Los conflictos socioambientales y la construcción de alternativas: experiencias de agricultura periurbana en el sur de la zona metropolitana de Guadalajara, Jalisco, México

El crecimiento desordenado de la zona metropolitana de Guadalajara, Jalisco, México, ha ocasionado una serie de conflictos socioambientales que impactan los recursos naturales y la calidad de vida de los habitantes del entorno periurbano. Ante ello, diversos actores locales se han orientado a construir alternativas a estos conflictos y allí es crucial el papel de la agricultura familiar periurbana, sustentable y multifuncional. En este trabajo se da cuenta de la experiencia del Instituto Tecnológico y de Estudios Superiores de Occidente, que lleva a cabo en la región un proyecto de acompañamiento e investigación participativa, donde se ha formado a los agricultores locales en la transición hacia agriculturas más sustentables, con el que se han demostrado las experiencias de agricultura periurbana, su viabilidad y sus aportaciones a la sustentabilidad regional, y se ha favorecido la articulación de los actores locales con organizaciones regionales y nacionales. Estos procesos se realizan en un tejido social fuerte que es la base para la construcción de alternativas a los conflictos socioambientales. The disordered sprawl of Guadalajara, Jalisco, Mexico has caused a number of environmental conflicts that impact the environment and quality of life of the residents of the suburban surroundings. In response, diverse local actors have focused on building alternatives to these conflicts where it is crucial the role of peri-urban, sustainable and multifunctional family agriculture. The Western Institute of Technology and Higher Education, holds in the region a project of accompaniment and participatory research, which has qualified local farmers in the transition to more sustainable agriculture and demonstrate the feasibility of the experiences of periurban agriculture and their contributions to regional sustainability, finally it has favored the articulation of local regional and national actors. These processes get done inside a strong social network which is the base to the construction of alternatives to socioenvironmental conflicts

Los conflictos socioambientales y la construcción de alternativas: experiencias de agricultura periurbana en el sur de la zona metropolitana de Guadalajara, Jalisco, México

El crecimiento desordenado de la zona metropolitana de Guadalajara, Jalisco, México, ha ocasionado una serie de conflictos socioambientales que impactan los recursos naturales y la calidad de vida de los habitantes del entorno periurbano. Ante ello, diversos actores locales se han orientado a construir alternativas a estos conflictos y allí es crucial el papel de la agricultura familiar periurbana, sustentable y multifuncional. En este trabajo se da cuenta de la experiencia del Instituto Tecnológico y de Estudios Superiores de Occidente, que lleva a cabo en la región un proyecto de acompañamiento e investigación participativa, donde se ha formado a los agricultores locales en la transición hacia agriculturas más sustentables, con el que se han demostrado las experiencias de agricultura periurbana, su viabilidad y sus aportaciones a la sustentabilidad regional, y se ha favorecido la articulación de los actores locales con organizaciones regionales y nacionales. Estos procesos se realizan en un tejido social fuerte que es la base para la construcción de alternativas a los conflictos socioambientales. The disordered sprawl of Guadalajara, Jalisco, Mexico has caused a number of environmental conflicts that impact the environment and quality of life of the residents of the suburban surroundings. In response, diverse local actors have focused on building alternatives to these conflicts where it is crucial the role of peri-urban, sustainable and multifunctional family agriculture. The Western Institute of Technology and Higher Education, holds in the region a project of accompaniment and participatory research, which has qualified local farmers in the transition to more sustainable agriculture and demonstrate the feasibility of the experiences of periurban agriculture and their contributions to regional sustainability, finally it has favored the articulation of local regional and national actors. These processes get done inside a strong social network which is the base to the construction of alternatives to socioenvironmental conflicts

Effectiveness of new tools to define an up-to-date patient safety risk map: A primary care study protocol

Background: Reducing incidents related to health care interventions to improve patient safety is a health policy priority. To strengthen a culture of safety, reporting incidents is essential. This study aims to define a patient safety risk map using the description and analysis of incidents within a primary care region with a prior patient safety improvement strategy organisationally developed and promoted. Methods: The study will be conducted in two phases: (1) a cross-sectional descriptive observational study to describe reported incidents; and (2) a quasi-experimental study to compare reported incidents. The study will take place in the Camp de Tarragona Primary Care Management (Catalan Institute of Health). In Phase 1, all reactive notifications collected within one year (2018) will be analysed; during Phase 2, all proactive notifications of the second and third weeks of June 2019 will be analysed. Adverse events will also be assessed. Phases 1 and 2 will use a digital platform and the proactive tool proSP to notify and analyse incidents related to patient safety. Expected Results: To obtain an up-to-date, primary care patient safety risk map to prioritise strategies that result in safer practices. © 2021 by the authors. Licensee MDPI, Basel, Switzerland

