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Article ; Online: Carbon and nitrogen isotopic similarity between the endangered Darwin’s fox (Lycalopex fulvipes) and sympatric free-ranging dogs in Chiloé Island, Chile

Canales-Cerro, C. / Hidalgo-Hermoso, E. / Cabello, J. / Sacristán, I. / Cevidanes, A. / Di Cataldo, S. / Napolitano, C. / Moreira-Arce, D. / Klarian, S. / Millán, J.

Isotopes in Environmental and Health Studies. 2022 Nov. 02, v. 58, no. 4-6 p.316-326

2022

Abstract: Darwin’s fox is an opportunistic omnivorous predator native to Chile classified as endangered by the IUCN Red List. Habitat use by Darwin’s foxes can be negatively affected by the presence of free-ranging dogs that range freely across native and non- ... ...

Abstract	Darwin’s fox is an opportunistic omnivorous predator native to Chile classified as endangered by the IUCN Red List. Habitat use by Darwin’s foxes can be negatively affected by the presence of free-ranging dogs that range freely across native and non-native habitats and can be a source of fox mortality. The objective of this study was to analyze the isotopic similarity of Darwin’s fox and sympatric free-ranging dogs in Chiloé Island to determine the impact of anthropogenic environmental alterations on wild predators. We use hair samples to characterise and compare their δ ¹³C and δ ¹⁵N values and to evaluate isotopic similarity and isotope niches overlap. A generalised linear model was used to associate the isotope value with landscape variables (forest cover and vegetation type) and distance to the nearest house. We found no significant differences in δ ¹³C or δ ¹⁵N values between foxes and dogs, and a marginally significant isotope niche overlap (59.4 %). None of the selected variables at landscape and site scale were related to isotope values. Although our study is not a probe of direct contact between foxes and free-ranging dogs, the high isotopic similarity highlights the risk of pathogen spillover from free-ranging dogs to Darwin’s foxes.
Keywords	Lycalopex fulvipes ; carbon ; direct contact ; forests ; foxes ; habitat preferences ; isotopes ; landscapes ; linear models ; mortality ; nitrogen ; omnivores ; pathogens ; risk ; sympatry ; Chile ; Anthropisation ; carbon-13 ; carnivore ; Chiloé Island ; conservation ; Darwin’s fox ; isotope ecology ; nitrogen-15
Language	English
Dates of publication	2022-1102
Size	p. 316-326.
Publishing place	Taylor & Francis
Document type	Article ; Online
ZDB-ID	2100190-X
ISSN	1477-2639 ; 0021-1915 ; 1025-6016
ISSN (online)	1477-2639
ISSN	0021-1915 ; 1025-6016
DOI	10.1080/10256016.2022.2106225
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Sexual activity and function of women with severe pelvic organ prolapse subjected to a classical vaginal surgery. A Multicentre study.

Anglès-Acedo, S / Ros-Cerro, C / Espuña-Pons, M / Valero-Fernandez, E M

Actas urologicas espanolas

2019 Volume 43, Issue 7, Page(s) 389–395

Abstract: Introduction and objective: Pelvic organ prolapse (POP) is related with female sexual dysfunction. The present study aimed to determine the impact of POP corrective surgery on the sexual life of women with advanced POP.: Materials and methods: A ... ...

Title translation	Actividad y función sexual en mujeres con prolapso de órganos pélvicos avanzado sometidas a cirugía vaginal clásica. Estudio multicéntrico.
Abstract	Introduction and objective: Pelvic organ prolapse (POP) is related with female sexual dysfunction. The present study aimed to determine the impact of POP corrective surgery on the sexual life of women with advanced POP. Materials and methods: A prospective, multicentre cohort study was designed, including patients with grade≥II, symptomatic POP, who underwent vaginal surgery with traditional procedures. Sexual activity and function were assessed by PISQ-IR before surgery and 12 months after. Results: We included 355 women; 322 had data from the follow-up visit. The mean (SD) age was 64.8 (9.9) years. At baseline, 170 women were sexually active and 185 were not. After surgery, 29 women (16.8%) became sexually active and 20 (12.8%) ceased sexual activity. Before surgery, 42.3% reported not having sexual intercourse due to bladder, bowel or POP problems; and 11.4% after surgery. At baseline visit, 25.3% had no sexual activity due to pain, however, at follow-up visits, this percentage was 8.5%. A statistically significant improvement was observed in 5 out of 6 scales of the PISQ-IR in sexually active women. Conclusions: Symptomatic POP is associated with female sexual dysfunction. Surgical intervention seems to have a positive impact on sexual life among sexually inactive and active women.
MeSH term(s)	Aged ; Female ; Gynecologic Surgical Procedures/methods ; Humans ; Middle Aged ; Pelvic Organ Prolapse/surgery ; Prospective Studies ; Severity of Illness Index ; Sexual Behavior/physiology ; Vagina/surgery
Language	Spanish
Publishing date	2019-06-13
Publishing country	Spain
Document type	Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
ISSN	2173-5786
ISSN (online)	2173-5786
DOI	10.1016/j.acuro.2019.02.003
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Carbon and nitrogen isotopic similarity between the endangered Darwin's fox (

