Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 17.358
Filtrar
2.
Ann Pharm Fr ; 78(6): 464-468, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33038310

RESUMEN

On January 4 2020, the World Health Organization (WHO) reported the emergence of a cluster of pneumonia cases in Wuhan, China due to a new coronavirus, the SARS-CoV-2. A few weeks later, hospitals had to put in place a series of drastic measures to deal with the massive influx of suspected COVID-19 (COronaroVIrus Disease) patients while securing regular patient care, in particular in the intensive care units (ICU). Since March 12th, 77 of the 685 COVID-19 patients admitted to our hospital required hospitalization in the ICU. What are the roles and the added-value of the critical care pharmacist during this period? His missions have evolved although they have remained focused on providing health services for the patients. Indeed, integrated into a steering committee created to organize the crisis in the intensive care units, the role of the clinical pharmacist was focused on the organization and coordination between ICU and the pharmacy, the implementation of actions to secure practices, to train new professionals and the adaptation of therapeutic strategies. He participated to literature monitoring and increased his involvement in the clinical research team. He provided a link between the ICU and the pharmacy thanks to his knowledges of practices and needs.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Cuidados Críticos , Pandemias , Farmacéuticos , Neumonía Viral/epidemiología , Ensayos Clínicos como Asunto/organización & administración , Miembro de Comité , Equipos y Suministros de Hospitales/provisión & distribución , Francia , Humanos , Servicios de Información , Almacenamiento y Recuperación de la Información , Comunicación Interdisciplinaria , Perfil Laboral , Administración de Materiales de Hospital , Seguridad del Paciente , Preparaciones Farmacéuticas/provisión & distribución , Servicio de Farmacia en Hospital/organización & administración , Rol
4.
BMJ Open ; 10(10): e039326, 2020 10 29.
Artículo en Inglés | MEDLINE | ID: mdl-33122319

RESUMEN

OBJECTIVE: Clinical trial data sharing has the potential to accelerate scientific progress, answer new lines of scientific inquiry, support reproducibility and prevent redundancy. Vivli, a non-profit organisation, operates a global platform for sharing of individual participant-level trial data and associated documents. Sharing of these data collected from each trial participant enables combining of these data to drive new scientific insights or assess reproducibility-not possible with the aggregate or summary data tables historically made available. We report on our initial experience including key metrics, lessons learned and how we see our role in the data sharing ecosystem. We also describe how Vivli is addressing the needs of the COVID-19 challenge through a new dedicated portal that provides a direct search function for COVID-19 studies, availability for fast-tracked request review and data sharing. DATA SUMMARY: The Vivli platform was established in 2018 and has partnered with 28 diverse members from industry, academic institutions, government platforms and non-profit foundations. Currently, 5400 trials representing 3.6 million participants are shared on the platform. From July 2018 to September 2020, Vivli received 201 requests. To date, 106 of 201 requests received approval, 5 have been declined, 27 withdrew and 27 are in the revision stage. CONCLUSIONS: The pandemic has only magnified the necessity for data sharing. If most data are shared and in a manner that allows interoperability, then we have hope of moving towards a cohesive scientific understanding more quickly not only for COVID-19 but also for all diseases. Conversely, if only isolated pockets of data are shared then society loses the opportunity to close vital gaps in our understanding of this rapidly evolving epidemic. This current challenge serves to highlight the value of data sharing platforms-critical enablers that help researchers build on prior knowledge.


Asunto(s)
Ensayos Clínicos como Asunto , Infecciones por Coronavirus , Manejo de Datos , Difusión de la Información/métodos , Servicios de Información , Pandemias , Neumonía Viral , Salud Pública/tendencias , Betacoronavirus , Investigación Biomédica/métodos , Investigación Biomédica/estadística & datos numéricos , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/terapia , Manejo de Datos/métodos , Manejo de Datos/organización & administración , Manejo de Datos/tendencias , Humanos , Servicios de Información/organización & administración , Servicios de Información/tendencias , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/terapia , Proyectos de Investigación
5.
RECIIS (Online) ; 14(3): 798-802, jul.-set. 2020. ilus
Artículo en Portugués | LILACS | ID: biblio-1122136

RESUMEN

O livro do Trevor Owens expõe uma importante visão sobre a preservação digital contemporânea onde ele discute abordagens teóricas e práticas e apresenta-os com conceitos e conexões inovadores. Este resumo discute 10 dos 16 axiomas que são lançados como o ponto de partido do livro. Estes axiomas são curtos, mas profundos em importância como pensamento base para a elaboração de programas de preservação digital.


