Aplicación de energía geotérmica de muy baja entalpia para la climatización de un edificio de oficinas en Alcorcón, Madrid

El presente Proyecto tiene como propósito el estudio de la viabilidad de la implantación de energía geotérmica de muy baja entalpia para la climatización de un edificio empresarial en Madrid. Para ello se emplearon cálculos teóricos y simulaciones realizadas mediante programas informaticos especializados con el fin de estimar los parámetros técnicos necesarios para su viabilidad. Se estimo el suministro de la potencia necesaria a través de tres bombas de calor tipo agua-agua que sustituyen a las bombas de calor aire-agua individuales anteriormente instaladas. El intercambio de calor se realiza a través de sondas geotérmicas U-Simple. Se dimensionaron los colectores, bombas de circulación, deposito de inercia y vaso de expansión necesarios para funcionamiento del sistema. El estudio económico determino la necesidad de una alta inversión inicial, con una rentabilidad a medio plazo. Además de los beneficios económicos se realizo un estudio de las emisiones de gases de efecto invernadero demostrando la reducción de los mismos, lo que refleja que además de ser una tecnología económicamente viable es una energía limpia. ABSTRACT The objective of the present project is to evaluate the viability of the imposition of a low-enthalpy geothermal energy system for air conditioning in a business building in Madrid. In this study, both theoretical calculations and numerical simulations in specialized programs were used in order to estimate the technical parameters needed for its viability. We estimated the necessary power supply, which is delivered by three heat water-water pumps that substitute the individual heat air-water pumps previously installed. The heat exchange is achieved through geothermal vertical simple-U probes. Also in this work we have measured the collectors, flow pumps, inertia deposit and the water expansion vessel needed for the proper operation of the system. The economic study determined the need of a high initial investment with mid-term profit. In addition to the economic benefits, the greenhouse gases emissions were evaluated, finding that the geothermal energy system implies a reduction of these emissions. This reflects the fact that, in addition to being economically viable, the geothermal energy is considered a clean energy.

Tren de licuefacción con licencia linde de la planta de Melkoya (Noruega)

El objeto principal del proyecto es describir las instalaciones de la planta de licuefacción de Melkoya (Noruega) y simular con el programa Aspen Plus el tren de licuefacción, que aplica una nueva licencia altamente eficiente para este tipo de plantas. En esta simulación, a partir de la información bibliográfica disponible, se ha realizado un análisis preliminar para determinar el diagrama de flujo y las características esenciales del proceso, incluyendo una estimación de la cantidad y composición del refrigerante necesario en cada etapa, información altamente confidencial por parte de los licenciantes de estas tecnologías. La finalidad del proceso y de la simulación es que el gas natural que entra gaseoso a 10 ºC, salga líquido a – 163 ºC para entrar en los tanques de almacenamiento de la instalación a la espera de ser transportado por buques metaneros. Tras una correcta simulación se realiza un estudio sobre los caudales, temperaturas de los intercambiadores de calor, autoconsumo de los compresores y la curva de enfriamiento del tren de licuefacción. La última parte del proyecto incluye un estudio económico, el cual incluye un análisis de sensibilidad. ABSTRACT The main object of the project is to describe the facilities of the plant of Melkoya's liquefaction (Norway) and to simulate the train of liquefaction with the program Aspen Plus, with the bibliographical available information. This program applies a new highly efficient license for this type of plants. A preliminary analysis has been realized to determine the flow diagram and the essential characteristics of the process. The simulation includes an estimation of the quantity and composition of the cooling needed in every stage. This information is highly confidential on the license of these technologies. In the simulation, the natural gas enters into the cycle as a gas at 10 ºC. Inside it, this gas condenses as a liquid at -163 ºC. After that, it enters into the storage’s tanks waiting its maritime transportation by LNG carriers. Later it realized a study about the correct operations conditions, like flows, temperatures of the heat interchangers, self-consumptions of the compressors and the cooling curve of the liquefaction train. The last part of the project is an economic study which includes a sensitivity analysis.

Análisis de viabilidad para almacenamiento de Co2 en la estructura geológica Villameriel (Palencia)

