Perspectiva métrica en el análisis de los artículos originales de la Revista Cubana de Pediatría / Bibliometric perspective of the analysis of original papers from the Cuban Journal of Pediatrics

Los estudios de las revistas científicas desde la perspectiva bibliométrica tienen vital importancia, tanto a nivel de país como de institución o del investigador. El presente estudio se propuso como objetivo general determinar la producción científica de la Revista Cubana de Pediatría en el período 2012-2018. Se realizó un estudio descriptivo, en el cual se emplearon métodos de los estudios métricos de la información en la investigación. Se tomaron como muestra los artículos originales contenidos en los volúmenes del 84 al 90 y un suplemento, los cuales contenían un total de 216 investigaciones. Se aplicaron indicadores de productividad, colaboración, impacto y consumo de la literatura científica. Se observó como resultado el predominio de autores poco productivos, una tendencia hacia la colaboración científica reflejada en las redes de colaboración entre instituciones y entre autores. El análisis cuantitativo y cualitativo de los artículos originales publicados en la Revista Cubana de Pediatría en el período 2012-2016 permitió arribar a conclusiones que tributan a la toma de decisiones, que pueden contribuir a mejoras sustanciales en la política editorial de dicha publicación(AU)

Bibliometric analysis of scientific journals is vitally important both nationwide and on the level of institutions and researchers. The general purpose of the research herein described was to determine the scientific production of the Cuban Journal of Pediatrics in the period 2012-2018. A descriptive study was conducted applying bibliometric research methods. The sample was the 216 original papers included in volumes 84 to 90 and a supplement. The indicators applied were productivity, collaboration, impact and scientific literature consumption. The results observed were a predominance of not very productive authors and a trend toward scientific collaboration expressed in cooperation networks between institutions and authors. Quantitative and qualitative analysis of the original papers published in the Cuban Journal of Pediatrics in the period 2012-2018 made it possible to arrive at conclusions informing further decision-making and potentially contributing to substantial improvement in the editorial policy of the journal(AU)

Qualitative assessment of online information about age-related macular degeneration available in Portuguese.

OBJECTIVE: To evaluate the quality of online information on age-related macular degeneration available in Portuguese. METHODS: The search term "age-related macular degeneration" was used to browse the web using four different search engines. The first 40 websites appearing on match lists provided by each search engine were recorded and those listed in at least three tab pages selected. The Sandvik Severity Index was used as to assess website quality. RESULTS: Quality of information available on selected websites was rated average (mean Sandvik Score 7.08±2.23). CONCLUSION: Most websites disseminating information about age-related macular degeneration were of average quality. The need to readjust web-based information to target lay public and promote increased understanding was emphasized.

Qualitative assessment of online information about age-related macular degeneration available in Portuguese / Avaliação qualitativa de informações em português sobre degeneração macular relacionada à idade na internet

ABSTRACT Objective: To evaluate the quality of online information on age-related macular degeneration available in Portuguese. Methods: The search term "age-related macular degeneration" was used to browse the web using four different search engines. The first 40 websites appearing on match lists provided by each search engine were recorded and those listed in at least three tab pages selected. The Sandvik Severity Index was used as to assess website quality. Results: Quality of information available on selected websites was rated average (mean Sandvik Score 7.08±2.23). Conclusion: Most websites disseminating information about age-related macular degeneration were of average quality. The need to readjust web-based information to target lay public and promote increased understanding was emphasized.

RESUMO Objetivo: Avaliar a qualidade das informações sobre degeneração macular relacionada à idade, em português, disponi bilizadas na internet. Métodos: Utilizou-se a palavra-chave "degeneração macular relacionada à idade" em quatro buscadores para a pesquisa na internet. Os 40 primeiros sites que apareceram em cada buscador foram registrados, e aqueles que apareceram em pelo menos três buscadores foram incluídos no estudo. Como ferramenta para a avaliação da qualidade, foi utilizado o Sandvik Score. Resultados: A informação disponibilizada nos sites selecionados apresentou qualidade mediana (escore médio de Sandvik 7,08±2,23). Conclusão: A maioria dos sites na internet sobre degeneração macular relacionada à idade apresentou qualidade mediana, refletindo a necessidade de readequação da informação difundida, para aproximá-la do público leigo.