Trevor Owens' book exposes important insights into contemporary digital preservation where he discusses theoretical and practical approaches and presents these with innovative concepts and connections. This summary discusses 10 of the 16 axioms that are launched as the starting point of this book. These axioms are short, but deep in importance as the basis for the development of digital preservation programs.


El libro de Trevor Owens expone una visión importante de la preservación digital contemporánea, donde analiza enfoques teóricos y prácticos y les presenta como conceptos y conexiones innovadores. Este resumen analiza 10 de los 16 axiomas que se lanzan como punto de partida del libro. Estos axiomas son cortos, pero de gran importancia como base para el desarrollo de programas de preservación digital.


Asunto(s)
Humanos , Gestión de la Información , Reseñas de Libros , Libros , Sistemas de Información , Comentario , Procesos de Copia , Curaduría de Datos , Servicios de Información
6.
BMJ Health Care Inform ; 27(1)2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32616479

RESUMEN

BACKGROUND: Healthcare organisations are undergoing a major transformational shift in the use of information and digital health technologies. Enterprise architecture (EA) has been incrementally adopted in many healthcare organisations globally to facilitate this change. EA can increase the effectiveness of an organisation's digital health capabilities and resources. However, little is known about the status of EA adoption in low-income and middle-income countries. This study aimed to evaluate the challenges, goals and benefits associated with adoption of EA for healthcare in the Asia eHealth Information Network (AeHIN) member countries . METHODS: We developed an EA Adoption Evaluation framework with four principal layers: governance, strategy, EA and performance. The framework guided the development of a questionnaire to investigate the goals, challenges and benefits faced before and during EA adoption by healthcare organisations. SAMPLE: 26 participants from 18 healthcare organisations in the Asia-Pacific region representing 11 countries. Organisations included Ministries of Health, Universities, Non-Governmental Organisations and Technical Advisory Groups. FINDINGS: Only 5 of the 18 organisations had begun adopting EA. The goals expressed for EA adoption were to address issues such as interoperability, lack of technical infrastructure and poor alignment of business and information technology strategies. Cost reduction was less emphasised. The main challenges to adopting EA was the lack of EA knowledge, leadership and involvement of senior management. CONCLUSION: The adoption of EA is incipient in AeHIN member healthcare organisations. To encourage EA adoption, these organisations need to invest in internal capacity building, senior management training and seek independent EA expert advice to systematically identify and address the barriers to adopting EA.


Asunto(s)
Creación de Capacidad , Prestación de Atención de Salud/normas , Interoperabilidad de la Información en Salud , Servicios de Información/organización & administración , Asia , Países en Desarrollo , Recursos en Salud , Humanos , Encuestas y Cuestionarios
7.
J. negat. no posit. results ; 5(7): 689-701, jul. 2020. ilus, tab
Artículo en Español | IBECS | ID: ibc-194130

RESUMEN

OBJETIVO: Describir las infografías sobre las enfermedades de transmisión sexual (ETS) recuperadas mediante Google Images® y analizar su información y posibilidades de uso. MÉTODO: Estudio descriptivo transversal. Las infografías se obtuvieron mediante búsqueda con los términos «infographic», «sexually transmitted diseases» y «sexually transmitted infections». Para seleccionar las imágenes a estudio se calculó el tamaño muestral mediante la estimación de parámetros poblacionales en una población infinita. La fecha de la búsqueda fue el 15 de marzo de 2018. RESULTADOS: Se seleccionaron 386 infografías para cada término (diseases/infections), descartándose 198 (20,4%) imágenes por ruido documental; 718 infográfias (99,5%) tenían carácter informativo. La mayoría provenían de Blogs personales, 129 (16,7%) o de persona individual, 54 (7,0%). Presentaron algún tipo de licencia 31 (4,0%) infografías. Más de la mitad (Mediana = 0,4 Mpx) de las imágenes analizadas presentaron adecuada resolución. CONCLUSIONES: Se consiguió recuperar infografías sobre ETS, en su mayoría eran de tipo informativo, pero con un alto "ruido documental". Se observó una baja filiación institucional de estas imágenes que tampoco disponían de un conveniente uso de licencias Creative Commons, no obstante, existió una buena resolución de imagen


