Examining Responsible Gambling Program Awareness and Engagement Trends and Relationships with Gambling Beliefs and Behaviors: A Three-Wave Study of Customers from a Major Gambling Operator.

A considerable body of literature has examined elements of responsible gambling (RG) programs in land-based gambling venues. The present pre-registered study examines GameSense RG program awareness and engagement trends and relationships with gambling beliefs and behaviors, at MGM's U.S.-based casino properties using three samples of MGM's loyalty program members. We used a repeated cross-sectional approach including observational data collected from one sample (N = 3748) shortly before the rollout of GameSense in 2017-2018, and from two samples collected 1 year (N = 4795) and 2 years (N = 3927) after the program's implementation. We found that awareness of the GameSense program increased between pre- and 1-year post-implementation, yet did not increase further at 2-years post-implementation. Bivariate analyses showed that respondents who were aware of more GameSense components had a better understanding of gambling concepts and used more RG strategies, whereas respondents who engaged with GameSense used more RG strategies than those who did not, but did not display a better understanding of gambling concepts. The relationship between GameSense awareness and self-reported use of RG strategies remained significant in multivariate analyses with covariates. Moderation analyses indicated that a positive effect of overall GameSense engagement on gambling literacy was only found for respondents who had attended a regional property, as compared to respondents who attended Las Vegas or metropolitan properties. All effect sizes were weak, which suggests that practical impacts of the program currently are limited. Our findings have implications for research on land-based RG programs and we provide recommendations for enhancing such programs.

Luisa Francisca Acosta Ortega. Liderazgo con nombre de mujer / Luisa Francisca Acosta Ortega. Lidership with a woman´s name

En este artículo se resaltan las cualidades humanas y otros aspectos de la vida de quien fuera Vicedecana Académica de la Facultad de Estomatología y posteriormente Directora del Centro Provincial de Información de Ciencias Médicas de Santiago de Cuba, en el período de abril del 2014 hasta abril del 2022. Se destacan los logros alcanzados a lo largo de su quehacer, desde que inició en la Universidad Médica hasta nuestros días, así como su valioso aporte a la docencia y a la formación de diversos grupos de educandos, además, se realzan los avances alcanzados en la revista MEDISAN en su etapa de Directora del Centro de Información hasta el día de su feliz jubilación.

The human qualities and some other aspects of the life of the Academic Vice-dean of the Estomatological Faculty and then the Head of the Provincial Information Center of Medical Sciences from Santiago de Cuba are highlighted in this work, in the period from April, 2014 to the same month in 2022.The achievements reached during her working life, since she began in the Medical University up to the present, as well as her valuable dedication to the teaching and training of different groups of students are presented, besides compiling achievements in journal MEDISAN during her leadership as Director of the Provincial Information Center up to the day of her happy retirement.

Identifying Training Needs and Active Information Opportunities in Primary Care Through the Analysis of Drug Information Requests.

INTRODUCTION: Drug information (DI) services should work toward efficiency by identifying knowledge gaps and actively creating resources to address those needs. The aim was to identify training needs and active information opportunities in primary care by analyzing DI requests and to calculate labor cost associated with DI requests addressable with training or active information. METHODS: DI requests received in 2016 and 2017 by ambulatory care pharmacists were independently classified by 2 authors into: training (i.e., delivery of content meant to be retained as knowledge and used when needed); active information (i.e., resources created preemptively and consulted when needed); or passive information (i.e., not addressable with training or active information). Inter-rater reliability was calculated using Cohen's Kappa. Median time spent by category and across practice settings/professional types was compared using bivariate analysis. Thematic analysis categorized specific training and active DI requests and labor costs were calculated. RESULTS: Of 2,041 DI requests, 330 (16.2%) were classified as training, 454 (22.2%) active information, and 1257 (61.6%) passive information (kappa = 0.769). Median (IQR) time to resolve requests was 5 (2-10) mins for training, 5 (3-11) active information, and 10 (4-15) passive information. Pharmacists spent 132.1 hrs = $8,956.98 answering questions addressable with training or active information. Areas warranting training or active information included: controlled substances, immunizations, patient assistance programs, policy/regulations, medication preparation/administration, storage/stability, disposal, availability/ordering medications, and patient-related resources. CONCLUSION: Several opportunities for training and active information were identified. Despite the single-institution nature, the method described can serve as an example for other institutions.