Canales-Cerro, C / Hidalgo-Hermoso, E / Cabello, J / Sacristán, I / Cevidanes, A / Di Cataldo, S / Napolitano, C / Moreira-Arce, D / Klarian, S / Millán, J

Isotopes in environmental and health studies

2022 Volume 58, Issue 4-6, Page(s) 316–326

Abstract: Darwin's fox is an opportunistic omnivorous predator native to Chile classified as endangered by the IUCN Red List. Habitat use by Darwin's foxes can be negatively affected by the presence of free-ranging dogs that range freely across native and non- ... ...

Abstract	Darwin's fox is an opportunistic omnivorous predator native to Chile classified as endangered by the IUCN Red List. Habitat use by Darwin's foxes can be negatively affected by the presence of free-ranging dogs that range freely across native and non-native habitats and can be a source of fox mortality. The objective of this study was to analyze the isotopic similarity of Darwin's fox and sympatric free-ranging dogs in Chiloé Island to determine the impact of anthropogenic environmental alterations on wild predators. We use hair samples to characterise and compare their
MeSH term(s)	Dogs ; Animals ; Nitrogen Isotopes ; Carbon ; Chile
Chemical Substances	Nitrogen Isotopes ; Carbon (7440-44-0)
Language	English
Publishing date	2022-08-13
Publishing country	England
Document type	Journal Article
ZDB-ID	2100190-X
ISSN	1477-2639 ; 0021-1915 ; 1025-6016
ISSN (online)	1477-2639
ISSN	0021-1915 ; 1025-6016
DOI	10.1080/10256016.2022.2106225
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Article: Cambio del modelo asistencial en una unidad de uroginecología de un hospital de tercer nivel: impacto de la pandemia por COVID-19 en la presencialidad.

Anglès Acedo, S / Escura Sancho, S / Ros Cerro, C / E Bataller Sánchez / López Frias, L / Benito García, E / Carmona Guerrero, C / Espuña Pons, M

Clinica e investigacion en ginecologia y obstetricia

2022 Volume 49, Issue 3, Page(s) 100752

Abstract: The COVID-19 pandemic caused a sudden change in the usual care practice of our urogynaecology unit. Therefore, we designed a new healthcare model to adapt our practice to the epidemiological situation. The central axis of the new model was reduced ... ...

Title translation	Update of the care model in a urogynaecology unit of a tertiary hospital: impact of the COVID-19 pandemic on face-to-face care.
Abstract	The COVID-19 pandemic caused a sudden change in the usual care practice of our urogynaecology unit. Therefore, we designed a new healthcare model to adapt our practice to the epidemiological situation. The central axis of the new model was reduced hospital attendance, offering the same healthcare quality through the introduction of telemedicine.To achieve this aim, we made the following changes: a first telematic medical visit was the first step, telematic monitoring visits for conservative and pharmacological treatments and pack visit. We created the following packs: LUTS, postpartum and post-discharge pack. All packs included visits and diagnostic tests performed on the same day.The LUTS pack is indicated in patients with lower urinary tract symptoms, associated or not with pelvic organ prolapse. It includes two visits (nursing and medical) and two tests (urodynamics and pelvic floor ultrasound).The postpartum pack is indicated in women with symptoms of urinary incontinence, anal incontinence, pelvic organ prolapse and sexual disfunctions after delivery, as well as asymptomatic patients with a history of obstetric perineal trauma. It includes a medical visit, a pelvic floor ultrasound and a visit with the physiotherapist.The post-discharge pack is scheduled a month after the surgery and includes two tests (pelvic floor ultrasound and uroflowmetry) and a medical visit.Some face-to-face visits were maintained, as were physiotherapy treatments and other visits following medical criteria.
Language	Spanish
Publishing date	2022-02-14
Publishing country	Spain
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	639110-2
ISSN	0210-573X
ISSN	0210-573X
DOI	10.1016/j.gine.2022.100752
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Article ; Online: Calidad percibida en población hiperfrecuentadora infantil: una aproximación cualitativa.

