Design and validation of an instrument to evaluate Person-Centered care in health services.

Background: The concept of quality in health care has evolved, placing greater importance on the patient's needs, culture, and social context, as well as their participation in clinical decision-making, as highlighted by Mead and Bower's Person-Centered Care Model. The aim of the present study was to design and validate an instrument to assess the extent to which healthcare services provided by PEMEX (Petróleos Mexicanos) offer person-centered care according to user perceptions.

Methods: The first phase comprised the development of 57 items based on the analysis of responses from an open-ended questionnaire administered to 30 users of Pemex healthcare services.

Remote Healthcare Program in Mexico in the Context of the COVID-19 Pandemic.

Objectives: Given the challenge of limiting the transmission of coronavirus disease 2019 while simultaneously continuing to provide medical care for other chronic and degenerative diseases and monitor therapy, a remote medical advice and guidance program was created to help individuals receive health services at their homes.

Methods: A descriptive, cross-sectional, and observational study was performed from April 13, 2020 to April 19, 2021 among Petroleos Mexicanos (PEMEX) health services beneficiaries. Mobile text messages were used to assign patients throughout Mexico to a doctor, who coordinated a video call with the nursing service for advice and remote care.

Diabetic neuropathy: Molecular approach a treatment opportunity.

Diabetic neuropathy (DN) encompasses a group of clinical or subclinical manifestations involving a dysfunction in the peripheral nervous system. The cause of the dysfunction is the development of microvascular complications related to diabetes, a disease that affects about 381 million people worldwide. Approximately 50% of patients currently diagnosed with diabetes are expected to manifest DN in the next 10 years.

[The role of medical students in pandemics].

There is a general perception that medical students should help in case of disaster situations or epidemiological contingencies; although, they may not have been properly educated to do so. In recent dates, the participation of students is important in staff training activities, triage, care of bureaucratic activities, volunteering; but they are not considered a first line of care at disaster sites or patient management. The perception of the participation of medical students in disasters and pandemics is reviewed in the literature and some of the needs for their training and teaching are established, so that they can truly become an option in times of crisis.

Chronic viral hepatitis C micro-elimination program using telemedicine. The Mexican experience.

Background: hepatitis C virus (HCV) infection is a global health problem. Chronic infection induces the development of fibrosis and cirrhosis together with all the related complications. The use of direct-acting antiviral (DAA) drugs has proven highly effective.

Opportunities in the teaching of medical specialties, regarding influenza and COVID-19.

Medical specialties' teaching is an area of health systems that deserves special consideration in light of the lessons learned from influenza and COVID-19; educational programs and implementation of the training strategies that are used must be reevaluated, since the level of training of most specialty students does not allow to consider them as personnel who can face these global problems. The number of specialization courses has exponentially grown, and their main threat is the cancellation or partial execution of their academic programs as a consequence of not implementing functional operational strategies during a contingency.

[Evaluation of educational computer program for applying ISS and AIS scales in the emergency room for Orthopedic Residents of the Secretary of Health from Mexico City].

Introduction: The HAISS (Herramienta de Aprendizaje ISS) program was created to enhance the feasibility and learning of trauma severity scores AIS (Abbreviated Injury Score) and ISS (Injury Severity Score).

Objective: Get a computer tool that promotes learning and facilitate proper use of AIS and ISS.

Material And Methods: A sample of 40 orthopedic residents from 1st to 4th grade from 4 hospitals of the Ministry of Health was taken.

[Treatment of an old Achilles tendon rupture with allografts. Report of case series].

Rupture of Achilles tendon occurs at 2-6 cm from its attachment in the calcaneus; its frequency is estimated at 7-18 cases per 100,000 population in the United States and it occurs more frequently in males. The diagnosis is made clinically and with ultrasound or magnetic resonance imaging and treatment may be divided into acute or late. We present herein the use of allograft to treat patients with ruptures more than six weeks old; several techniques were used depending on the rupture site and the available allograft.

[Open talar enucleation with talar loss: a case report].

Talar enucleation is a very infrequent injury; the reported cases have a traumatic etiology. These injuries are important because they occur in individuals in productive ages and result in irreversible complications and sequelae, such as talarthrosis, osteomyelitis and avascular necrosis. This is why we report herein the case of a 33 year-old patient with posttraumatic open enucleation of the left talus, with bone loss at the site of trauma.

[Treatment of old patellar tendon lesions. Case report and literature review].

A patellar tendon tear needs a force equivalent to 15 times the weight to overcome the strength of the tendon. It usually occurs in patients from their twenties on, regardless of gender. The diagnosis is made based on the symptoms of pain, impaired ranges of motion, and limitation upon climbing stairs.