Los servicios de información ante la pandemia por COVID-19 / Information services facing the COVID-19 pandemic

La pandemia por COVID-19 ocasionó diversas afectaciones en el mundo, entre ellas la saturación de información en los medios de comunicación tradicionales y en los de divulgación científica, debido a la producción acelerada de material informativo. En el Instituto Mexicano del Seguro Social, el personal bibliotecario ha contribuido a la selección cuidadosa de documentos, ya que brinda servicios de información especializada al personal de salud para apoyarlo en actividades académicas, educativas, docentes y de investigación. En el contexto del distanciamiento fìsico, la necesidad de contar con información actualizada y veraz sobre el nuevo coronavirus se convirtió en una prioridad. En este sentido, el personal bibliotecario enfocó sus esfuerzos en llevar a cabo estrategias que permitieran brindar servicios de información especializada vía remota al reforzar los servicios de referencia, como la alerta bibliográfica y la Diseminación Selectiva de Información, a fin de hacer llegar a los usuarios, de forma oportuna, sencilla y ágil, información actualizada, confiable y de calidad sobre la COVID-19. Estos servicios han sido bien recibidos por los usuarios, pero aún es necesario sistematizar el otorgamiento de servicios de información para identificar cuáles documentos son de mayor interés y utilidad.

The COVID-19 pandemic caused various effects in the world, among them the saturation of information in the traditional media, as well as in those of scientific dissemination, due to the accelerated production of informative material. At the Mexican Institute for Social Security (Instituto Mexicano del Seguro Social), librarians have contributed to the careful selection of documents as they are in charge of providing specialized information services to health personnel in order to support them in academic, educational, teaching and research activities. In the context of physical distancing, the need for up-to-date and accurate information on the new coronavirus became a priority. In this sense, librarians have focused their efforts to carry out strategies that would allow to provide specialized information services remotely, reinforcing reference services such as bibliographic alert and Selective Information Dissemination, to reach users in a timely manner, simple and agile, updated, reliable and quality information on COVID-19. These services have been well received by users, but it is still necessary to systematize the provision of information services to identify which documents are of greatest interest and usefulness.

[Trend of collaboration and sharing in digitalized restorative dentistry].

To digitalize restorative dentistry means to digitalize all the approaches involved in the clinical diagnosis and treatment process, in the production of individualized restorations, in the information transmission and communication between dentists and patients respectively between dentists and technicians, and even in the personalized understanding of esthetics. This is a cross-disciplinary issue that interconnects a wide range of topics. The way of understanding the digital tendency and of integrating the-already-digitalized steps into a system have a strategic impact on the development of the dental industry. By following the trace of the development of digital procedures in restorative dentistry, in this paper, we intend to classify the digitalization into two categories as the special and general ones, and will point out the limitations in understanding the digitalization in prosthodontics merely from the perspective of diagnosis or the production of individualized restorations. The role of digitalization in leading the conceptual development and the new possibilities opened up by the integrated digital technologies will be emphasized. Digitalization has changed the way of interaction between dentists and technicians. It is beneficial to the reorganization of medical and technological resources. Its potential in upgrading the dental industry deserves attention. Digitalization promotes the establishment of a collaborative and sharing ecosystem in restorative dentistry, which would pave the way towards artificial intelligence.

Mirtha Yris Cedeño Rodríguez: una bibliotecaria médica de excelencia / Mirtha Yris Cedeño Rodríguez: a medical librarian of excellence i: en

Con este artículo se quiso realzar las cualidades humanas y el quehacer científico de Mirtha Yris Cedeño Rodríguez, bibliotecaria médica santiaguera, quien durante su etapa laboral se caracterizó por una actitud digna en la atención a numerosos profesionales de diversas especialidades biomédicas, mediante asesorías, docencia, búsquedas bibliográficas, entre otros servicios bibliotecarios, con lo cual contribuyó, desde su modesta tribuna, a la formación de ellos y a la mejoría de la salud pública en Cuba. Actualmente está felizmente jubilada.

With this work we wanted to enhance the human qualities and scientific daily tasks of Mirtha Yris Cedeño Rodríguez, medical librarian from Santiago de Cuba who was characterized by a worthy attitude in the service to many professionals of diverse biomedical specialties during her working years, by means of consultancies, teaching, literature searching, among other librarians services, with which contributed, from her modest tribune, to their training and improvement of the public health in Cuba. At the moment she is happily retired.

