Search results for "tractament"
showing 10 items of 98 documents
Biases in study design, implementation, and data analysis that distort the appraisal of clinical benefit and ESMO-Magnitude of Clinical Benefit Scale…
2021
BACKGROUND: The European Society for Medical Oncology-Magnitude of Clinical Benefit Scale (ESMO-MCBS) is a validated, widely used tool developed to score the clinical benefit from cancer medicines reported in clinical trials. ESMO-MCBS scores assume valid research methodologies and quality trial implementation. Studies incorporating flawed design, implementation, or data analysis may generate outcomes that exaggerate true benefit and are not generalisable. Failure to either indicate or penalise studies with bias undermines the intention and diminishes the integrity of ESMO-MCBS scores. This review aimed to evaluate the adequacy of the ESMO-MCBS to address bias generated by flawed design, im…
Modulation of Irisin and Physical Activity on Executive Functions in Obesity and Morbid obesity
2016
Whether the executive profile is different between obesity (OB) and morbid obesity (MO) remains unclear. Recent evidence suggests that physical activity (PA) can act as a cognitive enhancer. Irisin is a recently discovered hormone associated with some of the positive effects of PA. The objective of the study was to investigate the executive profile in OB and MO, and to explore the role of PA and irisin. 114 participants were included (21 OB, 44 MO and 49 healthy controls-HC) in the study and assessed with the Wisconsin Card Sorting Test, Stroop Color and Word Test, and Iowa Gambling Task. All participants were female, aged between 18 and 60 years. Results showed a similar dysfunctional prof…
Consenso SECOT artrosis femorotibial medial
2013
Se presenta un consenso elaborado por SECOT sobre la actuación en la artrosis del compartimento medial de la rodilla para establecer criterios y recomendaciones clínicas orientadas a unificar criterios en su manejo, abordando los factores implicados en la patogenia de la artrosis femorotibial medial de rodilla, la utilidad de las técnicas diagnósticas por la imagen y la utilidad de la artroscopia. También se analizarán los tratamientos conservadores y el tratamiento quirúrgico. Los expertos consultados muestran consenso (acuerdo o desacuerdo)en el 65,85% de los ítems planteados, dejando 14 ítems donde no se encontró el consenso que se enmarcaron en la etiopatogenia de la artrosis, el valor …
Dynamic Membranes for Enhancing Resources Recovery from Municipal Wastewater
2022
[EN] This paper studied the feasibility of using dynamic membranes (DMs) to treat municipal wastewater (MWW). Effluent from the primary settler of a full-scale wastewater treatment plant was treated using a flat 1 mu m pore size open monofilament polyamide woven mesh as supporting material. Two supporting material layers were required to self-form a DM in the short-term (17 days of operation). Different strategies (increasing the filtration flux, increasing the concentration of operating solids and coagulant dosing) were used to enhance the required forming time and pollutant capture efficiency. Higher permeate flux and increased solids were shown to be ineffective while coagulant dosing sh…
Increasing understanding and confidence in THM simulations of engineered barrier systems
2020
Previous studies on the modelling of coupled thermo-hydro-mechanical (THM) processes in bentonite-based engineered barrier systems (EBSs) showed the sensitivity of the output quantities to changes in the input parameters. To investigate the effects of uncertainties on the modelling results, to improve the understanding of the coupled processes active in the repository near field and to gain in-depth understanding of model uncertainties of different codes, a sensitivity analysis and code comparison of EBS simulations was performed within the Task Force on Engineered Barrier Systems. The analysis included variations in material parameter values, boundary and initial conditions, considered phy…
Calibration and simulation of two large wastewater treatment plants operated for nutrient removal
2004
Control and optimisation of plant processes has become a priority for WWTP managers. The calibration and verification of a mathematical model provides an important tool for the investigation of advanced control strategies that may assist in the design or optimization of WWTPs. This paper describes the calibration of the ASM2d model for two full scale biological nitrogen and phosphorus removal plants in order to characterize the biological process and to upgrade the plants' performance. Results from simulation showed a good correspondence with experimental data demonstrating that the model and the calibrated parameters were able to predict the behaviour of both WWTPs. Once the calibration an…
Precipitation assessment in wastewater treatment plants operated for biological nutrient removal: a case study in Murcia, Spain.
2009
The Murcia Este Wastewater Treatment Plant is the largest wastewater treatment plant in Murcia (Spain). The plant operators have continuously found pipe blockage and accumulation of solids on equipment surfaces during the anaerobic digestion and post-digestion processes. This work studies the precipitation problems in the Murcia Este Wastewater Treatment Plant in order to locate the sources of precipitation and its causes from an exhaustive mass balance analysis. The DAF thickener and anaerobic digester mass balances suggest that most of the polyphosphate is released during excess sludge thickening. Despite the high concentrations achieved in the thickened sludge, precipitation does not occ…
A semi-industrial scale AnMBR for municipal wastewater treatment at ambient temperature: performance of the biological process
2022
A semi-industrial scale AnMBR plant was operated for more than 600 days to evaluate the long-term operation of this technology at ambient temperature (ranging from 10 to 27 ºC), variable hydraulic retention times (HRT) (from 25 to 41 h) and influent loads (mostly between 15 and 45 kg COD·d−1). The plant was fed with sulfate-rich high-loaded municipal wastewater from the pre-treatment of a full-scale WWTP. The results showed promising AnMBR performance as the core technology for wastewater treatment, obtaining an average 87.2 ± 6.1 % COD removal during long-term operation, with 40 % of the data over 90%. Five periods were considered to evaluate the effect of HRT, influent characteristics, CO…
Sewage sludge management for phosphorus recovery as struvite in EBPR wastewater treatment plants
2008
The influence of separate and mixed thickening of primary and secondary sludge on struvite recovery was studied. Phosphorus precipitation in the digester was reduced from 13.7 g of phosphorus per kg of treated sludge in the separate thickening experiment to 5.9 in the mixed thickening experiment. This lessening of the uncontrolled precipitation means a reduction of the operational problems and enhances the phosphorus availability for its later crystallization. High phosphorus precipitation and recovery efficiencies were achieved in both crystallization experiments. However, mixed thickening configuration showed a lower percentage of phosphorus precipitated as struvite due to the presence of…
Optimisation of sludge line management to enhance phosphorus recovery in WWTP
2008
The management of the sludge treatment line can be optimized to reduce uncontrolled phosphorus precipitation in the anaerobic digester and to enhance phosphorus recovery in WWTP. In this paper, four operational strategies, which are based on the handling of the prefermented primary sludge and the secondary sludge from an EBPR process, have been tested in a pilot plant. The separated or mixed sludge thickening, the use of a stirred contact tank and the elutriation of the thickened sludge are the main strategies studied. Both the reduction of phosphorus precipitation in the digester and the supernatant suitability for a struvite crystallization process were assessed in each configuration. The…