Evaluación de las competencias digitales del profesional médico de hospital

Se presentan los resultados de una investigación que tiene como objetivo evaluar las competencias digitales del personal médico de un hospital en relación a los siguientes aspectos: redes sociales académicas, redes sociales generales aplicadas a su trabajo, habilidades necesarias para la creación de una adecuada identidad digital, así como para la mejora de su visibilidad científica. En este trabajo de investigación fin de máster se ha utilizado una metodología cuantitativa y como herramienta principal un cuestionario online. Dicho cuestionario fue dirigido a una muestra de 995 médicos de distintas especialidades y niveles de formación, pertenecientes al área del Hospital Universitario Miguel Servet de Zaragoza. Los resultados reflejan carencias en competencias y habilidades digitales en las áreas concretas evaluadas. Por otro lado, se detecta un interés generalizado en paliar estos déficits a través de talleres de formación impartidos por el Servicio de Información Biomédica y Biblioteca de dicho hospital.Máster Universitario en Bibliotecas y Servicios de Información Digital. Curso 2017/201

Evaluating the information retrieval quality and methodological accuracy of Systematic reviews and Meta-analysis on of congenital malformations (2004-2014).

Introduction Systematic reviews (SR) and meta-analysis (MA) aim to provide an in-depth summary of the literature of a research question, which must achieve some methodological requirements especially regarding how the information is retrieved and organized. There are several guidelines with recommendations for standard SRs or MAs. However, how often do those publications fulfil all the conditions to be considered SRs or MAs? Objectives Our aim is to check if articles using the terms 'systematic review' or 'meta-analysis' in the title accomplish the established requirements, focusing on search and methodology. The secondary objective is to observe if librarians have participated in a visible manner in the process. Methods We first created a checklist starting with some PRISMA points related to the literature search methodology and the documentation of the process. We added other common elements from the main methodological manuals for SR (including CRD, Cochrane, EUnetHTA, among others). Finally, we completed it with some items of the CADTH Checklist. Our final list consists of 20 evaluation criteria within the subject ‘congenital malformations’. To obtain the sample we searched in Medline/Pubmed and Embase for documents published between 2004 and 2014 and containing the terms SR or MA in their title. We limited languages to English, French, German, Italian and Spanish. We obtained 162 records after excluding duplicates and non-valid documents (letters, etc.). Once we obtain the full texts, we independently checked if the publications met our criteria. A second reviewer was consulted in cases of doubt. Results Among all the data, we highlight the following: - Around 80% do not show PICO’s questions, and around 60% specify bias - Information sources are explained in approximately 70% of the records. Around 60% describe the fully search strategies and nearly 50% combine electronic with manual searches - 20% of them use other additional sources or other types of documents - Around 30% use a thesaurus, and a similar number combines controlled vocabulary with natural language - Less than 10% of the studies mentioned a librarian Conclusions Although we cannot affirm that our sample is sufficiently representative, the fact remains that since most of the studies analysed are lacking in method and resources, and that is quite alarming. Authors and publishers must bear in mind the existing guidelines. Additionally, the involvement of information specialists would be a key factor in improving the quality of SR and MA.Peer reviewedFinal Published versio

Health libraries: sharing through gaming

Information science is a fast-changing field, and medical librarians need to develop their roles to meet the users’new requirements. The professional development becomes a major challenge, not only regarding the core activities, but also in the way librarians and users can learn in a more innovative way. In order to invent new tools for training, a group of librarians with different backgrounds decided to create a game inspired by the “Bucket ofdoom”, which is described as a “Card game that meets storytelling with a sprinkling of comedy”. This adapted version for health libraries will face players with real professional situations. To overcome each challenge and have fun, librarians must use their experience and imagination with a high dose of creativity and humour

The effect of orlistat on postprandial hypertriglyceridemia by oral fat loading test. A systematic review

