1,447 results match your criteria: "Hospital de Especialidades Del Centro Medico Nacional "Siglo XXI"[Affiliation]"

Factors not considered in the study of drug-resistant epilepsy: Drug-resistant epilepsy: Assessment of neuroinflammation.

Epilepsia Open

August 2022

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

More than one-third of people with epilepsy develop drug-resistant epilepsy (DRE). Different hypotheses have been proposed to explain the origin of DRE. Accumulating evidence suggests the contribution of neuroinflammation, modifications in the integrity of the blood-brain barrier (BBB), and altered immune responses in the pathophysiology of DRE.

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Protein expression of P-glycoprotein in neocortex from patients with frontal lobe epilepsy.

Epilepsy Res

March 2022

Departamento de Farmacobiología, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional (CINVESTAV) Unidad Coapa, Ciudad de México, México. Electronic address:

Frontal lobe epilepsy (FLE) is the second most frequent type of epilepsy and the surgical outcome depends on the etiology. For instance, patients with posttraumatic FLE (PTE) have a worse surgical outcome compared to patients with FLE related to a tumoral lesion (TL). The present study focuses to determine if the FLE etiology is associated with the P-glycoprotein (P-gp) expression, a condition associated with drug resistance.

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What Do We Currently Know About Chronic Myeloid Leukemia (CML) and COVID-19?

Curr Oncol Rep

May 2022

Department of Hematology, Hospital General Regional No 72, Instituto Mexicano del Seguro Social, Ciudad de México, Estado de México, México.

Purpose Of Review: COVID-19 is highly contagious; since it was first identified, the virus has rapidly spread to more than 100 countries and was declared a pandemic on March 11, 2020, by the World Health Organization (WHO). This disease presents several challenges when managing patients with leukemia. We review the information about chronic myeloid leukemia (CML) and COVID-19: risk factors, prognosis, and the role of tyrosine kinase inhibitors (TKIs).

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Overweight and obesity have become a world-health public problem, mainly for developing countries. Both health conditions have a higher prevalence among women of childbearing age. Physiopathology, overweight and obesity are characterized by a chronic oxidative stress status, which has deleterious effects on mothers and children.

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Understanding the Anti-Diarrhoeal Properties of Incomptines A and B: Antibacterial Activity against and Its Enterotoxin Inhibition.

Pharmaceuticals (Basel)

February 2022

Unidad de Investigación Médica en Farmacología, UMAE Hospital de Especialidades, 2° Piso CORSE, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Av. Cuauhtémoc 330, Col. Doctores, Cd Mexico 06725, Mexico.

Incomptines A () and B () are two sesquiterpene lactones with antiprotozoal, antibacterial, cytotoxic, antitumor, spermicidal, and phytotoxic properties. The antibacterial activity of and against bacteria causing diarrhoea have been reported; however, no information is available regarding their antibacterial activity on . In this work, both compounds were evaluated for their anti-diarrhoeal potential using the bacterium , sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) analysis on cholera toxin, and a cholera toxin-induced diarrhoea model in male Balb/c mice.

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Background: Common Variable Immunodeficiency (CVID) is a heterogeneous disorder characterized by defective B cell differentiation and antibody production. Interleukin (IL)-21 activates STAT3, a potent regulator of B cell differentiation into plasma cells. We have studied the phosphorylation of STAT3 in CVID patients and its contribution to B cells subsets.

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[Information services facing the COVID-19 pandemic].

Rev Med Inst Mex Seguro Soc

February 2022

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Oncología, Dirección de Educación e Investigación en Salud, Centro de Documentación en Salud. Ciudad de México, México.

The COVID-19 pandemic caused various effects in the world, among them the saturation of information in the traditional media, as well as in those of scientific dissemination, due to the accelerated production of informative material. At the Mexican Institute for Social Security (Instituto Mexicano del Seguro Social), librarians have contributed to the careful selection of documents as they are in charge of providing specialized information services to health personnel in order to support them in academic, educational, teaching and research activities. In the context of physical distancing, the need for up-to-date and accurate information on the new coronavirus became a priority.

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[Integrated Care Protocol: Hypertension].

Rev Med Inst Mex Seguro Soc

February 2022

Instituto Mexicano del Seguro Social, Dirección de Prestaciones Médicas. Ciudad de México, México.