Review of Questions Concerning Clinical Drug Interactions in ADHD Treatment From Physicians in Norway.

Pharmacological treatment of attention deficit hyperactivity disorder (ADHD) is challenging due to a wide age span among patients, risk of reduced adherence, and comorbidities like psychiatric disorders and drug addiction. Drugs used for ADHD are associated with risk of interactions and adverse drug reactions due to their potent pharmacological effect. In this brief report we aimed to describe real-world problem areas concerning interactions in pharmacotherapy of ADHD. We reviewed questions to a Norwegian drug information center from physicians concerning drug-drug interactions involving ADHD drugs in the last 10-year period. Questions were retrieved by a combination of indexed and Boolean database searches, in addition to manual inspection. ADHD drugs and interacting drugs were defined according to the Anatomical Therapeutic Chemical (ATC) classification system. Interactions were classified by use of Stockley's Interactions Checker (SIC). Answers were examined with regard to whether the advice from the drug information center was more restrictive, similar or more liberal than SIC when assessing drug combinations. We retrieved 61 questions that included assessment of 96 drug combinations, and found 33 potential interactions according to SIC. Methylphenidate was involved in more than 50% of the interactions, and interacting drugs were in nearly 70% of the cases from ATC-group N (Nervous system) with antidepressants most frequently involved. Seventy percent of the interactions were pharmacodynamic, and interactions were frequently described as potentially severe although they were based on theoretical evidence. All the 33 interactions could be handled with monitoring or adjusting dose or with informative measures, and none was contraindicated according to SIC. More than 90% of the questions came from physicians in hospitals or outpatient specialist practice, and questions mainly concerned adults. In 75% of the drug combinations that involved ADHD drugs, we found similar advice from SIC and the drug information center. Our results suggest that future drug information efforts in ADHD treatment to clinicians, including specialists in the field, should focus on psychotropic interactions.

Medio siglo de gestión de la información para el desarrollo de la salud villaclareña / Half a century of information management for the health development in Villa Clara province

RESUMEN Arribar a medio siglo de existencia representa para cualquier institución la expresión de una fructífera vida profesional y la oportunidad de meditar sobre el camino transitado. El sistema nacional de información de ciencias médicas surgió en 1965, y la primera institución fuera de la capital del país fue el Centro Provincial de Información de Ciencias Médicas de Villa Clara, que se constituyó en 1969. En estos años de labor el Centro ha crecido en: recursos humanos, instalaciones, medios tecnológicos y servicios que se brindan a los usuarios; sus proyecciones se han revolucionado en sintonía con el desarrollo científico-tecnológico. El crecimiento de la red de bibliotecas, la atención técnica y metodológica realizada, la creciente labor de superación profesional desplegada, la inserción de las tecnologías en la actividad científico-informativa y la producción de numerosos recursos y servicios digitalizados, son elementos que caracterizan la historia de esta institución.

ABSTRACT Reaching half a century of existence represents for any institution the expression of a successful professional life and the opportunity to meditate on the road traveled. The national information system of medical sciences emerged in 1965, and the first institution outside the capital of the country was the Provincial Information Center of Medical Sciences of Villa Clara, which was constituted in 1969. In these years of work the Center has grown in: human resources, facilities, technological means and services that are offered to the users; its projections have been revolutionized along with the scientific-technological development. The growth of the network of libraries, the technical and methodological assistance, the growing work of professional improvement, the insertion of technologies in the scientific-informative activity and the production of numerous resources and digitalized services, are elements that characterize the history of this institution.

Los Centros Municipales de Información como eslabón fundamental del Sistema Nacional de Información en Salud / The Municipal Information Centers as a fundamental link in the National Health Information System

RESUMEN Los Centros Municipales de Información en la provincia de Villa Clara se crearon para fortalecer la estructura del Sistema Nacional de Información en Salud. Su propósito inicial fue garantizar el aseguramiento informativo y científico-técnico que requerían los profesionales y técnicos en la atención primaria de salud. La provincia emprendió de inmediato las acciones técnico-metodológicas necesarias para materializar progresivamente esta tarea; el primer territorio donde se fundó este tipo de institución fue en Caibarién, cuya posterior denominación fue Bibliotecas Municipales de Referencia. El desarrollo de estas se ha caracterizado por la efectiva implementación de los continuos procesos de transformación, la introducción de las nuevas tecnologías, la preparación de sus recursos humanos y la implementación de nuevos programas para el desarrollo de competencias informacionales.

