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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The scientific community and healthcare institutions have traditionally disseminated scientific research&#44; health promotion information or corporate publicity through internationally accepted media such as scientific publications&#44; the written press or informative leaflets&#46; In general&#44; all these media share the same characteristics&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">&#8226;</span><p id="par0010" class="elsevierStylePara elsevierViewall">They have a limited impact&#44; as the target population to whom the information is directed must actively seek it out&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">&#8226;</span><p id="par0015" class="elsevierStylePara elsevierViewall">Information dissemination is slow&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">&#8226;</span><p id="par0020" class="elsevierStylePara elsevierViewall">The target population to whom it is directed is normally small&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">&#8226;</span><p id="par0025" class="elsevierStylePara elsevierViewall">They are often expensive&#46;</p></li></ul></p><p id="par0030" class="elsevierStylePara elsevierViewall">The expansion of the use of new technologies in the final decade of the last century and above all in the 21st century has led to a true social revolution&#46; In the case of scientific information&#44; it has meant a switch from the traditional paradigm for the circulation of scientific publications&#44; which were usually distributed on paper and in complex and difficult to navigate databases&#46; The appearance of virtual libraries such as PubMed&#44; which allow publications to be searched for quickly&#44; has increased the reach of scientific information&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">These changes do not only affect scientific publications&#46; Health promotion and the doctor&#8211;patient relationship have also changed&#46; A large part of the global population has access to the Internet and uses it to meet their needs for healthcare information&#46; This sudden cultural change has inevitably given rise to a series of complications&#46; These difficulties have come to light in various areas&#58;<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">&#8226;</span><p id="par0040" class="elsevierStylePara elsevierViewall">Quality of publications&#59; the need for new content and speed of publication have compromised the scientific level of content published online&#46;</p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">&#8226;</span><p id="par0045" class="elsevierStylePara elsevierViewall">Incorrect information&#59; there is a huge amount of information online that is inaccurate&#44; wrong and even dangerous to health&#44; without the necessary controls in place&#46;</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">&#8226;</span><p id="par0050" class="elsevierStylePara elsevierViewall">Misleading publications&#59; &#8220;miracle&#8221; products&#44; definitive treatments&#44; etc&#46;</p></li></ul></p><p id="par0055" class="elsevierStylePara elsevierViewall">These problems have reached academic spheres&#44; professional associations and national committees in medical specialties&#44; to the extent that there is a push from these groups to try to control the flow of pseudoscientific information on social networks&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Along with the revolution generated by the Internet and new technologies&#44; a new type of communication between people has emerged&#44; in the form of social networks&#46; Use of Twitter&#44; Facebook&#44; YouTube&#44; LinkedIn&#44; Instagram&#44; etc&#46; has expanded exponentially since the beginning of this century&#46; According to the Pew research website&#44; the use of these networks has gone from approximately 4&#37; of users at the start of 2000 to 77&#37; as of April 2017&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">1</span></a> These platforms present a challenge for medical practice and scientific communication&#44; but they can also become an important medium for the dissemination of health promotion campaigns&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">These new challenges have been expressed in the scientific literature&#46; A simple search on PubMed for the keyword &#8220;<span class="elsevierStyleItalic">Social Media&#8221;</span> generates more than 14&#44;000 references&#44; and more than 9000 for &#8220;<span class="elsevierStyleItalic">Social Media&#8221;</span> plus &#8220;<span class="elsevierStyleItalic">Health&#8221;</span>&#46; These publications focus on different aspects&#44; such as health promotion&#44; education or marketing&#46; Medical specialties&#44; including neurosurgery&#44; have conducted studies to assess the impact of their actions and their reach on social networks&#46;<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">2&#8211;5</span></a> One such project was published by Alotaibi et al&#46;&#44;<a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">6&#44;7</span></a> who conducted an analysis of the situation with regard to neurosurgical information in the United States and Canada&#46; However&#44; studies relating to this topic in the literature are scarce&#46; Based on these publications&#44; our objective is to analyse the situation in Spain&#44; the weaknesses and the routes for improvement in the specialty with regard to its diffusion via these networks&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Materials and methods</span><p id="par0070" class="elsevierStylePara elsevierViewall">To obtain information&#44; an exhaustive search was conducted in February 2017 on Twitter&#44; Facebook and YouTube&#44; collecting information on the accounts of public and private neurosurgery departments&#44; peer-reviewed journals pertaining to neurosurgery or its related specialties&#44; scientific institutions and patients&#8217;&#47;industry support associations&#46; On Twitter&#44; the numbers of followers and tweets were recorded&#46; On Facebook&#44; we recorded the number of followers&#44; and on YouTube the number of subscribers and videos posted&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">An observational analysis of these