Estadísticas

 array:24 [
  "pii" => "S0213911107720526"
  "issn" => "02139111"
  "doi" => "10.1157/13110449"
  "estado" => "S300"
  "fechaPublicacion" => "2007-09-01"
  "aid" => "72052"
  "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
  "copyrightAnyo" => "2007"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Gac Sanit. 2007;21:412-5"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 4046
    "formatos" => array:3 [
      "EPUB" => 146
      "HTML" => 3247
      "PDF" => 653
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0213911107720538"
    "issn" => "02139111"
    "doi" => "10.1157/13110450"
    "estado" => "S300"
    "fechaPublicacion" => "2007-09-01"
    "aid" => "72053"
    "copyright" => "Sociedad Española de Salud Pública y Administración Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Gac Sanit. 2007;21:416-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4487
      "formatos" => array:3 [
        "EPUB" => 124
        "HTML" => 3094
        "PDF" => 1269
      ]
    ]
    "es" => array:9 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">&#171;Que 20 a&#241;os no es nada&#187;</span>"
      "titulo" => "Estad&#237;stica y salud p&#250;blica&#58; el argumento del m&#233;todo num&#233;rico"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "416"
          "paginaFinal" => "417"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Statistics and public health&#58; the argument of the numerical method"
        ]
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Josep Bernabeu-Mestre"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Josep"
              "apellidos" => "Bernabeu-Mestre"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107720538?idApp=WGSE"
    "url" => "/02139111/0000002100000005/v1_201301241557/S0213911107720538/v1_201301241557/es/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0213911107720514"
    "issn" => "02139111"
    "doi" => "10.1157/13110448"
    "estado" => "S300"
    "fechaPublicacion" => "2007-09-01"
    "aid" => "72051"
    "copyright" => "Sociedad Espa&#241;ola de Salud P&#250;blica y Administraci&#243;n Sanitaria"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Gac Sanit. 2007;21:408-11"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4064
      "formatos" => array:3 [
        "EPUB" => 120
        "HTML" => 3499
        "PDF" => 445
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Brief reports</span>"
      "titulo" => "Scientific production in bioethics in Spain through MEDLINE"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "408"
          "paginaFinal" => "411"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Isabel Belinch&#243;n, Jos&#233; Manuel Ramos, Vicente Bellver"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Isabel"
              "apellidos" => "Belinch&#243;n"
            ]
            1 => array:2 [
              "nombre" => "Jos&#233;"
              "apellidos" => "Manuel Ramos"
            ]
            2 => array:2 [
              "nombre" => "Vicente"
              "apellidos" => "Bellver"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107720514?idApp=WGSE"
    "url" => "/02139111/0000002100000005/v1_201301241557/S0213911107720514/v1_201301241557/en/main.assets"
  ]
  "es" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Originales breves</span>"
    "titulo" => "Prevalencia de prescripci&#243;n-indicaci&#243;n de protectores g&#225;stricos en pacientes hospitalizados"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "412"
        "paginaFinal" => "415"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "&#193;lvaro Hermida Ameijeiras, Bel&#233;n Cabana Gonz&#225;lez, Vicente Lorenzo Z&#250;&#241;iga"
        "autores" => array:3 [
          0 => array:4 [
            "nombre" => "&#193;lvaro"
            "apellidos" => "Hermida Ameijeiras"
            "email" => array:1 [
              0 => "alvarohermida&#64;tiscali&#46;es"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Bel&#233;n"
            "apellidos" => "Cabana Gonz&#225;lez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff2"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Vicente"
            "apellidos" => "Lorenzo Z&#250;&#241;iga"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff1"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital Cl&#237;nico Universitario de Santiago de Compostela&#44; Santiago de Compostela&#44; La Coru&#241;a&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff1"
          ]
          1 => array:3 [
            "entidad" => "Unidad Docente de Medicina Familiar y Comunitaria&#44; &#193;rea de Santiago de Compostela&#44; La Coru&#241;a&#44; Espa&#241;a"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff2"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondencia&#58; &#193;lvaro Hermida Amejeiras&#46; Servicio de Medicina Interna&#46; Complejo Hospitalario Universitario de Santiago de Compostela&#46; Avda&#46; Choupana&#44; s&#47;n&#46; Santiago de compostela&#46; A Coru&#241;a&#46; Espa&#241;a&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "A survey of gastroprotective drugs&#58; prescription-indication in hospitalized patients"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2006-04-12"
    "fechaAceptado" => "2006-11-21"
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec14038"
          "palabras" => array:8 [
            0 => "F&#225;rmacos gastroprotectores"
            1 => "Utilizaci&#243;n racional de medicamentos"
