Reflexiones sobre la dramaturgia actual en el México de los 90

En 1967, se efectuó en el Instituto Mexicano-Israelí de la ciudad de México, un ciclo de conferencias donde hicieron reflexiones sobre el tema: ¿Qué pasa con el teatro en México? A este encuentro acudieron personajes relacionados con el teatro, como Salvador Novo, Seki Sano, Rodolfo Usigli, Héctor Azar, Rafael Solana y otras destacadas personalidades de la época. El título, que era inquietante, atrajo a numeroso público y la atención de los medios de comunicación, al grado que el encuentro fu..

Théâtre, public, société

Actes du IIIe Colloque International sur le théâtre, domaines hispanique, hispano-américain et mexicain, en France, organisé les 10, 11 et 12 octobre 1996 à l’Université de Perpignan, par le Centre de Recherches Ibériques et Latino-américaines de l’Université de Perpignan (CRILAUP), le Département d’Etudes Hispaniques de l’Université de Perpignan et la Faculté des Lettres et Sciences Humaines de l’Université de Perpignan

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)