Aporte adicional de energía renovable geotérmica a instalación con cogeneración en hospital existente.

[ES]Este proyecto tiene como objetivo apoyar a la generación de energía por cogeneración mediante una fuente de energía renovable. Se pretende plantear una solución que satisfaga parte de las necesidades básicas del Hospital Universitario de Álava, en su sede del Hospital de Santiago, de una forma económicamente rentable. Este proyecto se enmarca dentro de los esfuerzos en la promoción de energías renovables que comenzaron con el protocolo Kioto, al que le siguieron los objetivos Europa 20/20/20. Se realizará un acercamiento a la utilización de la energía renovable geotérmica como fuente de energía que disminuye el impacto ambiental. El edificio hospitalario considerado ya cuenta con un sistema de generación energética con cogeneración, considerada dentro del régimen especial, por la utilización de energía residual para procesos que de otra manera hubieran requerido consumo de combustible. Se plantearán diferentes alternativas para la generación de energía térmica con geotermia, que al ser de origen renovable, es una fuente de energía de combustibles no fósiles, y se demostraran sus beneficios analizando cómo mejora la huella de carbono del hospital con la propuesta. Finalmente, para valorar si se trata de un proyecto viable se planteará el estudio económico analizando el presupuesto y análisis de rentabilidad.

Integrated treatment of first episode psychosis with online training (e-learning): study protocol for a randomised controlled trial

Background: The integrated treatment of first episode psychosis has been shown to improve functionality and negative symptoms in previous studies. In this paper, we describe a study of integrated treatment (individual psychoeducation complementary to pharmacotherapy) versus treatment as usual, comparing results at baseline with those at 6-month re-assessment (at the end of the study) for these patients, and online training of professionals to provide this complementary treatment, with the following objectives: 1) to compare the efficacy of individual psychoeducation as add-on treatment versus treatment as usual in improving psychotic and mood symptoms; 2) to compare adherence to medication, functioning, insight, social response, quality of life, and brain-derived neurotrophic factor, between both groups; and 3) to analyse the efficacy of online training of psychotherapists. Methods/design: This is a single-blind randomised clinical trial including patients with first episode psychosis from hospitals across Spain, randomly assigned to either a control group with pharmacotherapy and regular sessions with their psychiatrist (treatment as usual) or an intervention group with integrated care including treatment as usual plus a psychoeducational intervention (14 sessions). Training for professionals involved at each participating centre was provided by the coordinating centre (University Hospital of Alava) through video conferences. Patients are evaluated with an extensive battery of tests assessing clinical and sociodemographic characteristics (Positive and Negative Syndrome Scale, State-Trait Anxiety Inventory, Liebowitz Social Anxiety Scale, Hamilton Rating Scale for Depression, Scale to Assess Unawareness of Mental Disorders, Strauss and Carpenter Prognostic Scale, Global Assessment of Functioning Scale, Morisky Green Adherence Scale, Functioning Assessment Short Test, World Health Organization Quality of Life instrument WHOQOL-BREF (an abbreviated version of the WHOQOL-100), and EuroQoL questionnaire), and brain-derived neurotrophic factor levels are measured in peripheral blood at baseline and at 6 months. The statistical analysis, including bivariate analysis, linear and logistic regression models, will be performed using SPSS. Discussion: This is an innovative study that includes the assessment of an integrated intervention for patients with first episode psychosis provided by professionals who are trained online, potentially making it possible to offer the intervention to more patients.