Understanding the storage mechanisms in CO_(2)flooding is crucial,as many carbon capture,utilization,and storage(CCUS)projects are related to enhanced oil recovery(EOR).CO_(2)storage in reservoirs across large timesca...Understanding the storage mechanisms in CO_(2)flooding is crucial,as many carbon capture,utilization,and storage(CCUS)projects are related to enhanced oil recovery(EOR).CO_(2)storage in reservoirs across large timescales undergoes the two storage stages of oil displacement and well shut-in,which cover mul-tiple replacement processes of injection-production synchronization,injection only with no production,and injection-production stoppage.Because the controlling mechanism of CO_(2)storage in different stages is unknown,the evolution of CO_(2)storage mechanisms over large timescales is not understood.A math-ematical model for the evaluation of CO_(2)storage,including stratigraphic,residual,solubility,and mineral trapping in low-permeability tight sandstone reservoirs,was established using experimental and theoret-ical analyses.Based on a detailed geological model of the Huaziping Oilfield,calibrated with reservoir permeability and fracture characteristic parameters obtained from well test results,a dynamic simulation of CO_(2)storage for the entire reservoir life cycle under two scenarios of continuous injection and water-gas alternation were considered.The results show that CO_(2)storage exhibits the significant stage charac-teristics of complete storage,dynamic storage,and stable storage.The CO_(2)storage capacity and storage rate under the continuous gas injection scenario(scenario 1)were 6.34×10^(4)t and 61%,while those under the water-gas alternation scenario(scenario 2)were 4.62×10^(4)t and 46%.The proportions of stor-age capacity under scenarios 1 and 2 for structural or stratigraphic,residual,solubility,and mineral trap-ping were 33.36%,33.96%,32.43%,and 0.25%;and 15.09%,38.65%,45.77%,and 0.49%,respectively.The evolution of the CO_(2)storage mechanism showed an overall trend:stratigraphic and residual trapping first increased and then decreased,whereas solubility trapping gradually decreased,and mineral trapping continuously increased.Based on these results,an evolution diagram of the CO_(2)storage mechanism of low-permeability tight sandstone reservoirs across large timescales was established.展开更多
Introduction: Reports indicate that fluorescent staining of smears increases sensitivity of direct microscopy;so ZN staining is being replaced with fluorescent microscopy in RNTCP in India. Chemical processing and spu...Introduction: Reports indicate that fluorescent staining of smears increases sensitivity of direct microscopy;so ZN staining is being replaced with fluorescent microscopy in RNTCP in India. Chemical processing and sputum concentration may also improve sensitivity of microscopy. Objective: To compare the sensitivity and specificity of microscopy for AFB using ZN and fluorescent stains in direct and concentrated specimen with culture as gold standard. Methods: Morning sputum specimen of patients, suspected of having pulmonary tuberculosis, over a period of 6 months was subjected to direct microscopy using fluorescent stain;the same slide was over-stained with ZN stain. Same sputum sample was concentrated by Petroff’s method and subjected to fluorescent microscopy followed by ZN microscopy and finally to culture for AFB. Results: Sensitivity of fluorescent stained concentrated sputum samples was maximum and of ZN stained unprocessed sputum samples was minimum. Specificity of three of the methods was equal at 0.96 but of ZN stained concentrated sputum smears was 0.97. Sensitivity of total fluorescent stains was 0.85 (Specificity 0.96) and sensitivity of total ZN stained smears was 0.80 (Specificity 0.96). Discussion: We used same smear for fluorescent and ZN stains, so smear related variability is decreased. Blinding for microscopy was practically complete. Conclusion: The sensitivity of sputum microscopy for AFB can be increased by concentrating the sputum and using fluorescent microscopy. The specificity remains high in all the methods.展开更多
Introduction: The adverse drug events (ADEs) to second-line anti-TB drugs are one of the major reasons for the patients default on treatment. A general awareness of various adverse drug events (ADE) and their manageme...Introduction: The adverse drug events (ADEs) to second-line anti-TB drugs are one of the major reasons for the patients default on treatment. A general awareness of various adverse drug events (ADE) and their management is essential for the effective management of tuberculosis. Identification of adverse drug reaction profile of patients can be useful for the early detection, management and prevention of adverse drug events. Material and methods: It was a prospective observational study conducted after approved Institutional Ethics Committee. A total of 104 drug resistant tuberculosis patients registered from 1st November 2012 to 31st October 2013 started with second line anti-tubercular drugs under PMDT-RNCP after taking written informed consent. Adverse drug reaction during