OBJECTIVE: To describe the infographics on sexually transmitted diseases (STDs) recovered through Google Images® and analyze their information and possibilities of use. METHODS: Cross-sectional descriptive study. The infographics were obtained by searching with the terms "infographic", "sexually transmitted diseases" and "sexually transmitted infections". To select the images for the study, a sample size was calculated by estimating parameters in an infinite population. The date of the search was 15 of March 2018. RESULTS: 386 infographics were selected for each term (diseases/infections), discarding 198 (20.4%) images due to documentary noise; 718 infographics (99.5%) were informative. Most of them, came from personal blogs, 129 (16.7%) or individual, 54 (7.0%). They presented some type of license 31 (4.0%) infographics. More than half (Median = 0.4 Mpx) of the analyzed images presented adequate resolution. CONCLUSIONS: It was possible to recover infographics about STDs but with a high "documentary noise" that was mostly informative. There was a low institutional affiliation of these images that did not have a convenient use of Creative Commons licenses, although most of them presented a good image resolution


Asunto(s)
Humanos , Enfermedades de Transmisión Sexual , Información de Salud al Consumidor/estadística & datos numéricos , Educación Sexual/tendencias , Diagnóstico por Imagen , Servicios de Información/estadística & datos numéricos , Acceso a la Información , Derechos de Autor/legislación & jurisprudencia
8.
Sci Rep ; 10(1): 8582, 2020 05 22.
Artículo en Inglés | MEDLINE | ID: mdl-32444698

RESUMEN

Comorbidity scores to predict mortality are very useful to facilitate decision-making for personalized patient management. This study aim was to assess the contribution of medico-administrative data in addition to French Renal Epidemiology and Information Network (REIN) data to the development of a risk score to predict the 1-year all-cause mortality in patients with End Stage Renal Disease (ESRD), and to compare it with previous scores. Data from a derivation sample (n = 6336 patients who started dialysis in 2015 in France) obtained by linking the REIN and the French National Health Insurance Information System databases were analyzed with multivariate Cox models to select risk factors to establish the score. A randomly chosen validation sample (n = 2716 patients who started dialysis in 2015) was used to validate the score and to compare it with the comorbidity indexes developed by Wright and Charlson. The ability to predict one-year mortality of the score constructed using REIN data linked to the medico-administrative database was not higher than that of the score constructed using only REIN data (i.e., Rennes score). The Rennes score included five comorbidities, albumin, and age. This score (AUC = 0.794, 95%CI: 0.768-0.821) outperformed both the Wright (AUC = 0.631, 95%CI: 0.621-0.639; p < 0.001) and Charlson (AUC = 0.703, 95%CI: 0.689-0.716; p < 0.001) indexes. Data from the REIN registry alone, collected at dialysis start, are sufficient to develop a risk score that can predict the one-year mortality in patients with ESRD. This simple score might help identifying high risk patients and proposing the most adapted care.


Asunto(s)
Servicios de Información/estadística & datos numéricos , Fallo Renal Crónico/mortalidad , Sistema de Registros/estadística & datos numéricos , Diálisis Renal/mortalidad , Medición de Riesgo/métodos , Anciano , Comorbilidad , Femenino , Estudios de Seguimiento , Francia/epidemiología , Humanos , Fallo Renal Crónico/epidemiología , Fallo Renal Crónico/terapia , Masculino , Pronóstico , Factores de Riesgo , Tasa de Supervivencia
11.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47327

RESUMEN

Serviço de perguntas e respostas do site da FEBRASGO, especializado no tema COVID-19, que visa orientar os profissionais de saúde.


Asunto(s)
Ginecología , Servicios de Información , Betacoronavirus , Infecciones por Coronavirus
12.
Artículo en Inglés | MEDLINE | ID: mdl-32235433

RESUMEN

Coronavirus (COVID-19) is a humanitarian emergency, which started in Wuhan in China in early December 2019, brought into the notice of the authorities in late December, early January 2020, and, after investigation, was declared as an emergency in the third week of January 2020. The WHO declared this as Public Health Emergency of International Concern (PHEIC) on 31th of January 2020, and finally a pandemic on 11th March 2020. As of March 24th, 2020, the virus has caused a casualty of over 16,600 people worldwide with more than 380,000 people confirmed as infected by it, of which more than 10,000 cases are serious. Mainly based on Chinese newspapers, social media and other digital platform data, this paper analyzes the timeline of the key actions taken by the government and people over three months in five different phases. It found that although there was an initial delay in responding, a unique combination of strong governance, strict regulation, strong community vigilance and citizen participation, and wise use of big data and digital technologies, were some of the key factors in China's efforts to combat this virus. Being inviable and non-measurable (unlike radioactive exposure), appropriate and timely information is very important to form the basic foundation of mitigation and curative measures. Infodemic, as it is termed by WHO, is a key word, where different stakeholder's participation, along with stricter regulation, is required to reduce the impact of fake news in this information age and social media. Although different countries will need different approaches, focusing on its humanitarian nature and addressing infodemic issues are the two critical factors for future global mitigation efforts.


