2 research outputs found

    An谩lisis termodin谩mico de soluciones de polietilenimina como soluci贸n extractora para aplicaciones de desalaci贸n de agua de mar basadas en 贸smosis directa

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    El objetivo del trabajo es hacer un an谩lisis de viabilidad termodin谩mica del proceso de desalaci贸n basado en 贸smosis directa que utiliza como soluci贸n extractora una disoluci贸n acuosa de polietilenimina ramificada (PEI). Dicho an谩lisis se apoya en un estudio pormenorizado de los consumos de separaci贸n del proceso y en la posterior comparaci贸n de los consumos obtenidos con los consumos de la tecnolog铆a actual de desalaci贸n mediante 贸smosis inversa. El aporte de energ铆a al proceso de separaci贸n ser谩 en forma de trabajo. En este punto, se hace una propuesta de dise帽o conceptual de un posible parque de aerogeneradores que alimentase la demanda calculada del proceso. Debido a la falta de informaci贸n acerca de los costes asociados a proyectos de 贸smosis directa, el an谩lisis econ贸mico est谩 fuera del alcance de este trabajo.Universidad de Sevilla. Grado en Ingenier铆a de la Energ铆

    Demora en el diagn贸stico y tratamiento de 5 tipos de c谩ncer en 2 centros de salud urbanos.

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    To assess the diagnostic (ID) and treatment (IT) intervals of the most prevalent cancers in patients attached to two health centres and to analyse the influence of sociodemographic, clinical and health system (HS) organisational factors. Observational, retrospective, analytical cohort study. SITE: Primary care. Two urban health centres. Three hundred sixty-five patients diagnosed with colorectal cancer (CRC), breast, lung, prostate or bladder cancer between 1/1/2012 and 31/12/2017. The medians of ID and IT and the risk (OR) of ID and IT above those medians according to the above factors are compared. The contribution of each process step to ID is analysed. Median ID was 92 days, maximum in prostate cancer (395 days) and minimum in lung (54 days). Factors associated with prolonged ID (OR>92 days) were female sex, CRC or prostate location, localised stage, index primary care (AP) consultation and outpatient diagnostic pathway. Prolonged IT (OR>56 days) was related to CRC or prostate location and outpatient diagnostic route. ID components with the greatest influence on delay were: Primary Care Interval (IAP), Secondary Care Delay (DAS) and Secondary Care Adjunctive Test Delay (DPAS). The contribution of IAP was highest in patients with CRC, lung and bladder. ID and IT were 92 and 56 days respectively. The ID components with the highest contribution to delay were IAP, DAS and DPAS. Increasing diagnostic capacity in PC and organising specific diagnostic and treatment pathways would shorten these intervals and allow earlier detection
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