- Global Cancer Incidence and Screening
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Economic and Financial Impacts of Cancer
- Childhood Cancer Survivors' Quality of Life
- Healthcare Systems and Reforms
- Acute Lymphoblastic Leukemia research
- Scientific Computing and Data Management
- Research Data Management Practices
- Climate Change and Health Impacts
- Neurological disorders and treatments
- COVID-19 epidemiological studies
- Parkinson's Disease Mechanisms and Treatments
- Traumatic Brain Injury Research
- EEG and Brain-Computer Interfaces
- BRCA gene mutations in cancer
- Cardiac Arrest and Resuscitation
- Genetic Neurodegenerative Diseases
- Genetics, Bioinformatics, and Biomedical Research
- Immunodeficiency and Autoimmune Disorders
- Nosocomial Infections in ICU
- Public Health and Environmental Issues
- Global Public Health Policies and Epidemiology
- Male Breast Health Studies
- COVID-19 and healthcare impacts
Charité - Universitätsmedizin Berlin
2022-2025
Instituto Nacional de Salud Pública
2019-2024
New York City Department of Health and Mental Hygiene
2021
Hospital Juárez de México
2019
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
2019
Spaulding Rehabilitation Hospital
2017-2018
Harvard University
2017-2018
Universidad Nacional Autónoma de México
2017
What determines motor recovery in stroke is still unknown and finding markers that could predict improve a challenge. In this study, we aimed at understanding the neural mechanisms of function after using neurophysiological by means cortical excitability (Transcranial Magnetic Stimulation – TMS) brain oscillations (electroencephalography EEG). cross-sectional fifty-five subjects with chronic (62±14 yo, 17 women, 32±42 months post-stroke) were recruited two sites. We analyzed TMS measures...
Background and aimsExperience in the region shows that some countries there is very good surveillance of Healthcare-associated infections (HAIs) health services, but no national data consistently all countries. Therefore, we set to estimate total burden HAIs antimicrobial use acute care hospitals Brazil, Venezuela, Mexico, Colombia using one-day point prevalence methodology.MethodsThe survey was conducted between June July 2016. In each ward or unit, were collected on a single day by trained...
The aim of the study was to measure survival children with acute lymphoblastic leukemia (ALL) under Mexico's public health insurance for population treated Seguro Popular. A retrospective cohort using claims data from Popular program, covering cancer treatment 2005 2015 conducted. Overall 5-year national and state-specific ALL across Mexico who initiated this program estimated. From 2015, 8,977 Under financing scheme, annual number doubled 535 in 1,070 2015. estimates overall 61.8% (95%CI...
Essential indicators of health system performance for breast cancer are lacking in Mexico. We estimated survival and clinical stage distribution women without social insurance who were treated under a financing scheme that covered 60% the Mexican population.We conducted retrospective cohort study cross-linking reimbursement claims 56,847 between 2007 2016 to mortality registry. overall- stage-specific according patient age, state residence, marginalization, type treatment facility, volume...
The treatment for patients with disorders of consciousness challenges researchers and clinicians. stimulation the left dorsolateral prefrontal cortex transcranial direct current (tDCS) may enhance behavioral responsiveness a subset in minimally conscious state, while having limited effects unresponsive patients. However, heterogeneity responses raises questions about effectiveness tDCS. Our objective was to explore characteristics responders tDCS based on previously published RCTs...
Objetivo. Estimar la supervivencia a cinco años por cáncer cervicouterino y sus factores asociados en pacientes mexica-nas, cuya atención fue financiada el Fondo de Protección contra Gastos Catastróficos (FPGC) del Seguro Popular durante periodo 2006-2014. Material métodos. Se analizó base datos las mencionadas se vinculó con Subsistema Epidemiológico Estadístico Defunciones. hizo un análisis etapa clínica asociados, mediante método Kaplan-Meier los modelos riesgos proporcionales Cox....
Background: Modified Rankin Scale (mRS) scores are used to measure functional outcomes after stroke. Researchers create horizontal stacked bar graphs (nicknamed “Grotta bars”) illustrate distributional differences in between groups. In well-conducted randomized controlled trials, Grotta bars have a causal interpretation. However, the common practice of exclusively presenting unadjusted observational studies can be misleading presence confounding. We demonstrated this problem and possible...