            2 => "Administraci&#243;n intravenosa"
            3 => "Ome-prazol"
            4 => "Pantoprazol"
            5 => "Inhibidores de la bomba de protones"
            6 => "Prescripci&#243;n"
            7 => "Indicaci&#243;n"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec14037"
          "palabras" => array:8 [
            0 => "Gastroprotective drugs"
            1 => "Rational drug use"
            2 => "Intravenous administration"
            3 => "Omeprazole"
            4 => "Pantoprazole"
            5 => "Proton pump inhibitors"
            6 => "Prescription"
            7 => "Indication"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La prescripci&#243;n de f&#225;rmacos antiulcerosos en medio hospitalario&#44; y su influencia posterior en atenci&#243;n primaria&#44; se increment&#243; en los &#250;ltimos a&#241;os y con ello el gasto farmac&#233;utico&#46; El objetivo del presente estudio es analizar la prevalencia de prescripci&#243;n de antiulcerosos en nuestro centro hospitalario y la adecuaci&#243;n a las indicaciones establecidas&#46; Se realiz&#243; un estudio observacional de prescripci&#243;n-indicaci&#243;n con 2 cortes transversales separados en 6 meses para evitar sesgos de selecci&#243;n&#46; Se constata el uso elevado de gastroprotectores&#44; principalmente inhibidores de bomba de protones&#44; sobre todo en profilaxis de gastropat&#237;a por antiinflamatorios no esteroideos &#40;AINE&#41; &#40;17&#44;1&#37;&#41;&#44; con una tasa de prescripciones incorrectas del 77&#44;6&#37; a pesar de la existencia de un protocolo espec&#237;fico elaborado por el comit&#233; de farmacia y terap&#233;utica de nuestro centro&#46; Destaca el n&#250;mero elevado de prescripciones en pacientes con corticoterapia sin asociaci&#243;n con AINE &#40;25&#44;7&#37;&#41;&#46; Se requieren nuevas herramientas que impliquen al facultativo y a los gestores cl&#237;nicos en el uso racional de medicamentos&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Prescription rates of antiulcer drugs in hospitals and their spill-over to general practice have risen over the last few years&#44; increasing pharmaceutical expenses&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to analyze gastroprotective drug prescription habits in our hospital by assessing both prevalence and adherence to approved indications&#46; An observational study of prescription-indication was performed with 2 cross sections separated by 6 months to avoid selection bias&#46; We found overprescription of gastroprotective drugs&#44; mainly proton pump inhibitors for the prevention of non-steroidal antiinflammatory drug-induced ulcer &#40;17&#46;1&#37;&#41;&#46; Overall&#44; 77&#46;6&#37; of prescriptions had no acceptable indication&#44; despite the availability of a specific protocol produced by the Pharmacy and Therapeutics Committee in our center&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">There was a high prevalence of prescriptions for non-approved indications such as prophylaxis in patients administered cor-ticosteroids without non-steroidal anti-inflammatory agents &#40;25&#46;7&#37;&#41;&#46; New programs to train clinicians and clinical mana-gers in rational drug use are required&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:10 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An&#225;lisis de la prescripci&#243;n de f&#225;rmacos antiulcerosos en los hospitales del Servicio Andaluz de Salud"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Grupo Andaluz para la realizaci&#243;n de estudios de utilizaci&#243;n de medicamentos &#40;GAUME&#41;"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Farm Hosp"
                        "fecha" => "1995"
                        "volumen" => "19"
                        "paginaInicial" => "205"
                        "paginaFinal" => "214"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Proton pump inhibitors&#58; a study of GPs&#8217; prescribing"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Jones"
                            1 => "S&#46;M&#46; Greenfield"
                            2 => "S&#46; Jowett"
                            3 => "C&#46;P&#46; Bradley"
                            4 => "R&#46; Seal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Family Practice"
                        "fecha" => "2001"
                        "volumen" => "18"
                        "paginaInicial" => "333"
                        "paginaFinal" => "338"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11356744"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of intravenous proton pump inhibitors in community practice&#58; an explanation for the shortage&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "N&#46;M&#46; Guda"
                            1 => "M&#46; Noonan"
                            2 => "M&#46;J&#46; Kreiner"
                            3 => "S&#46; Partington"
                            4 => "N&#46; Vakil"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Am J Gastroenterol"
                        "fecha" => "2004"
                        "volumen" => "34"
                        "paginaInicial" => "1233"
                        "paginaFinal" => "1237"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hospital use of acid-supressive medications and its fall-out on prescribing in generla practice&#58; a 1-month survey"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "F&#46; Parente"