El presente proyecto lleva a cabo un análisis de la viabilidad de la estructura geológica Villameriel, situada en la provincia de Palencia, para el almacenamiento geológico profundo de CO2. Las dos medidas determinadas para su análisis serán la determinación de la cantidad de CO2 que se puede inyectar en la formación y el comportamiento del mismo en su interior durante los próximos 100 años. Para calcular estas medidas utilizamos la simulación numérica, a través de dos programas de SCHLUMBERGER. El primero, PETREL, diseñando un modelo estático que escenifique las propiedades del medio geológico lo más real posible, llamado modelo estático. El segundo, ECLIPSE300, que simula el comportamiento del fluido según entra en la formación y a lo largo de todo el período de estudio. Como conclusión final llevaremos a cabo un estudio económico que analice el potencial que tiene este proyecto para llevarse a cabo en la sociedad en la que nos encontramos ahora mismo ABSTRACT This project analyzes the viability of Villameriel geological structure, which is situated in Palencia, Spain. There will be two measures to probe it. The first will be to calculate how much amount of CO2 can be stored in this structure, and second will be to see how the CO2 behaves inside the first 100 years. In order to obtain the answers from these questions, Schlumberger programs are used specifically PETREL and ECLIPSE300. This programs work with numerical methods and they simulate a static model and a dynamic model. Static model is created in order to build a geological model with the same properties than in the real life. Dynamic model works to obtain the maximum amount of CO2 that it can be introduced inside storage formation and to know how CO2 will move inside the first 100 years. At the end, an economic study will be done with the objective to know if it would cost money, if there would be profits or no.

Diseño del curso para operador "Coeficientes inherentes de reactividad" a plataforma e-Learning

Las centrales nucleares necesitan de personal altamente especializado y formado. Es por ello por lo que el sector de la formación especializada en centrales nucleares necesita incorporar los últimos avances en métodos formativos. Existe una gran cantidad de cursos de formación presenciales y es necesario transformar dichos cursos para utilizarlos con las nuevas tecnologías de la información. Para ello se necesitan equipos multidisciplinares, en los que se incluyen ingenieros, que deben identificar los objetivos formativos, competencias, contenidos y el control de calidad del propio curso. En este proyecto se utilizan técnicas de ingeniería del conocimiento como eje metodológico para transformar un curso de formación presencial en formación on-line a través de tecnologías de la información. En la actualidad, las nuevas tecnologías de la información y comunicación están en constante evolución. De esta forma se han sumergido en el mundo transformando la visión que teníamos de éste para dar lugar a nuevas oportunidades. Es por ello que este proyecto busca la unión entre el e-learning y el mundo empresarial. El objetivo es el diseño, en plataforma e-learning, de un curso técnico que instruya a operadores de sala de control de una central nuclear. El trabajo realizado en este proyecto ha sido, además de transformar un curso presencial en on-line, en obtener una metodología para que otros cursos se puedan transformar. Para conseguir este cometido, debemos preocuparnos tanto por el contenido de los cursos como por su gestión. Por este motivo, el proyecto comienza con definiciones básicas de terminología propia de e-learning. Continúa con la generación de una metodología que aplique la gestión de conocimiento para transformar cualquier curso presencial a esta plataforma. Definida la metodología, se aplicará para el diseño del curso específico de Coeficientes Inherentes de Reactividad. Finaliza con un estudio económico que dé viabilidad al proyecto y con la creación de un modelo económico que estime el precio para cualquier curso futuro. Abstract Nuclear power plants need highly specialized and trained personnel. Thus, nuclear power plant Specialized Training Sector requires the incorporation of the latest advances in training methods. A large array of face-to-face training courses exist and it has become necessary to transform said courses in order to apply them with the new information systems available. For this, multidisciplinary equipment is needed where the engineering workforce must identify educational objectives, competences and abilities, contents and quality control of the different courses. In this project, knowledge engineering techniques are employed as the methodological axis in order to transform a face-to-face training course into on-line training through the use of new information technologies. Nowadays, new information and communication technologies are in constant evolution. They have introduced themselves into our world, transforming our previous vision of them, leading to new opportunities. For this reason, the present Project seeks to unite the use of e-learning and the Business and Corporate world. The main objective is the design, in an e-learning platform, of a technical course that will train nuclear power plant control-room operators. The work carried out in this Project has been, in addition to the transformation of a face-to-face course into an online one, the obtainment of a methodology to employ in the future transformation of other courses. In order to achieve this mission, our interest must focus on the content as well as on the management of the various courses. Hence, the Project starts with basic definitions of e-learning terminology. Next, a methodology that applies knowledge management for the transformation of any face-to-face course into e-learning has been generated. Once this methodology is defined, it has been applied for the design process of the Inherent Coefficients of Reactivity course. Finally, an economic study has been developed in order to determine the viability of the Project and an economic model has been created to estimate the price of any given course

Unidad de deshidratación y unidad DOMGAS. Planta de licuación Gorgon LNG

In this Project, a preliminary design of a dehydration unit for domestic gas will be outlined. This unit that is the subject of the study belongs to a project named Gorgon. Such project is currently been developed by Chevron in Barrow Island, Australia. In order to conduct a proper design of such unit, characteristics of the natural gas that is being extracted shall be detailed, as well as proper specifications of the pipeline to which the gas will supply. After this, different techniques for dehydrating the gas are evaluated; the technique that fits better this Project is absorption by glycol and following such assumption will be chosen as the best one. More accurately, the most suitable type of glycol for this particular unit is triethilene glycol, considering that it fits better the conditions of the project. Once the method is chosen, a simulation shall be undertaken with the purpose of determining the number of stages required for the correct functioning of the unit, the glycol rate and its purity. Besides, it is needed to estimate its pressure and temperature and the dimensions that would then follow. In addition, pressures and temperatures are estimated at the regeneration glycol process, together with dimensions of some units. Furthermore, it is necessary to estimate pressure and temperature at which natural gas is leaving the dehydration unit. In addition, both compression needed to secure the flux at the pipeline and the resulting pressure at the reception shall be studied. Finally, an economic study is carried out in order to conclude whether or not this specific Project is feasible.

