The high transmissibility of SARS-CoV-2 before and shortly after the onset of symptoms suggests that only diagnosing and isolating symptomatic patients may not be sufficient to interrupt the spread of infection; therefore, public health measures such as personal distancing are also necessary. Additionally, it will be important to detect the newly infected individuals who remain asymptomatic, which may account for 50% or more of the cases. Molecular techniques are the “gold standard” for the diagnosis of SARS-CoV-2 infection. However, the massive use of these techniques has generated some problems. On the one hand, the scarcity of resources (analyzers, fungibles and reagents), and on the other the delay in the notification of results. These two facts translate into a lag in the application of isolation measures among cases and contacts, which favors the spread of the infection. Antigen detection tests are also direct diagnostic methods, with the advantage of obtaining the result in a few minutes and at the very “pointof-care”. Furthermore, the simplicity and low cost of these tests allow them to be repeated on successive days in certain clinical settings. The sensitivity of antigen tests is generally lower than that of nucleic acid tests, although their specificity is comparable. Antigenic tests have been shown to be more valid in the days around the onset of symptoms, when the viral load in the nasopharynx is higher. Having a rapid and real-time viral detection assay such as the antigen test has been shown to be more useful to control the spread of the infection than more sensitive tests, but with greater cost and response time, such as in case of molecular tests. The main health institutions such as the WHO, the CDC and the Ministry of Health of the Government of Spain propose the use of antigenic tests in a wide variety of strategies to respond to the pandemic. This document aims to support physicians involved in the care of patients with suspected SC2 infection, in the context of a growing incidence in Spain since September 2020, which already represents the second pandemic wave of COVID-19.
The CO 2 capture from back-up power plants by making use of calcium looping systems combined with large piles of Ca-solids has been studied in this work. A flexible CO 2 capture system based on a concept described in a previous work has been integrated into an existing power plant by including a small oxyfired calciner (that represents just 8% of the total thermal capacity) to steadily regenerate the sorbent and a carbonator reactor following the back-up power plant operation periods to capture 90% of the CO 2 as CaCO 3 and two large piles of rich CaO and CaCO 3 solids stored at modest temperatures. When the back-up plant enters into operation, the calcined solids are brought into contact with the flue gases in the carbonator reactor; meanwhile, the oxy-calciner operates continuously at a steady state. In order to improve the flexibility of the CO 2 capture system and to minimize the increase of CO 2 capture costs associated with the additional new equipment used only during the brief back-up periods, we propose using the steam cycle of the existing power plant to recover a large fraction of the heat available from the streams leaving the carbonator. This makes it possible to maintain the electrical power output but reducing the thermal input to the power plant by 12% and thus the size of the associated CO 2 capture equipment. To generate the auxiliary power required for the oxy-calciner block, a small steam cycle is designed by integrating the waste heat from the streams leaving this reactor. By solving the mass and heat balances and proposing a feasible thermal integration scheme by using Aspen Hysys, it has been calculated that the CO 2 emitted by long-amortized power plants operated as back-up can be captured with a net efficiency of 28%.
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