64 results match your criteria: "Hospital de Pediatría Dr. Silvestre Frenk Freund[Affiliation]"

[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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[Cognitive function groups in older people and risk factors].

Rev Med Inst Mex Seguro Soc

May 2024

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Coordinación de Investigación en Salud, Unidad de Investigación Epidemiológica y de Servicios en Salud. Ciudad de México, México.

Background: Risk stratification for cognitive impairment in communities originated from autopsies in cognitively healthy individuals. The Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) incorporates subjective and objective cognitive function (CF) measures to explore neurocognitive disorders (NCD). It can be applied in communities to explore the factors that may influence positively or negatively.

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Umbilical hernia and clinical course of patients with bile duct atresia.

Rev Med Inst Mex Seguro Soc

March 2024

Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Centro Médico Nacional 20 de Noviembre, Departamento de Cirugía Pediátrica. Ciudad de México, México.

Background: Bile atresia is children's leading cause of cirrhosis. Its high morbidity and mortality are explained by its complications, including gastrointestinal bleeding and portal hypertension. Umbilical hernia has been embryologically and clinically associated with portal hypertension and cirrhosis; however, the clinical evolution of patients with bile atresia and umbilical hernia is unknown, so the aim of the study is to describe this link.

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Article Synopsis
  • - The Epstein-Barr virus (EBV) affects over 95% of people globally, typically causing infectious mononucleosis in children, yet it can also present with unusual and severe symptoms in a clinical setting, particularly in a pediatric hospital in Mexico.
  • - A study reviewed medical records of 26 EBV-positive patients under 18 years from 2012-2022, revealing that common symptoms included fever (85%) and lymphadenopathy (35%), with 65% experiencing severe atypical complications like pneumonia and blood disorders, leading to some fatalities.
  • - The findings highlight the importance of recognizing EBV as a possible cause of varied and serious clinical symptoms in children, stressing the need for thorough assessments and increased
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Background: Recurrent genetic alterations contributing to leukemogenesis have been identified in pediatric B-cell Acute Lymphoblastic Leukemia (B-ALL), and some are useful for refining classification, prognosis, and treatment selection. is a complex biomarker associated with a poor prognosis. It is characterized by deletion coexisting with , , or PAR1 region deletions.

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Implementation of a roadmap for the comprehensive diagnosis, follow-up, and research of childhood leukemias in vulnerable regions of Mexico: results from the PRONAII Strategy.

Front Oncol

April 2024

Laboratorio de Citómica del Cáncer Infantil, Centro de Investigación Biomédica de Oriente, Delegación Puebla, Instituto Mexicano del Seguro Social, Puebla, Mexico.

The main objective of the National Project for Research and Incidence of Childhood Leukemias is to reduce early mortality rates for these neoplasms in the vulnerable regions of Mexico. This project was conducted in the states of Oaxaca, Puebla, and Tlaxcala. A key strategy of the project is the implementation of an effective roadmap to ensure that leukemia patients are the target of maximum benefit of interdisciplinary collaboration between researchers, clinicians, surveyors, and laboratories.

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Overexpression of miR-25 Downregulates the Expression of ROBO2 in Idiopathic Intellectual Disability.

Int J Mol Sci

April 2024

Unidad de Investigación Médica en Genética Humana, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Av. Cuauhtémoc 330, Col. Doctores, Mexico City CP 06725, Mexico.

Idiopathic intellectual disability () encompasses the cases of intellectual disability (ID) without a known cause and represents approximately 50% of all cases. Neural progenitor cells (NPCs) from the olfactory neuroepithelium (NEO) contain the same information as the cells found in the brain, but they are more accessible. Some miRNAs have been identified and associated with ID of known etiology.