Sistema autónomo para carga de baterías mediante una instalación fotovoltaica con aplicación directa al vehículo eléctrico y usos

La situación energética actual es insostenible y como consecuencia se plantea un escenario próximo orientado a conseguir un futuro energético sostenible que permita el desarrollo económico y el bienestar social. La situación ambiental actual está afectada directamente por la combustión de combustibles fósiles que en 2013 constituyeron el 81% de la energía primaria utilizada por el ser humano y son la principal fuente antropogénica de gases de efecto invernadero. Los informes del IPCC1, ponen de manifiesto que el cambio climático se ha consolidado durante los últimos años y en la conferencia de la ONU sobre cambio climático de París que se celebrará a finales de 2015, se pretende que los gobiernos suscriban un acuerdo universal para limitar las emisiones de gases de efecto invernadero y evitar que el incremento de la temperatura media global supere los 2°C. Por otra parte, en el interior de las ciudades es especialmente preocupante, por su efecto directo sobre la salud humana, el impacto ambiental producido por las emisiones de NOx que generan el transporte de personas y mercancías. El sector del transporte fue responsable en 2012 del 27,9% del consumo final de energía. Una vez expuesto el escenario energético y ambiental actual, en esta tesis, se analiza la eficiencia de un sistema autónomo fotovoltaico para la carga de baterías de vehículos eléctricos y el uso del mismo con otras cargas, con el objetivo de aprovechar al máximo la energía eléctrica generada y contribuir a la utilización de energía limpia que no produzca impacto ambiental. Como primer paso para el desarrollo de la tesis se hizo un estudio de trabajos previos comenzando por las primeras aplicaciones de la energía fotovoltaica en los vehículos solares para después pasar a trabajos más recientes enfocados al suministro de energía a los vehículos eléctricos. También se hizo este estudio sobre las metodologías de simulación en los sistemas fotovoltaicos y en el modelado de distintos componentes. Posteriormente se eligieron, dentro de la amplia oferta existente en el mercado, los componentes con características técnicas más adecuadas para este tipo de instalaciones y para las necesidades que se pretenden cubrir. A partir de los parámetros técnicos de los componentes elegidos para configurar la instalación autónoma y utilizando modelos contrastados de distintos componentes, se ha desarrollado un modelo de simulación en ordenador del sistema completo con el que se han hecho simulaciones con distintos modos de demanda de energía eléctrica, según los modos de carga disponibles en el vehículo eléctrico para corriente alterna monofásica de 230 V. También se han simulado distintos tamaños del generador fotovoltaico y del sistema de acumulación de energía eléctrica para poder determinar la influencia de estos parámetros en los balances energéticos del sistema. Utilizando recursos propios el doctorando ha realizado la instalación real de un sistema fotovoltaico que incluye sistema de acumulación e inversor en un edificio de su propiedad. Para la realización de la tesis, La Fundación de Fomento e Innovación Industrial (F2I2) ha facilitado al doctorando un dispositivo que permite realizar la alimentación del vehículo eléctrico en modo 2 (este modo emplea un adaptador que incorpora dispositivos de seguridad y se comunica con el vehículo permitiendo ajustar la velocidad de recarga) y que ha sido necesario para los trabajos desarrollados. Se ha utilizado la red eléctrica como sistema de apoyo de la instalación fotovoltaica para permitir la recarga en el modo 2 que requiere más potencia que la proporcionada por el sistema fotovoltaico instalado. Se han analizado mediante simulación distintos regímenes de carga que se han estudiado experimentalmente en la instalación realizada, a la vez que se han hecho ensayos que se han reproducido mediante simulación con los mismos valores de radiación solar y temperatura con objeto de contrastar el modelo. Se han comparado los resultados experimentales con los obtenidos mediante simulación con objeto de caracterizar el comportamiento del sistema de acumulación (energía eléctrica suministrada y tensión de salida en las baterías) y del generador fotovoltaico (energía eléctrica fotovoltaica suministrada). Por último, se ha realizado un estudio económico de la instalación autónoma fotovoltaica ejecutada y simulada. En el mismo se ha planteado la utilización de fondos propios (como realmente se ha llevado a cabo) y la utilización de financiación, para determinar dos posibles escenarios que pudieran ser de utilidad a un propietario de vehículo eléctrico. Se han comparado los resultados obtenidos en los dos escenarios propuestos del estudio económico del sistema, en cuanto a los parámetros de tiempo de retorno de la inversión, valor actual neto de la inversión y tasa interna de retorno de la misma. Las conclusiones técnicas obtenidas, permiten la utilización del sistema con los modos de carga ensayados y otro tipo de cargas que aprovechen la generación eléctrica del sistema. Las baterías ofrecen mejor comportamiento cuando el aporte fotovoltaico está presente, pero no considera adecuado la conexión de cargas elevadas a un sistema de acumulación de gel (plomo-acido) como el que se ha utilizado, debido al comportamiento de este tipo de baterías ante demandas de intensidad de corriente eléctrica elevadas. Por otra parte, el comportamiento de este tipo de baterías con valores de intensidad de corriente eléctrica inferiores a 10 A en ausencia de energía fotovoltaica, con el objetivo de utilizar la generación de energía eléctrica diaria acumulada en el sistema, sí resulta interesante y ofrece un buen comportamiento del sistema de acumulación. Las circunstancias actuales de mercado, que carece de sistemas de acumulación de litio con precios de compra interesantes, no han permitido poder experimentar este sistema de acumulación en la instalación autónoma fotovoltaica ejecutada, tampoco se ha podido obtener el favor de ningún fabricante para ello. Actualmente hay disponibles sistemas de acumulación en litio que no se comercializan en España y que serían adecuados para el sistema de acumulación de energía propuesto en este estudio, que deja abierta las puertas para futuros trabajos de investigación. Las conclusiones económicas obtenidas, rentabilizan el uso de una instalación autónoma fotovoltaica con consumo instantáneo, sin acumulación de energía eléctrica. El futuro de conexión a red por parte de estas instalaciones, cuando se regule, aportará un incentivo económico para rentabilizar con menos tiempo las instalaciones autónomas fotovoltaicas, esto también deja la puerta abierta a futuros trabajos de investigación. El sistema de acumulación de energía aporta el mayor peso económico de inversión en este tipo de instalaciones. La instalación estudiada aporta indicadores económicos que la hacen rentable, pero se necesitaría que los precios de acumulación de la energía en sistemas eficientes estén comprendidos entre 100-200 €/kWh para que el sistema propuesto