1,741 results match your criteria: "Hospital de Especialidades Centro Médico Nacional Siglo XXI[Affiliation]"

Antiprotozoal Activity Against and of Cyclopeptides Isolated from Saff.

Molecules

November 2024

Instituto de Química, Universidad Nacional Autónoma de México, Ciudad Universitaria, Mexico City 04510, Mexico.

Diseases caused by intestinal parasites such as protozoa represent a worldwide problem mainly for developing countries. From morbidity in different groups of people to cases of mortality in children and/or immunocompromised patients. In addition to the above, there is growing resistance to the drugs used in the treatment of these diseases, as well as undesirable side effects in patients.

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Iridoid glycosides from the flowering plant (Cham. & Schltdl.) W.R. Ernst.

Nat Prod Res

December 2024

Unidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Cuauhtémoc, Mexico.

Three iridoid glycosides (mussaenoside, geniposide, and 5-hydroxy-8-epi-deoxyloganin) along with mannitol and acteoside, were isolated from , an endemic plant species of Mexico that currently belongs to the Orobanchaceae family. There is no information about the chemical composition of this species, consequently, the present work focuses on the chemical study of the flowers and leaves of , which were collected in two batches in Mexico, identifying the main components of each batch. The chemical structures were completely established by spectroscopic methods.

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Needle-free atrial transseptal access: A safe and reproducible alternative for left atrial catheterization.

Heart Rhythm O2

November 2024

Unidad Médica de Alta Especialidad en Pediatría, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México.

Article Synopsis
  • Left atrial catheterization is a common procedure used to treat heart rhythm issues, but traditional methods involving needles can lead to complications; therefore, needle-free techniques are being investigated.
  • This study evaluates the safety and effectiveness of a new needle-free transseptal access (NeFTA) approach in three Mexican electrophysiology centers, using a guidewire and fluoroscopic guidance instead of a needle.
  • The NeFTA method was successful in 96.18% of cases, with very few complications (only 0.55% experienced pericardial effusion), indicating that it is a safe and reliable technique for accessing the left atrium.
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Article Synopsis
  • Adverse drug reactions (ADRs) can be classified into Type A (pharmacokinetics-related) and Type B (immune response-related), with Type B reactions being less well-defined and often categorized into immediate and delayed types.
  • This review aims to explore the immunological mechanisms behind delayed hypersensitivity reactions to medications, highlighting their complexities.
  • Findings discuss the classification, clinical signs, diagnosis, treatment plans, and overall prognosis of delayed hypersensitivity, emphasizing the need for prompt, tailored approaches by healthcare professionals.
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Hospital discharges for hip fracture in older adults, Mexico 2013-2022.

Gac Med Mex

November 2024

Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City.

Background: The most common traumatic injury among older individuals worldwide is hip fracture. Higher incidence after 70 years old and women (80-85%). Hospital discharges in Mexico have little evidence.

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Background: Acute hemorrhagic leukoencephalitis (AHLE) or Weston-Hurst syndrome is a rare and severe variant of acute disseminated encephalomyelitis (ADEM). It causes fulminant hemorrhagic demyelination of the central nervous system, and has high mortality and morbidity. Due to the increase in cases and to its high rate of mortality, we decided to make a series of cases and a review of the disease.

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Through multidisciplinary research, translational medicine allows a comprehensive approach to diseases in order to provide patients with adequate treatment, whose aim is personalized and precision medicine. In this context, the Cellular Immunology Laboratory of the Immunochemistry Research Unit, and the Dermatology Service of the 21st Century National Medical Center's Specialties Hospital (Hospital de Especialidades del Centro Médico Nacional Siglo XXI) have achieved a partnership that aspires to provide better quality patient care. This objective is achieved by evaluating the inflammatory skin infiltrates in different pathologies to observe changes in local immunity related to the response to treatment, and with the disease progression distinguish between dermatological diseases, highlight the importance of comprehensive skin care, and make decisions about treatment choice.

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Article Synopsis
  • Percutaneous nephrolithotomy (PNL) is recommended for kidney stones larger than 2 cm, but existing success measures focus only on whether stones are fully removed, ignoring complications.
  • A new prognostic stratification system was developed to predict treatment failures in PNL by assessing various risk factors from a study of 595 cases, revealing that 73% achieved stone-free status while 12% had major complications.
  • Key risk factors for complications and residual stones included positive urine culture, complex stone composition, severe comorbidity as indicated by the Charlson Comorbidity Index, and prolonged operating time, providing a useful tool for patient selection in PNL procedures.
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[Occult thyroid dysfunction in outpatients with liver cirrhosis].

