Sentido social del hábitat. IV Congreso sobre Arquitectura y Cooperación al Desarrollo: libro de resúmenes

Resúmenes del IV Congreso sobre Arquitectura y Cooperación al Desarrollo, celebrado los días 29 y 30 de septiembre de 2016 en A Coruña

Demos, moneda social virtual con renta básica

El modelo de monedas únicas de curso legal vinculado a las dinámicas de los mercados internacionales ha configurado un sistema muy competente a escala global, que sin embargo pone en evidencia grandes contradicciones (escasez económica, deuda, escaso valor social) cuando se aplica en ámbitos locales. En la actualidad, el poder de emisión de moneda legal lo tienen los bancos centrales, y su sistema de funcionamiento se define mediante una lógica especulativa y acumulativa, centrada en la aplicación de intereses al dinero. Ponerle un valor al dinero es contradictorio en sí mismo, ya que esto genera numerosas perversiones y disfuncionalidades, como la paradoja de aspirar a un crecimiento ilimitado en un planeta de recursos finitos, o la acumulación económica amparada bajo la lógica neoliberal. Es dicha acumulación desorbitada del dinero en manos de unos pocos lo que genera un perpetuo estado de escasez que funciona como caldo de cultivo de las crisis que paralizan los sistemas económicos a escala local. Frente a esta situación, y entendiendo que el funcionamiento de la economía global tiene lógicas muy alejadas de la economía real, son numerosas las comunidades locales que están diseñando otros espacios y sistemas que permitan mejorar su calidad de vida y su entorno. Se trata de reivindicar el significado original y transaccional del dinero como simple herramienta de intercambio. Entre dichos sistemas encontramos las monedas sociales, entendidas como ¿un acuerdo dentro de una comunidad de usar algo como como medio de intercambio no especulativo¿ (LIETAER, 2005)

ArCaDia4 : Congreso de Arquitectura y Cooperación al Desarrollo: [libro de ponencias]

La cuarta edición del Congreso sobre Arquitectura y Cooperación al Desarrollo (ArCaDia 4) se celebró en la Escuela Técnica Superior de Arquitectura de la Universidade da Coruña los días 29 y 30 de septiembre de 2016. DOI: https://doi.org/10.17979/spudc.978849749685

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