Los médicos que realizan su labor asistencial e investigadora en unidades de dolor en el uso de internet: identificación, caracterización y determinantes / The medical doctors who perform their care and research work in pain units in the use of the internet: identification, characterization and determinants

Objetivos: La información proporcionada por las Encuestas de Condiciones de Trabajo y Salud (ECTS) permite la formulación de programas de acción públicos que generen cambios, fijen prioridades y evalúen tendencias. Desde 1987 que se realizó la primera ECTS en España, este instrumento se ha ido consolidando como fuente de datos del sistema de las tecnologías de la información y la comunicación. Los resultados muestran la necesidad de establecer el avance de las innovaciones tecnológicas sanitarias y la investigación biomédica. Estos avances serán determinantes en la mejora de la salud, ya que supondrán nuevas formas de cuidados médicos que contribuyen al aumento de la esperanza de vida, la reducción del dolor y la gestión de las enfermedades. El objetivo de este estudio es valorar el nivel de aceptación de las nuevas tecnologías en médicos que traten el dolor a través de unidades específicas. Material y métodos: Se realizó un estudio para comprobar el uso de las TIC en médicos que realizan su labor asistencial y de investigación en Unidades de Dolor. Este estudio consta de una encuesta online, enviada a través de correo electrónico a los alumnos del máster en Tratamiento del Dolor de la Universidad de Salamanca. Tras la recogida sistemática de la información, se realizó el análisis estadístico abordando la frecuencia de las variables y las relaciones estadísticamente significativas relevantes para nuestro estudio. Posteriormente se realizó un análisis utilizando una metodología de regresión logística a través del modelo Logit binomial. Resultados: De los profesionales médicos que contestaron a nuestra encuesta, se obtuvo que aquellos que son varones y trabajan en Unidades del Dolor eran un 39,46 % y en Cuidados Paliativos eran un 21,35 %. Agregando estos datos obtenemos que el 75,94 % de los profesionales trabajan en entidades públicas, el 9,72 % en entidades privadas y el 11,05 % en ambas. Más del 55 % de los profesionales encuestados "Nunca utilizan ordenadores o Tecnologías de la Información y la Comunicación para la realización remota de evaluación diagnóstica o prescripción de medidas terapéuticas". Conclusiones: Los resultados obtenidos nos muestran que los médicos de unidades de dolor consideran un elemento relevante las aplicaciones de las Tecnologías de la Información y la Comunicación para la práctica clínica. Además, se constata, dada la experiencia clínica de los profesionales, la necesidad de cambios organizativos asociados a los nuevos sistemas informáticos

Objectives: The information provided by the Labor Conditions and Health Surveys (ECTS) allows for the formulation of public action programs that generate changes, set priorities and evaluate trends. Since 1987, when the first ECTS was carried out in Spain, this instrument has been consolidated as a data source for the information and communication technology system. The results show the need to establish the advance of the technological innovations in health and biomedical research. These advances will be decisive in the improvement of health, since they will involve new forms of medical care that contribute to the increase of life expectancy, the reduction of pain and the management of diseases. The objective of this study is to assess the level of acceptance of new technologies in physicians who treat pain through specific units. Matherial and method: A study was carried out to verify the use of ICTs in doctors who perform their care and research work in Pain Units. This study consists of an online survey, sent via email to the students of the Master's Degree in Pain Treatment at the University of Salamanca. After the systematic collection of the information, the statistical analysis was carried out, addressing the frequency of the variables and the statistically significant relationships relevant to our study. Subsequently, a factor analysis, a cluster analysis and new composite variables are constructed to synthesize the data, to which, finally, an analysis was made using a logistic regression methodology through the Binomial Logit model. Results: Of the medical professionals who answered our survey, it was obtained that those who are men and work in Pain Units were 39.46 % and in Palliative Care they were 21.35 %. Adding this data, we obtain that 75.94 % of professionals work in public entities, 9.72 % in private entities and 11.05 % in both. More than 55 % of the professionals surveyed "never use computers or Information and Communication Technologies for the remote realization of diagnostic evaluation or prescription of therapeutic measures". Conclutions: The results obtained show that Pain Units physicians consider the applications of Information and Communication Technologies to be a relevant element for clinical practice. In addition, given the clinical experience of professionals, the need for organizational changes associated with new computer systems is confirmed

