Child maltreatment and resilience in adulthood: a protocol for a systematic review and meta-analysis.

Background: Although child maltreatment (CM) has been linked to health problems and poor psychosocial functioning, not all individuals exposed to CM develop or experience negative consequences later in life. This suggests that some individuals show resilience after being exposed to CM. However, conclusions have been limited by inconsistent findings across different CM subtypes and resilience domains.Objective: To develop a protocol for conducting a systematic review and meta-analysis to quantify associations between CM (overall and its subtypes) and resilience (global and its multiple domains) in adulthood, and to examine moderators and mediators of these associations.Method: PubMed, PsycINFO, Embase, Scopus, and Web of Science will be searched to identify relevant studies on the association between CM (exposure) and resilience (outcome) in adults (≥ 18 years). Data will be screened and extracted by at least two independent reviewers. The methodological quality of the included studies will be independently assessed with a modified version of the Newcastle-Ottawa Scale (NOS). If deemed viable, a meta-analysis will be conducted using a random effects model. Heterogeneity of evidence will be estimated with the I2 statistic, and publication bias will be assessed. The effects of potential moderators (e.g. timing and severity of CM, age, sex, family cohesion, socio-economic status, country/region) will be analysed using meta-regression and subgroup analyses, and meta-analytical structural equation modelling will be employed to synthesise indirect mediation effects. Candidate moderators and mediators (e.g. genetic factors, brain functioning, attachment style, personality traits, physical activity, and social support) will be also examined qualitatively.Conclusions: This protocol will facilitate a systematic review and meta-analysis that has the potential to enhance our knowledge about the association between CM exposure in early life and resilience in adulthood. Understanding associations and underlying mechanisms between CM and resilience is potentially important in informing prevention and interventions to sustain health and improve outcomes among adults with a history of CM.PROSPERO registration: CRD42023394120.

In this study protocol, we propose to quantitatively summarise the existing literature on the relationship between child maltreatment and resilience with regard to mental health consequences and psychosocial functioning later in life.This preregistered systematic review and meta-analysis will establish the procedures to investigate associations between an overall classification of child maltreatment and its different associated subtypes, and a global/trait classification of resilience and its different domains in adults.This protocol will further determine the analytical approach to explore and summarise effect moderators and mediators of the association between child maltreatment and resilience in adulthood.The resulting synthesis, that will be based on this protocol, could enhance our understanding of the strength of the association between child maltreatment and resilience and inform prevention strategies and clinical interventions to improve health and psychosocial functioning in adult survivors.

[Implications on the scientific production of COVID-19.] / Consecuencias en la producción científica de la COVID-19.

The impact and the universality of the pandemic by SARS-CoV-2 has caused the need to have information quickly and accessible for the benefit of decision-making among healthcare professionals. In 10 months the scientific production on this new coronavirus has exceeded the number of 66 thousand articles, according to the LitCovid database, created by the National Library of Medicine, doubling and tripling every few weeks. This same urgency has characterized some of the main features of this voluminous production, in addition to its continuous and exponential growth, such as greater dissemination in open access and preprint repositories, a certain acceleration in the manuscript review process by editorials and an abundance of opinion articles, recommendations or comments compared to a smaller number of original articles with clinical data from large groups of patients.

El impacto y la universalidad de la pandemia de SARS-CoV-2 han provocado en el mundo entero la necesidad de disponer de información científica de una forma rápida y accesible para la correcta toma de decisiones entre los profesionales sanitarios. Por ello, en 10 meses la producción científica sobre este nuevo coronavirus ha superado la cifra de los 66.000 artículos, según la base de datos LitCovid creada por la National Library of Medicine, duplicándose y triplicándose la cantidad cada pocas semanas. Esta misma urgencia ha caracterizado algunos de los rasgos principales que han definido esta voluminosa producción, además de su continuo y exponencial crecimiento, como son una mayor difusión en acceso abierto y en repositorios de preprints, una cierta aceleración en el proceso de revisión de manuscritos por parte de las editoriales y una abundancia de artículos de opinión, recomendaciones o comentarios frente a un menor número de artículos originales con datos clínicos de grandes grupos de pacientes.

[The impact of research in clinical practice]. / El impacto de la investigación en la práctica clínica.

This work analyzes the way in which scientific knowledge can modify clinical practice and generate changes in the behavior of professionals, incorporating the new discoveries to their common practice. The main phases of the research process are three: knowledge production, transmission and application. Analyzing each of them will allow us to evaluate the overall impact of research in clinical practice. There is a great amount of information related to the way in which new knowledge should reach health care providers. The challenge is to reduce the gap between clinical practice and the generation of new knowledge based on improved evidence.

[Bibliometric study of the original articles published in Revista Española de Salud Púiblica (1991-2000). Part III: reference analysis]. / Estudio bibliométrico de los artículos originales de la revista española de Salud Púiblica (1991-2000). Parte tercera: analisis de las referencias bibliograficas.

