• EFFECTIVENESS AND PERFORMANCE

    We share the goals of our Customers

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  • TECHNOLOGICAL INVESTMENT

    Responsibility and responsiveness.

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  • EVOLUTION

    We participate in vital projects

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  • COMPREHENSIVE SOLUTIONS

    Design, Execution, Equipment and Maintenance of Industrial Facilities

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Our mission and our values

We build bridges, manage ideas, build the future

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Our Activities Areas

Since our beginning in 1992, MDE has moved its experience in the demanding Spanish railway sector to the private sector and to other public administrations, making quality the compliance with the delivery time and the safety at work its main competitive advantages. The success of our management model allows us to tackle large projects of public, residential and industrial construction as well as civil works and conservation of infrastructures and facilities.

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Natural And Semisynthetic Estrogens, Plain estrogel The variety of instances you press the pump will depend upon the dose recommended by your doctor. If your dose is 2 pump presses, then repeat the method and apply the contents of the second press to the other arm. Do not apply the gel to the breasts, face, or to irritated or damaged skin. Women dependent on thyroid hormone alternative therapy who're additionally receiving estrogens could require elevated doses of their thyroid-replacement remedy. Consult your doctor or pharmacist if you have any questions. This drugs is normally utilized once every day; or as directed by your physician. A skinny layer of medicine must be unfold on the within and outdoors of your arm from the wrist to the shoulder. It is not essential to rub this drugs into the skin. Your healthcare supplier should check any uncommon vaginal bleeding to seek out out the trigger.Combination therapy additionally increases the risk of invasive breast cancer.Use of unopposed estrogens increases the danger of endometrial cancer, whereas addition of a progestin decreases the danger of endometrial hyperplasia.Rule out malignancy if irregular vaginal bleeding develops.Do not use estrogen alone or in combination with progestin to forestall heart problems or dementia. Do not begin, cease, or change the dosage of any medicines without your doctor's approval. When the estrogen levels begin dropping, some girls develop very uncomfortable signs, corresponding to feelings of warmth within the face, neck, and chest, or sudden sturdy emotions of warmth and sweating (“sizzling flashes” or “scorching flushes”). In some ladies, the signs are mild, and they will not need to make use of estrogens. Template:Hormone Levels With Transdermal Estradiol Gel In some women, the symptoms are delicate, and they will not want estrogens. Report any unusual vaginal bleeding right away when you are taking estrogens. The increase in danger was observed in 12 months one and endured. The CE-only substudy is continuous and outcomes have not been reported. Close medical surveillance of all girls taking estrogens is necessary.

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DISTINGUISH

Herbicide train MDE

Herbicide vehicle adaptable to any railway gauge with weed recognition technology for saving water and pesticides to weed control in railway platform.

DestacadosTren

 

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