Assessing coastal wetland vulnerability to sea-level rise along the northern Gulf of Mexico coast: Gaps and opportunities for developing a coordinated regional sampling network.

Coastal wetland responses to sea-level rise are greatly influenced by biogeomorphic processes that affect wetland surface elevation. Small changes in elevation relative to sea level can lead to comparatively large changes in ecosystem structure, function, and stability. The surface elevation table-marker horizon (SET-MH) approach is being used globally to quantify the relative contributions of processes affecting wetland elevation change. Historically, SET-MH measurements have been obtained at local scales to address site-specific research questions. However, in the face of accelerated sea-level rise, there is an increasing need for elevation change network data that can be incorporated into regional ecological models and vulnerability assessments. In particular, there is a need for long-term, high-temporal resolution data that are strategically distributed across ecologically-relevant abiotic gradients. Here, we quantify the distribution of SET-MH stations along the northern Gulf of Mexico coast (USA) across political boundaries (states), wetland habitats, and ecologically-relevant abiotic gradients (i.e., gradients in temperature, precipitation, elevation, and relative sea-level rise). Our analyses identify areas with high SET-MH station densities as well as areas with notable gaps. Salt marshes, intermediate elevations, and colder areas with high rainfall have a high number of stations, while salt flat ecosystems, certain elevation zones, the mangrove-marsh ecotone, and hypersaline coastal areas with low rainfall have fewer stations. Due to rapid rates of wetland loss and relative sea-level rise, the state of Louisiana has the most extensive SET-MH station network in the region, and we provide several recent examples where data from Louisiana's network have been used to assess and compare wetland vulnerability to sea-level rise. Our findings represent the first attempt to examine spatial gaps in SET-MH coverage across abiotic gradients. Our analyses can be used to transform a broadly disseminated and unplanned collection of SET-MH stations into a coordinated and strategic regional network. This regional network would provide data for predicting and preparing for the responses of coastal wetlands to accelerated sea-level rise and other aspects of global change.

Assessment of the contents related to screening on Portuguese language websites providing information on breast and prostate cancer.

The objective of this study was to assess the quality of the contents related to screening in a sample of websites providing information on breast and prostate cancer in the Portuguese language. The first 200 results of each cancer-specific Google search were considered. The accuracy of the screening contents was defined in accordance with the state of the art, and its readability was assessed. Most websites mentioned mammography as a method for breast cancer screening (80%), although only 28% referred to it as the only recommended method. Almost all websites mentioned PSA evaluation as a possible screening test, but correct information regarding its effectiveness was given in less than 10%. For both breast and prostate cancer screening contents, the potential for overdiagnosis and false positive results was seldom addressed, and the median readability index was approximately 70. There is ample margin for improving the quality of websites providing information on breast and prostate cancer in Portuguese.

Assessment of the contents related to screening on Portuguese language websites providing information on breast and prostate cancer / Avaliação dos conteúdos em websites sobre rastramento do câncer da mama e da próstata em língua portuguesa / Evaluación de contenidos en páginas web de lengua portuguesa sobre rastreo del cáncer de mama y próstata

The objective of this study was to assess the quality of the contents related to screening in a sample of websites providing information on breast and prostate cancer in the Portuguese language. The first 200 results of each cancer-specific Google search were considered. The accuracy of the screening contents was defined in accordance with the state of the art, and its readability was assessed. Most websites mentioned mammography as a method for breast cancer screening (80%), although only 28% referred to it as the only recommended method. Almost all websites mentioned PSA evaluation as a possible screening test, but correct information regarding its effectiveness was given in less than 10%. For both breast and prostate cancer screening contents, the potential for overdiagnosis and false positive results was seldom addressed, and the median readability index was approximately 70. There is ample margin for improving the quality of websites providing information on breast and prostate cancer in Portuguese.

