MATERIAL VEGETAL EN PAISAJISMO MEDITERRANEO (VOLUMEN 2)

La presente publicación pretende ofrecer a los profesionales y estudiantes de paisajismo una herramienta práctica y completa que, en contextos de clima mediterráneo, les ayude a seleccionar especies vegetales atendiendo a criterios de composición, uso, ecología y mantenimiento. Con dicho fin se recoge de forma sistemática y didáctica, información detallada sobre una extensa selección de especies agrupadas en las categorías siguientes: Plantas vivaces, Plantas anuales y bianuales, Bulbosas, Acuáticas, Gramíneas ornamentales, Cactáceas y suculentas, Árboles frutales, Hortícolas, Helechos. Arvenses y ruderales, Plantas de interior y Plantas de invernadero (epifitas, orquidáceas y bromeliáceas). La información contenida en este libro complementa la recogida en un primer volumen, en el que, siguiendo la misma metodología, se estudiaban grupos vegetales de uso o características más genéricos (arbolado frondoso, coníferas, arbustos, preparadoras, tapizantes, palmáceas, etc).Albuixech Moliner, J.; Esteras Pérez, FJ.; Galan Vivas, JJ.; Planchadell Millán, G.; Sánchez García, M.; Caballer Mellado, V. (2013). MATERIAL VEGETAL EN PAISAJISMO MEDITERRANEO (VOLUMEN 2). Editorial Universitat Politècnica de València. http://hdl.handle.net/10251/71998EDITORIA

MATERIAL VEGETAL EN PAISAJISMO MEDITERRÁNEO 1

La presente publicación pretende ofrecer a los profesionales y estudiantes de paisajismo una herramienta práctica y completa que, en contextos de clima mediterráneo, les ayude a seleccionar especies vegetales atendiendo a criterios de composición, uso, ecología y mantenimiento. Con dicho fin se recoge de forma sistemática y didáctica, información detallada sobre una extensa selección de especies agrupadas en las categorías siguientes: Arbolado perenne, Arbolado caduco, Coníferas, Palmáceas, zamiáceas y cicadáceas, Arbustos ornamentales, Tapizantes, Trepadoras, Plantas medicinales y aromáticas, Setos y Topiaria y Cítricos Ornamentales. La información contenida en este libro se complementa a su vez en un segundo volumen, en el que, siguiendo la misma metodología, se estudian grupos vegetales de uso o características más específicas.Galan Vivas, JJ.; Caballer Mellado, V.; Ballester-Olmos Anguis, JF.; Sánchez García, M.; Albuixech Moliner, J.; Esteras Pérez, FJ.; Castell Zeising, V. (2011). MATERIAL VEGETAL EN PAISAJISMO MEDITERRÁNEO 1. Editorial Universitat Politècnica de València. http://hdl.handle.net/10251/72491EDITORIA

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function.Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien-Dindo classification system.Results: A total of 3288 patients were included in the analysis, of whom 301 (9.2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4-7) and 7 (6-8) days respectively (P < 0.001). There were no significant differences in rates of readmission between these groups (6.6 versus 8.0 per cent; P = 0.499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0.90, 95 per cent c.i. 0.55 to 1.46; P = 0.659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34.7 versus 39.5 per cent; major 3.3 versus 3.4 per cent; P = 0.110).Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients

Timing of nasogastric tube insertion and the risk of postoperative pneumonia: an international, prospective cohort study

Aim: Aspiration is a common cause of pneumonia in patients with postoperative ileus. Insertion of a nasogastric tube (NGT) is often performed, but this can be distressing. The aim of this study was to determine whether the timing of NGT insertion after surgery (before versus after vomiting) was associated with reduced rates of pneumonia in patients undergoing elective colorectal surgery. Method: This was a preplanned secondary analysis of a multicentre, prospective cohort study. Patients undergoing elective colorectal surgery between January 2018 and April 2018 were eligible. Those receiving a NGT were divided into three groups, based on the timing of the insertion: routine NGT (inserted at the time of surgery), prophylactic NGT (inserted after surgery but before vomiting) and reactive NGT (inserted after surgery and after vomiting). The primary outcome was the development of pneumonia within 30 days of surgery, which was compared between the prophylactic and reactive NGT groups using multivariable regression analysis. Results: A total of 4715 patients were included in the analysis and 1536 (32.6%) received a NGT. These were classified as routine in 926 (60.3%), reactive in 461 (30.0%) and prophylactic in 149 (9.7%). Two hundred patients (4.2%) developed pneumonia (no NGT 2.7%; routine NGT 5.2%; reactive NGT 10.6%; prophylactic NGT 11.4%). After adjustment for confounding factors, no significant difference in pneumonia rates was detected between the prophylactic and reactive NGT groups (odds ratio 1.03, 95% CI 0.56–1.87, P = 0.932). Conclusion: In patients who required the insertion of a NGT after surgery, prophylactic insertion was not associated with fewer cases of pneumonia within 30 days of surgery compared with reactive insertion

Safety of hospital discharge before return of bowel function after elective colorectal surgery

© 2020 BJS Society Ltd Published by John Wiley & Sons LtdBackground: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien–Dindo classification system. Results: A total of 3288 patients were included in the analysis, of whom 301 (9·2 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4–7) and 7 (6–8) days respectively (P < 0·001). There were no significant differences in rates of readmission between these groups (6·6 versus 8·0 per cent; P = 0·499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0·90, 95 per cent c.i. 0·55 to 1·46; P = 0·659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34·7 versus 39·5 per cent; major 3·3 versus 3·4 per cent; P = 0·110). Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients