Centro Medico Nacional Siglo XXI

Depressive Symptom Predictors in Older Mexican Adults: Interaction Structures and Nonlinear Effects from Machine Learning Explainability

Background Depression among older adults remains a critical public health issue in Latin America, where aging populations face compounded social and health vulnerabilities. Objective To characterize psychosocial and clinical predictors of depressive symptoms among older Mexican a...

Oncoplastic Reconstruction of the Anterior Chest Wall Using a Latissimus Dorsi Myocutaneous Flap: A Case Report

Background: Dermatofibrosarcoma protuberans (DFSP) is an uncommon cutaneous fibroblastic neoplasm characterized by infiltrative growth, low metastatic potential, and a high risk of local recurrence following incomplete excision. Large or recurrent tumors of the anterior chest wal...

Thinner femoral cortical thickness in children with knee hemophilic arthropathy

A cross-sectional study was performed to compare the cortical femoral shaft between the leg with knee hemophilic arthropathy and the contralateral leg. Children with hemophilic arthropathy were included. Joint evaluation was made using the Hemophilia Joint Health Score 2.1 (HJHS...

Impact of Coffee Consumption on Fructose-Related Metabolic Alterations: Potential Mechanisms and Implications for Metabolic Diseases

Coffee is one of the most widely consumed beverages worldwide. Coffee and its bioactive compounds, including caffeine, chlorogenic acid, and caffeic acid, have attracted increasing attention because of their potential health benefits. Evidence from pediatric and adult populations...

Comparison of Dialysate Calcium Concentrations and Arterial Stiffness in Dialysis Patients: A Network Meta-analysis

Abstract Background Chronic kidney disease often requires hemodialysis, which increases cardiovascular risk, partly because of arterial stiffness. This can be influenced by dialysate calcium concentrations, which affect mineral balance and vascular health. However, there is contr...