{"title":"[Comment to the article \"Clinical-pathological characterization of laryngeal cancer in the Mexican population\"].","authors":"María Fernanda Galindo-Tapia","doi":"10.5281/zenodo.15644291","DOIUrl":"https://doi.org/10.5281/zenodo.15644291","url":null,"abstract":"<p><p>I read with interest the article by Castillo López et al. on the characterization of patients with laryngeal cancer. Although they highlight risk factors such as smoking, advanced age, and prolonged dysphonia, I believe it is important to include other risks, such as HPV16 infection and alcohol consumption, as reported in recent studies. I also point out the need to clarify the discrepancy regarding the impact of the duration of symptoms on cancer staging and progression, as mentioned in later publications by the same authors. Finally, I propose expanding the risk profile and strengthening early detection efforts to improve prognosis.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6016."},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carlos Paque-Bautista, Sara Aurora Aranda-Romo, Andrea Medel-Sánchez, Alma Patricia González, Dania Eunice Cerritos-García, Arturo Maximiliano Reyes-Sosa, Gloria Patricia Sosa-Bustamante
{"title":"[High glucose levels in children at diagnosis of acute lymphoblastic leukemia].","authors":"Carlos Paque-Bautista, Sara Aurora Aranda-Romo, Andrea Medel-Sánchez, Alma Patricia González, Dania Eunice Cerritos-García, Arturo Maximiliano Reyes-Sosa, Gloria Patricia Sosa-Bustamante","doi":"10.5281/zenodo.15850431","DOIUrl":"https://doi.org/10.5281/zenodo.15850431","url":null,"abstract":"<p><strong>Background: </strong>Acute lymphoblastic leukemia (ALL) is the most common neoplasm in children. Although survival rates have improved, considerable mortality persists, partly due to metabolic complications. ALL is characterized by metabolic reprogramming, which may clinically manifest as elevated serum glucose (SG) levels at disease onset.</p><p><strong>Objective: </strong>To analyze whether there are differences in SG levels between newly diagnosed pediatric patients with ALL and a control group.</p><p><strong>Materials and methods: </strong>A case-control study was conducted. Pediatric patients aged between 1 month and 15 years 11 months, of both sexes, were included and divided into two groups. ALL Group: Patients with a recent diagnosis of ALL, prior to the initiation of induction therapy. Control Group: Patients without a diagnosis of ALL. Sociodemographic, anthropometric, and biochemical data were obtained from clinical records.</p><p><strong>Results: </strong>A total of 142 patients were analyzed, 71 in the ALL Group and 71 in the Control Group. The median age was 6 years (IQR 3-11), and 54.92% were male. The ALL Group showed significantly higher SG levels compared to the Control Group. In addition, a higher risk of elevated SG was observed in the ALL Group.</p><p><strong>Conclusions: </strong>This study demonstrates elevated SG levels in children with newly diagnosed ALL, which may be related to the metabolic reprogramming of leukemic cells.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6664"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Comment on the article \"Impact of an educational intervention on knowledge, attitudes, and practices on breastfeeding\"].","authors":"Augusto Rafael Aguilera-Joaquin","doi":"10.5281/zenodo.15644270","DOIUrl":"https://doi.org/10.5281/zenodo.15644270","url":null,"abstract":"<p><p>This manuscript reviews the article titled \"Importance of an educational intervention: knowledge, attitudes, and practices on breastfeeding\". Strengths include the relevance of the topic, the quasi-experimental design, and the use of validated tools. However, areas for improvement were identified in sample size justification, the inclusion of a control group, and the clinical interpretation of the results. A major revision is recommended to strengthen methodological validity and the study's applicability in public health.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6077"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antonio Jhonatan Hernández-Flores, Sergio Elihu Rodríguez-Alfaro, Raúl Mendoza-Rodríguez, Socorro Méndez-Martínez, Jorge Ayón-Aguilar, Máximo Alejandro García-Flores, Israel Aguilar-Cózatl
