Revista de Sanidad Militar
type: channel
description: The Revista de Sanidad Militar. Mexico, is the official quarterly publication of the General Directorate of Health of the Secretariat of National Defense. Its publication began in 1948 and has been uninterrupted since then. Each issue publishes two to four research articles, two to six clinical case reports, one to three papers on medical education, and abstracts of works presented at academic events. The Revista de Sanidad Militar accepts articles in Spanish and English.
publisher: Dirección General de Sanidad, Secretaría de la Defensa Nacional
language: es
publication name: Revista de Sanidad Militar
issn: 0301-696X
items: Slow coronary flow and anatomical-functional discordance in patients with myocardial ischemia detected by SPECT
items: Assessing corneal cell counts before and after advanced cataract surgery: a comparative analysis of horizontal PHACO CHOP AND MILOOP® techniques
items: Sublingual mucoepidermoid carcinoma. Clear cell variant.Case report and literature review
items: https://www.revistasanidadmilitar.org/index.php/rsm/article/view/2676
items: Application of the Nursing Care Process in intra and extra-hospital simulation by military nursing students in Argentina
items: Cardiopulmonary thromboembolism and Raynaud’ssyndrome in a patient with SARS-CoV-2: case report
items: Ventana analgésica y antiemética post-operatoria
items: Evolución del Servicio de Sanidad a partir de la Revolución Mexicana de 1910
items: La mujer embarazada agredida por trauma y su atención prehospitalaria
items: Procedimientos, técnicas e información La psicoterapia de grupo y el concepto de "enlace" en el contexto hospitalario
items: Manifestaciones orales del paciente con síndrome de inmunodeficiencia humana.
items: Hepatitis crónica C, Vll-1 y síndrome de Sjögren
items: Tuberculosis primaria en la amígdala palatina.
items: Aneurisma de Rasmussen
items: Validation of the Vitroveil® self-sampling device for cervical cancer screening
items: Trastorno psicótico agudo como síntoma inicial de anemia perniciosa: reporte de un caso
items: El médico audiólogo y foniatra, una visión general
items: HiperCKemia idiopática. Presentación de un caso y revisión bibliográfica
items: Acromegalia-gigantismo: reporte de un caso y revisión bibliográfica
items: Sarcoma de Kaposi asociado al VIH- SIDA
items: Intoxicación aguda por alcohol. Guía de certificación médica en el Ejército Mexicano
items: Abordaje diagnóstico de la enfermedad ósea metastásica
items: Evaluación de la reactividad vascular pulmonar con iloprost inhalado en pacientes con hipertensión arterial pulmonar en la sala de hemodinamia del Hospital Central Militar
items: Reflejo de Moro. Concordancia interobservador en la evaluación de recién nacidos menores de 48 horas de vida
items: La influencia de la cultura organizacional en el desempeño hospitalario
items: Experiencia en trasplante de microbiota fecal en el Hospital Central Militar
items: Correlación entre estrés, depresión y rasgos de personalidad en estudiantes de la Escuela Médico Militar durante los dos primeros años de adiestramiento
items: Eficacia de la angioplastia primaria con balón overthewire versus dispositivos de aspiración como tratamiento del trombo intracoronario
items: Aspectos demográficos en lesión de vía biliar en un periodo de 8 meses en colecistectomía laparoscópica en el Hospital Central Militar
items: Incidencia acumulada de eventos cardiovasculares adversos mayores en pacientes con enfermedad del tronco de la arteria coronaria izquierda asociada con enfermedad coronaria multivascular tratados