en este trabajo resulte atractivo a un potencial propietario de un vehículo eléctrico. ABSTRACT The current energy situation is untenable; it poses a scenario next focused on reaching a sustainable energy future, to allow economic development and social welfare. The environmental current situation is affected directly by the combustion of fossil fuels that in 2013 constituted 81 % of the primary energy used by the human being and they are the principal source human of greenhouse gases. The reports of the IPCC2, they reveal that the climate change has consolidated during the last years and in the conference of the UNO on climate change of Paris that will be celebrated at the end of 2015, there is claimed that the governments sign a universal agreement to limit the emission of greenhouse gases and to prevent that the increase of the global average temperature overcomes them 2°C. On the other hand, inside the cities it is specially worrying, for his direct effect on the human health, the environmental impact produced by the NOx emissions that generate the persons' transport and goods. The sector of the transport was responsible in 2012 of 27,9 % of the final consumption of energy. Once exposed the scenario and present environmental energy, in this thesis, it has analyzed the efficiency of an autonomous photovoltaic system for charging electric vehicles, and the use of the same with other workloads, with the objective to maximize the electrical energy generated and contribute to the use of clean energy that does not produce environmental impact. Since the first step for the development of the thesis did to itself a study of previous works beginning for the first applications of the photovoltaic power in the solar vehicles later to go on to more recent works focused on the power supply to the electrical vehicles. Also this study was done on the methodologies of simulation in the photovoltaic systems and in the shaped one of different components. Later they were chosen, inside the wide existing offer on the market, the components with technical characteristics more adapted for this type of facilities and for the needs that try to cover. From the technical parameters of the components chosen to form the autonomous installation and using models confirmed of different components, a model of simulation has developed in computer of the complete system with which simulations have been done by different manners of demand of electric power, according to the available manners of load in the electrical vehicle for single-phase alternating current of 230 V. Also there have been simulated different sizes of the photovoltaic generator and of the system of accumulation of electric power to be able to determine the influence of these parameters in the energy balances of the system. Using own resources the PhD student has realized a real installation of a photovoltaic system that includes system of accumulation and investing in a building of his property. For the accomplishment of the thesis, The Foundation of Promotion and Industrial Innovation (F2I2) it has facilitated to the PhD student a device that allows to realize the supply of the electrical vehicle in way 2 (this way uses an adapter that incorporates safety devices and communicates with the vehicle allowing to fit the speed of recharges) and that has been necessary for the developed works. The electrical network has been in use as system of support of the photovoltaic installation for allowing it her recharges in the way 2 that more power needs that provided by the photovoltaic installed system. There have been analyzed by means of simulation different rate of load that have been studied experimentally in the realized installation, simultaneously that have done to themselves tests that have reproduced by means of simulation with the same values of solar radiation and temperature in order the model contrasted. The experimental results have been compared by the obtained ones by means of simulation in order to characterize the behavior of the system of accumulation (supplied electric power and tension of exit in the batteries) and of the photovoltaic generator (photovoltaic supplied electric power). Finally, there has been realized an economic study of the autonomous photovoltaic executed and simulated installation. In the same one there has appeared the utilization of own funds (since really it has been carried out) and the utilization of financing, to determine two possible scenes that could be of usefulness to an owner of electrical vehicle. There have been compared the results obtained in both scenes proposed of the economic study of the system, as for the parameters of time of return of the investment, current clear value of the investment and rate hospitalizes of return of the same one. The technical obtained conclusions, they make the utilization of the system viable with the manners of load tested and another type of loads of that they take advantage the electrical generation of the system. The batteries offer better behavior when the photovoltaic contribution is present, but he does not consider to be suitable the connection of loads risen up to a system of accumulation of gel (lead - acid) as the one that has been in use, due to the behavior of this type of batteries before demands of intensity of electrical current raised. On the other hand, the behavior of this type of batteries with low values of intensity of electrical current to 10 To in absence of photovoltaic power, with the aim to use the generation of daily electric power accumulated in the system, yes turns out to be interesting and offers a good behavior of the system of accumulation. The current circumstances of market, which lacks systems of accumulation of lithium with interesting purchase prices, have not allowed to be able to experience this system of accumulation in the autonomous photovoltaic executed installation, neither one could have obtained the favor of any manufacturer for it. Nowadays there are available systems of accumulation in lithium that is not commercialized in Spain and that they would be adapted for the system of accumulation of energy proposed in this study, which makes the doors opened for future works of investigation. The economic obtained conclusions; they make more profitable the use of an autonomous photovoltaic installation with instantaneous consumption, without accumulation of electric power. The future of connection to network on the part of these facilities, when it is regulated, will contribute an economic incentive to make profitable with less time the autonomous photovoltaic facilities, this also leaves the door opened for future works of investigation. The system of accumulation of energy contributes the major economic weight of investment in this type of facilities. The studied installation contributes economic indicators that make her profitable, but it would be necessary that the prices of accumulation of the energy in efficient systems are understood between 100-200 € in order that the system proposed in this work turns out to be attractive to a proprietary potential of an electrical vehicle.

