Eulàlia Grifol-Clar

La inclusión del perfil: «Bibliotecario/documentalista especializado en Ciencias de la Salud» elaborado por el Consejo de Cooperación Bibliotecaria, debería ser la base para que las universidades que imparten el Grado en Información y Documentación incluyan una formación específica en información en salud y pongan en valor la titulación en los procesos de selección de empleo. Se realiza una investigación cualitativa descriptiva analizando los planes de estudio del Grado en España y el diseño de una encuesta con tres preguntas abiertas a los coordinadores del mismo. Los hallazgos de asignaturas en materia de información en salud son casi inexistentes. Las universidades reconocen su ausencia sugiriendo la inclusión de cambios en el currículo. Su participación en la formación específica de los estudiantes del Grado es clave para que estos puedan acceder a las bibliotecas especializadas en salud, habiendo adquirido habilidades y competencias que garanticen la existencia de las mismas.

Objective: This scoping review aimed to identify predictive factors influencing gait recovery post-hip fracture surgery among adults aged 65 and older. Design: A systematic search of MEDLINE, Embase and CINAHL databases was conducted, focusing on studies assessing predictive factors of gait recovery within one month to one-year post-surgery. Two independent reviewers carried out study selection, quality assessment and data extraction using the Quality in Prognosis Studies Tool to gauge evidence levels. Results: About 10,627 articles were initially identified. After duplicates were removed, 7665 were screened based on title and abstract, then 796 based on full text; 138 articles were finally included. The review identified a total of 77 predictive factors. However, just under half (34) of these were supported by studies with a low risk of bias. Higher-level evidence-supported factors were age, pre-fracture independence in daily activities, cognitive impairment, delirium, orthogeriatric multidisciplinary co-management, specific surgical interventions, allowing weight-bearing, comorbidities, nutritional status, rehabilitation treatments and polypharmacy. Conclusion: The identified factors influencing gait recovery include both non-modifiable factors [such as younger age, pre-fracture independence in activities of daily living, absence of cognitive impairment, fewer comorbidities and lower anaesthetic risk] and modifiable factors, including rehabilitation treatments, organisational factors, absence of delirium, orthogeriatric co-management, surgical factors such as implant type and unrestricted weight-bearing, better nutritional status and strength, and reduced polypharmacy. We believe the latter should be prioritised in managing patients with hip fractures to achieve optimal recovery.

Background: Chronic health conditions have a big impact on disability, morbidity, and mortality worldwide. Smartphone health applications (apps) can improve the health of patients with chronic conditions and enhance the quality and efficiency of healthcare. The number of randomized controlled trials (RCTs) of smartphone health apps is increasing, but a collection of the available evidence into a single database is still missing. The purpose of this study is to describe Smartphone-RCCT, which is an in-progress database of RCTs of smartphone apps for chronic conditions. Methods: For a study to be included in the database, the following criteria had to be met: (a) RCT published in a peer-reviewed journal; (b) population: adult study participants with one or several chronic conditions that represent the main health problem addressed by the study intervention; (c) intervention: smartphone health app used by the patient; (d) comparator: any control condition; (e) outcomes: any patient-reported health outcome (studies exclusively measuring the patients’ knowledge about the chronic conditions or their satisfaction with the smartphone app were excluded); (f) sample size: at least 15 participants per study arm. We searched in electronic databases and other resources to identify relevant studies. Two reviewers selected the studies and extracted data independently. Annual updates are planned. Results: The proposed database is called Smartphone-RCCT, an open-access repository collecting bibliographic references and important characteristics of RCTs of smartphone apps for chronic conditions. The database is available for free in Open Science Framework (OSF): https://osf.io/nxerf/. To date, it includes 70 trials. Their references can be exported to standard reference management software and the extracted data is available in a Microsoft Excel file. Conclusions: Smartphone-RCCT is the first systematic open-access database collecting peer-reviewed publications of RCTs of smartphone apps for patients with chronic conditions. The database accelerates the delivery of evidence-based information in a dynamic research field. It represents an essential resource for different stakeholders, such as professionals working in evidence synthesis, meta-epidemiological studies, or planning an RCT.

Teaching students how to conduct bibliographic searches in health sciences’ databases is essential training. One of the challenges librarians face is how to motivate students during classroom learning. In this article, two hospital libraries, in Spain, used Escape rooms as a method of bringing creativity, teamwork, communication and critical thinking into bibliographic search instruction. Escape rooms are a series of puzzles that must be solved to exit the game. This article explores the methods used for integrating escape rooms into training programmes and evaluates the results. Escape Rooms are a useful tool that can be integrated into residents’ training to support their instruction on bibliographic searches. This kind of learning stablishes competences like logical thinking and deductive approaching. These aspects aid participants to make their own decision and to develop social and intellectual skills.