Slow coronary flow and anatomical-functional discordance in patients with myocardial ischemia detected by SPECT
type: item
description: Myocardial ischemia detected by single-photon emission computed tomography (SPECT) does not always correlate with the degree of epicardial coronary stenosis, suggesting the involvement of functional mechanisms such as coronary slow flow (CSF). This study aimed to estimate the prevalence of CSF and evaluate its mismatch with epicardial stenosis severity in patients with moderate or severe myocardial ischemia documented by SPECT who underwent diagnostic coronary angiography. A cross-sectional, observational, and retrospective study was conducted in 71 adult patients with moderate or severe ischemia on SPECT and available diagnostic coronary angiography, evaluated between January and November 2023 at the Central Military Hospital. Clinical and angiographic variables were analyzed using descriptive statistics, exact tests for categorical variables, and Spearman correlation. The mean age was 65.4 ± 9.6 years, with a male predominance and a high prevalence of cardiovascular comorbidities. Significant stenosis (≥70 %) was present in 60.6 % of patients. Moderate ischemia was the most common finding, with no significant association with the degree of coronary obstruction (p = 0.546). CSF was identified in 28.2 % of patients (95 % CI: 17.7–38.6 %), estimated using a binomial confidence interval. CSF was more frequent in the <50 % stenosis group (60.0 %) and less frequent in the ≥70 % stenosis group (11.6 %) (Fisher’s exact test, p < 0.001). These findings suggest a marked anatomical–functional mismatch and position CSF as a clinically relevant phenomenon, possibly associated with microvascular dysfunction, highlighting the need for physiological assessment beyond angiographic findings in patients with functionally documented ischemia.
subject: Artículos originales
  topic: section
subject: Coronary Slow Flow
  topic: keywords
subject: Myocardial Ischemia without Significant Obstruction
  topic: keywords
subject: Anatomical– Functional Mismatch
  topic: keywords
subject: Myocardial Perfusion SPECT
  topic: keywords
subject: Coronary Microvascular Dysfunction
  topic: keywords
subject: Diagnostic Coronary Angiography
  topic: keywords
subject: Non-Obstructive Coronary Artery Disease (NOCAD)
  topic: keywords
creator: José Eduardo Jiménez-Viveros
creator: Alberto Jaret Mejía-Meza
creator: Exsal Manuel Albores-Méndez
creator: Héctor Faustino Noyola-Villalobos
creator: Saray Quintero-Fabián
creator: Noemí Cárdenas Rodriguez
creator: Aldo Siney Hernández Casas
creator: Cindy Rodríguez-Balanda
creator: Marco Antonio Vargas-Hernández
creator: Nicolas Pacheco Ramírez
creator: Iván Ignacio Mejía
rights: Copyright (c) 2026 Revista de Sanidad Militar
date: 2026-05-20
publication date: 2026-05-20
doi: 10.56443/h3s8vh79

Assessing corneal cell counts before and after advanced cataract surgery: a comparative analysis of horizontal PHACO CHOP AND MILOOP® techniques
type: item
description: Objective: to compare changes in visual acuity and corneal endothelial cell density in patients undergoing cataract surgery using phacoemulsification with the Horizontal Phaco Chop and miLOOP® techniques. Methods: an observational, retrospective, and comparative study was conducted in 19 patients (22 eyes) treated at the Central Military Hospital. Surgical outcomes were compared between Horizontal Phaco Chop and miLOOP®. Visual acuity was assessed 24 hours and one month after the procedure, as well as cell density. Results: patients, of both sexes and aged between 52 and 82 years, showed a 48.0 % decrease in corneal endothelial cell density with Horizontal Phaco Chop and a 49.0 % decrease with miLOOP®. Visual acuity improved by 33.9 % with Horizontal Phaco Chop and by 44.5 % with miLOOP® at 24 hours, remaining similar after one month. Limitations: small sample size and short follow-up, limiting the generalization and evaluation of the real impact of both techniques. Originality: directly comparing Phaco Chop and miLOOP® provides novel evidence on visual recovery and endothelial damage. Conclusions: both techniques produced comparable reductions in corneal endothelial cell density. However, miLOOP® showed an advantage in early visual recovery (first 24 hours), which was not sustained in the long term. This suggests that miLOOP® could be a favorable alternative for achieving initial visual recovery, even
subject: Artículos originales
  topic: section
subject: Phacoemulsification
  topic: keywords
subject: miLOOP®
  topic: keywords
subject: Phaco Chop Horizontal
  topic: keywords
subject: advanced cataracts
  topic: keywords
subject: endothelial cell count
  topic: keywords
creator: Rodrigo Villa-Pérez
creator: Karla Ruiz-Salgado
creator: Exsal Manuel Albores-Méndez
creator: Cindy Rodríguez-Balanda
creator: Noemí Cárdenas-Rodriguez
creator: Verónica Díaz-Villegas
creator: Karla Esmeralda Tello-Ortega
creator: Marco Antonio Vargas-Hernández
creator: Sandra Luz Castañón-Alonso
creator: Iván Ignacio Mejía
creator: María Saray Quintero Fabián
rights: Copyright (c) 2026 Revista de Sanidad Militar
date: 2026-05-20
publication date: 2026-05-20
doi: 10.56443/ny00ed47

Sublingual mucoepidermoid carcinoma. Clear cell variant.Case report and literature review
type: item
description: Mucoepidermoid carcinoma is the most common malignant tumor of the salivary glands, accounting for 10-15 % of all salivary gland neoplasms and 30 % of all salivary malignancies, followed by adenoid cystic carcinoma. Tumor stage and grade have historically been important predictors of survival. The objective of this article is to present a clinical case diagnosed in the Dental Specialties Unit of SEDENA and to carry out a review of the literature to highlight its particularities. This is a 52-year-old woman who has increased volume in the floor. of the mouth, in which an excisional biopsy was performed and whose histopathological findings correspond to a high-grade mucoepidermoid carcinoma with the presence of clear cells, a rare variant reported in the literature. Both the clinical presentation on the floor of the mouth and the histopathological diagnosis stand out for their infrequency reported in ifferent publications and highlight the importance of making a timely accurate diagnosis and adequate treatment.
subject: Casos clínicos
  topic: section
subject: Neoplasia
  topic: keywords
subject: malignancy
  topic: keywords
subject: mucoepidermoid carcinoma
  topic: keywords
subject: sublingual
  topic: keywords
subject: clear cell
  topic: keywords
subject: cancer
  topic: keywords
creator: Juan Baños Sarmiento
creator: Martha Jessica Olalde-Hernández
creator: Alondra Guadalupe Luna-Vázquez
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-10-10
publication date: 2025-10-10
doi: 10.56443/bsg0yr51