ABSTRACT The Municipal Information Centers in Villa Clara province were created to strengthen the structure of the National Health Information System. Its initial purpose was to guarantee the scientific-technical and information assurance required by professionals and technicians in primary health care. The province immediately undertook the technical and methodological actions necessary to carry out this task progressively; the first territory where this type of institution was founded was in Caibarién, whose later denomination was Municipal Reference Libraries. The development of these libraries has been characterized by the effective implementation of continuous transformation processes, the introduction of new technologies, the preparation of their human resources and the implementation of new programs for the development of informational competencies.

[From psychoactive medicines to addictovigilance in French Public Health Code (1990-2017)]. / Du médicament psychoactif à l'addictovigilance dans le Code de la santé publique en France (1990­2017).

Addictovigilance in the French Public Health Code, in the section related to poisonous substances, refers to a monitoring system developed since 1990: control of psychoactive substances and products, with medicinal use or not, was completed by a specific system focused on evaluation and information on pharmacodependance in 1999. The French medicines agency (Agence du médicament) created in 1993 was involved in this monitoring system; pharmacodependance evaluation was added by law to the missions of the agencies that followed: the Agence française de sécurité sanitaire des produits de santé missions (AFSSAPS, 1998) and the Agence nationale de sécurité du médicament et des produits de santé (ANSM, 2011). "Addictovigilance" first appears in French Law in 2017 whereas it was used by pharmacodependance centers and AFSSAPS since 2007. Legal definition of addictovigilance in the French Public Health Code testified to public authorities action against addictive behavior whatever products status, legal or not. The visibility of addictovigilance is growing on the Internet as well (ANSM website, web portal for reporting adverse health events).

[Fifty years of services of biomedical information in health documentation centers in Puebla, Mexico]. / Cincuenta años de los servicios de información biomédica en centros de documentación en salud de Puebla.

Librarian and information services focused on supporting research, teaching, and health care are vital for the generation of new knowledge and its application in health care, both by staff and students, helps to improve the quality of medical care. Therefore, in this article we expose an historical and social tour of 50 years of the Instituto Mexicano del Seguro Social's library services in Puebla. From 1964 to 2014 occurred many events in the development of these services in our area, from the creation of a small space in the basement, to the implementation of spaces created deliberately to provide dignified service to all users, which is why this historical sketch is here as an acknowledgement to the first librarians who contributed to the training of specialists in Mexico.

Los servicios bibliotecarios y de información enfocados a apoyar la investigación, la docencia y la atención médica son de vital importancia para la generación de nuevos conocimientos y su aplicación en la atención médica por el personal del área de la salud, y los alumnos en proceso de formación, contribuye a mejorar la calidad de la atención médica. Por ello, en el presente artículo exponemos un recorrido histórico y social de 50 años de los servicios bibliotecarios del Instituto Mexicano del Seguro Social en Puebla. De 1964 a 2014 ocurrieron muchos sucesos en el desarrollo de estos servicios en nuestro medio, desde la creación de un espacio pequeño ubicado en el sótano, hasta un espacio establecido ex profeso para otorgar servicio digno a todos los usuarios, por lo que se muestra este bosquejo histórico como reconocimiento a aquellos primeros bibliotecarios que contribuyeron a la formación de especialistas en México.

Tentativas de suicídio por exposição a agentes tóxicos registradas em um Centro de Informação e Assistência Toxicológica em Fortaleza, Ceará, 2013 / Perfil fármaco terapéutico y factores asociados a la polifarmacia en ancianos de Aiquara, Bahia, 2014 / Suicide attempts by exposure to toxic agents registered in a Toxicological Information and Assistance Center in Fortaleza, Ceará, Brazil, 2013

