Análisis económico de la utilización de armaduras de acero inoxidable en estructuras de hormigón

La utilización de armaduras de acero inoxidable, de los tipos austeníticos y dúplex, con el objetivo de prolongar la vida útil de las estructuras de hormigón, es una alternativa que está recibiendo cada vez más consideración. Los aceros inoxidables son aleaciones fundamentalmente de cromo y níquel, con muy alta resistencia a la corrosión, especialmente frente a cloruros. El elevado coste del níquel y sus grandes fluctuaciones en el mercado, han favorecido la aparición de nuevos aceros inoxidables con bajo contenido en dicha aleación y, por lo tanto, más económicos, que sin embargo presentan una resistencia a la corrosión similar a los tradicionales. En este trabajo se presenta una comparativa económica para cuantificar el sobrecoste final que supone la utilización de armaduras de acero inoxidable con respecto a las tradicionales armaduras de acero B500SD. La comparativa se realiza sobre dos edificaciones tipo. La primera es un edificio en altura de 40 apartamentos, que se supone situado frente a la costa. La segunda es un aparcamiento subterráneo de 500 plazas distribuidas en cuatro plantas. En el estudio se han considerado tres tipos diferentes de armaduras de acero inoxidable, austenítico, dúplex y una nueva armadura dúplex de bajo contenido en níquel y, por lo tanto más económica. El presente estudio analiza la viabilidad económica de la utilización de armaduras de aceros inoxidables en estructuras de hormigón.

Evolution and treatment of vitamin B12 deficiency as a risk factor for (cognitive and functional) neurodegenerative diseases in institutionalized elderly = Evolución y tratamiento de la deficiencia de vitamina B12 como factor de riesgo de enfermedades neurodegenerativas (cognitivas y funcionales) en las personas mayores institucionalizadas.