                            1 => "C&#46; Cucino"
                            2 => "S&#46; Gallus"
                            3 => "S&#46; Bargiggia"
                            4 => "S&#46; Greco"
                            5 => "L&#46; Pastore"
                            6 => "G&#46; Bianchi Porro"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Aliment Pharmacol Ther"
                        "fecha" => "2003"
                        "volumen" => "17"
                        "paginaInicial" => "1503"
                        "paginaFinal" => "1506"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12823152"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Situaci&#243;n actual de la utilizaci&#243;n del omeprazol en los hospitales espa&#241;oles"
                      "autores" => array:1 [
                        0 => array:2 [
                          "colaboracion" => "Grupo de la Sociedad Espa&#241;ola de Farmacia Hospitalaria para el estudio sobre la utilizaci&#243;n del omeprazol"
                          "etal" => false
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Farm Hosp"
                        "fecha" => "1997"
                        "volumen" => "21"
                        "paginaInicial" => "257"
                        "paginaFinal" => "271"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estudio de minimizaci&#243;n de costes en la prescripci&#243;n de inhibidores de la bomba de protones intravenoso&#58; pantoprazol versus omeprazol"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; Garc&#237;a Gonz&#225;lez"
                            1 => "E&#46; Soler Company"
                            2 => "G&#46; Hedo Aparicio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Farm Hosp"
                        "fecha" => "2003"
                        "volumen" => "27"
                        "paginaInicial" => "339"
                        "paginaFinal" => "345"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14974879"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Programa de farmacoterapia secuencial centrado en ranitidina y omeprazol"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46; Llopis Salvia"
                            1 => "J&#46;V&#46; Real Soler"
                            2 => "J&#46;J&#46; P&#233;rez Ruixo"
                            3 => "N&#46;V&#46; Jim&#233;nez Torres"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Farm Hosp"
                        "fecha" => "1997"
                        "volumen" => "21"
                        "paginaInicial" => "309"
                        "paginaFinal" => "315"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Seasonal fluctuations in acute upper gastrointestinal bleeding&#58; lack of effect of nonesteroidal anti-inflamatory drugs"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "J&#46; Zimmerman"
                            1 => "R&#46; Arnon"
                            2 => "R&#46; Beeri"
                            3 => "D&#46; Keret"
                            4 => "J&#46; Lysy"
                            5 => "M&#46; Liqunski"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Gastroenterol"
                        "fecha" => "1992"
                        "volumen" => "87"
                        "paginaInicial" => "1587"
                        "paginaFinal" => "1590"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1442678"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Estrategia cl&#237;nica para la prevenci&#243;n de los efectos adversos sobre el tracto digestivo de los antiinflamatorios no esteroideos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Lanas"
                            1 => "E&#46; Mart&#237;n-Mola"
                            2 => "J&#46; Ponce"
                            3 => "F&#46; Navarro"
                            4 => "J&#46;M&#46; Piqu&#233;"
                            5 => "F&#46;J&#46; Blanco"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Gastroenterol Hepatol"
                        "fecha" => "2003"
                        "volumen" => "26"
                        "paginaInicial" => "487"
                        "paginaFinal" => "504"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Proton pump inhibitors&#58; a survey of prescribing in an Irish general hospital"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46;Z&#46; Mat Saad"
                            1 => "N&#46; Collins"
                            2 => "M&#46;M&#46; Lobo"
                            3 => "H&#46;J&#46; O&#8217;Connor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1742-1241.2004.00298.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Clin Pract"
                        "fecha" => "2005"
                        "volumen" => "59"
                        "paginaInicial" => "31"
                        "paginaFinal" => "34"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15707461"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/02139111/0000002100000005/v1_201301241557/S0213911107720526/v1_201301241557/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "778"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Originales breves"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02139111/0000002100000005/v1_201301241557/S0213911107720526/v1_201301241557/es/main.pdf?idApp=WGSE&text.app=https://gacetasanitaria.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213911107720526?idApp=WGSE"
]