Background: Hypertension is the most common cardiovascular risk factor that is responsible for complications such as cerebrovascular events, heart failure, acute myocardial infarction, kidney failure, arrhythmias and blindness. About 30% of the adult population older than 20 years is a carrier. 40% of carriers are unaware of suffering from it since its onset is generally asymptomatic.

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There is still a need for safe, efficient and low-cost coronavirus disease 2019 (COVID-19) vaccines that can stop transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Here we evaluated a vaccine candidate based on a live recombinant Newcastle disease virus (NDV) that expresses a stable version of the spike protein in infected cells as well as on the surface of the viral particle (AVX/COVID-12-HEXAPRO, also known as NDV-HXP-S). This vaccine candidate can be grown in embryonated eggs at low cost similar to influenza virus vaccines and it can also be administered intranasally, potentially to induce mucosal immunity.

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Neuroendocrine-immune Interface: Interactions of Two Complex Systems in Health and Disease.

Arch Med Res

April 2022

Unidad de Investigación Medica en Enfermedades Endocrinas, Hospital de Especialidades, Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. Electronic address:

The relationship between the neuroendocrine and the immune systems is essential to maintain homeostasis. Their complex interactions are present in many physiological or pathological states whereby hormones exert different actions in immune system cells and vice versa. Hormones such as prolactin, growth hormone, cortisol and sex hormones are known to regulate the differentiation and function of immune system cells and the production of cytokines.

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[Integrated Care Protocol: Prevention, diagnosis and treatment of diabetes mellitus 2].

Rev Med Inst Mex Seguro Soc

February 2022

Instituto Mexicano del Seguro Social, Coordinación de Innovación en Salud, División de Excelencia Clínica. Ciudad de México, México.

Background: Type 2 diabetes mellitus (DM2) represents one of the ten non- transmissible chronic diseases that constitute the main causes of death and disability in Mexico. It is the leading cause of disability and the second cause of death. The IMSS serves 4.

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Objective: To determine the evolution, associated factors and the outcomes of transplanted people one year after the evolution of a cohort in Mexico.

Method: Kidney transplant cohort from 2013 to 2017 in Mexico. 1118 patients were analyzed.

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Background: Folliculitis due to Malassezia spp. (MF), caused mainly by Malassezia furfur, is clinically characterized by an acneiform eruption expressing follicular papules and pustules, predominantly on the trunk. Diagnosis of MF requires confirmation of the presence of yeasts in the hair follicle.

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Real-world evidence of the use of glucocorticoids for severe COVID-19.

Ther Adv Endocrinol Metab

January 2022

Unidad de Investigación Médica en Enfermedades Endócrinas, Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Cuauhtémoc 330, Col. Doctores, Delegación Cuauhtémoc, CP 06720 Ciudad de México, México.

Introduction: Currently, only glucocorticoids have proved to impact adverse outcomes in COVID-19. However, their risk/benefit balance remains inconclusive and populations' characteristics should be considered.

Objective: The objective was to evaluate the real-life use of glucocorticoids in patients with severe COVID-19 hospitalized in a third-level referral center and to determine the type, accumulated doses, and the in-hospital outcomes related with their use.

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Molecular changes in adipocyte-derived stem cells during their interplay with cervical cancer cells.

Cell Oncol (Dordr)

February 2022

Facultad de Medicina, Posgrado en Ciencias Biologicas, Universidad Nacional Autonoma de Mexico (UNAM), Av. Ciudad Universitaria 3000, C.P. 04510, Coyoacan, Mexico City, Mexico.

Purpose: Obesity is as an important risk factor and has been associated with a worse prognosis in at least 13 distinct tumor types. This is partially due to intercellular communication between tumor cells and adipose tissue-derived stem cells (ADSCs), which are increased in obese individuals. As yet, however, little is known about the molecular changes occurring in ADSCs in these conditions.

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The revictimization of older Mexican women: understanding the accumulation of multiple victimizations throughout a lifetime.

BMC Geriatr

January 2022

Centro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.

Background: The victimization of women constitutes a human rights violation and a health risk factor. The central objectives of this study were to analyze the probability of revictimization among older adult Mexican women and to examine whether child abuse (CA) and/or intimate partner violence (IPV) are associated with a greater risk of elder abuse (EA) victimization.

Methods: We conducted a secondary data analysis of 18416 women 60 and older, based on data from the National Survey on the Dynamics of Household Relationships (2016), which is national and subnational representative.

