2,423 results match your criteria: "Hospital de Pediatría del Centro Médico Nacional Siglo XXI[Affiliation]"

Composition of linear and branched short-chain fatty acids in human milk and newborn feces: influence of perinatal and maternal factors.

Food Funct

December 2024

Laboratorio de Nutrición Molecular, Unidad de Investigación Médica en Nutrición, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México (CDMX), Mexico.

This research aimed to analyze the percentage of short-chain fatty acids (SCFAs) in human milk (HM) and newborn feces and to explore potential associations with factors such as maternal nutrition, age, biological sex, delivery mode, diet, and the type of HM. Gas chromatography was used to measure the percentage of SCFAs in colostrum ( = 23), transitional HM ( = 23), and mature HM ( = 92) and feces of newborn ( = 36) at day 30 postpartum. Anthropometry was also evaluated in the mother and the infant.

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Background: As the number of programs aimed at preventing fragility fractures and mitigating the phenomenon of cascade fractures is increasing worldwide, so it is necessary to evaluate the effectiveness of such programs to seek their feasible implementation at regional and global levels.

Aims: This paper aims to provide an overview focusing on the incidence of secondary fractures after the implementation of any type of fracture liaison service (FLS). To this end, a scoping review was conducted focusing on the identification of clinical evidence reported in systematic reviews of the medical literature in this area.

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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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Imlunestrant with or without Abemaciclib in Advanced Breast Cancer.

N Engl J Med

December 2024

From Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York (K.L.J.); University Hospitals Leuven, Leuven, Belgium (P.N.); Hospital María Curie, Buenos Aires (M.L.C.); Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea (S.-B.K.); National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan (E.T.); Institut Jules Bordet, Hôpital Universitaire de Bruxelles, Brussels (P.A.); Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona (C.S.); Baylor University Medical Center, Texas Oncology, U.S. Oncology, Dallas (J.O.); the Breast Center, Department of Obstetrics and Gynecology and Comprehensive Cancer Center Munich, Ludwig Maximilians University Munich University Hospital, Munich, Germany (N.H.); the University of North Carolina at Chapel Hill, Chapel Hill (L.A.C.); the University of Milan, Milan (G.C.); the European Institute of Oncology, IRCCS, Milan (G.C.); Hospital Arnau de Vilanova, Valencia, Spain (A.L.-C.); Garvan Institute of Medical Research and University of New South Wales, Sydney (E.L.); Hospital de Oncología, Centro Médico Nacional Siglo XXI, Mexico City (M.L.G.T.); Yonsei University College of Medicine, Seoul, South Korea (J.S.); the Mastology Department, Women's Health Hospital, São Paulo (A.M.); Harbin Medical University Cancer Hospital, Harbin, China (Q.Z.); National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei (C.-S.H.); the Division of Breast Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan (C.-C.H.); Filios Alta Medicina, Monterrey, Mexico (J.L.M.R.); the Medical Oncology Department, Hospital Universitario Virgen del Rocío, Seville, Spain (M.R.B.); the Department of Breast Surgery, Chiba Cancer Center Hospital, Chiba, Japan (R.N.); Eli Lilly, Indianapolis (K.R.P., C.C.L., E.B., S.C., X.A.W., L.M.S.); and Institut Curie and University of Versailles Saint-Quentin-en-Yvelines-Paris-Saclay University, Paris (F.-C.B.).

Background: Imlunestrant is a next-generation, brain-penetrant, oral selective estrogen-receptor (ER) degrader that delivers continuous ER inhibition, even in cancers with mutations in the gene encoding ERα ().

Methods: In a phase 3, open-label trial, we enrolled patients with ER-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer that recurred or progressed during or after aromatase inhibitor therapy, administered alone or with a cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitor. Patients were assigned in a 1:1:1 ratio to receive imlunestrant, standard endocrine monotherapy, or imlunestrant-abemaciclib.

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Hepatitis E virus (HEV; family ) infections cause >40,000 human deaths annually. Zoonotic infections predominantly originate from ungulates and occasionally from rats, highlighting the zoonotic potential of rodent-associated hepeviruses. We conducted host genomic data mining and uncovered two genetically divergent rodent-associated hepeviruses, and two bat-associated hepeviruses genetically related to known bat-associated strains.

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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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Vanadium exposure and kidney markers in a pediatric population: a cross-sectional study.

Pediatr Nephrol

December 2024

Unidad de Investigación en Salud en El Trabajo, Centro Médico Nacional "Siglo XXI", Instituto Mexicano Del Seguro Social (IMSS), Ciudad de Mexico, Mexico.

Background: Anthropogenic vanadium (V) emissions and exposure in the general population have recently increased. Experimental studies have shown that V is a nephrotoxic agent, but little is known about its effects on human kidney health. This work evaluated the association between urinary V concentrations with early kidney damage biomarkers and function in a pediatric population without any disease diagnosed.

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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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Background: Allogeneic hematopoietic stem cell transplantation (HSCT) is a therapy that offers the potential to cure hematological malignancies. One limitation is that only 25% of patients will have an identical donor. The use of haploidentical donors allows 95% of patients to have a donor.

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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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Influence of Early Life Factors on the Breast Milk and Fecal Microbiota of Mother-Newborn Dyads.

Microorganisms

October 2024

Laboratorio de Nutrición Molecular, Unidad de Investigación Médica en Nutrición, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social (IMSS), Ciudad de México 06720, Mexico.

Article Synopsis
  • * Out of 986 pregnant women, 40 mother-newborn pairs were analyzed for the diversity and composition of their gut and breast milk microbiota using DNA sequencing techniques.
  • * Findings reveal that factors such as high maternal adiposity, older maternal age, and C-section births lead to lower levels of beneficial microbial species, highlighting the complex relationship between maternal traits and early-life microbiota development.
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Background: Dementia causes the loss of functional independence, resulting in a decrease in the quality of life of those who suffer from it.

Aims: This study aimed to investigate the interactions influencing susceptibility to the development of dementia through multifactor dimensionality reduction (MDR).

Methods: the study population was made up of 221 cases and 534 controls.

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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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