https://www.revistasanidadmilitar.org/index.php/rsm/article/view/2676
type: item
title: Infrared thermography as an adjunct to ICG (IndocyanineGreen) angiography for the assessment of perfusion in DIEP(Deep Inferior Epigastric Perforator) flaps: a pilot study ofcorrelation and concordance
description: Background: loss of tissue perfusion and fat necrosis in DIEP (Deep Inferior Epigastric Perforator) flap econstruction, secondary to hypoperfusion, remains a cause of morbidity. ICG (Indocyanine Green) angiography is the current gold standard for intraoperative assessment but may overestimate ischemia. imilarly, infrared thermography technologies can estimate the risk of necrosis and perfusion success. However, their combined use has not been studied. The objective of this study was to evaluate the correlation and concordance etween the thermographic hotspot and ICG angiography. Materials and methods: a pilot study was conducted on 12 patients undergoing breast reconstruction with a DIEP flap. Intraoperatively, flap perfusion was assessed with thermography using a thermal camera, and with ICG using the SPY-Q software scale. Results: dual verification with ICG and the thermographic hotspot allowed for the detection of one case (8.7 %) with immediate postoperative ischemia that required a new arterial anastomosis. At the 12-month follow-up, the patient presented no major complications. The correlation between both technologies was significant for zones I and III p<0.05). Their concordance for estimating the zones used for perfusion diagnosis was significant, yet weak (Kappa=0.25, p=0.019). Conclusions: despite a weak statistical concordance, the combined use of thermography and ICG angiography in a dual-verification model proved to be clinically effective for minimizing fat necrosis. This dual strategy represents a promising tool for optimizing intraoperative decision-making.
subject: Artículos originales
  topic: section
subject: DIEP flap
  topic: keywords
subject: Breast reconstruction
  topic: keywords
subject: Thermography
  topic: keywords
subject: Thermographic hotspot
  topic: keywords
creator: Paúl Robledo Madrid
creator: Ivonne Uscanga Mejia
creator: Héctor Faustino Noyola Villalobos
rights: Copyright (c) 2026 Revista de Sanidad Militar
date: 2026-01-11
publication date: 2026-01-11
doi: 10.56443/4hdz8v79

Application of the Nursing Care Process in intra and extra-hospital simulation by military nursing students in Argentina
type: item
description: 1. The objetive of this work is to analyze the effectiveness of the application of the Nursing Care Process (NCP) in a simulated clinical situation of Cardiopulmonary Resuscitation (CPR), comparing its adequacy in the in-hospital and out-of-hospital settings in Argentinian military nursing students. 2. A cross-sectional study was carried out applying a 2x2 random factorial quasi-experimental desing whose independent variable was the type of nursing care situation and the dependent variable was the application and adecuancy of the NCP and the CPR technique in a simulator. The sample was made up of third and fourth years cadets of the Barchelor's Degree in Nursing from the Military College of the Nation. Two random groups were fomed: a) in-hospital setting (n = 22) and b) out-of-hospital setting (n = 22). 3. The results indicated that the application of the NCP was significantly more appropiate in the out-of-hospital setting simulated. 4. The limited number of the population limits the sampling possibilities and the consequent generalization of the results. 5. The study contributes to the improvement of the training of military nurses, who make up front-line health agents in action in emergency and catastrophe events. 6. It is concluded that it is relevant to continue developing simulated practices, in order to strengthen their clinical skills to effectively resolve in-hospital situations such as catastrophe situations, articulating the use of NCP with specific nursing techniques or procedures (e.g., CPR, placement of venous accesses, etc.), in situations of great uncertainty regarding the critically ill patient.
subject: Artículos originales
  topic: section
subject: military healt
  topic: keywords
subject: education
  topic: keywords
subject: nursing
  topic: keywords
subject: clinical competence
  topic: keywords
creator: Pablo Domingo Depaula
creator: Luciana Becerra
creator: Marta Elsa Suárez
creator: Gloria Isabel Torres
rights: Copyright (c) 2026 Revista de Sanidad Militar
date: 2026-01-11
publication date: 2026-01-11
doi: 10.56443/pbqs1523

