Producción científica internacional en cirugía digestiva laparoscópica

Objetivo: obtener datos sobre la investigación en cirugía digestiva laparoscópica, en los años 1991 a 1996. Material y métodos: usamos Medline y Science Citation Index para obtener los datos generales de producción; para los datos específicos (contenidos, etc.) utilizamos muestras aleatorias con nivel de confianza del 99%. Resultados: hay 4.825 publicaciones de cirugía digestiva laparoscópica y 4.085 de otras especialidades; son artículos el 85%, editoriales y cartas el 15%. Los hospitales universitarios publican un 40%. Los países productores son EE.UU. (45%), Francia (8,2%), Reino Unido (7,9%) y Alemania (7,5%). Los pa- íses editores son EE.UU. (41%), Alemania (15,3%), Reino Unido (9,7%) y Francia (6,7%). La mayor influencia la logra el N e w England Journal of Medicine, consiguiendo un factor de impacto total de 589; British Journal of Surgery 436, A r c h i v e s of Surgery 343, American Journal of Surgery 336 y A n n a l s of Surgery 302; el impacto medio relativo es de 1.886. Metodológicamente hay 756 estudios retrospectivos, 275 prospectivos y 43 ensayos clínicos aleatorizados; el resto no son series. Los contenidos mayoritarios son sobre técnicas e instrumental e indicaciones y reflexiones en general. La región anatómica más investigada es la vesícula biliar, seguida de las vías biliares y colon. Las diferencias tienen “z” > 1,645, es decir, p <0,05, por lo que son estadísticamente significativas. Conclusiones: la mayor producción y edición la realiza EE.UU. y la mayor influencia la consigue el New England. Son escasos los estudios metodológicamente importantes, siendo los ensayos clínicos aleatorizados sólo un 1%

Creación de minivideos docentes modulares (MDM) basados en las transparencias minimalistas (TM) despertando la actitud activa de los estudientes, a través de tablets y smartphones

Memoria ID-345. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2013-2014

Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain : Large-Scale Epidemiological Study

(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD-Crohn's disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)-during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100,000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31-56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery

Correction : Chaparro et al. Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study. J. Clin. Med. 2021, 10, 2885

The authors wish to make the following corrections to this paper [...]

Time to Switch to Second-line Antiretroviral Therapy in Children With Human Immunodeficiency Virus in Europe and Thailand.

Background: Data on durability of first-line antiretroviral therapy (ART) in children with human immunodeficiency virus (HIV) are limited. We assessed time to switch to second-line therapy in 16 European countries and Thailand. Methods: Children aged <18 years initiating combination ART (≥2 nucleoside reverse transcriptase inhibitors [NRTIs] plus nonnucleoside reverse transcriptase inhibitor [NNRTI] or boosted protease inhibitor [PI]) were included. Switch to second-line was defined as (i) change across drug class (PI to NNRTI or vice versa) or within PI class plus change of ≥1 NRTI; (ii) change from single to dual PI; or (iii) addition of a new drug class. Cumulative incidence of switch was calculated with death and loss to follow-up as competing risks. Results: Of 3668 children included, median age at ART initiation was 6.1 (interquartile range (IQR), 1.7-10.5) years. Initial regimens were 32% PI based, 34% nevirapine (NVP) based, and 33% efavirenz based. Median duration of follow-up was 5.4 (IQR, 2.9-8.3) years. Cumulative incidence of switch at 5 years was 21% (95% confidence interval, 20%-23%), with significant regional variations. Median time to switch was 30 (IQR, 16-58) months; two-thirds of switches were related to treatment failure. In multivariable analysis, older age, severe immunosuppression and higher viral load (VL) at ART start, and NVP-based initial regimens were associated with increased risk of switch. Conclusions: One in 5 children switched to a second-line regimen by 5 years of ART, with two-thirds failure related. Advanced HIV, older age, and NVP-based regimens were associated with increased risk of switch

The Virgen Macarena Hospital’s research output in the Andalusia Health Institutional Repository