{"title":"[Postoperative result in appendectomy with Pouchet technique versus other surgical techniques].","authors":"Antonio Jhonatan Hernández-Flores, Sergio Elihu Rodríguez-Alfaro, Raúl Mendoza-Rodríguez, Socorro Méndez-Martínez, Jorge Ayón-Aguilar, Máximo Alejandro García-Flores, Israel Aguilar-Cózatl","doi":"10.5281/zenodo.15644313","DOIUrl":"https://doi.org/10.5281/zenodo.15644313","url":null,"abstract":"<p><strong>Background: </strong>Acute appendicitis is the most common surgical emergency worldwide. Closure of the appendiceal stump is a critical step to prevent postoperative complications.</p><p><strong>Objective: </strong>To compare postoperative outcomes of appendectomy using the Pouchet technique versus other appendiceal stump closure techniques.</p><p><strong>Material and methods: </strong>This retrospective study analyzed medical records of patients over 18 years of age who underwent surgery for acute appendicitis at a secondary-level hospital. Postoperative outcomes were assessed based on the presence of infectious complications, operative time, and length of hospital stay, comparing the surgical techniques used: Pouchet, Halsted, Zuckerman, and Parker. Descriptive and inferential statistics were applied, using the chi-square test to estimate differences in postoperative outcomes, with a significance level of ≤ 0.05.</p><p><strong>Results: </strong>A total of 118 medical records were analyzed, of which 70 corresponded to female patients (59.3%), with a median age of 39 years (interquartile range: 18-92 years). The most commonly used surgical techniques were: Pouchet (74 cases; 62.7%), Halsted (27; 22.8%), Zuckerman (12; 10.1%), and Parker (5; 4.2%). The Pouchet and Halsted techniques showed statistically significant differences compared to other techniques in terms of shorter operative time and hospital stay (p = 0.000 and p = 0.011, respectively). Additionally, the Pouchet and Parker techniques were associated with statistically significant differences in the incidence of infectious complications (p = 0.030).</p><p><strong>Conclusions: </strong>The Pouchet technique demonstrated the best postoperative outcomes in terms of operative time, hospital stay duration, and lower incidence of infectious complications.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6168"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Comment on the article: \"Neutrophil-lymphocyte ratio as predictor of mortality in patients with necrotizing fasciitis\"].","authors":"Ana Karen Luna-Vargas","doi":"10.5281/zenodo.15644245","DOIUrl":"https://doi.org/10.5281/zenodo.15644245","url":null,"abstract":"<p><p>The neutrophil-to-lymphocyte ratio (NLR) is a tool used to assess the balance between the inflammatory state and the immune response, as it is associated with levels of proinflammatory cytokines. It is widely employed as a prognostic and mortality biomarker in various diseases, both infectious and oncological, such as necrotizing fasciitis, one of the leading severe infections of soft tissues and skin, whose significance lies in timely diagnosis and effective treatment.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6609"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[A New Era for the Scientific Journals of the IMSS].","authors":"Alejandro Moctezuma-Paz, Omar Chávez-Martínez, Guillermo Fajardo-Ortiz","doi":"10.5281/zenodo.15644206","DOIUrl":"https://doi.org/10.5281/zenodo.15644206","url":null,"abstract":"<p><p>Over the past decade, the Revista Médica del IMSS has established itself as a cornerstone in the dissemination of scientific health knowledge, standing out for its open-access model with no charges for authors or readers. In response to the evolving editorial landscape and equity challenges in science, the journal adopted Open Journal Systems version 3.4, enhancing its efficiency, visibility, and global integration. This modernization has significantly increased its impact, with millions of views, ranking it among the most-read publications in Latin America. With an editorial policy grounded in ethics, transparency, and quality, the journal reaffirms IMSS's commitment to open, equitable, and socially valuable science. This inclusive publishing model has positioned the Institute as a regional leader in the management and democratization of biomedical knowledge.