Objetivo: descrever casos de tentativa de suicídio por exposição a agentes tóxicos registrados pelo Centro de Informação e Assistência Toxicológica em Fortaleza, Ceará, Brasil. Métodos: estudo descritivo com dados secundários sobre casos registrados em 2013. Resultados: foram registrados 410 casos; 56,2% dos indivíduos eram do sexo feminino e 79,7% tinham de 12 a 39 anos de idade; a maioria (86,4%) residia em áreas urbanas e 67,2% em Fortaleza; em 94,9% dos casos o local de exposição foi o domicílio; os agentes tóxicos mais envolvidos nos casos foram praguicidas (42,9%), principalmente agrotóxicos (30,2%), medicamentos (39,5%) e saneantes de uso doméstico (3,4%); das 16 tentativas de suicídio que resultaram em óbito, 15 foram ocasionadas por agrotóxicos. Conclusão: o estudo evidencia que a ingestão de agentes tóxicos, especialmente os agrotóxicos, é um importante método utilizado em tentativas de suicídio, sendo fundamental a integração das ações de promoção e de prevenção nessas ocorrências.

Objetivo: describir los fármacos utilizados y analizar los factores asociados a la polifarmacia en ancianos de Aiquara, Bahía, Brasil. Métodos: se trata de un estudio transversal, censo, realizado en febrero de 2014, a través de entrevistas con formularios estandarizados. Resultados: entre los 272 ancianos entrevistados, 53,3% utilizaban la medicación prescrita y solamente 31,6% al menos un medicamento sin receta médica; la prevalencia de polifarmacia fue 29,0%; los medicamentos cardiovasculares fueron los más utilizados (n=390; 37,6%); en análisis ajustados, los factores asociados a la polifarmacia fueron sexo femenino (OR=2,20 - IC95% 1,11;4,35), seguro de salud privado (OR=2,18 - IC95% 1,05;4,55), haber sido hospitalizados en el último año (OR=2,34 - IC95% 1,1;4,65) y auto-reporte de cuatro o más enfermedades (OR=3,18 - IC95% 1,60;6,29). Conclusión: hubo una alta prevalencia de polifarmacia, asociada al sexo, plan de salud privado, tener cuatro o más enfermedades auto-reportados y haber sido hospitalizado en el último año, con un mayor uso de fármacos cardiovasculares.

Objective: to describe cases of suicide attempts by exposure to toxic agents registered by the Toxicological Information and Assistance Center in Fortaleza, Ceará, Brazil. Methods: this is a descriptive study using secondary data of the cases registered in 2013. Results: 410 cases were registered; 56.2% of the individuals were female and 79.7% were between 12 and 39 years old; most of them (86.4%) lived in urban areas and 67.2%, in Fortaleza; in 94.9% of the cases, the exposure took place in the individual's own home; the toxic agents most commonly used were pesticides (42.9%), especially for agricultural use (30.2%), medicines (39.5%) and house cleaning products (3.4%); of 16 suicide attempts that resulted in death, 15 were caused by agricultural pesticides. Conclusion: the study shows that the intake of toxic agents, especially of agricultural pesticides, is a common method used in suicide attempts; the integration between actions of promotion and prevention are essential.

Risk perception regarding drug use in pregnancy.

Pregnant women, but also physicians, have unrealistically high perceptions of teratogenic drug effects. This may result in suboptimal treatment of disease and even influence decisions of whether to continue pregnancy. To attain more realistic teratogenic risk perceptions, several factors that influence this issue should be considered, and these are further discussed in this Clinical Opinion. Importantly, drug use may have several benefits, both for the pregnant woman's health and to avoid negative fetal effects of untreated maternal disease. A greater focus on this aspect may act to balance risk perceptions. Furthermore, both pregnant women and physicians need access to drug information sources that provide realistic risk estimates to increase confidence in appropriate drug use and prescribing. We suggest that access to decision support and individually tailored information provided by drug information centers may contribute to this goal.

