367 results match your criteria: "Hospital Medica Sur[Affiliation]"

Objectives: Bacterial infections are important causes of death. Some reports have shown that the COVID-19 pandemic may have had an impact on drug resistance. The objective of this work was to compare the resistance profiles between 2019 and 2020 in the emergency department, non-intensive care units (ICU), and ICU areas in Mexican hospitals.

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Severe facial trauma secondary to aircraft propeller injury: The art of facial reconstruction.

JPRAS Open

December 2024

Department of Plastic and Reconstructive Surgery, Hospital General Dr. Manuel Gea González, Calzada de Tlalpan 4800, Belisario Domínguez Section 16, 14080 Mexico City, Mexico.

The reconstruction of complex facial trauma poses a significant challenge for plastic surgeons, as it requires a multidisciplinary approach to achieve both functional and aesthetic outcomes. Moreover, it represents a substantial burden on public health. In severe facial trauma, initial management to rule out life-threatening conditions through Advanced Trauma Life Support (ATLS) is crucial.

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Article Synopsis
  • Antibiotics are essential for treating infections and preventing illness, but their use, especially in infants, can lead to long-term health issues due to changes in gut microbiota.
  • The disruption of gut microbiota, known as gut dysbiosis, is linked to various chronic diseases like obesity, diabetes, autoimmune disorders, and some cancers.
  • Probiotics may help counteract the negative effects of gut dysbiosis in patients with chronic diseases, potentially improving their health and inflammation markers.
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  • CRUSE® is an app designed for people with chronic spontaneous urticaria (CSU) to track their symptoms using visual analogue scales (VASs), aiming to assess the app's effectiveness in measuring disease activity.
  • A study analyzed three VASs related to CSU impact on daily life, including one specifically for the severity of urticaria, one for productivity, and a general health measure (EQ-5D), using data from nearly 6,000 patients over many days.
  • The results showed that the CRUSE® app's VASs demonstrate strong validity and reliability, with the "VAS urticaria" being most effective in capturing symptom changes, while the minimal important difference (MID) values indicated meaningful changes
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An unusual finding after endovascular treatment of gastrointestinal bleeding: An endoscopic view of an endovascular spiral.

Rev Gastroenterol Mex (Engl Ed)

October 2024

Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Cirugía Experimental, Mexico City, Mexico; Instituto Politécnico Nacional, Escuela Superior de Medicina, Mexico City, Mexico. Electronic address:

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Objective: Compare the weight loss results between long-term procedures up to 5 years, after undergoing MGL and RYGB in Mexican patients with obesity and associated comorbidity. The most common bariatric surgical procedures worldwide are, laparoscopic gastric sleeve (MGL) and laparoscopic Roux-en-Y gastric bypass (RYGB), as a treatment for weight loss and remission of comorbidity associated with obesity; however, they are the long-term weight loss results in the Mexican population are unknown.

Method: Retrospective, observational cohort of patients with obesity undergoing MGL or RYGB in a private hospital Medica Sur, in Mexico City, in the period from 2013 to 2021.

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Unlabelled: We aimed to compare the efficacy of Bifidobacterium longum KABP042 + Pediococcus pentosaceus KABP041 (BL + PP) vs. Limosilactobacillus reuteri DSM17938 (LR) in alleviating the symptoms of infant colic, as commercially available formulations. A randomized, multicenter, parallel, single-blind (investigator) trial was conducted in 112 colicky infants diagnosed as per Rome IV criteria and randomly allocated to receive BL + PP orally (10 colony-forming units [CFU]/day, n = 55) or LR (10 CFU/day, n = 57) for 21 days.

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Effect of adequacy of empirical antibiotic therapy for hospital-acquired bloodstream infections on intensive care unit patient prognosis: a causal inference approach using data from the Eurobact2 study.

Clin Microbiol Infect

December 2024

OUTCOMEREA Research Group, Drancy, France; Institut National de la Santé et de la Recherche Medicale, Infection Antimicrobial Modelisation Evolution, U1137, Team Decision Science in Infectious Diseases, Paris, France; Assistance Publique Hôpitaux de Paris, Bichat hospital, Medical and infectious diseases ICU, F75018, Paris France. Electronic address:

Article Synopsis
  • Hospital-acquired bloodstream infections (HA-BSI) in ICU patients can be life-threatening, and this study aimed to see how early adequate antibiotic treatment affects 28-day mortality rates for patients who survive at least one day after infection onset.
  • Using data from a multicenter study with 2,418 patients, researchers found that those who received adequate treatment within 24 hours had a lower 28-day mortality rate (32.8%) compared to those who were inadequately treated (40%).
  • The study concluded that inadequate antibiotic therapy within 24 hours contributes significantly to 28-day mortality, indicating that quicker treatment could greatly improve patient outcomes in cases of HA-BSI.
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Fusariosis in the Sphere.

Open Forum Infect Dis

September 2024

Hospital Médica Sur, Infectious Diseases and Hospital Epidemiology, Mexico City, Mexico.

In 2012, the US Centers for Disease Control and Prevention reported a fungal meningitis outbreak due to , caused by methylprednisolone administration. Twelve years later, an iatrogenic outbreak of meningitis was documented in Mexico after epidural anesthesia.

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Combination of neutrophil-to-lymphocyte ratio and serum CA 19-9 as a prognostic factor in pancreatic cancer.

J Gastrointest Oncol

August 2024

Gastrointestinal Tumors Division, Surgical Oncology Department, Instituto Nacional de Cancerología, Mexico City, México.

