Digital Quality Resources Resulting from Standardized Program for Rubric Training in Medical Residents.

Introduction: In the health care area, tuition is an essential part to provide the instrument that proves the graduates have acquired the necessary skills in their specialties.

Objective: Evaluation of the improvement in quality of resources for residents after standardized digital training program with rubrics.

Methods: Prospective observational study of first year medical residents in seven medical specialties in four different training centers.

[Epidemiological and clinical characteristics of the COVID-19 epidemic in Mexico: Quintana Roo case].

Objective: Identify risk factors for severe outcome in Mexican patients with COVID-19 in the population of Quintana Roo.

Material And Methods: Study of 5,916 who met the criteria for suspected cases of COVID-19, 2,531 confirmed by qrTPCR-Sars-CoV-2 tests, of which 1,486 were positive, among which they were classified as hospitalized (severe COVID-19) and outpatients. Multivariate logistic regression analysis was performed to explore the factors associated with the severity of COVID-19 and death as clinical outcomes.

[Intimate partner violence. Types and risk in primary care health users in Cancun, Quintana Roo, Mexico].

Objective: To identify the prevalence and type of intimate partner violence in women assigned at primary care health and estimates the risks for violence.

Design: Case (incident cases)-control.

Location: Primary health care unit in Cancun, Quintana Roo, Mexico.

Handcrafted Vacuum-Assisted Device for Skin Ulcers Treatment Versus Traditional Therapy, Randomized Controlled Trial.

Background: Chronic lower limb ulcers constitute a public health problem, with important socioeconomic implications and high attention cost. This trial evaluates handcrafted vacuum-assisted therapy versus traditional treatment effectiveness for lower limbs ulcers.

Materials And Methods: It was a prospective randomized clinical trial conducted over 144 patients with lower limbs ulcers.

Appendectomy Skin Closure Technique, Randomized Controlled Trial: Changing Paradigms (ASC).

Background: Appendectomy is the most frequent and urgent gastrointestinal surgery. Overtime, the surgical techniques have been improved upon, in order to reduce complications, get better cosmetic results, and limit the discomfort associated with this procedure, by its high impact in the surgery departments. The traditional skin closure is associated with a poor cosmetic result and it requires stitches removal, alongside the pain associated with this procedure, and no benefits were demonstrated in the literature regarding separated stitches over intradermic stitch.

[Preclinical horizon of depression in adults].

Objective: Identify factors related to preclinical depression in healthy adults, their risk factors and concordance with family doctor diagnostic.

Materials And Methods: Case-control study in adult from family medicine consulting room. Beck inventory for depression was applied.

[Validation of an adverse event reporting system in primary care].

Background: Patient safety is a priority issue in health systems, due to the damage costs, institutional weakening, lack of credibility, and frustration on those who committed an error that resulted in an adverse event. There is no standardized instrument for recording, reporting, and analyzing sentinel or adverse events (AE) in primary care. Our aim was to design and validate a surveillance system for recording sentinel events, adverse events and near miss incidents in primary care.

[Breastfeeding, complementary feeding and risk of childhood obesity].

Objective: To evaluate the pattern of breastfeeding and weaning as a risk of obesity in pre-school children from a Primary Care Unit.

Design: Cross-sectional analytical study LOCATION: Cancun, Quintana Roo (Mexico).

Participants: Children from 2-4 years of age from a Primary Care Unit.

Early diagnosis of diabetic retinopathy in primary care.

Objective: To evaluate the impact of a strategy for early detection of diabetic retinopathy in patients with type 2 diabetes mellitus (DMT2) in Quintana Roo, México.

Methods: Study transversal, observational, prospective, analytical, eight primary care units from Mexican Social Security Institute in the northern delegation of the State of Quintana Roo, Mexico were included. A program for early detection of diabetic retinopathy (DR) in adult 376,169 was designed.

Development and validation of the Neonatal Mortality Score-9 Mexico to predict mortality in critically ill neonates.

Introduction: Prognostic scales or scores are useful for physicians who work in neonatal intensive care units. There are several validated neonatal scores but they are mostly applicable to low birth weight infants. The aim of this study was to develop and validate a mortality prognostic score in newborn infants, that would include new prognostic outcome measures.

Practice of preventive dentistry for nursing staff in primary care.

Objectives: Determine the domain of preventive dentistry in nursing personnel assigned to a primary care unit.

Methods: Prospective descriptive study, questionnaire validation, and prevalence study. In the first stage, the questionnaire for the practice of preventive dentistry (CPEP, for the term in Spanish) was validated; consistency and reliability were measured by Cronbach's alpha, Pearson's correlation, factor analysis with intra-class correlation coefficient (ICC).

Barriers to implementing the "2008 Mexican Clinical Practice Guideline recommendations for the management of hip and knee osteoarthritis" in primary healthcare practice.

Objective: To evaluate the implementability of the "2008 Mexican Clinical Practice Guideline for the management of hip and knee osteoarthritis at the primary level of care" within primary healthcare of three Mexican regions using the Guideline Implementability Appraisal methodology version 2 (GLIA.v2).

Methods: Six family physicians, representing the South, North, and Central Mexico, and one Mexican physiatrist evaluated the 45 recommendations stated by the Mexican guideline.