array:23 [
  "pii" => "S2174204912001195"
  "issn" => "21742049"
  "doi" => "10.1016/j.repce.2012.05.008"
  "estado" => "S300"
  "fechaPublicacion" => "2012-07-01"
  "aid" => "139"
  "copyrightAnyo" => "2012"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Rev Port Cardiol. 2012;31:529-38"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3484
    "formatos" => array:3 [
      "EPUB" => 161
      "HTML" => 2453
      "PDF" => 870
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2174204912001006"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2012.05.004"
    "estado" => "S300"
    "fechaPublicacion" => "2012-07-01"
    "aid" => "123"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Cardiol. 2012;31:541"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2636
      "formatos" => array:3 [
        "EPUB" => 135
        "HTML" => 1789
        "PDF" => 712
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Guidelines</span>"
      "titulo" => "ESC Guidelines for the management of grown-up congenital heart disease &#40;new version 2010&#41;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "541"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Helmut Baumgartner, Philipp Bonhoeffer, Natasja M&#46;S&#46; de Groo, Fokko de Haan, John Erik Deanfield, Nazzareno Galie, Michael A&#46; Gatzoulis, Christa Gohlke-Baerwolf, Harald Kaemmerer, Philip Kilner, Folkert Meijboom, Barbara J&#46;M&#46; Mulder, Erwin Oechslin, Jose M&#46; Oliver, Alain Serraf, Andras Szatmari, Erik Thaulow, Pascal R&#46; Vouhe, Edmond Walma"
          "autores" => array:19 [
            0 => array:2 [
              "nombre" => "Helmut"
              "apellidos" => "Baumgartner"
            ]
            1 => array:2 [
              "nombre" => "Philipp"
              "apellidos" => "Bonhoeffer"
            ]
            2 => array:2 [
              "nombre" => "Natasja M&#46;S&#46;"
              "apellidos" => "de Groo"
            ]
            3 => array:2 [
              "nombre" => "Fokko"
              "apellidos" => "de Haan"
            ]
            4 => array:2 [
              "nombre" => "John"
              "apellidos" => "Erik Deanfield"
            ]
            5 => array:2 [
              "nombre" => "Nazzareno"
              "apellidos" => "Galie"
            ]
            6 => array:2 [
              "nombre" => "Michael A&#46;"
              "apellidos" => "Gatzoulis"
            ]
            7 => array:2 [
              "nombre" => "Christa"
              "apellidos" => "Gohlke-Baerwolf"
            ]
            8 => array:2 [
              "nombre" => "Harald"
              "apellidos" => "Kaemmerer"
            ]
            9 => array:2 [
              "nombre" => "Philip"
              "apellidos" => "Kilner"
            ]
            10 => array:2 [
              "nombre" => "Folkert"
              "apellidos" => "Meijboom"
            ]
            11 => array:2 [
              "nombre" => "Barbara J&#46;M&#46;"
              "apellidos" => "Mulder"
            ]
            12 => array:2 [
              "nombre" => "Erwin"
              "apellidos" => "Oechslin"
            ]
            13 => array:2 [
              "nombre" => "Jose M&#46;"
              "apellidos" => "Oliver"
            ]
            14 => array:2 [
              "nombre" => "Alain"
              "apellidos" => "Serraf"
            ]
            15 => array:2 [
              "nombre" => "Andras"
              "apellidos" => "Szatmari"
            ]
            16 => array:2 [
              "nombre" => "Erik"
              "apellidos" => "Thaulow"
            ]
            17 => array:2 [
              "nombre" => "Pascal R&#46;"
              "apellidos" => "Vouhe"
            ]
            18 => array:2 [
              "nombre" => "Edmond"
              "apellidos" => "Walma"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204912001006?idApp=UINPBA00004E"
    "url" => "/21742049/0000003100000078/v1_201308021407/S2174204912001006/v1_201308021407/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2174204912001171"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2012.02.006"
    "estado" => "S300"
    "fechaPublicacion" => "2012-07-01"
    "aid" => "120"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Cardiol. 2012;31:527-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2888
      "formatos" => array:3 [
        "EPUB" => 123
        "HTML" => 2184
        "PDF" => 581
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in cardiology</span>"
      "titulo" => "Shock and anterior myocardial infarction&#58; Beyond the initial clinical evidence"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "527"
          "paginaFinal" => "528"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Choque e enfarte da parede anterior&#58; al&#233;m da primeira evid&#234;ncia cl&#237;nica"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 2353
              "Ancho" => 2708
              "Tamanyo" => 756569
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;Panel A&#41; Electrocardiogram showing ST-segment elevation in leads V1&#8211;V4 compatible with an anterior myocardial infarction&#46; &#40;Panel B&#41; Coronary angiography showing acute stent thrombosis in the proximal segment of the anterior descending coronary artery&#46; &#40;Panel C&#41; Coronary angiography after thrombus aspiration showing reestablishment of TIMI 3 flow in the anterior descending coronary artery&#46; &#40;Panel D&#41; Aortography revealing an abdominal aneurysm with slow flow and subtraction images suggestive of thrombus &#40;white arrow&#41;&#46; &#40;Panels E and F&#41; Computed tomography imaging showing a ruptured abdominal aneurysm &#40;white arrow&#41; surrounded by a large retroperitoneal hematoma &#40;red arrow&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ana Sofia Correia, Rui Andr&#233; Rodrigues, Mariana Vasconcelos, Alexandra Gon&#231;alves, S&#233;rgio M&#46; Sampaio, Maria J&#250;lia Maciel"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Ana Sofia"
              "apellidos" => "Correia"
            ]
            1 => array:2 [
              "nombre" => "Rui Andr&#233;"
              "apellidos" => "Rodrigues"
            ]
            2 => array:2 [
              "nombre" => "Mariana"
              "apellidos" => "Vasconcelos"
            ]
            3 => array:2 [
              "nombre" => "Alexandra"
              "apellidos" => "Gon&#231;alves"
            ]
            4 => array:2 [
              "nombre" => "S&#233;rgio M&#46;"
              "apellidos" => "Sampaio"
            ]
            5 => array:2 [
              "nombre" => "Maria J&#250;lia"
              "apellidos" => "Maciel"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204912001171?idApp=UINPBA00004E"
    "url" => "/21742049/0000003100000078/v1_201308021407/S2174204912001171/v1_201308021407/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editor&#39;s network</span>"
    "titulo" => "Relations between professional medical associations and healthcare industry&#44; concerning scientific communication and continuing medical education&#58; a Policy Statement from the European Society of Cardiology"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "529"
        "paginaFinal" => "538"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => " ESC Board"
        "autores" => array:1 [
          0 => array:3 [
            "apellidos" => "ESC Board"
            "email" => array:1 [
              0 => "faustopin&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;55</span></a>&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec239445"
          "palabras" => array:2 [
            0 => "Scientific communications"
            1 => "CME"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:1 [
      "en" => array:1 [
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Physicians have an ethical duty to keep up-to-date with current knowledge&#46; Professional medical associations such as the European Society of Cardiology &#40;ESC&#41; support these obligations&#46; In Europe&#44; the costs of continuing medical education &#40;CME&#41; are insufficiently supported from governments and employers&#59; however&#44; medical associations have been criticized for accepting alternative financial support from industry&#46; Medical education and training in research include learning how to assess the quality and reliability of any information&#46; There is some risk of bias in any form of scientific communication including intellectual&#44; professional&#44; and financial and it is essential that in particular&#44; the latter must be acknowledged by full disclosure&#46; It is essential that there is strong collaboration between basic and clinical researchers from academic institutions on the one hand&#44; with engineers and scientists from the research divisions of device and pharmaceutical companies on the other&#46; This is vital so that new diagnostic methods and treatments are developed&#46; Promotion of advances by industry may accelerate their implementation into clinical practice&#46; Universities now frequently exhort their academic staff to protect their intellectual property or commercialize their research&#46; Thus&#44; it is not commercial activity or links per se that have become the target for criticism but the perceived influence of commercial enterprises on clinical decision-making or on messages conveyed by professional medical organizations&#46; This document offers the perspective of the ESC on the current debate&#44; and it recommends how to minimize bias in scientific communications and CME and how to ensure proper ethical standards and transparency in relations between the medical profession and industry&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Secondary publication&#58; This article was published in its entirety in Eur Heart J 2012&#59; 33&#58;666-674&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:55 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relationships between authors of clinical practice guidelines and the pharmaceutical industry"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "N&#46;K&#46; Choudhry"
                            1 => "H&#46;T&#46; Stelfox"
                            2 => "A&#46;S&#46; Detsky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2002"
                        "volumen" => "287"
                        "paginaInicial" => "612"
                        "paginaFinal" => "617"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11829700"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medical education and the pharmaceutical industry&#58; managing an uneasy alliance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;D&#46; Jibson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1176/appi.ap.30.1.36"
                      "Revista" => array:6 [
                        "tituloSerie" => "Acad Psychiatry"
                        "fecha" => "2006"
                        "volumen" => "30"
                        "paginaInicial" => "36"
                        "paginaFinal" => "39"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16473992"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Doctors&#8217; education&#58; the invisible influence of drug company sponsorship"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46; Moynihan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/bmj.39496.430336.DB"
