Leticia Adriana Ramirez-Hernandez

Dr. Leticia Adriana Ramirez-Hernandez

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Research Focus & Metrics

Academic Career Length

8Years (2019-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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SCSergio Córdova-Rivas
Sergio Córdova-Rivas
IFIxamail Fraire-Soto
Ixamail Fraire-Soto
ATAndrea Mercado-Casas Torres
Andrea Mercado-Casas Torres
LSLuis Steven Servín-González
Luis Steven Servín-González
AGAngelica Judith Granados-López
Angelica Judith Granados-López
JLJesús Adrián López
Jesús Adrián López
The micro RNA (miR)-34 family is composed of 5p and 3p strands of miR-34a, miR-34b, and miR-34c. The 5p strand’s expression and function is studied in cervical cancer. The 3p strand’s function and regulation remain to be elucidated. To study the function of the passenger strands of miR-34 family members, we overexpressed 5p and 3p strands using a synthetic miRNA in cervical cell lines. Cell proliferation was evaluated using crystal violet. Migration and invasion were tested using transwell assays, Western blot, and zymography. Possible specific targets and cell signaling were investigated for each strand. We found that miR-34a-5p inhibited proliferation, migration, and cell invasion accompanied by matrix metalloproteinase 9 (MMP9) activity and microtubule-associated protein 2 (MAP2) protein reduction. We also found that miR-34b-5p and miR-34c-5p inhibit proliferation and migration, but not invasion. In contrast, miR-34c-5p inhibits MMP9 activity and MAP2 protein, while miR-34b-5p has no effect on these genes. Furthermore, miR-34a-3p and miR-34b-3p inhibit proliferation and migration, but not invasion, despite the later reducing MMP2 activity, while miR-34c-3p inhibit proliferation, migration, and cell invasion accompanied by MMP9 activity and MAP2 protein inhibition. The difference in cellular processes, MMP2 and MMP9 activity, and MAP2 protein inhibition by miR-34 family members suggests the participation of other regulated genes. This study provides insights into the roles of passenger strands (strand*) of the miR-34 family in cervical cancer.

10 December 2025 in Nursing Reports
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Margarita L. Martinez-FierroMargarita L. Martinez-Fierro
Margarita L. Martinez-Fierro
LRLeticia Adriana Ramirez-Hernandez
Leticia Adriana Ramirez-Hernandez
PTPerla Maria Trejo-Ortiz
Perla Maria Trejo-Ortiz
GLGeorgina Mujer Lozano-Razo
Georgina Mujer Lozano-Razo
JZJavier Zavala-Rayas
Javier Zavala-Rayas
IGIdalia Garza-Veloz
Idalia Garza-Veloz
Background: Nursing students face emotional and psychological challenges stemming from early clinical exposure, intense academic pressure, and persistent social stigmas. These stressors can contribute to mental health deterioration and increase the risk of suicidal thoughts and behavior. Objective: To evaluate the psychosocial context and identify risk and protective factors contributing to suicidal behavior in undergraduate nursing students. Methods: This cross-sectional study included 433 undergraduate nursing students and utilized validated psychological instruments to assess suicidal behavior, emotional distress, impulsivity, anhedonia, mental health, and perceived social support. Data were analyzed using descriptive statistics, bivariate tests, exploratory factor analysis, and multivariate modeling to identify key predictors of suicidal behavior. Network visualization was used to integrate significant point-biserial correlations with factor loadings. Results: Among 433 nursing students (77.8% women, 93.8% cisgender, mean age 19), 15.2% showed clinically significant suicidal risk. Suicidal behavior was more frequent among women and students living away from home (p < 0.05). Higher levels of impulsivity, ADHD symptoms, and especially moderate-to-severe hopelessness (p < 0.001) were strongly associated. Hazardous alcohol use was also a significant risk factor (p < 0.01), while strong material and emotional support showed a protective effect (p < 0.05). Two psychological dimensions, emotional distress/impulsivity and hopelessness/low support, explained most of the variance. Conclusions: 1 in 7 nursing students show clinically relevant suicidal risk, particularly those with heightened hopelessness, emotional dysregulation or hazardous alcohol use. Protective social support plays a key mitigating role. These results underline the urgent need for tailored mental health interventions that specifically address emotional regulation and hopelessness, while reinforcing social support systems within nursing education contexts.

