Gaceta Medica de Mexico

Complications of twin pregnancy by assisted reproductive techniques compared with spontaneous
García-Espinosa M, Manríquez-de Jesús CE, Rosales-Murillo CF and Caldiño-Soto F
Twin pregnancy through assisted reproduction techniques is increasing, as are the associated complications.
Osteoporosis and fracture risk
Clark P
Knowledge and use of pericranial nerve blocks in headache treatment in Mexico
Dominguez-Moreno R, Marfil A, Partida-Medina LR and Osorno-Guerra M
In developed countries, most of the neurologists use pericranial nerve blocks to treat headache patients, nevertheless, the knowledge and use patterns of this technique in developing countries are unknown.
Reply to the letter "New perspectives in the management of SARS-CoV-2 Pirola variants and the development of long COVID syndrome: anti-Ro52/TRIM21 antibodies and qRT-PCR"
Ramírez-García SA, Hernández-Osorio LA and Montero-Toledo E
New perspectives in the management of SARS-CoV-2 Pirola variants and the development of long COVID syndrome: anti-Ro52/TRIM21 antibodies and qRT-PC
Rabadán-Martínez CE
Application of the 6-SNP elevated LDL-cholesterol polygenic risk score in individuals with familial hypercholesterolemia phenotype from an Argentine population
Bañares V, Martini J, López G, Corral P and Schreier L
LDL-cholesterol greater than 190 mg/dL indicates severe hypercholesterolemia (HS) of monogenic and/or polygenic origin. Genetic risk scores (GRS) evaluate potential polygenic causes.
Analysis of circulating cell-free nuclear and mitochondrial DNA in plasma of Mexican patients with breast cancer
Rodríguez-Torres DE, Saucedo-Sariñana AM, Palacios-Ramírez A, Godínez-Rodríguez MY, Salas-González E, Alcaraz-Wong AA, García-Ortiz JE and Rosales-Reynoso MA
The usefulness of circulating free DNA (cfDNA), nuclear DNA (nDNA) and mitochondrial DNA (mtDNA) as potential biomarkers in cancer remains controversial.
Dyslipidemia: recommendations for diagnosis and treatment at the first level of medical contact
Basurto ML, Abdo-Francis M, Aguilar-Salinas CA, Balcázar-Hernández LJ, Borrayo-Sánchez G, Castro-Narro GE, Chávez-Negrete A, Díaz-Aragón A, Enciso-Muñoz JM, Fernández-Barros C, Ferreira-Hermosillo A, González-Chávez A, Guerra-López A, Gómez-Díaz R, Molina-Ayala M, Rodríguez-Gilabert C, Ruiz-Gastelum E, Tomás-López JC, Vargas-Sánchez HR and Ruiz-Gastelum E
Cardiovascular disease is the main cause of mortality in Mexico as well as the rest of the world, with dyslipidemia being one of the main risk factors. Despite the importance of its epidemiological impact, there is still -among primary care physicians- a lack of knowledge ranging from the basic concepts for diagnosis to the most recent recommendations for treatment. This document consisting of 10 questions is done by experts in this field. A total of 22 recommendations arise using Delphi methodology. The recommendations include the measurement of the lipid profile starting at 20 years of age, the treatment goals for patients according to their risk, the follow-up of patients with dyslipidemia, and the management approach in primary and secondary prevention.
Reply to the letter "Health careers and the labor market, complex dynamics"
Soto-Estrada G, García-Minjares M, Martínez-Franco AI, Gutiérrez-Cirlos C and Martínez-González A
Health careers and the labor market, complex dynamics
Rivas-Sucari HC
Diabetes and economy, a problem for the population
Rivas-Sucari HC
Reply to the letter "The ethics in research using data from the Instituto Nacional de Acceso a la Informacion"
Frías-Álvarez P and Ortiz-Millán G
The secrets of the Tübingen Castle kitchen: Friedrich Miescher and the discovery of nuclein, the cornerstone of DNA
Ortiz-Hidalgo C
In 1869, Friedrich Miescher, born in Basel, Switzerland, discovered a previously unknown phosphorus-rich substance in the nuclei of pus cells. Conducting his research in a laboratory set up in the kitchen of Tübingen's medieval castle in Germany, and under the guidance by Professor Felix Hoppe-Seyler, Miescher primarily focused on the composition of cell nuclei. He obtained nuclear material by washing pus cells from surgical bandages provided by a nearby hospital. In 1869, Miescher described a completely new nuclear molecule that, unlike proteins, contained large amounts of phosphorus. He named this substance 'nuclein,' marking the first description of DNA. Miescher passed away long before Watson, Crick, Wilkins, and Franklin announced the precise role DNA played in cells in 1953. Through his discovery, Miescher laid the groundwork for all subsequent DNA research.
