Drogas sedantes en UCI / Sedative drugs in ICU

Mayo 27, 2016. No. 2339

Estudio clínico del midazolam secuencial con dexmedetomidina en los pacientes agitados sometidos a retiro del ventilador para aplicar sedación leve en la unidad de cuidados intensivos Clinical study of midazolam sequential with dexmedetomidine for agitated patients undergoing weaning to implement light sedation in intensive care unit. Lu X1, Li J, Li T, Zhang J, Li ZB, Gao XJ, Xu L. Chin J Traumatol. 2016 Apr 1;19(2):94-6. Abstract PURPOSE: To evaluate midazolam sequential with dexmedetomidine for agitated patients undergoing weaning to implement light sedation in ICU. METHODS: This randomized, prospective study was conducted in Tianjin Third Central Hospital, China. Using a sealed-envelope method, the patients were randomly divided into 2 groups (40 patients per group). Each patient of group A received an initial loading dose of midazolam at 0.3-3mg/kg·h 24 h before extubation, followed by an infusion of dexmedetomidine at a rate of 0.2-1 μg/kg·h until extubation. Each patient of group B received midazolam at a dose of 0.3-3 mg/kg·h until extubation. The dose of sedation was regulated according to RASS sedative scores maintaining in the range of -2-1. All patients were continuously monitored for 60 min after extubation. During the course, heart rate (HR), mean artery pressure (MAP), extubation time, adverse reactions, ICU stay, and hospital stay were observed and recorded continuously at the following time points: 24 h before extubation (T1), 12 h before extubation (T2), extubation (T3), 30 min after extubation (T4), 60 min after extubation (T5). RESULTS: Both groups reached the goal of sedation needed for ICU patients. Dexmedetomidine was associated with a significant increase in extubation quality compared with midazolam, reflected in the prevalence of delirium after extubation (20% (8/40) vs 45% (18/40)), respectively (p= 0.017). There were no clinically significant decreases in HR and MAP after infusing dexmedetomidine or midazolam. In the group A, HR was not significantly increased after extubation; however, in the group B, HR was significantly increased compared with the preextubation values (p < 0.05). HR was significantly higher in the group B compared with the group A at 30 and 60 min after extubation (both, p <0.05). Compared with preextubation values, MAP was significantly increased at extubation in the group B (p < 0.05) and MAP was significantly higher at T3, T4, T5 in the group B than group A (p < 0.05). There was a significant difference in extubation time ((3.0 ± 1.5) d vs (4.3 ± 2.2) d, p < 0.05), ICU stay ((5.4 ± 2.1) d vs (8.0 ± 1.4) d, p < 0.05), hospital stay ((10.1 ± 3.0) d vs (15.3 ± 2.6) d, p <0.05) between group A and B. CONCLUSION: Midazolam sequential with dexmedetomidine can reach the goal of sedation for ICU agitated patients, meanwhile it can maintain the respiratory and circulation parameters and reduce adverse reactions. PDF Dexmedetomidine versus sedación con propofol o midazolam en UCI. Una evaluación económica Dexmedetomidine versus standard care sedation with propofol or midazolam in intensive care: an economic evaluation. Turunen H1, Jakob SM2, Ruokonen E3, Kaukonen KM4,5, Sarapohja T6, Apajasalo M7, Takala J8. Crit Care. 2015 Feb 19;19:67. doi: 10.1186/s13054-015-0787-y. Abstract INTRODUCTION: Dexmedetomidine was shown in two European randomized double-blind double-dummy trials (PRODEX and MIDEX) to be non-inferior to propofol and midazolam in maintaining target sedation levels in mechanically ventilated intensive care unit (ICU) patients. Additionally, dexmedetomidine shortened the time to extubation versus both standard sedatives, suggesting that it may reduce ICU resource needs and thus lower ICU costs. Considering resource utilization data from these two trials, we performed a secondary, cost-minimization analysis assessing the economics of dexmedetomidine versus standard care sedation. METHODS: The total ICU costs associated with each study sedative were calculated on the basis of total study sedative consumption and the number of days patients remained intubated, required non-invasive ventilation, or required ICU care without mechanical ventilation. The daily unit costs for these three consecutive ICU periods were set to decline toward discharge, reflecting the observed