CO2-brine-rock interactions: The effect of impurities on grain size distribution and reservoir permeability

The Bunter Sandstone formation in the UK’s southern North Sea has been identified as having the potential to store large volumes of CO2. Prior to injection, CO2 is captured with certain amounts of impurities, usually less than 5%vol. The dissolution of these impurities in formation water can cause chemical reactions between CO2, brine, and rock, which can affect the reservoir quality by altering properties such as permeability. In this study, we explored the effect of CO2 and impurities (NO2, SO2, H2S) on reservoir permeability by measuring changes in grain size distributions after a prolonged period of 9 months, simulating in situ experimental conditions. It was found that the effects of pure CO2 and CO2-H2S are relatively small, i.e., CO2 increased permeability by 5.5% and CO2-H2S decreased it by 5.5%. Also, CO2-SO2 slightly decreased permeability by 6.25%, while CO2-NO2 showed the most pronounced effect, reducing permeability by 41.6%. The decrease in permeability showed a correlation with decreasing pH of the formation water and this equally correlates with a decrease in geometric mean of the grain diameter. The findings from this study are aimed to be used in future modelling studies on reservoir performance during injection and storage, which also should account for the shifts in boundaries in the CO2 phase diagram, altering the reservoir properties and affecting the cost of storage

Workflow for building and calibrating 3D pre-injection and 4D geomechanics modelling to assess caprock and fault integrity for geologic CO2 storage

Carbon capture and storage (CCS) has been established as a viable technology for the mitigation of climate change caused mainly by anthropogenic greenhouse gas emissions into the atmosphere. Ever since the publication of the special report on CCS by the Intergovernmental Panel on Climate Change in 2005, there has been an increased research and development in all areas of CCS. Some of these research involves use of numerical methods and models for optimizing storage and ensuring effective long term containment. In this paper, we propose a workflow for building and calibrating 3D preinjection and 4D geomechanics modelling to assess caprock and fault integrity for geologic carbon dioxide storage. The workflow presented here describes a seamless end -to-end process which combines a transparent flow of data with an easy-to-use graphical user interface. The workflow can conduct 3D static and 4D flow-, pressure-, and temperature-coupled calculations for rock deformations, failure and stresses. In highly heterogeneous and complex models, the workflow is capable of modelling multiple hundred faults, and multiple thousand discrete fractures. It allows the geological model, despite its high degree of complexity to be maintained throughout the geomechanical analyses process

A review of developments in carbon dioxide storage

Carbon capture and storage (CCS) has been identified as an urgent, strategic and essential approach to reduce anthropogenic CO2 emissions, and mitigate the severe consequences of climate change. CO2 storage is the last step in the CCS chain and can be implemented mainly through oceanic and underground geological sequestration, and mineral carbonation. This review paper aims to provide state-of-the-art developments in CO2 storage. The review initially discussed the potential options for CO2 storage by highlighting the present status, current challenges and uncertainties associated with further deployment of established approaches (such as storage in saline aquifers and depleted oil and gas reservoirs) and feasibility demonstration of relatively newer storage concepts (such as hydrate storage and CO2-based enhanced geothermal systems). The second part of the review outlined the critical criteria that are necessary for storage site selection, including geological, geothermal, geohazards, hydrodynamic, basin maturity, and economic, societal and environmental factors. In the third section, the focus was on identification of CO2 behaviour within the reservoir during and after injection, namely injection-induced seismicity, potential leakage pathways, and long-term containment complexities associated with CO2-brine-rock interaction. In addition, a detailed review on storage capacity estimation methods based on different geological media and trapping mechanisms was provided. Finally, an overview of major CO2 storage projects, including their overall outcomes, were outlined. This review indicates that although CO2 storage is a technically proven strategy, the discussed challenges need to be addressed in order to accelerate the deployment of the technology. In addition, beside the necessity of techno-economic aspects, public acceptance of CO2 storage plays a central role in technology deployment, and the current ethical mechanisms need to be further improved

National Ag-Data Hub project technical report - phase one

This document is a technical progress report of a work aimed to develop a national ag data hub in Ethiopia. The document is not a full technical implementation report of the national ag data hub. It is the technical report of the first phase as per the agreement entered between CIAT and ACATECH TECHNOLOGY PLC to implement the system in a phase by phase approach. This report has two main parts. The first part provides background information about the project which includes a brief introduction about the first phase deliverables. This shows the scope of the project to be completed in the first phase (i.e. in the last three months). The second part describes the project activities and progress in contrast to the plan set at the beginning. This part clearly showed the progress achieved so far

The impact of polio eradication on routine immunization and primary health care: a mixed-methods study.

