Implementación de Navegadores de Pacientes en distintos sectores del "Hospital Nacional Profesor Alejandro Posadas" / Implementation of patient browsers in different sectors of the "National Hospital Professor Alejandro Posadas"

En el año 2020 en el Hospital Nacional Profesor Alejandro Posadas, cuando comenzó la pandemia de Covid 2019, se comenzó a realizar seguimiento clínico de pacientes y a sus contactos, en forma telefónica, debido a la gran demanda de asistencia y para evitar el desborde del sistema sanitario. Conformándose así el equipo de Seguimiento Telefónico. Consecuencia de aquello comprobamos que era una herramienta valiosa que podría ser utilizada en otros procesos. En el año 2021 el equipo de Seguimiento Telefónico continuó en funcionamiento adaptándose a nuevas líneas de trabajo en donde el monitoreo de la trazabilidad del cuidado de los pacientes es imprescindible para garantizarles acceso al sistema y al mismo tiempo realizar evaluación y monitoreo de procesos asistenciales que involucran a personas con criterios de vulnerabilidad y/o salud que les confieran riesgo. Este artículo explora el papel que puede desempeñar la "Navegación del Paciente" en la mejora de los resultados de salud1 . Los navegadores pueden facilitar un mejor acceso y calidad de la atención médica para las poblaciones desatendidas. En el mes de febrero de 2023 se institucionalizó el dispositivo de Seguimiento Telefónico como sector de Revinculación Asistencial, un arma más para beneficiar a los pacientes, aumentando su Seguridad y mejorando día a día la Calidad de atención.

In 2020, when the Covid-19 pandemic began, the Professor Alejandro Posadas National Hospital implemented clinical monitoring of patients and their contacts by telephone to manage the overwhelming demand for assistance and avoid overcrowding. This led to the formation of a Telephone Monitoring team. The team's success prompted the hospital to explore other areas where the tool could be applied. In 2021, the hospital continued to use the Telephone Monitoring team, adapting it to new lines of work where patient care traceability was critical for ensuring access to the healthcare system. This article examines the role of patient navigation in improving healthcare outcomes, including better access and quality of care for underserved populations. The hospital institutionalized the Telephone Monitoring device in February 2023 as a sector of Assistance Relinking, adding another weapon to benefit patients by increasing their safety and improving the quality of care.

Laypeople's activity for seeking telephone number of EMS before and during the COVID-19 outbreak: An analysis of web search data.

OBJECTIVE: To explore trends and patterns of laypeople's activity for seeking telephone number of emergency medical services (EMS) based on analysis of online search traffic, including changes of the search activity with onset of the coronavirus disease 2019 (COVID-19) outbreak, in five countries - the United States of America (USA), India, Brazil, the United Kingdom (UK) and Russia. METHODS: Google Trends (GT) country-level data on weekly relative search volumes (RSV) for top queries to seek EMS number were examined for January 2018-October 2021, including a comparison of RSVs between pre-COVID-19 period (January 2018-October 2019) and COVID-19 period (January 2020-October 2021), and evaluation of temporal associations of RSVs with weekly numbers of new COVID-19 cases. RESULTS: The countries demonstrated diverse patterns of the search activity with significantly different mean RSVs (the USA 1.76, India 10.20, Brazil 2.51, the UK 6.42, Russia 56.79; p < 0.001). For all countries excepting the USA mean RSVs of the COVID-19 period were significantly higher compared with the pre-COVID-19 ones (India +74%, Brazil +148%, the UK +22%, Russia +9%; p ≤ 0.034), and exhibited positive correlations with numbers of new COVID-19 cases, more pronounced for 2021 (India rS = 0.538, Brazil 0.307, the UK 0.434, Russia 0.639; p ≤ 0.045). CONCLUSION: Laypeople's activity for seeking EMS telephone number greatly varies between countries. It clearly responds to the spread of COVID-19 and could be reflective of public need for obtaining emergency help. Further studies are required to establish the role of GT for conducting real-time surveillance of population demand for EMS.

Retrospective analysis of the possibility of predicting the COVID-19 outbreak from Internet searches and social media data, China, 2020.

The peak of Internet searches and social media data about the coronavirus disease 2019 (COVID-19) outbreak occurred 10-14 days earlier than the peak of daily incidences in China. Internet searches and social media data had high correlation with daily incidences, with the maximum r > 0.89 in all correlations. The lag correlations also showed a maximum correlation at 8-12 days for laboratory-confirmed cases and 6-8 days for suspected cases.

