From Consumerism to Guilt: About Disciplinary Effects of the Economic Crisis

La situación de crisis económica que se ha instalado en España desde hace más de dos años está teniendo efectos significativos en las formas de relación de la ciudadanía con el consumo que pueden ir más allá de la caída de las cifras de ventas. A ello se suma una preocupación creciente por la sostenibilidad de los patrones consumistas actuales y el surgimiento de pautas de consumo responsable que, con la profundización de la crisis económica, se enfrentan a nuevas oportunidades y riesgos. El artículo que presentamos aquí se basa en un proyecto de investigación empírico cuyo objetivo principal ha sido el de reconstruir el mapa de necesidades y prácticas de consumo en España, con el fin de valorar el impacto de la crisis en las mismas. Para ello, nuestra perspectiva ha sido la de ahondar en estas complejidades no desde el análisis de las cifras sino del de los discursos, dentro de una investigación sociológica de carácter cualitativo cuya metodología será la de los grupos de discusión. En el trabajo presentado, se discutirán los resultados del análisis de los mismos, diseccionando la relación que, en dichos grupos, se ha establecido entre el hecho y acto del consumo y unos ciertos límites dados que, en el momento previo a la crisis, han sido sobrepasados, generando un peculiar discurso cuyo eje principal es el de la culpabilidad.The economic crisis that Spain has been facing since two years ago is showing significant effects in the way citizens are dealing with consumption. Beyond decreases in the sales, there is a rising anxiety about the sustainability of the current consumption patterns as well as a concern related to new tendencies towards responsible consumption which face new challenges and opportunities. The paper we are presenting here is based on an empirical research project whose main goal has been to map necessities and consumption practices in Spain, trying to assess the impact of the crisis. To do so, our perspective has been to deepen into these complexities from the discursive side, in a qualitative sociological research whose methodology has been based on focus groups. In this work, we will discuss the analysis of the results focusing on the relationship between the act of consumption and a certain set of imposed limits that, in the pre-crisis moment -and according to the focus group participants-, have been surpassed. This has helped to develop a peculiar discourse on consumption whose main axis is guil

Los filtros metodológicos: aplicación a la búsqueda bibliográfica en la medicina del trabajo española

Artículo original[ES] Fundamento: Conocer la producción científica española sobre Medicina del Trabajo mediante la utilización de un filtro metodológico de búsqueda (ecuación de búsqueda). Metodología: Se propone un filtro metodológico de búsqueda construido por unión booleana de un filtro temático, utilizando Descriptores sobre Medicina del Trabajo en forma de Major Topic y un filtro geográfico previamenteprobado en anteriores estudios (filtro temático AND filtro geográfico). Se estudiaron variables bibliométricas para conocer la idoneidad de los trabajos recuperados. Resultados: Se construyó un filtro que permite observar su aptitud en relación a la materia del estudio,Medicina del Trabajo, donde se recuperó un 90,87% de trabajos pertinentes. En cuanto a la filiación institucional se com probó la procedencia española en el 96,58% referencias recuperadas.Conclusión: Se propone un filtro eficaz para la búsqueda en MEDLINE de trabajos sobre Medicina del Trabajo, pudiéndose usar de forma sistemática e incluso utilizar junto a otras ecuaciones para especificar la búsqueda a temas más concretos. Los resultados bibliométricos obtenidos son similares a la de otros estudios del área de las ciencias de la salud. [ES] Fundaments: To know the Spanish scientific produc tion on Labour Medicine by means of the use of a methodologic filter search (searching equation). Methodology: A searching methodologic filter made up by the boolean union of a thematic filter was proposed. Labour Medicine descriptors used as Major Topic and a geographic filter previously checked in other studies (thematic filter AND geographic filter). Bibliometric variables were studied to know the suitability of the recovered works. Results: A filter that allows observation of the aptitude in relation to the matter of study was constructed. Using Labour Medicine, 90.87% pertinent works were found. In respect to the institutional filiations, Spanish precedence was found in 96.58% of the recovered references. Conclusion: The purpose is to use an effective filter for the MEDLINE search of studies that focus in Labour Medicine produced by Spanish institutions, being able to use them in a systematic way and even use them with other equations and focus the search in more concrete themes. The bibliometric results obtained are similar to other studies in the area of health sciences.N

Prácticas geoambientales: realidad aumentada en recursos docentes

Memoria ID-209. Ayudas de la Universidad de Salamanca para la innovación docente, curso 2018-2019

Grupo español de cirugía torácica asistida por videoimagen: método, auditoría y resultados iniciales de una cohorte nacional prospectiva de pacientes tratados con resecciones anatómicas del pulmón

Introduction: our study sought to know the current implementation of video-assisted thoracoscopic surgery (VATS) for anatomical lung resections in Spain. We present our initial results and describe the auditing systems developed by the Spanish VATS Group (GEVATS). Methods: we conducted a prospective multicentre cohort study that included patients receiving anatomical lung resections between 12/20/2016 and 03/20/2018. The main quality controls consisted of determining the recruitment rate of each centre and the accuracy of the perioperative data collected based on six key variables. The implications of a low recruitment rate were analysed for '90-day mortality' and 'Grade IIIb-V complications'. Results: the series was composed of 3533 cases (1917 VATS; 54.3%) across 33 departments. The centres' median recruitment rate was 99% (25-75th:76-100%), with an overall recruitment rate of 83% and a data accuracy of 98%. We were unable to demonstrate a significant association between the recruitment rate and the risk of morbidity/mortality, but a trend was found in the unadjusted analysis for those centres with recruitment rates lower than 80% (centres with 95-100% rates as reference): grade IIIb-V OR=0.61 (p=0.081), 90-day mortality OR=0.46 (p=0.051). Conclusions: more than half of the anatomical lung resections in Spain are performed via VATS. According to our results, the centre's recruitment rate and its potential implications due to selection bias, should deserve further attention by the main voluntary multicentre studies of our speciality. The high representativeness as well as the reliability of the GEVATS data constitute a fundamental point of departure for this nationwide cohort