BACKGROUND Chronic conditions have a big impact on disability, morbidity, and mortality worldwide. Smartphone health applications (apps) have the potential to improve the health of patients with chronic conditions and to enhance the quality and efficiency of healthcare. The number of randomized controlled trials (RCTs) of smartphone health apps is increasing but a collection of the available evidence in one database is still missing. OBJECTIVE To describe Smartphone-RCCT, which is a database of randomized controlled clinical trials (RCTs) of smartphone apps for chronic conditions. METHODS Smartphone-RCCT is an open-access database collecting bibliographic references and important characteristics of RCTs. For a study to be included, the following criteria had to be met: a) RCT published in a peer-reviewed journal; b) adult study participants with one or several chronic conditions that represent the main health problem addressed by the study intervention. c) Intervention: smartphone health app used by the patient. d) Comparator: any control condition. e) Outcomes: any patient-reported health outcome (studies exclusively measuring the patients’ knowledge about the chronic conditions or their satisfaction with the smartphone app were excluded). f) Sample size: at least 15 participants per study arm. We searched in electronic databases and other resources to identify relevant studies. Two reviewers selected the studies and extracted data independently. RESULTS The database is available in Open Science Framework (OSF): https://osf.io/nxerf/. Annual updates are planned. CONCLUSIONS Smartphone-RCCT is the first systematic open-access database collecting peer-reviewed publications of RCTs of smartphone apps for patients with chronic conditions. The database accelerates the delivery of evidence-based information in a dynamic research field. It represents an essential resource for different stakeholders, such as professionals working in evidence synthesis, meta-epidemiological studies, or planning a RCT. CLINICALTRIAL https://osf.io/nxerf/

The design and management of a Hospital Custody Unit at Hospital Universitario Fundación Alcorcón, to focus the aim of this study on specialized medical care for extra-penitentiary patients who have suffered from a disease. We are building a new space to facilitate their daily lives at hospital and we want to offer a double function to the patients that consists of a custody space and a health rehabilitation space.We carried out a scientific literature search on the international and national databases, about Hospital Custody Units or Restricted Access Units. The language of the reviews that we checked was English and Spanish.We wrote the Action Guide of the Hospital Custody Unit for the design, planning and management of the Hospital Custody Unit at Hospital Universitario Fundación Alcorcón. (We included complementary bibliographic material and the Quick Guide in the Unit).The Hospital Custody Unit will be compatible with medical activity, occupational safety and the custody of patients that are in prison. We thus require consensus with police departments about custody protocols along with assistance from the clinicians' teams at penitentiary centers and referral hospitals. Furthermore, it is important to step up special care for mental health and to promote telemedicine and new technologies to streamline medical care along with coordination with healthcare professionals.

Purpose: To compare optic disc area measurement between optic nerve head drusen ( ONHD ) and control subjects using fundus photography, time‐domain optical coherence tomography ( TD ‐ OCT ) and spectral‐domain optical coherence tomography ( SD ‐ OCT ). We also made a comparison between each of the three techniques. Methods: We performed our study on 66 eyes (66 patients) with ONHD and 70 healthy control subjects (70 controls) with colour ocular fundus photography at 20º (Zeiss FF 450 IR plus), TD ‐ OCT (Stratus OCT ) with the Fast Optic Disc protocol and SD ‐ OCT (Cirrus OCT ) with the Optic Disc Cube 200 × 200 protocol for measurement of the optic disc area. The measurements were made by two observers and in each measurement a correction of the image magnification factor was performed. Measurement comparison using the Student's t ‐test/Mann–Whitney U test, the intraclass correlation coefficient, Pearson/Spearman rank correlation coefficient and the Bland‐Altman plot was performed in the statistical analysis. Results: Mean and standard deviation ( SD ) of the optic disc area in ONHD and in controls was 2.38 (0.54) mm ² and 2.54 (0.42) mm ² , respectively with fundus photography; 2.01 (0.56) mm ² and 1.66 (0.37) mm ² , respectively with TD ‐ OCT , and 2.03 (0.49) mm ² and 1.75 (0.38) mm ² , respectively with SD ‐ OCT . In ONHD and controls, repeatability of optic disc area measurement was excellent with fundus photography and optical coherence tomography ( TD ‐ OCT and SD ‐ OCT ), but with a low degree of agreement between both techniques. Conclusions: Optic disc area measurement is smaller in ONHD compared to healthy subjects with fundus photography, unlike time‐domain and spectral‐domain optical coherence tomography in which the reverse is true. Both techniques offer good repeatability, but a low degree of correlation and agreement, which means that optic disc area measurement is not interchangeable or comparable between techniques.