parameters was performed and compared with published literature on the same topic in other countries&#46; In the discussion&#44; we analysed the current situation of the characteristics and impact of social network use on medical communication&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Results</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Neurosurgery departments&#47;units</span><p id="par0080" class="elsevierStylePara elsevierViewall">Only five public neurosurgery departments have a corporate presence on conventional social networks&#46; None was represented on all three of the networks studied and only three &#40;Hospital la Fe de Valencia&#44; Hospital de Almer&#237;a and Hospital Universitario Marqu&#233;s de Valdecilla&#41; have accounts on more than one social network&#46; There are 62 neurosurgery departments in the Spanish public network&#44; meaning that 8&#46;06&#37; of public departments have a social network presence in Spain&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Fourteen units&#47;neurosurgeons practising privately have a presence on social networks&#46; As a group&#44; their activity on these networks is greater than that of public departments&#46; On Facebook&#44; there is a clear difference between the leading public account &#40;Hospital de Torrec&#225;rdenas-Almer&#237;a&#41; with 1786 likes and the leading account for a private unit &#40;Grupo Neurocirug&#237;a-Le&#243;n&#41; with 18&#44;451 likes&#46; The same is true on Twitter&#44; with the Hospital la Fe neurosurgery department &#40;177 followers&#41; and the Dr de la Torre neurosurgery group &#40;&#62;13&#44;400 followers&#41;&#46; All of these data are summarised in <a class="elsevierStyleCrossRefs" href="#tbl0005">Tables 1 and 2</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Academic institutions</span><p id="par0090" class="elsevierStylePara elsevierViewall">Three scientific organisations relating to neurosurgery have institutional profiles on social networks&#58; the Sociedad Espa&#241;ola de Neurocirug&#237;a &#40;Spanish Neurosurgery Society&#44; SENEC&#41;&#44; the Sociedad Espa&#241;ola de Neurolog&#237;a &#40;Spanish Neurology Society&#44; SEN&#41; and the Federaci&#243;n Latinoamericana de Neurocirug&#237;a &#40;Latin American Neurosurgery Federation&#44; FLANC&#41;&#46; Both SENEC and FLANC were represented on all three social networks studied&#44; while a specific YouTube profile for SEN could not be found&#46; SENEC&#39;s working groups and affiliated societies do not have specific profiles on social networks&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Organisations dependent on neurology societies &#40;that have been included in this paper due to their association with neurosurgery&#41; clearly have more representation than SENEC&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Scientific journals</span><p id="par0100" class="elsevierStylePara elsevierViewall">The official journal of the Sociedad Espa&#241;ola de Neurocirug&#237;a does not have any social network profiles&#46; In contrast&#44; the official journal of the Sociedad Espa&#241;ola de Neurolog&#237;a &#40;SEN-Elsevier&#41; and the Revista de Neurolog&#237;a &#40;Journal of Neurology&#41; &#40;Viguera&#41; both have Twitter accounts&#44; while only the latter also has a Facebook account&#46; None has official YouTube accounts&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Patients&#8217; associations not related to medical associations</span><p id="par0105" class="elsevierStylePara elsevierViewall">A review was conducted of the main patients&#8217; associations&#44; excluding regional and local associations&#46; The 10 accounts with the most followers on Facebook and Twitter were selected&#46; Their presence on YouTube was lower&#46; In general&#44; these were highly followed by patients in comparison with the accounts of scientific bodies&#44; journals and medical departments&#46; This review is detailed in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Discussion</span><p id="par0110" class="elsevierStylePara elsevierViewall">The media people use to relate to one another is changing in parallel with the development of new technologies&#46; Use of the Internet and electronic devices has become widespread&#44; and with them the use of social networks&#46; In an April 2017 search&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">1</span></a> the Pew Research Center revealed that approximately 77&#37; of adults who use electronic devices are signed up to social networks&#46; The quick and easy access to information on the Internet and social networks has been the subject of numerous articles in the scientific literature&#46; Its importance is reflected in a specific PubMed search using the keyword &#8220;Social Media&#8221;&#44; which gives more than 14&#44;000 results&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">This use of social networks not only allows us to communicate with other users&#44; and to find entertainment and information&#44; it also conditions both our individual and community behaviour&#46; Of particular interest is the article by Acerbi<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">8</span></a> on cultural evolution in the digital era&#46; It reviews the impact of social networks on various aspects such as learning&#44; prestige and popularity within networks&#46; Users of social networks are able to choose when&#44; how and what to study&#44; using the Internet and social networks to this end&#46; Given the vast quantity of information that exists&#44; users must choose based on the quality of that information&#44; relying on their previous education and the prestige of the publishers&#46; An ideal model they might follow on social networks is shown in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a&#46; In this model&#44; the most prestigious institutions&#44; whose information is expected to be of higher quality&#44; will be the most visited and followed&#44; leading to a growth in their popularity and accessibility on social networks&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0120" class="elsevierStylePara elsevierViewall">However&#44; this ideal approach is not followed on most occasions&#46; There are various factors that negatively influence this model&#46; Many users of social networks do not