Web Browsing Habits of Healthcare Professions Students in Gross Anatomy Laboratory.

Personal computer use for educational purposes by the healthcare professions students has become ubiquitous. Although the effect of computer-based dissection instructions has been studied, there is a paucity of information regarding student browsing habits of information available on the Internet. Although current students have favorable attitudes toward accessing anatomical information online, web browsing habits have not yet been investigated specifically in the dissection laboratory setting. The purpose of this study was to describe the browsing habits of the healthcare professions students in the gross anatomy setting using a retrospective analysis. Files containing web browser history were retrieved from desktop computers in the gross anatomy laboratory and custom code was written to parse them into comma separated value files. Each web address was categorized and descriptive statistics was calculated. Browser history for 24 computers was analyzed from June 2013 to January 2015. During this period, students accumulated 100,857 webpage visits. Most often, students performed a Google search for anatomy (22.0% of all visits) and non-anatomy related (20.6% of all visits) information. Students also used the web browser to access various entertainment (16.4% of all visits) and productivity related services (15.9% of all visits). This analysis revealed a large volume of webpage visits by the healthcare professions students in the gross anatomy laboratory. A wide diversity of anatomy and non-anatomy related webpages were visited. Future analyses could be directed at examination of when in relation to class time students accessed the information, how browsing habits change over time, and what anatomical structures were most commonly searched for.

Promoting Library Visibility Through Creative Programing.

Digital libraries and their librarians face a challenge to remain visible to users since almost all their resources can be accessed without having to visit the library space. Libraries with a primarily electronic collection can promote their visibility through creative programing that draws people into the library space or provides opportunities for users to engage with librarians. A new, primarily digital academic health sciences library shares its experiences with developing creative user events and programs to promote the library's visibility.

Changes in Internet Suicide Search Volumes Following Celebrity Suicides.

Celebrity suicides that are reported heavily in the media may increase risk for others' suicidal behavior. This study examined whether Internet search volumes for suicide-related terms changed after three celebrity suicide deaths (Robin Williams, Chester Bennington, and Alexander McQueen) and three celebrities who died by means other than suicide (David Bowie, Azzedine Alaia, and Paul Walker). Suicide search terms included suicide, how to suicide, commit suicide, depression, hanging, and suicide prevention. Observed suicide search volumes in the United States were collected from Google Trends for the 10 weeks before and the 2 weeks following each celebrity's death. Predicted search volumes for the 14 days postdeath were forecasted from the predeath search volumes and predicted search volumes were then compared to the true, observed search volumes. Search volumes for suicide terms significantly increased following Robin Williams' suicide death. Some of the terms increased in search volume following Chester Bennington's and Alexander McQueen's suicide deaths, but not significantly. Most search volumes for nonsuicide celebrity deaths did not change following their deaths. Celebrity suicide deaths can lead to significant, national increases in Internet search volumes for suicide-related terms for celebrities of high prominence. Results highlight the critical importance of reporting suicide deaths in the media responsibly.

Analysis of population inquiry on practices for ultraviolet radiation protection.

UV radiation exposure is one of the key modifiable risk factors for skin cancer. Hence, patient education regarding skin protection and sunscreen use is of tremendous importance to public health. To better understand patient practices regarding skin protection in a population level, we looked into the Internet search behavior of the US-based population. We investigated patient inquires on the United States Food and Drug Administration (FDA) announcements regarding sunscreen use by quantifying search terms such as "broad spectrum sunscreen", "sunscreen" and "sunblock" with Google Trends, a novel methodology for understanding internet search practices. Our findings show that "broad spectrum sunscreen" searches were significantly increased post 2011 FDA announcements, which suggest increased public awareness regarding the importance of broad spectrum protection. It is encouraging these preliminary results indicate that skin protection practices are being increasingly investigated by the general public and may serve as a novel approach for identifying areas of improvement regarding patient education on the reduction of the risk for skin cancer.

High correlation of Middle East respiratory syndrome spread with Google search and Twitter trends in Korea.