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2008"
                        "volumen" => "336"
                        "paginaInicial" => "416"
                        "paginaFinal" => "417"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18292165"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A historical perspective of pharmaceutical promotion and physician education"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;H&#46; Podolsky"
                            1 => "J&#46;A&#46; Greene"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.300.7.831"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2008"
                        "volumen" => "300"
                        "paginaInicial" => "831"
                        "paginaFinal" => "833"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18714063"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Lo B&#44; Field MJ&#44; eds&#46; Conflict of Interest in Medical Research&#44; Education&#44; and Practice&#46; Washington&#58; Institute of Medicine&#59; 2009&#46; ISBN&#58; 978-0-309-13188-9&#46;"
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "EFPIA&#46; EFPIA code on the promotion of prescription-only medicines to&#44; and interactions with&#44; healthcare professionals&#44; 2007&#46; <a class="elsevierStyleInterRef" href="http://www.efpia.eu/Content/Default.%20asp%3FPageID=559%26DocID=3483">www&#46;efpia&#46;eu&#47;Content&#47;Default&#46; asp&#63;PageID&#61;559&#38;DocID&#61;3483</a>&#46;&#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "FPMA&#46; IFPMA Code of Pharmaceutical Marketing Practices 2006 Revision&#46; Appendix 1&#46; 2006&#46; <a class="elsevierStyleInterRef" href="http://www.ifpma.org/fileadmin/templates/EthicalPromotion/pdfs/IFPMA-TheCodeOperatingProcedure-2006.pdf">www&#46;ifpma&#46;org&#47;fileadmin&#47;templates&#47;EthicalPromotion&#47;pdfs&#47;IFPMA-TheCodeOperatingProcedure-2006&#46;pdf</a>&#46;"
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "ABPI&#46; Code of practice for the pharmaceutical industry&#44; 2006&#46; <a class="elsevierStyleInterRef" href="http://www.abpi.org.uk/links/assoc/PMCPA/pmpca_code2006.pdf">www&#46;abpi&#46;org&#46;uk&#47;links&#47;assoc&#47;PMCPA&#47;pmpca&#95;code2006&#46;pdf</a>&#46;"
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Organisation for Economic Co-operation and Development&#46; Recommendation for Further Combating Bribery of Foreign Public Officials in International Business Transactions&#46; Paris&#44; France&#58; OECD&#59; 2009&#46; <a class="elsevierStyleInterRef" href="http://www.oecd.org/document/20/0,3343,en_2649_34859_2017813_1_1_1_1,00.html">http&#58;&#47;&#47;www&#46;oecd&#46;org&#47;document&#47;20&#47;0&#44;3343&#44;en&#95;2649&#95;34859&#95;2017813&#95;1&#95;1&#95;1&#95;1&#44;00&#46;html</a>&#46; &#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Hager M&#44; Russell S&#44; Fletcher SW&#44; eds&#46; Continuing education in the health professions&#58; improving healthcare through lifelong learning&#46; Proceedings of a conference sponsored by the Josiah Macy&#44; Jr&#46; Foundation&#46; New York&#44; 2008&#46; ISBN 0-914362-49-6&#46; <a class="elsevierStyleInterRef" href="http://www.josiahmacyfoundation.org/">www&#46;josiahmacyfoundation&#46;org</a>&#46;&#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Commercial support of continuing medical education in the United States&#58; the politics of doubt&#44; the value of studies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46;E&#46; Mazmanian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/chp.20015"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Contin Educ Health Prof"
                        "fecha" => "2009"
                        "volumen" => "29"
                        "paginaInicial" => "81"
                        "paginaFinal" => "83"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19530200"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "New federal guidelines for physician-pharmaceutical industry relations&#58; the politics of policy formation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46; Chimonas"
                            1 => "D&#46;J&#46; Rothman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Aff &#40;Millwood&#41;"
                        "fecha" => "2005"
                        "volumen" => "24"
                        "paginaInicial" => "949"
                        "paginaFinal" => "960"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Professional medical associations and their relationships with industry&#58; a proposal for controlling conflict of interest"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:11 [
                            0 => "D&#46;J&#46; Rothman"
                            1 => "W&#46;J&#46; McDonald"
                            2 => "C&#46;D&#46; Berkowitz"
                            3 => "S&#46;C&#46; Chimonas"
                            4 => "C&#46;D&#46; DeAngelis"
                            5 => "R&#46;W&#46; Hale"
                            6 => "S&#46;E&#46; Nissen"
                            7 => "J&#46;E&#46; Osborn"
                            8 => "J&#46;H&#46; Scully Jr&#46;"
                            9 => "G&#46;E&#46; Thomson"
                            10 => "D&#46; Wofsy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.2009.407"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2009"
                        "volumen" => "301"
                        "paginaInicial" => "1367"
                        "paginaFinal" => "1372"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19336712"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physicians&#8217; behavior and their interactions with drug companies&#46; A controlled study of physicians who requested additions to a hospital drug formulary"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;M&#46; Chren"
                            1 => "C&#46;S&#46; Landefeld"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1994"
                        "volumen" => "271"
                        "paginaInicial" => "684"
                        "paginaFinal" => "689"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8309031"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physicians and the pharmaceutical industry&#58; is a gift ever just a gift&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46; Wazana"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2000"
                        "volumen" => "283"
                        "paginaInicial" => "373"
                        "paginaFinal" => "380"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10647801"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pharmacists and industry&#58; guidelines for ethical interactions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:18 [
                            0 => "R&#46;C&#46; Hatton"
                            1 => "M&#46;L&#46; Chavez"
                            2 => "E&#46; Jackson"
                            3 => "J&#46; Maurey"
                            4 => "S&#46;L&#46; Barriere"
                            5 => "R&#46; Couchenour"
                            6 => "R&#46;P&#46; Evens"
                            7 => "K&#46; Gunning"
                            8 => "A&#46;L&#46; Hume"
                            9 => "L&#46;C&#46; Hutchison"
                            10 => "G&#46;R&#46; Matzke"
                            11 => "J&#46;A&#46; Noviasky"
                            12 => "R&#46;M&#46; Rospond"
                            13 => "J&#46;S&#46; Kelloway"
                            14 => "J&#46;G&#46; Stevenson"
                            15 => "R&#46;P&#46; Vanderveen"
                            16 => "C&#46;N&#46; Verme-Gibboney"
                            17 => "D&#46; Walters"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1592/phco.28.3.410"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pharmacotherapy"
                        "fecha" => "2008"
                        "volumen" => "28"
                        "paginaInicial" => "410"
                        "paginaFinal" => "420"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18294122"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The existence of publication bias and risk factors for its occurrence"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "K&#46; Dickersin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1990"
                        "volumen" => "263"
                        "paginaInicial" => "1385"
                        "paginaFinal" => "1389"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2406472"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conflict of interest in the debate over calcium-channel antagonists"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "H&#46;T&#46; Stelfox"
                            1 => "G&#46; Chua"
                            2 => "K&#46; O&#8217;Rourke"
                            3 => "A&#46;S&#46; Detsky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJM199801083380206"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "1998"
                        "volumen" => "338"
                        "paginaInicial" => "101"
                        "paginaFinal" => "106"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9420342"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of conflict of interest in economic analyses of new drugs used in oncology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Friedberg"
                            1 => "B&#46; Saffran"
                            2 => "T&#46;J&#46; Stinson"
                            3 => "W&#46; Nelson"
                            4 => "C&#46;L&#46; Bennett"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1999"
                        "volumen" => "282"
                        "paginaInicial" => "1453"
                        "paginaFinal" => "1457"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10535436"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Guest authorship and ghostwriting in publications related to rofecoxib&#58; a case study of industry documents from rofecoxib litigation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;S&#46; Ross"
                            1 => "K&#46;P&#46; Hill"
                            2 => "D&#46;S&#46; Egilman"
                            3 => "H&#46;M&#46; Krumholz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.299.15.1800"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2008"
                        "volumen" => "299"
                        "paginaInicial" => "1800"
                        "paginaFinal" => "1812"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18413874"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Professional medical associations&#58; ethical and practical guidelines"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;D&#46; Pellegrino"
                            1 => "A&#46;S&#46; Relman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1999"
                        "volumen" => "282"
                        "paginaInicial" => "984"