reduction in mean daily Therapeutic Intervention Scoring System (TISS) points between the periods. A number of additional sensitivity analyses were performed, including one in which the total ICU costs were based on the cumulative sum of daily TISS points over the ICU period, and two further scenarios, with declining direct variable daily costs only. RESULTS: Based on pooled data from both trials, sedation with dexmedetomidine resulted in lower total ICU costs than using the standard sedatives, with a difference of €2,656 in the median (interquartile range) total ICU costs-€11,864 (€7,070 to €23,457) versus €14,520 (€7,871 to €26,254)-and €1,649 in the mean total ICU costs. The median (mean) total ICU costs with dexmedetomidine compared with those of propofol ormidazolam were €1,292 (€747) and €3,573 (€2,536) lower, respectively. The result was robust, indicating lower costs with dexmedetomidine in all sensitivity analyses, including those in which only direct variable ICU costs were considered. The likelihood of dexmedetomidine resulting in lower total ICU costs compared with pooled standard care was 91.0% (72.4% versus propofol and 98.0% versus midazolam). CONCLUSIONS: From an economic point of view, dexmedetomidine appears to be a preferable option compared with standard sedatives for providing light to moderate ICU sedation exceeding 24 hours. The savings potential results primarily from shorter time to extubation. PDF  Propofol versus flunitrazepam para inducir y mantener el sueño postoperatorio en UCI Propofol versus flunitrazepam for inducing and maintaining sleep in postoperative ICU patients. Engelmann C1, Wallenborn J2, Olthoff D3, Kaisers UX3, Rüffert H4. Indian J Crit Care Med. 2014 Apr;18(4):212-9. doi: 10.4103/0972-5229.130572. Abstract CONTEXT: Sleep deprivation is a common problem on intensive care units (ICUs) influencing not only cognition, but also cellular functions. An appropriate sleep-wake cycle should therefore be maintained to improve patients' outcome. Multiple disruptive factors on ICUs necessitate the administration of sedating and sleep-promoting drugs for patients who are not analgo-sedated. AIMS: The objective of the present study was to evaluate sleep quantity and sleep quality in ICU patients receiving either propofol or flunitrazepam. SETTINGS AND DESIGN: Monocentric, randomized, double-blinded trial. MATERIALS AND METHODS: A total of 66 ICU patients were enrolled in the study (flunitrazepam n = 32, propofol n = 34). Propofol was injected continuously (2 mg/kg/h), flunitrazepam as a bolus dose (0.015 mg/kg). Differences between groups were evaluated using a standardized sleep diary and the bispectral index (BIS). STATISTICAL ANALYSIS USED: Group comparisons were performed by Mann-Whitney U-Test. P < 0.05 was considered to be statistically significant. RESULTS: Sleep quality and the frequency of awakenings were significantly better in the propofol group (Pg). In the same group lower BIS values were recorded (median BIS propofol 74.05, flunitrazepam 78.7 [P = 0.016]). BIS values had to be classified predominantly to slow-wave sleep under propofol and light sleep after administration of flunitrazepam. Sleep quality improved in the Pg with decreasing frequency of awakenings and in the flunitrazepam group with increasing sleep duration. CONCLUSIONS: Continuous low-dose injection of propofol for promoting and maintaining night sleep in ICU patients who are not analgo-sedated was superior to flunitrazepam regarding sleep quality and sleep structure. KEYWORDS: Bispectral index; intensive care unit; propofol; sleep PDF VIII Foro Internacional de Medicina del Dolor y Paliativa  Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Junio 9-11, Ciudad de México Dra. Argelia Lara Solares Tel. 5513 3782  www.dolorypaliativos.org  Cursos de Anestesiología en Chile, 2016 Facultad de Medicina. Pontificia Universidad Católica de Chile Información

Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org Copyright © 2015

Vertigo en pediatría

Estimado Ciberpediatra te invito al Seminario de Pediatría, Cirugía Pediátrica y Lactancia Materna. El día 25 de mayo 2016 las 21hrs (Centro, México DF, Guadalajara y Lima Perú) a la Conferencia: “Vertigo en pediatría”, por el “Dr. Rubén Caballero Julián”, Neurologo Pediatra de la Cd de Oaxaca, Oax, La sesión inicia puntualmente las 21 hrs. 