Infoxicación en salud. La sobrecarga de información sobre salud en la web y el riesgo de que lo importante se haga invisible / Infoxication in health. Health information overload on the Internet and the risk of important information becoming invisible / Infoxicação em saúde. A sobrecarga de informação em saúde na internet e o risco de ficar invisível o que é importante

RESUMEN Objetivo Este estudio tiene como objetivos 1) crear conciencia del volumen de información en salud existente en la web de calidad, 2) explorar la percepción de profesionales de la información con relación al uso de fuentes cualificadas en la toma de decisiones en salud, y 3) presentar recomendaciones que permitan fortalecer las capacidades de los trabajadores de la salud y las competencias institucionales relacionadas con la alfabetización digital. Métodos Se realizó un estudio no experimental descriptivo transversal con una muestra no probabilística de 32 profesionales de la información de nueve países. Se recopiló información de internet sobre el volumen de contenidos existentes en herramientas web, redes sociales y fuentes de información en salud. Se realizaron búsquedas en inglés y en español utilizando las palabras clave Ebola, Zika, Dengue, Chikungunya, Safe food, Health equity, Safe sex, y Obesit. Por último, se obtuvo información sobre la oferta de formación formal en temas de alfabetización digital, gestión de información y otros relacionados. Resultados Seleccionando sólo cuatro enfermedades de alto impacto en salud pública en mayo de 2016 y promediando un tiempo de revisión mínimo de cada producto de información, se tardaría más de 50 años seguidos sin dormir para consultar todo lo publicado en línea sobre Dengue, Zika, Ebola y Chikungunja. Conclusión Se concluye que la salud pública se beneficiaría con instituciones de salud que implementaran estrategias formales de gestión del conocimiento, con instituciones académicas de ciencias de la salud que incorporaran programas formales de alfabetización digital y con trabajadores de la salud cuyo desarrollo profesional sea responsable y funcional en la sociedad de la información.

ABSTRACT Objective The objectives of this study were to: 1) raise awareness of the volume of quality health information on the Internet; 2) explore perceptions of information professionals with regard to the use of qualified sources for health decision-making; and 3) make recommendations that facilitate strengthening health worker capacities and institutional competencies related to digital literacy. Methods A non-experimental, descriptive cross-sectional study was conducted with a non-probability sample of 32 information professionals from nine countries. Internet information was compiled on the volume of content in Internet tools, social networks, and health information sources. Searches in English and Spanish were carried out using the keywords Ebola, Zika, dengue, chikungunya, safe food, health equity, safe sex, and obesity. Finally, information was obtained on opportunities for formal education on the subjects of digital literacy, information management, and other related topics. Results Selecting only four diseases with a high impact on public health in May 2016 and averaging minimum review time for each information product, it would take more than 50 years without sleeping to consult everything that is published online about dengue, Zika, Ebola, and chikungunya. Conclusion We conclude that public health would benefit from: health institutions implementing formal knowledge management strategies; academic health sciences institutions incorporating formal digital literacy programs; and having health workers who are professionally responsible and functional in the information society.

RESUMO Objetivos 1) Conscientizar sobre o volume de informação em saúde de qualidade existente na internet, 2) explorar a percepção dos profissionais da informação sobre o uso de fontes qualificadas na tomada de decisão em saúde e 3) fazer recomendações para reforçar o preparo dos profissionais de saúde e as competências institucionais quanto à alfabetização digital. Métodos Foi realizado estudo transversal descritivo não experimental em uma amostra não probabilística com 32 profissionais da informação de nove países. Foi coletada informação da internet sobre o volume de conteúdos existentes sobre ferramentas de internet, redes sociais e fontes de informação em saúde. Foram realizadas buscas em inglês e espanhol utilizando as palavras-chave Ebola, Zika, Dengue, Chikungunya, Safe food, Health equity, Safe sex, e Obesity. E foi obtida informação sobre a oferta de cursos de formação em alfabetização digital, gestão da informação e outros tópicos relacionados. Resultados Com a seleção de apenas quatro doenças de alto impacto em saúde pública em maio de 2016, com tempo de revisão médio mínimo para cada produto de informação, seriam necessários mais de 50 anos contínuos, sem intervalo para dormir, para consultar todo o conteúdo publicado online sobre dengue, zika, Ebola e chikungunya. Conclusão Conclui-se que existiria benefício para a saúde pública se as instituições de saúde implementassem estratégias formais de gestão do conhecimento, as instituições acadêmicas de ciências da saúde incorporassem programas formais de alfabetização digital e os profissionais de saúde investissem em desenvolvimento profissional responsável e prático na sociedade da informação.