Asunto(s)
Infecciones por Coronavirus , Coronavirus , Conjuntos de Datos como Asunto , Brotes de Enfermedades/prevención & control , Servicios de Información , Internet , Pandemias , Neumonía Viral , Política Pública , Medios de Comunicación Sociales , Betacoronavirus , China/epidemiología , Infecciones por Coronavirus/economía , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Infecciones por Coronavirus/transmisión , Ciencia de los Datos , Bases de Datos Factuales , Política de Salud , Humanos , Mortalidad , Pandemias/economía , Neumonía Viral/economía , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Neumonía Viral/transmisión , Neumonía Viral/virología , Salud Pública , Cuarentena/economía , Cuarentena/psicología , Síndrome Respiratorio Agudo Grave/virología
13.
PLoS One ; 15(4): e0230416, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32320428

RESUMEN

Efforts to make research results open and reproducible are increasingly reflected by journal policies encouraging or mandating authors to provide data availability statements. As a consequence of this, there has been a strong uptake of data availability statements in recent literature. Nevertheless, it is still unclear what proportion of these statements actually contain well-formed links to data, for example via a URL or permanent identifier, and if there is an added value in providing such links. We consider 531, 889 journal articles published by PLOS and BMC, develop an automatic system for labelling their data availability statements according to four categories based on their content and the type of data availability they display, and finally analyze the citation advantage of different statement categories via regression. We find that, following mandated publisher policies, data availability statements become very common. In 2018 93.7% of 21,793 PLOS articles and 88.2% of 31,956 BMC articles had data availability statements. Data availability statements containing a link to data in a repository-rather than being available on request or included as supporting information files-are a fraction of the total. In 2017 and 2018, 20.8% of PLOS publications and 12.2% of BMC publications provided DAS containing a link to data in a repository. We also find an association between articles that include statements that link to data in a repository and up to 25.36% (± 1.07%) higher citation impact on average, using a citation prediction model. We discuss the potential implications of these results for authors (researchers) and journal publishers who make the effort of sharing their data in repositories. All our data and code are made available in order to reproduce and extend our results.


Asunto(s)
Descubrimiento del Conocimiento , Publicaciones , Investigación , Humanos , Servicios de Información , Factor de Impacto de la Revista
17.
JMIR Public Health Surveill ; 6(2): e18444, 2020 04 09.
Artículo en Inglés | MEDLINE | ID: mdl-32250960

RESUMEN

BACKGROUND: The internet has become an important source of health information for users worldwide. The novel coronavirus caused a pandemic search for information with broad dissemination of false or misleading health information. OBJECTIVE: The aim of this study was to evaluate the quality and readability of online information about the coronavirus disease (COVID-19), which was a trending topic on the internet, using validated instruments and relating the quality of information to its readability. METHODS: The search was based on the term "Wuhan Coronavirus" on the Google website (February 6, 2020). At the search time, the terms "COVID-19" or "SARS-CoV-2" (severe acute respiratory syndrome coronavirus 2) did not exist. Critical analysis was performed on the first 110 hits using the Health on the Net Foundation Code of Conduct (HONcode), the Journal of the American Medical Association (JAMA) benchmark, the DISCERN instrument, and Google ranking. RESULTS: The first 110 websites were critically analyzed, and only 1.8% (n=2) of the websites had the HONcode seal. The JAMA benchmark showed that 39.1% (n=43) of the websites did not have any of the categories required by this tool, and only 10.0% (11/110) of the websites had the four quality criteria required by JAMA. The DISCERN score showed that 70.0% (n=77) of the websites were evaluated as having a low score and none were rated as having a high score. CONCLUSIONS: Nonhealth personnel and the scientific community need to be aware about the quality of the information they read and produce, respectively. The Wuhan coronavirus health crisis misinformation was produced by the media, and the misinformation was obtained by users from the internet. The use of the internet has a risk to public health, and, in cases like this, the governments should be developing strategies to regulate health information on the internet without censuring the population. By February 6, 2020, no quality information was available on the internet about COVID-19.


