Protocol per a la vigilància i el control de les arbovirosis transmeses per mosquits a Catalunya

Arbovirus; Mosquits; Malalties víriquesArboviruses; Mosquitoes; Viral diseasesArbovirus; Mosquitos; Enfermedades víricasThis protocol aims to provide a guide for the surveillance of the most likely arbovirosis transmitted by mosquito vectors in Catalonia (West Nile virus, dengue and chikungunya), establishing a set of surveillance activities for these diseases and control of the vectors, depending on the risk level of arbovirosisEste protocolo tiene como objetivo ofrecer una guía para la vigilancia de las arbovirosi más probables transmitidas por vectores mosquitos en Cataluña (virus del Nilo Occidental, dengue y chikungunya), estableciendo un conjunto de actividades de vigilancia de estas enfermedades y de control los vectores, según el nivel de riesgo de arbovirosiAquest protocol té com a objectiu oferir una guia per a la vigilància de les arbovirosis més probables transmeses per vectors mosquits a Catalunya (virus del Nil Occidental, dengue i chikungunya), establint un conjunt d’activitats de vigilància d’aquestes malalties i de control dels vectors, segons el nivell de risc d’arbovirosi

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Bottom Trawling and Scallop Dredging in the Arctic : Impacts of fishing on non-target species, vulnerable habitats and cultural heritage

This project has been developed within the frame of the Nordic Action Plan 2000-2004 (Nord 1999:29) to review the status and threats of the natural and cultural heritage in Arctic waters. Two of the most commonly used demersal fishing gears in the Arctic are the otter trawl and the scallop dredge. Detrimental effects of bottom gear towed over the seabed include incidental catch and direct mortality of a wide range of organisms and habitat alteration. Any three-dimensional fragile structures rising above the seabed, such as cold-water corals, sponges, geological formations and archaeological remains are easily destroyed. This report reviews the scallop and shrimp fisheries, the distribution and conservation of vulnerable habitats (coral reefs, sponge communities), the status of archaeological remains on the seabed and relevant legislation and the conservation measures and role of protected areas. In addition there are two case studies based on fisheries and survey data from Iceland and recommendations to improve the current situation

PAT Ciencias: Actividades del Programa de Acción Tutorial de la Facultad de Ciencias – Curso 2016/2017

Desde el PAT de la Facultad de Ciencias de la Universidad de Alicante queremos potenciar las competencias transversales de los estudiantes organizando algunos seminarios-cursos-charlas que les puedan ser de utilidad para su desarrollo como personas. En este sentido, en el presente curso académico organizado un curso de CONTINUA titulado: “Prepara tu Futuro Laboral: Emprendimiento y Búsqueda de Empleo”, especialmente enfocado a nuestros estudiantes de la Facultad de Ciencias de últimos cursos de Grado, con el fin de que les permita tener una serie de herramientas para la búsqueda de empleo y para potenciar el emprendimiento y que les pueda ser de utilidad a la finalización de sus estudios. Por otra parte, este curso académico se ha producido un relevo en los tutores/as PAT de algunas titulaciones que impartimos desde la Facultad de Ciencias. Para ayudarles en su comienzo como tutores/as, se han elaborado una serie de materiales para los nuevos tutores/as PAT

Curso sobre emprendimiento y búsqueda de empleo organizado por el Programa de Acción Tutorial de la Facultad de Ciencias de la Universidad de Alicante