The Middle East respiratory syndrome coronavirus (MERS-CoV) was exported to Korea in 2015, resulting in a threat to neighboring nations. We evaluated the possibility of using a digital surveillance system based on web searches and social media data to monitor this MERS outbreak. We collected the number of daily laboratory-confirmed MERS cases and quarantined cases from May 11, 2015 to June 26, 2015 using the Korean government MERS portal. The daily trends observed via Google search and Twitter during the same time period were also ascertained using Google Trends and Topsy. Correlations among the data were then examined using Spearman correlation analysis. We found high correlations (>0.7) between Google search and Twitter results and the number of confirmed MERS cases for the previous three days using only four simple keywords: "MERS", "" ("MERS (in Korean)"), "" ("MERS symptoms (in Korean)"), and "" ("MERS hospital (in Korean)"). Additionally, we found high correlations between the Google search and Twitter results and the number of quarantined cases using the above keywords. This study demonstrates the possibility of using a digital surveillance system to monitor the outbreak of MERS.

Producción científica en consumo de cannabis y tabaco a través de la Web of Science / Scientific production in cannabis and tobacco consumption by means of the Web of Science

El objetivo de este trabajo es cuantificar mediante indicadores bibliométricos la productividad científica sobre el consumo de cannabis y tabaco, con el fin de conocer y determinar el estado en que se encuentra la investigación en este campo e identificar las redes de colaboración de autores que han publicado artículos sobre este tema y las revistas utilizadas por los investigadores para publicar sus trabajos. Los trabajos objeto de estudio se han obtenido de las bases de datos de la Web of Science. Se publicaron 1.008 trabajos, siendo la tipología documental predominante los artículos originales y los artículos de revisión, que juntos suponen casi el 95% de toda la producción. El primer artículo recuperado data de 1981, y se observa, partir del año 2000, un aumento constante en el número de trabajos publicados, que viene a confirmar el interés despertado en este tema y la necesidad de potenciar la investigación en este campo. Las revistas más utilizadas para publicar los artículos han sido Drug and Alcohol Dependence, Addictive Behaviors y Addiction, que están incluidas en la categoría Substance Abuse de la base de datos Journal Citation Reports (JCR) del Social Science Citation Index (SSCI) y posicionadas en el primer cuartil dentro de esta categoría temática

The aim of this paper is to quantify scientific productivity on cannabis and tobacco consumption by means of bibliometric indicators, in order to learn and determine what state the research in this field is in and to identify the collaborative networks of authors who have published articles on this topic and journals used by researchers to publish their work. The papers covered by the study were obtained from the databases of the Web of Science. 1,008 works were published, the predominant type of document being original papers and review articles, which together represent almost 95% of all production. The first article recovered dated from 1981 and it is observed that since 2000, there has been a steady increase in the number of papers published, which confirms the interest awakened in this issue and the need to promote research in this field. The journals most often used to publish articles have been Drug and Alcohol Dependence, Addictive Behaviors and Addiction, which are included in the category Substance Abuse of the database Journal Citation Reports (JCR) of the Social Science Citation Index (SSCI) and positioned in the first quartile in this subject category

A Web-Based Platform for Educating Researchers About Bioethics and Biobanking.

Participation in biobanking among individuals with familial risk for hereditary cancer (IFRs) and underserved/minority populations is vital for biobanking research. To address gaps in researcher knowledge regarding ethical concerns of these populations, we developed a web-based curriculum. Based on formative research and expert panel assessments, a curriculum and website was developed in an integrative, systematic manner. Researchers were recruited to evaluate the curriculum. Public health graduate students were recruited to pilot test the curriculum. All 14 researchers agreed the curriculum was easy to understand, adequately addressed the domains, and contained appropriate post-test questions. The majority evaluated the dialgoue animations as interesting and valuable. Twenty-two graduate students completed the curriculum, and 77 % improved their overall test score. A web-based curriculum is an acceptable and effective way to provide information to researchers about vulnerable populations' biobanking concerns. Future goals are to incorporate the curriculum with larger organizations.

Use of Self-Service Query Tools Varies by Experience and Research Knowledge.

The lack of understanding of user experience with self-service query tools is a barrier to designing effective query tools and is what propelled this study. User actions were documented and transformed into networks of actions for qualitative analysis. Proficient use of self-service query tools requires significant technical experience. To decrease the user learning curve, additional user education is necessary for novice users.