BACKGROUND: The advancement of knowledge is based on the results of previously conducted research studies, which are reflected in the reference sources listed in a scientific article. This study is aimed at studying the scientific information used in the Revista Española de Salud Pública based on the references cited in the original articles published during the 1991-2000 period. METHODS: The data regarding the year and where published, document type, language and country in which published was taken from the reference sources listed in the 290 original articles published, the obsolescence, Price and isolation indexes being calculated, and the Bradford core distribution being established according to the source journals. The self-citing rate was also calculated. RESULTS: A total of 7465 references were cited in the Reference section of the 290 original articles. An average of 25.7 references were cited per article. The Price index was 40.7. The scientific articles showed an obsolescence index of 5, the books and book chapters having an index of 6. A total 50.6% of the citations were from studies published in Spanish. The isolation index of the references was 48.1. The first Bradford core is comprised of 10 journals, the first four of which are Spanish. The self-citing rate was 3.8%. CONCLUSIONS: The information consumption of the original articles published in the Revista Española de Salud Pública show parameters similar to those of other Spanish health sciences journals for those same years, and the parameters regarding which this Journal differs from other Spanish health sciences journals seem to be justified by those particular aspects unique to public health, which does not fall within the patterns inherent to the clinical disciplines.

[Bibliometric study of the original articles published in the Revista Española de Salud Pública (1991-2000). I. General indicators]. / Estudio bibliométrico de los artículos originales de la Revista Española de Salud Pública (1991-2000). Parte Primera: indicadores generales.

BACKGROUND: For some time, the most of reports have been being disseminated by way of scientific journals, bibliometric studies therefore being fundamental to the characterization and evaluation thereof. The purpose of this study is that of characterizing the Revista Española de Salud Pública based on the original articles published therein throughout the 1991-2000 period. METHODS: Original articles published in the Revista Española de Salud Pública throughout the 1991-2000 period, all inclusive. A study has been made of the following variables: number of original articles, collaboration index or number of signing authors per study, productivity index, geographical spread and main subject. RESULTS: Throughout the 1991-2000 period, 290 original studies (52.3%) of a total of 555 studies were published. The number of originals averaged 29 originals/year A 4.5 degree of collaboration was found to exist for this journal (number signing authors/number originals) for the period under study. The annual of originals by Autonomous Community reveals in the Autonomous Community of Madrid (20.7%), Autonomous Community of Valencia (16.4%), Andalusia (16.1%) and Catalunya (10.0%) have published studies every year throughout the ten-year period under study. The most prevalent subject of all was that related to "Communicable disease" (86 originals), Primary Health Care" (34) and "Environmental pollution" (21). CONCLUSIONS: Generally speaking, it apparently follows that the Revista Española de Salud Pública continues to fall within the output-related indicators of other Spanish and foreign journals and that it has also evolved in keeping with the trend proper of scientific output in the biomedical field. Although "Communicable diseases" are not the main cause of mortality, they continue being the main subject more frequently studied.

[Bibliometric study of original articles in the Revista Española de Salud Pública (1991-2000). Part II: authors' productivity, their institutions and geographical areas]. / Estudio bibliométrico de los artículos originales de la revista Española de Salud Pública (1991-2000). Parte segunda: productividad de los autores y procedencia institucional y geográfica.

BACKGROUND: When characterizing a scientific journal from the bibliometric standpoint, it is of importance to know how many authors were involved in the studies published as well as the geographical areas where these authors are located and the type of institutions by which they are employed. The aim of this article is that of analyzing the geographical spread of these authors and the institutions by which they are employed, as well as its evolution as regards the original articles published in the Revista Española de Salud Pública throughout the 1991-2000 period. METHODS: Of the original articles published in the Revista Española de Salud Pública throughout the studied ten-year period, a calculation has been made as to the total number of authors, the number of occasional authors (authors having published solely one article), transitivity index, the ratio between the number of male and female authors, the productivity of the authors and their institutions and the spread of authors and the institutions by which they are employed by Autonomous Communities. RESULTS: Of the original articles published in the Revista Española de Salud Pública throughout the 1991-2000 period, a total of 1,052 different authors were involved, 1,000 of whom were Spanish and 52 foreigners. The ratio of male authors to female authors for the period in question was 1.29. The Autonomous Communities from which the largest number of authors came were Community of Madrid (16.3%), Andalusia (13.4%) and the Community of Valencia (12.5%). The institutions by which the authors are employed are located most often in Community of Madrid (16.5%), in Community of Valencia (11.3%) and Andalusia and Catalonia (10.5%). A total of 37.6% of the authors work at centers devoted to health care, followed by authors who work at Universities (26.3%). On calculating the spread of the type of institution by Autonomous Communities, in the Community of Madrid and in the Community of Valencia and Andalusia, the most frequent institution is that of the primary care centers (50%, 43.3% and 28.6% respectively); and in Catalonia the specialized care centers (42.9%). CONCLUSIONS: The Revista Española de Salud Pública is a scientific journal well known in the whole spanish territory and in the Latinoamerican countries. The productivity of the authors publishing in this journal, the productivity of their institutions where they work and that of Autonomous Regions where they belong to, is similar to other magazines. The productivity of the authors is greater when we look at other public health magazines or other countries.

[Internet resources on ageing and health]. / Recursos sobre envejecimiento y salud en internet.

The general ageing of the world population at the beginning of the XXI century is an established fact, and in the next few years it will be a topic for debate and of interest to the public and, in particular, among health professionals. The Internet, as an inexhaustible information source of a different kind, could be a useful resource for consulting and updating for these professionals. The main health sciences sources that are available on the Internet are presented and commented upon. These may be useful for those professionals who wish to identify the most relevant information on ageing.