Analysis of flood risk in the middle-high Tajo river at its passes through Aranjuez (Madrid)

El presente documento se basa en el análisis de la vulnerabilidad social ante inundaciones en la localidad de Aranjuez (Madrid). En una primera fase, esta investigación muestra la aplicación del Índice de Vulnerabilidad Social (IVS) en la mencionada ciudad, ubicada en la llanura de inundación del río Tajo. En una segunda fase, se realiza la intersección espacial entre el IVS y los mapas de peligrosidad por inundación fluvial del ámbito de estudio, según períodos de retorno (10, 100 y 500 años), para obtener el riesgo demográfico. Como resultado, las secciones del distrito 1 (Foso-Moreras) contienen las principales zonas propensas al riesgo de inundación. El área de estudio seleccionada es de gran interés porque, pese a que la ocurrencia de eventos de inundación se ha reducido considerablemente con la construcción de los embalses de Entrepeñas y Buendía, históricamente Aranjuez ha sido la ciudad más afectada por avenidas del Tajo. Mediante las Tecnologías de la Información Geográfica (TIG), se demuestra que el riesgo de inundación aún existe y podría traducirse en perjuicios para la población, tanto a nivel económico como humano.This document is based on the analysis of social vulnerability to floods in Aranjuez (Madrid). Firstly, this investigation shows the application of the Social Vulnerability Index (IVS) in the mentioned city, located in the flood plain of the Tajo river. Secondly, the IVS intersects with the flood hazard maps of the fiel of study, according to return periods (10, 100 and 500 years), to obtain the demographic risk. As a result, sections of district 1 (Foso-Moreras) contain the main areas prone to flood risk. The selected study area had a great interest because, although the occurrence of flood events has been greatly reduced with the construction of the Entrepeñas and Buendía reservoirs, historically Aranjuez has been the most affected city by avenues of the Tajo. Through Geographic Information Technologies (GIT), it is shown that the risk of flooding still exists and could result dangerous to people, in the economically and humanly way.Depto. de GeografíaFac. de Geografía e HistoriaTRUEunpu

Transferencia de los resultados de Trabajos Fin de Grado y Máster a la docencia -TF-Transfer

Depto. de GeografíaFac. de Geografía e HistoriaFALSEsubmitte

The management of acute venous thromboembolism in clinical practice. Results from the European PREFER in VTE Registry

Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in Europe. Data from real-world registries are necessary, as clinical trials do not represent the full spectrum of VTE patients seen in clinical practice. We aimed to document the epidemiology, management and outcomes of VTE using data from a large, observational database. PREFER in VTE was an international, non-interventional disease registry conducted between January 2013 and July 2015 in primary and secondary care across seven European countries. Consecutive patients with acute VTE were documented and followed up over 12 months. PREFER in VTE included 3,455 patients with a mean age of 60.8 ± 17.0 years. Overall, 53.0 % were male. The majority of patients were assessed in the hospital setting as inpatients or outpatients (78.5 %). The diagnosis was deep-vein thrombosis (DVT) in 59.5 % and pulmonary embolism (PE) in 40.5 %. The most common comorbidities were the various types of cardiovascular disease (excluding hypertension; 45.5 %), hypertension (42.3 %) and dyslipidaemia (21.1 %). Following the index VTE, a large proportion of patients received initial therapy with heparin (73.2 %), almost half received a vitamin K antagonist (48.7 %) and nearly a quarter received a DOAC (24.5 %). Almost a quarter of all presentations were for recurrent VTE, with >80 % of previous episodes having occurred more than 12 months prior to baseline. In conclusion, PREFER in VTE has provided contemporary insights into VTE patients and their real-world management, including their baseline characteristics, risk factors, disease history, symptoms and signs, initial therapy and outcomes

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