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6168"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Comment on the article: \"Cognition in pediatric patients with diagnosis of epilepsy\"].","authors":"Ricardo Dorantes-López","doi":"10.5281/zenodo.15644226","DOIUrl":"https://doi.org/10.5281/zenodo.15644226","url":null,"abstract":"<p><p>Epilepsy is a disorder characterized by a continuous predisposition to epileptic seizures, along with neurobiological, cognitive, psychological, and social consequences. In children, factors such as age of onset, type of seizure, and treatment influence neuropsychological alterations, which are further exacerbated by brain development during childhood. The analyzed article shows a decrease in working memory among adolescents, correlated with the duration since diagnosis but not with intelligence quotient.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6586"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Comment on the article: \"Main clinical factors associated with hypoglycemia in patients with type 2 diabetes\"].","authors":"Juan Eduardo Mendoza-Abarca","doi":"10.5281/zenodo.15644301","DOIUrl":"https://doi.org/10.5281/zenodo.15644301","url":null,"abstract":"<p><p>We read with interest the publication titled \"Principales factores clínicos asociados a hipoglucemia en pacientes con diabetes tipo 2\", which highlights the relevance of time since diagnosis, age, and educational level as non-modifiable risk factors for hypoglycemia detected in the emergency department. In this context, we propose an argument suggesting the need for a subanalysis of pharmacological treatment by specific drug type, which could reveal a modifiable risk factor for the prevention of hypoglycemia in patients with type 2 diabetes mellitus.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6094"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David Alejandro Cabrera-Gaytán, Concepción Grajales-Muñiz, Teresita Rojas-Mendoza, Lumumba Arriaga-Nieto, Alfonso Vallejos-Parás
{"title":"[Epidemiological surveillance at IMSS: a review of institutional successes].","authors":"David Alejandro Cabrera-Gaytán, Concepción Grajales-Muñiz, Teresita Rojas-Mendoza, Lumumba Arriaga-Nieto, Alfonso Vallejos-Parás","doi":"10.5281/zenodo.15178531","DOIUrl":"10.5281/zenodo.15178531","url":null,"abstract":"<p><p>The Mexican Institute for Social Security (IMSS) has recently celebrated 8 decades of existence; its contribution to the processes of medical care, public health and epidemiological surveillance in Mexico have been among its cornerstones. This article presents some selected points of the history of the Institute's epidemiological surveillance, from its birth in the organic structure to the successes of identifying agents and responding to outbreaks, epidemics and pandemics that have been milestones in the modern history of our country, such as diseases preventable by vaccination, pathologies affecting the respiratory tract, as well as the gastrointestinal tract, vector-borne and sexually transmitted diseases that have been subject to sectoral epidemiological surveillance, not only in terms of epidemiological surveillance, but also as contributions of research. Finally, it is a brief recapitulation to know and understand the events that the Institute have experienced, i. e., where we come from, what has been achieved in order to understand where we are and what can be built and done in the future.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 3","pages":"e6551"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Comment on the article \"Erythrocyte morphological alterations as predictors of kidney injury severity\"].","authors":"José Alfredo Feria-Ramírez","doi":"10.5281/zenodo.15178497","DOIUrl":"10.5281/zenodo.15178497","url":null,"abstract":"<p><p>After reviewing the article \"Erythrocyte morphological alterations as predictors of kidney injury severity\" published by Cruz-Balbuena et al., we can emphasize that erythrocytic changes have several pathophysiological mechanisms, such as iron deficiency, vitamin B12 deficiency, and the pro-inflammatory state of chronic kidney disease (CKD) itself. Furthermore, due to the accumulation of uremic toxins that result in a shortened lifespan of erythrocytes, a selection bias was found in their population and a positive but non-linear correlation. There are already several well-established progression markers with better correlation.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 3","pages":"e6505"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}