Cardiopulmonary thromboembolism and Raynaud’ssyndrome in a patient with SARS-CoV-2: case report
type: item
description: Introduction: SARS-CoV-2 can activate autoimmune responses. Increasing evidence points to a central role of endothelial cells in SARS-CoV-2 infection, causing increased expression of vascular and inflammatory factors. These markers are associated with pulmonary and systemic pathologies. Case Report: a 39-year-old male, with a history of COVID-19, entered our service presenting with hemoptysis, dyspnea on small exertion, saturation of 97 % and Raynaud’s syndrome. A CT angiography was performed showing massive pulmonary thromboembolism with right heart failure secondary to thrombus in the right ventricle. The patient was managed with monoclonal antibodies and a thrombolysis plan.
subject: Casos clínicos
  topic: section
subject: Raynaud’s syndrome
  topic: keywords
subject: COVID-19
  topic: keywords
subject: Pulmonary thromboembolism
  topic: keywords
creator: María Guadalupe Ruiz-Pérez
creator: Teresa Díaz-Montiel
creator: Olivia Eugenia Rodríguez-Rodríguez
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-10-10
publication date: 2025-10-10
doi: 10.56443/f8mzzw26

Ventana analgésica y antiemética post-operatoria
type: item
description: Forty-five patients underwent abdominal hysterectomy under balanced general anesthesia. They were classified into three groups to compare postoperative pain control, nausea, and vomiting. The first group received analgesics only upon request, and ondansetron was administered if they experienced nausea or vomiting. The second group received analgesics immediately after anesthetic emergence, regardless of pain complaints, and the antiemetic only if needed. The third group represented the analgesic and antiemetic window; they were prescribed the medications before the end of the anesthetic procedure. In 40% of the patients (18), a single dose of buprenorphine combined with scheduled dipyrone was sufficient for pain control; of these, 12 patients (26.5%) belonged to the third group. The therapeutic effect of ondansetron was clearly demonstrated by its ability to suppress nausea and vomiting in patients from the first and second groups, while its prophylactic action was evident in women from the third group. Drowsiness was the most common side effect (58%), which contributed to the calm recovery of our patients and strongly supports the absence of these postoperative complications.
subject: Artículos originales
  topic: section
subject: analgesic
  topic: keywords
subject: Anti-emetic window
  topic: keywords
creator: José Antonio Carranza Castillo
creator: Rolando A. Villarreal Guzmán
rights: Copyright (c) 2024 Revista de Sanidad Militar
date: 2025-06-04
publication date: 2025-06-04
doi: 10.56443/8nxhs933

Evolución del Servicio de Sanidad a partir de la Revolución Mexicana de 1910
type: item
description: In Mexico, as in almost every country on Earth, medicine is as old as the world itself and existed long before physicians appeared on the stage of human societies. Long before there were individuals specifically dedicated to alleviating ailments, people were already experiencing pain and illnesses, which they sought to prevent or at least relieve.
subject: Antecedentes históricos
  topic: section
creator: Gilberto B. Lozano Lozano
rights: Copyright (c) 2024 Revista de Sanidad Militar
date: 2025-06-02
publication date: 2025-06-02
doi: 10.56443/4e9hp825

La mujer embarazada agredida por trauma y su atención prehospitalaria
type: item
description: Trauma during pregnancy has increased in recent years, reaching up to 7%. It has been associated with a high risk of fetal loss. The main cause is motor vehicle accidents, and the most common type is blunt trauma. For proper prehospital care, it is necessary to consider the physiological changes that occur during pregnancy, such as blood pressure, pulse, blood volume, and positional changes of the uterus, bladder, heart, etc. The effects of trauma may include, among others, shock, placental abruption, uterine rupture, direct fetal injuries, and fetomaternal hemorrhage. Management should be carried out with the same level of aggressiveness as for a non-pregnant patient, while taking into account the physiological changes and prioritizing maternal resuscitation. Since apparently stable maternal signs may not reflect the true condition, rapid transport to a trauma center is essential.
subject: Artículos originales
  topic: section
subject: Pregnancy
  topic: keywords
subject: Injury
  topic: keywords
subject: Prehosp ital atention
  topic: keywords
creator: David Eduardo Romero Fernández
rights: Copyright (c) 2024 Revista de Sanidad Militar
date: 2025-06-02
publication date: 2025-06-02
doi: 10.56443/8z10v639

Procedimientos, técnicas e información La psicoterapia de grupo y el concepto de "enlace" en el contexto hospitalario
type: item
description: The group psicotherapy (GP) was addressed by Joseph Pratt in 1904 in a general hospital and it was intended for chronic tuberculous patients. Afterwards it was applied by Lazell for psycotic patients. Currently it is considered as a common application for patients who have malignancy, AIDS, cardiovascular diseases, diabetes, nephropathy and others. The conception of "linking" appears in 1930 based upon the old complex mínd-body; it facilitates the conection to other medical specialties and with tbe family medical care. Diverse ways of "linking" sucb as intersconsultation, the linking itself, the psychiatric bridge, the hybrid model or the autonomous model can be elicited all inside a general hospital as the sub-speciality of "linking" are merging up. Pre-requisites for an eft'ective application of the ''linking" methodoly include: programming in time, setting up on precise objetives and estimation of the regression deprees. This paper is a trial designed in order to achieve the optimal intercommunication between the mental and other medicai disciplines in the standars of a general hospital.
subject: Artículos originales
  topic: section
subject: Group psicotherapy
  topic: keywords
subject: Conception of
  topic: keywords
subject: Hospital atention
  topic: keywords
creator: José de Jesús Almanza Muñoz
creator: Marcos Hernández Daza
creator: Genaro Barajas Aréchiga
rights: Copyright (c) 2024 Revista de Sanidad Militar
date: 2025-06-02
publication date: 2025-06-02
doi: 10.56443/qy09sw22

