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Bermudez-Tamayo C.,Escuela Andaluza de Salud Publica
Telemedicine journal and e-health : the official journal of the American Telemedicine Association | Year: 2013

This exploratory study has two aims: (1) to find out if and how social media (SM) applications are used by hospitals in Spain and (2) to assess hospital managers' perception of these applications in terms of their evaluation of them, reasons for use, success factors, and difficulties encountered during their implementation. A cross-sectional survey has been carried out using Spanish hospitals as the unit of analysis. Geographical differences in the use of SM were found. Social networks are used most often by larger hospitals (30% by medium-size, 28% by large-size). They are also more frequently used by public hospitals (19%, p<0.01) than by private ones. Respondents with a negative perception of SM felt that there is a chance they may be abused by healthcare professionals, whereas those with a positive perception believed that they can be used to improve communication both within and outside the hospital. Reasons for the use of SM include the idea of maximizing exposure of the hospital. The results show that Spanish hospitals are only just beginning to use SM applications and that hospital type can influence their use. The perceptions, reasons for use, success factors, and difficulties encountered during the implementation of SM mean that it is very important for healthcare professionals to use SM correctly and adequately.

Simon-Lorda P.,Escuela Andaluza de Salud Publica | Molina A.,Fundacion para Investigacion Biosanitaria Alejandro Otero
Anales del Sistema Sanitario de Navarra | Year: 2011

Background. To identify the most relevant aspects that guarantee the readability, clarity and simplicity of written health education materials. Material and methods. Delphi methodology in order to reach a state of consensus among health education experts on criteria of legibility in the design and publication of informative material and literature. Results. Seventeen experts reached agreement on the principal recommendations for ensuring the legibility of health education materials. They were as follows: a) text content and layout: to structure the text using a title or subtitle, message explanation and conclusion; b) text construction: to use simple and concise sentences, diagrams and examples, and graphically highlighting the principal ideas; c) lexical comprehension: to use simple words and avoid technical language and abbreviations; d) typography: to use an easyto- read font. Conclusions. There is a high degree of consensus regarding the way health education materials should be drawn up. This list of recommendations could be used as an instrument for reviewing and improving the design of health education materials. In general, it is recommended to identify the users of the leaflets and involve them in the writing and design.

Molina-Montes E.,Escuela Andaluza de Salud Publica | Molina-Montes E.,CIBER ISCIII | Donadio D.,University of California at Davis | Hernandez-Laguna A.,University of Granada | And 2 more authors.
Journal of Physical Chemistry C | Year: 2013

We have investigated one of the most controversial aspects of the dehydroxylation-rehydroxylation process of dioctahedral 2:1 phyllosilicates, that is the release of water from the internal structure of the mineral. We simulate the release of water from a periodic crystal model of pyrophyllite by Car-Parrinello molecular dynamics based on Density Functional Theory. The metadynamics algorithm is employed to accelerate activated processes and compute free energy surfaces. We found that, in spite of the strong hydrogen bonds anchoring water molecules in the tetrahedral cavity, the energy barrier for water release is lower than that for the chemical formation of water molecules from the hydroxyl groups. We then conclude that water release is not the rate-limiting step of the dehydration mechanism. © 2013 American Chemical Society.

Benitez B.R.,Observatorio de la Infancia en Andalucia | Soriano M.,University of Jaen | Leon A.C.,Escuela Andaluza de Salud Publica
Anales de Pediatria | Year: 2010

Introduction: Childhood accidents have become an area of special interest for social and health research as it is one of the main causes of death in children in developed societies. Starting from the idea that child injuries are an inherent risk of growing up and life learning, prevention has to be one of the main lines in programmes on injury in health promotion. Methods: This article reports the results of a survey of 421 pupils in 5th and 6th year of Primary Education in public schools in Jaen province who participated in the safety first campaign called «Learn to grow with safety» 1. This campaign is organised by the Andalusian Government Employment Council. Results: Injuries occur more frequently in boys, as they grow older, than in girls. These injuries occur mainly in the street, while in girls they most frequently occur in the home. Furthermore, school is the most secure place. Conclusions: The type of child injury observed is very similar to job injuries (falls, cuts and knocks) which justifies the importance of insisting learning preventive behaviour at a early age. This would lead to good habits that would involve less risk taking in adult years, and therefore less injuries at work. © 2010 Asociación Española de Pediatría. Published by Elsevier España, S.L. All rights reserved.

Espin J.,Escuela Andaluza de Salud Publica | Oliva J.,University of Castilla - La Mancha | Oliva J.,CIBER ISCIII | Rodriguez-Barrios J.M.,Ortho Clinical Diagnostics a Johnson and Johnson Company
Gaceta Sanitaria | Year: 2010

The incorporation of new treatments, procedures and technologies into the services' portfolio of healthcare providers should aim to improve three areas equally: patient access to innovative solutions, the sustainability of the health system and compensation for innovation. However, traditional schemes based on fixed prices that fail to consider the product's appropriacy of use or its results in terms of effectiveness may lead to inefficient decision-making processes. Recently, risk-sharing agreements have appeared as new access schemes based on results that aim to reduce the uncertainty of the distinct health care players involved in reaching an agreement on new health technology financing and conditions of use. Key elements in the debate on these instruments are the huge variety of instruments available (especially those based on results), the implications for different players involved in their design and supervision, and their possible implementation in Spain. Our main conclusion is that risk-sharing agreements should be used in highly limited cases when standard conditions of access cannot be applied due to uncertainty about long-term effectiveness. These measures are aimed not only at regulating price but also at acting on the appropriate use of new technology. However, because international experience is limited, drawing a solid conclusion on the final results of the application of risk-sharing agreements would be premature. © 2010 SESPAS.

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