                        "paginaFinal" => "986"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10485685"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Doctors&#44; patients and the drug industry&#58; partners&#44; friends&#44; or foes&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;S&#46; Ross"
                            1 => "G&#46; Coutts"
                            2 => "R&#46; Tiner"
                            3 => "M&#46; Angell"
                            4 => "S&#46; Gottlieb"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2009"
                        "volumen" => "338"
                        "paginaInicial" => "326"
                        "paginaFinal" => "329"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "There is a role for industry-sponsored education in cardiology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;A&#46; Harrington"
                            1 => "R&#46;M&#46; Califf"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/CIRCULATIONAHA.109.868026"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2010"
                        "volumen" => "121"
                        "paginaInicial" => "2221"
                        "paginaFinal" => "2227"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20497985"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Orthopaedic surgeons and the medical device industry&#58; the threat to scientific integrity and the public trust"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46;H&#46; Gelberman"
                            1 => "D&#46; Samson"
                            2 => "S&#46;K&#46; Mirza"
                            3 => "J&#46;J&#46; Callaghan"
                            4 => "V&#46;D&#46; Pellegrini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2106/JBJS.I.01164"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Bone Joint Surg Am"
                        "fecha" => "2010"
                        "volumen" => "92"
                        "paginaInicial" => "765"
                        "paginaFinal" => "777"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20194337"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The need for a transparent&#44; ethical&#44; and successful relationship between academic scientists and the pharmaceutical industry&#58; a view of the Group for the Respect of Ethics and Excellence in Science &#40;GREES&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:19 [
                            0 => "O&#46; Bruyere"
                            1 => "J&#46;A&#46; Kanis"
                            2 => "M&#46;E&#46; Ibar-Abadie"
                            3 => "N&#46; Alsayed"
                            4 => "M&#46;L&#46; Brandi"
                            5 => "N&#46; Burlet"
                            6 => "D&#46;L&#46; Cahall"
                            7 => "A&#46; Chines"
                            8 => "J&#46;P&#46; Devogelaer"
                            9 => "W&#46; Dere"
                            10 => "N&#46; Goel"
                            11 => "N&#46; Hughes"
                            12 => "J&#46;M&#46; Kaufman"
                            13 => "S&#46; Korte"
                            14 => "B&#46;H&#46; Mitlak"
                            15 => "D&#46; Niese"
                            16 => "R&#46; Rizzoli"
                            17 => "L&#46;C&#46; Rovati"
                            18 => "J&#46;Y&#46; Reginster"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00198-010-1190-9"
                      "Revista" => array:6 [
                        "tituloSerie" => "Osteoporos Int"
                        "fecha" => "2010"
                        "volumen" => "21"
                        "paginaInicial" => "713"
                        "paginaFinal" => "722"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20238101"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Financial associations of authors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Drazen"
                            1 => "G&#46;D&#46; Curfman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMe020074"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2002"
                        "volumen" => "346"
                        "paginaInicial" => "1901"
                        "paginaFinal" => "1902"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12063375"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prohibiting or &#8216;managing&#8217; conflict of interest&#63;&#46; A review of policies and procedures in three European drug regulation agencies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Lexchin"
                            1 => "O&#46; O&#8217;Donovan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.socscimed.2009.09.002"
                      "Revista" => array:6 [
                        "tituloSerie" => "Soc Sci Med"
                        "fecha" => "2010"
                        "volumen" => "70"
                        "paginaInicial" => "643"
                        "paginaFinal" => "647"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19782458"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Association of American Medical Colleges&#46; Industry Funding of Medical Education&#46; Report of an AAMC Task Force&#46; Washington&#44; DC&#58; AAMC&#59; 2008&#46; <a class="elsevierStyleInterRef" href="http://services.aamc.org/publications/showfile.cfm%3Ffile=version114.pdf">http&#58;&#47;&#47;services&#46;aamc&#46;org&#47;publications&#47;showfile&#46;cfm&#63;file&#61;version114&#46;pdf</a>&#46;"
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "European Commission&#44; SEC&#40;2010&#41; 1161&#46; Communication from the Commission to the European Parliament&#44; the Council&#44; the European Economic and Social Committee and the Committee of the Regions&#46; Europe 2020 Flagship Initiative&#46; Innovation Union&#46; Brussels&#44; 6&#46;1&#46;2010&#46; <a class="elsevierStyleInterRef" href="http://ec.europa.eu/research/innovation-union/pdf/innovation%20unioncommunication_en.pdf">http&#58;&#47;&#47;ec&#46;europa&#46;eu&#47;research&#47;innovation-union&#47;pdf&#47;innovation unioncommunication&#95;en&#46;pdf</a>&#46;"
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physician revalidation in Europe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Merkur"
                            1 => "E&#46; Mossialos"
                            2 => "M&#46; Long"
                            3 => "M&#46; McKee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Med"
                        "fecha" => "2008"
                        "volumen" => "8"
                        "paginaInicial" => "371"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18724601"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Continuing medical education and professional revalidation in Europe&#58; five case examples"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "H&#46; Maisonneuve"
                            1 => "Y&#46; Matillon"
                            2 => "A&#46; Negri"
                            3 => "L&#46; Pallares"
                            4 => "R&#46; Vigneri"
                            5 => "H&#46;L&#46; Young"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/chp.20007"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Contin Educ Health Prof"
                        "fecha" => "2009"
                        "volumen" => "29"
                        "paginaInicial" => "58"
                        "paginaFinal" => "62"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19288575"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Fras Z&#44; Destrebecq F&#44; Creplet C&#44; Welling C&#46; Survey of European CME&#47;CPD&#46; Continuing Medical Education and Professional Development&#46; Brussels&#58; European Union of Medicine Specialists &#40;UEMS&#41;&#59; 2008&#46; <a class="elsevierStyleInterRef" href="http://www.uems.net/">http&#58;&#47;&#47;www&#46;uems&#46;net&#47;</a> &#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "33"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Continuing medical education in six European countries&#58; a comparative analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46; Garattini"
                            1 => "S&#46; Gritti"
                            2 => "P&#46; De Compadri"
                            3 => "G&#46; Casadei"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.healthpol.2009.09.017"
                      "Revista" => array:6 [
                        "tituloSerie" => "Health Policy"
                        "fecha" => "2010"
                        "volumen" => "94"
                        "paginaInicial" => "246"
                        "paginaFinal" => "254"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19913324"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "34"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Desbois EJ&#44; Pardell H&#44; Negri A&#44; Kellner T&#44; Posel P&#44; Kleinoeder T&#44; Maillet B&#44; Maisonneuve H&#46; Continuing medical education in Europe&#58; evolution or revolution&#44; 2010&#46; <a class="elsevierStyleInterRef" href="http://www%20.continuingmedicaleducation-europe.com/">http&#58;&#47;&#47;www &#46;continuingmedicaleducation-europe&#46;com&#47;</a> &#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "35"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Organisme Gestionnaire Conventionnel&#46; Rapport d&#8217;activite¿ FPC &#40;Formation professionnelle conventionnelle&#41; 2009&#59;10-11&#46;"
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib0180"
              "etiqueta" => "36"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Royal College of Physicians&#46; &#40;RCP&#41;&#46; Innovating for health&#58; patient&#44; physicians&#44; the pharmaceutical industry and the NHS&#46; Report of a Working Party&#44; 2009&#46; <a class="elsevierStyleInterRef" href="http://www.rcplondon.ac.uk/pubs/contents/76673804-76c5-4ab3-89a0-92d44e45edc3.pdf">http&#58;&#47;&#47;www&#46;rcplondon&#46;ac&#46;uk&#47;pubs&#47;contents&#47;76673804-76c5-4ab3-89a0-92d44e45edc3&#46;pdf</a>&#46;"
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib0185"
              "etiqueta" => "37"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Netherlands Federation of University Medical Centres&#46; Collective agreement for University Medical Centres&#44; 1 January 2008-1 March 2011&#46; NFU-083083&#44; article 15&#46;9&#46;1&#46; <a class="elsevierStyleInterRef" href="http://www.nfu.nl/fileadmin/documents/Werkg-NFU20083083-OFF-ENG-CAOv081016.pdf">http&#58;&#47;&#47;www&#46;nfu&#46;nl&#47;fileadmin&#47;documents&#47;Werkg-NFU20083083-OFF-ENG-CAOv081016&#46;pdf</a>&#46;"
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib0190"
              "etiqueta" => "38"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Accreditation Council for Continuing Medical Education &#40;ACCME&#41;&#46; Annual Report Data 2008&#46; <a class="elsevierStyleInterRef" href="http://www.accme.org/dir_docs/doc_upload/1f8dc476-246a-4e8e-91d3d24ff2f5bfec_uploaddocument.pdf">http&#58;&#47;&#47;www&#46;accme&#46;org&#47;dir&#95;docs&#47;doc&#95;upload&#47;1f8dc476-246a-4e8e-91d3d24ff2f5bfec&#95;uploaddocument&#46;pdf</a>&#46;"
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib0195"
