18 research outputs found

    Estimation of biomass of horse mackerel (Trachurus trachurus L.) in northern-Spain ( Nortbern IXa and VIIIc ) using the daily egg production method.

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    In order to estimate the spawning stock biomass of horse mackerel in the North Atlantic Spanish waters, a series of egg and adult cruises were carried out by lEO (Instituto Español de Oceanografía) and AZTI -SIO (Instituto de Investigación y Tecnología para la Oceanografía, Pesca y Alimentación) . The survey was carried out from 23 April to 25 May 1992. A total of 627 plankton samples and 37 adults samples were collected. A total daily egg production of 3.3 X 1012 egg (SE = 7.26 X 1011 , CV = 0.22) was estimated for the whole area sarnpled (ICES Division Vlllc and subdivision northern IXa north). The estirnate of horse mackerel spawning biornass ranged from 486,549 tons (CV = 0.34, when using adult pararneter estirnates exclusively frorn the Spanish survey, down to 368,814 tn (C = 0.32), when alternatively using an estimate of relative batch fecundity from the southern region of horse rnackerel western stock

    Surgical treatment for colorectal cancer: Analysis of the influence of an enhanced recovery programme on long-term oncological outcomes-a study protocol for a prospective, multicentre, observational cohort study

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    Introduction The evidence currently available from enhanced recovery after surgery (ERAS) programmes concerns their benefits in the immediate postoperative period, but there is still very little evidence as to whether their correct implementation benefits patients in the long term. The working hypothesis here is that, due to the lower response to surgical aggression and lower rates of postoperative complications, ERAS protocols can reduce colorectal cancer-related mortality. The main objective of this study is to analyse the impact of an ERAS programme for colorectal cancer on 5-year survival. As secondary objectives, we propose to analyse the weight of each of the predefined items in the oncological results as well as the quality of life. Methods and analysis A multicentre prospective cohort study was conducted in patients older than 18 years of age who are scheduled to undergo surgery for colorectal cancer. The study involved 12 hospitals with an implemented enhanced recovery protocol according to the guidelines published by the Spanish National Health Service. The intervention group includes patients with a minimum implementation level of 70%, and the control group includes those who fail to reach this level. Compliance will be studied using 18 key performance indicators, and the results will be analysed using cancer survival indicators, including overall survival, cancer-specific survival and relapse-free survival. The time to recurrence, perioperative morbidity and mortality, hospital stay and quality of life will also be studied, the latter using the validated EuroQol Five questionnaire. The propensity index method will be used to create comparable treatment and control groups, and a multivariate regression will be used to study each variable. The Kaplan-Meier estimator will be used to estimate survival and the log-rank test to make comparisons. A p value of less than 0.05 (two-tailed) will be considered to be significant. Ethics and dissemination Ethical approval for this study was obtained from the Aragon Ethical Committee (C.P.-C.I. PI20/086) on 4 March 2020. The findings of this study will be submitted to peer-reviewed journals (BMJ Open, JAMA Surgery, Annals of Surgery, British Journal of Surgery). Abstracts will be submitted to relevant national and international meetings. Trial registration number NCT04305314

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

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    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

    The HD‐Zip

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    Manejo da irrigação na cultura do crisântemo em vaso, cultivar rage, cultivado em ambiente protegido Irrigation schedule in pot chrysanthemum, cultivar rage, grown in greenhouse

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    Dentre as dificuldades que os produtores têm encontrado ao adotarem o cultivo em ambiente protegido, destaca-se a falta de dados específicos sobre o uso racional da água e o desconhecimento da quantidade e do momento de irrigar. Esta pesquisa foi desenvolvida na propriedade de um produtor, no Distrito de Holambra II, região de Paranapanema - SP, em cultivos rotineiramente desenvolvidos pelo produtor, buscando melhor representatividade dos dados obtidos. O objetivo principal deste experimento foi identificar a tensão de água no solo que pudesse resultar em melhor qualidade comercial da cultivar de crisântemo "Rage", cultivado em vaso e mantido em ambiente protegido. O delineamento experimental foi o inteiramente casualizado, com duas repetições. Os tratamentos foram definidos por seis níveis de tensão de água: -2; -3; -4; -6; -10 e -30 kPa. Para cada tensão, foram calculadas a altura correspondente na coluna de mercúrio do tensiômetro, as lâminas e o tempo de irrigação. Os resultados obtidos demonstraram que a cultivar Rage obteve a maior porcentagem de vasos de alta qualidade (A1) no tratamento irrigado com a tensão de -4 kPa. O tratamento irrigado, quando atingia -30 kPa, resultou na menor porcentagem de vasos A1.<br>The most important difficulty that the producers have been found to adopt the cultivation in plastic greenhouses is the lack of specific data on the rational use of the water and informations about when and how much water apply. This research was developed in a farm in Paranapanema - SP, Brazil, with tradition in pot chrysanthemum grow. The main objective was to identify the soil water tension that could result in better commercial quality of chrysanthemum Rage, cultivated in pot and maintained in greenhouse. The treatments were defined for six levels of substrate water tension: -2; -3; -4; -6; -10 and -30 kPa. The irrigation time was defined for each tension and also the equivalent height int the mercury column of the tensiometers. The obtained results showed that the cultivar Rage obtained the largest percentage of vases of high quality (A1) in the treatment irrigated with the soil water tension of -4 kPa. The irrigated treatment when -30 kPa was reached resulted in the smallest percentage of vases A1
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