Analysis of information content and general quality of obesity and eating disorders websites / Análisis de la calidad general y de la información contenida en páginas web sobre obesidad y trastornos de la alimentación

Introduction: nowadays, the Internet is increasingly used by providers as a source of information for eating disorder health issues. However, health information on the Internet remains unregulated and varies in quality, accuracy and readability. Objective: the objective of this study was to determine both general and information quality of eating disorder websites, including obesity websites. Methods: three key terms (obesity, anorexia and bulimia) were entered into the Google® search engine. Websites were assessed using two tests (HonCode® certification and Bermudez-Tamayo et al. test) to analyze overall quality, and a third test (DISCERN test) to analyze specifically information quality. Results: there were no significant differences regarding overall quality among the different pathologies studied (p=0.197), although anorexia websites tended to obtain lower quality scores. Furthermore, all evaluated websites showed significant deficiencies regarding information quality (p=0.032). Nevertheless, obesity websites showed a significant higher information quality than anorexia websites. Discussion and conclusion: the overall quality of eating disorders websites is moderate, but the information quality that they contain is fairly poor. Remarkably, anorexia nervosa websites showed both the lower information and general quality, while bulimia websites showed a higher general quality and obesity websites presented the most reliable information (AU)

Introducción: actualmente, el uso de Internet como fuente de información sobre temas de salud, y más concretamente sobre trastornos alimentarios, está aumentando enormemente. Sin embargo, al no existir una regulación precisa, la información disponible puede variar en calidad y fiabilidad. Objetivo: el objetivo del presente trabajo fue determinar tanto la calidad general como la información contenida en las páginas web sobre obesidad y trastornos de la alimentación más visitadas en España. Métodos: se introdujeron consecutivamente los términos ‘obesidad’, ‘anorexia’ y ‘bulimia’ en el buscador Google®. La calidad general de las páginas web se analizó mediante dos test, la certificación internacional HonCode® y el test de Bermúdez-Tamayo et al.; la calidad de la información se analizó específicamente con el test DISCERN. Resultados: no observamos diferencias significativas en la calidad general entre las diferentes patologías estudiadas (p=0,197), aunque las páginas web sobre anorexia obtuvieron las menores puntuaciones. Además, todas las páginas web mostraron deficiencias significativas respecto a la calidad de la información (p=0,032). No obstante, las páginas sobre obesidad mostraron mayor calidad que las de anorexia. Discusión: la calidad general de las páginas sobre trastornos nutricionales es moderada, pero la calidad de la información que contienen es bastante deficiente. Hay que destacar que las páginas web sobre anorexia mostraron tanto la peor calidad como la peor información (AU)

Ingesta de energía y nutrientes; armonización de las Bases de Datos de Composición de Alimentos / Intake of energy and nutrients: harmonization of foof composition databases

La conversión de consumo de alimentos a ingesta de nutrientes necesita una base de datos de composición de alimentos (FCDB) que recoge los valores nutricionales medios de una porción dada de alimento. Las limitaciones de las FCDBs son, en ocasiones, poco conocidas por los usuarios. Los estudios multicéntricos han planteados varios retos metodológicos que permitan estandarizar la composición de alimentos y la ingesta de nutrientes para la evaluación nutricional en diferentes poblaciones y áreas geográficas. Las diferencias entre FCDBs incluyen las atribuibles a aspectos técnicos, como la descripción de los alimentos, cálculo de energía y definición de los nutrientes, métodos analíticos y principios para el cálculo de recetas. Estas diferencias necesitan ser identificadas y eliminadas antes de comparar los datos obtenidos de diferentes estudios, especialmente cuando dichos datos dietéticos se relacionan con resultados de salud. Desde 1984 se han realizado diversas iniciativas para estandarizar los FCDBs en el mundo (INFOOD, EPIC, EUROFIR, etc.). Los datos de composición de alimentos pueden ser obtenidos de diferentes fuentes como análisis de empresas privadas, universidades, laboratorios gubernamentales e industria alimentaria. También pueden tomarse prestados de la literatura científica o incluso del etiquetado nutricional. Existen diferentes propuestas para evaluar la calidad de los datos de composición de alimentos. Para el desarrollo de una FCDB es fundamental documentar, lo más detallado posible, cada uno de los valores de los diferentes componentes y nutrientes de un alimento. El objetivo de la AECOSAN y la asociación BEDCA fue el desarrollo y mantenimiento en España de una FCDB de acuerdo con los estándares definidos para Europa. BEDCA es actualmente la única FCDB desarrollada en España con datos compilados y documentados siguiendo los estándares de EuroFIR (AU)