              "etiqueta" => "39"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "American Heart Association&#46; AHA annual report 2009&#46; <a class="elsevierStyleInterRef" href="http://www.nxtbook.com/tristar/tristar/aha_annualreport09/index.php%23/30">http&#58;&#47;&#47;www&#46;nxtbook&#46;com&#47;tristar&#47;tristar&#47;aha&#95;annualreport09&#47;index&#46;php&#35;&#47;30</a> &#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "40"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Camilleri M&#44; Parke DW 2nd&#46; Perspective&#58; conflict of interest and professional organizations&#58; considerations and recommendations&#46; Acad Med 2010&#59;85&#58; 85-91&#46;"
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib0205"
              "etiqueta" => "41"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Criteria for international accreditation of CME&#46; European Union of Medical Specialists&#44; 2007&#46; <a class="elsevierStyleInterRef" href="http://admin.uems.net/uploadedfiles/1411.pdf">http&#58;&#47;&#47;admin&#46;uems&#46;net&#47;uploadedfiles&#47;1411&#46;pdf</a>&#46;"
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib0210"
              "etiqueta" => "42"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Fletcher S&#46; Pharma and CME&#58; view from the US&#46; BMJ 2008&#59; 337&#58;a1023&#46;"
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "43"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changing physician performance&#58; a systematic review of the effect of continuing medical education strategies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;A&#46; Davis"
                            1 => "M&#46;A&#46; Thompson"
                            2 => "A&#46;D&#46; Oxman"
                            3 => "B&#46; Haynes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1995"
                        "volumen" => "274"
                        "paginaInicial" => "700"
                        "paginaFinal" => "705"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7650822"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib0220"
              "etiqueta" => "44"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of formal continuing medical education Do conferences&#44; workshops&#44; rounds&#44; and other traditional continuing education activities change physician behavior or health care outcomes&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46; Davis"
                            1 => "M&#46;A&#46;T&#46; O&#8217;Brien"
                            2 => "N&#46; Freemantle"
                            3 => "F&#46;M&#46; Wolf"
                            4 => "P&#46; Mazmanian"
                            5 => "A&#46; Taylor-Vaisey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1999"
                        "volumen" => "282"
                        "paginaInicial" => "867"
                        "paginaFinal" => "874"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10478694"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib0225"
              "etiqueta" => "45"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medical education&#58; educational strategies to promote clinical diagnostic reasoning"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Bowen Judith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMra054782"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2006"
                        "volumen" => "355"
                        "paginaInicial" => "2217"
                        "paginaFinal" => "2225"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17124019"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib0230"
              "etiqueta" => "46"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Kahn N&#46; Industry support and professional medical associations&#8212;letter to the editor&#46; JAMA 2009&#59;302&#58;737&#46;"
                ]
              ]
            ]
            46 => array:3 [
              "identificador" => "bib0235"
              "etiqueta" => "47"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Smith CD&#44; Buyske J&#44; Talamini MA&#46; Industry support and professional medical associations&#8212;letter to the editor&#46; JAMA 2009&#59;302&#58;738-739&#46;"
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib0240"
              "etiqueta" => "48"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Part 1&#58; individual physicians"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;L&#46; Coyle"
                            1 => "relations&#46; Physician-industry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "2002"
                        "volumen" => "136"
                        "paginaInicial" => "396"
                        "paginaFinal" => "402"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11874314"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib0245"
              "etiqueta" => "49"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Part 2&#58; organizational issues"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;L&#46; Coyle"
                            1 => "relations&#46; Physician-industry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "2002"
                        "volumen" => "136"
                        "paginaInicial" => "403"
                        "paginaFinal" => "406"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11874315"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            49 => array:3 [
              "identificador" => "bib0250"
              "etiqueta" => "50"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "European Medicines Agency &#40;EMA&#41;&#46; Policy on the Handling of Conflicts of Interests of Management Board and Scientific Committee Members and EMEA Experts&#46; London&#58; EMA&#59; 2006&#46; <a class="elsevierStyleInterRef" href="http://www.ema.europa.eu/pdfs/general/direct/conflicts/3165303en.pdf">http&#58;&#47;&#47;www&#46;ema&#46;europa&#46;eu&#47;pdfs&#47;general&#47;direct&#47;conflicts&#47;3165303en&#46;pdf</a>&#46;"
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib0255"
              "etiqueta" => "51"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Improving the use of research evidence in guideline development&#58; 4&#46; Managing conflicts of interest"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;A&#46; Boyd"
                            1 => "L&#46;A&#46; Bero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1478-4505-4-16"
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Res Policy Syst"
                        "fecha" => "2006"
                        "volumen" => "4"
                        "paginaInicial" => "16"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17140441"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            51 => array:3 [
              "identificador" => "bib0260"
              "etiqueta" => "52"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Schu¿nemann H&#46; The vexing problem of guidelines and conflict of interest&#58; a potential solution"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:9 [
                            0 => "G&#46; Guyatt"
                            1 => "E&#46;A&#46; Akl"
                            2 => "J&#46; Hirsh"
                            3 => "C&#46; Kearon"
                            4 => "M&#46; Crowther"
                            5 => "D&#46; Gutterman"
                            6 => "S&#46;Z&#46; Lewis"
                            7 => "I&#46; Nathanson"
                            8 => "R&#46; Jaeschke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.7326/0003-4819-152-11-201006010-00254"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "2010"
                        "volumen" => "152"
                        "paginaInicial" => "738"
                        "paginaFinal" => "741"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20479011"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            52 => array:3 [
              "identificador" => "bib0265"
              "etiqueta" => "53"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Winds of change&#58; growing demands for transparency in the relationship between doctors and the pharmaceutical industry"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46;B&#46; Mitchell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med J Aust"
                        "fecha" => "2009"
                        "volumen" => "191"
                        "paginaInicial" => "273"
                        "paginaFinal" => "275"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19740050"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            53 => array:3 [
              "identificador" => "bib0270"
              "etiqueta" => "54"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "ATS Ethics and Conflict of Interest Committee and the Documents Development and Implementation Committee An official American Thoracic Society Policy statement&#58; managing conflict of interest in professional societies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:10 [
                            0 => "H&#46;J&#46; Schu¿nemann"
                            1 => "M&#46; Osborne"
                            2 => "J&#46; Moss"
                            3 => "C&#46; Manthous"
                            4 => "G&#46; Wagner"
                            5 => "L&#46; Sicilian"
                            6 => "J&#46; Ohar"
                            7 => "S&#46; McDermott"
                            8 => "L&#46; Lucas"
                            9 => "R&#46; Jaeschke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/rccm.200901-0126ST"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "2009"
                        "volumen" => "180"
                        "paginaInicial" => "564"
                        "paginaFinal" => "580"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19734351"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            54 => array:3 [
              "identificador" => "bib0275"
              "etiqueta" => "55"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "International Committee of Medical Journal Editors&#46; Ethical Considerations in the Conduct and Reporting of Research&#58; Conflicts of Interest&#46; ICMJE&#59; 2009&#46; <a class="elsevierStyleInterRef" href="http://www.%20icmje.org/ethical_4conflicts.html">http&#58;&#47;&#47;www&#46; icmje&#46;org&#47;ethical&#95;4conflicts&#46;html</a> &#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21742049/0000003100000078/v1_201308021407/S2174204912001195/v1_201308021407/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9930"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Editors&#8217; Network"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003100000078/v1_201308021407/S2174204912001195/v1_201308021407/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204912001195?idApp=UINPBA00004E"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Editor's network
Relations between professional medical associations and healthcare industry, concerning scientific communication and continuing medical education: a Policy Statement from the European Society of Cardiology
ESC Board
Corresponding author
faustopin@gmail.com

Corresponding author.
