La Cueva de El Sidrón (Piloña Asturias)

Estado de las excavaciones y estudios en la Cueva de El Sidrón (PIloña, Asturias)

El grupu neandertal de la Cueva d' El Sidrón (Borines, Piloña)

El artículo está en la lengua asturianaPeer reviewe

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

"Diplotaxis siifolia" G. Kunze ("Cruciferae, Brassiceae"): posición sistemática y variabilidad infraespecífica

The morphological features studied support the separate status of D. catholica (L.) DC. and D. siifolia G. Kunze. D. vicentina (Sampaio) Rothmaler, from southwest Portugal, should be treated as D. siifolia subsp. vicentina (Sampaio) Martínez-Laborde stat. nov. D. siifolia subsp. bipinnatifida (Cosson) Martínez-Laborde stat. nov., from south Morocco, is also proposed.Los caracteres morfológicos estudiados confirman que D. catholica (L.) DC. y D. siifolia G. Kunze deben mantenerse como especies separadas e indican que D. vicentina (Sampaio) Rothmaler, del suroeste de Portugal, debe subordinarse a D. siifolia como D. siifolia subsp. vicentina (Sampaio) Martínez-Laborde stat. nov. Se propone además D. siifolia subsp. bipinnatifida (Cosson) Martínez-Laborde stat. nov., del sur de Marruecos