Manifestaciones orales del paciente con síndrome de inmunodeficiencia humana.
type: item
description: This article describes the oral lesions oí a lDV iníected female patient who was treated at the Millitary Central Hospital. Oral examination was carried out once the lDV iníection was confirmed. The oral status of thís patient was that expected for those HIV infected individuals who receive attention at a dental oflice with or without knowledge oí their dísease.
subject: Casos clínicos
  topic: section
subject: Mouth diseases
  topic: keywords
subject: HIV
  topic: keywords
subject: Viral lnfection
  topic: keywords
creator: Ignacio Ubilla Montiel
creator: Joel Omar Reyes Velázquez
rights: Copyright (c) 2024 Revista de Sanidad Militar
date: 2025-06-02
publication date: 2025-06-02
doi: 10.56443/he61kr57

Hepatitis crónica C, Vll-1 y síndrome de Sjögren
type: item
description: The Sjügren's syndrome is an autoimmune limpho-exocrinopathy of unknown ethiology. The two forms of presentation are: 1) primary form and 2) associated to several autoimmunes diseases. Many viroses have a role in the genesis of this syndrome (EpsteinBarr, cytomegalovirus, herpes simplex, retrovirus). It has currently been related to the hepatitis C virus and associated with chronic hepatitis, primary biliar cirrhosis and autoimmune trombocitopeny. We present the case of one patient with chronic hepatitis C and mv se ropositive reaction who later developed Sjügren's syndrome.
subject: Casos clínicos
  topic: section
subject: Sjogren's syndrome
  topic: keywords
subject: Chronic hepatitis C
  topic: keywords
subject: Immunology
  topic: keywords
subject: HIV
  topic: keywords
creator: Federico Maldonado Magos
creator: José Antonio Frías Salcedo
rights: Copyright (c) 2024 Revista de Sanidad Militar
date: 2025-06-02
publication date: 2025-06-02
doi: 10.56443/9bbgfb72

Tuberculosis primaria en la amígdala palatina.
type: item
description: The tuberculosis is the infection produced by Mycobacterium tuberculosis in the lungs, lymphatic nodes, meninges, kidneys, bones and seldom in the oral cavity. The lesions are ulcers, gums, fissures, hypertrophic gingivitis, tuberculoma, velvety ulcerations and granulomas in the mouth. This is the case of a male patient of 30 years with tuberculosis in the right side palatine tonsil as primary lesion as well as the ipsilateral lymphatic node affection, admitted to the Millitary Central Hospital. He was treated by ryfampicin 600 milligrams and isoniazid 300 milligrams daily PO, during 9 months, with good response.
subject: Casos clínicos
  topic: section
subject: Tuberculosis
  topic: keywords
subject: Primoinfection
  topic: keywords
subject: Tonsil
  topic: keywords
creator: Raúl Palacios Vázquez
creator: José Antonio Frías Salcedo
rights: Copyright (c) 2024 Revista de Sanidad Militar
date: 2025-06-02
publication date: 2025-06-02
doi: 10.56443/f1ya1074

Aneurisma de Rasmussen
type: item
description: A 73-year-old man with a 7-year history of tuberculosis developed an hemoptysis episode. The bronchial angiography revealed a hypervascular lesion of 6 x 7 cm in size and multiple arteriovenous flstulae. The embolization attempts failed to resolve the problem because of the high risk of the lesion. Patient was not operated on because of the high risk of their lesion. He was discharged with drug treatment for tuberculosis. Pulmonary aneurysm resulting from arterial erosion in cavitary tuberculosis is uncommon. It was described in detail by Fearn, Leannec aod Rasmussen in the past century. Its recognition is essential since the natural outcome for the vast majority of these aneurysms is the fatal rupture.
subject: Casos clínicos
  topic: section
subject: Pulmonary tuberculosis
  topic: keywords
subject: Hemoptysis
  topic: keywords
subject: Aneurysm
  topic: keywords
subject: Rassmusen aneurysm
  topic: keywords
creator: Julio César López Silvestre
creator: José Antonio Frías Salcedo
creator: Reginaldo A. Alcántara Peraza
creator: Martín Alberto Porras Jiménez
rights: Copyright (c) 2024 Revista de Sanidad Militar
date: 2025-06-02
publication date: 2025-06-02
doi: 10.56443/v2e0ax30

