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

La pudeur ou l'impuder, an autobiographic documentary by Hervé Guibert

Actas del Segundo Congreso Internacional de Historia y Cine organizado por el Instituto de Cultura y Tecnología Miguel de Unamuno y celebrado del 9 al 11 de septiembre de 2010 en la Universidad Carlos III de MadridEntre junio de 1990 y abril de 1991 Hervé Guibert filma con una cámara doméstica su vida cotidiana y sus reflexiones como enfermo de sida. El resultado es un documental de una hora de duración cuyo montaje definitivo no llegó a ver terminado. La particularidad del caso de Guibert estriba en ser una de las primeras voces capaces de hablar de la enfermedad en primera persona. La pudeur ou l’impudeur (1992) es un ejercicio de introspección que pretende superar la barrera de lo púdico, de lo privado, en un momento de emergencia social; poniendo en práctica las mismas «estrategias fatales» que Paul Julian Smith leyera con Baudrillard en el contexto español.Between June 1990 and April 1991, Hervé Guibert filmed with a domestic camera his daily life and his thoughts as a person with aids. The result is a one hour length documentary whose final cut he was unable to see. The peculiarity of Guibert’s piece is becoming one of the first voices to speak about his own illness. La pudeur ou l’impudeur (1992)is an introspective practice aiming to overcome the limits of the private, the intimate, in a time of social emergency; putting into practice Baudrillard’s «fatal strategies» as Paul Julian Smith would recognize them in the Spanish context.Publicad

Imagen artística e identidad masculina en España: del franquismo tardío a la era del sida

Tesis doctoral inédita, leída en la Universidad Autónoma de Madrid, Facultad de Filosofía y Letras, Departamento de Historia y Teoría del Arte. Fecha de lectura: 14-12-201

Melero, A. Placeres ocultos. Gays y lesbianas en el cine español de la transición / Hidden Pleasures. Gays and Lesbians in Spanish Cinema during the Transition. Madrid: Notorious, 2010

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