have a solid knowledge base and their choice is based not on the prestige or quality of the information published&#44; but on the popularity of social network profile&#46; This popularity is achieved by means of a better networking strategy or due to the number of publications&#44; regardless of the veracity of the scientific information published&#46; There is also a belief among users that the most popular accounts are also the most credible&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">One example of the importance of popularity in the dissemination of medical information is the influence celebrities have when they give health advice on social networks&#46; There are many papers that reflect on their impact and recently a protocol was even proposed for a systematic review of this issue&#46;<a class="elsevierStyleCrossRefs" href="#bib0105"><span class="elsevierStyleSup">9&#44;10</span></a> These studies make it clear that popular accounts have a much greater impact than many campaigns conducted by public administrations&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Therefore&#44; the true model for scientific information on social networks would be flipped based on the actual model of information flow on social networks&#44; shown in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#46;</p><p id="par0135" class="elsevierStylePara elsevierViewall">From this precise starting point on the flow of scientific information on social networks&#44; many studies have been published on their impact on communication media&#46; Moorhead et al&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">11</span></a> published a review analysing the uses&#44; benefits and limitations of medical information on social networks&#46; According to the authors&#44; average users use social networks differently from patients and healthcare professionals&#46; The average user often receives or seeks out general medical information and is the target of health promotion campaigns&#46; Medical professionals and patients not only seek out and receive information&#44; but also use these networks as an active means of communicating with other patients or professionals&#44; as well as to conduct specialised searches on a specific disease&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">According to the same study&#44;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">11</span></a> ordinary users encounter many more dangers in the use of social networks than healthcare professionals&#44; who&#44; according to this study&#44; are those with most confidence in the correct use of social networks in medical communication&#46; The reason why this different view exists is not clarified in the text&#46; However&#44; without being certain of this explanation&#44; applying the model initially described for information flow&#44; healthcare professionals have faith in the existence of an &#8220;ideal model&#8221; because they themselves have a good knowledge base and turn to prestige sites with quality information&#46; In contrast&#44; the general public often receives information from the most popular sites without having the capacity to discern whether the information received is true&#44; and therefore their fear of misuse of social networks is greater&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Social networks are becoming an important aid in surgical practice&#46; Steele et al&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">12</span></a> review the advantages of social networks in various aspects of the comprehensive treatment of surgical patients&#44; such as resources for patient information&#44; health promotion campaigns&#44; publicity and research&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Taking into account these applications in surgery and the results of our study in relation to neurosurgery in Spain&#44; we can confirm that public institutions&#44; neurosurgery departments in public hospital and even scientific societies relating to the specialty are poorly represented on the social networks studied&#46; This situation follows a similar pattern to that observed in English language neurosurgical institutions&#44; but with even lower representation&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">6</span></a> This pattern shows that&#44; in general&#44; private medical institutions have greater representation on social networks&#44; which they use as a corporate publicity tool to attract more patients&#46; Journals are poorly represented generally and have a limited number of followers&#44; probably due to the limited access to their content&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">There are also problems unique to the accounts of Spanish public neurology departments&#44; such as the fact that most information published is in English&#46; Because of this&#44; even if the information published is of good quality&#44; its impact in health promotion and communication with patients is low or very low&#46; A further problem is found on YouTube&#58; there are few promotional videos and almost all of them are directed at the neurosurgical community&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">A similar issue is found with the accounts of scientific societies&#44; which in practice do not contain information relating to neurosurgical conditions or health promotion&#44; instead focusing on the publication of administrative announcements for the society or publicising courses and professional meetings&#46; All of this is reflected in the accounts&#8217; followers&#44; which are often businesses&#44; neurosurgeons or neurosurgical departments&#44; with patients and patients&#8217; associations being in the minority&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">If we compare these accounts with those of the Sociedad Espa&#241;ola de Neurolog&#237;a&#44; which feature large quantities of health promotion materials and information on neurological diseases&#44; almost all in Spanish&#44; we can confirm that they have a much higher number of followers and a more significant impact on health&#46; While there are certainly important quantitative differences between the two specialties&#44; both in the number of experts and medical departments and in the prevention of the neurological diseases that are the focus of the