Orlistat induces weight loss by blocking hydrolysis of triglyceride in the intestine, and has thereby been associated with favorable changes in postprandial triglycerides (ppTGL). Some epidemiological studies have identified ppTGL concentrations as a significant risk factor for cardiovascular disease. Oral fat loading test (OFLT) has been used for screening of elevated levels of ppTGL. The objective of the present systematic review is to present available data on the effects of orlistat on OFLT. We found 11 studies, seven of which studied the effect of a single dose of orlistat on OFLT in three healthy volunteers, one with obesity, two with type-2 diabetes and one with hyperlipidemic patients. The other four studied the effect of orlistat on OFLT, but after a previous period of time with daily treatment with orlistat: 1 healthy volunteer, 2 obese volunteers, and one patient with hyperlipidemia. Our systematic review suggests that orlistat can help to reduce postprandial hypertriglyceridemia in obese, dyslipemic and type-2 diabetic patients. Regarding free fatty acids, they could be reduced but not all the authors have found the same results. In relation to type-2 diabetic patients, we have found three studies with conflicting results on the immediate effect of orlistat on the postprandial GLP-1 response. In conclusion, orlistat can help to reduce postprandial plasmatic TGL, especially in patients with postprandial hypertriglyceridemia related to obesity, dyslipidemia or type-2 diabetes

Maritime-oriented foragers during the Late Pleistocene on the eastern costa del sol (Southeast Iberia): Cueva Victoria (Málaga, Spain)

The Mediterranean coast of Spain is marked by several clusters of Palaeolithic sites: to the south of the Pyrenees, in the area around the Ebro River, in the central part, and on the south coast, one of the southernmost regions in Europe. The number of sites is small compared with northern Iberia, but like that region, the Palaeolithic occupations are accompanied by several rock art ensembles. The archaeological material (both biotic and abiotic resources) and radiocarbon dates presented here were obtained during archaeological fieldwork of professor J. Fortea in the Late Pleistocene deposits in Cueva Victoria, located near the modern coastline and about 150 km north of the Strait of Gibraltar. In the three occupation phases, marine resources were acquired by shell-fishing (focusing almost exclusively on the clam Ruditapes decussatus), fishing, and the use of beached marine mammals. This contrasts with the limited data about the exploitation of terrestrial resources by hunting and gathering animals and plants. The study is completed by the study of artefacts (lithic and bone industry and objects of adornment) that help to understand the subsistence strategies of the cave occupants and enable a comparison with other groups inhabiting the Mediterranean coasts of the Iberian Peninsula during Greenland Interstadial 1, between ca. 15.1 and 13.6 cal BP.This work was supported by the University of Salamanca GIR PREHUSAL, the Ministry of Science and Innovation-Spanish Government (PaleontheMove-PID2020-114462GB-I00), the Universidad Nacional de Educación a Distancia (Madrid) and Dirección General de Universitat, Investigacio i Ciencia of the Valencian Regional Government (Project Aico/2020/97).Peer reviewe

Covid-19: la malinterpretación de los datos de la pandemia daña la confianza del público

Dos cartas publicadas en The Lancet y The Lancet Public Health en los últimos meses defienden la necesidad de evaluar de forma independiente la respuesta española ante la covid-19. Estamos de acuerdo, pero nos gustaría complementarlas con tres puntos que nos acercan a la ciencia abierta. Nos referimos a la confusión terminológica, la calidad de los datos y su disponibilidad

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Nurse Mentoring: A Scoping Review

Introduction: Mentoring programs minimize stress and anxiety in recent graduates and in newly recruited nurses, guiding their careers and enabling them to retain their skills and correctly care for patients. The objective of this scoping review is to explore and summarize the existing literature on mentoring models and programs in the clinical nursing context. Methods: The databases searched include PubMed, Embase, Cochrane Library, Epistemonikos, Cuiden, Scielo, MEDES, OpenGrey, Trove and MedNar. Published and unpublished studies worldwide that included nurse mentoring programs in a clinical context, in public and private systems and primary, secondary and tertiary healthcare settings, and articles published in English, French, Spanish and Portuguese, were included. Nurse students and training specialists were excluded. The papers were screened by two independent reviewers. In cases of discrepancy, a third reviewer made the decision. Results: Eleven studies were included. Most of them were conducted in the USA. A wide range of nurse mentoring programs were identified with highly variable characteristics. The duration of the programs and the evaluation systems were different, but the expected results matched. Conclusions: Mentoring programs need more in-depth and extensive study. In spite of their differences, they all lead to improvements for nurses, patients and organizations. A gender influence was found in our results, which could be studied in future research