Simón-Gozalbo, A / Llorente Parrado, C / Diaz Redondo, A / Ignacio Cerro, C / Vázquez López, P / Mora Capín, A

Journal of healthcare quality research

2020 Volume 35, Issue 1, Page(s) 19–26

Abstract: Introduction: Assessing the perceived quality of a healthcare department by its users is essential in a quality management system. In Paediatric Emergency Departments (PED), the demand for urgent care has increased in recent years, as well as an ... ...

Title translation	Perceived quality of care by frequent paediatric healthcare users: A qualitative approach.
Abstract	Introduction: Assessing the perceived quality of a healthcare department by its users is essential in a quality management system. In Paediatric Emergency Departments (PED), the demand for urgent care has increased in recent years, as well as an increase in frequent attendance. Paying attention to the opinions of these habitual users by means of qualitative methodology is particularly suitable for assessing the quality of care and identifying opportunities to improve the PED. Methods: Two focus groups were held with parents of patients (with and without a chronic disease) who visited the PED on 10or more occasions per year in a third level hospital. Results: The participants were satisfied overall with the PED. The treatment received was very positively valued, and they never felt that they had received poorer care due to being frequent users. As main strengths, they also highlighted the professional expertise, the friendliness of staff, the quality of information given, the medication received on discharge from hospital, and the follow-up carried out by the PED. The major improvement opportunities identified included: the contagion risks, the lack of coordination between different levels of care, and the need to improve the inclusion of families in the health care process. Conclusions: Due to the contributions made by these parents, several improvement strategies have been introduced, such as the implementation of sharing information protocols in shift changes, professional training courses, the establishment of a liaison person between the PED and Primary Care, and a proposal to the Hospital Management Department to assess the identified needs.
MeSH term(s)	Adolescent ; Child ; Child, Preschool ; Emergency Service, Hospital/standards ; Female ; Humans ; Infant ; Male ; Parents ; Patient Satisfaction ; Pediatrics ; Quality Improvement ; Quality of Health Care
Language	Spanish
Publishing date	2020-01-06
Publishing country	Spain
Document type	Journal Article
ISSN	2603-6479
ISSN (online)	2603-6479
DOI	10.1016/j.jhqr.2019.08.005
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Cómo la pandemia por COVID-19 ha cambiado la forma de atender a las pacientes en una unidad de uroginecología.

Escura Sancho, S / Ros Cerro, C / Anglès-Acedo, S / Bataller Sánchez, E / Espuña-Pons, M

Clinica e investigacion en ginecologia y obstetricia

2020 Volume 47, Issue 3, Page(s) 111–117

Abstract: The current SARS-coronavirus type 2 pandemic caused, in few weeks, important changes in the health system organization and in the way we attend the patients. Urogynaecological diseases affect quality of life, but without life risk in most cases, so it is ...

Title translation	How did COVID-19 pandemic change the way we attend the patients in an urogynaecological unit.
Abstract	The current SARS-coronavirus type 2 pandemic caused, in few weeks, important changes in the health system organization and in the way we attend the patients. Urogynaecological diseases affect quality of life, but without life risk in most cases, so it is possible to delay. Moreover, urogynaecological diseases affect mostly women over 65 years old (a high risk population for contracting COVID-19). In this manuscript we summarise the current evidence about telemedicine efectivity to manage to pelvic floor dysfunctions and, in addition, the recommendations of Urogynaecological scientific societies during state of alarm. We describe the management of the different pelvic floor dysfunctions during COVID-19 pandemic and a proposal to organize the urogynaecological services to diagnose (visits and diagnostic investigations) and to treat (conservative, pharmacological or surgery) in the interpandemic period and in the future.
Keywords	covid19
Language	Spanish
Publishing date	2020-06-28
Publishing country	Spain
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	639110-2
ISSN	0210-573X
ISSN	0210-573X
DOI	10.1016/j.gine.2020.06.009
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Impact of risk mapping as a strategy for monitoring and improving patient safety in paediatric emergency care.