Para entrar a la Sala de Conferencia:
1.- hacer click en la siguiente liga, o cópiala y escríbela en tu buscador 

http://connectpro60196372.adobeconnect.com/vertigo_pediatria/

2.- “Entra como Invitado” Escribes tu nombre y apellido en el espacio en blanco
3.- Hacer click en el espacio que dice “Entrar en la Sala”
5.- A disfrutar la conferencia
6.- Recomendamos que dejes tu Nombre Completo, Correo electrónico y que participes.
Henrys


Dr. Enrique Mendoza López Webmaster: CONAPEME Coordinador Nacional: Seminario Ciberpeds-Conapeme Av La clinica 2520-310 Colonia Sertoma ,Mty N.L. México CP 64710 Tel-Fax 52 81 83482940 y 52 81 81146053 Celular 8183094806 www.conapeme.org www.pediatramendoza.com enrique@pediatramendoza.com emendozal@yahoo.com.mx

Estimulación diafragmática: Actualización de la técnica

Mayo 23, 2016. No. 2335 Estimulación diafragmática: Actualización de la técnica Diaphragm pacing: the state of the art. Le Pimpec-Barthes F1, Legras A1, Arame A1, Pricopi C1, Boucherie JC1, Badia A1, Panzini CM1. Abstract J Thorac Dis. 2016 Apr;8(Suppl 4):S376-86. doi: 10.21037/jtd.2016.03.97. Diaphragm pacing (DP) is an orphan surgical procedure that may be proposed in strictly selected ventilator-dependent patients to get an active diaphragm contraction. The goal is to wean from mechanical ventilation (MV) and restore permanent efficient breathing. The two validated indications, despite the lack of randomised control trials, concern patients with high-level spinal cord injuries (SCI) and central hypoventilation syndromes (CHS). To date, two different techniques exist. The first, intrathoracic diaphragm pacing (IT-DP), based on a radiofrequency method, in which the electrodes are directly placed around the phrenic nerve. The second, intraperitoneal diaphragm pacing (IP-DP) uses intradiaphragmatic electrodes implanted through laparoscopy. In both techniques, the phrenic nerves must be intact and diaphragm reconditioning is always required after implantation. No perioperative mortality has been reported and ventilator-weaning rate is about 72% to 96% in both techniques. Improvement of quality of life, by restoring a more physiological breathing, has been almost constant in patients that could be weaned. Failure or delay in recovery of effective diaphragm contractions could be due to irreversible amyotrophy or chest wall damage. Recent works have evaluated the interest of IP-DP in amyotrophic lateral sclerosis (ALS). After some short series were reported in the literature, the only multicentric randomized study including 74 ALS patients was prematurely stopped because of excessive mortality in paced patients. Then, another trial analysed the place of IP-DP in peripheral diaphragm dysfunction but, given the multiple biases, the published results cannot validate that indication. Reviewing all available literature as in our experience, shows that DP is an effective method to wean selected patients dependent on ventilator and improve their daily life. Other potential indications will have to be evaluated by randomised control trials. KEYWORDS: Diaphragm; diaphragm pacing (DP); phrenic nerve stimulation; spinal cord injury PDF Anestesiología y Medicina del Dolor 52 664 6848905 vwhizar@anestesia-dolor.org anestesia-dolor.org Copyright © 2015

Blog del Dr. Joaquín Oscar Izquierdo: Anatomía patológica del Hallux Valgus. Cirugía Min...