specialty&#44; when we analyse only the publications on social networks there is a striking difference with regard to their quality&#44; frequency and objective that cannot be explained by these factors&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Finally&#44; although this study shares the same limitations as previous studies with regard to evaluating the situation of neurosurgery on social networks deriving from the continual change in entries and user accounts&#44; the appearance of new social networks and the interpretation of the quality of publications&#44; it does give us a perspective on their current state and potential for improvement&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Conclusions</span><p id="par0175" class="elsevierStylePara elsevierViewall">The following conclusions can be drawn from the current neurosurgery situation on social networks&#58;<ul class="elsevierStyleList" id="lis0015"><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">1&#46;</span><p id="par0180" class="elsevierStylePara elsevierViewall">There is poor representation of public hospital departments on social networks&#46;</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">2&#46;</span><p id="par0185" class="elsevierStylePara elsevierViewall">Private departments have a greater presence in terms of both number of accounts and followers&#46;</p></li><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">3&#46;</span><p id="par0190" class="elsevierStylePara elsevierViewall">Patients&#8217; associations and support groups generally have a greater following on social networks&#46;</p></li><li class="elsevierStyleListItem" id="lsti0055"><span class="elsevierStyleLabel">4&#46;</span><p id="par0195" class="elsevierStylePara elsevierViewall">Publications&#44; particularly by public departments and scientific associations&#44; are more professional in nature and tend not to be focussed on health promotion&#46; Their followers are mainly professionals&#44; industry and other scientific associations&#46; Patients often follow tend to follow private institutions&#44; especially patients&#8217; associations&#44; whose publications are often more oriented towards health promotion&#46;</p></li><li class="elsevierStyleListItem" id="lsti0060"><span class="elsevierStyleLabel">5&#46;</span><p id="par0200" class="elsevierStylePara elsevierViewall">The situation of neurosurgery in Spain is comparable to that in the United States and Canada&#44; taking population differences into account&#46;</p></li><li class="elsevierStyleListItem" id="lsti0065"><span class="elsevierStyleLabel">6&#46;</span><p id="par0205" class="elsevierStylePara elsevierViewall">There is a clear difference between scientific associations and peer-reviewed journals in neurology compared to neurosurgery&#46;</p></li><li class="elsevierStyleListItem" id="lsti0070"><span class="elsevierStyleLabel">7&#46;</span><p id="par0210" class="elsevierStylePara elsevierViewall">In comparison with other medical specialties&#44; neurosurgery occupies a marginalised space within social networks&#46;</p></li></ul></p><p id="par0215" class="elsevierStylePara elsevierViewall">There is therefore ample scope for neurosurgery to improve its communication on social networks&#46; The various aspects account managers should focus on&#44; especially in scientific societies and public hospitals&#44; are&#58;<ul class="elsevierStyleList" id="lis0020"><li class="elsevierStyleListItem" id="lsti0075"><span class="elsevierStyleLabel">&#8226;</span><p id="par0220" class="elsevierStylePara elsevierViewall">Increasing the dissemination of corporate accounts to increase the institution&#39;s prestige&#46;</p></li><li class="elsevierStyleListItem" id="lsti0080"><span class="elsevierStyleLabel">&#8226;</span><p id="par0225" class="elsevierStylePara elsevierViewall">Publishing material in Spanish with the aim of achieving greater dissemination and impact among the account&#39;s followers&#46;</p></li><li class="elsevierStyleListItem" id="lsti0085"><span class="elsevierStyleLabel">&#8226;</span><p id="par0230" class="elsevierStylePara elsevierViewall">Establishing health promotion among patients with an interest in neurosurgical conditions as a priority objective&#46;</p></li><li class="elsevierStyleListItem" id="lsti0090"><span class="elsevierStyleLabel">&#8226;</span><p id="par0235" class="elsevierStylePara elsevierViewall">Creating accounts for the Journal &#8220;Neurocirug&#237;a&#8221;&#46;</p></li></ul></p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicts of interest</span><p id="par0240" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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            0 => "Neurosurgery"
            1 => "Social Media"
            2 => "Facebook"
            3 => "Twitter"
            4 => "YouTube"
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            0 => "Neurocirug&#237;a"
            1 => "Redes sociales"
            2 => "Facebook"
            3 => "Twitter"
            4 => "YouTube"
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    "resumen" => array:2 [
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To analyse the current situation in Spain of the use of Social Media in Neurosurgery&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Materials and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We made an observational transversal study between February and March 2017&#44; with a systematic search of the Facebook&#44; Twitter and Youtube accounts from public and private neurosurgical units&#44; scientific societies&#44; peer-reviewed publications and patients groups in relation with Neurosurgical pathologies&#46; We rank them according their popularity&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">According of our search only 5 public neurosurgical services have Social Media accounts&#44; being their popularity inferior to the private units accounts&#46; In relation with the scientific societies and neurosurgical publications their presence in Social Media is marginal&#44; even more in comparison to the accounts of other medical specialities&#46; The popularity of associations of patients and supporting groups is high&#44; especially among patients&#44; finding there more information about their disease&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The use in Spain of Social Media about Neurosurgery is low in comparison to other medical specialities&#46; There is a huge field to improve the popularity of the accounts&#44; making in them promotion of health and extend the diffusion of the scientific society and the peer-reviewed publication Neurocirug&#237;a&#46;</p></span>"
