Analizando el sesgo implícito de género en Óptica y Fotónica en la etapa predoctoral en España

Gender biases play a very significant role in areas related to science, technology, engineering, and mathematics (STEM). The association of gender with certain attributes, behaviors or professions leads to a lower proportion of women in STEM. In the field of Optics and Photonics, we can identify a gender disparity between technical or bio-clinical approaches within the same area when examining the authorship of the defended thesis. In this work, we quantify the impact of implicit gender bias in the Ph.D. programs related to Optics and Photonics in Spain. Here we present an exhaustive study about the UNESCO descriptors of the theses defended within 2015-2020 through the open-access repository TESEO, where all the doctoral theses of Spanish universities are compiled. The doctorate program of each thesis is considered and classified into a technical or bio-clinical category. With this classification, we quantify the number of male and female authors within each category, and the results show up a clear unbalance in most of the evaluated descriptors: men are more likely to choose technical doctorate programs, while women are mostly present in clinical or biological programs. This difference is seen even in descriptors where both genders are equally represented. On one side, women’s underrepresentation is higher in “Physics”, “Astronomy and Astrophysics”, “Earth and Space Sciences”, and “Technological Sciences”. Oppositely, the areas of “Chemistry”, “Life Sciences”, and “Medical Sciences” show a greater gender-balanced distribution for most of the descriptors.Los prejuicios de género desempeñan un papel muy importante en áreas relacionadas con la ciencia, la tecnología, la ingeniería y las matemáticas (STEM). La asociación del género con determinados atributos, comportamientos o profesiones conduce a una menor proporción de mujeres en STEM. En el campo de la Óptica y la Fotónica, podemos identificar una disparidad de género entre enfoques técnicos o bioclínicos dentro de la misma área al examinar la autoría de la tesis defendida. En este trabajo, cuantificamos el impacto del sesgo implícito de género en los programas de doctorado relacionados con la Óptica y Fotónica en España. Aquí presentamos un estudio exhaustivo sobre los descriptores UNESCO de las tesis defendidas en el periodo 2015-2020 a través del repositorio de acceso abierto TESEO, donde se recopilan todas las tesis doctorales de las universidades españolas. Se considera el programa de doctorado de cada tesis y se clasifica en una categoría técnica o bioclínica. Con esta clasificación, cuantificamos el número de autores y autoras dentro de cada categoría, y los resultados muestran un claro desequilibrio en la mayoría de los descriptores evaluados: los hombres son más propensos a elegir programas de doctorado técnicos, mientras que las mujeres están mayoritariamente presentes en programas clínicos o biológicos. Esta diferencia se observa incluso en los descriptores en los que ambos sexos están representados por igual. Por un lado, la infrarrepresentación femenina es mayor en "Física", "Astronomía y Astrofísica", "Ciencias de la Tierra y del Espacio" y "Ciencias Tecnológicas". Por el contrario, las áreas de "Química", "Ciencias de la Vida" y "Ciencias Médicas" muestran una distribución más equilibrada entre hombres y mujeres en la mayoría de los descriptores

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)