Las tecnologías de la información y la comunicación aplicadas entre los profesionales de la medicina que realizan tratamiento del dolor / Information and communication technologies applied among medical professionals who perform pain treatment

Objetivos: La revolución de las tecnologías de la información y la comunicación es la base sobre la que se ha desarrollado el avance de las innovaciones tecnológicas sanitarias y la investigación biomédica. Estos avances han sido determinantes en la mejora de la salud, ya que han supuesto nuevas formas de cuidados médicos que contribuyen al aumento de la esperanza de vida, la reducción del dolor y la gestión de las enfermedades. Se pretende valorar el nivel de aceptación de las nuevas tecnologías en médicos que traten el dolor a través de unidades específicas. Material y métodos: Se llevó a cabo un estudio sobre el uso de las nuevas tecnologías de la información en médicos que realizan tratamiento del dolor en centros específicos. Los datos se obtuvieron a partir de la elaboración de un cuestionario online que ha sido enviado a través del correo electrónico a los alumnos del Máster en Tratamiento del Dolor de la USAL. Tras la recogida sistemática de la información, hemos realizado los análisis estadísticos abordando la frecuencia de las variables y las relaciones estadísticamente signifi cativas relevantes para nuestro estudio. Posteriormente realizamos un análisis de factores, análisis de clúster y la construcción de nuevas variables compuestas para sintetizar los datos. Tras esta identificación, el análisis de las relaciones estadísticamente significativas nos ha permitido caracterizar a estos individuos. Finalmente, hemos realizado un análisis utilizado una metodología de regresión logística a través del modelo Logit binomial. La herramienta utilizada para la realización de la encuesta online fue Google Sheets, herramienta englobada dentro de Google Docs, que está diseñada para trabajar a través de internet y de la web. Resultados: El 57 % de los profesionales médicos que contestaron a nuestra encuesta son hombres, mientras que el 43 % de las respuestas pertenecen a mujeres, de Unidad del Dolor (39,46 %), Cuidados Paliativos (21,35 %) y en los Centros de Atención Primaria (CAP). Agregando estos datos obtenemos que el 75,94 % de los profesionales trabajan en entidades públicas, el 9,72 % en entidades privadas y el 11,05 % en ambas. El 79,5 % de los profesionales encuestados no ofrecen su teléfono móvil a los pacientes. Más del 83 % de los profesionales encuestados utilizan muy frecuentemente (29,5 %) o frecuentemente (54,2 %) directrices/protocolos médicos en su práctica clínica; más del 55 % de los profesionales encuestados "Nunca utilizan ordenadores o tecnologías de la información y la comunicación para la realización remota de evaluación diagnóstica o prescripción de medidas terapéuticas". No obstante, un 40 % de los encuestados declaran que han realizado telemedicina. Conclusiones: En general, los datos nos muestran una concepción benefi ciosa de las aplicaciones de las tecnologías de la información y la comunicación para la práctica clínica en lo relativo a la digitalización y distribución de la información clínica. Además, se constata, dada la experiencia clínica de los profesionales, la necesidad de cambios organizativos asociados a los nuevos sistemas informáticos