BACKGROUND: After 2 decades of focused efforts to eradicate polio, the impact of eradication activities on health systems continues to be controversial. This study evaluated the impact of polio eradication activities on routine immunization (RI) and primary healthcare (PHC). METHODS: Quantitative analysis assessed the effects of polio eradication campaigns on RI and maternal healthcare coverage. A systematic qualitative analysis in 7 countries in South Asia and sub-Saharan Africa assessed impacts of polio eradication activities on key health system functions, using data from interviews, participant observation, and document review. RESULTS: Our quantitative analysis did not find compelling evidence of widespread and significant effects of polio eradication campaigns, either positive or negative, on measures of RI and maternal healthcare. Our qualitative analysis revealed context-specific positive impacts of polio eradication activities in many of our case studies, particularly disease surveillance and cold chain strengthening. These impacts were dependent on the initiative of policy makers. Negative impacts, including service interruption and public dissatisfaction, were observed primarily in districts with many campaigns per year. CONCLUSIONS: Polio eradication activities can provide support for RI and PHC, but many opportunities to do so remain missed. Increased commitment to scaling up best practices could lead to significant positive impacts

The Impact of Polio Eradication on Routine Immunization and Primary Health Care: A Mixed-Methods Study

BACKGROUND: After 2 decades of focused efforts to eradicate polio, the impact of eradication activities on health systems continues to be controversial. This study evaluated the impact of polio eradication activities on routine immunization (RI) and primary healthcare (PHC). METHODS: Quantitative analysis assessed the effects of polio eradication campaigns on RI and maternal healthcare coverage. A systematic qualitative analysis in 7 countries in South Asia and sub-Saharan Africa assessed impacts of polio eradication activities on key health system functions, using data from interviews, participant observation, and document review. RESULTS: Our quantitative analysis did not find compelling evidence of widespread and significant effects of polio eradication campaigns, either positive or negative, on measures of RI and maternal healthcare. Our qualitative analysis revealed context-specific positive impacts of polio eradication activities in many of our case studies, particularly disease surveillance and cold chain strengthening. These impacts were dependent on the initiative of policy makers. Negative impacts, including service interruption and public dissatisfaction, were observed primarily in districts with many campaigns per year. CONCLUSIONS: Polio eradication activities can provide support for RI and PHC, but many opportunities to do so remain missed. Increased commitment to scaling up best practices could lead to significant positive impacts.This is the publisher’s final pdf. The published article is copyrighted by the author(s) and published by Oxford University Press on behalf of the Infectious Diseases Society of America. The published article can be found at: http://jid.oxfordjournals.org/.Keywords: health systems, eradication, poliomyelitis, routine immunizatio

Global, regional, and national burden of chronic kidney disease, 1990–2017 : a systematic analysis for the Global Burden of Disease Study 2017

Background Health system planning requires careful assessment of chronic kidney disease (CKD) epidemiology, but data for morbidity and mortality of this disease are scarce or non-existent in many countries. We estimated the global, regional, and national burden of CKD, as well as the burden of cardiovascular disease and gout attributable to impaired kidney function, for the Global Burden of Diseases, Injuries, and Risk Factors Study 2017. We use the term CKD to refer to the morbidity and mortality that can be directly attributed to all stages of CKD, and we use the term impaired kidney function to refer to the additional risk of CKD from cardiovascular disease and gout. Methods The main data sources we used were published literature, vital registration systems, end-stage kidney disease registries, and household surveys. Estimates of CKD burden were produced using a Cause of Death Ensemble model and a Bayesian meta-regression analytical tool, and included incidence, prevalence, years lived with disability, mortality, years of life lost, and disability-adjusted life-years (DALYs). A comparative risk assessment approach was used to estimate the proportion of cardiovascular diseases and gout burden attributable to impaired kidney function. Findings Globally, in 2017, 1·2 million (95% uncertainty interval [UI] 1·2 to 1·3) people died from CKD. The global all-age mortality rate from CKD increased 41·5% (95% UI 35·2 to 46·5) between 1990 and 2017, although there was no significant change in the age-standardised mortality rate (2·8%, −1·5 to 6·3). In 2017, 697·5 million (95% UI 649·2 to 752·0) cases of all-stage CKD were recorded, for a global prevalence of 9·1% (8·5 to 9·8). The global all-age prevalence of CKD increased 29·3% (95% UI 26·4 to 32·6) since 1990, whereas the age-standardised prevalence remained stable (1·2%, −1·1 to 3·5). CKD resulted in 35·8 million (95% UI 33·7 to 38·0) DALYs in 2017, with diabetic nephropathy accounting for almost a third of DALYs. Most of the burden of CKD was concentrated in the three lowest quintiles of Socio-demographic Index (SDI). In several regions, particularly Oceania, sub-Saharan Africa, and Latin America, the burden of CKD was much higher than expected for the level of development, whereas the disease burden in western, eastern, and central sub-Saharan Africa, east Asia, south Asia, central and eastern Europe, Australasia, and western Europe was lower than expected. 1·4 million (95% UI 1·2 to 1·6) cardiovascular disease-related deaths and 25·3 million (22·2 to 28·9) cardiovascular disease DALYs were attributable to impaired kidney function. Interpretation Kidney disease has a major effect on global health, both as a direct cause of global morbidity and mortality and as an important risk factor for cardiovascular disease. CKD is largely preventable and treatable and deserves greater attention in global health policy decision making, particularly in locations with low and middle SDI

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020