Ecuadorian migration and family strategies of social mobility: dialectic relation between emotional and financial capital

This text deals with transnational strategies of social mobility in Ecuadorian migrant households in Spain. We apply the capital accumulation model (Moser, 2009) for this purpose. The main target of this article is, beyond thinking in terms of capital stock and accumulation, the analysis in depth of the dynamics of the different types of capital, that is to say, how they interact with each other in the framework of the social mobility strategies of the migrants and their families. We are bringing into light the way some households adopt investing decisions in capitals that don't translate into any addition or earnings in all cases, on the contrary, concentrating all their efforts on the accumulation of a certain asset they may, in some cases, lead to a loss of another. We will concentrate our analysis primarily on the dynamics between the physical and financial capital and the social and emotional capital, showing the tensions produced between these two types of assets. At the same time, we will highlight how migrants negotiate their family strategies of social mobility in the transnational area. Our study is based in empirical material obtained from qualitative fieldwork (in-depth interviews) with families of migrants in the urban district of Turubamba Bajo -(south of Quito) and in Madrid. A series of households were selected where interviews were carried out in the country of origin as well as in the context of immigration, with different family members, analysing the transnational social and economic strategies of families of migrant members. Family members of migrants established in Spain were interviewed in Quito, as well as key informants in the district (school teachers, nursery members of the staff, etc.). The research was framed within the projects "Impact of migration on the development: gender and transnationalism", Ministry of Science and Innovation (SEJ2007/63179) (Laura Oso, dir. 2007-2010),"Gender, transnationalism and intergenerational strategies of social mobility", Ministry of Economy and Competitiveness (FEM2011/26210) (Laura Oso, dir. 201-1-2015) and “Gender, Crossed Mobilities and Transnational Dynamics”, Ministry of Economy and Competitiveness (FEM2015-67164).