O objetivo deste estudo foi avaliar a qualidade dos conteúdos sobre rastreamento, numa amostra de websites com informação sobre o câncer da próstata e/ou mama, em língua portuguesa. Consideraram-se os primeiros 200 resultados de cada busca no Google. A adequação dos conteúdos sobre rastreio foi definida de acordo com a melhor evidência científica disponível e se avaliou a sua legibilidade. Cerca de 80% dos websites referiu a mamografia como um método para rastreamento do câncer da mama, mas apenas 28% a referiram como o único método recomendado. Quase todos os websites referiram a pesquisa de PSA como um possível teste de rastreio, mas somente 10% apresentaram informação correta relativamente à efetividade dessa forma de rastreio. Para os conteúdos de ambos os cancros, o potencial para sobrediagnóstico e para um resultado falso-positivo raramente foi mencionado, e a mediana do índice de legibilidade foi de aproximadamente 70. Existe uma larga margem para melhorar a qualidade dos websites com informações sobre câncer da mama e da próstata.

El objetivo fue evaluar la calidad de los contenidos en lengua portuguesa sobre rastreo en una muestra de páginas web con información sobre el cáncer de próstata y/o mama. Se consideraron los primeros 200 resultados de cada búsqueda en Google. La adecuación de los contenidos sobre rastreo se definió de acuerdo con la mejor evidencia científica disponible y se evaluó su legibilidad. Cerca de un 80% de las páginas web se refirieron a la mamografía como un método para el rastreo del cáncer de mama, sin embargo, solamente un 28% la mencionaron como el único método recomendado. Casi todas las páginas web señalaron el examen de Antígeno Prostático Total (APT/PSA en inglés) como un posible test de rastreo, pero solamente un 10% presentó información correcta respecto a la efectividad de esta forma de rastreo. En lo referente a los contenidos de ambos cánceres, el potencial para un sobrediagnóstico y un resultado falso positivo raramente fue mencionado, y la mediana del índice de legibilidad fue de aproximadamente 70. Existe un ancho margen para mejorar la calidad de las páginas web con información sobre cáncer de mama y de próstata.

Quality of health and medication information on Brazilian websites.

OBJECTIVE: To evaluate the quality of information about health and medication available on Brazilian websites. METHODS: A descriptive study with a quantitative approach regarding Brazilian websites, conducted from January to March 2011. The search sites were located using two search phrases: "medication information" and "health information." The choice of variables was based on the Internet information quality criteria of the World Health Organization and the International Code of Ethics for health and services sites on the Internet. The dependent variable was whether the site had information about health or medication. The independent variables were access, appearance, organization, honesty, transparency, responsibility and origin. For statistical analysis, the χ² and Fisher exact tests were applied, with a significance level of 5%. RESULTS: Of the 37 Brazilian sites analyzed, 24 (64.9%) contained health information and 13 (35.1%) contained medication information. Regarding appearance, organization and access criteria, most sites related to health and medication were easily accessible, easy to understand, used objective language, were updated and organized logically and provided accurate and scientifically grounded information. CONCLUSION: The honesty criterion differed significantly between sites, and the quality of information presented on health and medication websites showed significant differences, suggesting the need for a more systematic organization of these topics on the Internet.

[Analysis of the information on visceral leishmaniasis available through Brazilian portals of the worldwide web--internet]. / Análise da informação sobre a leishmaniose visceral disponível em portais brasileiros da rede mundial de computadores--internet.

