33 research outputs found

    Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

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    PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

    Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

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    PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

    Internacionalización financiera en Argentina

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    Architecture by Italian Designers and Builders in Buenos Aires. Knowledge and Valorisations of the Heritage.

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    Tra il 1880 e il 1930 quasi 2.200.000 Italiani migrarono in Argentina e tra questi molti costruttori, tecnici, ingegneri e architetti, la cui presenza determinò - specialmente nel XIX e XX secolo, al tempo della trasformazione di Buenos Aires in Capitale del Stato federale - la formazione di un patrimonio architettonico "Italianizante", diffuso e di elevata consistenza. Tale vasto compendio edilizio, disseminato in tutta la metropoli e di alto valore non solo a livello storico-documentario ma anche dal punto di vista della sua varietà tipologica e della qualità architettonico-stilistica, risulta in condizioni estremamente fragili, non solo per effetto delle politiche di tutela nazionale (molto deboli fino agli ultimi decenni), ma, in primo luogo, per il fatto stesso di non essere riconosciuto come patrimonio, degno di conoscenza e valore. La ricerca qui proposta presenta il lavoro di censimento, documentazione, rilievo e analisi svolto, a partire dal 2015, su questo vasto insieme di edifici, con particolare riferimento alla residenza, alle sedi delle associazioni italiane a Buenos Aires ed agli edifici scolastici.Between 1880 and 1930 more than two million of Italians migrate in Argentina and the presence between them of designers, technicians, foremen, and builders contribute to the birth of a huge number of buildings, characterized by a common "Italianizante" architectonical matrix, that can be seen nowadays in the city, which in those years was making the transformations linked to its new role of Capital of the young federal republic. These buildings belong to a heritage spread throughout the city and characterized by typological variety and high architectural-stylistic quality, but made fragile not only by weak protection politics in force until few years ago, but also by its condition of diffusion, which have impeded its valorisation and identification. This work is the set of census, classification, survey and description, made since 2015, of residential buildings, Italian associations’ headquarters and schools, and it has the purpose to give support to the protection and valorisation of this heritage, helping also the cultural tourism

    The Political Economy of Economic Reforms in Argentina

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    In 1989, Argentina entered a process of sweeping transformation of its economic institutions which provided for the (temporary) recovery of economic growth and the taming of inflation. The Argentine experience with market-oriented reforms has been regarded by the literature as a salient case of radical and 'unconstrained' reform. Yet, a closer scrutiny portrays that the building and maintenance of a pro-"reform coalition determined the pace, depth and characteristics of the 'new economic institutions'. The idiosyncrasies of Argentina's political institutions, in turn, conditioned this coalition-building strategy. The same idiosyncrasies were at play in the 2001/2002 collapse of the convertibility regime and ensuing social and political chaos.Political Economy, Economic Reforms, Argentina,
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