Late-career international migration and reproductive work. A comparison between Peruvian and Ukrainian women in the Southern Europe

Research on the relationship between reproductive work and women´s life trajectories including the experience of labour migration has mainly focused on the case of relatively young mothers who leave behind, or later re-join, their children. While it is true that most women migrate at a younger age, there are a significant number of cases of men and women who move abroad for labour purposes at a more advanced stage, undertaking a late-career migration. This is still an under-estimated and under-researched sub-field that uncovers a varied range of issues, including the global organization of reproductive work and the employment of migrant women as domestic workers late in their lives. By pooling the findings of two qualitative studies, this article focuses on Peruvian and Ukrainian women who seek employment in Spain and Italy when they are well into their forties, or older. A commonality the two groups of women share is that, independently of their level of education and professional experience, more often than not they end up as domestic and care workers. The article initially discusses the reasons for late-career female migration, taking into consideration the structural and personal determinants that have affected Peruvian and Ukrainian women’s careers in their countries of origin and settlement. After this, the focus is set on the characteristics of domestic employment at later life, on the impact on their current lives, including the transnational family organization, and on future labour and retirement prospects. Apart from an evaluation of objective working and living conditions, we discuss women’s personal impressions of being domestic workers in the context of their occupational experiences and family commitments. In this regard, women report varying levels of personal and professional satisfaction, as well as different patterns of continuity-discontinuity in their work and family lives, and of optimism towards the future. Divergences could be, to some extent, explained by the effect of migrants´ transnational social practices and policies of states.

Verhaltens- und fertigkeitenbasierte Frühinterventionen bei Kindern mit Autismus

Einleitung: Zu den autistischen Syndromen werden der frühkindliche Autismus (Kanner-Syndrom), das Asperger-Syndrom und atypische Autismusformen oder nicht-spezifizierte tiefgreifende Entwicklungsstörungen gezählt. Bei den autistischen Syndromen liegen Beeinträchtigungen (1) der Kommunikation und (2) der sozialen Interaktion vor. Weiterhin weisen (3) die Kinder in unterschiedlichem Maß stereotypes, repetitives Verhalten auf und haben bestimmte Sonderinteressen. Verhaltensbasierte Frühinterventionen bei Kindern mit Autismus basieren auf lerntheoretischen und verhaltenstherapeutischen Konzepten. Sie berücksichtigen die besonderen vorliegenden Beeinträchtigungen in der Wahrnehmung, der emotionalen Reaktionen, der sozialen Interaktionen sowie der Kommunikationsmuster. Die systematische Anwendung und Evaluation solcher Modelle in Deutschland ist aber bisher eher die Ausnahme. Fragestellungen: - Wie sind die gesundheitliche Effektivität und Sicherheit von verhaltens- oder fertigkeitenbasierten Frühinterventionen bei autistischen Syndromen untereinander und verglichen mit einer Standardbehandlung? - Gibt es Hinweise auf besondere Wirkfaktoren für die Effektivität? - Wie ist die Kosten-Effektivität? - Wie hoch sind die Kosten der verschiedenen Interventionen? - Lassen sich aus ethischen und rechtlichen Überlegungen Schlüsse für die Anwendung der betrachteten Interventionen bei Betroffenen mit autistischem Syndrom in der Praxis ziehen? Methoden: Basierend auf einer systematischen Literaturrecherche werden ab 2000 in deutscher oder englischer Sprache veröffentlichte kontrollierte Studien zu verhaltens- oder fertigkeitenbasierten Frühinterventionen bei Kindern mit Autismus im Alter von bis zu zwölf Jahren eingeschlossen und bewertet. Die Mindestzahl an Studienteilnehmern muss zehn pro Interventionsgruppe betragen. Ergebnisse: Insgesamt 15 Veröffentlichungen klinischer Primärstudien, acht systematische Reviews und eine ökonomische Veröffentlichung erfüllen die Einschlusskriterien. Die meisten Studien evaluieren intensive Frühinterventionen, die sich an das Modell von Lovaas (Early intensive behavioural treatment (EIBT), Applied behavioural analysis (ABA)) anlehnen. Einige Studien evaluieren andere Interventionen, die teilweise pragmatisch waren und teilweise einem bestimmten Modell folgen (spezifisches Elterntraining, Responsive education and prelinguistic milieu teaching (RPMT), Joint attention (JA) und symbolisches Spielen (SP), Picture exchange communication system (PECS)). Verhaltensanalytische Interventionen basierend auf dem Lovaas-Modell können weiterhin als die am besten empirisch abgesicherten Frühinterventionen angesehen werden. Vorschulkinder mit Autismus können durch verhaltensbasierte Interventionen mit einer Mindestintensität von 20 Stunden pro Woche Verbesserungen in kognitiven und funktionalen Bereichen (expressive Sprache, Sprachverständnis und Kommunikation) erreichen. Es bleibt jedoch unklar, welche Mindestintensität notwendig ist, und welche Wirkkomponenten für die Ergebnisse verantwortlich sind. Für andere umfassende Frühinterventionen bei Kindern mit Autismus liegt keine hochwertige Evidenz vor. Die für den ökonomischen Teilbereich identifizierte und einbezogene Publikation ist methodisch und thematisch nicht dazu geeignet, die Fragen nach der Kosten-Effektivität oder den Kostenwirkungen von Frühinterventionen beim Autismus auch nur ansatzweise zu beantworten. Publikationen zu rechtlichen, ethischen oder sozialen Aspekten werden nicht identifiziert. Die finanzielle Lage der Betroffenen und der Familien wird durch das Pflege-Weiterentwicklungsgesetz (Pf-WG) verbessert. Weitere rechtliche Belange betreffen die Betreuung und die Deliktfähigkeit der Menschen mit Autismus. Auch die gleichheitliche Betreuung und Versorgung sind insbesondere vor dem Hintergrund der Pflege im häuslichen Umfeld eine wichtige Frage. Diskussion: Es gibt nur wenige methodisch angemessene Studien zur Beurteilung der Wirksamkeit von Frühinterventionen bei Kindern mit Autismus. Die meisten Studien sind vergleichsweise kurz und haben teilsweise kein verblindetes Ergebnis-Rating. Der Mangel an hochwertigen vergleichenden Studien lässt keine solide Antwort auf die Frage zu, welche Frühintervention bei welchen Kindern mit Autismus am wirksamsten ist. Programme nach dem Lovaas-Modell scheinen am wirkungsvollsten zu sein. Dies gilt vor allem, wenn sie klinikbasiert durchgeführt werden. Zu einzelnen Wirkfaktoren von Frühinterventionen nach dem ABA-Modell konnte allerdings keine solide Evidenz gefunden werden. Es zeigte sich, dass ein Elterntraining hinsichtlich der Verbesserung der Kommunikation besser ist als eine Routinebehandlung, in der eine Mischung von Theapieelementen angewendet wird. Sowohl für die klinischen als auch die gesundheitsökonomischen Studien besteht das Problem unzureichender Verallgemeinerbarkeit der Studienergebnisse in den deutschen Versorgungskontext. Die ökonomischen Studien sind methodisch und thematisch nicht dazu geeignet die aufgeworfenen Fragestellungen zu beantworten. Schlussfolgerung: Basierend auf der derzeitigen Studienlage liegt für keine der untersuchten verhaltensbasierten Frühinterventionen bei Kindern mit Autismus ausreichende Evidenz vor. Die in diesem Bericht ausgewerteten Studien und Reviews legen nahe, dass Vorschulkinder mit Autismus durch verhaltensbasierte Interventionen mit einer Mindestintensität von 20 Stunden pro Woche Verbesserungen in kognitiven und funktionalen Bereichen erreichen können. Es gibt bisher keine Hinweise, dass bei einem substantiellen Anteil der Kinder eine vollständige Normalisierung der Entwicklung erreicht werden kann. Die meiste Evidenz liegt für die ABA vor. Ein Minimum an erforderlicher oder sinnvoller Behandlungsintensität kann jedoch nicht angegeben werden. Eine professionelle Umsetzung eines verhaltensbasierten Frühinterventionsprogrammes in engem und ausführlichem Kontakt mit den Kindern und unter Einbeziehung der Eltern erscheint sinnvoll. Zur Kosten-Effektivität von intensiven Frühinterventionen bei Kindern mit Autismus können keine validen Angaben gemacht werden. Effektive Frühinterventionen könnten jedoch die Gesamtkosten des Autismus langfristig reduzieren, indem die anfallenden hohen Aufwendungen durch eine spätere bessere soziale Anpassung überkompensiert werden.