With the aim of analyzing the adequacy of the information on visceral leishmaniasis that is available through Brazilian portals, a survey was conducted through a search portal, with selection and analysis of electronic page content. Twenty-four pages with informative purposes were identified, of which eight belonged to government bodies, 10 were commercial and six were classified as others. Using a systematized analysis form, the content of topics considered essential, relating to transmission, reservoirs, control and disease, was evaluated. The regulatory manuals of the Ministry of Health and the scientific literature were defined as the standards for information. High percentages of absences of information relating to the topics discriminated in each of the four content categories were observed in all of the pages. Analysis of the adequacy of the information, when it was present, showed 100% adequacy on the pages of the government bodies and the others. However, the commercial pages displayed high percentages of incorrect or incomplete information, particularly in the disease category. Overall, the content on leishmaniasis on the electronic pages analyzed was considered to be of low informative value.

Análise da informação sobre a leishmaniose visceral disponível em portais brasileiros da rede mundial de computadores - internet / Analysis of the information on visceral leishmaniasis available through Brazilian portals of the worldwide web - internet

Com o objetivo de analisar a adequação da informação sobre leishmaniose visceral disponível em portais brasileiros, realizou-se através de portal de busca, levantamento, seleção e análise do conteúdo das páginas eletrônicas. Foram identificadas 24 páginas com objetivos informativos, sendo oito governamentais, 10 comerciais e seis classificadas como outros. Utilizando-se um formulário, foram avaliados os conteúdos relativos à transmissão, reservatório, controle e doença, contendo tópicos considerados essenciais. Os manuais normativos do Ministério da Saúde e a literatura científica foram definidos como padrões de informação. Observou-se, em todas as páginas, elevados percentuais de ausência de informações referentes aos tópicos discriminados em cada um dos quatro blocos de conteúdos. A análise de adequação das informações, quando estas estavam presentes, mostrou 100 por cento de adequação nas páginas governamentais e outros. Entretanto, nas páginas comerciais foram elevados os percentuais de informações incorretas ou incompletas, principalmente no bloco doença. De modo geral, o conteúdo sobre a leishmaniose visceral nas páginas eletrônicas analisadas foi considerado pouco informativo.

With the aim of analyzing the adequacy of the information on visceral leishmaniasis that is available through Brazilian portals, a survey was conducted through a search portal, with selection and analysis of electronic page content. Twenty-four pages with informative purposes were identified, of which eight belonged to government bodies, 10 were commercial and six were classified as others. Using a systematized analysis form, the content of topics considered essential, relating to transmission, reservoirs, control and disease, was evaluated. The regulatory manuals of the Ministry of Health and the scientific literature were defined as the standards for information. High percentages of absences of information relating to the topics discriminated in each of the four content categories were observed in all of the pages. Analysis of the adequacy of the information, when it was present, showed 100 percent adequacy on the pages of the government bodies and the others. However, the commercial pages displayed high percentages of incorrect or incomplete information, particularly in the disease category. Overall, the content on leishmaniasis on the electronic pages analyzed was considered to be of low informative value.

Comunicación e Información en la Labor Institucional de las Defensorias de la Niñez y Adolescencia y los Servicios Legales Integrales Municipales de la Ciudad de El Alto: Distrito Municipal I / Communication and Information in the Institutional Task on the Defenses of Childhood and Adolescence and the Municipal Comprehensive Legal Services of the City of The High one: Municiapl District I

La investigación analiza los procesos de comunicación e información que se desarrollan en la labor institucional de las Defensorias de la Niñez y la Adolescencia y los Servios Legales Integrales Municipales del Distrito Municipal I de la ciudad de El Alto. Dicho análisis esta organizado en dos partes que contemplan ocho capítulos. La primera parte, expone de manera detallada los principales aspectos teóricos y metodológicos que han permitido la construcción del objeto de estudio y la identificación y formulación de los prpoblemas objeto de investigación. La segunda parte diseña los principales rasgos que caracterizan a la ciudad de El Alto, a los menores y a las mujeres alteñas y a continuación se expponen los principales datos obtenidos en torno a las distintas dimensiones que se han indagado...

