704 research outputs found

    Marcos de Gobernanza Transnacional para la Innovación Sostenible: El Caso de la Bioeconomía Azul en el Mediterráneo

    Get PDF
    [EN] Recent developments in innovation policy have challenged the initial assumptions of Smart Specialisation Strategies (S3), initially aimed at promoting innovation for regional growth. In response to the United Nations Agenda 2030 Sustainable Development Goals (SDGs), the new S3 seeks to address social and sustainable development challenges. The present study sets out to propose an extension of one of these reformed S3 approaches to a multilevel governance setting. The study will propose a governance model suitable to support innovation in the blue bioeconomy those economic activities related to the living resources at sea , in the Mediterranean.[ES] Desarrollos recientes en las políticas de innovación ponen en entredicho las premisas originales de las Estrategias de Especialización Inteligente (S3), inicialmente dirigidas a apoyar la innovación para el crecimiento económico regional. En respuesta a los Objetivos de Desarrollo Sostenible (ODS) de la Agenda 2030 de Naciones Unidas, las nuevas S3 buscan atacar retos de desarrollo sostenible y social. El presente estudio propone la extensión de una de estas nuevas S3 a un entorno de gobernanza multinivel, avanzando un modelo de gobernanza que apoye innovación en la bioeconomía azul actividades económicas relacionadas con recursos marinos vivos , en el Mediterráneo.Los autores agradecen el apoyo de Xavier Díaz (CREDA-UPC-IRTA) en la recolección de datos. Asimismo, agradecen los comentarios de los asistentes en el XIII Congreso de Economía Agroalimentaria y de los revisores anónimos de la revista. Por último, agradecen el apoyo prestado por el área de promoción económica del Gobierno catalán, en el marco del proyecto Interreg MED Blue Bio Med (https://blue-bio-med. interreg-med.eu/). Esto proyecto ha sido financiado parcialmente el Fondo Europeo de Desarrollo Regional (FEDER), dentro del proyecto Blue Bio Med.Fernández-Guerrero, D.; Palazzolo-Henkes, R.; Alba, MF.; Ramírez-Rodríguez, S.; Reig-Puig, L. (2022). Transnational Governance Frameworks for Sustainable Innovation: The Case Of The Blue Bioeconomy In The Mediterranean. Economía Agraria y Recursos Naturales - Agricultural and Resource Economics. 22(2):73-96. https://doi.org/10.7201/earn.2022.02.04739622

    Contralateral prophylactic mastectomy: What should not be forgotten to improve communication between clinicians and patients!

    Get PDF
    The rationale for CPM in a patient who has had breast cancer is to reduce the risk of contralateral breast cancer (CBC) and possibly improve survival and quality of life. Other reasons for undergoing a CPM include relative ease of follow-up, reduction of anxiety for occurrence of a second breast cancer, and desire for symmetry that can be achieved with bilateral mastectomies and reconstruction

    Penile cancer metastasizing to the breast: a case report

    Get PDF
    BACKGROUND: Penile cancer is a relatively uncommon cancer in developed nations. Metastatic disease is rare, but lymphatic or vascular spreading has been previously reported to the liver, lungs, bones, brain, heart and skin. CASE PRESENTATION: We report a case of a 49-year-old white man with a penile squamous cell carcinoma previously treated with partial penectomy and bilateral inguinal lymph node dissection, followed by adjuvant therapy. Three years after treatment, the primitive neoplasm metastasized to the breast, presenting as a painful lump. Differentials of a secondary versus a malignant primary tumor were considered and in view of a diagnostic dilemma the lesion was excised. CONCLUSIONS: This case is unusual in its site of metastatic progression as well as in its pattern of clinical presentation. Awareness of such a condition by physicians is mandatory in order to make an early diagnosis and start prompt and correct therapeutic planning
    • …
    corecore