Gestión de recursos electrónicos en el Consorcio de Bibliotecas Universitarias Andaluzas. Una experiencia de cooperación bibliotecaria en entornos digitales

En la actualidad es difícil encontrar bibliotecas digitales nacidas bajo este concepto. La denominación representa más bien la evolución de las bibliotecas tradicionales, sobre todo universitarias, hacia un entorno en que la proliferación de recursos electrónicos en lo últimos años ha cambiado no sólo el concepto de biblioteca sino el mismo concepto de investigación, de estudio y por tanto de trabajo. Bajo esta premisa, en que señalamos recursos electrónicos como origen de bibliotecas digitales, son los consorcios bibliotecarios los que han contribuido de forma extraordinaria y definitiva a su desarrollo. La vieja idea de cooperación se ha materializado en ellos no sólo en la disposición de recursos propios sino que ha encontrado su máxima expresión en el entorno consorciado en que la adquisición y gestión compartidas han sido necesarias para dar respuesta a las necesidades que impone la proliferación de recursos electrónicos en las nuevas bibliotecas digitales. Claro ejemplo de esta afirmación, de estas nuevas formas de organización lo constituye el recientemente creado Grupo de Trabajo de Recursos Electrónicos del Consorcio de Bibliotecas Universitarias Andaluzas (CBUA), cuyo proyecto de cooperación y gestión contribuye a facilitar el acceso a la colección digital en el ámbito universitario andaluz. Se presenta el trabajo realizado hasta la fecha por el Grupo, así como las perspectivas de futuro. Se exponen la metodología de trabajo empleada, las líneas de actuación, las acciones realizadas, las herramientas utilizadas para optimizar la calidad en el acceso y difusión de los recursos de los que disponemos. Palabras clave: bibliotecas universitarias, bibliotecas digitales, gestión de recursos electrónicos, consorcios de bibliotecas, cooperación bibliotecaria

Difusión y aprovechamiento de los recursos electrónicos en el Consorcio de Bibliotecas Universitarias de Andalucía: evolución de su utilización y formación de usuarios

El CBUA está constituido por las 10 universidades públicas andaluzas y cuenta con apoyo financiero de la Junta de Andalucía a través de la Consejería de Innovación, Ciencia y Empresa. Con 281551 usuarios (datos REBIUN 2008), el Consorcio atiende los servicios bibliotecarios de la tercera comunidad autónoma universitaria, por detrás de Cataluña y Madrid. Desde su constitución en 2001, la misión del CBUA ha sido potenciar la cooperación entre las bibliotecas universitarias andaluzas, sobre tres ideas básicas: Mejorar el aprovechamiento de los recursos económicos Dar mayor accesibilidad a los recursos compartidos y Facilitar el uso compartido de las tecnologías de la información y las comunicaciones. Dentro del conjunto de objetivos que definen el trabajo del Consorcio, destacamos los relacionados con el tema que nos ocupa: 1.- Incrementar la efectividad de la investigación y de la enseñanza, aumentando los recursos de información disponibles de forma inmediata. 2.- Mejorar el acceso de la comunidad universitaria integrada en el Consorcio y de la sociedad en general a las colecciones documentales existentes. 3.- Promover planes de cooperación, servicios bibliotecarios conjuntos, la adquisición compartida de recursos y la conexión a redes nacionales e internacionales. 4.- Experimentar y fomentar la aplicación de nuevas tecnologías de la información a los servicios bibliotecarios y potenciar la formación del personal que trabaja en las bibliotecas. En el presente trabajo analizamos el grado de cumplimiento de nuestros objetivos, utilizando como base el nivel de uso de nuestras colecciones electrónicas y la política de formación continua de nuestros usuarios en el uso y manejo de los recursos que tienen a su disposición. Esta política nos ha llevado a ser la 2ª comunidad española en el volumen de nuestra colección, (por detrás de Cataluña), la 2ª en la impartición de cursos a nuestros usuarios (de nuevo tras Cataluña), y la 1ª en número de asistentes a dichos cursos (datos REBIUN 2007)