treatment recorded and assessed by Hart wig and WHO scale. Results: 87% patients experienced adverse drug reactions. Total 346 ADR were reported. Most common were gastritis (65%) and arthralgia (60.6%), others were nausea (35.6%), vomiting (32.7%), hyperuricemia (30.8%), giddiness (27%), anorexia (17.3), generalized weakness (15.4), insomnia (10.6%), psychosis (8.6%), hearing impairment (6.7%), hypersensitivity reaction (5.8%), peripheral neuropathy (4.8%), visual disturbance (3.8%), nephrotoxicity (2.9%), forgetfulness (2.9%), gynaecomastia (1.9%), hypothyroidism (1%), seizure (1%), and thrombocytopenia (1%). Conclusion: Majority of patients experienced wide range adverse drug reactions. Most of patients faced the problem within 2 - 3 months of initiation of treatment and managed by symptomatic. Early identification, prompt management and standardized reporting adverse drug reactions at all the level of healthcare are needed.展开更多
Background: Since introducing stereotactic core biopsy (SCB) on breast lesions in Denmark, no national follow-up of the procedure has been executed. Purpose: To evaluate performance of SCB in Danish mammography screen...Background: Since introducing stereotactic core biopsy (SCB) on breast lesions in Denmark, no national follow-up of the procedure has been executed. Purpose: To evaluate performance of SCB in Danish mammography screening. 3 areas were selected for evaluation: diagnostic value of SCB, performance of the Danish 7-tier mamma-radiological classifications system, DKBI-RADS, and diagnostic delay for SCB-diagnosis. Materials & Methods: Danish retrospective national cohort study including 2195 screening patients undergoing SCB. Study period: 01.01.2010 to 30.09.2012. Patients were identified from The Danish National Patient Register. Pathology-data were obtained from the Danish Pathology Database. Radiological-data according to DKBI-RADS were recorded. Diagnostic delay from clinical mammography until diagnosis was registered. Results: 173 SCBs indicated cancer;all operated with 3 cases finalized as benign. 1296 cases were determined benign with diagnostic surgery in 81 cases of which 31 were concluded pre-malignant/malignant. Correlation between DKBI-RADS and pathology diagnosis: 329 of 485 DKBI-RADS3, 227 of 450 DKBI-RADS4 were benign. 4 of 16 DKBI-RADS5 were benign. The diagnostic value of pre-malignant/malignant SCB related to results from surgery showed 94.4% sensitivity and a positive predictive value of 93.9%. Median diagnostic-time of single-biopsy was 13 days. Conclusion: The performance of SCB in Denmark is comparable to international studies regarding the diagnostic value of malignant SCB. The study indicates that DKBI-RADS classifications are not used consistently regarding micro-calcifications selected in screening-mammographies. Diagnostic delay is acceptable, subject to EUSOMA specifications, regarding single-biopsy.展开更多
基金supported by the National Key Research and Development Program of China(2022YFE0206700).
文摘Understanding the storage mechanisms in CO_(2)flooding is crucial,as many carbon capture,utilization,and storage(CCUS)projects are related to enhanced oil recovery(EOR).CO_(2)storage in reservoirs across large timescales undergoes the two storage stages of oil displacement and well shut-in,which cover mul-tiple replacement processes of injection-production synchronization,injection only with no production,and injection-production stoppage.Because the controlling mechanism of CO_(2)storage in different stages is unknown,the evolution of CO_(2)storage mechanisms over large timescales is not understood.A math-ematical model for the evaluation of CO_(2)storage,including stratigraphic,residual,solubility,and mineral trapping in low-permeability tight sandstone reservoirs,was established using experimental and theoret-ical analyses.Based on a detailed geological model of the Huaziping Oilfield,calibrated with reservoir permeability and fracture characteristic parameters obtained from well test results,a dynamic simulation of CO_(2)storage for the entire reservoir life cycle under two scenarios of continuous injection and water-gas alternation were considered.The results show that CO_(2)storage exhibits the significant stage charac-teristics of complete storage,dynamic storage,and stable storage.The CO_(2)storage capacity and storage rate under the continuous gas injection scenario(scenario 1)were 6.34×10^(4)t and 61%,while those under the water-gas alternation scenario(scenario 2)were 4.62×10^(4)t and 46%.The proportions of stor-age capacity under scenarios 1 and 2 for structural or stratigraphic,residual,solubility,and mineral trap-ping were 33.36%,33.96%,32.43%,and 0.25%;and 15.09%,38.65%,45.77%,and 0.49%,respectively.The evolution of the CO_(2)storage mechanism showed an overall trend:stratigraphic and residual trapping first increased and then decreased,whereas solubility trapping gradually decreased,and mineral trapping continuously increased.Based on these results,an evolution diagram of the CO_(2)storage mechanism of low-permeability tight sandstone reservoirs across large timescales was established.