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          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Objective"
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          1 => array:2 [
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Analizar la situaci&#243;n actual en Espa&#241;a del uso de redes sociales en Neurocirug&#237;a&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Materiales y m&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se realiza un estudio transversal y observacional entre febrero y marzo de 2017&#44; mediante una b&#250;squeda estructurada de las cuentas en Twitter&#44; Facebook y YouTube de los servicios y unidades de Neurocirug&#237;a&#44; sociedades cient&#237;ficas&#44; publicaciones y asociaciones de pacientes relacionadas con la Neurocirug&#237;a&#46; Se clasificaron seg&#250;n su popularidad&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Seg&#250;n nuestro estudio solo 5 servicios de Neurocirug&#237;a de la red p&#250;blica tienen presencia en redes sociales&#44; siendo inferior su popularidad a la de las unidades privadas&#46; Las sociedades cient&#237;ficas y revistas neuroquir&#250;rgicas tienen una presencia marginal&#44; m&#225;s a&#250;n en comparaci&#243;n con las de otras especialidades m&#233;dicas&#46; La popularidad de las asociaciones y grupos de apoyo es alta&#44; sobre todo entre los pacientes&#44; encontr&#225;ndose mayor informaci&#243;n sobre enfermedades que en las cuentas corporativas&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El uso en Espa&#241;a de las redes sociales en Neurocirug&#237;a es bajo&#44; en comparaci&#243;n con otras especialidades m&#233;dicas&#46; Existe un amplio campo de actuaci&#243;n para mejorar la popularidad de las cuentas&#44; la difusi&#243;n de la sociedad cient&#237;fica y la revista <span class="elsevierStyleItalic">Neurocirug&#237;a</span> y realizar funciones de promoci&#243;n de la salud&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Please cite this article as&#58; Mata-G&#243;mez J&#44; Gilete-Tejero IJ&#44; Rico-Cotelo M&#44; Royano-S&#225;nchez M&#44; Ortega-Mart&#237;nez M&#46; Situaci&#243;n actual del uso de redes sociales en Neurocirug&#237;a en Espa&#241;a&#46; Neurocirug&#237;a&#46; 2018&#59;29&#58;109&#8211;115&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Facebook</th><th class="td" title="table-head  " colspan="4" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Twitter</th></tr><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Account&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Likes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Account&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Year&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Followers&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">No&#46; of tweets&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Public neurosurgery departments</span></td><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Public neurosurgery departments</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Hospital Torrec&#225;rdenas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1786&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Hospital Universitario la Fe &#40;Valencia&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">177&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">989&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Hospital Universitario la Fe &#40;Valencia&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#63;&#63;&#63; 749 friends<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Hospital Universitario Marqu&#233;s de Valdecilla &#40;Santander&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2016&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">97&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">194&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Private units&#47;neurosurgeons</span></td><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Private units&#47;neurosurgeons</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Neurocirug&#237;a Le&#243;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">18&#44;451&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Equipo de la Torre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2010&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#62;13&#44;400&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4948&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Neurocirug&#237;a Barcelona&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">2299&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Dr Hugo Santos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3539&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7715&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Unidad Garc&#237;a de Sola&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">1621&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Dr Javier Sendra&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2010&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">317&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">407&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Neurocirug&#237;a Torres&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">606&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Neurocirug&#237;a Ferrer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">207&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">405&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Neurocirug&#237;a Ferrer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">581&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Neurocirug&#237;a Torres&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">141&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">398&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Instituto Arraez&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">370&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Unidad Garc&#237;a de