Validation of the Vitroveil® self-sampling device for cervical cancer screening
type: item
description: Objective: to demonstrate the validity of this new screening method (self-sampling) for cervical cancer, increasing the screening capacity to prevent cervical cancer based on its accessibility, ease of use, and favorable cost/benefit ratio. Design, methodology or approach: cross sectional observational study, with a cohort of 186 patients attended at the Military Hospital of Women’s Specialties and Neonatology, aged between 25 and 65 years. For each patient, two tests were analyzed: a self-sample vaginal specimen taken by the patient herself and a cervical brush sample using a vaginal speculum taken by the physician. The cervical samples were processed using the laboratory’s routine protocol for HPV based on PCR. Both the cervical and self-sample vaginal specimens were analyzed with the automated solution HPV 360 Test HPV Screening and genotyping. The concordance, sensitivity, and specificity of each method were evaluated, as well as patient acceptability through a satisfaction survey. Study limitation or implications: the use of self sampling limits the possibility of clinical assessment of the external female genital tract Originality or value: the self-sampling method increases the possibility of broader screening due to its practicality, lower pain, and greater accessibility, as it does not require hospital infrastructure for sample collection. Findings or conclusions: the device demonstrated a sensitivity (96 %) and specificity (93 %) in detecting high-risk HPV compared to the traditional sample taken by healthcare personnel. Regarding user satisfaction, the self-sampling method showed high acceptability, mainly due to its comfort and ease of use. These results suggest that self-sampling could be a useful tool in cervical cancer screening, especially in populations with limited access to healthcare.
subject: Artículos originales
  topic: section
subject: Cervix
  topic: keywords
subject: Screening
  topic: keywords
subject: HPV
  topic: keywords
subject: PCR
  topic: keywords
subject: Oncogenic
  topic: keywords
creator: Edwin Amaury Pérez-Morales
creator: Evelia García-Martínez
creator: Víctor Manuel Mora-Castañeda
creator: Brenda Karen Ruiz-Martínez
creator: Karina Lizbet Albarrán-Casildo
creator: Cassandra Guerra-Tello
creator: Raúl Medina-Núñez
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-07-10
publication date: 2025-07-10
doi: 10.56443/c3y1zs75

Trastorno psicótico agudo como síntoma inicial de anemia perniciosa: reporte de un caso
type: item
description: A case of a patient with psychotic symptoms diagnosed with pernicious anemia as the underlying cause of their condition is reported. The literature is reviewed.
subject: Casos clínicos
  topic: section
subject: Psychosis
  topic: keywords
subject: Pernicious anemia
  topic: keywords
creator: Manuel Alejandro Rodríguez Guiza
creator: Marcelino Soto Mendoza
creator: Juan Uriarte Duque
creator: Álvaro Campos Cortés
creator: Gildardo Agustín Garrido Sánchez
creator: Mónica Andrea Sánchez Velasco
creator: Juan Rogelio Ríos Morales
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/qyzr0h50

El médico audiólogo y foniatra, una visión general
type: item
description: Specializing in Audiology, Otoneurology, and Phoniatrics is are little known among the people, even among physicians. lt is very important to publicize it broadly due to the fact that it is a medical specialty with a wide field of action and which impact on the recovery of the quality of life on patients is beyond a shadow of a doubt.
subject: Historia y filosofía de la medicina
  topic: section
subject: Audiology
  topic: keywords
subject: Otoneurology
  topic: keywords
subject: Phoniatrics
  topic: keywords
creator: Amparo Sumano Gotóo
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/aesstf97

HiperCKemia idiopática. Presentación de un caso y revisión bibliográfica
type: item
description: A 34 years old male patient came to the emergency department with myalgias in the proximal area of inferior limbs, he started with symptoms 72 hrs. before his arrival. He said, he had been drinking alcohol the week before without reaching drunkenness and he took drugs to lose weight. The physical exploration did not show any muscle weakness, just pain with flexion movements from inferior limbs and a little pain with deep palpation on both quadriceps. The laboratory results with increase of creatine kinase of 17,000 U/L, for that reason the hospitalization was necessary with a parenteral hydration plan, urine alkalinization and complementary studies in order to find the etiology. A muscle biopsy was necessary and the result was reported normal, the viral profile for herpes virus type 1 and 2 (lgM) was positive. We thought that the creatine kinase elevation was related to the alcohol consume, drugs to lose weight and the probable viral infection.
subject: Casos clínicos
  topic: section
subject: Rhabdomyolysis
  topic: keywords
subject: HiperCKemia
  topic: keywords
subject: Creatine kinase
  topic: keywords
subject: Polymyositis
  topic: keywords
creator: Michel Villatoro Villar
creator: Omar Eloy Muñoz Monroy
creator: Isabel Mora Mendoza
creator: Gildardo Agustín Garrido Sánchez
creator: Mónica Alejandra Grimaldo Muñoz
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/y7ej0y36

