Proposta de definició tipològica de piscines de competició per a esports aquàtics (compatibles amb altres usos)

[ES] Cuando el arquitecto se enfrenta a un proyecto de piscina capaz de albergar competiciones, debería saber qué tipo de competiciones se pretende celebrar. Las Federaciones son los principales entes que deciden la asignación de una instalación como sede de una competición oficial. No es suficiente con que el vaso tenga las dimensiones oficiales, se tienen en cuenta muchos otros aspectos. Actualmente, en la Comunidad Valenciana, existen pocas instalaciones capaces de acoger un Campeonato de España. Por lo que este estudio se va a centrar en piscinas capaces de albergar un Campeonato Autonómico. El estudio se centra en aquellos aspectos en los que puede intervenir el arquitecto. Teniendo en cuenta que, también se ha de proyectar pensado en el uso más habitual de estas instalaciones, que son las actividades acuáticas que se realizan a diario. Sin olvidar nuestra aportación a los Objetivos para el Desarrollo Sostenible, proyectando de manera accesible y sostenible. La finalidad es crear unas fichas donde se proponen diferentes soluciones para los proyectistas, dependiendo del tipo de instalación, y para un ámbito autonómico de competición. Con las necesidades y dimensiones para cada una de ellas. Así como soluciones para la rehabilitación o reutilización de instalaciones existentes, adecuándolas a los nuevos reglamentos y normativas, tanto deportivas como técnicas y de eficiencia energética. Además de estudiar toda la normativa aplicable, será necesario obtener los datos de participación que ha habido en los últimos años, analizar las instalaciones sede de los últimos campeonatos autonómicos, y realizar entrevistas con los personas expertas relacionadas con la organización y gestión de competiciones y actividades acuáticas.[EN] When the architect is faced with a swimming pool project capable of hosting competitions, he should know what kind of competitions it intends to hold. The Federations are the main entities that decide the allocation of an installation as the venue for an official competition. It is not enough that the pool has the official dimensions, many other aspects are taken into account. Currently, in Comunidad Valenciana, there are few installations capable of hosting a National Championship. Therefore, this study will focus on swimming pools capable of hosting a Regional Championship. The study focuses on those aspects in which the architect can intervene. Bearing in mind that the most common use of these facilities, which are the water activities that are carried out on a daily basis, must also be planned. Without forgetting our contribution to the Sustainable Development Goals, projecting in an accessible and sustainable way. The purpose is to create some files where different solutions are proposed for designers, depending on the type of installation, and for a regional area of competition. With the needs and dimensions for each of them. As well as solutions for the rehabilitation or reuse of existing facilities, adapting them to the new regulations and standards, both sports and technical and energy efficiency. In addition to studying all the applicable regulations, it will be necessary to obtain the participation data that has occurred in recent years, analyze the venue facilities of the last regional championships, and conduct interviews with experts related to the organization and management of competitions and aquatic activities.López Blasco, GA. (2022). Propuesta de definición tipológica de piscinas de competición para deportes acuáticos (compatibles con otros usos). Universitat Politècnica de València. http://hdl.handle.net/10251/18944

RECL 197 - 3-Jul-83

Acute flaccid paralysis (AFP) surveillance is key for global polio eradication. It allows detecting poliovirus (PV) reintroductions from endemic countries. This study describes AFP surveillance in Spain from 1998 to 2015. During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. The mean notification rate was 0.58 AFP cases/100,000 population under 15 years old (range: 0.45/100,000-0.78/100,000). Two periods (P) are described: P1 (1998-2006) with the AFP notification rate ranging from 0.66/100,000 to 0.78/100,000, peaking in 2001 (0.84/100,000); and P2 (2007-2015) when the AFP rate ranged from 0.43/100,000 to 0.57/100,000, with the lowest rate in 2009 (0.31/100,000). No poliomyelitis cases were caused by wild PV infections, although two Sabin-like PVs and one imported vaccine-derived PV-2 were detected. Overall, 23 (3.4%) cases met the hot case definition. Most cases were clinically diagnosed with Guillain-Barré syndrome (76.9%; 504/655). The adequate stool collection rate ranged from 33.3% (7/21) to 72.5% (29/40). The annual proportion of AFP cases with non-polio enterovirus findings varied widely across the study period. AFP surveillance with laboratory testing for non-polio enteroviruses must be maintained and enhanced both to monitor polio eradication and to establish sensitive surveillance for prompt detection of other enteroviruses causing serious symptoms.We sincerely thank Odorina Tello, María Victoria Martínez de Aragón and Gloria Trallero for their valuable contributions to the implementation and development of the National Action Plan Aimed at the Achievement of the Certificate of Polio Eradication, and especially for coordinating the Acute Flaccid Paralysis Surveillance System and the Enterovirus Laboratory Networks in Spain.S