Sola&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">119&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Neurocirug&#237;a Katati&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">152&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Fundaci&#243;n Clavel&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2016&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">77&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">88&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Neurocirug&#237;a Galarza&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Instituto Arraez&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Cl&#237;nica Dr Velarde&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2014&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Scientific institutions</span></td><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Scientific institutions</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>SEN&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">13&#44;500&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">SEN&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2011&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#44;700&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6498&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>SENEC &#40;no institutional page&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#63;&#63;&#63;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">SENEC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2015&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">137&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">132&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FLANC &#40;no institutional page&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#63;&#63;&#63;<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">FLANC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">103&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">70&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="2" align="left" valign="top"><span class="elsevierStyleItalic">Peer-reviewed journals</span></td><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Peer-reviewed journals</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Revista de Neurolog&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">17&#44;700&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Revista de Neurolog&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2010&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#62;20&#44;100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5909&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Revista Neurolog&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2013&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2669&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">535&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Account&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Number of videos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Subscribers&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Public neurosurgery departments</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Hospital La Princesa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">31&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">38&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Hospital de Donostia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">87&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Hospital Marqu&#233;s de Valdecilla&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Hospital Torrec&#225;rdenas-Almer&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Hospital Neurotraumatol&#243;gico de Ja&#233;n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Private units&#47;neurosurgeons</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Unidad Garc&#237;a de Sola&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">107<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>16<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">482<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>34<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dr Hugo Santos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">37&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">181&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dr Bernardo Mosqueira&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>35<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">45<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>35<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">&#42;</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dr Gonz&#225;lez Llanos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dr Javier Sendra&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">61&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Neurocirug&#237;a Torres&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dr de la Torre&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">111&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Scientific institutions</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>SEN&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">32&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1412&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>FLANC&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>SENEC TV&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">YouTube representation of public and private neurosurgery departments&#44; scientific institutions and peer-reviewed journals&#46;</p>"
        ]
      ]