Mora-Capín, Andrea / Ignacio-Cerro, Carmen / Díaz-Redondo, Alicia / Vázquez-López, Paula / Marañón-Pardillo, Rafael

Anales de pediatria

2022 Volume 97, Issue 4, Page(s) 229–236

Abstract: Objective: To design a risk map (RM) as a tool for identifying and managing risks in the paediatric emergency department and to assess the impact of the improvement actions developed based on the identified risks in terms of the level of risk to patient ...

Abstract	Objective: To design a risk map (RM) as a tool for identifying and managing risks in the paediatric emergency department and to assess the impact of the improvement actions developed based on the identified risks in terms of the level of risk to patient safety. Methodology: A multidisciplinary working group reviewed the entire care process by applying the Failure Mode and Effects Analysis (FMEA) tool. Project phases: (1) RM 2017 and planning of improvement actions; (2) Development and implementation of improvement actions; (3) RM 2019; (4) Analysis: evolution of the RM and impact of improvement actions. Results: A total of 106 failure modes (FMs) were identified in the 2017 RM (54.7% high- or very high risk). We applied prioritization criteria to select the improvement actions to plan. Nineteen improvement actions were planned, with assigned responsible parties and deadlines, to address 46 priority FMs. One hundred percent were implemented. In the 2019 RM, we identified 110 FMs (48.2% high risk) and found an overall reduction of the risk level of 20%. Analysing the 46 priority FMs that had been addressed by the 19 planned improvement actions, we found that 60% had changed from high to medium risk level and that the risk level had decreased, both overall (-27.8%) and by process. Conclusion: The FMEA is a useful tool to identify risks, analyse the impact of improvement strategies and monitor the risk level of a complex clinical care department. The improvement actions developed succeeded in reducing the level of risk in the processes in our unit, improving patient safety.
MeSH term(s)	Child ; Emergency Service, Hospital ; Emergency Treatment ; Humans ; Patient Safety ; Risk Management
Language	English
Publishing date	2022-09-08
Publishing country	Spain
Document type	Journal Article
ZDB-ID	2830901-7
ISSN	2341-2879 ; 2341-2879
ISSN (online)	2341-2879
ISSN	2341-2879
DOI	10.1016/j.anpede.2022.08.008
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Impacto de una estrategia de mejora de calidad asistencial y gestión de riesgos en un servicio de urgencias pediátricas.

Mora Capín, A / Rivas García, A / Marañón Pardillo, R / Ignacio Cerro, C / Díaz Redondo, A / Vázquez López, P

Journal of healthcare quality research

2019 Volume 34, Issue 2, Page(s) 78–85

Abstract: Introduction: Emergency departments are a high risk area for the occurrence of adverse events. The aim of this study is to analyse the impact of a strategy to improve the quality assurance and risk management in the notification of incidents in our Unit, ...

Title translation	Impact of a strategy to improve the quality of care and risk management in a paediatric emergency department.
Abstract	Introduction: Emergency departments are a high risk area for the occurrence of adverse events. The aim of this study is to analyse the impact of a strategy to improve the quality assurance and risk management in the notification of incidents in our Unit, and describe the improvement actions developed from the reported incidents. Material and methods: A retrospective observational study was developed during one year, divided into two periods: P1 (Start: training session and implementation of the risk management process), and P2 (Start: feed-back session of incidents reported in P1 and improvement actions developed). In each period, the number of reported incidents in relation to the number of emergencies attended (‰) and the descriptive data of each incident were recorded. The improvement actions developed from the incidents reported in P1 were described. Results: The number of notifications from P1 (4.1‰; 95%CI 3.2-5.0‰) increased in P2 (10.9‰; 95%CI 9.8-10.2‰, P<.001). The most frequent incidents in P1 were medication (33.3%), and identification errors (25.9%): both were significantly reduced in P2 (16.9%, P=.001 and 9.3%, P<.001, respectively). In P2, prescription errors of the P1 were reduced (35.9% vs 62.9%, P=.02). The factors of "Knowledge and training" (23.5%) were the most frequent in P1, decreasing in P2 (7.4%, P<.001). Conclusion: It is considered that the implementation of a risk management process, and the promotion of a safety culture, through training and feed-back sessions to all professionals, contributed to increase the volume of notifications in our Unit. The voluntary and anonymous reporting of incidents is useful to identify risks, and plan corrective measures, contributing to improve quality assurance and patient safety.
MeSH term(s)	Child ; Emergency Service, Hospital/standards ; Humans ; Pediatrics ; Quality Assurance, Health Care/standards ; Quality Improvement ; Retrospective Studies ; Risk Management/standards
Language	Spanish
Publishing date	2019-01-09
Publishing country	Spain
Document type	Journal Article ; Observational Study
ISSN	2603-6479
ISSN (online)	2603-6479
DOI	10.1016/j.jhqr.2018.10.003
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Evaluación de la efectividad de acciones correctivas derivadas de la notificación de incidentes en urgencias pediátricas.