Blog del Dr. Joaquín Oscar Izquierdo: Anatomía patológica del Hallux Valgus. Cirugía Min...: El Hallux Valgus es una deformidad común del pie que puede aparecer en pacientes de cualquier edad. Puede existir una artritis degenera...

Bibliotecas. Noticias

bibliotecas
Notificaciones diarias ⋅ 22 de mayo de 2016
NOTICIAS


Europa Press
Bibliotecas de la UMA tendrán desde este lunes horario especial durante el periodo de exámenes
20minutos.es
Así, desde este lunes al 30 de junio, la Biblioteca General abrirá todos los días, incluidos fines de semana y festivos, hasta las 07.00 horas del día ...
Bibliotecas de la UMA tendrán desde el lunes horario especial en periodo de exámenes - Europa Press
Cobertura total de la noticia



El Heraldo (Colombia) (blog)
Bibliotecas en Colombia implementan servicios innovadores
El Heraldo (Colombia) (blog)
Tres servicios innovadores serán implementados en 504 bibliotecas del país, en una estrategia que busca dinamizar los procesos culturales y ...




Cadena SER
Las bibliotecas de municipios de más de 5.000 habitantes deben pagar derechos de autor
Cadena SER
El Tribunal Supremo establece que las bibliotecas públicas de municipios de más de 5.000 habitantes deben pagar derechos de autor. Es lo que se ...
Los autores tienen derecho a cobrar por los préstamos en las bibliotecas - Diari de Tarragona
Azuqueca pierde en su lucha contra el canon préstamo de libros - Guadaque
Cobertura total de la noticia



Preocupación por futuro de biblioteca de Haedo
DiarioPopular.com.ar
La Biblioteca Popular y Pública de Haedo funciona desde hace varios años y forma parte importante del signo cultural de la zona. Ahora, los ...




Diario UNO de Entre Ríos
Libros en tiempos del Internet
Diario UNO de Entre Ríos
Tendencias. La era digital no es una amenaza para las bibliotecas. Referentes aseguran que la demanda de leer los ejemplares de cartón y papel se ...



Mi biblioteca
El Universo
Para atender necesidades generales deberían crecer las bibliotecas públicas simultáneamente a las campañas que iluminen a la gente sobre las ...




LaCapital.com.ar
Un sueño de solidaridad cultural
LaCapital.com.ar
También rendirá un homenaje a la labor de las bibliotecas populares y se distribuirán números atrasados con la finalidad de que instituciones y ...




Nova
Atanasof: "Los clubes de La Plata necesitan una respuesta urgente"
Nova
El diagnóstico también se extendió a la situación de las bibliotecas: “pedimos una rápida intervención para evitar el colapso por los servicios ...




CLM24
Entregados los premios de las distintas categorías del certamen 'Pasión por crear'
CLM24
La Fundación Caja Rural Castilla-La Mancha, la Biblioteca regional y el Gobierno regional han entregado en el Auditorio del Museo del Ejército de ...



Quemas de libros
La Gaceta (Comunicado de prensa) (blog)
Bibliotecas enteras, indiscriminadamente. Los nazis quemaban los libros que no les gustaban. Las izquierdas españolas quemaban simplemente ...


WEB

Festival Internacional de Cine por los derechos Humanos
Biblioteca Nacional de Colombia
Biblioteca Nacional, escenario del 3er Festival Internacional de Cine por los derechos Humanos Bogotá. Proyecciones, paneles y presentaciones de ...



Más allá del sol Obra de teatro con títeres
Biblioteca de México
BIBLIOTECAS PERSONALES. Biblioteca José Luis Martínez · Biblioteca Antonio ... Librería "Alejandro Rossi" de Educal. LA BIBLIOTECA. Misión ...





El Eco de Tandil
Crece la preocupación de las bibliotecas por la falta de pago de la subvención de la Provincia
El Eco de Tandil
Es muy compleja la situación que atraviesan las bibliotecas populares de toda la provincia por varios factores que se conjugan en un contexto de ...