Prevalence of vitamin B12 deficiency is very common in elderly people and can reach values as high as 40.5% of the population. It can be the result of the interaction among several factors. Vitamin B12 deficiencies have been associated with neurological, cognitive deterioration, haematological abnormalities and cardiovascular diseases that have an important influence on the health of the elderly and their quality of life. It is necessary to approach the problems arisen from the lack of data relative to them. The main objective of this thesis was to analyse the evolution of vitamin B12 status and related parameters, lipid and haematological profiles and their relationship to health risk factors, and to functional and cognitive status over one year and to determine the effect of an oral supplementation of 500 μg of cyanocobalamin for a short period of 28 days. An additional objective was to analyze the possible effects of medicine intakes on vitamin B status. Three studies were performed: a) a one year longitudinal follow-up with four measure points; b) an intervention study providing an oral liquid supplement of 500 μg of cyanocobalamin for a 28 days period; and c) analysis of the possible effect of medication intake on vitamin B status using the ATC classification of medicines. The participants for these studies were recruited from nursing homes for the elderly in the Region of Madrid. Sixty elders (mean age 84 _ 7y, 19 men and 41 women) were recruited for Study I and 64 elders (mean age 82 _ 7y, 24 men and 40 women) for Study II. For Study III, baseline data from the initially recruited participants of the first two studies were used. An informed consent was obtained from all participants or their mentors. The studies were approved by the Ethical Committee of the University of Granada. Blood samples were obtained at each examination date and were analyzed for serum cobalamin, holoTC, serum and RBC folate and total homocysteine according to laboratory standard procedures. The haematological parameters analyzed were haematocrit, haemoglobin and MCV. For the lipid profile TG, total cholesterol, LDL- and HDLcholesterol were analyzed. Anthropometric measures (BMI, skinfolds [triceps and subscapular], waist girth and waist to hip ratio), functional tests (hand grip, arm and leg strength tests, static balance) and MMSE were obtained or administered by trained personal. The vitamin B12 supplement of Study II was administered with breakfast and the medication intake was taken from the residents’ anamnesis. Data were analyzed by parametric and non-parametric statistics depending on the obtained data. Comparisons were done using the appropriate ANOVAs or non-parametric tests. Pearsons’ partial correlations with the variable “time” as control were used to define the association of the analyzed parameters. XIII The results showed that: A) Over one year, in relationship to vitamin B status, serum cobalamin decreased, serum folate and mean corpuscular volumen increased significantly and total homocysteine concentrations were stable. Regarding blood lipid profile, triglycerides increased and HDL-cholesterol decreased significantly. Regarding selected anthropometric measurements, waist circumference increased significantly. No significant changes were observed for the rest of parameters. B) Prevalence of hyperhomocysteinemia was high in the elderly studied, ranging from 60% to 90 % over the year depending on the cut-off used for the classification. LDL-cholesterol values were high, especially among women, and showed a tendency to increase over the year. Results of the balance test showed a deficiency and a tendency to decrease; this indicates that the population studied is at high risk for falls. Lower extremity muscular function was deficient and showed a tendency to decrease. A highly significant relationship was observed between the skinfold of the triceps and blood lipid profile. C) Low cobalamin concentrations correlated significantly with low MMSE scores in the elderly studied. No correlations were observed between vitamin B12 status and functional parameters. D) Regarding vitamin B12 status, holo-transcobalamin seems to be more sensitive for diagnosis; 5-10% of the elderly had a deficiency using serum cobalamin as a criterion, and 45-52% had a deficiency when using serum holotranscobalamin as a criterion. E) 500 μg of cyanocobalamin administered orally during 28 days significantly improved vitamin B12 status and significantly decreased total homocysteine concentrations in institutionalized elderly. No effect of the intervention was observed on functional and cognitive parameters. F) The relative change (%) of improvement of vitamin B12 status was higher when using serum holo-transcobalamin as a criterion than serum cobalamin. G) Antiaenemic drug intake normalized cobalamin, urologic drugs and corticosteroids serum folate, and psychoanaleptics holo-transcobalamin levels. Drugs treating pulmonary obstruction increased total homocysteine concentration significantly. H) The daily mean drug intake was 5.1. Fiftynine percent of the elderly took medication belonging to 5 or more different ATC groups. The most prevalent were psycholeptic (53%), antiacid (53%) and antithrombotic (47%) drugs.

Auditoria energética de un edificio terciario : residencia de mayores

El presente proyecto surge como resultado de un proyecto real, consistente en la elaboración de un estudio energético a un edificio perteneciente al Sector Terciario. Pretende llevarse a cabo la realización de una auditoría energética en una Residencia de Mayores con el objetivo principal de obtener un conocimiento óptimo del perfil de los consumos energéticos, identificando y valorando las posibilidades de ahorro de energía según cada sistema, proponiendo medidas de mejora y realizando su evaluación técnica y económica. Para la consecución de este objetivo principal se ha necesitado realizar una campaña de medidas que ha consistido en la obtención de mediciones y registros de parámetros eléctricos, térmicos y de confort, inventariar equipos e instalaciones existentes, conocer las condiciones normales de funcionamiento del centro, analizar y estudiar los datos recogidos durante las visitas y la información aportada por el personal del centro. Con las medidas de mejora energética propuestas se reduce el consumo del edificio un 4,39 %, dando como resultado un periodo de retorno de 4,40 años. ABSTRACT The following project is the result of a real project, involving the development of an energy study to a building belonging to the Tertiary Sector. Energetic audit is performed at a home for the elderly with the main aim of getting knowledge on its optimal energy consumption profile. For this purpose, the possibilities in the energy savings for each system are identified and evaluated. To achieve our goal, we have carried out a measurement campaign consisting of: obtaining and recording measurements of electrical, thermal and comfort parameters, inventory of existing equipment and facilities, acquisition of knowledge about the normal operating conditions of the center, and analysis and study of the data collected during visits and information provided by the staff. As a conclusion of this study it should be noted that the proposed improvement measures will minimize energy consumption of the building 4.39%, resulting in a payback period of 4,40 years.