Marañón, R / Solís-García, G / Ignacio Cerro, C / Díaz Redondo, A / Romero Martínez, A I / Mora Capín, A

Journal of healthcare quality research

2019 Volume 34, Issue 5, Page(s) 242–247

Abstract: Objective: To analyse the effectiveness of corrective measures arising from the analysis of safety incident notifications in the Paediatric Emergency Unit.: Methods: A quasi-experimental, prospective, and single-centre study was carried out between ... ...

Title translation	Evaluation of effectiveness of corrective measures arising from incident notifications in a paediatric emergency department.
Abstract	Objective: To analyse the effectiveness of corrective measures arising from the analysis of safety incident notifications in the Paediatric Emergency Unit. Methods: A quasi-experimental, prospective, and single-centre study was carried out between 2015 and 2018. In the first phase, incidents notified throughout one year were analysed. Corrective measures were then implemented for 5 specific kinds of incidents. These incidents were finally compared to those notified within 12 months after the implementation of those measures. Results were expressed as relative risk and relative risk reduction. Results: A total of 1587 safety incidents were notified (0.9% of patients treated) between January 2015 and December 2017. After implementation of corrective measures, there was a decrease in all kinds of incidents notifications analysed. The incidents related to patient identification were reduced by 60.9% (RR 0.39, 95% CI; 0.25-0.60), and those regarding communication between professionals were reduced by 74.5% (RR 0.25, 95% CI; 0.12-0.55). Incidents related to sedation and analgesic procedures totally disappeared. No significant reduction was found in incidents concerning the triage system, or in those related to rapid intravenous rehydration procedures. Conclusions: The implementation of improvement actions arising from the analysis of voluntary notification of incidents is an effective strategy to improve patient effective strategy to improve.
MeSH term(s)	Communication ; Emergency Service, Hospital/statistics & numerical data ; Emergency Treatment/adverse effects ; Emergency Treatment/statistics & numerical data ; Fluid Therapy/adverse effects ; Fluid Therapy/statistics & numerical data ; Harm Reduction ; Humans ; Interprofessional Relations ; Medical Errors/prevention & control ; Medical Errors/statistics & numerical data ; Patient Identification Systems/statistics & numerical data ; Patient Safety/statistics & numerical data ; Pediatrics/statistics & numerical data ; Prospective Studies ; Risk ; Risk Management/methods ; Risk Management/statistics & numerical data ; Time Factors ; Triage
Language	Spanish
Publishing date	2019-07-30
Publishing country	Spain
Document type	Journal Article
ISSN	2603-6479
ISSN (online)	2603-6479
DOI	10.1016/j.jhqr.2019.05.004
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: How did COVID-19 pandemic change the way we attend the patients in an urogynaecological unit/ Cómo la pandemia por COVID-19 ha cambiado la forma de atender a las pacientes en una unidad de uroginecología

Escura Sancho, S. / Ros Cerro, C. / Anglès-Acedo, S. / Bataller Sánchez, E. / Espuña-Pons, M.

Clin. Invest. Ginecol. Obstet.

Abstract	The current SARS-coronavirus type 2 pandemic caused, in few weeks, important changes in the health system organization and in the way we attend the patients. Urogynaecological diseases affect quality of life, but without life risk in most cases, so it is possible to delay. Moreover, urogynaecological diseases affect mostly women over 65 years old (a high risk population for contracting COVID-19). In this manuscript we summarise the current evidence about telemedicine efectivity to manage to pelvic floor dysfunctions and, in addition, the recommendations of Urogynaecological scientific societies during state of alarm. We describe the management of the different pelvic floor dysfunctions during COVID-19 pandemic and a proposal to organize the urogynaecological services to diagnose (visits and diagnostic investigations) and to treat (conservative, pharmacological or surgery) in the interpandemic period and in the future.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #622678
Database	COVID19

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