Decisiones de tratamiento en lesiones de caries oclusales y proximales, entre cirujanos dentistas que trabajan en el sistema público de salud de la región Metropolitana de Santiago de Chile en el año 2017

Tesis (Cirujano Dentista)La presente investigación tiene como fin, el determinar si existen diferencias en las decisiones de tratamiento de lesiones de caries oclusales y proximales entre los odontólogos que trabajan en el sistema público de salud de la Región Metropolitana (RM), en cuánto a edad, sexo, años de experiencia clínica, universidad de egreso de pregrado y especialidad, nivel de especialización, nivel de atención y comuna del servicio de salud donde se trabaja, si tiene otro lugar de ejercicio profesional y el tipo de pacientes mayoritariamente atendidos. Además, se busca comparar el criterio clínico de los dentistas nacionales con respecto a los colegas de otros países que se han sometido al mismo instrumento, para evaluar si hay diferencias o similitudes entre ellos, acorde a los principios mínimamente invasivos que establece la odontología moderna. Se realizó un estudio cuantitativo, observacional y analítico de corte transversal. Previa autorización de los distintos participantes, se utilizó la versión traducida y validada por Ruiz y cols. en 2009, del “Cuestionario sobre decisiones de tratamiento de caries oclusales y proximales”, el cual fue aplicado en el mes de agosto del año 2017 a cirujanos dentistas que trabajan en el sector público de salud en la Región Metropolitana. La muestra estudiada fue de 134 cirujanos dentistas que consintieron ser partícipes de este estudio, provenientes de distintos centros de salud (de dependencia municipal) de la Región Metropolitana. El 70,9% de ellos fue clasificado como conservadores y el 29,1% restante como invasivos. No existen diferencias estadísticamente significativas entre las variables anteriormente mencionadas, pero sí existen diferencias al comparar los criterios de los dentistas nacionales con los extranjeros que se han sometido a la misma metodología de estudio

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

The Talavera Manifesto for Quantum Software Engineering and Programming

This paper presents the Talavera Manifesto for quantum software engineering and programming. This manifesto collects some principles and commitments about the quantum software engineering and programming field, as well as some calls for action. This is the result of the discussion and different viewpoints of academia and industry practitioners who joined at the first International Workshop on QuANtum SoftWare Engineering & pRogramming (QANSWER)

The Talavera Manifesto for Quantum Software Engineering and Programming

This paper presents the Talavera Manifesto for quantum software engineering and programming. This manifesto collects some principles and commitments about the quantum software engineering and programming field, as well as some calls for action. This is the result of the discussion and different viewpoints of academia and industry practitioners who joined at the first International Workshop on QuANtum SoftWare Engineering & pRogramming (QANSWER)