Las competencias informacionales de bibliotecarios de las Ciencias Médicas para la diseminación selectiva de la información. Sancti Spiritus / The informational competitions of librarians of the Medical Sciences for the selective dissemination of the information. Sancti Spiritus

Fundamento: La consulta y referencia es un servicio que se presta en las bibliotecas y dentro de sus bondades está la diseminación selectiva de la información que se encarga de mantener actualizado a los profesionales de las Ciencias Médicas la que suministra periódicamente las referencias de los documentos que corresponden con sus intereses cognoscitivos. Objetivo: Diagnosticar las competencias informacionales que tienen los bibliotecarios de las ciencias médicas para la diseminación selectiva de la información en la provincia de Sancti Spíritus. Metodología: Se realizó una investigación transversal en el periodo de enero a noviembre de 2014 en la red de bibliotecas médicas; con una muestra compuesta por 57 bibliotecarios, se eligió mediante un muestreo estratificado. Se recogió información sobre el nivel profesional de los bibliotecarios, la implementación del servicio de diseminación selectiva de la información y la utilidad del mismo, además de aquella relativa a los documentos utilizados por estos profesionales para enviar la información, así como sobre las bases de datos bibliográficas utilizadas y medios que empleaban para obtener los datos de la tarjeta control de usuario y bases de datos bibliográficas. Los datos fueron procesados mediante el paquete estadístico profesional SPSS (versión 15.0.1, SPSS Inc, Chicago, IL, USA). Resultados: Se observaron carencias de competencias informacionales, fundamentalmente, técnicas y metodológicas, para desarrollar el servicio de diseminación selectiva de la información, por lo que al buscar y evaluar la información que entregan a los usuarios del servicio es insuficiente no en cantidad sino en calidad. Conclusiones: Los bibliotecarios de las Ciencias Médicas de la provincia de Sancti Spíritus no tienen suficientes competencias informacionales para ofrecer el servicio de diseminación selectiva de la información y refieren la necesidad de cursos de superación.

Background: The consultation and reference is a service that is lent in the libraries and the selective dissemination of the information that takes charge of maintaining is inside its kindness up-to-date to the professionals of the Medical Sciences that gives the references of the documents that correspond with its cognitive interests periodically Objective: To diagnose the informational competitions that the librarians of the medical sciences for the selective dissemination of the information in the county of Sancti Spíritus Methodology: It was carried out a traverse investigation in the period from January to November, 2014 in the net of medical libraries; with a sample composed by 57 librarians, it was chosen by means of a stratified sampling. Information was picked up about the professional profile of the librarians, the implementation of the service of selective dissemination of the information and the utility of it, besides that relative to the documents used by these professionals to send the information, as well as on the used bibliographical databases and means that were used to obtain the data of the card user control and bibliographical databases. The data were processed by means of the professional statistical package SPSS (version 15.0.1, SPSS Inc., Chicago, IL, USES) Results: Lacks of informational competitions were observed, fundamentally, technical and methodological, to develop the service of selective dissemination of the information, for what is insufficient when looking for and to evaluate the information that is given to the users of the service not in quantity but in quality Conclusions: Librarians of the Medical Sciences of the county of Sancti Spíritus doesn't have enough informational competitions to offer the service of selective dissemination of the information and they refer the necessity of overcoming courses.

Marketing information goods and services in medical libraries and information centers.

Marketing is one of the essential parts of any business corporation in the modern management. One can see the difference between corporations in gaining their goals, considering their marketing methods. Gaining more advantage or acquiring more funds can be of reasons for marketing, but these are not all the reasons. Perhaps the most important reason for marketing is increasing the customer satisfaction. This, in turn, leads to more willingness in payment and using services. Nowadays, due to rapid growth in ICT, changes in budgets, rapid growth in development and use of knowledge, variety of users and their needs, marketing has become an important factor in any library activities. Libraries are now more responsible in this regard, because marketing is now an important tool in improving users' satisfaction in using library services. Hence, marketing is now very important for libraries to survive in the increasing pressures of competitive conditions of the information market. This article is tapping on issues such as information marketing, principles of marketing, marketing techniques, developing markets, and marketing skills. Some recommendations are also presented for marketing in libraries.

Does the General Public Comply with Hospital Guidance Conveyed at the Emergency Medical Information Center?