Read
6466
Times
was read the article
2616
Total PDF
3850
Total HTML
Share statistics
 array:23 [
  "pii" => "S2174204912001195"
  "issn" => "21742049"
  "doi" => "10.1016/j.repce.2012.05.008"
  "estado" => "S300"
  "fechaPublicacion" => "2012-07-01"
  "aid" => "139"
  "copyrightAnyo" => "2012"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Rev Port Cardiol. 2012;31:529-38"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 3484
    "formatos" => array:3 [
      "EPUB" => 161
      "HTML" => 2453
      "PDF" => 870
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2174204912001006"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2012.05.004"
    "estado" => "S300"
    "fechaPublicacion" => "2012-07-01"
    "aid" => "123"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Cardiol. 2012;31:541"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2636
      "formatos" => array:3 [
        "EPUB" => 135
        "HTML" => 1789
        "PDF" => 712
      ]
    ]
    "en" => array:9 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Guidelines</span>"
      "titulo" => "ESC Guidelines for the management of grown-up congenital heart disease &#40;new version 2010&#41;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "541"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Helmut Baumgartner, Philipp Bonhoeffer, Natasja M&#46;S&#46; de Groo, Fokko de Haan, John Erik Deanfield, Nazzareno Galie, Michael A&#46; Gatzoulis, Christa Gohlke-Baerwolf, Harald Kaemmerer, Philip Kilner, Folkert Meijboom, Barbara J&#46;M&#46; Mulder, Erwin Oechslin, Jose M&#46; Oliver, Alain Serraf, Andras Szatmari, Erik Thaulow, Pascal R&#46; Vouhe, Edmond Walma"
          "autores" => array:19 [
            0 => array:2 [
              "nombre" => "Helmut"
              "apellidos" => "Baumgartner"
            ]
            1 => array:2 [
              "nombre" => "Philipp"
              "apellidos" => "Bonhoeffer"
            ]
            2 => array:2 [
              "nombre" => "Natasja M&#46;S&#46;"
              "apellidos" => "de Groo"
            ]
            3 => array:2 [
              "nombre" => "Fokko"
              "apellidos" => "de Haan"
            ]
            4 => array:2 [
              "nombre" => "John"
              "apellidos" => "Erik Deanfield"
            ]
            5 => array:2 [
              "nombre" => "Nazzareno"
              "apellidos" => "Galie"
            ]
            6 => array:2 [
              "nombre" => "Michael A&#46;"
              "apellidos" => "Gatzoulis"
            ]
            7 => array:2 [
              "nombre" => "Christa"
              "apellidos" => "Gohlke-Baerwolf"
            ]
            8 => array:2 [
              "nombre" => "Harald"
              "apellidos" => "Kaemmerer"
            ]
            9 => array:2 [
              "nombre" => "Philip"
              "apellidos" => "Kilner"
            ]
            10 => array:2 [
              "nombre" => "Folkert"
              "apellidos" => "Meijboom"
            ]
            11 => array:2 [
              "nombre" => "Barbara J&#46;M&#46;"
              "apellidos" => "Mulder"
            ]
            12 => array:2 [
              "nombre" => "Erwin"
              "apellidos" => "Oechslin"
            ]
            13 => array:2 [
              "nombre" => "Jose M&#46;"
              "apellidos" => "Oliver"
            ]
            14 => array:2 [
              "nombre" => "Alain"
              "apellidos" => "Serraf"
            ]
            15 => array:2 [
              "nombre" => "Andras"
              "apellidos" => "Szatmari"
            ]
            16 => array:2 [
              "nombre" => "Erik"
              "apellidos" => "Thaulow"
            ]
            17 => array:2 [
              "nombre" => "Pascal R&#46;"
              "apellidos" => "Vouhe"
            ]
            18 => array:2 [
              "nombre" => "Edmond"
              "apellidos" => "Walma"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204912001006?idApp=UINPBA00004E"
    "url" => "/21742049/0000003100000078/v1_201308021407/S2174204912001006/v1_201308021407/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2174204912001171"
    "issn" => "21742049"
    "doi" => "10.1016/j.repce.2012.02.006"
    "estado" => "S300"
    "fechaPublicacion" => "2012-07-01"
    "aid" => "120"
    "copyright" => "Sociedade Portuguesa de Cardiologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Cardiol. 2012;31:527-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2888
      "formatos" => array:3 [
        "EPUB" => 123
        "HTML" => 2184
        "PDF" => 581
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Image in cardiology</span>"
      "titulo" => "Shock and anterior myocardial infarction&#58; Beyond the initial clinical evidence"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "527"
          "paginaFinal" => "528"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Choque e enfarte da parede anterior&#58; al&#233;m da primeira evid&#234;ncia cl&#237;nica"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 2353
              "Ancho" => 2708
              "Tamanyo" => 756569
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;Panel A&#41; Electrocardiogram showing ST-segment elevation in leads V1&#8211;V4 compatible with an anterior myocardial infarction&#46; &#40;Panel B&#41; Coronary angiography showing acute stent thrombosis in the proximal segment of the anterior descending coronary artery&#46; &#40;Panel C&#41; Coronary angiography after thrombus aspiration showing reestablishment of TIMI 3 flow in the anterior descending coronary artery&#46; &#40;Panel D&#41; Aortography revealing an abdominal aneurysm with slow flow and subtraction images suggestive of thrombus &#40;white arrow&#41;&#46; &#40;Panels E and F&#41; Computed tomography imaging showing a ruptured abdominal aneurysm &#40;white arrow&#41; surrounded by a large retroperitoneal hematoma &#40;red arrow&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ana Sofia Correia, Rui Andr&#233; Rodrigues, Mariana Vasconcelos, Alexandra Gon&#231;alves, S&#233;rgio M&#46; Sampaio, Maria J&#250;lia Maciel"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "Ana Sofia"
              "apellidos" => "Correia"
            ]
            1 => array:2 [
              "nombre" => "Rui Andr&#233;"
              "apellidos" => "Rodrigues"
            ]
            2 => array:2 [
              "nombre" => "Mariana"
              "apellidos" => "Vasconcelos"
            ]
            3 => array:2 [
              "nombre" => "Alexandra"
              "apellidos" => "Gon&#231;alves"
            ]
            4 => array:2 [
              "nombre" => "S&#233;rgio M&#46;"
              "apellidos" => "Sampaio"
            ]
            5 => array:2 [
              "nombre" => "Maria J&#250;lia"
              "apellidos" => "Maciel"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204912001171?idApp=UINPBA00004E"
    "url" => "/21742049/0000003100000078/v1_201308021407/S2174204912001171/v1_201308021407/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editor&#39;s network</span>"
    "titulo" => "Relations between professional medical associations and healthcare industry&#44; concerning scientific communication and continuing medical education&#58; a Policy Statement from the European Society of Cardiology"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "529"
        "paginaFinal" => "538"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => " ESC Board"
        "autores" => array:1 [
          0 => array:3 [
            "apellidos" => "ESC Board"
            "email" => array:1 [
              0 => "faustopin&#64;gmail&#46;com"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#8211;55</span></a>&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec239445"
          "palabras" => array:2 [
            0 => "Scientific communications"
            1 => "CME"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:1 [
      "en" => array:1 [
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Physicians have an ethical duty to keep up-to-date with current knowledge&#46; Professional medical associations such as the European Society of Cardiology &#40;ESC&#41; support these obligations&#46; In Europe&#44; the costs of continuing medical education &#40;CME&#41; are insufficiently supported from governments and employers&#59; however&#44; medical associations have been criticized for accepting alternative financial support from industry&#46; Medical education and training in research include learning how to assess the quality and reliability of any information&#46; There is some risk of bias in any form of scientific communication including intellectual&#44; professional&#44; and financial and it is essential that in particular&#44; the latter must be acknowledged by full disclosure&#46; It is essential that there is strong collaboration between basic and clinical researchers from academic institutions on the one hand&#44; with engineers and scientists from the research divisions of device and pharmaceutical companies on the other&#46; This is vital so that new diagnostic methods and treatments are developed&#46; Promotion of advances by industry may accelerate their implementation into clinical practice&#46; Universities now frequently exhort their academic staff to protect their intellectual property or commercialize their research&#46; Thus&#44; it is not commercial activity or links per se that have become the target for criticism but the perceived influence of commercial enterprises on clinical decision-making or on messages conveyed by professional medical organizations&#46; This document offers the perspective of the ESC on the current debate&#44; and it recommends how to minimize bias in scientific communications and CME and how to ensure proper ethical standards and transparency in relations between the medical profession and industry&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Secondary publication&#58; This article was published in its entirety in Eur Heart J 2012&#59; 33&#58;666-674&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:55 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relationships between authors of clinical practice guidelines and the pharmaceutical industry"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "N&#46;K&#46; Choudhry"
                            1 => "H&#46;T&#46; Stelfox"
                            2 => "A&#46;S&#46; Detsky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2002"
                        "volumen" => "287"
                        "paginaInicial" => "612"
                        "paginaFinal" => "617"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11829700"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medical education and the pharmaceutical industry&#58; managing an uneasy alliance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;D&#46; Jibson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1176/appi.ap.30.1.36"
                      "Revista" => array:6 [
                        "tituloSerie" => "Acad Psychiatry"
                        "fecha" => "2006"
                        "volumen" => "30"
                        "paginaInicial" => "36"
                        "paginaFinal" => "39"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16473992"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Doctors&#8217; education&#58; the invisible influence of drug company sponsorship"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46; Moynihan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/bmj.39496.430336.DB"
                      "Revista" => array:6 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2008"
                        "volumen" => "336"
                        "paginaInicial" => "416"
                        "paginaFinal" => "417"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18292165"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A historical perspective of pharmaceutical promotion and physician education"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;H&#46; Podolsky"
                            1 => "J&#46;A&#46; Greene"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.300.7.831"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2008"