Diario La Opinión Cúcuta
Red nacional de bibliotecas públicas implementará nuevos servicios innovadores
Diario La Opinión Cúcuta
Con la puesta en marcha de los servicios se facilita la construcción colectiva en las bibliotecaspúblicas colombianas. Dos años demorará la ...




Salamanca24horas
La USAL presenta un ambicioso plan de mejora para sus bibliotecas hasta 2017
Salamanca24horas
El vicerrector de Investigación y Transferencia, Juan Manuel Corchado ha presentado junto al director del Servicio de Bibliotecas de la Universidad ...
La revolución en las bibliotecas de la Universidad - Gaceta de Salamanca
Universidades CyL aspiran a tener un sistema único de gestión de bibliotecas - ABC.es
Cobertura total de la noticia




Jerez Sin Fronteras .es
El TS avala el cobro de derechos de autor a las bibliotecas municipales #JerezSinFronteras
Jerez Sin Fronteras .es
Y de ellas la mayor parte son bibliotecas de pequeños y medianos municipios, como Azuqueca de Henares. En ese tipo de establecimientos el ...




EntornoInteligente
COLOMBIA: Bibliotecas en Colombia implementan servicios innovadores
EntornoInteligente
El Heraldo / Tres servicios innovadores serán implementados en 504 bibliotecas del país, en una estrategia que busca dinamizar los procesos ...


FM Dimensión - El Calafate
Denuncian que muebles del Comité UCR están en una oficina pública provincial
FM Dimensión - El Calafate
Una mesa y una biblioteca que faltan de la sede partidaria fueron vistas en la delegación local de la CPS. Su titular es Daniel Fernández, quien ...



Posada del Inti sumará una biblioteca
Puntonoticias (Comunicado de prensa)
Este martes a las 10 en la Biblioteca Pública Municipal Leopoldo Marechal – 25 de Mayo y Catamarca- se realizará la entrega de libros para la ...



El Colegio San Gil de Cuéllar obtiene unod e los premios Espiral Edublogs
El Norte de Castilla
de la biblioteca del Centro de Educación Infantil y Primaria San Gil, de la localidad, ha sido nuevamente premiado en los premios Espiral Edublogs, ...




republica.com.uy
La Biblioteca Nacional cumple 200 años de vida
republica.com.uy
El 28 de agosto de 2015 se realizó el lanzamiento de las celebraciones por los 200 años de laBiblioteca Nacional Dicha fecha obedece a que, el 28 ...




Azuqueca Television
Azuqueca tendrá que pagar por el préstamo de libros | Azuqueca Televisión. Eres tú
Azuqueca Television
... que las bibliotecas municipales de localidades de más de 5.000 habitantes ... en la que se rechazaba el préstamo de pago en bibliotecas públicas.


WEB

El CIEMAT presenta la Unidad de Documentación y Bibliotecas al Comité de Documentación ...
Ciemat
El pasado 4 de mayo se celebró en el CIEMAT la Reunión Anual del Comité de Documentación Energética. Esta reunión fue un punto de encuentro ...



Auditor/a de Procesamiento y Metadatos para Departamento de Servicios Procesamiento y ...
Bibliotecas UC - Pontificia Universidad Católica de Chile
Bibliotecas UC de la Pontificia Universidad Católica de Chile, le invita a postular al cargo Auditor/a de Procesamiento y Metadatos en nuestro ...

herenciageneticayenfermedad: Osteosarcoma e histiocitoma fibroso maligno óseo (PDQ®)—Versión para profesionales de salud - National Cancer Institute

herenciageneticayenfermedad: Osteosarcoma e histiocitoma fibroso maligno óseo (PDQ®)—Versión para profesionales de salud - National Cancer Institute

