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After having COVID-19, many people live with limitations in their daily life. Doctors therefore need a tool to assess these limitations properly, and to be able to identify them at an early stage, in order to offer adequate rehabilitation. Aim: To translate and validate the Post-COVID-19 Functional Status Scale into Mexican-Spanish. Materials and methods: A cross-sectional study was performed for transcultural validation of the Post-COVID-19 Functional Status Scale in people over 18 years of age, using the international guide lines for validation published by Beaton and Guillemin. Diagnostic and clinimetric validity tests were applied to the scale. Statistical analysis was performed with the statistical program R. Results: The scale was applied to 249 patients, obtaining a Cronbach's alpha of 0.84 for the structured interview, and 0.67 for the self-reported questionnaire. When comparing both tests, and considering the structured interview as the reference test, the self-reported questionnaire had a sensitivity of 86.2%, a specificity of 96.3%, and a negative predictive value of 95.8%. Conclusion: A practical and valid scale was obtained, in concordance with that published in the original version, which can be used in daily clinical practice and rehabilitation. The scale can be used to rapidly and adequately identify post-COVID-19 patients with alterations in functionality who could benefit from rehabilitation therapy.

Objective: To report trends underreporting levels of occupational illnesses (OI) in Mexico from 2000 to 2015. Methods: An ecological study was conducted. Data on OI was obtained from the Statistical Memories of the Mexican Institute of Social Security. We used univariate sensitivity analysis to estimate the average value and range. Results: During the 2000-2015 period, the estimated average OI underreporting in the Mexican population was 89.1%; the minimum was 81.8% in 2015 and the maximum 95% in 2007, with an annual decrement rate of 1% (p<0.05) was observed from 2007 to 2015. Conclusions: Important changes to improve reporting of OI have taken place since 2007, most likely due to the implementation of new policies in this matter. Even though the OI report in Mexico is higher than what the World Health Organization estimates for Latin America (18% in 2015), activities to address this problem remain insufficient. Furthermore, it is important to evaluate the current process of identification and registration of OI in order to identify those that need reinforcement, to guarantee adherence to regulations, to consolidate training systems, and importantly, to develop the governing capacity of the sanitation and labor authorities to exercise their coordinating and regulatory functions.

AimTo assess the adherence of physicians to the Medical-Care Guidelines for Malignant Breast Tumors in Mexico, before and after the allocation of federal subsidies from the Catastrophic Health Expenditure Fund (FPGC by its Spanish initials) to accredited hospitals, a strategy implemented with the view of offering free treatment to women with breast cancer (BC).Material and methodsBased on a cross-sectional design, we gathered information on 479 BC patients who had been attended to at in four FPGC-accredited hospitals. Analysis centered on those treated within either three years before or three years after the accreditation of their attending hospitals. The four hospitals analyzed were located in the North, South, West and Center of the country. Information on all medical procedures performed during treatment was drawn from hospital medical records. Information on the socio-demographic characteristics of the patients was obtained by means of face-to-face interviews conducted in their homes.ResultsAdherence of physicians to the Guidelines grew by 12.8 percent (from 43.4 to 56.2 percent) after FPGC accreditation (p<0.001) and varied according to the clinical stage of the disease, with much lower levels of adherence observed in the advanced stages (p<0.05).ConclusionsThe FPGC strategy increased the adherence of physicians to the Medical-Care Guidelines for Malignant Breast Tumors in Mexico.

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Musculoskeletal (MSK) disorders are the leading contributor to disability worldwide, and are not just conditions of older age. They are prevalent across the life-course, and constitute a lifelong condition affecting mostly adolescents and older adults. 1 The most common MSK disorders include osteoarthritis, back and neck pain, fractures associated with osteoporosis, injuries and systemic inflammatory conditions such as rheumatoid arthritis and/or systemic lupus erythematosus. 1,2

La detección oportuna de cáncer de mama se realiza mediante mamografía; sin embargo, se debe prestar atención a la calidad de la misma para su realización e interpretación. A pesar de recientes mejoras en el control de calidad de la mamografía, la interpretación todavía depende de cada lector; por lo que se pueden cometer errores en la interpretación mamográfica y éstos pueden producir biopsias no necesarias y/o sobre-diagnóstico, reportándose consecuencias físicas, económicas y psicológicas sostenidas; debido a que la interpretación obedece a la habilidad perceptiva y cognitiva del médico radiólogo. Sin embargo, se requiere de un amplio conocimiento de los posibles errores que puede haber en la interpretación de mamografías, y la forma en que pueden minimizarse, prevenirse y/o corregirse con el fin de ofrecer a la paciente la mayor seguridad posible.