Assessment of a pioneer metabolic information service in Brazil.

The Information Service on Inborn Errors of Metabolism (SIEM), a pioneer toll-free service in both Brazil and South America, is based in Porto Alegre, Southern Brazil. SIEM has been operating since October 2001 providing support to health care professionals involved in the diagnosis and management of suspected metabolic diseases. We analyzed the demographic and clinical characteristics of the 376 consults received and followed in the first two and half years of SIEM. Our results show that the suspicion of a metabolic disease was most often associated with neurological symptoms. Among the consults, 24.4% were eventually confirmed as inborn errors of metabolism (IEM), with organic acidurias and amino acid disorders being the two most frequent diagnostic groups. Our conclusion shows this kind of service to provide helpful support to the diagnosis and acute management of IEM, especially to health professionals working in developing countries who are often far from reference centers.

Avaliação das informações sobre rinite alérgica em sites brasileiros na rede mundial de computadores (Internet) / Evaluation of Brazilian web site information on allergic rhinitis

A rede mundial de computadores (Internet) é, atualmente, fonte de informação sobre saúde para leigos e profissionais da área médica. A Rinite Alérgica é uma doença muito prevalente que chega a atingir mais de 10 por cento da população geral, causando queda da qualidade de vida. OBJETIVO: Avaliar os princípios éticos de sites brasileiros que divulgam informações a respeito do tema "rinite alérgica". FORMA DE ESTUDO: revisional. MATERIAL E MÉTODO: Foi feita avaliação de 173 sites brasileiros encontrados através de quatro mecanismos de busca (Google, Yahoo, Altavista e Radar Uol). Os sites foram avaliados de acordo com o Manual de Princípios Éticos para Sites de Medicina e Saúde do CREMESP (Conselho Regional de Medicina do Estado de São Paulo), de acordo com os itens transparência, honestidade, qualidade, consentimento livre e esclarecido, privacidade, ética médica, responsabilidade e procedência. RESULTADOS: Entre os sites analisados, 149 (86,1 por cento) não estavam de acordo como Manual de Princípios Éticos para Sites de Medicina e Saúde do CREMESP. As proporções de irregularidades entre os itens avaliados foram: qualidade (84,4 por cento), privacidade (46,2 por cento) honestidade (18,5 por cento), consentimento livre e esclarecido (15,6 por cento), responsabilidade (13,9 por cento), transparência (12,1 por cento), ética médica (2,3 por cento). Havia informações inexatas em 24,3 por cento dos sites analisados. CONCLUSÕES: A maioria dos sites estudados contendo informações sobre rinite alérgica fere os princípios éticos para sites do CREMESP. Tanto a qualidade em geral de grande parte dos sites brasileiros que abordam o tema "rinite alérgica", quanto à qualidade das informações por eles divulgadas, são insuficientes para satisfazer a médicos e pacientes.

Evaluation of internet websites about retinopathy of prematurity patient education.

BACKGROUND/AIMS: The success of the treatment in patients with retinopathy of prematurity (ROP) is mainly associated with timely diagnosis and appropriate management. Information dissemination is crucial for the outcome of ROP. This study aimed to evaluate the quality of the information about ROP available for patients on the internet. METHODS: Cross sectional study. In March 2004 the ROP information available on the internet was evaluated using two search engines (MetaCrawler and MSN) and four key terms ("retinopathy of prematurity," "premature eye," "premature retina," and "ROP"). The quality of each website was evaluated using a score system. The sites were classified as academic, organisational, or commercial. Readability, general quality of the website (based on ownership, purpose, authorship, author qualification, attribution, interactivity, and currency), and quality of the content specific to ROP (definition, causes, epidemiology, risk factors, diagnosis, classification, treatment, and prognosis) were analysed. RESULTS: Of 114 websites evaluated, 40 were included. 10 sites (25.0%) were academic, eight (20.0%) organisational, and 22 (55.0%) commercial. In the majority of the sites (62.5%) the ROP information was fair or poor. CONCLUSIONS: A large amount of information about ROP is available on the internet. However, most websites were considered incomplete.

