32 research outputs found

    Methodological approximation to an articulation between risk management, environmental management and land regulation

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    El nuevo escenario territorial generado por el cambio climático y la globalización económica ha aumentado la vulnerabilidad de la población a sufrir eventos asociados a riesgos naturales. El Ordenamiento Territorial surge como una herramienta para disminuir la vulnerabilidad, en forma planificada y sustentable con el ambiente. Sin embargo, para que dicha herramienta sea realmente eficaz, es necesario que integre la Gestión del Riesgo y la Gestión Ambiental, definiéndose de esa manera una metodología integradora. Con este fin, se presentan en este artículo dos aproximaciones metodológicas surgidas de la discusión de una comunidad de práctica integrada por académicos de universidades latinoamericanas que han unido sus esfuerzos y experiencias para solucionar un problema común, y que pretende disminuir el riesgo de sus poblaciones a sufrir desastres naturales.The new territorial scenario produced by climate change and economic globalization has made the population more vulnerable to suffer events associated to natural risks. Land Regulation is born as a tool to reduce vulnerability in a planned and environmentally sustainable way. However, in order for this tool to be truly efficient, it is necessary for it to be a part of both Risk Management and Environmental Management, thus defining an integrated methodology. With this aim in mind, this paper presents two methodological approaches born from the discussions of a practical community formed by Latin American university professors who have joined efforts and experiences to solve a common problem and which tries to reduce the risk that their populations run of suffering natural disasters.Departamento de Geografí

    Methodological approximation to an articulation between risk management, environmental management and land regulation

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    El nuevo escenario territorial generado por el cambio climático y la globalización económica ha aumentado la vulnerabilidad de la población a sufrir eventos asociados a riesgos naturales. El Ordenamiento Territorial surge como una herramienta para disminuir la vulnerabilidad, en forma planificada y sustentable con el ambiente. Sin embargo, para que dicha herramienta sea realmente eficaz, es necesario que integre la Gestión del Riesgo y la Gestión Ambiental, definiéndose de esa manera una metodología integradora. Con este fin, se presentan en este artículo dos aproximaciones metodológicas surgidas de la discusión de una comunidad de práctica integrada por académicos de universidades latinoamericanas que han unido sus esfuerzos y experiencias para solucionar un problema común, y que pretende disminuir el riesgo de sus poblaciones a sufrir desastres naturales.The new territorial scenario produced by climate change and economic globalization has made the population more vulnerable to suffer events associated to natural risks. Land Regulation is born as a tool to reduce vulnerability in a planned and environmentally sustainable way. However, in order for this tool to be truly efficient, it is necessary for it to be a part of both Risk Management and Environmental Management, thus defining an integrated methodology. With this aim in mind, this paper presents two methodological approaches born from the discussions of a practical community formed by Latin American university professors who have joined efforts and experiences to solve a common problem and which tries to reduce the risk that their populations run of suffering natural disasters.Departamento de Geografí

    Comparison of the structure of the plasma-facing surface and tritium accumulation in beryllium tiles from JET ILW campaigns 2011-2012 and 2013-2014

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    In this study, beryllium tiles from Joint European Torus (JET) vacuum vessel wall were analysed and compared regarding their position in the vacuum vessel and differences in the exploitation conditions during two campaigns of ITER-Like-Wall (ILW) in 2011–2012 (ILW1) and 2013–2014 (ILW2) Tritium content in beryllium samples were assessed. Two methods were used to measure tritium content in the samples – dissolution under controlled conditions and tritium thermal desorption. Prior to desorption and dissolution experiments, scanning electron microscopy and energy dispersive x-ray spectroscopy were used to study structure and chemical composition of plasma-facing-surfaces of the beryllium samples. Experimental results revealed that tritium content in the samples is in range of 2·1011^{11}–2·1013^{13} tritium atoms per square centimetre of the surface area with its highest content in the samples from the outer wall of the vacuum vessel (up to 1.9·1013^{13} atoms/cm2^{2} in ILW1 campaign and 2.4·1013^{13} atoms/cm2^{2} in ILW2). The lowest content of tritium was found in the upper part of the vacuum vessel (2.0·1012^{12} atoms/cm2^{2} and 2.0·1011^{11} atoms/cm2^{2} in ILW1 and ILW2, respectively). Results obtained from scanning electron microscopy has shown that surface morphology is different within single tile, however if to compare two campaigns main tendencies remains similar

    Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

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    Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

    Assessment of capacity for vascular disease care in Argentina following consensus recommendations.

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    Thesis (Master's)--University of Washington, 2018Background: Cardiovascular disease is the first cause of death in Argentina, accounting for more than 30% of deaths. Despite this significant healthcare burden, capacity assessment for vascular care has not been previously carried out in Argentina. The aim of this study was to perform an assessment of the current capabilities for evaluation and treatment of cardiovascular disease in Buenos Aires, Argentina in order to assist with data-driven recommendations regarding regionalization of care using geographic population assessment. Methods: A survey following the Consensus Recommendations in Vascular Care was administered to medical doctors practicing at hospitals in the Province of Buenos Aires. Population density, catchment area and travel times were calculated using PlanWise and Resource Map software tools. Results: Overall survey response rate was 71 %. Capacity analysis showed that all interzonal hospitals were able to deliver essential vascular care. There was polarization of resources in three geographic areas; naïve coverage analysis showed more than 70% of population lacking access to essential vascular care. Conclusions: Vascular care capability varies between geographic areas with approximately only 30% of the population having access to essential vascular care. The present study provides a novel analysis of vascular care capacities following the Consensus recommendations and geographic evaluation of at risk patients. Thoughtful planning of interventions, including allocation of resources and regionalization of care can yield significant benefit
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