Una excavación urbana en Alcoy: la Placeta del Fossar nº 4

En aquest article presentem els resultats de l’excavació arqueològica d’urgència duta a terme als solars situats a la Placeta del Fossar, núm. 4 i Sant Blai, núm. 16. La troballa més significativa de l’excavació és un abocador amb materials que van des de finals del s. xvi fins al s. xvii. Paraules clau: Excavació arqueològica urbana. Placeta del Fossar. Abocador. Segles xvi-xvii. Alcoi.In this paper we present the results of the archaeological excavation put into effect in the empty lots situated at the Placeta del Fossar no.4 and Sant Blai no. 16. The most important finding in this excavation is a dumping place with materials ranging from the late 16th century up to the 17th century. Key words: Urban archaeological excavation. Placeta del Fossar. Dumping place. 16th to 17th centuries. Alcoy.En este artículo presentamos los resultados de la excavación arqueológica de urgencia llevada a cabo en los solares situados en la Placeta del Fossar nº 4 y Sant Blai nº 16. El hallazgo más significativo de esta excavación es un vertedero con materiales que van de finales del s. XVI al s. XVII. Palabras clave: Excavación arqueológica urbana. Placeta del Fossar. Vertedero. Siglos XVI-XVII. Alcoy

Two Neolithic structures at the archaeological site of Casa Garrido Nord II (Moixent, Valencia)

Es presenten les restes de cronologia neolítica documentades a les obres de canalització de gas a la vall de Montesa. Concretament, dues sitges del Neolític II de la seqüència regional, aparegudes al jaciment de Casa Garrido Nord, al terme municipal de Moixent. Encara que els materials són poc significatius, es tracta de les primeres estructures de cronologia neolítica, de les quals tenim constància, en què s’ha realitzat una excavació arqueològica sistemàtica a la comarca de la Costera. Paraules clau: Casa Garrido Nord II. Sitja. Neolític II. La Costera. Assentaments en pla.Es presenten les restes de cronologia neolítica documentades a les obres de canalització de gas a la vall de Montesa. Concretament, dues sitges del Neolític II de la seqüència regional, aparegudes al jaciment de Casa Garrido Nord, al terme municipal de Moixent. Encara que els materials són poc significatius, es tracta de les primeres estructures de cronologia neolítica, de les quals tenim constància, en què s’ha realitzat una excavació arqueològica sistemàtica a la comarca de la Costera. Paraules clau: Casa Garrido Nord II. Sitja. Neolític II. La Costera. Assentaments en pla.Herewith we submit the remains of Neolithic chronology found at the gas piping works performed at the Valley of Montesa (Valencia). They are specifically two Neolithic II underground storage places of a regional sequence, which appeared at the Casa Garrido Nord archaeological site, within the Moixent municipal borough (in the province of Valencia). Although the materials are not very meaningful, they represent the first structures of Neolithic chronology known to us, and therefore we have carried out a systematic archaeological excavation in the area of La Costera (Valencia). Key words: Casa Garrido Nord II. Silo. Neolithic II. La Costera. Settlements on flat lands

Nuevas aportaciones al horizonte del bronce final de La Vital (Gandia, València)

Durante las tareas de seguimiento arqueológico de las obras de construcción del Acceso Sur a Gandia se localizaron diferentes estructuras negativas datadas en el Bronce final ubicadas en el perímetro de protección del yacimiento de La Vital. Las estructuras documentadas corresponden a un lugar de hábitat fechado en estos momentos. En este trabajo presentamos los resultados de dicha actuación, valorándolos en el marco del desarrollo histórico de este periodo en el propio yacimiento y en la costa mediterránea peninsular

Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

Contains fulltext : 172380.pdf (publisher's version ) (Open Access

Nuevas aportaciones al horizonte del bronce final de La Vital (Gandia, València)

Durante las tareas de seguimiento arqueológico de las obras de construcción del Acceso Sur a Gandia se localizaron diferentes estructuras negativas datadas en el Bronce final ubicadas en el perímetro de protección del yacimiento de La Vital. Las estructuras documentadas corresponden a un lugar de hábitat fechado en estos momentos. En este trabajo presentamos los resultados de dicha actuación, valorándolos en el marco del desarrollo histórico de este periodo en el propio yacimiento y en la costa mediterránea peninsular. </span

Microrelatario

Multitud d'autores i autors aporten píndoles de microliteratura, de gèneres diversos, al segon volum amb què l'Institut Universitari d'Estudis Feministes i de Gènere Purificación Escribano vol respondre al desafiament per l'eradicació de la violència contra les dones

Safety of primary anastomosis following emergency left sided colorectal resection: an international, multi-centre prospective audit.

