The present study is an exploratory examination of the efficacy of the application of mindfulness-based interventions to the treatment of eating disorders. It employs a systematic review technique in which terms from the Psychological Index Terms of the American Psychological Association (APA) were chosen and analyzed in conjunction with Boolean operators. Using data obtained by the online consultation of references from 12 different bibliographical databases, 8 studies were included in the systematic review. Each study reported satisfactory results, although trial qualities were variable and sample sizes were small. Nonetheless, the current study found initial evidence supporting the effectiveness of mindfulness-based interventions to the treatment of eating disorders. The application of mindfulness-based interventions to the treatment of eating disorders remains a promising approach worthy of further research.

This article discusses the possible meanings of the intense prevailing concern in academic circles IntroduçãoHá indicadores bibliométricos que sinalizam para mudanças dramáticas no panorama da pesquisa científica nos últimos 10-15 anos. Se, por um lado, mais de 70% da produção mundial pertence ao eixo Estados Unidos/Comunidade Européia/Japão, há crescimentos espetaculares em alguns países em especial (como China e Irlanda, os mais significativos) e declínio em outros (Grã-Bretanha). Na América Latina, dados recentes mostram que a produção da ciência brasileira se destaca em seu crescimento de 8% na repartição do produto anual em termos mundiais e ocupa o 17 o lugar na lista de países mais ativos. Talvez mais significativo seja o fato de ocupar o 9 o lugar entre os países que apresentam maior dinamismo em termos percentuais de crescimento entre os anos 1991 a 2003, adiante da Espanha (11 o ) e onde se destacam sobremaneira Coréia do Sul, Turquia e Singapura 1 .Sem dúvida, as análises acima mencionadas merecem a devida atenção quando se trata de descrever e comparar a produção científica e seus fluxos em múltiplos níveis de abrangência, tanto em termos globais como locais. Porém, tais dados necessitam de ser contextualizados em função não apenas de aspectos bibliométricos regionais e nacionais. É importante também levar em conta especificidades de caráter sócio-histórico no desenvolvimento das disciplinas e dos campos de produção de conhecimento em FÓRUM FORUM

ObjectiveTo review the scientific literature related to the safe handling of hazardous drugs (HDs).MethodCritical analysis of works retrieved from MEDLINE, the Cochrane Library, Scopus, CINHAL, Web of Science and LILACS using the terms "Hazardous Substances", "Antineoplastic Agents" and "Cytostatic Agents", applying "Humans" and "Guidelines" as filters. Date of search: January 2017.ResultsIn total, 1100 references were retrieved, and from those, 61 documents were selected based on the inclusion and exclusion criteria: 24 (39.3%) documents related to recommendations about HDs; 27 (44.3%) about antineoplastic agents, and 10 (33.3%) about other types of substances (monoclonal antibodies, gene medicine and other chemical and biological agents). In 14 (23.3%) guides, all the stages in the manipulation process involving a risk due to exposure were considered. Only one guide addressed all stages of the handling process of HDs (including stages with and without the risk of exposure). The most described stages were drug preparation (41 guides, 67.2%), staff training and/or patient education (38 guides, 62.3%), and administration (37 guides, 60.7%). No standardized informatics system was found that ensured quality management, traceability and minimization of the risks associated with these drugs.ConclusionsMost of the analysed guidelines limit their recommendations to the manipulation of antineoplastics. The most frequently described activities were preparation, training, and administration. It would be convenient to apply ICTs (Information and Communications Technologies) to manage processes involving HDs in a more complete and simpler fashion.

The objective of this study is to establish a methodological proposal in order to carry out qualitative systematic reviews and apply these findings to a review of Omega-3 Fatty Acids with respect to health and illness. Based on a methodological proposal, a general protocol was developed to provide a sound basis for the preparation of the reviews in this journal supplement. A systematic technique was proposed in order to revise the existing scientific literature on Omega-3 Fatty Acids, with particular emphasis on aspects relating to health and illness. The aim of qualitative systematic reviews is to collate and summarise the results of the primary studies reviewed which will be carried out through a descriptive synthesis. It can be concluded that systematic reviews provide a summary of the existing primary documents on a specific scientific question. The detailed and explicit methods used lead to the identification, critical evaluation and synthesis of the scientific literature. Furthermore, both bias and random effects are reduced, resulting in more reliable data from which to draw conclusions and make recommendations to support decision-making.

Objetivo: Análisis bibliométrico y temático la producción científica relacionada con los servicios de salud proporcionados por las unidades de hospitalización a domicilio.Método: Análisis bibliométrico. Los datos se obtuvieron de la base de datos MEDLINE, empleando el MeSH, «Home Care Services, Hospital-Based» como Major Topic. Fecha de la búsqueda: julio 2016. La muestra a estudio se calculó mediante estimación de parámetros poblacionales para una población infinita y la selección fue aleatoria simple sin reemplazo.Resultados: Se analizaron 386 referencias. El número de originales fue de 204 (52,85%), identificando 243 instituciones, con Índice de Cooperación de 3,75±1,16 autores/artículo. El idioma predominante fue el inglés con 279 (72,28%) artículos. La obsolescencia, según el Índice de Burton-Kebler fue de 13 años y el Índice de Price del 14,40%. El núcleo de Bradford lo constituyeron 23 revistas. La clasificación temática determinó una pertinencia del 70,73%.Conclusiones: Existencia de alta obsolescencia y orientación anglófona. Relación institucional e índice de corporación bajos. El acceso a la fuente primaria mejora a lo largo del tiempo, en línea a la iniciativa de acceso abierto, aunque con baja visibilidad. Los artículos estaban publicados de forma dispersa. La clasificación temática cumplió con la materia investigada.