En los últimos cursos, el Programa de Acción Tutorial (PAT) de la Facultad de Ciencias de la Universidad de Alicante se ha centrado en organizar cursos y seminarios que pudieran ser aprovechados por todos sus estudiantes. Cursos sobre técnicas de estudio y organización, planificación de cara a los exámenes, o seminarios sobre movilidad europea y no europea son algunas de las actividades que se realizaron en cursos anteriores. En el presente curso 2016/2017, el curso que se decidió organizar para nuestros estudiantes se tituló “Prepara tu futuro laboral: emprendimiento y búsqueda de empleo,” cuyos objetivos principales fueron presentarles herramientas para la búsqueda de empleo, enseñarles las herramientas sobre emprendimiento y los servicios disponibles que tiene la universidad en el caso que quieran montar una empresa, y las salidas profesionales que tienen las titulaciones de Ciencias. Una vez finalizado el curso, se les pasó a todos los estudiantes asistentes una encuesta de opinión, donde indicaron principalmente cuáles fueron las charlas que les parecieron más interesantes. Las charlas sobre herramientas para la búsqueda de empleo fueron las más valoradas, seguidas de las charlas sobre la investigación cómo salida laboral y la preparación de las oposiciones de secundaria

Effects of scallop dredging on macrobenthic communities in west Iceland

Nordic Council of MinistersVersión del edito

Rivaroxaban or aspirin for patent foramen ovale and embolic stroke of undetermined source: a prespecified subgroup analysis from the NAVIGATE ESUS trial

Background: Patent foramen ovale (PFO) is a contributor to embolic stroke of undetermined source (ESUS). Subgroup analyses from previous studies suggest that anticoagulation could reduce recurrent stroke compared with antiplatelet therapy. We hypothesised that anticoagulant treatment with rivaroxaban, an oral factor Xa inhibitor, would reduce the risk of recurrent ischaemic stroke compared with aspirin among patients with PFO enrolled in the NAVIGATE ESUS trial. Methods: NAVIGATE ESUS was a double-blinded, randomised, phase 3 trial done at 459 centres in 31 countries that assessed the efficacy and safety of rivaroxaban versus aspirin for secondary stroke prevention in patients with ESUS. For this prespecified subgroup analysis, cohorts with and without PFO were defined on the basis of transthoracic echocardiography (TTE) and transoesophageal echocardiography (TOE). The primary efficacy outcome was time to recurrent ischaemic stroke between treatment groups. The primary safety outcome was major bleeding, according to the criteria of the International Society of Thrombosis and Haemostasis. The primary analyses were based on the intention-to-treat population. Additionally, we did a systematic review and random-effects meta-analysis of studies in which patients with cryptogenic stroke and PFO were randomly assigned to receive anticoagulant or antiplatelet therapy. Findings: Between Dec 23, 2014, and Sept 20, 2017, 7213 participants were enrolled and assigned to receive rivaroxaban (n=3609) or aspirin (n=3604). Patients were followed up for a mean of 11 months because of early trial termination. PFO was reported as present in 534 (7·4%) patients on the basis of either TTE or TOE. Patients with PFO assigned to receive aspirin had a recurrent ischaemic stroke rate of 4·8 events per 100 person-years compared with 2·6 events per 100 person-years in those treated with rivaroxaban. Among patients with known PFO, there was insufficient evidence to support a difference in risk of recurrent ischaemic stroke between rivaroxaban and aspirin (hazard ratio [HR] 0·54; 95% CI 0·22–1·36), and the risk was similar for those without known PFO (1·06; 0·84–1·33; pinteraction=0·18). The risks of major bleeding with rivaroxaban versus aspirin were similar in patients with PFO detected (HR 2·05; 95% CI 0·51–8·18) and in those without PFO detected (HR 2·82; 95% CI 1·69–4·70; pinteraction=0·68). The random-effects meta-analysis combined data from NAVIGATE ESUS with data from two previous trials (PICSS and CLOSE) and yielded a summary odds ratio of 0·48 (95% CI 0·24–0·96; p=0·04) for ischaemic stroke in favour of anticoagulation, without evidence of heterogeneity. Interpretation: Among patients with ESUS who have PFO, anticoagulation might reduce the risk of recurrent stroke by about half, although substantial imprecision remains. Dedicated trials of anticoagulation versus antiplatelet therapy or PFO closure, or both, are warranted. Funding: Bayer and Janssen