Target: The revolution in information and communication technologies is the basis on which the advance of health technological innovations and biomedical research has been developed. These advances have been decisive in the improvement of health, since they have involved new forms of medical care that contribute to the increase in life expectancy, pain reduction and disease management. The aim is to assess the level of acceptance of new technologies in physicians who treat pain through specific units. Material and method: A study was carried out on the use of new information technologies in physicians who perform pain treatment in specifi c centers. The data was obtained from the elaboration of an online questionnaire that has been sent via email to the students of the Master in Pain Treatment of the USAL. After the systematic collection of information, we performed the statistical analyzes addressing the frequency of the variables and the statistically signifi cant relationships relevant to our study. Later, we carried out a factor analysis, cluster analysis and the construction of new compound variables to synthesize the data. After this identifi cation, the analysis of statistically significant relationships has allowed us to characterize these individuals. Finally, we performed an analysis using a logistic regression methodology through the Binomial Logit model. The tool used to carry out the online survey was Google Sheets, a tool included within Google Docs, which is designed to work through the Internet and the Web. Results: The 57 % of the medical professionals who answered our survey are men, while 43 % of the answers belong to women, of Pain Unit (39.46 %), Palliative Care (21.35 %) and in the Centers of Primary Care (CAP), Adding this data we obtain that 75.94 % of professionals work in public entities, 9.72 % in private entities and 11.05 % in both. 79.5 % of the surveying professionals do not offer their mobile phone to patients. More than 83 % of the professionals surveyed use very frequently (29.5 %) or Frequently (54.2 %) guidelines / medical protocols in their clinical practice; More than 55% of the professionals surveyed "never use computers or Information and Communication Technologies for the remote realization of diagnostic evaluation or prescription of therapeutic measures". However, 40 % of the respondents declare that they have done telemedicine. Conclusions: In general, the data show us a beneficial conception of the applications of Information and Communication Technologies for clinical practice in relation to the digitalization and distribution of clinical information. In addition, given the clinical experience of professionals, the need for organizational changes associated with new computer systems is confirmed

Results of the Use of a Simulator for Training in Anesthesia and Regional Analgesia Guided by Ultrasound.

Show the learning results obtained by a simulation tool used by students of an online course on anesthesia techniques and regional analgesia guided by ultrasound. A satisfaction survey generated with a form of Google Forms was carried out in September 2018 with 14 questions related to the quality, ease and capacity of the learning obtained after the use of the nerve blocks Simulator, which was firstly published on the first edition of the course for 34 students. An average of 7.3 attempts of resolution have been made per practice and per student in the simulator. The students are, in their immense majority, habitual users of the ICTs and 73% of them consider that their experience with the simulator has been satisfactory and that their learning has been favored by this fact. The authors have verified that the ultrasound simulator contributes to the learning of skills for the practice of nerve blocks and, furthermore, it helps to ensure that theoretical knowledge is carried out in a more productive and efficient way.

Combined Transcranial Direct Current Stimulation and Virtual Reality-Based Paradigm for Upper Limb Rehabilitation in Individuals with Restricted Movements. A Feasibility Study with a Chronic Stroke Survivor with Severe Hemiparesis.

Impairments of the upper limb function are a major cause of disability and rehabilitation. Most of the available therapeutic options are based on active exercises and on motor and attentional inclusion of the affected arm in task oriented movements. However, active movements may not be possible after severe impairment of the upper limbs. Different techniques, such as mirror therapy, motor imagery, and non-invasive brain stimulation have been shown to elicit cortical activity in absence of movements, which could be used to preserve the available neural circuits and promote motor learning. We present a virtual reality-based paradigm for upper limb rehabilitation that allows for interaction of individuals with restricted movements from active responses triggered when they attempt to perform a movement. The experimental system also provides multisensory stimulation in the visual, auditory, and tactile channels, and transcranial direct current stimulation coherent to the observed movements. A feasibility study with a chronic stroke survivor with severe hemiparesis who seemed to reach a rehabilitation plateau after two years of its inclusion in a physical therapy program showed clinically meaningful improvement of the upper limb function after the experimental intervention and maintenance of gains in both the body function and activity. The experimental intervention also was reported to be usable and motivating. Although very preliminary, these results could highlight the potential of this intervention to promote functional recovery in severe impairments of the upper limb.

Study of the uses of Information and Communication Technologies by Pain Treatment Unit Physicians.

Adequate use of Information and Communication Technologies (ICTs) in health has been shown to save the patient and caregiver time, improve access to the health system, improve diagnosis and control of disease or treatment. All this results in cost savings, and more importantly, they help improve the quality of service and the lives of patients. The purpose of this study is to analyse the differences in the uses of this ICTs between those physicians that belong to Pain Treatment Units (PU) and other physicians that work in pain not linked to these PUs. An online survey, generated by Netquest online survey tool, was sent to both groups of professionals and the data collected was statistical analysed through a logistic regression methodology which is the Logit binomial model. Our results show that those physicians that belong to PUs use ICTs more frequently and consider it more relevant to their clinical practice.