6 resultados para Homes for the aged.

em Universidad Politécnica de Madrid


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3D Modular construction is poorly known and scarcely published in technical literature. In spite of that there are an increasing number of manufacturers offering their products in different countries. This method has largely evolved from early examples such as the American Gold Rush prefabrication in the nineteenth century, the Sears precut homes or Voisin´s prototypes for modular homes, to the end of the first half of the twentieth century. In this period a non negligible number of attempts in 3D modular construction have been carried out, ranging from theoretical proposals to several hundred or thousand units produced. Selected examples of modular architecture will be analyses in order to illustrate its technical evolution, concerning materials, structure, transportation and on site assembly. Success and failure factors of the different systems will be discussed. Conclusions about building criteria shown in them and their applicability in current architecture will be drawn.

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En el presente proyecto se realiza un estudio para la construcción de una cabecera de televisión por cable. Se trata de un proyecto puramente teórico en el que se especifican cada una de las partes que forman una cabecera de televisión y cómo funciona cada una de ellas. En un principio, se sitúa la cabecera de televisión dentro de una plataforma general de transmisión, para indicar sus funciones. Posteriormente, se analizan las distintas tecnologías que implementan esta transmisión y los estándares DVB que las rigen, como son DVB-C y DVB-C2 para las transmisiones por cable propiamente dichas y DVB-IPTV para las transmisiones por IP, para elegir cuál de las opciones es la más acertada y adaptar la cabecera de televisión a la misma. En cuanto al desarrollo teórico de la cabecera, se estudia el proceso que sigue la señal dentro de la misma, desde la recepción de los canales hasta el envío de los mismos hacia los hogares de los distintos usuarios, pasando previamente por las etapas de codificación y multiplexación. Además, se especifican los equipos necesarios para el correcto funcionamiento de cada una de las etapas. En la recepción, se reciben los canales por cada uno de los medios posibles (satélite, cable, TDT y estudio), que son demodulados y decodificados por el receptor. A continuación, son codificados (en este proyecto en MPEG-2 o H.264) para posteriormente ser multiplexados. En la etapa de multiplexación, se forma una trama Transport Stream por cada canal, compuesta por su flujo de video, audio y datos. Estos datos se trata de una serie de tablas (SI y PSI) que guían al set-topbox del usuario en la decodificación de los programas (tablas PSI) y que proporcionan información de cada uno de los mismos y del sistema (tablas SI). Con estas últimas el decodificador forma la EPG. Posteriormente, se realiza una segunda multiplexación, de forma que se incluyen múltiples programas en una sola trama Transport Stream (MPTS). Estos MPTS son los flujos que les son enviados a cada uno de los usuarios. El mecanismo de transmisión es de dos tipos en función del contenido y los destinatarios: multicast o unicast. Por último, se especifica el funcionamiento básico de un sistema de acceso condicional, así como su estructura, el cual es imprescindible en todas las cabeceras para asegurar que cada usuario solo visualiza los contenidos contratados. In this project, a study is realized for the cable television head-end construction . It is a theoretical project in which there are specified each of the parts that form a television headend and how their works each of them. At first, the television head-end places inside a general platform of transmission, to indicate its functions. Later, the different technologies that implement this transmission and the standards DVB that govern them are analyzed, since the standards that govern the cable transmissions (DVB-C and DVB-C2) to the standard that govern the IP transmissions (DVB-IPTV), to choose which of the options is the most guessed right and to adapt the television head-end to the same one. The theoretical development of the head-end, there is studied the process that follows the sign inside the same one, from the receipt of the channels up to the sending of the same ones towards the homes of the different users, happening before for the stages of codification and multiplexación. In addition, there are specified the equipments necessary for the correct functioning of each one of the stages. In the reception, the channels are receiving for each of the possible systems(satellite, cable, TDT and study), and they are demodulated and decoded by the receiver. Later, they are codified (in this project in MPEG-2 or H.264). The next stage is the stage of multiplexing. In the multiplexing stage, the channels are packetized in Transport Stream, composed by his video flow, audio and information. The information are composed by many tables(SI and PSI). The PSI tables guide the set-top-box of the user in the programs decoding and the SI tables provide information about the programs and system. With the information mentioned the decoder forms the EPG. Later, a second multiplexación is realized, so that there includes multiple programs in an alone Transport Stream (MPTS). These MPTS are the flows that are sent to each of the users. Two types of transmission are possible: unicast (VoD channels) and multicast (live channels). Finally, the basic functioning of a conditional access system is specified and his structure too, which is indispensable in all the head-end to assure that every users visualizes the contracted contents only.

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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.