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Article Synopsis
  • Acute leukemias (AL) are a leading cause of cancer-related deaths in children under 20 in Mexico, particularly noted in the central-south region, which has been previously understudied compared to Greater Mexico City.
  • A population-based study conducted from 2021-2022 identified 388 new cases of AL among children in Puebla, Tlaxcala, and Oaxaca, calculating various incidence rates using demographic data.
  • The overall age-standardized incidence rate was around 51.5 cases per million children, with B-cell acute lymphoblastic leukemia being the most prevalent subtype, revealing trends and differences in leukemia incidence among the states.
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Background: A heterogeneous geographic distribution of childhood acute lymphoblastic leukemia (ALL) cases has been described, possibly, related to the presence of different environmental factors. The aim of the present study was to explore the geographical distribution of childhood ALL cases in Greater Mexico City (GMC).

Methods: A population-based case-control study was conducted.

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Background: Advances in the understanding of the pathobiology of childhood B-cell acute lymphoblastic leukemia (B-ALL) have led towards risk-oriented treatment regimens and markedly improved survival rates. However, treatment-related toxicities remain a major cause of mortality in developing countries. One of the most common adverse effects of chemotherapy in B-ALL is the hematologic toxicity, which may be related to genetic variants in membrane transporters that are critical for drug absorption, distribution, and elimination.

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Introduction: The decisive key to disease-free survival in B-cell precursor acute lymphoblastic leukemia in children, is the combination of diagnostic timeliness and treatment efficacy, guided by accurate patient risk stratification. Implementation of standardized and high-precision diagnostic/prognostic systems is particularly important in the most marginalized geographic areas in Mexico, where high numbers of the pediatric population resides and the highest relapse and early death rates due to acute leukemias are recorded even in those cases diagnosed as standard risk.

Methods: By using a multidimensional and integrated analysis of the immunophenotype of leukemic cells, the immunological context and the tumor microenvironment, this study aim to capture the snapshot of acute leukemia at disease debut of a cohort of Mexican children from vulnerable regions in Puebla, Oaxaca and Tlaxcala and its potential use in risk stratification.

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Background: Previous studies found exposure to air pollution leads to exacerbations of asthma in paediatric and adult patients and increases asthma-related emergency hospital admissions (AREHA).

Methods: AREHAs and levels of air pollutants (PM, PM and NO) were obtained from Mexico City for the period 2017-2019. A time-series approach was used to explore the relationship between air pollutants and AREHA.

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[Risk factors in the origin of Down syndrome].

Rev Med Inst Mex Seguro Soc

September 2023

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Departamento de Genética Médica. Ciudad de México, México.

Down syndrome (DS) is the most common autosomal aneuploidy and the leading cause of intellectual disability of genetic origin worldwide. It is identified as a syndrome in which the variability of its clinical manifestations and the severity of its phenotype have a multifactorial origin. Worldwide prevalence ranges between 1 per 700 live births and several factors that may be involved in the origin of DS have been proposed.

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[Electroencephalographic findings in preterm neonates].

Rev Med Inst Mex Seguro Soc

September 2023

Instituto Politécnico Nacional, Centro de Investigación y de Estudios Avanzados. Ciudad de México, México.

Background: The electroencephalogram (EEG) in the newborn period is highly superior to the clinical exam in the detection and prognosis of brain dysfunctions, since it allows continuous functional documentation of the brain at the patient's bedside in a non-invasive way. However, there is still some disagreement about these findings.

Objective: To describe the electroencephalographic findings in newborns with a history of prematurity.

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Not All Populations of Hispanic Children Have an Increased Frequency of Acute Lymphoblastic Leukemia.

Cancer Epidemiol Biomarkers Prev

August 2023

Unidad de Investigación Médica en Epidemiología Clínica, UMAE Hospital de Pediatría "Dr. Silvestre Frenk Freund", Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico.

The frequency of acute lymphoblastic leukemia (ALL) has been reported with a higher incidence among the populations of Hispanic children. However, in the article by Montes-Rodríguez and colleagues, they found that in the Puerto Rican population, the frequency was below the incidence reported for the U.S.

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Introduction: There are few studies that describe the results of auditory pathway assessment in patients with a history of intraventricular haemorrhage (IVH) during the early years of life. Hypoacusis can occur from the earliest stages of IVH. Brainstem auditory evoked potentials (BAEPs) are a useful tool for diagnosing auditory pathway disorders in early childhood.