Objective: To verify whether the Credibility Indicator is able to evaluate the quality of websites. Method: This is a descriptive cross-sectional study of websites on diet and anorexia ⁄ bulimia, using searches on Google to access the study population. Quality was studied using 22 variables selected by consolidating international proposals. In addition, eight variables belonging to the Credibility Indicator were also studied. Results: Three hundred and fifty four homepages relating to diet and 366 homepages relating to anorexia ⁄ bulimia were evaluated. None of the websites met all of the quality criteria; neither did any website satisfy all of the Credibility Indicators. A positive correlation was observed between fulfilment of the Quality items and the Credibility Indicator (R = 0.72; P < 0.001). Significant differences were found in the fulfilment of the Total Quality variables between the websites that had these variables and those that did not (t-test = )9.91, P < 0.001).Conclusions: The quality of websites covering issues of diet and anorexia ⁄ bulimia is still poor. The Credibility Indicator is a useful aid when determining the quality of a website. It is evident that identifying authorship and affiliation is an important factor in predicting the quality of the information.Keywords: anorexia nervosa, bulimia nervosa, diet, communication health, information dissemination, internet, quality control. Key messages Implications for Practice• The need to evaluate the abundance of health-related information available on the Internet.• The poor quality of websites related to diet and anorexia ⁄ bulimia.• Knowing the authorship and affiliation of the website, regardless whether the website is specifically related to diet or anorexia ⁄ bulimia, is an important factor in predicting the quality of the information.• The Credibility Indicator is a useful aid when determining the quality of a website.• It is useful to note whether the website benefits from quality accreditation certification from organizations such as HONcode and Web Médica Acreditada, which would provide the necessary confidence in the website content. Implications for Policy• Those responsible for health-related websites should consider the quality criteria set out by the main international health agencies.• Evaluating the quality of health-related websites is necessary.• It may be necessary to insist on the construction of Quality Indicators, which are readily understood, to evaluate effectively the many health-related websites.

Objectives: To determine the association between home enteral nutrition (HEN) administration modality and its complications in patients. Methods: This is a prospective multicenter longitudinal study including 15 Spanish hospitals, from April 2015 to March 2017. A 4-month follow-up period was conducted for each patient by home visit. The study subjects were adult patients who began their nutrient intake by tube feeding, known as HEN, during the recruitment period. The variables studied included the type and modality of HEN administration and its related complications, such as vomiting, regurgitation, constipation, diarrhea, and abdominal distention. Mechanical complications and bronchoaspiration were also evaluated. Descriptive variables were used for fitting. Results: The study consisted of 306 patients; 4 were lost due to death. Specific HEN modalities protected against constipation (odds ratio (OR) = 0.4) and regurgitation (OR = 0.4). The use of a nasogastric tube (NGT) resulted in a lower risk of diarrhea compared to percutaneous endoscopic gastrostomy (PEG) (OR = 0.4) but resulted in a higher risk of tube obstruction (OR = 7.4). The use of intermittent gravity versus bolus feeding was a protection factor against vomiting (OR = 0.4), regurgitation (OR = 0.3), constipation (OR = 0.3), diarrhea (OR = 0.4) and abdominal distension (OR = 0.4). The increase in the number of doses was a risk factor for the incidence of regurgitation (OR = 1.3). Conclusions: Gastrointestinal complications were the most frequent problems, but an adequate choice of the formula, route, feeding modality, number of doses, administration time, and dose volume can reduce the risk of these complications.

The way in which the quality of life related to health (HRQoL) is affected by the nutritional status of the patient is a subject of constant interest and permanent debate. The purpose of the present paper is to review those studies that relate HRQoL to nutritional status and examine the tools (questionnaires) that they use to investigate this relationship. A critical review of published studies was carried out via an investigation of the following databases: MEDLINE (via PubMed); EMBASE; The Cochrane Library; Cumulative Index to Nursing and Allied Health Literature (CINAHL); Institute for Scientific Information (ISI) Web of Science; Latin American and Caribbean Health Sciences Literature (LILACS); Spanish Health Sciences Bibliographic Index (IBECS). The search was carried out from the earliest date possible until July 2007.The medical subject heading terms used were 'quality of life', 'nutritional status' and 'questionnaires'. The articles had to contain at least one questionnaire that evaluated quality of life. Twenty-eight documents fulfilling the inclusion criteria were accepted, although none of them used a specific questionnaire to evaluate HRQoL related to nutritional status. However, some of them used a combination of generic questionnaires with the intention of evaluating the same. Only three studies selectively addressed the relationship between nutritional status and quality of life, this evaluation being performed not by means of specific questionnaires but by statistical analysis of data obtained via validated questionnaires.