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Sideré Monserrath Zorrilla AlfaroSideré Monserrath Zorrilla Alfaro
Sideré Monserrath Zorrilla Alfaro
NLNestor A. Lechuga-Garcia
Nestor A. Lechuga-Garcia
Arturo Araujo ConejoArturo Araujo Conejo
Arturo Araujo Conejo
LRLeticia Adriana Ramirez-Hernandez
Leticia Adriana Ramirez-Hernandez
IGIdalia Garza-Veloz
Idalia Garza-Veloz
Margarita L. Martinez-FierroMargarita L. Martinez-Fierro
Margarita L. Martinez-Fierro
Background: Acute appendicitis is a common emergency requiring abdominal surgery. Despite its prevalence, there are no specific biomarkers for its diagnosis and prognosis. The aim of this study was to assess the basic laboratory tests of patients with acute appendicitis and to evaluate and integrate biochemical variables into the diagnosis of appendicitis. Methods: This was a retrospective, cross-sectional cohort study that included data from patients who underwent an appendectomy. Two groups of patients were considered based on their surgical (non-complicated/complicated appendicitis) or pathological diagnosis (non-perforated/perforated appendicitis). Factor analysis was carried out to identify communalities to put forward classificatory indices. Receiver operating characteristic (ROC) analysis was used to assess the accuracy of the predictions. Results: The cohort included 246 patients (51.6% male, mean age: 24.79 ± 19.32 years). By using their biochemical data, we generated 6 new indices whose areas under the ROC curve (AUC) ranged between 0.632 and 0.762 for complicated appendicitis and from 0.597 to 0.742 for perforated appendicitis. Inflammatory Metabolic Index (IMI) at the fixed cutoffs was a promising biomarker for both histopathological and surgical diagnoses with odds ratios (OR) of 10.45 and 5.21, respectively. The Metabolic-Inflammatory Stress Index (MISI) showed high specificity (over 72%) and significant AUC values for both diagnoses (0.742 and 0.676). These findings were reinforced by significant p-values and Youden indices. Conclusions: IMI and MISI were demonstrated to be effective biomarkers for complicated and perforated appendicitis. IMI provides predictive capability, while MISI offers specificity and significant AUC values for both histopathological and surgical diagnoses. Incorporating these biomarkers could enhance the accuracy of appendicitis diagnosis and potentially guide clinical decision-making.

8 April 2021 in Medicina
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Margarita L. Martinez-FierroMargarita L. Martinez-Fierro
Margarita L. Martinez-Fierro
MLMartha Lizeth Díaz Lozano
Martha Lizeth Díaz Lozano
CZClaudia Daniela Álvarez Zúñiga
Claudia Daniela Álvarez Zúñiga
LRLeticia Adriana Ramirez-Hernandez
Leticia Adriana Ramirez-Hernandez
RERoxana Araujo Espino
Roxana Araujo Espino
IGIdalia Garza-Veloz
Idalia Garza-Veloz
Background and Objectives: Sentinel surveillance in the early stage of the COVID-19 pandemic in Mexico represented a significant cost reduction and was useful in estimating the population infected with SARS-CoV-2. However, it also implied that many patients were not screened and therefore had no accurate diagnosis. In this study, we carried out a population-based SARS-CoV-2 screening in Mexico to evaluate the COVID-19-related symptoms and their weighting in predicting SARS-CoV-2 infection. We also discuss this data in the context of the operational definition of suspected cases of COVID-19 established by the Mexican Health Authority’s consensus. Materials and Methods: One thousand two hundred seventy-nine subjects were included. They were screened for SARS-CoV-2 using RT-PCR. The weighting of COVID-19 symptoms in predicting SARS-CoV-2 infection was evaluated statistically. Results: Three hundred and twenty-five patients were positive for SARS-CoV-2 and 954 were negative. Fever, asthenia, dysgeusia, and oxygen saturation predicted SARS-CoV-2 infection (odds ratios ranged from 1.74 to 4.98; p < 0.05). The percentage of asymptomatic COVID-19 patients was 36% and only 38.15% met the Mexican operational definition. Cq-values for the gene N of SARS-CoV-2 were significantly higher in asymptomatic subjects than in the groups of COVID-19 patients with neurological, respiratory, and/or musculoskeletal manifestations (p < 0.05). Conclusions: Dysgeusia, fever, and asthenia increased the odds of a positive result for COVID-19 1.74–4.98-fold among the study population. Patients with neurological, respiratory, and/or musculoskeletal manifestations had higher viral loads at COVID-19 diagnosis than those observed in asymptomatic patients. A high percentage of the participants in the study (61.85%) did not meet the operational definition for a suspected case of COVID-19 established by the Mexican Health Authority’s consensus, representing a high percentage of the population that could have remained without a COVID-19 diagnosis, so becoming a potential source of virus spread.

