El tratamiento de los medios y su influencia la visibilidad de minorías, discapacitados y adultos mayores

23 páginas.Capítulo incluido en el libro: Escenarios y desafíos de la comunicación y la cultura en el espacio audiovisual iberoamericano. Alexandro Escudero Nahón, Diana Elisa González Calderón (editores). Sevilla, Universidad Internacional de Andalucía, 2017. Págs.: 243-264. Enlace: http://hdl.handle.net/10334/383

Small renal masses in Latin-American population : Characteristics and prognostic factors for survival, recurrence and metastasis - A multi-institutional study from LARCG database

To evaluate demographic, clinical and pathological characteristics of small renal masses (SRM) (≤ 4 cm) in a Latin-American population provided by LARCG (Latin-American Renal Cancer Group) and analyze predictors of survival, recurrence and metastasis. A multi-institutional retrospective cohort study of 1523 patients submitted to surgical treatment for non-metastatic SRM from 1979 to 2016. Comparisons between radical (RN) or partial nephrectomy (PN) and young or elderly patients were performed. Kaplan-Meier curves and log-rank tests estimated 10-year overall survival. Predictors of local recurrence or metastasis were analyzed by a multivariable logistic regression model. PN and RN were performed in 897 (66%) and 461 (34%) patients. A proportional increase of PN cases from 48.5% (1979-2009) to 75% (after 2009) was evidenced. Stratifying by age, elderly patients (≥ 65 years) had better 10-year OS rates when submitted to PN (83.5%), than RN (54.5%), p = 0.044. This disparity was not evidenced in younger patients. On multivariable model, bilaterality, extracapsular extension and ASA (American Society of Anesthesiologists) classification ≥3 were predictors of local recurrence. We did not identify significant predictors for distant metastasis in our series. PN is performed in Latin-America in a similar proportion to developed areas and it has been increasing in the last years. Even in elderly individuals, if good functional status, sufficiently fit to surgery, and favorable tumor characteristics, they should be encouraged to perform PN. Intending to an earlier diagnosis of recurrence or distant metastasis, SRM cases with unfavorable characteristics should have a more rigorous follow-up routine

Escenarios y desafíos de la comunicación y la cultura en el espacio audiovisual iberoamericano

310 páginas (versión pdf)La UNIA, Campus Santa María de La Rábida, fue sede del 12 al 17 de noviembre de 2017 el Curso La comunicación y la cultural en Iberoamérica: 20 años de reflexión y cambios. La educación como futuro. Este curso se impartió de forma paralela al Festival de Cine Iberoamericano de Huelva, España, y ambos eventos forman parte de esta iniciativa educativa. Todas y todos los docentes que impartieron cátedra en este curso egresaron hace 20 años de la Maestría de Comunicación Audiovisual, que se impartía en el Campus de la Rábida de esta misma Universidad. Por lo tanto, este encuentro satisfizo dos objetivos: primero, reflexionar sobre los escenarios y desafíos del espacio audiovisual en Iberoamérica; y segundo, reencontrarnos como una comunidad pluricultural y diversa, donde nuestras diferencias y similitudes conlleva a un ejercicio de hermanamiento. Está claro que la diversidad cultural enriquece a quien la experimenta. Esta es una oportunidad de mirarnos en el espejo y reencontrarnos

Património Industrial Ibero-americano: recentes abordagens

Neste livro, que é um contributo importante para o avanço do conhecimento sobre o Património Industrial no mundo ibero-americano,estão reunidos um conjunto de textos de jovens investigadores que abordam os seguintes temas: a importância de incrementar a ligação entre os testemunhos do património industrial e os recursos documentais para o seu estudo; o desenvolvimento da investigação sobre património industrial na universidade de modo a que se produza uma actualização e normalização das metodologias próprias da arqueologia industrial aplicadas, nomeadamente ao conhecimento e registo activo do património industrial; a importância do trabalho de equipas de carácter multidisciplinar; a necessidade de aplicar critérios rigorosos em relação às práticas de reabilitação do património industrial; o reforço do interesse patrimonial de paisagens, edifícios, instalações e infraestrutura pertencentes aos diferentes processos industriais; e destacar o papel fundamental que os grupos e associações de cidadãos desempenham na defesa e disseminação do património industrial

Characterisation of microbial attack on archaeological bone

As part of an EU funded project to investigate the factors influencing bone preservation in the archaeological record, more than 250 bones from 41 archaeological sites in five countries spanning four climatic regions were studied for diagenetic alteration. Sites were selected to cover a range of environmental conditions and archaeological contexts. Microscopic and physical (mercury intrusion porosimetry) analyses of these bones revealed that the majority (68%) had suffered microbial attack. Furthermore, significant differences were found between animal and human bone in both the state of preservation and the type of microbial attack present. These differences in preservation might result from differences in early taphonomy of the bones. © 2003 Elsevier Science Ltd. All rights reserved

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)