Asunto(s)
Comunicación , Comprensión , Información de Salud al Consumidor , Infecciones por Coronavirus/prevención & control , Coronavirus , Internet , Pandemias/prevención & control , Neumonía Viral/prevención & control , Betacoronavirus , Información de Salud al Consumidor/normas , Humanos , Difusión de la Información , Servicios de Información , Lectura
18.
Cent Eur J Public Health ; 28(1): 82-84, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32228824

RESUMEN

OBJECTIVES: About four million people are affected by rare diseases in Germany and 30 million in the EU. In 2013, a national action plan for people with rare diseases was adopted in Germany which is also aimed at improving the information situation and better gathering of information for affected patients and their families. Since then, various sources of information and medical care structures have been made available. The aim of this study was to evaluate the state of knowledge about information sources and health care centres for rare diseases among those affected. METHODS: The study was carried out as anonymous survey among the member associations of the German Alliance for Chronic Rare Diseases (German acronym ACHSE e. V.). For this, a questionnaire was developed which in addition to questions on gender, age and disease comprised free text input referring to knowledge of health care centres or expert centres and source of information on rare diseases in Germany. RESULTS: A total of 484 individuals suffering from 96 different rare diseases participated in the survey. Of these, 74.47% are aware of medical or dental care centres for treatment of their types of rare disease; 69.31% use self-help groups as a source of information, only a few respondents know government-sponsored "se-atlas" and "Orphanet". CONCLUSION: The majority of the respondents know medical care centres, most participants use self-help groups as information source, however, government-supported portals are largely unknown so that there is a need for further information in this regard.


Asunto(s)
Instituciones de Salud , Conocimientos, Actitudes y Práctica en Salud , Servicios de Información , Enfermedades Raras/terapia , Alemania , Humanos , Encuestas y Cuestionarios
19.
Sci Rep ; 10(1): 3357, 2020 02 25.
Artículo en Inglés | MEDLINE | ID: mdl-32099020

RESUMEN

In many real-world networks, the ability to withstand targeted or global attacks; extinctions; or shocks is vital to the survival of the network itself, and of dependent structures such as economies (for financial networks) or even the planet (for ecosystems). Previous attempts to characterise robustness include nestedness of mutualistic networks or exploration of degree distribution. In this work we present a new approach for characterising the stability and robustness of networks with all-positive interactions by studying the distribution of the k-shell of the underlying network. We find that high occupancy of nodes in the inner and outer k-shells and low occupancy in the middle shells of financial and ecological networks (yielding a "U-shape" in a histogram of k-shell occupancy) provide resilience against both local targeted and global attacks. Investigation of this highly-populated core gives insights into the nature of a network (such as sharp transitions in the core composition of the stock market from a mix of industries to domination by one or two in the mid-1990s) and allow predictions of future network stability, e.g., by monitoring populations of "core" species in an ecosystem or noting when stocks in the core-dominant sector begin to move in lock-step, presaging a dramatic move in the market. Moreover, this "U-shape" recalls core-periphery structure, seen in a wide range of networks including opinion and internet networks, suggesting that the "U-shaped" occupancy histogram and its implications for network health may indeed be universal.


Asunto(s)
Ecosistema , Administración Financiera/métodos , Servicios de Información/estadística & datos numéricos , Humanos , Servicios de Información/economía
20.
Rev Epidemiol Sante Publique ; 68(2): 99-107, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32037129

RESUMEN

BACKGROUND: Concern about health misinformation is longstanding, especially on the Internet. METHODS: Using agent-based models, we considered the effects of such misinformation on a norovirus outbreak, and some methods for countering the possible impacts of "good" and "bad" health advice. The work explicitly models spread of physical disease and information (both online and offline) as two separate but interacting processes. The models have multiple stochastic elements; repeat model runs were made to identify parameter values that most consistently produced the desired target baseline scenario. Next, parameters were found that most consistently led to a scenario when outbreak severity was clearly made worse by circulating poor quality disease prevention advice. Strategies to counter "fake" health news were tested. RESULTS: Reducing bad advice to 30% of total information or making at least 30% of people fully resistant to believing in and sharing bad health advice were effective thresholds to counteract the negative impacts of bad advice during a norovirus outbreak. CONCLUSION: How feasible it is to achieve these targets within communication networks (online and offline) should be explored.


Asunto(s)
Infecciones por Caliciviridae/epidemiología , Comunicación , Brotes de Enfermedades , Alfabetización en Salud , Internet , Norovirus/fisiología , Análisis de Sistemas , Acceso a la Información , Infecciones por Caliciviridae/transmisión , Infecciones por Caliciviridae/virología , Información de Salud al Consumidor/organización & administración , Información de Salud al Consumidor/normas , Información de Salud al Consumidor/estadística & datos numéricos , Alfabetización en Salud/organización & administración , Alfabetización en Salud/normas , Alfabetización en Salud/estadística & datos numéricos , Humanos , Difusión de la Información , Servicios de Información/organización & administración , Servicios de Información/normas , Reportes Públicos de Datos en Atención de Salud
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA
...