Food composition databases (FCDBs) provide detailed information about the nutritional composition of foods. The conversion of food consumption into nutrient intake need a Food composition database (FCDB) which lists the mean nutritional values for a given food portion. The limitations of FCDBs are sometimes little known by the users. Multicentre studies have raised several methodology challenges which allow to standardize nutritional assessments in different populations and geographical areas for food composition and nutrient intake. Differences between FCDBs include those attributed to technical matters, such as description of foods, calculation of energy and definition of nutrients, analytical methods, and principles for recipe calculation. Such differences need to be identified and eliminated before comparing data from different studies, especially when dietary data is related to a health outcome. There are ongoing efforts since 1984 to standardize FCDBs over the world (INFOODS, EPIC, EuroFIR, etc.). Food composition data can be gathered from different sources like private company analysis, universities, government laboratories and food industry. They can also be borrowed from scientific literature or even from the food labelling. There are different proposals to evaluate the quality of food composition data. For the development of a FCDB it is fundamental document in the most detailed way, each of the data values of the different components and nutrients of a food. The objective of AECOSAN (Agencia Española de Consumo Seguridad Alimentaria y Nutrición) and BEDCA (Base de Datos Española de Composición de Alimentos) association was the development and support of a reference FCDB in Spain according to the standards to be defined in Europe. BEDCA is currently the only FCDB developed in Spain with compiled and documented data following EuroFIR standards (AU)

A tailored Web-based psychoeducational intervention for cancer patients and their family caregivers.

BACKGROUND: Most programs addressing psychosocial concerns of cancer survivors are in-person programs that are expensive to deliver, have limited availability, and seldom deal with caregivers' concerns. OBJECTIVE: This study examined the feasibility of translating an efficacious nurse-delivered program (FOCUS Program) for patients and their caregivers to a tailored, dyadic Web-based format. Specific aims were to (1) test the preliminary effects of the Web-based intervention on patient and caregiver outcomes, (2) examine participants' program satisfaction, and (3) determine the feasibility of using a Web-based delivery format. METHODS: A phase 2 feasibility study was conducted with cancer patients (lung, breast, colorectal, prostate) and their family caregivers (N = 38 dyads). The Web-based intervention provided information and support tailored to the unique characteristics of each patient, caregiver, and their dyadic relationship. Primary outcomes were emotional distress and quality of life. Secondary outcomes were benefits of illness/caregiving, communication, support, and self-efficacy. Analyses included descriptive statistics and repeated-measures analysis of variance. RESULTS: Dyads had a significant decrease in emotional distress, increase in quality of life, and perceived more benefits of illness/caregiving. Caregivers also had significant improvement in self-efficacy. There were no changes in communication. Participants were satisfied with program usability, but recommended additional content. CONCLUSIONS: It was possible to translate a clinician-delivered program to a Web-based format that was easy to use and had positive effects on dyadic outcomes. IMPLICATIONS FOR PRACTICE: The Web-based program is a promising way to provide psychosocial care to more patients and caregivers using fewer personnel. It needs further testing in a larger randomized clinical trial.

[How people use the internet to find information on medicines?]. / Comment le grand public utilise Internet pour rechercher des informations sur le médicament ?

OBJECTIVE: To quantify and characterize the use of the Internet to search for information about medicines. METHODS: A random sample of subjects was interviewed in the city of Bordeaux (France) in November 2012 regarding their use of the Internet to find information on medicines. RESULTS: Among 103 interviewed subjects (median age: 38 years; 53.4% of men), 48 (46.6%) reported using the Internet to find information about medicines (58.3% of women). Two-thirds (66.7%) declared visiting consumer forums. However, nearly 60% reported to first consult a health professional. Three subjects had already bought medicines on the web and half (52.0%) of those who never made a purchase on the Internet would not trust the quality of the medicine. CONCLUSION: Even if purchasing medicines on the web remains rare, this media is frequently used to find information on medicines and most often on websites of questionable quality.

Computer games and prosocial behaviour.

We relate different self-reported measures of computer use to individuals' propensity to cooperate in the Prisoner's dilemma. The average cooperation rate is positively related to the self-reported amount participants spend playing computer games. None of the other computer time use variables (including time spent on social media, browsing internet, working etc.) are significantly related to cooperation rates.

Using patient-reported experiences for pharmacovigilance?

Recent international guidelines encourage more prominent placement of patient-generated information about medications on the pharmacovigilance information landscape. Online platforms where patients share medication experiences with one another and with healthcare professionals are one possible avenue to accomplishing this goal. Public reports of medication-related events posted on the web, however, are under-utilized in the pharmacovigilance community. Moreover, little is known about who writes such reviews, what information is shared and how this information can be used by authorities. This paper reports the first results of a study of user and comment characteristics on a European-based platform.