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

Metodologías innovadoras e inclusivas en educación secundaria: los grupos interactivos y la asamblea de aula.

In a context where diversity is the defining word, it has been proved possible taking advantage of that diversity as a powerful educational tool instead of considering it an obstacle. Two met hodologies, interactive groups and group assemblies, make students work toget her and change certain mistaken points of view. Interactive groups enable our students to work together the same activities and contents; each one may contribute with his or her capacities to the joint process of solving a task. Group assemblies foster dialogue and commitment. Both of them build a broader and stronger school.En un contexto en el que la diversidades la palabra clave, en lugar de considerarla un obstáculo, ha sido posible aprovechar dicha diversidad como una herramienta educativa poderosa. Dos met odologías, los grupos interactivos y las asambleas de aula, logran que los estudiantes trabajen juntos y cambien puntos de vista erróneos. Los grupos interactivos permiten a nuestros alumnos trabajar juntos las mismas actividades y contenidos; cada uno contribuye con sus propias capacidades al proceso conjunto de resolución dela tarea. Las asambleas de aula fomentan el diálogo y el compromiso. Ambas metodologías construyen una escuela de éxito y de calidad

Historias de vida de la inspección : referentes en la historia de la educación española

En v. port.: Grupo de Estudios de la Inspección de Educación en España GEINSP; Unión Sindical de Inspectores de Educación USIE; EducanovaSe presentan ocho artículos biográficos de mujeres y hombres que ejercieron la inspección educativa y que han destacado por su trayectoria profesional y sus aportaciones a la educación en España en distintas épocas, contextos y con ideologías distintas, dejando huella en la historia educativa y profesional. Las biografías evidencian que el ejercicio de la inspección supone mucho más que la aplicación mecanicista de la norma, el cumplimiento de unos planes o la supervisión de una serie de actuaciones o documentos. Los biografiados han aportado a la educación española, según su perfil y preparación, propuestas de mejoras legislativas y organizativas, materiales educativos, puesta en marcha de iniciativas sociales y culturales, etc.ES