PURPOSE: This study investigated the compliance of the general public to the guidance conveyed by hospital emergency medical information centers. METHODS: This study included the incidences of inquiry on hospitals and clinics to Busan Emergency Medical Information Center by the general public for a 2-week period from January 4-17, 2009. Information obtained included general characteristics, time of hospital arrival and departure, length of hospitalization, hospitals visited, and treatment outcome. RESULTS: A total of 939 incidences of hospital guidance to the general public were examined. The degree of compliance was 71.2%, the ratio of the primary and secondary facility that the participants visited were 88.6% and 93.5% of the participants in this study were discharged from hospitals after their visit. Patients who complied with the information received displayed a shorter period of hospitalization than non-compliant patients. CONCLUSION: Emergency medical information centers may help ease the unnecessary use of emergency rooms by providing information on diseases to the general public and effectively distributing medical resources with guidance to proper hospitals according to the degree of symptoms.

Does the General Public Comply with Hospital Guidance Conveyed at the Emergency Medical Information Center?

PURPOSE: This study investigated the compliance of the general public to the guidance conveyed by hospital emergency medical information centers. METHODS: This study included the incidences of inquiry on hospitals and clinics to Busan Emergency Medical Information Center by the general public for a 2-week period from January 4-17, 2009. Information obtained included general characteristics, time of hospital arrival and departure, length of hospitalization, hospitals visited, and treatment outcome. RESULTS: A total of 939 incidences of hospital guidance to the general public were examined. The degree of compliance was 71.2%, the ratio of the primary and secondary facility that the participants visited were 88.6% and 93.5% of the participants in this study were discharged from hospitals after their visit. Patients who complied with the information received displayed a shorter period of hospitalization than non-compliant patients. CONCLUSION: Emergency medical information centers may help ease the unnecessary use of emergency rooms by providing information on diseases to the general public and effectively distributing medical resources with guidance to proper hospitals according to the degree of symptoms.

La gestión del conocimiento nuclear: retos y perspectivas / The nuclear knowledge management: challenges and perspectives

La gestión del conocimiento tiene el propósito de conservar y orientar las competencias claves de cualquier organización al desarrollo de productos y servicios con alto valor científico y tecnológico agregado, como respuesta proactiva a un entorno dinámico y complejo. El Organismo Internacional de Energía Atómica e instituciones nucleares de los Países Miembros reconocen que el uso pacífico de la tecnología nuclear descansa en la acumulación del conocimiento nuclear y que su gestión efectiva se orienta al aseguramiento de la disponibilidad continua de información científica y tecnológica y del personal calificado. Recientemente instituciones nucleares cubanas también han iniciado proyectos orientados a la implementación de procesos de gestión del conocimiento organizacional y nuclear. En este trabajo se presentan retos y perspectivas para la gestión del conocimiento nuclear en Cuba y en el contexto mundial.

The knowledge management has as one of its goals to keep and to drive the key organizational competences to the development of products and services with high scientific and technological value, as proactive reply to a dynamic and complex environment. The International Atomic Energy Agency and nuclear institutions of Member Countries recognize that the pacific use of nuclear technology is supported on the nuclear knowledge collection and that its effective management is oriented to guarantee the continuous availability of scientific and technological information and high qualified people. Recently some nuclear Cuban institutions have started some projects to implement nuclear and organizational knowledge management process. In this paper some challenges and perspectives are presented for the nuclear knowledge management in Cuba and in the world context.

Evaluation of harmful algal bloom outreach activities.

With an apparent increase of harmful algal blooms (HABs) worldwide, healthcare providers, public health personnel and coastal managers are struggling to provide scientifically-based appropriately-targeted HAB outreach and education. Since 1998, the Florida Poison Information Center-Miami, with its 24 hour/365 day/year free Aquatic Toxins Hotline (1-888-232-8635) available in several languages, has received over 25,000 HAB-related calls. As part of HAB surveillance, all possible cases of HAB-related illness among callers are reported to the Florida Health Department. This pilot study evaluated an automated call processing menu system that allows callers to access bilingual HAB information, and to speak directly with a trained Poison Information Specialist. The majority (68%) of callers reported satisfaction with the information, and many provided specific suggestions for improvement. This pilot study, the first known evaluation of use and satisfaction with HAB educational outreach materials, demonstrated that the automated system provided useful HAB-related information for the majority of callers, and decreased the routine informational call workload for the Poison Information Specialists, allowing them to focus on callers needing immediate assistance and their healthcare providers. These results will lead to improvement of this valuable HAB outreach, education and surveillance tool. Formal evaluation is recommended for future HAB outreach and educational materials.