Acromegalia-gigantismo: reporte de un caso y revisión bibliográfica
type: item
description: Acromegaly and gigantism due to pituitary adenomas are very rare, where description of the disease is limited to small group of cases reported, because of its lower prevalence. Both related to excessive production of Growth Hormone (GH), characterized by progressive disfigurement, which affects men and women equally and is often diagnosed four to more years later after its onset because of its slow progression. Diagnosis is clinical but needs to be confirmed by another biochemical and imaging studies in order to determine tumor volume and extension. Treatment is principally focused on excising lesion and on reducing GH and IGF-1 (Insulin-like Growth Factor) levels, to normal values. Transesphenoidal surgery is often the first line treatment, but radiotherapy can be used, concomitant with pharmacological treat- ment. However, even if patients are cured, sequelaes often remain. There´s the importance of this case, to emphasize on disease diagnosis and multidisciplinary approach.
subject: Casos clínicos
  topic: section
subject: Gigantism
  topic: keywords
subject: Acromegaly
  topic: keywords
subject: IGF-1
  topic: keywords
subject: Growth hormone
  topic: keywords
creator: José Juan Ceballos Macías
creator: Ana Luisa Mendizábala Méndez
creator: Hazel G Rodr´íguez Benítez
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/0ranvs54

Sarcoma de Kaposi asociado al VIH- SIDA
type: item
description: The sarcoma of Kaposi (KS) is associated to the AIDS, it is a tumor vascular systemic characterized by nodules purplish-blue-red and for secondary edema to lymphatic obstruction. The coetaneous lesions of the KS frequently begin in form of stain equimotic. The lesions in general are asymptomatic. The lesions can sometimes be ulcerated and to bleed with easiness. The sarcoma of Kaposi intraoral can be the initial manifestation of at least 60% of these reported cases. The biopsy is necessary for a definitive diagnosis. The KS is important to detect it early, the treatment it avoids complications and it allows that the patient with AIDS lives more time.
subject: Artículos de revisión
  topic: section
subject: AIDS
  topic: keywords
subject: Kaposi
  topic: keywords
subject: Sarcoma
  topic: keywords
creator: José Antonio Frías Salcedo
creator: Gildardo Agustin Garrido Sánchez
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/1gfxf793

Intoxicación aguda por alcohol. Guía de certificación médica en el Ejército Mexicano
type: item
description: Acute alcohol intoxication intoxication is a serious public health problem in our country that annually represents significant economic losses, absenteeism, fatalities, disability, family breakdown, among others; This situation is no stranger to the reality of the Mexican Army and Air Force. The primary intent of this study corresponds to the Mexican military providing specific medical criteria for medical certification of the state of acute alcohol intoxication (intoxication level) and physical examination format that allows unify the clinical trial for these cases.
subject: Artículos de revisión
  topic: section
subject: Acute alcohol intoxication intoxication
  topic: keywords
subject: Forense medical
  topic: keywords
subject: Forens toxicology
  topic: keywords
creator: León Adán Rodríguez González
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/pv4y1436

Abordaje diagnóstico de la enfermedad ósea metastásica
type: item
description: Metastatic bone disease results interesting and relevant due to high incidence of tumors and the morbidly and mortality associated, being breast cancer and prostate cancer the primary tumors with highest frequency. This article pretends to do a review of actual literature about bone affectation produced by oncologic diseases, to determinate a diagnostic guideline in the Medical Services of the Mexican Army Forces, and to have standard criteria in order to avoid unnecessary use of diagnostic resources. Our conclusion is that it is not any diagnostic modality able to be the only one with the sensibility and specificity to use like gold standard, however, we suggest an algorithm when EOM is suspected that could have impact in opportunity and individualization of the patients management.
subject: Artículos de revisión
  topic: section
subject: Metastatic disease to bone
  topic: keywords
subject: Algorithm
  topic: keywords
subject: Diagnosis
  topic: keywords
creator: Saúl Israel Guzmán Espinosa
creator: Víctor Hugo Ruiz Yonca
creator: Andrea Berenice Craviotto Rivera
creator: Edgardo Alonso Montelongo
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/9ym3zb10

Evaluación de la reactividad vascular pulmonar con iloprost inhalado en pacientes con hipertensión arterial pulmonar en la sala de hemodinamia del Hospital Central Militar
type: item
description: lloprost has been used to test acute pulmonary vasoreactiv- ity and identify responders patients to treatment with calcium antagonists in Pulmonary Arterial Hypertension (PAH).
subject: Artículos de investigación
  topic: section
subject: Pulmonary Arterial Hypertension
  topic: keywords
subject: Vasoreactivity
  topic: keywords
subject: Iloprost
  topic: keywords
creator: Hugo Gutiérrez Leonar
creator: José Luis Ojeda Delgado
creator: Luis Manuel Páez Lizárraga
creator: Luis Enrique Berúmen Domínguez
creator: Miguel Ángel Ramírez Aldaraca
creator: Iván Salazar Peña
creator: Aldo Siney Hernández Casas
creator: Higinio García Velásquez
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/p0gmqq39