A systematic review of the cost-effectiveness of targeted therapies for metastatic non-small cell lung cancer (NSCLC)

Background: Non-small cell lung cancer (NSCLC) imposes a substantial burden on patients, health care systems and society due to increasing incidence and poor survival rates. In recent years, advances in the treatment of metastatic NSCLC have resulted from the introduction of targeted therapies. However, the application of these new agents increases treatment costs considerably. The objective of this article is to review the economic evidence of targeted therapies in metastatic NSCLC. Methods: A systematic literature review was conducted to identify cost-effectiveness (CE) as well as cost-utility studies. Medline, Embase, SciSearch, Cochrane, and 9 other databases were searched from 2000 through April 2013 (including update) for full-text publications. The quality of the studies was assessed via the validated Quality of Health Economic Studies (QHES) instrument. Results: Nineteen studies (including update) involving the MoAb bevacizumab and the Tyrosine-kinase inhibitors erlotinib and gefitinib met all inclusion criteria. The majority of studies analyzed the CE of first-line maintenance and second-line treatment with erlotinib. Five studies dealt with bevacizumab in first-line regimes. Gefitinib and pharmacogenomic profiling were each covered by only two studies. Furthermore, the available evidence was of only fair quality. Conclusion: First-line maintenance treatment with erlotinib compared to Best Supportive Care (BSC) can be considered cost-effective. In comparison to docetaxel, erlotinib is likely to be cost-effective in subsequent treatment regimens as well. The insights for bevacizumab are miscellaneous. There are findings that gefitinib is cost-effective in first- and second-line treatment, however, based on only two studies. The role of pharmacogenomic testing needs to be evaluated. Therefore, future research should improve the available evidence and consider pharmacogenomic profiling as specified by the European Medicines Agency. Upcoming agents like crizotinib and afatinib need to be analyzed as well. © Lange et al.