                        "volumen" => "300"
                        "paginaInicial" => "831"
                        "paginaFinal" => "833"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18714063"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Lo B&#44; Field MJ&#44; eds&#46; Conflict of Interest in Medical Research&#44; Education&#44; and Practice&#46; Washington&#58; Institute of Medicine&#59; 2009&#46; ISBN&#58; 978-0-309-13188-9&#46;"
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "EFPIA&#46; EFPIA code on the promotion of prescription-only medicines to&#44; and interactions with&#44; healthcare professionals&#44; 2007&#46; <a class="elsevierStyleInterRef" href="http://www.efpia.eu/Content/Default.%20asp%3FPageID=559%26DocID=3483">www&#46;efpia&#46;eu&#47;Content&#47;Default&#46; asp&#63;PageID&#61;559&#38;DocID&#61;3483</a>&#46;&#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "FPMA&#46; IFPMA Code of Pharmaceutical Marketing Practices 2006 Revision&#46; Appendix 1&#46; 2006&#46; <a class="elsevierStyleInterRef" href="http://www.ifpma.org/fileadmin/templates/EthicalPromotion/pdfs/IFPMA-TheCodeOperatingProcedure-2006.pdf">www&#46;ifpma&#46;org&#47;fileadmin&#47;templates&#47;EthicalPromotion&#47;pdfs&#47;IFPMA-TheCodeOperatingProcedure-2006&#46;pdf</a>&#46;"
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "ABPI&#46; Code of practice for the pharmaceutical industry&#44; 2006&#46; <a class="elsevierStyleInterRef" href="http://www.abpi.org.uk/links/assoc/PMCPA/pmpca_code2006.pdf">www&#46;abpi&#46;org&#46;uk&#47;links&#47;assoc&#47;PMCPA&#47;pmpca&#95;code2006&#46;pdf</a>&#46;"
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Organisation for Economic Co-operation and Development&#46; Recommendation for Further Combating Bribery of Foreign Public Officials in International Business Transactions&#46; Paris&#44; France&#58; OECD&#59; 2009&#46; <a class="elsevierStyleInterRef" href="http://www.oecd.org/document/20/0,3343,en_2649_34859_2017813_1_1_1_1,00.html">http&#58;&#47;&#47;www&#46;oecd&#46;org&#47;document&#47;20&#47;0&#44;3343&#44;en&#95;2649&#95;34859&#95;2017813&#95;1&#95;1&#95;1&#95;1&#44;00&#46;html</a>&#46; &#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Hager M&#44; Russell S&#44; Fletcher SW&#44; eds&#46; Continuing education in the health professions&#58; improving healthcare through lifelong learning&#46; Proceedings of a conference sponsored by the Josiah Macy&#44; Jr&#46; Foundation&#46; New York&#44; 2008&#46; ISBN 0-914362-49-6&#46; <a class="elsevierStyleInterRef" href="http://www.josiahmacyfoundation.org/">www&#46;josiahmacyfoundation&#46;org</a>&#46;&#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Commercial support of continuing medical education in the United States&#58; the politics of doubt&#44; the value of studies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46;E&#46; Mazmanian"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/chp.20015"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Contin Educ Health Prof"
                        "fecha" => "2009"
                        "volumen" => "29"
                        "paginaInicial" => "81"
                        "paginaFinal" => "83"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19530200"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "New federal guidelines for physician-pharmaceutical industry relations&#58; the politics of policy formation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46; Chimonas"
                            1 => "D&#46;J&#46; Rothman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Aff &#40;Millwood&#41;"
                        "fecha" => "2005"
                        "volumen" => "24"
                        "paginaInicial" => "949"
                        "paginaFinal" => "960"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Professional medical associations and their relationships with industry&#58; a proposal for controlling conflict of interest"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:11 [
                            0 => "D&#46;J&#46; Rothman"
                            1 => "W&#46;J&#46; McDonald"
                            2 => "C&#46;D&#46; Berkowitz"
                            3 => "S&#46;C&#46; Chimonas"
                            4 => "C&#46;D&#46; DeAngelis"
                            5 => "R&#46;W&#46; Hale"
                            6 => "S&#46;E&#46; Nissen"
                            7 => "J&#46;E&#46; Osborn"
                            8 => "J&#46;H&#46; Scully Jr&#46;"
                            9 => "G&#46;E&#46; Thomson"
                            10 => "D&#46; Wofsy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.2009.407"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2009"
                        "volumen" => "301"
                        "paginaInicial" => "1367"
                        "paginaFinal" => "1372"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19336712"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physicians&#8217; behavior and their interactions with drug companies&#46; A controlled study of physicians who requested additions to a hospital drug formulary"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;M&#46; Chren"
                            1 => "C&#46;S&#46; Landefeld"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1994"
                        "volumen" => "271"
                        "paginaInicial" => "684"
                        "paginaFinal" => "689"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8309031"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physicians and the pharmaceutical industry&#58; is a gift ever just a gift&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46; Wazana"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2000"
                        "volumen" => "283"
                        "paginaInicial" => "373"
                        "paginaFinal" => "380"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10647801"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pharmacists and industry&#58; guidelines for ethical interactions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:18 [
                            0 => "R&#46;C&#46; Hatton"
                            1 => "M&#46;L&#46; Chavez"
                            2 => "E&#46; Jackson"
                            3 => "J&#46; Maurey"
                            4 => "S&#46;L&#46; Barriere"
                            5 => "R&#46; Couchenour"
                            6 => "R&#46;P&#46; Evens"
                            7 => "K&#46; Gunning"
                            8 => "A&#46;L&#46; Hume"
                            9 => "L&#46;C&#46; Hutchison"
                            10 => "G&#46;R&#46; Matzke"
                            11 => "J&#46;A&#46; Noviasky"
                            12 => "R&#46;M&#46; Rospond"
                            13 => "J&#46;S&#46; Kelloway"
                            14 => "J&#46;G&#46; Stevenson"
                            15 => "R&#46;P&#46; Vanderveen"
                            16 => "C&#46;N&#46; Verme-Gibboney"
                            17 => "D&#46; Walters"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1592/phco.28.3.410"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pharmacotherapy"
                        "fecha" => "2008"
                        "volumen" => "28"
                        "paginaInicial" => "410"
                        "paginaFinal" => "420"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18294122"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The existence of publication bias and risk factors for its occurrence"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "K&#46; Dickersin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1990"
                        "volumen" => "263"
                        "paginaInicial" => "1385"
                        "paginaFinal" => "1389"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2406472"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Conflict of interest in the debate over calcium-channel antagonists"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "H&#46;T&#46; Stelfox"
                            1 => "G&#46; Chua"
                            2 => "K&#46; O&#8217;Rourke"
                            3 => "A&#46;S&#46; Detsky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJM199801083380206"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "1998"
                        "volumen" => "338"
                        "paginaInicial" => "101"
                        "paginaFinal" => "106"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9420342"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of conflict of interest in economic analyses of new drugs used in oncology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Friedberg"
                            1 => "B&#46; Saffran"
                            2 => "T&#46;J&#46; Stinson"
                            3 => "W&#46; Nelson"
                            4 => "C&#46;L&#46; Bennett"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1999"
                        "volumen" => "282"
                        "paginaInicial" => "1453"
                        "paginaFinal" => "1457"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10535436"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Guest authorship and ghostwriting in publications related to rofecoxib&#58; a case study of industry documents from rofecoxib litigation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;S&#46; Ross"
                            1 => "K&#46;P&#46; Hill"
                            2 => "D&#46;S&#46; Egilman"
                            3 => "H&#46;M&#46; Krumholz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.299.15.1800"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2008"
                        "volumen" => "299"
                        "paginaInicial" => "1800"
                        "paginaFinal" => "1812"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18413874"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Professional medical associations&#58; ethical and practical guidelines"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;D&#46; Pellegrino"
                            1 => "A&#46;S&#46; Relman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1999"
                        "volumen" => "282"
                        "paginaInicial" => "984"
                        "paginaFinal" => "986"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10485685"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Doctors&#44; patients and the drug industry&#58; partners&#44; friends&#44; or foes&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;S&#46; Ross"
                            1 => "G&#46; Coutts"
                            2 => "R&#46; Tiner"
                            3 => "M&#46; Angell"
                            4 => "S&#46; Gottlieb"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "BMJ"
                        "fecha" => "2009"
                        "volumen" => "338"
                        "paginaInicial" => "326"
                        "paginaFinal" => "329"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "There is a role for industry-sponsored education in cardiology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;A&#46; Harrington"
                            1 => "R&#46;M&#46; Califf"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1161/CIRCULATIONAHA.109.868026"
                      "Revista" => array:6 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "2010"
                        "volumen" => "121"
                        "paginaInicial" => "2221"
                        "paginaFinal" => "2227"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20497985"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Orthopaedic surgeons and the medical device industry&#58; the threat to scientific integrity and the public trust"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46;H&#46; Gelberman"
                            1 => "D&#46; Samson"
                            2 => "S&#46;K&#46; Mirza"
                            3 => "J&#46;J&#46; Callaghan"
