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Regression after HIV antiviral triple therapy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e33" "paginaFinal" => "e34" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Linfoma cutáneo CD8+ en paciente con infección por el VIH, con resolución tras la instauración de tratamiento antirretroviral de gran actividad" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Raquel Santesteban Muruzábal, Josune Mitxelena Ezeiza, Alicia Córdoba Iturriagagoitia, Ignacio Yanguas Bayona" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Raquel" "apellidos" => "Santesteban Muruzábal" ] 1 => array:2 [ "nombre" => "Josune" "apellidos" => "Mitxelena Ezeiza" ] 2 => array:2 [ "nombre" => "Alicia" "apellidos" => "Córdoba Iturriagagoitia" ] 3 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Yanguas Bayona" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775315001359" "doi" => "10.1016/j.medcli.2015.02.017" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775315001359?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616300316?idApp=UINPBA00004N" "url" => "/23870206/0000014500000011/v1_201604300039/S2387020616300316/v1_201604300039/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2387020616300341" "issn" => "23870206" "doi" => "10.1016/j.medcle.2016.04.013" "estado" => "S300" "fechaPublicacion" => "2015-12-07" "aid" => "3259" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2015;145:508-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Symmetric polyarthritis in a patient with multicentric reticulohistiocytosis" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "508" "paginaFinal" => "509" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Poliartritis simétrica en un paciente con reticulohistiocitosis multicéntrica" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 732 "Ancho" => 976 "Tamanyo" => 94443 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Arthritis in wrists, tenosynovitis of both flexor carpi, most evident in the left hand, and fleshy papulonodular lesions on the back of several fingers.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Ángeles Contreras Blasco, Patricia López Viejo" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M. Ángeles" "apellidos" => "Contreras Blasco" ] 1 => array:2 [ "nombre" => "Patricia" "apellidos" => "López Viejo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S002577531500130X" "doi" => "10.1016/j.medcli.2015.02.012" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S002577531500130X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616300341?idApp=UINPBA00004N" "url" => "/23870206/0000014500000011/v1_201604300039/S2387020616300341/v1_201604300039/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Gender inequality in the authorship of medical articles: Analysis of <span class="elsevierStyleSmallCaps">Medicina Clínica</span>, 1999 and 2014" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e31" "paginaFinal" => "e32" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Isabel Padilla-Navas, María José Soler Sempere, Lucía Zamora Molina, Eduardo García-Pachón" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Isabel" "apellidos" => "Padilla-Navas" ] 1 => array:2 [ "nombre" => "María José" "apellidos" => "Soler Sempere" ] 2 => array:2 [ "nombre" => "Lucía" "apellidos" => "Zamora Molina" ] 3 => array:4 [ "nombre" => "Eduardo" "apellidos" => "García-Pachón" "email" => array:1 [ 0 => "egpachon@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sección de Neumología, Hospital General Universitario de Elche, Elche, Alicante, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Desigualdad de género en la autoría de artículos médicos: análisis de <span class="elsevierStyleSmallCaps">Medicina Clínica</span> en 1999 y 2014" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Women constitute a high percentage of professionals both in clinical activity and biomedical research.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">1</span></a> However, several international studies have indicated that there is inequality in the proportion of women in the authorship of medical publications, but with a progressive increase in participation.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">2,3</span></a> In Spain, Schiaffino et al.,<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">4</span></a> analysed the articles published by women in 1998 in 4 magazines and observed great differences; depending on the journal, between 9% and 39% of the first signatories were women, being <span class="elsevierStyleSmallCaps">Medicina Clínica</span> the magazine with more female participation.</p><p id="par0010" class="elsevierStylePara elsevierViewall">One might assume that inequality in women's authorship is being progressively resolved (in recent years, they have increased as first authors). However, a detailed analysis shows that in positions that could indicate more prestige, as the last signatory (or senior author) or the authorship of leading articles, a female underrepresentation remains.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">2,3,5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">To evaluate the progression of female authors, we have analysed 2 periods of <span class="elsevierStyleSmallCaps">Medicina Clínica</span> data: 1999 and 15 years later, in 2014. This magazine has the advantage of being multidisciplinary, with a high annual volume of published articles. The names of the signatories of articles published in 1999 and in 2014 were reviewed from the magazine's website (<a id="intr0010" class="elsevierStyleInterRef" href="http://www.elsevier.es/es-revista-medicina-clinica-2-numeros-anteriores">http://www.elsevier.es/es-revista-medicina-clinica-2-numeros-anteriores</a>). Book reviews and reports were excluded, and the clinicopathological conferences and articles in images because the volumes of 1999 did not allow to identify the sex of the authors. Regarding the other articles, authorship could not be identified in 37 of the year 1999 (excluding the analysis), while all the articles of 2014 could be identified. We analysed the total number of authors (corresponds to the number of signatures, so that the same author will appear as often as his/her signature appears), first and last signatory in the total number of documents, and a separate analysis was performed for the published articles.