Search results for "sanita"
showing 10 items of 855 documents
La gestione del rischio in sanità. L'approccio italiano ed il caso della Regione Sicilia
2009
A French and U.S. Comparative Overview of the Critical Concerns of Community College Students and Leaders during the Global Pandemic
2021
International audience
La governance delle emergenze nelle isole del mediterraneo
2012
Identificación y priorización de actuaciones de mejora de la eficiencia en el Sistema Nacional de Salud
2011
ResumenObjetivosIdentificar un número significativo de actuaciones orientadas a mejorar la eficiencia y reducir el despilfarro en el Sistema Nacional de Salud (SNS), y priorizarlas en función de su impacto. Valorar el impacto y la prioridad de las medidas implantadas o anunciadas por el gobierno.Material y métodosReunión de 13 expertos, estructurada siguiendo procedimientos adaptados de las técnicas de brainstorming, grupo nominal y método de consenso Rand.ResultadosEl panel propuso 101 posibles medidas para mejorar la eficiencia del SNS, que junto a las 11 contenidas en los Reales Decretos-Ley 4 y 8 de 2010, suman un total de 112 propuestas valoradas. Las propuestas se centraron en el buen…
Greenhouse gases from wastewater treatment — A review of modelling tools
2016
Nitrous oxide, carbon dioxide and methane are greenhouse gases (GHG) emitted from wastewater treatment that contribute to its carbon footprint. As a result of the increasing awareness of GHG emissions from wastewater treatment plants (WWTPs), new modelling, design, and operational tools have been developed to address and reduce GHG emissions at the plant-wide scale and beyond. This paper reviews the state-of-the-art and the recently developed tools used to understand and manage GHG emissions from WWTPs, and discusses open problems and research gaps. The literature review reveals that knowledge on the processes related to N2O formation, especially due to autotrophic biomass, is still incompl…
Greenhouse gases from wastewater treatment plant: towards a new protocol for field measurements
2015
Greenhouse gases (GHGs) emission from wastewater treatment plants (WWTPs) represents an increasing interest in the water industry at the present moment. The biological processes needed for treating wastewater have been found responsible for the unintentional generation of GHGs, such as carbon dioxide (CO2), methane (CH4), and nitrous oxide (N2O). The quality and quantity of a GHG emitted from a WWTP can significantly vary with the wastewater treated, the process configuration, and the strategies employed in process control. In the recent past, efforts for monitoring and accounting for GHGs emissions from WWTPs have considerably increased, and classifications of emission type were proposed t…
Decoupling of HRM as health sector regulation
2022
This systematic review of the academic literature since early 1990s on the application of some HRM practices in health care sheds light on the persistence decoupling between institutional norms and standards related to human resource management (HRM) procedures and the actual practices in organizations. Contrary to the affirmation of NIT, translation processes do not put an end to decoupling. The isomorphisms identified by the neo institutionalists relate to leadership decisions, not practices. The application of HRM practice bundles is opposed by health care professionals. This analysis of the «critical» approach is apparently contradicted by that which we describe as «optimistic» because …
The role of freshwater copepods in the environmental risk assessment of caffeine and propranolol mixtures in the surface water bodies of Spain
2019
In this study we aimed at assessing: (i) the environmental risk posed by mixtures of caffeine and propranolol to the freshwater ecosystems of Spain; (ii) the sensitivity of freshwater copepod species to the two compounds; (iii) if the toxicity of caffeine and propranolol to freshwater copepods contributes to the environmental risk posed by the two compounds in the freshwater bodies of Spain. The environmental risk was computed as the ratio of MECs (i.e. the measured environmental concentrations) to PNECs (i.e. the respective predicted no-effect concentrations). The effects of caffeine and propranolol on the freshwater cyclopoid Diacyclops crassicaudis crassicaudis were tested both individua…
Wide-scope screening of pharmaceuticals, illicit drugs and their metabolites in the Amazon River.
2021
Only a limited number of households in the Amazon are served by sewage collection or treatment facili- ties, suggesting that there might be a significant emission of pharmaceuticals and other wastewater contaminants into freshwater ecosystems. In this work, we performed a wide-scope screening to assess the occurrence of pharmaceuticals, illicit drugs and their metabolites in freshwater ecosystems of the Brazilian Amazon. Our study included 40 samples taken along the Amazon River, in three of its major tributaries, and in small tributaries crossing four important urban areas (Manaus, Santarém, Macapá, Belém). More than 900 compounds were investigated making use of target and suspect screenin…
Effect of organic loading rate on the production of Polyhydroxyalkanoates from sewage sludge
2023
The aim of this work was to study the effect of organic loading rate on the production of Polyhydroxyalkanoates (PHA) from sewage sludge. Synthesis of PHA using sewage sludge as platform was achieved in this work. Three pilot-scale selection-sequencing batch reactors (S-SBR) were used for obtaining a culture able to accumulate PHA following a strategy of aerobic dynamic feeding (ADF) at different volumetric organic-loading-rate (vOLR): 1.3, 1.8 and 0.8 g COD L-1 d-1 for S-SBR 1, S-SBR 2 and S-SBR 3, respectively. Decreasing the vOLR enhanced the general performance of the process as for organic matter removal (from 99.2% ± 0.3% in S-SBR-3 to 92 ± 2 in S-SBR-2) while the opposite trend was r…