Strangers and sojourners as all our fathers (I Ch 28: 15). Towards a receptive, inclusive and global ecumenism.

Este artículo pretende abordar el tema de la migración y su relación con la religión durante las dos primeras décadas del siglo XXI, en el marco de una teología práctica fundamental. Al utilizar los datos sociológicos como causa básica con el objeto de conocer los cambios y desafíos que están en juego en el mundo actual, nos proyectaremos hacia un análisis teológico de las categorías relacionadas con la migración humana desde una perspectiva bíblica y teológica. Nuestro principal objetivo es reflexionar brevemente sobre los principios que deben moldear una actitud cristiana hacia las diferencias étnicas, sociales y religiosas, teniendo en cuenta los avances de la teología ecuménica y del diálogo interreligioso de las últimas décadas

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