</p><p id="par0020" class="elsevierStylePara elsevierViewall">As shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>, there has been a significant increase in the number of women who sign articles (in general) and signatories as first and last authors. However, the occurrence of first and, in particular, last authors is disproportionately low for the number of female doctors registered in the years prior to the publication,<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">6</span></a> when the articles were prepared: women in 1998 were 36% of registered doctors, and in 2013, 48%. When we look at the editorials, potential indicators of the influence of authors in publications, it is very striking to see that the small increase in women did not reach statistical significance, being only 18% as first author of an editorial, very similar to what happened 15 years earlier. This situation also occurs in other countries of our environment and it is not exclusive to medicine.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">5</span></a> Although the reason for this deterioration of authorship figures (number and position) in the published documents has not been studied, a possible lower participation in collaborative studies has been suggested, less negotiating effort to occupy the authorship positions or even the possibility of a bias in the evaluation of articles.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">5</span></a> However, the main reason could be related to the fact that women continue to hold less visible and less prestigious positions or activities within healthcare when compared to men.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">7</span></a> But it is also clear that, at least in the editorials that are prepared at the invitation of the Editorial Board, women are not usually included, even though nowadays there are more women than men holding important clinical and teaching positions, compared to the small percentage that signs the editorials.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Our data shows that even in a magazine with high female authorship as <span class="elsevierStyleSmallCaps">Medicina Clínica</span>, the number of female authors is proportionally lower than those who participate in clinical research, even though there has been a significant increase in these 15 years. However, in editorials, women are clearly underrepresented. Therefore, serious consideration should be given in order to encourage an equitable share in these type of articles.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Please cite this article as: Padilla-Navas I, Soler Sempere MJ, Zamora Molina L, García-Pachón E. Desigualdad de género en la autoría de artículos médicos: análisis de <span class="elsevierStyleSmallCaps">Medicina Clínica</span> en 1999 y 2014. Med Clin (Barc). 2015;145:e31–e32.</p>" ] ] "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Table " "rol" => "short" ] ] "tabla" => array:3 [ "leyenda" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">NS: not significant, <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>0.05.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Value of <span class="elsevierStyleItalic">p</span> with <span class="elsevierStyleItalic">z</span> test for comparison of proportions.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 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" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">1999 data \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">2014 data \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span> \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"><span class="elsevierStyleItalic">Number of documents</span>, <span class="elsevierStyleItalic">n</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">465 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">301 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Total no. authors</span>, <span class="elsevierStyleItalic">n</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>Men \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1254 (70) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">645 (57) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="left" valign="top"><0.0001</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>Women \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">543 (30) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">492 (43) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">First author</span>, <span class="elsevierStyleItalic">n</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>Men \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">348 (75) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">182 (60) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="left" valign="top"><0.0001</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>Women \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">117 (25) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">119 (40) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Last author</span>,<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a><span class="elsevierStyleItalic">n</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>Men \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">312 (81) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">177 (67) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="left" valign="top">0.0005</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>Women \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">74 (19) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">87 (33) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Editorials</span> (<span class="elsevierStyleItalic">total no. authors</span>), <span class="elsevierStyleItalic">n</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>Men \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">80 (85) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">49 (79) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="left" valign="top">NS</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>Women \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">14 (15) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">13 (21) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="4" align="left" valign="top"><span class="elsevierStyleItalic">Editorials</span> (<span class="elsevierStyleItalic">first author</span>), <span class="elsevierStyleItalic">n</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>Men \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">55 (85) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">33 (82) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " rowspan="2" align="left" valign="top">NS</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; 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