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">Account&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Twitter</th><th class="td" title="table-head  " align="center" valign="top" scope="col">Facebook&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col">YouTube&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">No&#46; of followers&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">No&#46; of tweets&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Likes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Subscribers&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Confederaci&#243;n Espa&#241;ola de Personas con Discapacidad F&#237;sica y Org&#225;nica &#40;Spanish confederation of persons with physical and hidden disabilities&#41; &#40;COCEMFE&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#62;11&#44;500&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8229&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6480&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">508&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Fundaci&#243;n del Cerebro &#40;Brain foundation&#44; FEEN&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7994&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3949&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2116&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Parkinson Federaci&#243;n &#40;Parkinson&#39;s federation&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3586&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7389&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3849&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1326&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Epilepsia Espa&#241;a &#40;Epilepsy Spain&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2741&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2227&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3462&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Federaci&#243;n espa&#241;ola de asociaciones de personas con espina b&#237;fida e hidrocefalia &#40;Spanish federation of associations of people with spina bifida and hydrocephalus&#41; &#40;FEBHI&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2059&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#62;18&#44;400&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2376&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">348&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Asociaci&#243;n de personas con lesi&#243;n medular y otras discapacidades f&#237;sicas &#40;Association of people with spinal cord injury and other physical disabilities&#41; &#40;National ASPAYM&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2058&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3130&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2331&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Asociaci&#243;n de afectados por tumores cerebrales de Espa&#241;a &#40;Association of Spanish brain tumour sufferers&#44; ASATE&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1074&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">451&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2398&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Fundaci&#243;n DACER &#40;brain damage&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">703&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">726&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">527&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">127&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Asociaci&#243;n nacional de amigos del Arnold Chiari &#40;National association of friends of Arnold Chiari&#44; ANAC&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">497&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">680&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">78&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Asociaci&#243;n Nacional de Personas con Epilepsia &#40;National association of people with epilepsy&#44; ANPE&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">162&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">547&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">636&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#8211;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Social Media representation of scientific associations&#44; patient associations and support groups&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:12 [
            0 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Pew Research Center&#46; Social Networking Fact Sheet&#46; Available from&#58; <a id="intr0010" class="elsevierStyleInterRef" href="http://www.pewinternet.org/fact-sheets/social-networking-fact-sheet/">http&#58;&#47;&#47;www&#46;pewinternet&#46;org&#47;fact-sheets&#47;social-networking-fact-sheet&#47;</a> &#91;accessed April 2017&#93;&#46;"
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ophthalmology on social networking sites&#58; an observational study of Facebook&#44; Twitter&#44; and LinkedIn"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;A&#46; Micieli"
                            1 => "E&#46; Tsui"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2147/OPTH.S79032"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Ophthalmol"
                        "fecha" => "2015"
                        "volumen" => "9"
                        "paginaInicial" => "285"
                        "paginaFinal" => "290"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25709390"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Social networking sites&#58; emerging and essential tools for communication in dermatology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Amir"
                            1 => "B&#46;P&#46; Sampson"
                            2 => "D&#46; Endly"
                            3 => "J&#46;M&#46; Tamai"
                            4 => "J&#46; Henley"
                            5 => "A&#46;C&#46; Brewer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jamadermatol.2013.6340"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA Dermatol"
                        "fecha" => "2014"
                        "volumen" => "150"
                        "paginaInicial" => "56"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24196212"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0080"
              "etiqueta" => "4"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The emerging use of Twitter by urological journals"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46;J&#46; Nason"
                            1 => "F&#46; O&#8217;Kelly"
                            2 => "M&#46;E&#46; Kelly"
                            3 => "N&#46; Phelan"
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Journal Information
Vol. 29. Issue 3.
Pages 109-115 (May - June 2018)
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Vol. 29. Issue 3.
Pages 109-115 (May - June 2018)
Clinical Research
Current use of Social Media in Neurosurgery in Spain
Situación actual del uso de redes sociales en Neurocirugía en España
Visits
18
Jacinto Mata-Gómez
Corresponding author
jacinto.mata@gmail.com

