{"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628382","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}
Aldo Ferreira-Hermosillo, Rodolfo Rivas-Ruiz, Ivonne Analí Roy-García, Eduardo Antonio Ferat-Osorio, Octavio Castro-Escamilla, Keiko Taniguchi-Ponciano, Daniel Marrero-Rodríguez, Amelia Irene Rodríguez-Jiménez, Patricia Pérez-Zataray, Jose Luis Cevallos-Rivera, Jorge A Hernández-Casildo, José Félix Saavedra-Ramírez, Víctor G Cruz-Morales, Omar Livio Peralta-Méndez, Alejandro M Vargas-García, Asa Christina Laurell, Rosana Pelayo, Laura C Bonifaz
{"title":"Comprehensive study of associated factors with Type 2 Diabetes in Mexico: protocol.","authors":"Aldo Ferreira-Hermosillo, Rodolfo Rivas-Ruiz, Ivonne Analí Roy-García, Eduardo Antonio Ferat-Osorio, Octavio Castro-Escamilla, Keiko Taniguchi-Ponciano, Daniel Marrero-Rodríguez, Amelia Irene Rodríguez-Jiménez, Patricia Pérez-Zataray, Jose Luis Cevallos-Rivera, Jorge A Hernández-Casildo, José Félix Saavedra-Ramírez, Víctor G Cruz-Morales, Omar Livio Peralta-Méndez, Alejandro M Vargas-García, Asa Christina Laurell, Rosana Pelayo, Laura C Bonifaz","doi":"10.5281/zenodo.15644323","DOIUrl":"10.5281/zenodo.15644323","url":null,"abstract":"<p><p>One of the main goals in the treatment of patients with type 2 diabetes (T2D) is the prevention of its complications. Most existing studies have evaluated a limited and isolated number of inflammatory molecules and metabolic factors, and only rarely have clinical and lifestyle variables been jointly considered. The objective of this study is to describe the protocol design for a comprehensive assessment of patients with T2D, considering glycemic control and the development of complications. A cross-sectional, observational, and multicenter study was conducted in three primary care units located in the states of Coahuila, Jalisco, and Veracruz. Glycemic dysregulation will be assessed by measuring glycated hemoglobin, while diabetic nephropathy will be identified through alterations in the glomerular filtration rate. Additionally, clinical and biochemical parameters, lifestyle habits, physical condition, type of treatment, treatment adherence, and nutritional aspects will be evaluated. Furthermore, transcriptomic analysis using RNA-Seq will be performed to identify the genes that best stratify and distinguish patients with glycemic dysregulation, metabolic alterations, and diabetic nephropathy through principal component analysis and ROC curves based on relative RNA expression. To determine clinical factors associated with the link between molecular profiles and glycemic dysregulation, multiple logistic regression models will be developed to identify a pathological molecular signature characteristic of the disease.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6386"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639171","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}
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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628383","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}
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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628384","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":"[Impact of an educational intervention on knowledge, attitudes, and practices on breastfeeding].","authors":"Augusto Rafael Aguilera-Joaquin","doi":"10.5281/zenodo.15644270","DOIUrl":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628378","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}
Betzayda Valdez-Garibay, Gloria Patricia Sosa-Bustamante, Alma Patricia González, Benigno Linares-Segovia, Octavio Martínez-Villegas, Arturo Maximiliano Reyes-Sosa, Carlos Paque-Bautista
{"title":"[Diagnosis and treatment of pediatric acute lymphoblastic leukemia: Historical review].","authors":"Betzayda Valdez-Garibay, Gloria Patricia Sosa-Bustamante, Alma Patricia González, Benigno Linares-Segovia, Octavio Martínez-Villegas, Arturo Maximiliano Reyes-Sosa, Carlos Paque-Bautista","doi":"10.5281/zenodo.15644329","DOIUrl":"10.5281/zenodo.15644329","url":null,"abstract":"<p><p>Acute lymphoblastic leukemia (ALL) is the most common malignant neoplasm in childhood, with the highest incidence occurring between 10 and 14 years of age in the Mexican population. ALL results from the abnormal proliferation of a malignant clone of leukocytes. The Mexican pediatric population exhibits idiosyncratic characteristics that are associated with a less favorable prognosis compared to the Caucasian population. In 1847, Rudolph Virchow first coined the term leukemia. In 1976, the French-American-British classification was introduced, which described the morphological characteristics of leukemic cells as L1, L2, and L3, providing greater diagnostic accuracy and distinguishing between myeloid and lymphoid leukemia. At that time, the disease-free survival rate was 20%. In 2008, the World Health Organization (WHO) introduced an immunological classification based on the immunophenotype of leukemias, marking a new era in the prognosis and clinical management of the disease. This classification reduced interobserver morphological diagnostic errors by identifying antigens that classify the cell lineage and maturation stage. The expression and combination of cellular antigens, as well as molecular rearrangements, are directly associated with the prognosis of ALL. Treatment has evolved alongside diagnostic advances in recent years, with strategies aimed at limiting treatment-related toxicity through safer chemotherapy regimens.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6552"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12303612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639150","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}
Guillermo Fajardo-Ortiz, Alejandro Moctezuma-Paz, Oscar Cruz-Orozco
{"title":"[Tribute to Dr. Felipe Cruz Vega (1944-2025)].","authors":"Guillermo Fajardo-Ortiz, Alejandro Moctezuma-Paz, Oscar Cruz-Orozco","doi":"10.5281/zenodo.15644349","DOIUrl":"https://doi.org/10.5281/zenodo.15644349","url":null,"abstract":"<p><p>To mention Dr. Felipe Cruz Vega is to evoke a life dedicated to service, medicine, and humanity. With a solid background as a medical surgeon from UNAM and a specialist in general surgery from the IMSS, his career at the institution spanned 47 years of unwavering dedication. Dr. Cruz Vega was an upright man, passionate about serving. His memory remains alive in every medical action with a social purpose, in every better-prepared hospital, and in every professional inspired by his example.</p>","PeriodicalId":94200,"journal":{"name":"Revista medica del Instituto Mexicano del Seguro Social","volume":"63 4","pages":"e6378"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144639151","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12283114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628381","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":"[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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628377","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: \"Cognition in pediatric patients with diagnosis of epilepsy\"].","authors":"Ricardo Dorantes-López","doi":"10.5281/zenodo.15644226","DOIUrl":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628379","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}