting frequent respiratory and general causes of death: chronic obstructive pulmonary disease (COPD), tuberculosis, pneumonia-influenza, heart failure, left heart disease (hypertensive and ischemic), malignant tumors and diabetes mellitus (DM) and the remaining causes of death. We searched for associations between the number of deaths, and the hour, month and year of death, through Poisson regression models, including indicator variables for hour, month and year.  Results:  Pneumonia and influenza deaths had a marked seasonal pattern (peak in winter), but the pattern was also observed for heart failure, left heart disease, COPD and DM but not in perinatal deaths. We observed a circadian pattern in deaths with a maximum between 7-11 AM, and a second peak about 8 PM in the studied diseases except by perinatal causes.  Conclusions:  Seasonality of analyzed deaths is likely due to influenza and if this is true, could be preventable with vaccination. The mechanism of diurnal increase in deaths is unknown although usually attributed to increase in symphathetic activity associated to awakening and start of physical activity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="es"><![CDATA[muertes]]></kwd>
<kwd lng="es"><![CDATA[certificación]]></kwd>
<kwd lng="es"><![CDATA[estacionalidad]]></kwd>
<kwd lng="es"><![CDATA[ciclo circadiano]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
<kwd lng="en"><![CDATA[deaths]]></kwd>
<kwd lng="en"><![CDATA[death certificates]]></kwd>
<kwd lng="en"><![CDATA[seasonality]]></kwd>
<kwd lng="en"><![CDATA[circadian rhythm]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Charu]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Chowell]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Palacio-Mejia]]></surname>
<given-names><![CDATA[LS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mortality burden of the A/H1N1 pandemic in Mexico: a comparison of deaths and years of life lost to seasonal influenza]]></article-title>
<source><![CDATA[Clin Infect Dis]]></source>
<year>2011</year>
<volume>53</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>985-93</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cech]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Smolensky]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Lane]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Nagata]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Takahashi]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Morimoto]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Day-to-day and seasonal fluctuations of urban mortality in Kyoto, Japan]]></article-title>
<source><![CDATA[Int J Biometeorol]]></source>
<year>1979</year>
<volume>23</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>89-105</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cech]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Youngs]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Smolensky]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Sargent]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Day-to-day and seasonal fluctuations of urban mortality in Houston, Texas]]></article-title>
<source><![CDATA[Int J Biometeorol]]></source>
<year>1979</year>
<volume>23</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>77-87</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[HM]]></surname>
<given-names><![CDATA[Frankoff]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Circannual variation of human mortality in Texas]]></article-title>
<source><![CDATA[Prog Clin Biol Res]]></source>
<year>1990</year>
<volume>341</volume>
<page-range>797-803</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Oehmisch]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[[Seasonal rhythm of mortality. Mortality according to age groups and seasons]]]></article-title>
<source><![CDATA[Dtsch Gesundheitsw]]></source>
<year>1969</year>
<volume>24</volume>
<numero>22</numero>
<issue>22</issue>
<page-range>1046-52</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ovcharov]]></surname>
<given-names><![CDATA[VK]]></given-names>
</name>
<name>
<surname><![CDATA[Tishuk]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[[Seasonality and population mortality]]]></article-title>
<source><![CDATA[Probl Sotsialnoi Gig Istor Med]]></source>
<year>1994</year>
<volume>5</volume>
<page-range>19-23</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peckova]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Fahrenbruch]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Cobb]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Hallstrom]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Circadian variations in the occurrence of cardiac arrests: initial and repeat episodes]]></article-title>
<source><![CDATA[Circulation]]></source>
<year>1998</year>
<volume>98</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>31-9</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rogot]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Fabsitz]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Feinleib]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Daily variation in USA mortality]]></article-title>
<source><![CDATA[Am J Epidemiol]]></source>
<year>1976</year>
<volume>103</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>198-211</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carson]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;Connor]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Circadian rhythm and sudden death in heart failure: results from Prospective Randomized Amlodipine Survival Trial]]></article-title>
<source><![CDATA[J Am Coll Cardiol]]></source>
<year>2000</year>
<volume>36</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>541-6</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Willich]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
<name>
<surname><![CDATA[Klatt]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Arntz]]></surname>
<given-names><![CDATA[HR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Circadian variation and triggers of acute coronary syndromes]]></article-title>
<source><![CDATA[Eur Heart J]]></source>
<year>1998</year>
<volume>19</volume>
<numero>^sC</numero>
<issue>^sC</issue>
<supplement>C</supplement>
<page-range>C12-23</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arntz]]></surname>
<given-names><![CDATA[HR]]></given-names>
</name>
<name>
<surname><![CDATA[Willich]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
<name>
<surname><![CDATA[Stern]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Circadian variation of cardiopulmonary disease onset in the general population: an emergency care system perspective from Berlin]]></article-title>
<source><![CDATA[Ann Emerg Med]]></source>
<year>1994</year>
<volume>23</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>281-5</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arntz]]></surname>
<given-names><![CDATA[HR]]></given-names>
</name>
<name>
<surname><![CDATA[Willich]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
<name>
<surname><![CDATA[Oeff]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Circadian variation of sudden cardiac death reflects age-related variability in ventricular fibrillation]]></article-title>
<source><![CDATA[Circulation]]></source>
<year>1993</year>
<volume>88</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>2284-9</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Becker]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Silvi]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ma Fat]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[L&#8217;Hours]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Laurenti]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A method for deriving leading causes of death]]></article-title>
<source><![CDATA[Bull World Health Organ]]></source>
<year>2006</year>
<volume>84</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>297-304</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recent advances in circadian rhythms in cardiovascular system]]></article-title>
<source><![CDATA[Front Pharmacol]]></source>
<year>2015</year>
<volume>6</volume>
<numero>71</numero>
<issue>71</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Behrens]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ney]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Fisher]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
<name>
<surname><![CDATA[Fletcher]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Franz]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Singh]]></surname>
<given-names><![CDATA[SN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of amiodarone on the circadian pattern of sudden cardiac death (Department of Veterans Affairs Congestive Heart Failure-Survival Trial of Antiarrhythmic Therapy)]]></article-title>
<source><![CDATA[Am J Cardiol]]></source>
<year>1997</year>
<volume>80</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>45-8</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Buff]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[Fleisher]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Roca]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Jaffri]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Wyrwinski]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Circadian distribution of in-hospital cardiopulmonary arrests on the general medical ward]]></article-title>
<source><![CDATA[Arch Intern Med]]></source>
<year>1992</year>
<volume>152</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1282-8</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Smolensky]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[Portaluppi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Manfredini]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diurnal and twenty-four hour patterning of human diseases: cardiac, vascular, and respiratory diseases, conditions, and syndromes]]></article-title>
<source><![CDATA[Sleep Med Rev]]></source>
<year>2015</year>
<volume>21</volume>
<page-range>3-11</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miravitlles]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Worth]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Soler-Cataluna]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Observational study to characterise 24-hour COPD symptoms and their relationship with patient-reported outcomes: results from the ASSESS study]]></article-title>
<source><![CDATA[Respir Res]]></source>
<year>2014</year>
<volume>15</volume>
<page-range>122</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bernd]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Joan]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[Michael]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Determinants of underdiagnosis of COPD in National and International Surveys]]></article-title>
<source><![CDATA[Chest]]></source>
<year>2015</year>
<volume>148</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>971-85</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
