10 research outputs found
Un tipo común: análisis sobre el discurso y la imagen en la campaña televisiva de Francisco De Narváez para las elecciones legislativas de 2009
Permeation grouting of an upstream tailing dam: a feasibility study
The presence of potentially liquefiable deposits in tailing dams represents a serious hazard, as is now increasingly clear that liquefaction triggering may occur in unanticipated ways. For legacy dams in which this hazard is already present, intervention alternatives are sought to mitigate the associated risks of liquefaction failure. One interesting possibility is to use targeted ground improvements of tailings within the structural zone of the dams, so that they become nonliquefiable. Liquefaction remediation technologies that are relatively gentle would be preferable, as the possibility of triggering liquefaction during the ground improvement operation itself cannot be lightly discarded. Permeation grouting is a classical soil improvement technology that has been renovated with the apparition of new permeating agents, such as colloidal silica suspensions (CS). Permeation grouting of CS consists in low-pressure injections leading to CS treated soils characterized by a significantly reduced liquefaction potential. CS grout has a complex rheology that is best described by a Bingham model whose parameters change in time. This paper presents design tools that incorporate this complexity and allow both a safer and more realistic design of permeation treatments. As an application example, we study a case based on the Merriespruit tailing dam, which failed by static liquefaction. It is concluded that CS permeation could realistically offer a potential solution to reduce instability risk of some tailing storage facilities (TSF).Postprint (published version
Percepción e imagen de los call centers en la opinión pública argentina
El objetivo de esta investigación es dar cuenta de la imagen y la percepción que tienen ciertos públicos acerca de los call centers. Pudo obtenerse un diagnóstico sobre la imagen de los call centers (en: usuarios, consumidores, periodistas especializados, dueños o responsables de empresas que brindan el servicio, y gerentes de aquellas que los contratan), que puede contribuir, posteriormente, a la elaboración de estrategias de comunicación que permitan mejorar la percepción sobre esta herramienta y las empresas que las comercializan, teniendo en cuenta la identificación de estereotipos, valores, necesidades, reclamos, defectos y virtudes planteados por los públicos mencionados.
Respecto de la imagen que la sociedad se hace de los empleados de los call centers, en la muestra se pudo determinar que las palabras que más se relacionen con estos puestos son: "primer trabajo", "estudiante" (22,5%), "respuestas rápidas" y "mucha espera"
The Elastic Modulus Variation During the Shotcrete Curing Jointly Investigated by the Convergence-Confinement and the Hyperstatic Reaction Methods
Induced stresses in sprayed concrete (or shotcrete) are quite complex to evaluate and depend on many factors such as the size and depth of the tunnel, the geomechanical characteristics of the surrounding ground in which the tunnel is excavated, the type of shotcrete, the evolution of its mechanical parameters over time and the excavation face advance rate. In particular, the evolution of the mechanical properties of the shotcrete is crucial regarding the interaction with the tunnel wall and the development of the bending moments and the normal forces which occur along the circumference of the lining. In this research, a new calculation procedure based on the combined use of two calculation methods, the convergence confinement and the hyperstatic reaction methods, is presented. Thanks to this procedure, it is possible to progressively apply the load acting on the lining as the curing phase of the concrete progresses and therefore with the evolution of its mechanical parameters. This procedure has been applied to several examples of calculation, obtaining useful considerations regarding the mechanical behavior of the shotcrete lining when some fundamental parameters of the calculation change. It is possible to achieve bending moments and forces in the lining with the progress of the load steps. It is also possible to determine the trend of the lining safety factor over time and at the end of the loading phase, allowing a proper design of the support, with particular attention to the type of shotcrete and the thickness of the lining
The Hyperstatic Reaction Method for the Analysis of the Sprayed Concrete Linings Behavior in Tunneling
Hyperstatic Reaction Method considers the interaction between the shotcrete lining and the rock mass modelling half tunnel section by beam elements connected by nodes, which can develop bending moments, axial forces and shear forces. The interaction between ground and support is represented by Winkler type springs in the nodes of the numerical model, in the normal and tangential direction. 1944 analyses were developed considering three different tunnel radius values (2.0, 4.5 and 7.0 m), three different rock types (RMR = 40, RMR = 60 and RMR = 80), three different stress ratios acting on the linings (K=1,K=0.5 and K= 0), three different lining thickness values (0.1, 0.2 and 0.3 m) and three values of the average elastic modulus of the shotcrete (6000, 9000 and 12,000 MPa). Besides, also two different stiffness values of the tangential springs at nodes were considered. Results show that the lining thickness and the elastic modulus of the shotcrete have a strong influence on the bending moment values which develop inside. The maximum axial force is not practically influenced by the lining elastic modulus and thickness. Both maximum bending moments and maximum axial forces increase in a linear way with the vertical load value; tunnel radius, K and RMR values of the rock mass have also a great influence on the maximum bending moment and axial force. Besides, it is possible to note how the absence of shear interaction between the lining and the rock mass causes bending moment values in the lining higher with respect to the case where the stiffness of the tangential springs at nodes equals to half the stiffness of the normal springs. For this reason, the neglectance of the shear interaction between the lining and the tunnel wall leads to an overdesign of the SC lining
The Elastic Modulus Variation During the Shotcrete Curing Jointly Investigated by the Convergence-Confinement and the Hyperstatic Reaction Methods
The Hyperstatic Reaction Method for the Analysis of the Sprayed Concrete Linings Behavior in Tunneling
Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study
Background
Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation.
Methods
WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109.
Findings
Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital.
Interpretation
In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates
Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study
Background: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0-4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2-6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society
Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study
International audienceBackground: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society