Educación médica en Internet / Medical education and Internet

Mayo 24, 2016. No. 2336







La revolución de los medios sociales está cambiando la experiencia de las conferencias: análisis y tendencias de ocho reuniones internacionales.
The social media revolution is changing the conference experience: analytics and trends from eight international meetings.
Wilkinson SE1, Basto MY, Perovic G, Lawrentschuk N, Murphy DG.
BJU Int. 2015 May;115(5):839-46. doi: 10.1111/bju.12910. Epub 2015 Jan 26.
Abstract
OBJECTIVE: To analyse the use of Twitter at urology conferences to enhance the social media conference experience. MATERIALS AND METHODS: We prospectively registered the hash tags of eight international urology conferences taking place in 2013, using the social media metrics website, Symplur.com. In addition, we prospectively registered the hash tag for the European Association of Urology (EAU) Annual Congress for 3 consecutive years (2012-2014) to analyse the trend in the use of Twitter at a particular meeting. Metrics including number of 'tweets', number of participants, tweet traffic per day, and overall digital impressions, which were captured for 5 days before each conference, the conference itself, and the following 2 days. We also measured corresponding social media activity at a very large non-urology meeting (the American Society of Clinical Oncology) for comparative purposes. RESULTS: Twitter activity was noted at all eight conferences in 2013. In all, 12,363 tweets were sent generating over 14 million impressions. The number of participants tweeting at each meeting varied from 80 (Congress of the Société Internationale d'Urologie, #SIU2013) to 573 (the American Urological Association, #AUA13). Overall, the AUA meeting (#AUA13) generated the most Twitter activity with >8.6 million impressions and a total of 4663 tweets over the peri-conference period. It also had the most impressions and tweets per day over this period, at 717,000 and 389, respectively. The EAU Annual Congress 2013 (#EAU13) generated 1.74 million impressions from a total of 1762 tweets from 236 participants. For trends in Twitter use, there was a very sharp rise in Twitter activity at the EAU Annual Congress between 2012 and 2014. Over this 3-year period, the number of participants increased almost 10-fold, leading to an increase in the number of tweets from 347 to almost 6000. At #EAU14, digital impressions reached 7.35 million with 5903 tweets sent by 797 participants. CONCLUSIONS: Urological conferences, to a varying extent, have adopted social media as a means of amplifying the conference experience to a wider audience, generating international engagement and global reach. Twitter is a very powerful tool that amplifies the content of scientific meetings, and conference organisers should put in place strategies to capitalise on this.
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El mayor uso de Twitter en una conferencia médica: un informe y una revisión de las oportunidades educativas.
Increased use of Twitter at a medical conference: a report and a review of the educational opportunities.
McKendrick DR1, Cumming GP, Lee AJ.
J Med Internet Res. 2012 Dec 11;14(6):e176. doi: 10.2196/jmir.2144.
Abstract
BACKGROUND: Most consider Twitter as a tool purely for social networking. However, it has been used extensively as a tool for online discussion at nonmedical and medical conferences, and the academic benefits of this tool have been reported. Most anesthetists still have yet to adopt this new educational tool. There is only one previously published report of the use of Twitter by anesthetists at an anesthetic conference. This paper extends that work. OBJECTIVE: We report the uptake and growth in the use of Twitter, a microblogging tool, at an anesthetic conference and review the potential use of Twitter as an educational tool for anesthetists. METHODS: A unique Twitter hashtag (#WSM12) was created and promoted by the organizers of the Winter Scientific Meeting held by The Association of Anaesthetists of Great Britain and Ireland (AAGBI) in London in January 2012. Twitter activity was compared with Twitter activity previously reported for the AAGBI Annual Conference (September 2011 in Edinburgh). All tweets posted were categorized according to the person making the tweet and the purpose for which they were being used. The categories were determined from a literature review. RESULTS: A total of 227 tweets were posted under the #WSM12 hashtag representing a 530% increase over the previously reported anesthetic conference. Sixteen people joined the Twitter stream by using this hashtag (300% increase). Excellent agreement (κ = 0.924) was seen in the classification of tweets across the 11 categories. Delegates primarily tweeted to create and disseminate notes and learning points (55%), describe which session was attended, undertake discussions, encourage speakers, and for social reasons. In addition, the conference organizers, trade exhibitors, speakers, and anesthetists who did not attend the conference all contributed to the Twitter stream. The combined total number of followers of those who actively tweeted represented a potential audience of 3603 people. CONCLUSIONS: This report demonstrates an increase in uptake and growth in the use of Twitter at an anesthetic conference and the review illustrates the opportunities and benefits for medical education in the future.
Artículo / Article


