2 research outputs found

    El derecho de asociaciĂłn profesional de los miembros de las Fuerzas Armadas.

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    La presente tesis doctoral tiene como objeto el análisis del reconocimiento jurisprudencial del derecho de asociación profesional de los miembros de las Fuerzas Armadas Españolas tras la importante sentencia del Tribunal Constitucional 219/2001, de 31 de octubre, y su posterior regulación en la ley orgánica 9/2011 de derechos y deberes de los miembros de las Fuerzas Armadas, para la defensa de sus intereses profesionales, económicos y sociales. Con este estudio, se ha pretendido identificar el marco jurídico de este derecho fundamental y su ejercicio por parte de unos servidores públicos, que por sus importantes responsabilidades tienen un estatuto jurídico especial, respecto al resto de la población española, sino también realizar un estudio detallado de los más importantes pronunciamientos de los tribunales españoles de los últimos años, que han ido concretando el alcance real de derecho para el personal militar, y especialmente para los representantes de las asociaciones profesionales que al ejercer este derecho fundamental pueden extralimitarse al ejercer otros tan importantes como la libertad de expresión, y que en muchas ocasiones les han conllevado la imposición de sanciones disciplinarias.Derech

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

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    © 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
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