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The COVID-19 pandemic has provoked generalized uncertainty around the world, with health workers experiencing anxiety, depression, burnout, insomnia, and stress. Although the effects of the pandemic on mental health may change as it evolves, the majority of reports have been web-based, cross-sectional studies. We performed a study assessing acute stress in frontline health workers during two consecutive epidemic waves.

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[Pollen-food syndrom. A rewiev with a twist].

Rev Alerg Mex

January 2022

Instituto Mexicano del Seguro Social Centro Médico Nacional Siglo XXI, Hospital Especialidades, Servicio de Alergia e Inmunología Clínica, Ciudad de México, México.

Article Synopsis
  • Pollen-food syndrome (PFS) is an allergic reaction to proteins found in the pollen of various plants, mostly manifested when consuming certain raw fruits and vegetables that share similar proteins.
  • The most commonly involved proteins include profilins, PR-10, and ns LTP, with birch-apple being the most typical example, affecting over 70% of birch-sensitized individuals.
  • Diagnosis is often complex and may be missed, as symptoms mainly occur in the mouth but can lead to serious reactions like anaphylaxis; the primary treatment is an elimination diet since immunotherapy options are not widely available.
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Aims: Obesity and type 2 diabetes mellitus are two pathologies that share metabolic abnormalities in most of the cases; however, there are differences as well. Some studies have reported that approximately 30% of obese patients have normal glucose and lipid levels in blood despite an accumulation of abdominal adipose tissue. Here, we compare the gene expression in adipose tissue of several genes associated with obesity and/or diabetes between obese patients without T2D and obese patients with T2D.

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Background: Recent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic represents an important negative impact on global training of neurosurgery residents. Even before the pandemic, discrimination is a challenge that neurosurgical residents have consistently faced. In the present study, we evaluated discriminatory conditions experienced by residents during their neurosurgical training in Mexico before the SARS-CoV-2 pandemic.

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Myelofibrosis: diagnosis and treatment.

Gac Med Mex

January 2022

Servicio de Hematología, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México.

Myelofibrosis (MF) is a BCR-ABL1-negative myeloproliferative neoplasm characterized by clonal myeloproliferation, dysregulated kinase signaling, and release of abnormal cytokines. In recent years, important progress has been made in the knowledge of the molecular biology and the prognostic assessment of MF. Conventional treatment has limited impact on the patients' survival; it includes a wait-and-see approach for asymptomatic patients, erythropoiesis-stimulating agents, androgens, or immunomodulatory agents for anemia, cytoreductive drugs such as hydroxyurea for the splenomegaly and constitutional symptoms, and splenectomy or radiotherapy in selected patients.

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First inter-institutional consensus on Chronic Myeloproliferative Neoplasms.

Gac Med Mex

January 2022

Servicio de Hematología, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México.

Article Synopsis
  • - The consensus aims to provide health professionals across public institutions in Mexico with the latest and most important information regarding the diagnosis and treatment of chronic myeloproliferative neoplasms.
  • - It seeks to enhance the quality of care for patients dealing with these diseases nationwide.
  • - The initiative also aims to standardize diagnostic and treatment criteria for various myeloproliferative diseases among healthcare providers.
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Thrombotic events.

Gac Med Mex

January 2022

Servicio de Hematología, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México.

Article Synopsis
  • - Major thrombotic complications in myeloproliferative neoplasms (MPNs) are serious issues that can lead to high sickness rates and even death, complicating treatment.
  • - The occurrence of thrombosis indicates the need for thorough risk assessment and may require adjusting treatment plans, including the use of medications to prevent further clotting issues.
  • - Thrombosis is more common when MPNs are first diagnosed, especially in arteries, and once a thrombosis happens, there's a significant chance (20-33%) that it can happen again in the same area.
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Symptom control.

Gac Med Mex

January 2022

Servicio de Hematología, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México.

In addition to symptoms secondary to splenomegaly, microvascular abnormalities, and thrombohemorrhagic complications, patients with MPN may experience a significant symptom burden attributed to an increase in circulating inflammatory cytokines. These symptoms can be severe and limit quality of life. Therefore, in addition to the prevention of complications, one of the objectives of the treatment of MPN is the control of symptoms.

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Risks in invasive procedures.

Gac Med Mex

January 2022

Servicio de Hematología, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México.

Patients with myeloproliferative neoplasms have an increased risk of thrombosis and bleeding. This risk must be identified, as well as individualizing the therapeutic strategy before invasive procedures; adequate cytoreduction reduces the risk of complications.

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