                            4 => "V&#46;D&#46; Pellegrini"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2106/JBJS.I.01164"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Bone Joint Surg Am"
                        "fecha" => "2010"
                        "volumen" => "92"
                        "paginaInicial" => "765"
                        "paginaFinal" => "777"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20194337"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The need for a transparent&#44; ethical&#44; and successful relationship between academic scientists and the pharmaceutical industry&#58; a view of the Group for the Respect of Ethics and Excellence in Science &#40;GREES&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:19 [
                            0 => "O&#46; Bruyere"
                            1 => "J&#46;A&#46; Kanis"
                            2 => "M&#46;E&#46; Ibar-Abadie"
                            3 => "N&#46; Alsayed"
                            4 => "M&#46;L&#46; Brandi"
                            5 => "N&#46; Burlet"
                            6 => "D&#46;L&#46; Cahall"
                            7 => "A&#46; Chines"
                            8 => "J&#46;P&#46; Devogelaer"
                            9 => "W&#46; Dere"
                            10 => "N&#46; Goel"
                            11 => "N&#46; Hughes"
                            12 => "J&#46;M&#46; Kaufman"
                            13 => "S&#46; Korte"
                            14 => "B&#46;H&#46; Mitlak"
                            15 => "D&#46; Niese"
                            16 => "R&#46; Rizzoli"
                            17 => "L&#46;C&#46; Rovati"
                            18 => "J&#46;Y&#46; Reginster"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00198-010-1190-9"
                      "Revista" => array:6 [
                        "tituloSerie" => "Osteoporos Int"
                        "fecha" => "2010"
                        "volumen" => "21"
                        "paginaInicial" => "713"
                        "paginaFinal" => "722"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20238101"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Financial associations of authors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Drazen"
                            1 => "G&#46;D&#46; Curfman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMe020074"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2002"
                        "volumen" => "346"
                        "paginaInicial" => "1901"
                        "paginaFinal" => "1902"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12063375"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prohibiting or &#8216;managing&#8217; conflict of interest&#63;&#46; A review of policies and procedures in three European drug regulation agencies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Lexchin"
                            1 => "O&#46; O&#8217;Donovan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.socscimed.2009.09.002"
                      "Revista" => array:6 [
                        "tituloSerie" => "Soc Sci Med"
                        "fecha" => "2010"
                        "volumen" => "70"
                        "paginaInicial" => "643"
                        "paginaFinal" => "647"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19782458"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Association of American Medical Colleges&#46; Industry Funding of Medical Education&#46; Report of an AAMC Task Force&#46; Washington&#44; DC&#58; AAMC&#59; 2008&#46; <a class="elsevierStyleInterRef" href="http://services.aamc.org/publications/showfile.cfm%3Ffile=version114.pdf">http&#58;&#47;&#47;services&#46;aamc&#46;org&#47;publications&#47;showfile&#46;cfm&#63;file&#61;version114&#46;pdf</a>&#46;"
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "European Commission&#44; SEC&#40;2010&#41; 1161&#46; Communication from the Commission to the European Parliament&#44; the Council&#44; the European Economic and Social Committee and the Committee of the Regions&#46; Europe 2020 Flagship Initiative&#46; Innovation Union&#46; Brussels&#44; 6&#46;1&#46;2010&#46; <a class="elsevierStyleInterRef" href="http://ec.europa.eu/research/innovation-union/pdf/innovation%20unioncommunication_en.pdf">http&#58;&#47;&#47;ec&#46;europa&#46;eu&#47;research&#47;innovation-union&#47;pdf&#47;innovation unioncommunication&#95;en&#46;pdf</a>&#46;"
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Physician revalidation in Europe"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Merkur"
                            1 => "E&#46; Mossialos"
                            2 => "M&#46; Long"
                            3 => "M&#46; McKee"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Med"
                        "fecha" => "2008"
                        "volumen" => "8"
                        "paginaInicial" => "371"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18724601"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0155"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Continuing medical education and professional revalidation in Europe&#58; five case examples"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "H&#46; Maisonneuve"
                            1 => "Y&#46; Matillon"
                            2 => "A&#46; Negri"
                            3 => "L&#46; Pallares"
                            4 => "R&#46; Vigneri"
                            5 => "H&#46;L&#46; Young"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/chp.20007"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Contin Educ Health Prof"
                        "fecha" => "2009"
                        "volumen" => "29"
                        "paginaInicial" => "58"
                        "paginaFinal" => "62"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19288575"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib0160"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Fras Z&#44; Destrebecq F&#44; Creplet C&#44; Welling C&#46; Survey of European CME&#47;CPD&#46; Continuing Medical Education and Professional Development&#46; Brussels&#58; European Union of Medicine Specialists &#40;UEMS&#41;&#59; 2008&#46; <a class="elsevierStyleInterRef" href="http://www.uems.net/">http&#58;&#47;&#47;www&#46;uems&#46;net&#47;</a> &#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib0165"
              "etiqueta" => "33"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Continuing medical education in six European countries&#58; a comparative analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46; Garattini"
                            1 => "S&#46; Gritti"
                            2 => "P&#46; De Compadri"
                            3 => "G&#46; Casadei"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.healthpol.2009.09.017"
                      "Revista" => array:6 [
                        "tituloSerie" => "Health Policy"
                        "fecha" => "2010"
                        "volumen" => "94"
                        "paginaInicial" => "246"
                        "paginaFinal" => "254"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19913324"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib0170"
              "etiqueta" => "34"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Desbois EJ&#44; Pardell H&#44; Negri A&#44; Kellner T&#44; Posel P&#44; Kleinoeder T&#44; Maillet B&#44; Maisonneuve H&#46; Continuing medical education in Europe&#58; evolution or revolution&#44; 2010&#46; <a class="elsevierStyleInterRef" href="http://www%20.continuingmedicaleducation-europe.com/">http&#58;&#47;&#47;www &#46;continuingmedicaleducation-europe&#46;com&#47;</a> &#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib0175"
              "etiqueta" => "35"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Organisme Gestionnaire Conventionnel&#46; Rapport d&#8217;activite¿ FPC &#40;Formation professionnelle conventionnelle&#41; 2009&#59;10-11&#46;"
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib0180"
              "etiqueta" => "36"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Royal College of Physicians&#46; &#40;RCP&#41;&#46; Innovating for health&#58; patient&#44; physicians&#44; the pharmaceutical industry and the NHS&#46; Report of a Working Party&#44; 2009&#46; <a class="elsevierStyleInterRef" href="http://www.rcplondon.ac.uk/pubs/contents/76673804-76c5-4ab3-89a0-92d44e45edc3.pdf">http&#58;&#47;&#47;www&#46;rcplondon&#46;ac&#46;uk&#47;pubs&#47;contents&#47;76673804-76c5-4ab3-89a0-92d44e45edc3&#46;pdf</a>&#46;"
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib0185"
              "etiqueta" => "37"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Netherlands Federation of University Medical Centres&#46; Collective agreement for University Medical Centres&#44; 1 January 2008-1 March 2011&#46; NFU-083083&#44; article 15&#46;9&#46;1&#46; <a class="elsevierStyleInterRef" href="http://www.nfu.nl/fileadmin/documents/Werkg-NFU20083083-OFF-ENG-CAOv081016.pdf">http&#58;&#47;&#47;www&#46;nfu&#46;nl&#47;fileadmin&#47;documents&#47;Werkg-NFU20083083-OFF-ENG-CAOv081016&#46;pdf</a>&#46;"
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib0190"
              "etiqueta" => "38"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Accreditation Council for Continuing Medical Education &#40;ACCME&#41;&#46; Annual Report Data 2008&#46; <a class="elsevierStyleInterRef" href="http://www.accme.org/dir_docs/doc_upload/1f8dc476-246a-4e8e-91d3d24ff2f5bfec_uploaddocument.pdf">http&#58;&#47;&#47;www&#46;accme&#46;org&#47;dir&#95;docs&#47;doc&#95;upload&#47;1f8dc476-246a-4e8e-91d3d24ff2f5bfec&#95;uploaddocument&#46;pdf</a>&#46;"
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib0195"
              "etiqueta" => "39"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "American Heart Association&#46; AHA annual report 2009&#46; <a class="elsevierStyleInterRef" href="http://www.nxtbook.com/tristar/tristar/aha_annualreport09/index.php%23/30">http&#58;&#47;&#47;www&#46;nxtbook&#46;com&#47;tristar&#47;tristar&#47;aha&#95;annualreport09&#47;index&#46;php&#35;&#47;30</a> &#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "40"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Camilleri M&#44; Parke DW 2nd&#46; Perspective&#58; conflict of interest and professional organizations&#58; considerations and recommendations&#46; Acad Med 2010&#59;85&#58; 85-91&#46;"
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib0205"
              "etiqueta" => "41"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Criteria for international accreditation of CME&#46; European Union of Medical Specialists&#44; 2007&#46; <a class="elsevierStyleInterRef" href="http://admin.uems.net/uploadedfiles/1411.pdf">http&#58;&#47;&#47;admin&#46;uems&#46;net&#47;uploadedfiles&#47;1411&#46;pdf</a>&#46;"
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib0210"
              "etiqueta" => "42"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Fletcher S&#46; Pharma and CME&#58; view from the US&#46; BMJ 2008&#59; 337&#58;a1023&#46;"
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib0215"
              "etiqueta" => "43"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Changing physician performance&#58; a systematic review of the effect of continuing medical education strategies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;A&#46; Davis"
                            1 => "M&#46;A&#46; Thompson"
                            2 => "A&#46;D&#46; Oxman"
                            3 => "B&#46; Haynes"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1995"
                        "volumen" => "274"
                        "paginaInicial" => "700"
                        "paginaFinal" => "705"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7650822"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib0220"
              "etiqueta" => "44"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of formal continuing medical education Do conferences&#44; workshops&#44; rounds&#44; and other traditional continuing education activities change physician behavior or health care outcomes&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46; Davis"