Assessment of fracture risk with FRAX and FRAXplus
Tan THA, Johansson H, Harvey NC, Lorentzon M, Kanis JA, McCloskey E and Schini M
FRAX, a risk calculator that provides individualized 10-year probabilities of hip and major osteoporotic fracture, has been widely used for fracture risk assessment since its launch in 2008. It is now incorporated into very many guidelines worldwide to inform osteoporosis management. In this review, we explore the development of FRAX and how it enhances fracture risk prediction as compared to use of bone mineral density alone, as well as approaches to utilizing FRAX in determining intervention and assessment thresholds. We also discuss the limitations of FRAX and the arithmetic adjustments that have been proposed to address these. The introduction of FRAXplus includes these adjustments on a web-based platform for ease of application to enhance treatment decisions in osteoporosis.
Prevalence of Microsatellite Instability in Gastric and Gastroesophageal Junction Cancer patients from a Latin American Country
González-Motta A, Negrete-Tobar G, Messa-Botero OA, Pineda-Ortega J, Garciandía I, Álvarez-Martiínez JS, Vivero NL and Bruges-Maya R
In Colombia, gastric cancer is fifth in incidence (12.8 cases per 100,000) and third in mortality (9.9 cases per 100,000). Microsatellite instability (MSI), a phenotype in gastric cancer treatment, lacks comprehensive exploration in Colombian and Hispanic/Latino populations. Data scarcity hinders immunotherapy approval in middle-income countries.
Mindfulness, a possibility of alternative therapy against stress
Rivas-Sucari HC and Arnao-Villegas MY
Registration of deaths in children under five years of age has improved in Mexico, however, the underreporting has not yet been eliminated
Lozano R, Castillo I, Ríos-Blancas MJ, Razo C and González JJ
The underreporting of vital statistics poses a problem for the quality of information. To address underreporting, Mexico implemented the "Intentional Search for Children Deaths" in 2002.
Progressive supranuclear palsy: an updated approach on diagnosis, treatment, risk factors and outlook in Mexico
Gómez-Virgilio L, Gutiérrez-Malacara AI, Rivera-Osorio J, Silva-Lucero MDC, Padilla-Mendoza JR, Gómez-Ramírez DE and Cárdenas-Aguayo MDC
Progressive supranuclear palsy (PSP) is a rare, atypical parkinsonism, characterized by the presence of intracerebral tau protein aggregates and determined by a wide spectrum of clinical features. The definitive diagnosis is postmortem and is identified through the presence of neuronal death, gliosis, and aggregates of the tau protein presented in the form of neurofibrillary tangles (MNF) with a globose appearance in regions such as the subthalamic nucleus, the substantia nigra, and the globus pallidus The findings in ancillary imaging studies, as well as fluids biomarkers, are not sufficient to support diagnosis of PSP but are used to rule out similar pathologies because there are still no specific or validated biomarkers for this disease. The current treatment of PSP is focused on reducing symptoms, although emerging therapies seek to counteract its pathophysiological mechanisms. Cellular models constitute a good tool to determine the molecular mechanisms underlying them. Finally, PSP in Mexico has been little studied, and its diagnosis is often confused with Parkinson's disease, it has a great health and socio-economic impact on patients, their families, and caregivers, which is why it requires further investigation at both a basic and clinical level.
The ethics in research using data from the Instituto Nacional de Acceso a la Informacion
Gamba G and Bobadilla NA
Contraceptive patch in Mexico, an underused option
Lira-Plascencia J and Paz-Ruiz S
The transdermal patch is an effective contraceptive with advantages over other hormonal methods. However, the percentage of patch's users is 2.8 %.
A pilot project of pregnancy-associated plasma protein-A as an early screening test for preeclampsia in a Regional Hospital
Vega-Iglesias J, Velázquez-Pérez AT and Oviedo-Cruz H