Objectives. To estimate all-cause excess deaths in Mexico City (MXC) and New York (NYC) during the COVID-19 pandemic. Methods. We estimated expected among residents of both cities between March 1 August 29, 2020, using log-linked negative binomial regression compared these with observed same period. calculated total age-specific 95% prediction intervals (PIs). Results. There were 259 per 100 000 (95% PI = 249, 269) MXC 311 305, 318) NYC study The number individuals 25 to 44 years old was...
PURPOSE Cost containment and efficiency in the provision of health care are primary concerns for systems that aim to provide affordable, high-quality care. Between 2005 2015, Seguro Poplar's Fund against Catastrophic Expenditures (FPGC) funded ALL treatment Mexico. Before January 1, 2011, FPGC reimbursed a fixed amount per patient according risk. In capita reimbursement method changed fee service. We used this natural experiment estimate impact policy change on average expenditure quality...
1116 Background: Male breast cancer represents around 1% of all cancers worldwide. Due to its rarity, it is more likely be diagnosed at advanced stages than in women, and survival rates tend lower female patients. Information about male low- middle-income countries (LMIC) scarce. Methods: We conducted a retrospective cohort study cross-linking nationwide reimbursement claims for cases between 2007 2016 treated within the Seguro Popular health financing scheme national mortality registry...
To assess whether the Catastrophic Health Expenditures Fund (FPGC, Spanish acronym) was associated with delays in seeking medical care and starting treatment.We conducted a before after cross-sectional study. We included 266 women breast cancer (BC) diagnosis treated during last three years hospitals received FPGC 309 wo-men following fund by accredited hospitals.After adjusting for potential confounders, we found no association between delay or treatment delay.The initiative reduced neither...
Background: Clinical stage distribution and survival rates are essential indicators of health system performance in the management breast cancer. However, robust estimates for these measures lacking Mexico. This study aimed to describe clinical at treatment initiation, estimate 5-year overall stage-specific survival, explore patient groups that may be increased risk mortality.Methods: We conducted a retrospective cohort cross-linking nationwide comprehensive reimbursement claims data 56,847...
ABSTRACT We aimed to measure survival of children with acute lymphoblastic leukaemia (ALL) under Mexico’s public health insurance for the population without social security, and explore patient groups that may be at risk increased mortality. conducted a retrospective cohort study using claims data from Seguro Popular program, covering cancer treatment in people 2005-15. estimated 5-year national state-specific ALL across Mexico who initiated this healthcare scheme. 8,977 were treated Under...
Abstract Purpose: To determine 5-year survival for breast cancer among uninsured women treated under Mexico's Seguro Popular landmark health reform according to clinical stage and identify factors associated survival. Methods: We conducted a retrospective cohort study with data obtained from national reimbursement claims of patients January 2007 December 2016. Reimbursement was cross-linked mortality registry. used the Kaplan-Meier method estimate overall different variables stratified them...
PURPOSE One of the goals Seguro Popular, Mexico’s landmark healthcare reform, was bridging existing disparities in access to health care and status. In 2007, this program began reimbursement breast cancer treatment previously uninsured Mexican women. We evaluated geographic survival women treated under explored potential sources heterogeneity. METHODS classified who were between 2007 2016 as having early (stages 0-IIA), locally advanced IIB-IIIC), or metastatic (stage IV) disease....
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Objetive: To identify the patients with RA at highest risk of TB, prior to use biological therapy antiTNF. Method: We carried out a study two phases considered three groups, in first we performed case and control Hospital Juárez de México, second phase, results phase one were analyzed those obtained group identified Poncet´s disease. compared classes I II HLA naïve biologic treatment healthy controls. Result: have several candidate alleles that will help advance personalized takes into...
Training in robust research practices is becoming increasingly common. However, many course participants may encounter challenges implementation of what they learned after returning to their groups. In this piece, we summarize insights and "lessons learned" from a group former participants. We offer practical tips on cultural change that be useful for researchers at any career stage. addition, provide list considerations instructors help them support attendees training over.