                            1 => "M&#46;A&#46;T&#46; O&#8217;Brien"
                            2 => "N&#46; Freemantle"
                            3 => "F&#46;M&#46; Wolf"
                            4 => "P&#46; Mazmanian"
                            5 => "A&#46; Taylor-Vaisey"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "1999"
                        "volumen" => "282"
                        "paginaInicial" => "867"
                        "paginaFinal" => "874"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10478694"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib0225"
              "etiqueta" => "45"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Medical education&#58; educational strategies to promote clinical diagnostic reasoning"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Bowen Judith"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMra054782"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2006"
                        "volumen" => "355"
                        "paginaInicial" => "2217"
                        "paginaFinal" => "2225"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17124019"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib0230"
              "etiqueta" => "46"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Kahn N&#46; Industry support and professional medical associations&#8212;letter to the editor&#46; JAMA 2009&#59;302&#58;737&#46;"
                ]
              ]
            ]
            46 => array:3 [
              "identificador" => "bib0235"
              "etiqueta" => "47"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Smith CD&#44; Buyske J&#44; Talamini MA&#46; Industry support and professional medical associations&#8212;letter to the editor&#46; JAMA 2009&#59;302&#58;738-739&#46;"
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib0240"
              "etiqueta" => "48"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Part 1&#58; individual physicians"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;L&#46; Coyle"
                            1 => "relations&#46; Physician-industry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "2002"
                        "volumen" => "136"
                        "paginaInicial" => "396"
                        "paginaFinal" => "402"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11874314"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib0245"
              "etiqueta" => "49"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Part 2&#58; organizational issues"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;L&#46; Coyle"
                            1 => "relations&#46; Physician-industry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "2002"
                        "volumen" => "136"
                        "paginaInicial" => "403"
                        "paginaFinal" => "406"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11874315"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            49 => array:3 [
              "identificador" => "bib0250"
              "etiqueta" => "50"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "European Medicines Agency &#40;EMA&#41;&#46; Policy on the Handling of Conflicts of Interests of Management Board and Scientific Committee Members and EMEA Experts&#46; London&#58; EMA&#59; 2006&#46; <a class="elsevierStyleInterRef" href="http://www.ema.europa.eu/pdfs/general/direct/conflicts/3165303en.pdf">http&#58;&#47;&#47;www&#46;ema&#46;europa&#46;eu&#47;pdfs&#47;general&#47;direct&#47;conflicts&#47;3165303en&#46;pdf</a>&#46;"
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib0255"
              "etiqueta" => "51"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Improving the use of research evidence in guideline development&#58; 4&#46; Managing conflicts of interest"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46;A&#46; Boyd"
                            1 => "L&#46;A&#46; Bero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/1478-4505-4-16"
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Res Policy Syst"
                        "fecha" => "2006"
                        "volumen" => "4"
                        "paginaInicial" => "16"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17140441"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            51 => array:3 [
              "identificador" => "bib0260"
              "etiqueta" => "52"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Schu¿nemann H&#46; The vexing problem of guidelines and conflict of interest&#58; a potential solution"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:9 [
                            0 => "G&#46; Guyatt"
                            1 => "E&#46;A&#46; Akl"
                            2 => "J&#46; Hirsh"
                            3 => "C&#46; Kearon"
                            4 => "M&#46; Crowther"
                            5 => "D&#46; Gutterman"
                            6 => "S&#46;Z&#46; Lewis"
                            7 => "I&#46; Nathanson"
                            8 => "R&#46; Jaeschke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.7326/0003-4819-152-11-201006010-00254"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "2010"
                        "volumen" => "152"
                        "paginaInicial" => "738"
                        "paginaFinal" => "741"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20479011"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            52 => array:3 [
              "identificador" => "bib0265"
              "etiqueta" => "53"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Winds of change&#58; growing demands for transparency in the relationship between doctors and the pharmaceutical industry"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46;B&#46; Mitchell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Med J Aust"
                        "fecha" => "2009"
                        "volumen" => "191"
                        "paginaInicial" => "273"
                        "paginaFinal" => "275"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19740050"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            53 => array:3 [
              "identificador" => "bib0270"
              "etiqueta" => "54"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "ATS Ethics and Conflict of Interest Committee and the Documents Development and Implementation Committee An official American Thoracic Society Policy statement&#58; managing conflict of interest in professional societies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:10 [
                            0 => "H&#46;J&#46; Schu¿nemann"
                            1 => "M&#46; Osborne"
                            2 => "J&#46; Moss"
                            3 => "C&#46; Manthous"
                            4 => "G&#46; Wagner"
                            5 => "L&#46; Sicilian"
                            6 => "J&#46; Ohar"
                            7 => "S&#46; McDermott"
                            8 => "L&#46; Lucas"
                            9 => "R&#46; Jaeschke"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/rccm.200901-0126ST"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "2009"
                        "volumen" => "180"
                        "paginaInicial" => "564"
                        "paginaFinal" => "580"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19734351"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            54 => array:3 [
              "identificador" => "bib0275"
              "etiqueta" => "55"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "International Committee of Medical Journal Editors&#46; Ethical Considerations in the Conduct and Reporting of Research&#58; Conflicts of Interest&#46; ICMJE&#59; 2009&#46; <a class="elsevierStyleInterRef" href="http://www.%20icmje.org/ethical_4conflicts.html">http&#58;&#47;&#47;www&#46; icmje&#46;org&#47;ethical&#95;4conflicts&#46;html</a> &#40;20 January 2012&#41;&#46;"
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21742049/0000003100000078/v1_201308021407/S2174204912001195/v1_201308021407/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9930"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Editors&#8217; Network"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003100000078/v1_201308021407/S2174204912001195/v1_201308021407/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204912001195?idApp=UINPBA00004E"
]
Article information
ISSN: 21742049
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 6 5 11
2024 October 36 47 83
2024 September 39 34 73
2024 August 40 38 78
2024 July 30 47 77
2024 June 39 22 61
2024 May 34 25 59
2024 April 20 38 58
2024 March 34 23 57
2024 February 31 30 61
2024 January 27 39 66
2023 December 28 30 58
2023 November 32 32 64
2023 October 17 27 44
2023 September 17 19 36
2023 August 15 22 37
2023 July 23 16 39
2023 June 16 24 40
2023 May 36 40 76
2023 April 12 11 23
2023 March 20 33 53
2023 February 22 36 58
2023 January 16 25 41
2022 December 24 23 47
2022 November 31 36 67
2022 October 29 23 52
2022 September 16 27 43
2022 August 26 41 67
2022 July 26 49 75
2022 June 21 58 79
2022 May 19 64 83
2022 April 24 26 50
2022 March 24 48 72
2022 February 19 33 52
2022 January 26 26 52
2021 December 18 23 41
2021 November 32 43 75
2021 October 34 41 75
2021 September 15 41 56
2021 August 25 35 60
2021 July 19 29 48
2021 June 12 38 50
2021 May 32 57 89
2021 April 20 44 64
2021 March 34 21 55
2021 February 37 24 61
2021 January 22 26 48
2020 December 32 19 51
2020 November 13 30 43
2020 October 15 22 37
2020 September 36 14 50
2020 August 16 19 35
2020 July 28 20 48
2020 June 23 15 38
2020 May 21 18 39
2020 April 17 28 45
2020 March 20 14 34
2020 February 16 29 45
2020 January 16 9 25
2019 December 11 9 20
2019 November 12 12 24
2019 October 17 4 21
2019 September 21 6 27
2019 August 10 9 19
2019 July 20 19 39
2019 June 24 6 30
2019 May 27 10 37
2019 April 17 15 32
2019 March 33 21 54
2019 February 33 12 45
2019 January 37 12 49
2018 December 26 16 42
2018 November 66 28 94
2018 October 96 43 139
2018 September 31 15 46
2018 August 33 14 47
2018 July 14 12 26
2018 June 14 8 22
2018 May 29 10 39
2018 April 20 9 29
2018 March 23 3 26
2018 February 17 34 51
2018 January 25 6 31
2017 December 45 5 50
2017 November 20 14 34
2017 October 31 10 41
2017 September 27 14 41
2017 August 26 20 46
2017 July 20 14 34
2017 June 27 14 41
2017 May 25 10 35
2017 April 26 4 30
2017 March 43 5 48
2017 February 41 6 47
2017 January 25 5 30
2016 December 25 18 43
2016 November 33 9 42
2016 October 43 5 48
2016 September 43 3 46
2016 August 12 4 16
2016 July 22 3 25
2016 June 12 1 13
2016 May 16 3 19
2016 April 19 9 28
2016 March 19 13 32
2016 February 18 13 31
2016 January 17 9 26
2015 December 20 11 31
2015 November 16 3 19
2015 October 19 3 22
2015 September 20 4 24
2015 August 16 3 19
2015 July 15 8 23
2015 June 15 2 17
2015 May 13 16 29
2015 April 20 10 30
2015 March 14 1 15
2015 February 12 2 14
2015 January 19 3 22
2014 December 20 11 31
2014 November 15 5 20
2014 October 27 3 30
2014 September 25 5 30
2014 August 21 5 26
2014 July 22 2 24
2014 June 19 3 22
2014 May 9 2 11
2014 April 32 4 36
2014 March 54 10 64
2014 February 51 5 56
2014 January 59 7 66
2013 December 35 8 43
2013 November 41 9 50
2013 October 34 10 44
2013 September 26 13 39
2013 August 54 13 67
2013 July 78 19 97
2013 June 29 8 37
2013 May 54 11 65
2013 April 46 18 64
2013 March 22 6 28
2013 February 44 18 62
2013 January 49 14 63
2012 December 37 10 47
2012 November 14 4 18
2012 October 7 2 9
2012 September 8 5 13
Show all

Follow this link to access the full text of the article

Idiomas
Revista Portuguesa de Cardiologia (English edition)
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

By checking that you are a health professional, you are stating that you are aware and accept that the Portuguese Journal of Cardiology (RPC) is the Data Controller that processes the personal information of users of its website, with its registered office at Campo Grande, n.º 28, 13.º, 1700-093 Lisbon, telephone 217 970 685 and 217 817 630, fax 217 931 095, and email revista@spc.pt. I declare for all purposes that the information provided herein is accurate and correct.