33 research outputs found

    Degradación de contaminantes orgánicos en efluentes mediante fotocatálisis con una suspensión comercial de nano-TiO2

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    La presencia de determinados contaminantes to´xicos, persistentes y bioacumulables en las aguas asi´ como de otros emergentes cuyos efectos no son todavi´a bien conocidos, pueden limitar el uso de la misma, siendo necesario un tratamiento posterior que adecue la calidad de la misma para su uso. Actualmente se estudia la eliminacio´n de estos contaminantes orga´nicos persistentes mediante procesos de oxidacio´n avanzada, entre los que destaca la fotocata´lisis heteroge´nea. El dio´xido de titanio (TiO2) es el semiconductor ma´s indicado para usar en el tratamiento fotocatali´tico del agua debido a su baja toxicidad, resistencia a la fotocorrosio´n, disponibilidad, efectividad y relativo bajo coste

    Barriers and opportunities to increase PD incidence and prevalence: Lessons from a European Survey.

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    INTRODUCTION: Peritoneal dialysis (PD) remains underutilised and unplanned start of dialysis further diminishes the likelihood of patients starting on PD, although outcomes are equal to haemodialysis (HD). METHODS: A survey was sent to members of EuroPD and regional societies presenting a case vignette of a 48-year-old woman not previously known to the nephrology department and who arrives at the emergency department with established end-stage kidney disease (unplanned start), asking which dialysis modality would most likely be chosen at their respective centre. We assessed associations between the modality choices for this case vignette and centre characteristics and PD-related practices. RESULTS: Of 575 respondents, 32.8%, 32.2% and 35.0% indicated they would start unplanned PD, unplanned HD or unplanned HD with intention to educate patient on PD later, respectively. Likelihood for unplanned start of PD was only associated with quality of structure of the pre-dialysis program. Structure of pre-dialysis education program, PD program in general, likelihood to provide education on PD to unplanned starters, good collaboration with the PD access team and taking initiatives to enhance home-based therapies increased the likelihood unplanned patients would end up on PD. CONCLUSIONS: Well-structured pre-dialysis education on PD as a modality, good connections to dedicated PD catheter placement teams and additional initiatives to enhance home-based therapies are key to grow PD programs. Centres motivated to grow their PD programs seem to find solutions to do so

    Assisted peritoneal dialysis across Europe: Practice variation and factors associated with availability

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    Background: In Europe, the number of elderly end-stage kidney disease patients is increasing. Few of those patients receive peritoneal dialysis (PD), as many cannot perform PD autonomously. Assisted PD programmes are available in most European countries, but the percentage of patients receiving assisted PD varies considerably. Hence, we assessed which factors are associated with the availability of an assisted PD programme at a centre level and whether the availability of this programme is associated with proportion of home dialysis patients. Methods: An online survey was sent to healthcare professionals of European nephrology units. After selecting one respondent per centre, the associations were explored by chi (2) tests and (ordinal) logistic regression. Results: In total, 609 respondents completed the survey. Subsequently, 288 respondents from individual centres were identified; 58% worked in a centre with an assisted PD programme. Factors associated with availability of an assisted PD programme were Western European and Scandinavian countries (OR: 5.73; 95% CI: 3.07-10.68), non-academic centres (OR: 2.01; 95% CI: 1.09-3.72) and centres with a dedicated team for education (OR: 2.87; 95% CI: 1.35-6.11). Most Eastern & Central European respondents reported that the proportion of incident and prevalent home dialysis patients was 30% for both incident and prevalent home dialysis patients. Availability of an assisted PD programme was associated with a higher incidence (cumulative OR: 1.91; 95% CI: 1.21-3.01) and prevalence (cumulative OR: 2.81; 95% CI: 1.76-4.47) of patients on home dialysis. Conclusions: Assisted PD was more commonly offered among non-academic centres with a dedicated team for education across Europe, especially among Western European and Scandinavian countries where higher incidence and prevalence of home dialysis patients was reported

    Real-time 10Gbps polarization independent quasicoherent receiver for NG-PON2 access networks

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    \u3cp\u3eIn this paper, we propose and test experimentally a real-time 10 Gbps polarization independent quasicoherent receiver for NG-PON2 access networks. The proposed 10 Gbps quasicoherent receiver exhibits a sensitivity of -35.2 dBm after 40 km standard single mode fiber (SSMF) transmission with a commercial generic EML as transmitter. This sensitivity means a 14.9 dB improvement over a direct detection scheme with a photodiode after 40 km SSMF transmission. Therefore, the use of the proposed 10 Gbps quasicoherent receiver with the tested EML will provide a power budget of 35.64 dB (class E2) and a splitting ratio of 128 after the 40 km SSMF transmission. Finally, the proposed 10 Gbps quasicoherent receiver allows a colorless and optical filterless operation because wavelength selection is done by tuning the local oscillator wavelength and using electrical intermediate frequency filtering.\u3c/p\u3
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