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A variety of cognitive, behavioural, and emotional impairments have been reported in the literature that are associated with the resection of the temporal cortex. Klüver-Bucy syndrome is one infrequently reported disorder in the paediatric population. This paper describes the neuropsychological findings of a female paediatric patient at 7 and 10 years of age with a diagnosis of partial Klüver-Bucy syndrome (pKBS) following total resection of the amygdala and right hippocampus to resect a glioma.

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Oxidative stress (OS) plays an essential role in the pathophysiology of Duchenne muscular dystrophy (DMD). However, the actors that regulate OS need to be better studied. We aimed to evaluate whether NFE2-like bZIP transcription factor 2 (Nrf2), glutathione, malondialdehyde (MDA), and protein carbonyl concentrations change according to the disease severity in DMD patients.

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[Surgical management of duodenal atresia due to annular pancreas and intestinal atresia IIIb].

Rev Med Inst Mex Seguro Soc

January 2023

Instituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Unidad de Investigación Médica en Epidemiología Clínica. Ciudad de México, México.

Background: The presence of duodenal atresia related to type IIIb intestinal atresia is a rare association, with few cases reported in the literature, representing a surgical challenge considering that even isolated cases of type IIIb intestinal atresia are a challenge. The objective was to report the successful surgical management of a case of a complex intestinal malformation, characterized by duodenal occlusion secondary to annular pancreas and type IIIb intestinal atresia, with intestinal malrotation by definition and the presence of Meckel's diverticulum.

Clinical Case: We present the case report of a newborn sent to the second level of care with a diagnosis of duodenal obstruction not diagnosed prenatally, which resulted in duodenal atresia due to annular pancreas and type IIIb intestinal atresia according to the Grosfeld classification.

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[Indexing of the Revista Médica del IMSS].

Rev Med Inst Mex Seguro Soc

October 2022

Instituto Mexicano del Seguro Social, Hospital de Pediatría "Dr. Silvestre Frenk Freund", Dirección de Educación e Investigación en Salud, Curso Técnico Asistente de Bibliotecario. Ciudad de México, México.

The Revista Médica del IMSS faces the challenge of maintaining the visibility of its articles within the science communication process through indexing in bibliographic databases that make the scientific articles published available to readers, thanks to automation and constant development of information search and retrieval systems. Indexing represents the main means by which a reader will consult your articles regardless of their geographic location, their educational specialization, their affiliation, and even their native language. Likewise, it allows the generation of bibliometric indicators, which are used to evaluate scientific production.

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Introduction: Over the years, the Hispanic population living in the United States has consistently shown high incidence rates of childhood acute leukemias (AL). Similarly, high AL incidence was previously observed in Mexico City (MC). Here, we estimated the AL incidence rates among children under 15 years of age in MC during the period 2010-2017.

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Article Synopsis
  • This study investigates the relationship between certain circulating microRNAs (dystromiRs and oxidative stress-related miRNAs) and muscle injury in patients with Duchenne muscular dystrophy (DMD).
  • Researchers analyzed 24 DMD patients, measuring various indicators of muscle function, metabolic parameters, and serum microRNA levels.
  • Results showed that non-ambulatory DMD patients had lower levels of these microRNAs compared to ambulatory patients, indicating that muscle injury progression correlates with decreasing expression of these miRNAs, thus enhancing our understanding of DMD's natural history.
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Article Synopsis
  • Acute otitis media (AOM) is a common condition in children, prompting the creation of a Clinical Practice Guideline to aid specialists, patients, and caregivers in its management.
  • The guidelines were developed by the College of Pediatric Otorhinolaryngology and Head and Neck Surgery of Mexico, involving a diverse team of experts and following rigorous standards for evidence evaluation.
  • The final recommendations address key clinical questions related to AOM, aiming to enhance shared decision-making and overall clinical care quality.
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