The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation

Clustering COVID-19 ARDS patients through the first days of ICU admission. An analysis of the CIBERESUCICOVID Cohort

Background Acute respiratory distress syndrome (ARDS) can be classified into sub-phenotypes according to different inflammatory/clinical status. Prognostic enrichment was achieved by grouping patients into hypoinflammatory or hyperinflammatory sub-phenotypes, even though the time of analysis may change the classification according to treatment response or disease evolution. We aimed to evaluate when patients can be clustered in more than 1 group, and how they may change the clustering of patients using data of baseline or day 3, and the prognosis of patients according to their evolution by changing or not the cluster.Methods Multicenter, observational prospective, and retrospective study of patients admitted due to ARDS related to COVID-19 infection in Spain. Patients were grouped according to a clustering mixed-type data algorithm (k-prototypes) using continuous and categorical readily available variables at baseline and day 3.Results Of 6205 patients, 3743 (60%) were included in the study. According to silhouette analysis, patients were grouped in two clusters. At baseline, 1402 (37%) patients were included in cluster 1 and 2341(63%) in cluster 2. On day 3, 1557(42%) patients were included in cluster 1 and 2086 (57%) in cluster 2. The patients included in cluster 2 were older and more frequently hypertensive and had a higher prevalence of shock, organ dysfunction, inflammatory biomarkers, and worst respiratory indexes at both time points. The 90-day mortality was higher in cluster 2 at both clustering processes (43.8% [n = 1025] versus 27.3% [n = 383] at baseline, and 49% [n = 1023] versus 20.6% [n = 321] on day 3). Four hundred and fifty-eight (33%) patients clustered in the first group were clustered in the second group on day 3. In contrast, 638 (27%) patients clustered in the second group were clustered in the first group on day 3.Conclusions During the first days, patients can be clustered into two groups and the process of clustering patients may change as they continue to evolve. This means that despite a vast majority of patients remaining in the same cluster, a minority reaching 33% of patients analyzed may be re-categorized into different clusters based on their progress. Such changes can significantly impact their prognosis

Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe

Implantación del identificador ORCID en las universidades andaluzas

Se describe el proceso de implantación del sistema de identificación para autores ORCID por parte de las Bibliotecas del Consorcio de Bibliotecas Universitarias de Andalucía (CBUA). Se hace un análisis de la organización del trabajo y se describen las fases para la implantación e integración de este identificador en los sistemas institucionales, así como las repercusiones en el PDI y en la propia institució

Estimating the Quantity of Non-Tariff Measures SADC Meat and Milk Trade

Global trade protection in the form of tariffs has been on the downward trend since the conclusion of the World Trade Organisation Uruguay Round of negotiations. The same pattern was observed in SADC as well as other regional integration groups. In SADC the declining trade protection was not accompanied by improvement in trade performance. If anything, the share of intra-SADC trade has actually declined during the phase down of tariffs in the eight year period. This study explores the possible reason for poor trade performance in the tariff reducing environment using meat and dairy markets as case studies over the period 2000 to 2010. It is hypothesised that non tariff measures (NTMs) are more trade restricting that tariffs. The statistics show that on average each agricultural product traded is affected by about ten NTM. These vary from country to country, with Mozambique having the highest incidence of NTMs, and the lowest being Malawi. On a product level, fruits are the most affected products with more about 40% of all NTMs applied. The gravity model was used to estimate intra-SADC trade and to evaluate the quantity impacts of NTMs on tariffs. The NTMs applied to meat products were found to be as high as 400% compared to roughly 200% for dairy. Furthermore, it was found that in the case of dairy tariffs and NTMs were used jointly as means of protection. This implies that there is a need to focus attention, both in research and policy on the NTMs

Implantación del identificador ORCID en las universidades andaluzas

Se describe el proceso de implantación del sistema de identificación para autores ORCID por parte de las Bibliotecas del Consorcio de Bibliotecas Universitarias de Andalucía (CBUA). Se hace un análisis de la organización del trabajo y se describen las fases para la implantación e integración de este identificador en los sistemas institucionales, así como las repercusiones en el PDI y en la propia institució