COVID-19 Severity and Survival over Time in Patients with Hematologic Malignancies: A Population-Based Registry Study

Mortality rates for COVID-19 have declined over time in the general population, but data in patients with hematologic malignancies are contradictory. We identified independent prognostic factors for COVID-19 severity and survival in unvaccinated patients with hematologic malignancies, compared mortality rates over time and versus non-cancer inpatients, and investigated post COVID-19 condition. Data were analyzed from 1166 consecutive, eligible patients with hematologic malignancies from the population-based HEMATO-MADRID registry, Spain, with COVID-19 prior to vaccination roll-out, stratified into early (February–June 2020; n = 769 (66%)) and later (July 2020–February 2021; n = 397 (34%)) cohorts. Propensity-score matched non-cancer patients were identified from the SEMI-COVID registry. A lower proportion of patients were hospitalized in the later waves (54.2%) compared to the earlier (88.6%), OR 0.15, 95%CI 0.11–0.20. The proportion of hospitalized patients admitted to the ICU was higher in the later cohort (103/215, 47.9%) compared with the early cohort (170/681, 25.0%, 2.77; 2.01–3.82). The reduced 30-day mortality between early and later cohorts of non-cancer inpatients (29.6% vs. 12.6%, OR 0.34; 0.22–0.53) was not paralleled in inpatients with hematologic malignancies (32.3% vs. 34.8%, OR 1.12; 0.81–1.5). Among evaluable patients, 27.3% had post COVID-19 condition. These findings will help inform evidence-based preventive and therapeutic strategies for patients with hematologic malignancies and COVID-19 diagnosis.Depto. de MedicinaFac. de MedicinaTRUEFundación Madrileña de Hematología y HemoterapiaFundación Leucemia y LinfomaAsociación Madrileña de Hematología y Hemoterapiapu

Overview of recent TJ-II stellarator results

The main results obtained in the TJ-II stellarator in the last two years are reported. The most important topics investigated have been modelling and validation of impurity transport, validation of gyrokinetic simulations, turbulence characterisation, effect of magnetic configuration on transport, fuelling with pellet injection, fast particles and liquid metal plasma facing components. As regards impurity transport research, a number of working lines exploring several recently discovered effects have been developed: the effect of tangential drifts on stellarator neoclassical transport, the impurity flux driven by electric fields tangent to magnetic surfaces and attempts of experimental validation with Doppler reflectometry of the variation of the radial electric field on the flux surface. Concerning gyrokinetic simulations, two validation activities have been performed, the comparison with measurements of zonal flow relaxation in pellet-induced fast transients and the comparison with experimental poloidal variation of fluctuations amplitude. The impact of radial electric fields on turbulence spreading in the edge and scrape-off layer has been also experimentally characterized using a 2D Langmuir probe array. Another remarkable piece of work has been the investigation of the radial propagation of small temperature perturbations using transfer entropy. Research on the physics and modelling of plasma core fuelling with pellet and tracer-encapsulated solid-pellet injection has produced also relevant results. Neutral beam injection driven Alfvénic activity and its possible control by electron cyclotron current drive has been examined as well in TJ-II. Finally, recent results on alternative plasma facing components based on liquid metals are also presentedThis work has been carried out within the framework of the EUROfusion Consortium and has received funding from the Euratom research and training programme 2014–2018 under Grant Agreement No. 633053. It has been partially funded by the Ministerio de Ciencia, Inovación y Universidades of Spain under projects ENE2013-48109-P, ENE2015-70142-P and FIS2017-88892-P. It has also received funds from the Spanish Government via mobility grant PRX17/00425. The authors thankfully acknowledge the computer resources at MareNostrum and the technical support provided by the Barcelona S.C. It has been supported as well by The Science and Technology Center in Ukraine (STCU), Project P-507F

Predictive Power of the "Trigger Tool" for the detection of adverse events in general surgery: a multicenter observational validation study

Background In spite of the global implementation of standardized surgical safety checklists and evidence-based practices, general surgery remains associated with a high residual risk of preventable perioperative complications and adverse events. This study was designed to validate the hypothesis that a new “Trigger Tool” represents a sensitive predictor of adverse events in general surgery. Methods An observational multicenter validation study was performed among 31 hospitals in Spain. The previously described “Trigger Tool” based on 40 specific triggers was applied to validate the predictive power of predicting adverse events in the perioperative care of surgical patients. A prediction model was used by means of a binary logistic regression analysis. Results The prevalence of adverse events among a total of 1,132 surgical cases included in this study was 31.53%. The “Trigger Tool” had a sensitivity and specificity of 86.27% and 79.55% respectively for predicting these adverse events. A total of 12 selected triggers of overall 40 triggers were identified for optimizing the predictive power of the “Trigger Tool”. Conclusions The “Trigger Tool” has a high predictive capacity for predicting adverse events in surgical procedures. We recommend a revision of the original 40 triggers to 12 selected triggers to optimize the predictive power of this tool, which will have to be validated in future studies