11 research outputs found
Spatial and temporal variability of discards indicators and fishery factors affecting otter-trawl fishery in the spanish Mediterranean sea
A set of diversity indices were studied from data of observers on board two Mediterranean trawlers from 2001 to 2009. These diversity indices comprise relationships between total catch, landing and discard fractions to explore the accuracy of the estimates and to analyse the series trends using different methods, such as ARIMA. The hypothesis tested was that diversity indicators give a good representation of the changes produced in impacted bottomâtrawl areas, providing a reasonable fit of the data. ARIMA models are useful because they handle time-correlated modelling and forecasting. These techniques can also reveal changes in total catch as well changes in catch composition, probably induced by changes in effort fishery, seasonal (time) fluctuations, and environmental or climatic processes. Contrasted trends were also compared with survey data by MEDITS Mediterranean trawl survey timeâseries indicator
Congreso Internacional de Responsabilidad Social Apuestas para el desarrollo regional.
Congreso Internacional de Responsabilidad Social: apuestas para el desarrollo regional [EdiciĂłn 1 / Nov. 6 - 7: 2019 BogotĂĄ D.C.]El Congreso Internacional de Responsabilidad Social âApuestas para el Desarrollo Regionalâ, se llevĂł a cabo los dĂas 6 y 7 de noviembre de 2019 en la ciudad de BogotĂĄ D.C. como un evento acadĂ©mico e investigativo liderado por la CorporaciĂłn Universitaria Minuto de Dios -UNIMINUTO â RectorĂa Cundinamarca cuya pretensiĂłn fue el fomento de nuevos paradigmas, la divulgaciĂłn de conocimiento renovado en torno a la Responsabilidad Social; finalidad adoptada institucionalmente como postura Ă©tica y polĂtica que impacta la docencia, la investigaciĂłn y la proyecciĂłn social, y cuyo propĂłsito central es la promociĂłn de una âsensibilizaciĂłn consciente y crĂtica ante las situaciones problemĂĄticas, tanto de las comunidades como del paĂs, al igual que la adquisiciĂłn de unas competencias orientadas a la promociĂłn y al compromiso con el desarrollo humano y social integralâ. (UNIMINUTO, 2014).
Dicha postura, de conciencia crĂtica y sensibilizaciĂłn social, sumada a la experiencia adquirida mediante el trabajo articulado con otras instituciones de Ăndole acadĂ©mico y de forma directa con las comunidades, permitiĂł establecer como objetivo central del evento la reflexiĂłn de los diferentes grupos de interĂ©s, la gestiĂłn de sus impactos como elementos puntuales que contribuyeron en la audiencia a la toma de conciencia frente al papel que se debe asumir a favor de la responsabilidad social como aporte seguro al desarrollo regional y a su vez al fortalecimiento de los Objetivos de Desarrollo Sostenible
Congreso Internacional de Responsabilidad Social Apuestas para el desarrollo regional.
Congreso Internacional de Responsabilidad Social: apuestas para el desarrollo regional [EdiciĂłn 1 / Nov. 6 - 7: 2019 BogotĂĄ D.C.]El Congreso Internacional de Responsabilidad Social âApuestas para el Desarrollo Regionalâ, se llevĂł a cabo los dĂas 6 y 7 de noviembre de 2019 en la ciudad de BogotĂĄ D.C. como un evento acadĂ©mico e investigativo liderado por la CorporaciĂłn Universitaria Minuto de Dios -UNIMINUTO â RectorĂa Cundinamarca cuya pretensiĂłn fue el fomento de nuevos paradigmas, la divulgaciĂłn de conocimiento renovado en torno a la Responsabilidad Social; finalidad adoptada institucionalmente como postura Ă©tica y polĂtica que impacta la docencia, la investigaciĂłn y la proyecciĂłn social, y cuyo propĂłsito central es la promociĂłn de una âsensibilizaciĂłn consciente y crĂtica ante las situaciones problemĂĄticas, tanto de las comunidades como del paĂs, al igual que la adquisiciĂłn de unas competencias orientadas a la promociĂłn y al compromiso con el desarrollo humano y social integralâ. (UNIMINUTO, 2014).