8 February 2025 in Veterinary Sciences
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EREduardo Valdez Romero
Eduardo Valdez Romero
LDLucía Delgadillo-Ruiz
Lucía Delgadillo-Ruiz
RBRómulo Bañuelos-Valenzuela
Rómulo Bañuelos-Valenzuela
EDEladio Delgadillo
Eladio Delgadillo
CMCarlos Meza-López
Carlos Meza-López
HMHéctor Emmanuel Valtierra Marín
Héctor Emmanuel Valtierra Marín
Neltuma spp. are an important resource in arid and semiarid ecosystems of the country and serve, among other purposes, as an economic source of food for livestock. By analyzing the bromatological composition and in vitro fermentation of pods in three regions of the state of Zacatecas, Mexico, the viability as a food alternative in sheep is sought. Twenty-seven pod samples were collected from nine points in each region of the state. The samples were obtained when the pods were in the immature stage. The bromatological analysis of the pods was conducted and mathematical equations were used to calculate the megacalories per kilogram provided by these fruits. Statistical analysis was performed using Spearman’s correlation coefficient. Bromatological analysis showed that crude protein averaged 20.86 ± 1.37% in the central region, while non-fiber carbohydrates averaged 26.78 ± 1.32% in the southern region. Neltuma spp. pods demonstrate potential as an alternative feed for sheep, provided that an adequate diet is formulated, since they present acceptable levels of protein, carbohydrates and fiber. It is recommended to consider the state of maturity of the pods when incorporating them into the diet of sheep.

4 January 2026 in Psychiatry International
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Margarita L. Martinez-FierroMargarita L. Martinez-Fierro
Margarita L. Martinez-Fierro
LÁLorena Ávila-Carrasco
Lorena Ávila-Carrasco
JBJoselin M. Basconcelos-Sanchez
Joselin M. Basconcelos-Sanchez
IPIsabel Peralta-Trejo
Isabel Peralta-Trejo
YCYolanda Ortiz Castro
Yolanda Ortiz Castro
IGIdalia Garza-Veloz
Idalia Garza-Veloz
Background: Bullying in university settings is a significant yet understudied contributor to psychological distress. Differentiating the sources of victimization, may reveal distinct risk profiles associated with mental health and substance use outcomes. Objective: To evaluate the frequency and risk factors associated with bullying victimization among medical students, and to identify associations with mental disorders and substance use. Methods: A nested case–control cohort study was conducted with 124 medical students. Participants completed nine validated psychometric instruments evaluating neurobehavioral traits, emotional distress, substance use, and scholar bullying. Bivariate and multivariate regression models were used to estimate coefficients and odds ratios for key outcomes. Results: 42.7% of the students reported victimization, with teacher harassment (37.1%) more frequent than peer harassment (27.4%); 22.6% experienced both. Teacher harassment was primarily characterized by intentional harm (78%); peer harassment involved abuse of authority (63%). ADHD, severe stress, and substance use were associated with teacher-related victimization, while peer victimization was linked to ADHD, stress, impulsivity, and suicide risk. Childhood abuse, high stress levels, and non-heterosexual orientation as predictors of teacher harassment (p < 0.05). Notably, students with a non-heterosexual orientation were over six times more likely to report teacher harassment, highlighting the disproportionate vulnerability of sexual minorities within academic power dynamics. Conclusions: Teacher- and peer-related harassment are prevalent and often co-occur, with teacher-perpetrated bullying emerging as both more frequent and more strongly associated with mental health and identity-based vulnerabilities. Students with ADHD, high stress levels, and non-heterosexual orientation are at significantly greater risk. These findings emphasize the need for institutional accountability, inclusive academic policies, and targeted mental health support to protect vulnerable students and prevent harm within educational environments.