Economic , Educational and Conservation Benefits of Sea Turtle Based Ecotourism: A Study Focused on Mon Repos

The study examines the economic, educational and conservation values of sea turtle-based ecotourism in Australia. The centre-piece of this research is a case study undertaken at the Mon Repos Conservation Park located near the town of Bundaberg, Queensland. Each year from mid-November to end of March, thousands of visitors visit Mon Repos Conservation Park to view sea turtles either nesting on the one km stretch of beach or to see hatchlings emerge from their nests and march on to the sea or both. As a result of this activity there are considerable economic benefits to the Bundaberg region during the sea turtle season. The study examines the economic impact of sea turtle viewing at Mon Repos to the region. The study assesses the recreational value of sea turtle viewing. Furthermore, sea turtle-based ecotourism also provides educational and conservation benefits that are important for the protection and conservation of sea turtles, especially in Australia. The study specifies the extent of the educational impact and conservation appreciation of sea turtle viewing at Mon Repos Conservation Park. As a background to the study, Mon Repos visitors’ profile and socio-economic data of visitors are provided. In order to conduct this study, 1,200 survey forms were distributed, out of which 519 usable responses were obtained.

Integrating environmental and economic life cycle analysis in product development: a material selection case study

Purpose Achieving sustainability by rethinking products, services and strategies is an enormous challenge currently laid upon the economic sector, in which materials selection plays a critical role. In this context, the present work describes an environmental and economic life cycle analysis of a structural product, comparing two possible material alternatives. The product chosen is a storage tank, presently manufactured in stainless steel (SST) or in a glass fibre reinforced polymer composite (CST). The overall goal of the study is to identify environmental and economic strong and weak points related to the life cycle of the two material alternatives. The consequential win-win or trade-off situations will be identified via a Life Cycle Assessment/Life Cycle Costing (LCA/LCC) integrated model. Methods The LCA/LCC integrated model used consists in applying the LCA methodology to the product system, incorporating, in parallel, its results into the LCC study, namely those of the Life Cycle Inventory (LCI) and the Life Cycle Impact Assessment (LCIA). Results In both the SST and CST systems the most significant life cycle phase is the raw materials production, in which the most significant environmental burdens correspond to the Fossil fuels and Respiratory inorganics categories. The LCA/LCC integrated analysis shows that the CST has globally a preferable environmental and economic profile, as its impacts are lower than those of the SST in all life cycle stages. Both the internal and external costs are lower, the former resulting mainly from the composite material being significantly less expensive than stainless steel. This therefore represents a full win-win situation. As a consequence, the study clearly indicates that using a thermoset composite material to manufacture storage tanks is environmentally and economically desirable. However, it was also evident that the environmental performance of the CST could be improved by altering its End-of-Life stage. Conclusions The results of the present work provide enlightening insights into the synergies between the environmental and the economic performance of a structural product made with alternative materials. Further, they provide conclusive evidence to support the integration of environmental and economic life cycle analysis in the product development processes of a manufacturing company, or in some cases even in its procurement practices.

Economic analysis of occupational risk prevention: a case study in a textile company

Work accidents affect business and society as a whole. Fewer accidents mean fewer sick leaves, which results in lower costs and less disruption in the production process, with clear advantages for the employer. But workers and their households bear also a significant burden following a work accident, only partially compen-sated by insurance systems. Furthermore, the consequences of work accidents to the State and Society need also to be considered. When an organization performs an integrated risk analysis in evaluating its Occupational Health and Safety Management System, several steps are suggested to address the identified risk situations. Namely, to avoid risks, a series of preventive measures are identified. The organization should make a detailed analysis of the monetary impact (positive or negative) for the organization of each of the measures considered. Particularly, it is also important to consider the impact of each measure on society, involving an adequate eco-nomic cost-benefit analysis. In the present paper, a case study in a textile finishing company is presented. The study concentrates on the dyeing and printing sections. For each of the potential risks, several preventive measures have been identified and the corresponding costs and benefits have been estimated. Subsequently, the Benefit/Cost ratio (B/C) of these measures has been calculated, both in financial terms (from the organisa-tion’s perspective) and in economic terms (including the benefits for the worker and for the Society). Results show that, while the financial analysis in terms of the company does not justify the preventive measures, when the externalities are taken into account, the B/C ratio increases significantly and investments are fully justified.