[Data and the process of formulating health policies]. / Informação e decisão política em saúde.

OBJECTIVE: To evaluate the use of the available information systems in decision-making process involving municipalities' health services, since technical scientific information is becoming an important tool for managers' decision-making both in the private and public sectors. METHODS: Four case studies were undertaken in the state of Sao Paulo between 1998 and 2000. The municipalities included in this study varied in size and in terms of the of complexity of their health systems. Research involved the use of both quantitative (survey of epidemic, demographic, economic-financial and social indicators) and qualitative methods (interviews with key actors and focus group). "Triangulation" was adopted in the analysis in order to establish an articulation among the diverse sources of data and methodological procedures utilized. RESULTS: The strategy of implementation of the Unified Health System (SUS) in itself implies in a pattern of consumption of information already available in large data banks within public institutions and local production of information concerning, primarily, the financial dimension of the city or district, whatever its size, the complexity of the local health system and the type of health administration. CONCLUSIONS: The information available on the data banks are, in general, considered outdated with respect to the immediate needs of local health managers. The equipment infrastructure and training of human resources in health data management were considered precarious for use in the decision-making process.

Evaluation of Brazilian web site information on allergic rhinitis.

UNLABELLED: Nowadays, the World Wide Web (Internet) is an information source for non-experts and physicians. AIM: To evaluate, based on ethical principles, Brazilian web sites information about "allergic rhinitis". Allergic rhinitis is a very common disease, effecting more than 10% of the general population, leading to decrease in quality of life. STUDY DESIGN: Review. MATERIAL AND METHOD: We performed the evaluation of 173 Brazilian web sites, which were obtained from four search engines (Google, Yahoo, AltaVista and Radar Uol). The web sites were evaluated according to the Manual of Ethical Principles, Regional Council of Medicine of the state of Sao Paulo (CREMESP), regarding transparency, honesty, quality, privacy, medical ethics, informed consent, responsibility and origin. RESULTS: Among the analyzed web sites, 149 (86.1%) were not in accordance with the Manual of Ethical Principles of Regional Council of Medicine of the state of Sao Paulo (CREMESP). According to the analyzed items, the irregularities that were found were quality (84.4%), privacy (46.2%), honesty (18.5%), informed consent (15.6%), responsibility and origin (13.9%), transparency (12.1%), medical ethics (2.3%). There was inaccurate information in 24.3% of the analyzed sites. CONCLUSIONS: The majority of the websites regarding allergic rhinitis are not in accordance with the ethical principles of CREMESP. In general, the quality of a great part of the Brazilian web sites that address "allergic rhinitis", and the quality of the information disseminated by them, are insufficient to satisfy doctors and patients.

Etica y medios de comunicación social en la globalización: desafíos para la enfermería / Ethics and social communication media in the age of globalization: challenges for nursing

En el siguiente artículo se abordan los desafíos que plantean para enfermería los medios de comunicación social desde la prespectiva ética. Describe los fundamentos antropológicos de la comunicación, la influencia de la globalización en la comunicación, las redes informáticas -Internet-; los medios de comunicación concretos al alcance de enfermería y finalmente propone criterios éticos para enfrentar este fenómeno comunicacional (AU)

Etica y medios de comunicación social en la globalización: desafíos para la enfermería / Ethics and social communication media in the age of globalization: challenges for nursing

En el siguiente artículo se abordan los desafíos que plantean para enfermería los medios de comunicación social desde la prespectiva ética. Describe los fundamentos antropológicos de la comunicación, la influencia de la globalización en la comunicación, las redes informáticas -Internet-; los medios de comunicación concretos al alcance de enfermería y finalmente propone criterios éticos para enfrentar este fenómeno comunicacional