Acute flaccid paralysis (AFP) surveillance: challenges and opportunities from 18 years' experience, Spain, 1998 to 2015

Acute flaccid paralysis (AFP) surveillance is key for global polio eradication. It allows detecting poliovirus (PV) reintroductions from endemic countries. This study describes AFP surveillance in Spain from 1998 to 2015. During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. The mean notification rate was 0.58 AFP cases/100,000 population under 15 years old (range: 0.45/100,000-0.78/100,000). Two periods (P) are described: P1 (1998-2006) with the AFP notification rate ranging from 0.66/100,000 to 0.78/100,000, peaking in 2001 (0.84/100,000); and P2 (2007-2015) when the AFP rate ranged from 0.43/100,000 to 0.57/100,000, with the lowest rate in 2009 (0.31/100,000). No poliomyelitis cases were caused by wild PV infections, although two Sabin-like PVs and one imported vaccine-derived PV-2 were detected. Overall, 23 (3.4%) cases met the hot case definition. Most cases were clinically diagnosed with Guillain-Barré syndrome (76.9%; 504/655). The adequate stool collection rate ranged from 33.3% (7/21) to 72.5% (29/40). The annual proportion of AFP cases with non-polio enterovirus findings varied widely across the study period. AFP surveillance with laboratory testing for non-polio enteroviruses must be maintained and enhanced both to monitor polio eradication and to establish sensitive surveillance for prompt detection of other enteroviruses causing serious symptoms

Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study

Objectives Studies have demonstrated high rates of mortality in people with proximal femoral fracture and SARS-CoV-2, but there is limited published data on the factors that influence mortality for clinicians to make informed treatment decisions. This study aims to report the 30-day mortality associated with perioperative infection of patients undergoing surgery for proximal femoral fractures and to examine the factors that influence mortality in a multivariate analysis. Setting Prospective, international, multicentre, observational cohort study. Participants Patients undergoing any operation for a proximal femoral fracture from 1 February to 30 April 2020 and with perioperative SARS-CoV-2 infection (either 7 days prior or 30-day postoperative). Primary outcome 30-day mortality. Multivariate modelling was performed to identify factors associated with 30-day mortality. Results This study reports included 1063 patients from 174 hospitals in 19 countries. Overall 30-day mortality was 29.4% (313/1063). In an adjusted model, 30-day mortality was associated with male gender (OR 2.29, 95% CI 1.68 to 3.13, p80 years (OR 1.60, 95% CI 1.1 to 2.31, p=0.013), preoperative diagnosis of dementia (OR 1.57, 95% CI 1.15 to 2.16, p=0.005), kidney disease (OR 1.73, 95% CI 1.18 to 2.55, p=0.005) and congestive heart failure (OR 1.62, 95% CI 1.06 to 2.48, p=0.025). Mortality at 30 days was lower in patients with a preoperative diagnosis of SARS-CoV-2 (OR 0.6, 95% CI 0.6 (0.42 to 0.85), p=0.004). There was no difference in mortality in patients with an increase to delay in surgery (p=0.220) or type of anaesthetic given (p=0.787). Conclusions Patients undergoing surgery for a proximal femoral fracture with a perioperative infection of SARS-CoV-2 have a high rate of mortality. This study would support the need for providing these patients with individualised medical and anaesthetic care, including medical optimisation before theatre. Careful preoperative counselling is needed for those with a proximal femoral fracture and SARS-CoV-2, especially those in the highest risk groups. Trial registration number NCT0432364