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La gestión de riesgos debe ser entendida como una determinación de vínculos entre lo que se asume como vulnerabilidad, y la forma en la que se determinarían o estimarían la probabilidad en la concurrencia de un determinado hecho, partiendo de la idea de la concurrencia de un fenómeno y las acciones necesarias que deberán llevarse a cabo. El tema de vulnerabilidad y riesgo, cada día toma más importancia a nivel mundial, a medida que pasa el tiempo es más notoria la vulnerabilidad de ciertas poblaciones ante la presencia de determinados peligros naturales como son: inundaciones, desbordes de ríos, deslizamientos de tierra y movimientos sísmicos. La vulnerabilidad aumenta, a medida que crece la deforestación. La construcción en lugares de alto riesgo, como por ejemplo, viviendas a orillas de los ríos, está condicionada por la localización y las condiciones de uso del suelo, infraestructura, construcciones, viviendas, distribución y densidad de población, capacidad de organización, etc. Es ahora donde la gestión de riesgos, juega un papel muy importante en la sociedad moderna, siendo esta cada vez más exigente con los resultados y calidad de productos y servicios, además de cumplir también, con la responsabilidad jurídica que trae la concepción, diseño y construcción de proyectos en zonas inundables. El presente trabajo de investigación, se centra en identificar los riesgos, aplicando soluciones estructurales y recomendaciones resilientes para edificaciones que se encuentren emplazadas en zonas inundables. Disminuyendo así el riesgo de fallo estructural y el número de víctimas considerablemente. Concluyendo con un Catálogo de Riesgos y Soluciones para edificaciones en zonas inundables. Risk management should be understood as a determination of links between what is assumed to be vulnerable , and how that would be determined or would estimate the probability in the occurrence of a certain event, based on the idea of the occurrence of a phenomenon and necessary actions to be carried out . The issue of vulnerability and risk, every day takes more importance globally, as time passes is more notorious vulnerability of certain populations in the presence of certain natural hazards such as floods, swollen rivers, landslides and earthquakes. Vulnerability increases as it grows deforestation. The construction in high-risk locations, such as homes on the banks of rivers, is conditioned by the location and conditions of land use, infrastructure, construction, housing, distribution and population density, organizational skills, etc. Now where risk management plays a very important role in modern society, is being increasingly demanding with the results and quality of products and services, and also comply with the legal responsibility that brings the conception, design and construction projects in flood zones. This research focuses on identifying risks, implementing structural solutions and resilients’ recommendations for buildings that are emplaced in flood zones. Thus decreasing the risk of structural failure and the number of victims significantly. Concluding with a Catalogue of Risks and Solutions for buildings in flood zones.

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A system dedicated to the optical transmittance characterization of Fresnel lenses has been developed at NREL, in collaboration with the UPM. The system quantifies the optical efficiency of the lens by generating a performance map. The shape of the focused spot may also be analyzed to understand change in the lens performance. The primary instrument components (lasers and CCD detector) have been characterized to confirm their capability for performing optical transmittance measurements. Measurements performed on SoG and PMMA lenses subject to a variety of indoor conditions (e.g., UV and damp heat) identified differences in the optical efficiency of the evaluated lenses, demonstrating the ability of the Scanning Lens Instrument (SLI) to distinguish between the aged lenses.

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Cognitive rehabilitation aims to remediate or alleviate the cognitive deficits appearing after an episode of acquired brain injury (ABI). The purpose of this work is to describe the telerehabilitation platform called Guttmann Neuropersonal Trainer (GNPT) which provides new strategies for cognitive rehabilitation, improving efficiency and access to treatments, and to increase knowledge generation from the process. A cognitive rehabilitation process has been modeled to design and develop the system, which allows neuropsychologists to configure and schedule rehabilitation sessions, consisting of set of personalized computerized cognitive exercises grounded on neuroscience and plasticity principles. It provides remote continuous monitoring of patient's performance, by an asynchronous communication strategy. An automatic knowledge extraction method has been used to implement a decision support system, improving treatment customization. GNPT has been implemented in 27 rehabilitation centers and in 83 patients' homes, facilitating the access to the treatment. In total, 1660 patients have been treated. Usability and cost analysis methodologies have been applied to measure the efficiency in real clinical environments. The usability evaluation reveals a system usability score higher than 70 for all target users. The cost efficiency study results show a relation of 1-20 compared to face-to-face rehabilitation. GNPT enables brain-damaged patients to continue and further extend rehabilitation beyond the hospital, improving the efficiency of the rehabilitation process. It allows customized therapeutic plans, providing information to further development of clinical practice guidelines.