This is the peer reviewed version of the following article: group, T. E. S. o. C. c. (2018). "Safety of primary anastomosis following emergency left sided colorectal resection: an international, multi-centre prospective audit." Colorectal Disease 20(S6): 47-57., which has been published in final form at https://doi.org/10.1111/codi.1437. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived VersionsINTRODUCTION: Some evidence suggests that primary anastomosis following left sided colorectal resection in the emergency setting may be safe in selected patients, and confer favourable outcomes to permanent enterostomy. The aim of this study was to compare the major postoperative complication rate in patients undergoing end stoma vs primary anastomosis following emergency left sided colorectal resection. METHODS: A pre-planned analysis of the European Society of Coloproctology 2017 audit. Adult patients (> 16 years) who underwent emergency (unplanned, within 24 h of hospital admission) left sided colonic or rectal resection were included. The primary endpoint was the 30-day major complication rate (Clavien-Dindo grade 3 to 5). RESULTS: From 591 patients, 455 (77%) received an end stoma, 103 a primary anastomosis (17%) and 33 primary anastomosis with defunctioning stoma (6%). In multivariable models, anastomosis was associated with a similar major complication rate to end stoma (adjusted odds ratio for end stoma 1.52, 95%CI 0.83-2.79, P = 0.173). Although a defunctioning stoma was not associated with reduced anastomotic leak (12% defunctioned [4/33] vs 13% not defunctioned [13/97], adjusted odds ratio 2.19, 95%CI 0.43-11.02, P = 0.343), it was associated with less severe complications (75% [3/4] with defunctioning stoma, 86.7% anastomosis only [13/15]), a lower mortality rate (0% [0/4] vs 20% [3/15]), and fewer reoperations (50% [2/4] vs 73% [11/15]) when a leak did occur. CONCLUSIONS: Primary anastomosis in selected patients appears safe after left sided emergency colorectal resection. A defunctioning stoma might mitigate against risk of subsequent complications

The impact of conversion on the risk of major complication following laparoscopic colonic surgery: an international, multicentre prospective audit.

This is the peer reviewed version of the following article: The and E. S. o. C. c. groups (2018). "The impact of conversion on the risk of major complication following laparoscopic colonic surgery: an international, multicentre prospective audit." Colorectal Disease 20(S6): 69-89., which has been published in final form at https://doi.org/10.1111/codi.14371. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.BACKGROUND: Laparoscopy has now been implemented as a standard of care for elective colonic resection around the world. During the adoption period, studies showed that conversion may be detrimental to patients, with poorer outcomes than both laparoscopic completed or planned open surgery. The primary aim of this study was to determine whether laparoscopic conversion was associated with a higher major complication rate than planned open surgery in contemporary, international practice. METHODS: Combined analysis of the European Society of Coloproctology 2017 and 2015 audits. Patients were included if they underwent elective resection of a colonic segment from the caecum to the rectosigmoid junction with primary anastomosis. The primary outcome measure was the 30-day major complication rate, defined as Clavien-Dindo grade III-V. RESULTS: Of 3980 patients, 64% (2561/3980) underwent laparoscopic surgery and a laparoscopic conversion rate of 14% (359/2561). The major complication rate was highest after open surgery (laparoscopic 7.4%, converted 9.7%, open 11.6%, P < 0.001). After case mix adjustment in a multilevel model, only planned open (and not laparoscopic converted) surgery was associated with increased major complications in comparison to laparoscopic surgery (OR 1.64, 1.27-2.11, P < 0.001). CONCLUSIONS: Appropriate laparoscopic conversion should not be considered a treatment failure in modern practice. Conversion does not appear to place patients at increased risk of complications vs planned open surgery, supporting broadening of selection criteria for attempted laparoscopy in elective colonic resection