Evolution of the use of corticosteroids for the treatment of hospitalised COVID-19 patients in Spain between March and November 2020: SEMI-COVID national registry

Objectives: Since the results of the RECOVERY trial, WHO recommendations about the use of corticosteroids (CTs) in COVID-19 have changed. The aim of the study is to analyse the evolutive use of CTs in Spain during the pandemic to assess the potential influence of new recommendations. Material and methods: A retrospective, descriptive, and observational study was conducted on adults hospitalised due to COVID-19 in Spain who were included in the SEMI-COVID- 19 Registry from March to November 2020. Results: CTs were used in 6053 (36.21%) of the included patients. The patients were older (mean (SD)) (69.6 (14.6) vs. 66.0 (16.8) years; p < 0.001), with hypertension (57.0% vs. 47.7%; p < 0.001), obesity (26.4% vs. 19.3%; p < 0.0001), and multimorbidity prevalence (20.6% vs. 16.1%; p < 0.001). These patients had higher values (mean (95% CI)) of C-reactive protein (CRP) (86 (32.7-160) vs. 49.3 (16-109) mg/dL; p < 0.001), ferritin (791 (393-1534) vs. 470 (236- 996) µg/dL; p < 0.001), D dimer (750 (430-1400) vs. 617 (345-1180) µg/dL; p < 0.001), and lower Sp02/Fi02 (266 (91.1) vs. 301 (101); p < 0.001). Since June 2020, there was an increment in the use of CTs (March vs. September; p < 0.001). Overall, 20% did not receive steroids, and 40% received less than 200 mg accumulated prednisone equivalent dose (APED). Severe patients are treated with higher doses. The mortality benefit was observed in patients with oxygen saturation </=90%. Conclusions: Patients with greater comorbidity, severity, and inflammatory markers were those treated with CTs. In severe patients, there is a trend towards the use of higher doses. The mortality benefit was observed in patients with oxygen saturation </=90%

Erratum to: 36th International Symposium on Intensive Care and Emergency Medicine

[This corrects the article DOI: 10.1186/s13054-016-1208-6.]

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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The management of acute venous thromboembolism in clinical practice. Results from the European PREFER in VTE Registry

Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in Europe. Data from real-world registries are necessary, as clinical trials do not represent the full spectrum of VTE patients seen in clinical practice. We aimed to document the epidemiology, management and outcomes of VTE using data from a large, observational database. PREFER in VTE was an international, non-interventional disease registry conducted between January 2013 and July 2015 in primary and secondary care across seven European countries. Consecutive patients with acute VTE were documented and followed up over 12 months. PREFER in VTE included 3,455 patients with a mean age of 60.8 ± 17.0 years. Overall, 53.0 % were male. The majority of patients were assessed in the hospital setting as inpatients or outpatients (78.5 %). The diagnosis was deep-vein thrombosis (DVT) in 59.5 % and pulmonary embolism (PE) in 40.5 %. The most common comorbidities were the various types of cardiovascular disease (excluding hypertension; 45.5 %), hypertension (42.3 %) and dyslipidaemia (21.1 %). Following the index VTE, a large proportion of patients received initial therapy with heparin (73.2 %), almost half received a vitamin K antagonist (48.7 %) and nearly a quarter received a DOAC (24.5 %). Almost a quarter of all presentations were for recurrent VTE, with &gt;80 % of previous episodes having occurred more than 12 months prior to baseline. In conclusion, PREFER in VTE has provided contemporary insights into VTE patients and their real-world management, including their baseline characteristics, risk factors, disease history, symptoms and signs, initial therapy and outcomes

Pre-treatment and extraction techniques for recovery of added value compounds from wastes throughout the agri-food chain

The enormous quantity of food wastes discarded annually force to look for alternatives for this interesting feedstock. Thus, food bio-waste valorisation is one of the imperatives of the nowadays society. This review is the most comprehensive overview of currently existing technologies and processes in this field. It tackles classical and innovative physical, physico-chemical and chemical methods of food waste pre-treatment and extraction for recovery of added value compounds and detection by modern technologies and are an outcome of the COST Action EUBIS, TD1203 Food Waste Valorisation for Sustainable Chemicals, Materials and Fuels