16 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

    VIII Encuentro de Docentes e Investigadores en Historia del Diseño, la Arquitectura y la Ciudad

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    Acta de congresoLa conmemoración de los cien años de la Reforma Universitaria de 1918 se presentó como una ocasión propicia para debatir el rol de la historia, la teoría y la crítica en la formación y en la práctica profesional de diseñadores, arquitectos y urbanistas. En ese marco el VIII Encuentro de Docentes e Investigadores en Historia del Diseño, la Arquitectura y la Ciudad constituyó un espacio de intercambio y reflexión cuya realización ha sido posible gracias a la colaboración entre Facultades de Arquitectura, Urbanismo y Diseño de la Universidad Nacional y la Facultad de Arquitectura de la Universidad Católica de Córdoba, contando además con la activa participación de mayoría de las Facultades, Centros e Institutos de Historia de la Arquitectura del país y la región. Orientado en su convocatoria tanto a docentes como a estudiantes de Arquitectura y Diseño Industrial de todos los niveles de la FAUD-UNC promovió el debate de ideas a partir de experiencias concretas en instancias tales como mesas temáticas de carácter interdisciplinario, que adoptaron la modalidad de presentación de ponencias, entre otras actividades. En el ámbito de VIII Encuentro, desarrollado en la sede Ciudad Universitaria de Córdoba, se desplegaron numerosas posiciones sobre la enseñanza, la investigación y la formación en historia, teoría y crítica del diseño, la arquitectura y la ciudad; sumándose el aporte realizado a través de sus respectivas conferencias de Ana Clarisa Agüero, Bibiana Cicutti, Fernando Aliata y Alberto Petrina. El conjunto de ponencias que se publican en este Repositorio de la UNC son el resultado de dos intensas jornadas de exposiciones, cuyos contenidos han posibilitado actualizar viejos dilemas y promover nuevos debates. El evento recibió el apoyo de las autoridades de la FAUD-UNC, en especial de la Secretaría de Investigación y de la Biblioteca de nuestra casa, como así también de la Facultad de Arquitectura de la UCC; va para todos ellos un especial agradecimiento

    Estudio de procesos de excitaciones electrónicas y transferencia de carga en colisiones que implican átomos excitados selectivamente por laser

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    Tesis doctoral inédita leida en la Universidad Autónoma de Madrid, Facultad de Ciencias, Departamento de Química. Fecha de lectura: 30-11-199

    State-selective effects in the differential cross section for electron capture from laser-excited sodium atoms by protons

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    The authors investigate sodium-proton charge transfer using 14-state adiabatic, molecular-basis classical trajectory calculations in which a common translation factor and dynamical radial and rotational coupling terms are included. The differential cross sections are evaluated by the eikonal procedure from S-matrix elements obtained over 283 impact parameters at each energy. A fine mesh of energy and angle resolves new effects in scattering from a target excited by a circularly-polarized laser source. One of them is ascribed to velocity matching. Calculations were carried out on an Intel iPSC/2 parallel computer using a version of the EIKONXS package which is described

    Total and differential charge transfer cross sections in H++Na(3s) or Na*(3p) collisions

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    Proton-sodium charge transfer is studied, using 9- and 19-state adiabatic molecular bases and the impact parameter method, in the energy range 0.5-5 keV. The dynamical radial and rotational coupling terms and a common translation factor (CTF) are included. The effect of the choice of the coordinate centre on the total charge exchange cross sections to H( n = 2) is clearly demonstrated when no CTF is included. The alignment dependence of the capture to H(n =2) is obtained and is satisfactorily compared with the atomic expansion calculations. State-to-state charge exchange differential cross sections are calculated; the alignment and orientation effects are expected to be observable at the collision energy 0.5 keV where they are spread out at scattering angles .Q> 0.1"

    The Madrid quantum network: a quantum-classical integrated infrastructure

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    We report on the Madrid Quantum Network, designed to demonstrate that a telecommunications network can also host quantum communications in a unified, logical and physical infrastructure. Using new Quantum Key Distribution systems paired with modern networking paradigms, we demonstrate a high technology readiness level of QKD installing the network in production facilities and running relevant use cases

    Mitigating cetacean bycatch in coastal Ecuador: Governance challenges for small-scale fisheries

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    Bycatch of marine fauna by small-scale (artisanal) fisheries is an important anthropogenic mortality source to several species of cetaceans, including humpback whales and odontocetes, in Ecuador's marine waters. Long-term monitoring actions and varied conservation efforts have been conducted by non-governmental organizations along the Ecuadorian coast, pointing toward the need for a concerted mitigation plan and actions to hamper cetaceans' bycatch. Nevertheless, little has currently been done by the government and regional authorities to address marine mammal interactions with fisheries in eastern Pacific Ocean artisanal fisheries. This study provides a review of Ecuador's current status concerning cetacean bycatch, and explores the strengths and weaknesses of past and current programs aiming to tackle the challenges of bycatch mitigation. To bolster our appraisal of the policies, a synthesis of fishers' perceptions of the bycatch problem is presented in concert with recommendations for fostering fishing community-based conservation practices integrated with policies to mitigate cetacean bycatch. Our appraisal, based upon the existing literature, indicates a situation of increasing urgency. Taking into consideration the fishers' perceptions and attitudes, fisheries governance in Ecuador should draw inspiration from a truly bottom-up, participatory framework based on stakeholder engagement processes; if it is based on a top-down, regulatory approach, it is less likely to succeed. To carry out this process, a community-based conservation programs to provide conditions for empowering fishing communities is recommend. This would serve as an initial governance framework for fishery policy for conserving marine mammals while maximizing the economic benefits from sustainable small-scale fisheries in Ecuador

    The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

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    The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery
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