文摘Introduction: Reports indicate that fluorescent staining of smears increases sensitivity of direct microscopy;so ZN staining is being replaced with fluorescent microscopy in RNTCP in India. Chemical processing and sputum concentration may also improve sensitivity of microscopy. Objective: To compare the sensitivity and specificity of microscopy for AFB using ZN and fluorescent stains in direct and concentrated specimen with culture as gold standard. Methods: Morning sputum specimen of patients, suspected of having pulmonary tuberculosis, over a period of 6 months was subjected to direct microscopy using fluorescent stain;the same slide was over-stained with ZN stain. Same sputum sample was concentrated by Petroff’s method and subjected to fluorescent microscopy followed by ZN microscopy and finally to culture for AFB. Results: Sensitivity of fluorescent stained concentrated sputum samples was maximum and of ZN stained unprocessed sputum samples was minimum. Specificity of three of the methods was equal at 0.96 but of ZN stained concentrated sputum smears was 0.97. Sensitivity of total fluorescent stains was 0.85 (Specificity 0.96) and sensitivity of total ZN stained smears was 0.80 (Specificity 0.96). Discussion: We used same smear for fluorescent and ZN stains, so smear related variability is decreased. Blinding for microscopy was practically complete. Conclusion: The sensitivity of sputum microscopy for AFB can be increased by concentrating the sputum and using fluorescent microscopy. The specificity remains high in all the methods.
文摘Introduction: The adverse drug events (ADEs) to second-line anti-TB drugs are one of the major reasons for the patients default on treatment. A general awareness of various adverse drug events (ADE) and their management is essential for the effective management of tuberculosis. Identification of adverse drug reaction profile of patients can be useful for the early detection, management and prevention of adverse drug events. Material and methods: It was a prospective observational study conducted after approved Institutional Ethics Committee. A total of 104 drug resistant tuberculosis patients registered from 1st November 2012 to 31st October 2013 started with second line anti-tubercular drugs under PMDT-RNCP after taking written informed consent. Adverse drug reaction during treatment recorded and assessed by Hart wig and WHO scale. Results: 87% patients experienced adverse drug reactions. Total 346 ADR were reported. Most common were gastritis (65%) and arthralgia (60.6%), others were nausea (35.6%), vomiting (32.7%), hyperuricemia (30.8%), giddiness (27%), anorexia (17.3), generalized weakness (15.4), insomnia (10.6%), psychosis (8.6%), hearing impairment (6.7%), hypersensitivity reaction (5.8%), peripheral neuropathy (4.8%), visual disturbance (3.8%), nephrotoxicity (2.9%), forgetfulness (2.9%), gynaecomastia (1.9%), hypothyroidism (1%), seizure (1%), and thrombocytopenia (1%). Conclusion: Majority of patients experienced wide range adverse drug reactions. Most of patients faced the problem within 2 - 3 months of initiation of treatment and managed by symptomatic. Early identification, prompt management and standardized reporting adverse drug reactions at all the level of healthcare are needed.
基金Region of Southern DenmarkDepartment of Breast Surgery, Lillebaelt Hospital, Vejle Research Council Lillebaelt Hospital
文摘Background: Since introducing stereotactic core biopsy (SCB) on breast lesions in Denmark, no national follow-up of the procedure has been executed. Purpose: To evaluate performance of SCB in Danish mammography screening. 3 areas were selected for evaluation: diagnostic value of SCB, performance of the Danish 7-tier mamma-radiological classifications system, DKBI-RADS, and diagnostic delay for SCB-diagnosis. Materials & Methods: Danish retrospective national cohort study including 2195 screening patients undergoing SCB. Study period: 01.01.2010 to 30.09.2012. Patients were identified from The Danish National Patient Register. Pathology-data were obtained from the Danish Pathology Database. Radiological-data according to DKBI-RADS were recorded. Diagnostic delay from clinical mammography until diagnosis was registered. Results: 173 SCBs indicated cancer;all operated with 3 cases finalized as benign. 1296 cases were determined benign with diagnostic surgery in 81 cases of which 31 were concluded pre-malignant/malignant. Correlation between DKBI-RADS and pathology diagnosis: 329 of 485 DKBI-RADS3, 227 of 450 DKBI-RADS4 were benign. 4 of 16 DKBI-RADS5 were benign. The diagnostic value of pre-malignant/malignant SCB related to results from surgery showed 94.4% sensitivity and a positive predictive value of 93.9%. Median diagnostic-time of single-biopsy was 13 days. Conclusion: The performance of SCB in Denmark is comparable to international studies regarding the diagnostic value of malignant SCB. The study indicates that DKBI-RADS classifications are not used consistently regarding micro-calcifications selected in screening-mammographies. Diagnostic delay is acceptable, subject to EUSOMA specifications, regarding single-biopsy.