Corresponding author.
, Ignacio Javier Gilete-Tejero, María Rico-Cotelo, Manuel Royano-Sánchez, Marta Ortega-Martínez
Servicio de Neurocirugía, Complejo Hospitalario Universitario de Cáceres, Cáceres, Spain
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Tables (3)
Table 1. Social network representation of public and private neurosurgery departments, scientific institutions and peer-reviewed journals.
Table 2. YouTube representation of public and private neurosurgery departments, scientific institutions and peer-reviewed journals.
Table 3. Social Media representation of scientific associations, patient associations and support groups.
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Abstract
Objective

To analyse the current situation in Spain of the use of Social Media in Neurosurgery.

Materials and methods

We made an observational transversal study between February and March 2017, with a systematic search of the Facebook, Twitter and Youtube accounts from public and private neurosurgical units, scientific societies, peer-reviewed publications and patients groups in relation with Neurosurgical pathologies. We rank them according their popularity.

Results

According of our search only 5 public neurosurgical services have Social Media accounts, being their popularity inferior to the private units accounts. In relation with the scientific societies and neurosurgical publications their presence in Social Media is marginal, even more in comparison to the accounts of other medical specialities. The popularity of associations of patients and supporting groups is high, especially among patients, finding there more information about their disease.

Conclusions

The use in Spain of Social Media about Neurosurgery is low in comparison to other medical specialities. There is a huge field to improve the popularity of the accounts, making in them promotion of health and extend the diffusion of the scientific society and the peer-reviewed publication Neurocirugía.

Keywords:
Neurosurgery
Social Media
Facebook
Twitter
YouTube
Resumen
Objetivo

Analizar la situación actual en España del uso de redes sociales en Neurocirugía.

Materiales y métodos

Se realiza un estudio transversal y observacional entre febrero y marzo de 2017, mediante una búsqueda estructurada de las cuentas en Twitter, Facebook y YouTube de los servicios y unidades de Neurocirugía, sociedades científicas, publicaciones y asociaciones de pacientes relacionadas con la Neurocirugía. Se clasificaron según su popularidad.

Resultados

Según nuestro estudio solo 5 servicios de Neurocirugía de la red pública tienen presencia en redes sociales, siendo inferior su popularidad a la de las unidades privadas. Las sociedades científicas y revistas neuroquirúrgicas tienen una presencia marginal, más aún en comparación con las de otras especialidades médicas. La popularidad de las asociaciones y grupos de apoyo es alta, sobre todo entre los pacientes, encontrándose mayor información sobre enfermedades que en las cuentas corporativas.

Conclusiones

El uso en España de las redes sociales en Neurocirugía es bajo, en comparación con otras especialidades médicas. Existe un amplio campo de actuación para mejorar la popularidad de las cuentas, la difusión de la sociedad científica y la revista Neurocirugía y realizar funciones de promoción de la salud.

Palabras clave:
Neurocirugía
Redes sociales
Facebook
Twitter
YouTube

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