Planeamiento Estratégico Ambiental - IG34 - 202102

Descripción: El curso de Planeamiento Estratégico Ambiental es teórico- práctico, utiliza ejemplos prácticos necesarios para el entendimiento de los conceptos generales de la planificación ambiental. Dentro de los contenidos que aborda están el ciclo de planeamiento estratégico ambiental, el abordaje de los problemas ambientales desde una perspectiva estratégica, el desarrollo de diagnósticos ambientales, el desarrollo de objetivo e indicadores, así como el planteamiento de estrategias y de servicios para abordar problemas ambientales reales. Propósito El curso Planeamiento Estratégico Ambiental tiene por finalidad que el estudiante sea capaz de proponer y consolidar las herramientas de gestión ambiental en una organización o empresa, acorde a las tendencias mundiales, a las necesidades ambientales, económicos, sociales y legales de la misma; teniendo en cuenta el entorno donde se desarrolla y con el fin de contribuir a su sostenibilidad y competitividad. El curso contribuye al desarrollo de la competencia general de pensamiento crítico nivel 3 y tiene como requisito el curso de. IG30 Evaluación Económica de Proyectos Ambientale

Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2