Background: Traditionally, serum carbohydrate antigen 19-9 (CA 19-9) has been used as a key biomarker for pancreatic cancer and recently other biomarkers which reflect the systemic immune and inflammatory responses also have been explored as potential prognostic factors. The study aims to evaluate the significance of pretreatment neutrophil-to-lymphocyte ratio (NLR) and serum CA 19-9 as prognostic factor in pancreatic cancer patients.

Methods: A retrospective analysis was conducted in 153 consecutive patients with pancreatic cancer in Instituto Nacional de Cancerología from 2013 to 2018.

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Article Synopsis
  • Hepatic schistosomiasis is a serious disease caused by a parasite that affects millions of people every year, leading to health problems and high medical costs.
  • Scientists have learned more about how the disease damages the liver and causes issues like liver scarring and lumps.
  • The best way to diagnose it is by testing waste, but ultrasounds are now also helpful, and the main treatment is a medication called praziquantel, which may help prevent further liver damage.
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Anal cancer is uncommon, comprising 2.2% of gastrointestinal cancers. Squamous cell carcinoma (SCC) is the most common; while perianal basal cell carcinoma (BCC) is rare, representing only 0.

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Aim: To develop and validate a self-administered population-specific survey, available in Spanish, Portuguese, and English, which investigates the prevalence of voice symptoms and perceptions of risk factors associated with training among prospective teachers.

Methods: The present study had three stages: the first stage included a literature review and content validation by experts that supported the survey development. From this phase, we defined five aspects of the Prospective Teacher's Voice Questionnaire (PTVQ): (1) target population, (2) research objectives, (3) questions to be included, (4) scales for the answers, and (5) relevance, comprehensiveness, clarityclarity, and understandability of the questions.

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Introduction: Aeroallergen exposure has an intra- and extra-domiciliary component and varies according to climatological zones. Mexico is a large country with a great variety of climates. A previous study (2009) evaluated skin prick test results (SPT) in different regions.

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Article Synopsis
  • The review evaluates the effectiveness and safety of Janus kinase inhibitors (JAKi) for treating moderate-to-severe atopic dermatitis (AD) in adolescents, highlighting a need for systemic therapies in this age group.
  • While JAKi like abrocitinib, baricitinib, and upadacitinib show promise with quick results, baricitinib is ineffective in younger children aged 2 to 10 years.
  • Major safety concerns have not emerged in adolescent trials, though there are minor issues like herpes zoster infections and acne, indicating that JAKi could be a valuable option for managing severe AD in young patients.
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Robotic surgery has emerged as a cornerstone in urological interventions, offering effectiveness and safety for patients. For anesthesiologists, this technological advancement presents a myriad of new challenges, spanning from patient selection and assessment to intraoperative dynamics and post-surgical pain management. This article aims to elucidate these challenges and provide guidance for anesthesiologists in navigating the complexities of anesthesia administration in robotic urological procedures.

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Article Synopsis
  • Susac syndrome, multiple sclerosis, and primary angiitis of the central nervous system often present similar symptoms, making accurate diagnosis a challenge; the study aimed to improve this through a new scoring system called the SPAMS score.
  • The research involved 99 patients from South America and utilized an elastic-net model to determine important MRI features for distinguishing between these conditions.
  • The SPAMS score demonstrated high diagnostic accuracy, effectively differentiating SuS from MS and PACNS, highlighting the importance of specific MRI findings for timely interventions and potentially better patient outcomes.
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Background And Objective: Currently, there are no guideline recommendations for the duration of intranasal corticosteroid (INCS) treatment for allergic rhinitis (AR). We aimed to catalogue real-world AR-INCS prescription patterns.

Materials And Methods: This multicenter, non-interventional, cross-sectional study used online general practitioner (GP) and patient surveys from 4 countries.

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Article Synopsis
  • The study aimed to analyze how often mucocutaneous manifestations occur in people living with HIV and how these relate to their CD4+ T cell counts and HIV viral loads.
  • It involved a cross-sectional review of 659 HIV patients from 1992 to 2022, finding that opportunistic infections were the most common skin issues, with Kaposi sarcoma being the most frequently diagnosed condition.
  • The results showed a high clinicopathological concordance rate of 80.4%, underscoring the need for accurate skin biopsies to help in diagnosing various skin conditions in this patient population.
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Reply to: "From NAFLD to MASLD: Promise and pitfalls of a new definition'.

Ann Hepatol

June 2024

National Institute for Health Research, Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham, Birmingham, UK; Centre for Liver & Gastrointestinal Research, Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.

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Background: Biologic asthma therapies reduce exacerbations and long-term oral corticosteroids (LTOCS) use in randomized controlled trials (RCTs); however, there are limited data on outcomes among patients ineligible for RCTs. Hence, we investigated responsiveness to biologics in a real-world population of adults with severe asthma.

Methods: Adults in the International Severe Asthma Registry (ISAR) with ≥24 weeks of follow-up were grouped into those who did, or did not, initiate biologics (anti-IgE, anti-IL5/IL5R, anti-IL4/13).

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Reply to: "From NAFLD to MASLD: Promise and pitfalls of a new definition": EASL, AASLD and ALEH stand united to advance the field of steatotic liver disease.

J Hepatol

July 2024

National Institute for Health Research, Biomedical Research Centre at University Hospitals Birmingham NHS Foundation Trust and the University of Birmingham, Birmingham, UK; Centre for Liver & Gastrointestinal Research, Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.

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Corpus callosotomy is a therapeutic approach for drug-resistant epilepsy, with positive outcomes observed in managing atonic seizures. Despite a decline in its usage, radiosurgical callosotomy remains a viable option for drug-resistant epilepsy due to its low risks of post-radiation neoplasia, albeit not with exceptions. Brain radionecrosis is characterized by tissue death and vascular endothelial damage following the procedure.

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