Peregrinación por San Lázaro: su influencia en la dinámica territorial del pueblo de Rincón -Cuba

Studies of the geography of religion and the geography of religious practices are a pending subject in the Cuban context. The objective of this article is to describe the influence, on the territorial dynamics of the town of Rincón, of the annual pilgrimage to the San Lázaro National Sanctuary. This is a contribution to local actors in their actions on the environment, the economic and socio-cultural activities of said town. To achieve the proposed objective, the following methods and techniques were used: case study, field observation, interview, documentary analysis, cartographic research method, photographic technique, data representation technique, and methodological triangulation. The results obtained support a prospective that will allow decision-makers and residents to assess a group of actions in terms of territorial and environmental planning of the town of Rincón for its further endogenous development that the country needs.Los estudios de la geografía de la religión y la geografía de las prácticas religiosas son una asignatura pendiente en el contexto cubano. El presente artículo tiene como objetivo la descripción de la influencia, en la dinámica territorial del pueblo de Rincón, de la peregrinación anual hasta el Santuario Nacional de San Lázaro. Este es una contribución a los actores locales en su accionar sobre el medioambiente, las actividades económicas y las socioculturales de dicho pueblo. Para el alcance del objetivo propuesto se utilizaron los métodos y técnicas siguientes: estudio de caso, observación de campo, entrevista, análisis documental, método cartográfico de investigación, técnica fotográfica, técnica de representación de datos y triangulación metodológica. Los resultados obtenidos sustentan una prospectiva que permitirá, a decisores y pobladores, valorar un grupo de acciones en materia de ordenamiento territorial y ambiental del pueblo de Rincón para su desarrollo endógeno ulterior que necesita el país

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population