Hydrochemical characterization of a mine water geothermal energy resource in NW Spain

Abandoned and flooded mine networks provide underground reservoirs of mine water that can be used as a renewable geothermal energy source. A complete hydrochemical characterization of mine water is required to optimally design the geothermal installation, understand the hydraulic behavior of the water in the reservoir and prevent undesired effects such as pipe clogging via mineral precipitation. Water pumped from the Barredo-Figaredo mining reservoir (Asturias, NW Spain), which is currently exploited for geothermal use, has been studied and compared to water from a separate, nearby mountain mine and a river that receives mine water discharge and partially infiltrates into the mine workings. Although the hydrochemistry was altered during the flooding process, the deep mine waters are currently near neutral, net alkaline, high metal waters of Na-HCO3 type. Isotopic values suggest that mine waters are closely related to modern meteoric water, and likely correspond to rapid infiltration. Suspended and dissolved solids, and particularly iron content, of mine water results in some scaling and partial clogging of heat exchangers, but water temperature is stable (22 °C) and increases with depth, so, considering the available flow (> 100 L s− 1), the Barredo-Figaredo mining reservoir represents a sustainable, long-term resource for geothermal use

Evaluación clínica y hoja de registro de cuidados de enfermería del sistema de control fecal en pacientes críticos

Fecal incontinence in critical patients predisposes them to several complications as: tissue viability problems, infections, or patients well-being effects. This kind of problems could increase average stay hospital, with economic and health system repercussions.The evidence shows that traditional managements of fecal incontinence have adverse outcomes which are unresolved.The Flexi-seal® management system (FMS), reduces these complications, and its effectiveness is based on different studies (Martínez Estadella G et al, 2006), (Ares Sánchez M et al, 2006) (Bordes J et all, 2007), (Pelleschi ME, 2008).It is necessary to describe the insertion technique, and Nursing interventions orientated to patients who need Flexi-seal® management system (FMS), in order to improve Nursing Cares.La incontinencia fecal en los Pacientes Críticos produce una serie de complicaciones como son: el deterioro de la integridad cutánea de la piel, infecciones, alteración en la autoestima del paciente, etc. Esta serie de problemas puede ocasionar un aumento en la media de estancia de los pacientes ingresados con repercusiones sanitarias y económicas.La evidencia científica nos indica que los sistemas tradicionales utilizados para la incontinencia fecal producen diferentes problemas potenciales aún sin solucionar.El sistema de control de la incontinencia fecal Flexi-Seal® FMS (Fig. nº1) produce una reducción de estos problemas y su efectividad está basada en diferentes estudios recientes que así lo demuestran (Martínez Estadella, G. et al, 2006), (Ares Sánchez, M. et al, 2006) (Bordes, J. et al, 2007), (Pelleschi, ME, 2008).Es necesario describir tanto la técnica de inserción como los Cuidados de Enfermería de este nuevo dispositivo de incontinencia fecal

Fecal management in critical patients: clinical evaluation and nursing record.

La incontinencia fecal en los Pacientes Críticos produce una serie de complicaciones como son: el deterioro de la integridad cutánea de la piel, infecciones, alteración en la autoestima del paciente, etc. Esta serie de problemas puede ocasionar un aumento en la media de estancia de los pacientes ingresados con repercusiones sanitarias y económicas. La evidencia científica nos indica que los sistemas tradicionales utilizados para la incontinencia fecal producen diferentes problemas potenciales aún sin solucionar. El sistema de control de la incontinencia fecal Flexi-Seal® FMS (Fig. nº1) produce una reducción de estos problemas y su efectividad está basada en diferentes estudios recientes que así lo demuestran (Martínez Estadella, G. et al, 2006), (Ares Sánchez, M. et al, 2006) (Bordes, J. et al, 2007), (Pelleschi, ME, 2008). Es necesario describir tanto la técnica de inserción como los Cuidados de Enfermería de este nuevo dispositivo de incontinencia fecal.ABSTRACT Fecal incontinence in critical patients predisposes them to several complications as: tissue viability problems, infections, or patients well-being effects. This kind of problems could increase average stay hospital, with economic and health system repercussions. The evidence shows that traditional managements of fecal incontinence have adverse outcomes which are unresolved. The Flexi-seal® management system (FMS), reduces these complications, and its effectiveness is based on different studies (Martínez Estadella G et al, 2006), (Ares Sánchez M et al, 2006) (Bordes J et all, 2007), (Pelleschi ME, 2008). It is necessary to describe the insertion technique, and Nursing interventions orientated to patients who need Flexi-seal® management system (FMS), in order to improve Nursing Cares

Evaluación clínica y hoja de registro de cuidados de enfermería del sistema de control fecal en pacientes críticos

Fecal incontinence in critical patients predisposes them to several complications as: tissue viability problems, infections, or patients well-being effects. This kind of problems could increase average stay hospital, with economic and health system repercussions.The evidence shows that traditional managements of fecal incontinence have adverse outcomes which are unresolved.The Flexi-seal® management system (FMS), reduces these complications, and its effectiveness is based on different studies (Martínez Estadella G et al, 2006), (Ares Sánchez M et al, 2006) (Bordes J et all, 2007), (Pelleschi ME, 2008).It is necessary to describe the insertion technique, and Nursing interventions orientated to patients who need Flexi-seal® management system (FMS), in order to improve Nursing Cares.La incontinencia fecal en los Pacientes Críticos produce una serie de complicaciones como son: el deterioro de la integridad cutánea de la piel, infecciones, alteración en la autoestima del paciente, etc. Esta serie de problemas puede ocasionar un aumento en la media de estancia de los pacientes ingresados con repercusiones sanitarias y económicas.La evidencia científica nos indica que los sistemas tradicionales utilizados para la incontinencia fecal producen diferentes problemas potenciales aún sin solucionar.El sistema de control de la incontinencia fecal Flexi-Seal® FMS (Fig. nº1) produce una reducción de estos problemas y su efectividad está basada en diferentes estudios recientes que así lo demuestran (Martínez Estadella, G. et al, 2006), (Ares Sánchez, M. et al, 2006) (Bordes, J. et al, 2007), (Pelleschi, ME, 2008).Es necesario describir tanto la técnica de inserción como los Cuidados de Enfermería de este nuevo dispositivo de incontinencia fecal