Habilidades para la Atención Farmacéutica I.- Taller sobre comunicación con el paciente

Capítulo del libro "EducaFarma 2.0. White papers sobre innovación aplicada en el área de las Ciencias Bio-Sanitarias" http://hdl.handle.net/10366/124134 publicado por la Facultad de Farmacia de la Universidad de Salamanca y editado por Jonás Samuel Pérez Blanco, Antonio Muro Álvarez y Juan Cruz-Benito

DRPs detected in patients in treatment with digoxin who were attended in Emergency Department

Aiming to study drugs related problems (DRPs) associated with digoxin treatment, a retrospective revision of monitoring reports in patients whose digoxin level was over 1.3 ng/mL and who visited Emergency Department between January-November 2012 was done, excluding those which didn’t have enough information (final population: 46). Also, doses were individualized by Bayesian approach (PKS®, Pharmacokinetic System, Abbott). DRPs which were analyzed included those related with monitoring (13%); digoxin levels > 1.3 ng/mL in patients who were elder than 70 years old (100%); doses > 0.125 mg daily in patients with renal failure (36.9%); hypokalemia (6.5%) and hyperkalemia (8.7%); possible interactions with other drugs (95% of 19 patients with information about it), 89% of whom had an increment of the intoxication risk. After excluding 9 patients whose concentrations weren’t taken at the right sampling time, posology was individualized in 23 of the 37 final patients (in the other 14 to repeat the monitoring was recommended because differences between real and expected digoxin level). Despite of the limited information, we can conclude that monitoring and dose individualization could have avoided inadequate regimens in 100% of patients in who we had enough information for the readjustment.Con el objetivo de estudiar problemas relacionados con medicamentos (PRMs) asociados al tratamiento con digoxina, se realizó una revisión retrospectiva de informes de monitorización en pacientes con digoxinemias > 1.3 ng/mL que acudieron al Servicio de Urgencias entre enero- noviembre de 2012, excluyéndose aquellos con falta de información (población final:46).  Así mismo, se individualizaron  las dosis mediante ajuste bayesiano (PKS®, Pharmacokinetic System, Abbott)./nLos PRMs analizados incluyeron aquellos relacionados con la monitorización (13%); digoxinemias > 1.3 ng/mL en mayores de 70 años (100%); dosis > 0.125 mg diarios en pacientes insuficiencia renal (36.9 %); hipopotasemia (6.5%) e hiperpotasemia  (8.7%); medicación concomitante con posible interacción: 95 % (dato en 19 pacientes), 89 % de los cuales presentaban aumento del riesgo de intoxicación. Tras excluir a 9 pacientes cuyas concentraciones no eran valorables por el tiempo de muestreo, se individualizó la dosis en 23 de los 37 pacientes restantes (en los otros 14 se recomendó repetir la monitorización por discordancias entre la digoxinemia real y la esperada). A pesar de la limitada información disponible, podemos concluir que la monitorización y la individualización de dosis hubiesen evitado pautas inadecuadas en el 100% de los pacientes en los que había suficiente información para realizar un reajuste posológico

Technology: a strategic imperative for successful retailers

This author accepted manuscript is deposited under a Creative Commons Attribution Non-commercial 4.0 International (CC BY-NC) licence. This means that anyone may distribute, adapt, and build upon the work for non-commercial purposes, subject to full attribution. If you wish to use this manuscript for commercial purposes, please contact [email protected]: In the aftermath of the COVID-19 pandemic, technology is rewriting the way consumers shop as well as the retail operating models. In this context, investment in new technologies is a strategic imperative for retailers striving to remain relevant and profitable. Using Kahn's Retail Success Matrix as the conceptual framework, the aim of the study is to propose a classification of emerging technologies based on their potential for sustaining retailers' competitive strategies. Design/methodology/approach: Following an initial qualitative study based on in-depth interviews and focus groups with 20 retail managers, the authors collected survey data from a sample of 168 retail and technology professionals. To achieve the research objectives, content, descriptive and multiple correspondence factor analyses were carried out. Findings: The data analyses result on a map that plots the technological solutions that retail experts identify as enablers of four key competitive strategies: product superiority, enhanced customer experience, frictionless shopping experience and operational excellence. Practical implications: This research work provides valuable insight into how retail companies can capitalise on technology to create or reinforce their competitive positioning. The framework acts as a guide for retail companies to assess their technology priorities. Originality/value: This exploratory empirical study is the result of a collaboration between academic researchers and retail professionals. Thus, it addresses challenges experienced by key stakeholders. The encompassing classification enables a better understanding of the impact of technology on retailers' competitive positioning.This work was supported by the Spanish Ministry of Science and Innovation (Funding Agency #1) under Grant PID2020-113561RB-I00. This study benefited from the Professorship Excellence Program in accordance with the multi-year agreement signed by the Government of Madrid and the Autonomous University of Madrid (Line #3)

Estrategias y posicionamiento competitivo de las empresas minoristas españolas

Se analizan las estrategias competitivas de las principales empresas minoristas españolas a partir de la Matriz de Khan, identificando las principales estrategias seguidas. Se contrastan estas estrategias con el posicionamiento obtenido mediante una muestra de directivos de empresas del sector y con el derivado de una muestra de consumidores, analizándose las diferencias entre las percepciones de ambos y verificándose la utilidad de esta Matriz para explicar el posicionamiento de las empresas minoristas