Introduction: The Health Institutional Repository is intended to gather the open access research output from the Andalusia Public Health System. Even though a national law requires the deposit of published research outcomes funded with public money, there is no institutional policy for other published documents. Knowing exactly how many articles can be submitted to the Repository in any of their authorized version is a key point in determining how to encourage our authors to publish their work according to the principles of the open access paradigm. The Virgen Macarena Hospital is one of Andalusia´s district hospitals and has been chosen as a sample for the present study. Objective: To analyse what the proportion of the Virgen Macarena Hospital’s research results published from 2011 to 2015 is open access and what is not. To know how many articles are already archived in the Repository using the publisher’s version or PDF and how many could be submitted using one of the author’s versions. Methods: Firstly, we searched the Hospital’s research output on Impactia, the application developed by the Andalusia eHealth Library to quantify the Andalusia Public Health System scientific output, the Web of Science and other databases. Secondly, we checked the publisher’s self-archiving policy of each one of the journals chosen for the Hospital’s authors on specialized databases and the publishers’ web sites. According to the obtained data, we compared the number of publisher’s versions with the author’s ones allowed to be submitted to the Repository. In addition, we consulted how many of the subscription-journals are considered to be hybrid journals. Results: More than 70% of the journals chosen by the researchers are subscription-based. None of these journals allows the publisher’s version to be archived. Over 73% of them offer an open access option to make articles free for everyone to read immediately after publication if the authors agree to pay a fee. However, fewer than 20% of the journals are open-access. Around 15% of these allow the re-use of publisher’s PDF, whereas 3% are only gratis open access and they do not permit selfarchiving. In terms of articles, fewer than 15% of them can be submitted to the Repository as publisher’s version. All of these authorized PDF are already archived. However, 75% of the articles could be archived using one of the author’s versions. Not one of those articles is in the Repository. Conclusions: Only a small proportion of the articles published by the Virgen Macarena Hospital’s researchers is archived in the Repository. It seems highly recommended to take active measures to increase the number of deposited articles. These measures should be directed at promoting open access among authors and, especially, at encouraging self-archiving.Ye

Web de la ciudadanía de la Biblioteca Virtual del Sistema Sanitario Público de Andalucía

YesEl Plan de Calidad del Sistema Sanitario Público de Andalucía 2010-2014 establece tres escenarios estratégicos de actuación: el de la ciudadanía, el de los profesionales y el de la propia organización sanitaria, como espacio integrador de confluencias. Incorporando esta estrategia en sus proyectos, la Biblioteca Virtual del Sistema Sanitario Público de Andalucía (BV-SSPA) ha desarrollado la Web de la Ciudadanía, proporcionando el acceso a los recursos y servicios de información en salud orientados al ciudadano

Impactia: autoservicio en el análisis de la producción científica del Sistema Sanitario Público de Andalucía

URL del congreso: http://congresoinnovatics.org/content/presentaciones-innovatics-2013-0YesA la BV-SSPA le corresponde el análisis de los objetivos de investigación marcados en dicho contrato, mediante el estudio de las publicaciones científicas con la implicación de indicadores bibliométricos. Para ello, la BV-SSPA ha creado una aplicación informática de desarrollo propio que está disponible mediante acceso restringido para los responsables de la gestión sanitaria. Esta herramienta, llamada Impactia, ofrece información actualizada mensualmente y es completada y revisada por los documentalistas sanitarios andaluces

Integración de la Biblioteca Virtual del Sistema Sanitario Público de Andalucía en la política científica de la Consejería de Salud y Bienestar Social

Capítulo incluido en parte III del Congreso: Indicadores cuantitativos y cualitativos para el análisis de la colaboración científicaYesCapítulo centrado en el papel de la Biblioteca Virtual del Sistema Sanitario en la política de la Consejería de Salud y Bienestar Social de la Junta de Andalucía y las herramientas desarrolladas para el análisis bibliométrico de la producción científica