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Resumen Objetivo Conocer los resultados de las citologias realizadas en un centro de salud en un ano, asi como cual es el manejo de las alteraciones detectadas. Material y metodo Estudio transversal, realizado en un centro de salud urbano. Se incluyeron 1.314 mujeres citadas para realizacion de citologia vaginal entre el 1 de marzo de 2011 y el 29 de febrero de 2012. A partir de la informacion incluida en la historia clinica se registro: fecha de nacimiento, nacionalidad, fecha de citas y asistencia, resultado de citologia, tratamiento por medico de familia o ginecologo, cumplimiento de criterios de inclusion en este servicio (SESCAM), y uso de anticoncepcion. Resultados La mediana de edad de las mujeres citadas era 40 anos (rango: 17-82). Se analizaron 1.028 citologias. El 81,9% eran normales. Presentaron alguna alteracion inflamatoria/infecciosa 166, en 7 se detecto ASCUS, y en 6 y en 4 SIL de bajo y alto grado, respectivamente. Precisaron valoracion por ginecologia 30 mujeres, 3 de las cuales fueron sometidas a biopsia (resultados: normal, CIN I y CIN III). De las 1.254 mujeres en que se registro el criterio de inclusion, 29% no cumplian los establecidos en la cartera de servicios del SESCAM. Conclusiones Algo mas de la cuarta parte de las mujeres que toman cita para realizacion de citologia no reunen criterios de inclusion en el mismo. Los hallazgos patologicos son muy infrecuentes. Estas circunstancias deben hacernos reconsiderar las condiciones de prestacion del servicio.

With the arrival of social media, medical students, future healthcare professionals, not only need to be aware of professionalism in their face-to-face interactions but also in the new virtual environments. Use of social networking by medical students is increasing, and some students lack awareness of consequences arising from the crossing of social networking and medicine. In this context, the use of Facebook could develop medical education beyond the restrictions of the classroom, and also be the connection between informal and formal learning, engaging students with educational content outside the classroom. Moreover, social media can be also used in health care training to improve communication between students and educators, patient communication, public health programs or research. The aim of this study was to assess the interest and participation of students and educators of the Faculty of Medicine of the University of Castilla-La Mancha (Spain) in a closed and private group in Facebook. The group was created in September 2011 and it already has 939 users including administrative staff, teachers and students. There are no rules more than terms of use of Facebook, but it is recommendable that posts might be related to Health and Research in Medical Sciences. We analysed its use during the course 2015-16 through which there were a total of 563 publications, most of them done by students (344; 61%) rather than the faculty and the staff (219;39%). A total of 9,375 impressions, comments and shares were also registered. We classify publications between three mayor themes: those related to learning (181), scientific advances and science spreading (242), and other (140). Students shared more contents related to learning process (139) rather than scientific advances (94) and others (111), while teachers shared 148, 42 and 29 respectively. We also analysed the number or impressions to post: 583 comments, 130 shares, and a total of 8662 impressions (“likes”). Students greatly appreciate the group use by teachers, but only a few have an account in social networks. In general, the posts that raise more interest were those related to science. We perform an opinion survey in the group: a total of 97 users answer the survey, 96 indicated that the group was useful or very useful and that they were very satisfied; only one user indicates that was fairly satisfied.

Resumen Introduccion El objetivo de este estudio es valorar las caracteristicas del dolor, la capacidad funcional y el tratamiento farmacologico de pacientes con gonartrosis que acuden a consultas de medicina familiar, asi como los factores asociados con los mismos. Material y metodos Se diseno un estudio transversal. Por muestreo consecutivo fueron seleccionados pacientes mayores de 50 anos que acudieron a consulta por dolor de rodilla y que cumplian criterios diagnosticos de gonartrosis (Sociedad Espanola de Reumatologia), desde febrero a noviembre de 2011. A traves de un protocolo especificamente disenado se registraron variables sociodemograficas, clinicas, cuestionarios WOMAC y Lequesne, escala analogica visual de dolor, realizacion de radiografia de rodillas, y uso de farmacos. Resultados Se incluyeron 86 pacientes, 70,9% mujeres, con rango de edad de 52-93 anos (media: 73,7). El 96,5% tenia otras enfermedades cronicas. Tomaban analgesicos regularmente 83, con 87,9% (IC 95%:80,3-95,6) en el primer escalon analgesico de la Organizacion Mundial de la Salud (OMS). Los pacientes en los escalones 2 y 3 puntuaban significativamente mas alto en la escala analogica visual que aquellos en el estadio 1 o que no tomaban analgesicos (media: 7,9 vs 5,9; p = 0,01). Con relacion al cuestionario WOMAC existian diferencias significativas solo para 2 items: todos los que tomaban opioides tenian dificultad para levantarse de la cama (p = 0,001), y el 90% para levantarse del retrete (p = 0,005). El indice de Lequesne mostro un valor medio de 13,1 (DE: 4,1; rango: 3-21). Conclusiones La gran mayoria de los pacientes con artrosis de rodilla que consultan en Atencion Primaria tienen dolor fundamentalmente con el movimiento, lo que limita severamente su capacidad funcional. Los analgesicos se utilizan poco, por lo que queda un amplio margen terapeutico en estos pacientes.

Social media can be an excellent tool in the training of future doctors, but also in their future work. For this, future health professionals should know basic concepts such as "personal brand" or know how to manage the privacy settings when sharing certain information in their personal profiles. The aim of this study was to evaluate the changes in the perception and knowledge of medical students comparing the results of a survey before and after receiving a specialized training course. Issues such as whether they would be willing to put their personal accounts on their curriculum vitae or to hire erasure services in the network that minimize their fingerprint. During the 2016-17 academic year a 2-hour course was taught by a sixth-year student and social networking expert. One week before the course and one month later an online survey of 16 questions was conducted and the results compared. The previous (pre) survey was answered by 107 students, while the post (post) survey was answered by 72. After the course, one of the first results was an increase in the number of students who knew social networks specialized in Medicine. There are no significant changes in the way networks use, but there is an increase in the concern to publish reliable and proven medical information. An undesirable effect of the course is that there was an increase in the concern about a possible negative effect on their future of the information they share in social networks, which can be positive because, despite this, there is an increase in the Number of students who would add their user on social networks in their curriculum. There is also an increase in the number of students who affirm that social networks can be useful in their current training and in their future work, also in the knowledge of basic concepts as personal brand. In conclusion, a brief course on basic concepts of social media and their applications in Medicine improves the students' concern about the related knowledge and about the potential positive in both their training and their future work. For this reason, social media should be included in curriculum design in Medicine and, probably, in other university degrees.