Editorial

En esta primera década del siglo veintiuno vale la pena recordar hacia donde se debe dirigir la formación de los ingenieros, y al igual que a todos los profesionales, no hay que olvidar que se educa y se entrena a los hombres y mujeres para que sean personas íntegras. Para el caso de los profesionales de la ingeniería para que conduzcan los cambios tecnológicos teniendo en cuenta que deben trabajar en un contexto político

Estudio comparativo de la productividad de pozos horizontales en yacimientos de Black Oil para estado Seudoestable

En este trabajo se presenta un estudio comparativo de la productividad de pozos horizontales en yacimientos de black oil para estado seudoestable, partiendo de la evaluación de las diferentes correlaciones propuestas para el cálculo de la productividad, utilizando un simulador elaborado por los autores que facilitó el cálculo del índice de productividad y validando los datos obtenidos. Para el cálculo de la productividad en el simulador numérico se describe un procedimiento comenzando desde la obtención del tiempo de inicio del estado seudoestable, la generación de la malla PEBI y finalizando con los resultados de la presión de fondo fluyendo (Pwf) necesarios para obtener el índice de productividad. La comparación y posterior análisis de los resultados generados de las correlaciones y el simulador numérico se muestran en tablas y gráficas. La correlación que más se ajusta a los resultados obtenidos en el simulador es la de Joshi, no obstante, a ésta se le realizó un ajuste y se propone una nuevacorrelación la cual ofrece un mejor comportamiento comparado con los resultados del simulador

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 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

O Brasil e o Grão Caribe: fundamentos para uma nova agenda de trabalho Brazil and the Great Caribbean basin: the making of a new agenda

O artigo aborda as relações econômicas, políticas e de segurança internacional vigentes entre o Brasil e os 25 países da bacia do Caribe - México, América Central, Antilhas, Colômbia, Venezuela, Guiana e Suriname, além de uma dezena de territórios coloniais administrados por potências extra-regionais. Constata-se que as relações econômicas são muito intensas, especialmente em termos comerciais e de investimentos produtivos. O diálogo político entre as partes é construtivo, relevante e cada vez mais significativo. No que diz respeito às questões de segurança, vale destacar suas convergências, bem como certas divergências de natureza geopolítica derivadas do projeto brasileiro para a América do Sul. No final do artigo, propõem-se três cenários plausíveis para o futuro das relações entre Brasil e Caribe.<br>The paper explores the economic, political and security relations between Brazil and the 25 Caribbean countries - Mexico, Central America, the Caribbean islands, Colombia, Venezuela, Guiana and Suriname, inasmuch the colonial territories. The text suggest that the economic relations are very intensive. The political dialogue is constructive. In the security field, there are some convergences and divergences derived from the brazilian=s South American project. At the end, the paper consider three reasonable scenarios for the Brazilian-Caribbean relations

Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care