La globalización del desarrollo profesional continuo de los clubes de revista a través de microblogging: una revisión sistemática.
Globalization of continuing professional development by journal clubs via microblogging: a systematic review.
Roberts MJ1, Perera M, Lawrentschuk N, Romanic D, Papa N, Bolton D.
J Med Internet Res. 2015 Apr 23;17(4):e103. doi: 10.2196/jmir.4194.
Abstract
BACKGROUND: Journal clubs are an essential tool in promoting clinical evidence-based medical education to all medical and allied health professionals. Twitter represents a public, microblogging forum that can facilitate traditional journal club requirements, while also reaching a global audience, and participation for discussion with study authors and colleagues. OBJECTIVE: The aim of the current study was to evaluate the current state of social media-facilitated journal clubs, specifically Twitter, as an example of continuing professional development. METHODS: A systematic review of literature databases (Medline, Embase, CINAHL, Web of Science, ERIC via ProQuest) was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A systematic search of Twitter, the followers of identified journal clubs, and Symplur was also performed. Demographic and monthly tweet data were extracted from Twitter and Symplur. All manuscripts related to Twitter-based journal clubs were included. Statistical analyses were performed in MS Excel and STATA. RESULTS: From a total of 469 citations, 11 manuscripts were included and referred to five Twitter-based journal clubs (#ALiEMJC, #BlueJC, #ebnjc, #urojc, #meded). A Twitter-based journal club search yielded 34 potential hashtags/accounts, of which 24 were included in the final analysis. The median duration of activity was 11.75 (interquartile range [IQR] 19.9, SD 10.9) months, with 7 now inactive. The median number of followers and participants was 374 (IQR 574) and 157 (IQR 272), respectively. An overall increasing establishment of active Twitter-based journal clubs was observed, resulting in an exponential increase in total cumulative tweets (R(2)=.98), and tweets per month (R(2)=.72). Cumulative tweets for specific journal clubs increased linearly, with @ADC_JC, @EBNursingBMJ, @igsjc, @iurojc, and @NephJC, and showing greatest rate of change, as well as total impressions per month since establishment. An average of two tweets per month was estimated for the majority of participants, while the "Top 10" tweeters for @iurojc showed a significantly lower contribution to overall tweets for each month (P<.005). A linearly increasing impression:tweet ratio was observed for the top five journal clubs. CONCLUSIONS: Twitter-based journal clubs are free, time-efficient, and publicly accessible means to facilitate international discussions regarding clinically important evidence-based research.
KEYWORDS: continuing medical education; continuing professional development; journal club; social media; systematic review
Artículo / Article



Fuentes educativas: Sitios web y reseñas de libros
Educational resources: website and book review.
Stevenson C1.
Anaesthesia. 2007 Dec;62 Suppl 1:103-7.
Abstract
Good quality educational material for anaesthesia providers in the developing world is limited in both quantity and availability. Traditionally, textbooks have been the main source of information but these are frequently expensive, easily damaged and rapidly become outdated. Many first world texts concentrate on the use of expensive drugs for an increasingly complex range of patients and procedures, making them less suitable for practitioners in resource-poor locations. Improved access to broadband internet connections will increasingly be a major portal for the delivery of up to date educational material.
PDF




VIII Foro Internacional de Medicina del Dolor y Paliativa

Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán
Junio 9-11, Ciudad de México
Dra. Argelia Lara Solares
Tel. 5513 3782 www.dolorypaliativos.org