El impacto de los animales salvajes en la imagen percibida de los destinos turísticos-El caso del Monte Emei

El monte Emei está ubicado en Sichuan y es un destino nacional de nivel 5 A. En los últimos años, los frecuentes conflictos entre los monos salvajes en el destino y los visitantes han provocado discusiones acaloradas entre los turistas. Tomando el monte Emei como objeto de la investigación, he extraído los comentarios relacionados con los monos salvajes en Ctrip.com y he utilizado el análisis de comentarios para explorar el impacto de los monos salvajes en la imagen turística del monte Emei. Los resultados muestran que los turistas tienen emociones positivas sobre el paisaje natural y cultural del monte Emei, pero emociones negativas sobre los monos salvajes, lo que genera un impacto negativo en la imagen de marca turística del monte Emei, y la voluntad de los turistas de volver a visitarlo es baja. Con base a esta conclusión, este documento presenta sugerencias para mejorar la imagen turística general del Monte Emei: 1) Contratar profesionales para criar monos salvajes para mejorar la abundancia de alimentos de los monos salvajes; 2) Alertar a los turistas a mantener una cierta distancia de monos salvajes; 3) Controlar razonablemente el flujo de personas en este destino para lograr el propósito del desarrollo sostenible.<br /

El Castillo de Capilla (Badajoz): un proyecto de puesta en valor (2012-2015)

[EN] Capilla Castle (Capilla, Badajoz) showed a serious state of deterioration in its factories at the beginning of the 21st century as a result of neglect and ineffective measures taken for its conservation. As of 2012, the Capilla City Council commissioned the design of an action plan to halt the deterioration of the castle and manage to turn it into an asset for the municipality's tourist resources. The project focused on three pillars (research, dissemination and restoration) that have made it possible to return to society one of the most significant buildings in Extremadura's medieval history.[ES] El castillo de Capilla (Capilla, Badajoz) mostraba un grave estado de deterioro en sus fábricas a comienzos del siglo XXI, consecuencia del abandono y la toma de medidas poco eficaces para su conservación. A partir de 2012, el Ayuntamiento de Capilla encargó el diseño un plan de actuaciones para frenar el deterioro del castillo y conseguir convertirlo en un activo para los recursos turísticos del municipio. El proyecto se centró en tres pilares (investigación, difusión y restauración) que han permitido devolver a la sociedad uno de los edificios más significativos de la historia medieval extremeña.Lucendo Díaz, D.; Torres González, T.; García García, L.; Melero Serrano, M. (2021). El Castillo de Capilla (Badajoz): un proyecto de puesta en valor (2012-2015). En I Simposio anual de Patrimonio Natural y Cultural ICOMOS España. Editorial Universitat Politècnica de València. 551-558. https://doi.org/10.4995/icomos2019.2019.11778OCS55155

Towards Interoperability in E-health Systems: a three-dimensional approach based on standards and semantics

Proceedings of: HEALTHINF 2009 (International Conference on Helath Informatics), Porto (Portugal), January 14-17, 2009, is part of BIOSTEC (Intemational Joint Conference on Biomedical Engineering Systems and Technologies)The interoperability problem in eHealth can only be addressed by mean of combining standards and technology. However, these alone do not suffice. An appropiate framework that articulates such combination is required. In this paper, we adopt a three-dimensional (information, conference and inference) approach for such framework, based on OWL as formal language for terminological and ontological health resources, SNOMED CT as lexical backbone for all such resources, and the standard CEN 13606 for representing EHRs. Based on tha framewok, we propose a novel form for creating and supporting networks of clinical terminologies. Additionally, we propose a number of software modules to semantically process and exploit EHRs, including NLP-based search and inference, wich can support medical applications in heterogeneous and distributed eHealth systems.This work has been funded as part of the Spanish nationally funded projects ISSE (FIT-350300-2007-75) and CISEP (FIT-350301-2007-18). We also acknowledge IST-2005-027595 EU project NeO

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

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

La cerámica de reflejo dorado valenciana en la Corona de Castilla.

IX Congresso internazionale sulla Ceramica medievale nel Mediterraneo (Venecia, 2009).Depto. de Prehistoria, Historia Antigua y ArqueologíaFac. de Geografía e HistoriaTRUEpu