14 research outputs found
Título: Arte de la montea
Sign.: []1, [asterisco]2, A-Q2.Las h. de grab. calc
Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study
Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak.
Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study.
Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM.
Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide
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
Madrid. Planos de población. 1800
Tabla con localización numerada de iglesias y otros sitios públicos ; algunos de ellos aprecen dibujados en planta. Figuran por primera vez templos de reciente fundación: la Iglesia y Convento de las Nuevas Salesas y la Capilla de Nuestra Sra. de la Soledad de la calle de la Paloma. -- Copia reducida (aproximadamente la cuarta parte) del anterior de Tomás López de 1785. -- Aparece encartado en la guía titulada: "Plano de la villa y corte de Madrid, en sesenta y quatro láminas, que demuestran otros tantos barrios en que está dividida..." por D. Fausto Martínez de la Torre y D. Josef Asensi
Plano de la Villa y Corte de Madrid: en sesenta y quatro láminas, que demuestran otros tantos barrios en que está dividida, con los nombres de todas sus plazuelas y calles, números de las manzanas, y casas que comprehenden cada uno, con otras curiosidades útiles á los naturales y forasteros...
115 p., [1] en bl., 64 h. de map., [1] h. pleg de map
Plano de la villa y corte de Madrid en sesenta y quatro láminas ... con otras curiosidades útiles a los naturales y forasteros
Datos de ed. preceden a la mención de responsabilidadSign.: A-G\p8\s, H\p2\sLas h. de grab. calc., representación de los barrios de MadridLa h. de grab. pleg. calc. : "Fausto Mr z. de la Torre lo delineó y grabó", plano general de Madrid con las Iglesias y sitios público
Plano de la Villa y Corte de Madrid en sesenta y quatro láminas, que demuestran otros tantos barrios en que está dividida, con los nombres de todas sus plazuelas y calles, números de las manzanas, y casas que comprehenden cada uno, con otras curiosidades útiles á los naturales y forasteros
Alcance y contenido: Esta publicación en forma de libro reproduce la obra de Juan Francisco González: Madrid dividido en ocho cuarteles con otros tantos barrios cada uno, explicación y láminas de ellos ...", publicada en 1770; en 1800 se añade un índice y el "Plano geométrico de Madrid demostrado con los 64 barrios en que está dividido para facilitar la consulta"La mención de edición precede a los autoresSignaturas: A-G8, H2Los 64 planos son grabados calcográficos, representando los barrios de MadridLa hoja de plano 35 x 51 cm plegada en 15 x 9 cm es grabado calcográfico: "Plano geométrico de Madrid demostrado con los 64 barrios en que está dividido. Fausto Mrnz. dela Torre lo delineó y grabó". Escala [ca. 1:12 000]. 1 000 varas castellanas[=7 cm
[Regola delli cinque ordini d'architettura Español. Español]
Apendice a las reglas de arquitectura de Vignola : en que se dan lecciones elementales para buscar las sombras en su dibujo ... con portada propia2Las h. de grab. son calcográficas; la h. de grab. pleg.: "Compuesto y dibuxado por B.C. Martin", "Gravado por V.L.Enguidanos"La h. de grab. sin numeración precede a la portad
Reglas de los cinco ordenes de Arquitectura de Vignola : con vn orden Dórico de Posidonia, y vn apéndice que contiene las lecciones elementales de las sombras en la Arquitectura, demostradas por principios naturales / por C.M. Delagardette ... ; dibuxado
Sign.: []1, *2, A-K2, L1El apéndice con portadilla propiaIl. calc. en dos series de h. numeradas y una h. de grab. pleg.: "Compuesto y dibuxado por B.B. Martin, Grauado por V.L. Enguidano