Prevalence of Depression and Fish Consumption among First Year Spanish University Students: UniHcos Project

The World Health Organization estimates that one fifth of university students have experienced major depressive disorder at some point in their lives. Nutrition may be one of the modifiable factors that influence the development of depression. Specifically, low omega-3 fatty acid and vitamin D levels, both nutrients found in high quantities in fish, have been linked to depressive disorders. The main objective of this study was to evaluate the prevalence of depression among young Spanish university students, in addition to the pattern of fish consumption among students and the possible relationship between fish consumption and the presence of depression. Data were collected retrospectively from a nationally representative sample of 11,485 Spanish university students aged 18 years or older in 11 Spanish universities, from 2012 to 2022. The respondents were analyzed according to frequency of consumption and compliance with weekly recommendations for fish intake and the presence of depression. Regression models were also performed to determine students’ odds of depression as a function of compliance with recommendations according to selected sociodemographic variables. The prevalence of depression was 10.5%; it was more prevalent in women, older students and in those with both high and low BMIs. In addition, it was also more prevalent in those that lived outside the family home, with roommates and those who were employed. Sixty-seven percent of the students met the fish intake recommendations. The most common frequency of fish consumption was 1–2 times/week (44.2%), and the least frequent was 2.3% daily fish consumption. Students from northern universities were more likely to consume fish (68.4%) than those from southern universities (66.4%). Non-consumption of fish was found to increase the risk of depression (ORa = 1.45 (1.28–1.64); AF = 31.0% (21.9–39.0)), but it was the student’s own conditions that had the greatest influence on the development of the disorder. In summary, a lower consumption of fish seems to be associated with a higher incidence of depression in Spanish university students; however, other social factors of the student may influence the development of the disorder, and all of this should be taken into account for the development of prevention strategies.variables. The prevalence of depression was 10.5%; it was more prevalent in women, older students and in those with both high and low BMIs. In addition, it was also more prevalent in those that lived outside the family home, with roommates and those who were employed. Sixty-seven percent of the students met the fish intake recommendations. The most common frequency of fish consumption was 1–2 times/week (44.2%), and the least frequent was 2.3% daily fish consumption. Students from northern universities were more likely to consume fish (68.4%) than those from southern universities (66.4%). Non-consumption of fish was found to increase the risk of depression (ORa = 1.45 (1.28–1.64); AF = 31.0% (21.9–39.0)), but it was the student’s own conditions that had the greatest influence on the development of the disorder. In summary, a lower consumption of fish seems to be associated with a higher incidence of depression in Spanish university students; however, other social factors of the student may influence the development of the disorder, and all of this should be taken into account for the development of prevention strategies.National Drug Plan from the Ministry of Health, Social Services and Equality of Spain 2010|145 2013|034 2020|030nstituto de Salud Carlos III Spanish Government PI16/0194

Barreras de cambio y confianza: impacto sobre las recomendaciones boca-oído en el entorno online

El objetivo del presente trabajo es contribuir al estudio de los factores que favorecen una de las manifestaciones más interesantes de la lealtad: las recomendaciones favorables a terceros. Para ello se ha elegido como contexto de análisis el sector de las agencias de viaje virtuales. En dicho entorno y, a diferencia de las investigaciones existentes hasta la fecha en el entorno on-line, se evalúa el papel que tienen las barreras de cambio en la estabilización de las relaciones entre la empresa y sus clientes, distinguiendo dentro de las mismas dos componentes en función de su naturaleza: barreras de cambio positivas y barreras de cambio negativas. Se comprueba la influencia directa de dichas barreras de cambio sobre la comunicación interpersonal, así como su contribución a la capacidad explicativa de una de las variables clave en el marketing de relaciones: la confianza. Las implicaciones empresariales que se derivan de los resultados obtenidos en la investigación empírica facilitan la reflexión a las empresas que operan en la Red sobre estrategias adecuadas que permitan obtener una cartera de clientes estables que lleven a cabo recomendaciones positivas a terceros.In the services sector positive word-of-mouth is regarded as one of the most important consumer behavior for firms Thus, one of the most important questions within services marketing is the analysis of the factors influencing this variable, with a view to strengthening it.The current article attempts to extend previous research by testing the effects of customer trust and two types of switching barriers – negative and positive – on the most relevant manifestation of attitudinal loyalty (positive recommendations) in an online environment: virtual travel agencies. To this end, a total of 480 online customers were surveyed. The hypotheses were tested using structural linear equations through EQS version 6.1a for Windows. The distinction between negative and positive switching barriers is important to draw theoretical and managerial implications

Diseño de un MOOC sobre actuación farmacéutica en cosmética oncológica

Memoria ID-040. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2021-2022

EducaFarma 8.0

Memoria ID-033 . Ayudas de la Universidad de Salamanca para la innovación docente, curso 2019-2020

El papel del compromiso percibido por los consumidores en las relaciones con las agencias de viaje

Previous research has shown that commitment plays a key role in the development of stable relationships between a service provider and its customers, and many authors have devoted considerable attention to identifying its antecedents and consequences. The aim of this study is to investigate these issues in the context of retail travel agencies, using structural equations as a statistical technique. Results show the important role of a special type of commitment, the commitment perceived by the customer, in tourism sector, where New Information Technologies are questioning personal relationships and where the concept of customer loyalty has become critical for differentiating from competitors