Dicha postura, de conciencia crĂtica y sensibilizaciĂłn social, sumada a la experiencia adquirida mediante el trabajo articulado con otras instituciones de Ăndole acadĂ©mico y de forma directa con las comunidades, permitiĂł establecer como objetivo central del evento la reflexiĂłn de los diferentes grupos de interĂ©s, la gestiĂłn de sus impactos como elementos puntuales que contribuyeron en la audiencia a la toma de conciencia frente al papel que se debe asumir a favor de la responsabilidad social como aporte seguro al desarrollo regional y a su vez al fortalecimiento de los Objetivos de Desarrollo Sostenible
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and lowâmiddle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of âsingle-useâ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for lowâmiddle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both highâ and lowâmiddleâincome countries
Quadricuspid Pulmonic Valve, Pulmonary Artery Aneurysm, and Apical Hypertrophic Cardiomyopathy: A Rare Combination.
Tu1688 Serum Concentration of Estrogen Is Associated With Inflammatory Bowel Disease Activity
Diversity indixes as fishery impact indicators off Alboran and Balearic trawl Fisheries (Spanish Mediterranean Sea)
Quality of life, satisfaction and outcomes after ministernotomy versus full sternotomy isolated aortic valve replacement (QUALITY-AVR): study protocol for a randomised controlled trial
Abstract Background During the last decade, the use of ministernotomy in cardiac surgery has increased. Quality of life and patient satisfaction after ministernotomy have never been compared to conventional full sternotomy in randomised trials. The aim of the study is to determine if this minimally invasive approach improves quality of life, satisfaction and clinical morbimortality outcomes. Methods/design The QUALITY-AVR trial is a single-blind, single-centre, independent, and pragmatic randomised clinical trial comparing ministernotomy (âJâ shaped upper hemisternotomy toward right 4th intercostal space) to full sternotomy in patients with isolated severe aortic stenosis scheduled for elective aortic valve replacement. One hundred patients will be randomised in a 1:1 computational fashion. Sample size was determined for the primary end point with alpha error of 0.05 and with power of 90% in detecting differences between intervention groups of â„â0.10 points in change from baseline quality of life Questionnaire EuroQOL-index (EQ-5D-5Â LÂź), measured at 1, 6 or 12Â months. Secondary endpoints are: the differences in change from other baseline EQ-5D-5Â LÂź utilities (visual analogue scale, Health Index and Severity Index), cardiac surgery specific satisfaction questionnaire (SATISCOREÂź), a combined safety endpoint of four major adverse complications at 1Â month (all-cause mortality, acute myocardial infarction, neurologic events and acute renal failure), bleeding through drains within the first 24Â h, intubation time, postoperative hospital and intensive care unit length of stay, transfusion needs during the first 72Â h and 1-year survival rates. Clinical follow up is scheduled at baseline, 1, 6, and 12Â months after randomization. All clinical outcomes are recorded following the Valve Academic Research Consortium 2 criteria. Discussion The QUALITY-AVR trial aims to test the hypothesis that ministernotomy improves quality of life, satisfaction and clinical outcomes in patients referred for isolated aortic valve replacement. Statistically significant differences favouring ministernotomy could modify the surgical âgold standardâ for aortic stenosis surgery, and subsequently the need to change the control group in transcatheter aortic valve implantation trials. Recruitment started on 18 March 2016. In November 2017, 75 patients were enrolled. Trial registration ClinicalTrials.gov, NCT02726087. Registered on 13 March 2016
Additional file 1: of Quality of life, satisfaction and outcomes after ministernotomy versus full sternotomy isolated aortic valve replacement (QUALITY-AVR): study protocol for a randomised controlled trial
SPIRIT 2013 checklist: Recommended items to address in a clinical trial protocol and related documents. (DOCX 52Â kb