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. Five dimensions were considered to scale the quality of medical resident research: Validation of rubric in investigation methodology topics for each block in b-learning mode; initial and ending evaluation; colloquium investigation rubric; results of final investigation; satisfaction survey of 360 degrees. The instruments were validated using the delphi method with a minimum agreement of 0.8. We considered global values greater than 80 points as good quality. RESULTS: 85 medical residents participated and obtained a final average of 80.62 (±9.59), and the satisfaction of the course was qualified as excellent/good in 82.5%. A positive relation was observed between the scope of the evaluation and the level of satisfaction. Mean quality score for the course was good. There is no relationship between the research experience of the students and the final average r = 0.123 (p = 0.291). CONCLUSIONS: The implementation of research seminars in b-learning mode results in improving the education program for health residents after a training program with a rubric system and their acquiring research skills, and, as a consequence, the final product also showed better quality, even when the student did not have any experience in a scientific publication.

Caries en la tercera edad en una universidad de la ciudad de Puebla 2017-2018 / Caries in the third age in a university of the City of Puebla 2017-2018

La caries es una infección que afecta a cualquier persona sin importar edad, género o clase social. Es importante enfocar la atención odontológica a pacientes de tercera edad ya que tienden a un crecimiento anual de 3.8% de la población mexicana. Actualmente, se han realizado campañas de salud bucal para esta población; a pesar de los múltiples esfuerzos realizados para la prevención y erradicación de dicha enfermedad existe un descuido en los tratamientos para pacientes de la tercera edad, lo cual puede favorecer la pérdida de dientes. El objetivo del estudio fue determinar la prevalencia y severidad de caries en adultos mayores en la clínica de odontología de la Universidad Popular Autónoma del Estado de Puebla (UPAEP). Se realizó un estudio descriptivo, retrospectivo; se revisaron 345 expedientes de pacientes de tercera edad del 2017 al 2018, que asistieron por primera vez a consulta. Se obtiene la prevalencia y severidad a través del índice CPOD (cariados, perdidos y obturados). La prevalencia de dientes cariados fue 79%; se obtuvo un CPOD de 18.63 (alto riesgo). Se concluye el implementar medidas preventivas que impacten en mayor dimensión a la caries, para su disminución o erradicación en pacientes geriátricos (AU)

Caries is an infection that affects anyone regardless of their age, gender or social class. It is, however, important to focus dental care on elderly patients as that part of the Mexican population is growing at 3.8% annually. Currently, oral health campaigns have been carried out for this population, but despite the multiple efforts undertaken for prevention and eradication of the disease, treatment for elderly patients is often overlooked. The consequence of this lack of treatment can be the loss of teeth. The objective of this study is to determine the prevalence and severity of caries in elderly patients at the dental clinic of the Universidad Popular Autónoma del Estado de Puebla (UPAEP). A descriptive, retrospective study was carried out where the records of 345 elderly, first-time patients were reviewed for the 2017-2018 period. The prevalence and severity of caries was determined using the DMFT index (decay, missing, filled). The prevalence of carious teeth was 79% with a DMFT of 18.63 indicating high risk. We conclude that preventive measures should be implemented to impact and decrease caries in geriatric patients (AU)

[Validation of an adverse event reporting system in primary care]. / Validación de un sistema de registro de eventos adversos en atención primaria.

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. METHODS: We made a review of systems for recording and reporting adverse events in primary care. Then, we proposed an instrument to record these events, and register faults in the structure and process, in primary health care units in the Instituto Mexicano del Seguro Social. RESULTS: We showed VENCER-MF format to 35 subjects. Out of them, 100% identified a failure in care process, 90% recorded a sentinel event, 85% identified the cause of this event, 75% of them suggested some measures for avoiding the recurrence of adverse events. We used a Cronbach's alpha of 0.6, p=0.03. CONCLUSIONS: The instrument VENCER-MF has a good consistency for the identification of adverse events.

Introducción: la seguridad del paciente es un tema prioritario en los sistemas de salud por el gasto que genera, el desgaste institucional, la falta de credibilidad y la frustración del personal que comete los eventos adversos. No existe un instrumento estandarizado y sistemático para registrar, reportar y analizar los eventos adversos en unidades de atención primaria. El objetivo fue validar un sistema de vigilancia para el registro de eventos centinelas, adversos y cuasi fallas en atención primaria. Métodos: se revisaron sistemas de registro y notificación de eventos adversos en atención primaria. Asimismo, se diseñó una propuesta de instrumento para el registro en unidades de atención primaria en el Instituto Mexicano del Seguro Social que integrara fallas en la estructura y en el proceso. Resultados: se le presentó el caso del formato VENCER-MF a 35 sujetos. El 100 % identificó una falla en el proceso de atención médica, 90 % registró un evento centinela, 85 % identificó el origen de este y el 75 % sugirió medidas para evitar la recurrencia de eventos adversos. Se obtuvo un alfa de Cronbach de 0.6, con una p = 0.03. Conclusión: el instrumento VENCER-MF tiene una consistencia buena para la identificación de eventos adversos.

Influencia de la época del año en la respuesta in vitro del cafeto Coffea canephora P Var Robusta / Influence of the time of year on the in vitro response of Coffea canephora P Var Robusta coffee trees

Generalmente, las plantas responden de manera diferenciada a las técnicas de cultivo in vitro, dependiendode la respuesta inicial del cultivo y su capacidad embriogénica del genotipo, el estado fisiológico de la planta yel explante, la edad de la planta donante, los factores físicos, los reguladores del crecimiento y las condiciones nutricionales, así como el cambio estacional. De aquí que el presente estudio se realizó con el objetivo de evaluar la influencia de la época del año en que fue tomada la fuente de los explantes en la respuesta in vitro de genotipos de Robusta. Se realizaron muestreos durante todos los meses del año, los explantes foliares fueron cultivados en un medio contentivo de las sales minerales de Murashige y Skoog (1962) y 0,5 y 2,0 mg.L-1 de 2,4-D y kinetina, respectivamente. Se observó que la época del año en que se tomó la muestra ejerció un marcado efecto en la respuesta de los explantes de los genotipos evaluados. Para las condiciones estudiadas resultó favorable la toma de las muestras foliares en los períodos mayo-junio, enero-febrero y noviembre-diciembre, dados los bajos índices de actividad enzimática peroxidasa, oxidación fenólica y contaminación fúngica, así como un elevado porcentaje de formación de callos y mayor contenido de proteínas totales presentes en los mismos. Se determinó que la actividad enzimática peroxidasa pudiera constituir un importante marcador en la etapa inicial de selección de las muestras.

Plants generally respond in different ways to in vitro cultivation techniques, depending on the crop’s initial response and the embryogenic capacity of its genotype, the physiological state of the plant and the explant, the age of the donor plant, physical factors, growth regulators, nutritional conditions and seasonal change. The present study was thus aimed at evaluating the influence of the time of year during which the source of explants was taken on the in vitro response of Robusta genotypes. Samples were taken during each month ofthe year, foliar explants were cultured in a medium containing Murashige and Skoog mineral salts (1962) and 0,5 and 2,0 mg.L-1 2,4-D and kinetine, respectively. It was observed that the time of the year when a sample was taken exercised as marked effect on the response of the explants from the genotypes evaluated. Taking foliar samples during May-June, January-February and November-December proved favourable in the conditions studied here given the low indices of peroxidase enzymatic activity, phenol oxidation and fungal contamination, as well as the high percentage of callus formation and their greater total protein content. It was determined that peroxidase enzymatic activity could constitute an important marker during the initial stage of selecting samples.