Reflejo de Moro. Concordancia interobservador en la evaluación de recién nacidos menores de 48 horas de vida
type: item
description: Primitive reflexes like Moro reflex allow establishing early the integrity of the nervous system in infants, but its valuation depends on the observer training.
subject: Artículos de investigación
  topic: section
subject: Moro reflex
  topic: keywords
subject: Agreement
  topic: keywords
creator: Claudia García Talavera
creator: Saúl Garza Morales
creator: Mario Enrique Rendón Macías
creator: José Iglesias Leboreiro
creator: Isabel Bernández Zapata
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/v559rz77

La influencia de la cultura organizacional en el desempeño hospitalario
type: item
description: This research analyses the connection that leadership, strategic objec- tives, system of incentives, and other factors included in cultural organization have with the performance in acute hospital.
subject: Artículos de investigación
  topic: section
subject: Organizational culture
  topic: keywords
subject: Hospital performance
  topic: keywords
creator: David Arturo Revilla Macías
creator: Rafael Santana Modragón
creator: María Rentería Lopez
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/0y4gss42

Experiencia en trasplante de microbiota fecal en el Hospital Central Militar
type: item
description: Fecal microbiota transplantation is the application of feces from healthy human digestive tube to another one with a specific disease, like pseudomembranous colitis due to Clostridium diMÄJilL infection. In the last decades, the importance of the fecal microbiota and its relation with some diseases has been recognized.
subject: Artículos de investigación
  topic: section
subject: Fecal microbiota transplantation
  topic: keywords
subject: Fecal transplant
  topic: keywords
subject: Clostridium diMÄJilL
  topic: keywords
subject: Pseudomembranous colitis
  topic: keywords
creator: Michel Villatoro Villar
creator: José Isidro Minero Alfaro
creator: Eddie Rubio Covarrubias
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/7sa1wz03

Correlación entre estrés, depresión y rasgos de personalidad en estudiantes de la Escuela Médico Militar durante los dos primeros años de adiestramiento
type: item
description: Identify the correlation between levels of depression, perceived stress, and personality traits during the first two years of training at the Military Medical School.
subject: Artículos de investigación
  topic: section
subject: Depression
  topic: keywords
subject: stress
  topic: keywords
subject: Students
  topic: keywords
creator: Manuel Alejandro Rodríguez Guiza
creator: Félix Juárez Montes
creator: José María Rivera Cruz
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/wghhan29

Eficacia de la angioplastia primaria con balón overthewire versus dispositivos de aspiración como tratamiento del trombo intracoronario
type: item
description: To evaluate a new technique developed by the laboratory personnel interventional cardiology favoring conventional percutaneous coronary intervention by reducing the burden intracoronary thrombus, distal embolism and reperfusion injury, using the long ball over the wire.
subject: Artículos de investigación
  topic: section
subject: Ischemic heart disease
  topic: keywords
subject: Acute myocardial infarction with ST segment elevation
  topic: keywords
subject: Thrombus
  topic: keywords
subject: Coronary angioplasty long ball
  topic: keywords
creator: Hugo Gutiérrez Leonar
creator: José Luis Ojeda Delgado
creator: Luis Manuel Páez Lizárraga
creator: Luis Enrique Berúmen Domínguez
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/vbmhtw76

Aspectos demográficos en lesión de vía biliar en un periodo de 8 meses en colecistectomía laparoscópica en el Hospital Central Militar
type: item
description: Laparoscopic cholecystectomy through the times to established itself as the gold standard for gallbladder cancer disease, but the consequence is the increase of bile duct injures documented.
subject: Artículos de investigación
  topic: section
subject: Laparoscopic cholecystectomy
  topic: keywords
subject: Bile duct injury
  topic: keywords
creator: Eric Contreras Sibaja
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/qxcd9e66

Incidencia acumulada de eventos cardiovasculares adversos mayores en pacientes con enfermedad del tronco de la arteria coronaria izquierda asociada con enfermedad coronaria multivascular tratados
type: item
description: Evaluate the 5 years cumulative incidence of MACE in pa- tients with LM.C.AD associated to multivessel coronary artery disease treated with PCI and stent implantation.
subject: Artículos de investigación
  topic: section
subject: Left main coronary artery disease
  topic: keywords
subject: Percutaneous coronary intervention
  topic: keywords
creator: Hugo Gutiérrez Leonar
creator: Ivan Salazar Peña
creator: Luis Manuales Paez Lizárraga
creator: Luis Enrique Berúmen Domínguez
creator: Patricia Martín Hernández
creator: Miguel Ángel Ramírez Aldaraca
creator: Hipólito Alfredo Pérez Sandoval
creator: Aldo Siney Hernández Casas
creator: Higinio García Velásquez
rights: Copyright (c) 2025 Revista de Sanidad Militar
date: 2025-05-08
publication date: 2025-05-08
doi: 10.56443/6nrg8020