21 research outputs found

    The IFMIF-DONES remote handling control system: Experimental setup for OPC UA integration

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    The devices used to carry out Remote Handling (RH) manipulation tasks in radiation environments address requirements that are significantly different from common robotic and industrial systems due to the lack of repetitive operations and incompletely specified control actions. This imposes the need of control with human-in -the-loop operations. These RH systems are used on facilities such PRIDE, CERN, ESS, ITER or IFMIF-DONES, the reference used for this work. For the RH system is crucial to provide high availability, robustness against radiation, haptic devices for teleoperation and dexterous operation, and smooth coordination and integration with the centralized control room. To achieve this purpose is necessary to find the best approach towards a standard control framework capable of providing a standard set of functionalities, tools, interfaces, communications, and data formats to the different types of mechatronic devices that are usually considered for Remote Handling tasks. This previous phase of homogenization is not considered in most facilities, which leads towards a costly integration process during the commissioning phase of the facility.In this paper, an approach to the IFMIF-DONES RH Control framework with strong standard support based on protocols such as OPC UA has been described and validated through an experimental setup. This test bench includes a set of physical devices (PLC, conveyor belt and computers) and a set of OPC UA compatible software tools, configured and operable from any node of the University of Granada network. This proof-of-concept mockup provides flexibility to modify the dimension and complexity of the setup by using new virtual or physical devices connected to a unique backbone. Besides, it will be used to test different aspects such as control schemes, failure injection, network modeling, predictive maintenance studies, operator training on simulated/ real scenarios, usability or ergonomics of the user interfaces before the deployment. In this contribution, the results are described and illustrated using a conveyor belt set-up, a small but representative reference used to validate the RH control concepts here proposed.European Union via the Euratom Research and Training Programme 101052200 - EUROfusio

    Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

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    This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

    Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

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    PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

    Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

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    PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

    Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

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    Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

    Libros electrónicos : digitalizando a Gutenberg

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    Los libros electrónicos, e-books, se perfilan progresivamente como una alternativa real frente a los libros de papel. No obstante, las dificultades a las que se enfrentan no son pocas. Ausencia de un estándar, deseos de monopolio, intereses económicos y muchas dudas sobre cómo proteger satisfactoriamente los derechos de autor, hacen de ellos una alternativa poco clara. Sin embargo, los últimos movimientos empresariales indican que los tiempos están cambiando._______________________________The electronic books, e-books, are progressively supposed to be a real alternative to paper books. However, they face some problems. Lack of standard, monopoly interests and bussines affaires, and a lot of doubts about how to protect author´s copyrights make them a non-satisfactory proposal. However, late bussiness movements show times are changing

    Comunicar : revista científica iberoamericana de comunicación y educación

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    Monográfico sobre comunicación, música y tecnologíasLos libros electrónicos, e-books, se perfilan progresivamente como una alternativa a los impresos. No obstante, las dificultades a las que se enfrentan no son pocas. Ausencia de un estándar, deseos de monopolio, intereses económicos y dudas sobre cómo proteger los derechos de autor, hacen de ellos una alternativa poco clara. Sin embargo, los últimos movimientos empresariales indican que los tiempos están cambiando.AndalucíaBiblioteca de Educación del Ministerio de Educación, Cultura y Deporte; Calle San Agustín, 5 - 3 Planta; 28014 Madrid; Tel. +34917748000; [email protected]

    Libros electrónicos: digitalizando a Gutenberg

    No full text
    The electronic books, e-books, are progressively supposed to be a real alternative to paper books. However, they face some problems. Lack of standard, monopoly interests and bussines affaires, and a lot of doubts about how to protect author´s copyrights make them a non-satisfactory proposal. However, late bussiness movements show times are changingLos libros electrónicos, e-bóoks, se perfilan progresivamente como una alternativa real frente a los libros de papel. No obstante, las dificultades a las que se enfrentan no son pocas. Ausencia de un estándar, deseos de monopolio, intereses económicos y muchas dudas sobre cómo proteger satisfactoriamente los derechos de autor, hacen de ellos una alternativa poco clara. Sin embargo, los últimos movimientos empresariales indican que los tiempos están cambiando
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