Rev Med Inst Mex Seguro Soc

September 2024

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría, Laboratorio de Investigación en Gastro-Hepatología. Ciudad de México, México.

Background: Several alterations in thyroid function have been identified in patients with liver cirrhosis (LC).

Objective: To carry out a thyroid disease screening in adult patients with LC.

Material And Methods: A cross-sectional study.

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[Predictive factors for MASLD in type 2 diabetes: 1 year follow-up study].

Rev Med Inst Mex Seguro Soc

September 2024

Instituto Mexicano del Seguro Social, Unidad de Atención a la Salud del IMSS-Bienestar. Ciudad de México, México.

Article Synopsis
  • * A cohort of 5143 patients with type 2 diabetes was followed for one year to assess factors predicting the onset of MASLD, with measurements including body weight, blood sugar levels, and liver markers.
  • * Results showed that 28.2% of patients had MASLD initially; while some improved, a significant number retained the condition, indicating that tools like Hepatic Steatosis Index, Lipidic Accumulation Product, and metabolic screening could help identify those at risk.
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[Gastrointestinal manifestations and liver disorders in patients with COVID-19].

Rev Med Inst Mex Seguro Soc

September 2024

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Departamento de Gastroenterología. Ciudad de México, México.

Background: SARS-CoV-2 infection began in Wuhan, China, in December 2019, where the first cases of pneumonia were described. The infection spread rapidly and was established as a pandemic by the World Health Organization (WHO) in February 2020. In Mexico, the first cases were in March 2020.

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[Radiological clinical profile of multiple cranial neuropathy and recurrence risk factors].

Rev Med Inst Mex Seguro Soc

September 2024

Instituto Politécnico Nacional, Escuela Superior de Medicina, Sección de Estudios de Posgrado e Investigación. Ciudad de México, México.

Background: Multiple cranial neuropathies (MCN) are the dysfunction of 2 or more cranial nerves, simultaneously or sequentially. The most common causes are tumors, followed by vascular and traumatic causes, central nervous system infections and Guillain-Barré syndrome and its variants.

Objective: To identify the radiological clinical profile of MCN in patients of a tertiary-care hospital.

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[The Specialties Hospital of the 21st Century National Medical Center: 60 trailblazing years in Mexican medicine].

Rev Med Inst Mex Seguro Soc

September 2024

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Servicio de Imagenología. Ciudad de México, México.

The objective of this letter to the editor is to make a reflection about the past, present and future of the Specialties Hospital "Dr. Bernardo Sepúlveda Gutiérrez" from the 21st Century National Medical Center, on the occasion of its 60th anniversary.

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[21st National Medical Center's Specialties Hospital: 60 years at the forefront of medicine in Mexico].

Rev Med Inst Mex Seguro Soc

September 2024

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Dirección Médica. Ciudad de México, México.

21st Century National Medical Center's Specialties Hospital from the Instituto Nacional del Seguro Social (IMSS, Mexican Institute for Social Security) was inaugurated in 1963 and up until this day it maintains three fundamental pillars: care, teaching, and scientific research. The hospital has 429 hospital beds, 80 consultation rooms, 19 operating rooms, 30 medical specialties made up of more than 800 resident doctors, in addition to 8 research units. As a form of recognizing more than 60 years of history, our hospital presents a series of research articles on current topics.

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: Persistent Postural-Perceptual Dizziness (PPPD) is a frequent diagnosis in patients with chronic dizziness, ineffective postural control, visual dependence, and emotional symptoms. : 53 patients with PPPD (25-84 years old) and 53 adults (29-84 years old) with no vestibular disease agreed to participate in this study. Assessments included: vestibular function tests (sinusoidal yaw rotation and vestibular-evoked myogenic potentials); accuracy and precision of Subjective Visual Vertical (SVV) estimation while static and during on-axis yaw rotation; static posturography with open/closed eyes and 30° neck extension, while standing on hard/soft surface; questionnaires on symptoms of unsteadiness, spatial anxiety, dizziness-related handicap, anxiety/depression, depersonalization/derealization, and perceived stress.

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Novel Populations of Under Hypoxia and Starvation: Some Insights on Cell Viability and Morphological Changes.

Microorganisms

November 2024

Departamento de Microbiología Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional (ENCB, IPN), Ciudad de México 11340, Mexico.

The general features of the shift to a dormant state in mycobacterial species include several phenotypic changes, reduced metabolic activities, and increased resistance to host and environmental stress conditions. In this study, we aimed to provide novel insights into the viability state and morphological changes in dormant that contribute to its long-term survival under starvation or hypoxia. To this end, we conducted assays to evaluate cell viability, morphological changes and gene expression.

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Mast Cell Carboxypeptidase A3 Is Associated with Pulmonary Fibrosis Secondary to COVID-19.

Int J Mol Sci

November 2024

Departamento de Inmunología, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, ENCB-IPN, Mexico City 11350, Mexico.

Article Synopsis
  • COVID-19, caused by the SARS-CoV-2 virus, triggers an uncontrolled immune response that leads to harmful inflammation and lung damage.
  • Mast cells (MCs), known for their role in inflammation, are linked to severe COVID-19 cases, particularly through their mediator carboxypeptidase A3 (CPA3).
  • The study found that in severe COVID-19 cases, increased CPA3-expressing MCs correlate with the development of pulmonary fibrosis (PF), indicating that excessive inflammation contributes to ongoing tissue damage and impaired healing.
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Endoscopic submucosal dissection for the treatment of gastrointestinal neoplasia in a tertiary-care center in Mexico.

Cir Cir

November 2024

Departamento de Endoscopia Gastrointestinal, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Ciudad de México, México.

Objective: The aim of this study was to evaluate the experience of using endoscopic submucosal dissection (ESD), a technique considered as first-line of treatment, for the management of early neoplastic lesions (ENL), and subepithelial lesions (SEL) < 4 cms in size, in a tertiary-care, high-volume medical center in Mexico.

Method: Patients > 18 years-old, candidates to ESD with ENL and SMT, between January 2008 and October 2022 were included.

Results: ESD was performed in 246 patients (137 ENL and 109 SMT), 52.

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[Blood donor infected VHB detected by NAT probable phase in clinical resolution].

Rev Med Inst Mex Seguro Soc

February 2024

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Banco de Sangre CMN SXXI, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Ciudad de México, México.

Background: In Mexico, the detection of hepatitis B virus (HBV) in blood donors is achieved by screening for hepatitis B surface antigen (HBsAg). However there is still a residual risk of HBV transmission by blood components of donor suffering from occult HBV infection (OBI) or during the window period before seroconversion; in both the antigen expression can be undetectable.

Clinical Case: A 55 year old female donated whole blood in our blood bank,at health history and physical examination no health risk factors were detected.

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[Comparison of two methodologies for HIV confirmation in a Blood Bank].

Rev Med Inst Mex Seguro Soc

February 2024

Instituto Politécnico Nacional, Escuela Nacional de Ciencias Biológicas. Ciudad de México, México.

Article Synopsis
  • Different confirmatory methods for detecting HIV, like Western blot and recombinant immunoassay, are approved by standard 253.
  • The study aimed to compare the effectiveness of the GeniusTM recombinant immunoassay against the Western blot tests in analyzing HIV-reactive blood samples.
  • Results showed strong agreement between the two methods, with GeniusTM offering practical advantages, making both reliable options for confirming HIV tests in blood donations.
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Psoriasis is a chronic inflammatory autoimmune skin disease characterized by keratinocyte hyperproliferation, primarily driven by the IL-23/IL-17 axis. In addition to immune response, various skin components, including the epidermal barrier and the skin microbiota, have been individually implicated in the disease pathogenesis. Here, we aimed to investigate the interplay between epidermal tight junctions, Staphylococcus aureus enterotoxin B (SEB), and CD4 T cell-mediated immune responses.

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[The role of immunosenescence and inflammaging in aging-associated diseases].

Rev Med Inst Mex Seguro Soc

September 2024

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Unidad de Investigación Médica en Inmunoquímica. Ciudad de México, México.

With the increase in the number of people with advanced age (> 60 years) worldwide, it is necessary to understand the processes that lead to healthy aging. Cellular senescence, immunosenescence and inflammaging are part of the natural process of aging and are associated with age-related diseases. Cellular senescence is characterized by the arrest of the cell cycle in the G1 phase.

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