23 research outputs found

    El concepto de Tratado Internacional

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    La utilización de las aguas subterráneas y el Derecho Internacional

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    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    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 low–middle-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 ‘single-use’ 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 low–middle-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 high– and low–middle–income countries

    L'exploitation hydro-électrique du Paraná et l'accord tripartite de 1979

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    Barberis Julio. L'exploitation hydro-électrique du Paraná et l'accord tripartite de 1979. In: Annuaire français de droit international, volume 32, 1986. pp. 779-793

    Les liens juridiques entre l'Etat et son territoire : perspectives théoriques et évolution du droit international

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    Barberis Julio. Les liens juridiques entre l'Etat et son territoire : perspectives théoriques et évolution du droit international. In: Annuaire français de droit international, volume 45, 1999. pp. 132-147

    Le concept de « traité international » et ses limites

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    Barberis Julio. Le concept de « traité international » et ses limites. In: Annuaire français de droit international, volume 30, 1984. pp. 239-270

    Réflexions sur la coutume internationale

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    Barberis Julio. Réflexions sur la coutume internationale. In: Annuaire français de droit international, volume 36, 1990. pp. 9-46

    Le régime juridique international des eaux souterraines

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    Barberis Julio. Le régime juridique international des eaux souterraines. In: Annuaire français de droit international, volume 33, 1987. pp. 129-162

    La utilización de las aguas subterráneas y el Derecho Internacional

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