Experimental research into the effect of some operation factors and rock properties on the rate of penetration

Purpose. The purpose of this research is to investigate the effect of weight on bit (WOB), rotary speed (RPM), and some rock properties on the rate of penetration (ROP). Methods. Four types of rock were collected from different sites in the south of Egypt (Aswan sandstone, Isawya limestone, Assiut limestone, and Minya marble). These tested samples were drilled by diamond core bit using a fixed laboratory diamond drilling machine under conditions (400 and 1200 rpm), and loads from 12 to 220 kg. WOB, ROP, torque (T) and specific energy (SE) were continuously observed during the drilling trials. The effect of these factors on ROP were examined. Water is used as a flushing and cooling medium. Findings. The effect of some operation factors on the penetration rate regarding mineral composition and different rock type was evaluated and the general equation was carried out to predict the suitable operation factor which gives the best penetration Rate. Originality. The effect of some operation factors on the penetration rate regarding mineral composition and different rock type was evaluated and the general equation was carried out to predict the suitable operation factor which gives the best penetration Rate. Practical implications. The Results demonstrated that ROP was inversely proportional to compressive strength (CS), tensile strength (TS), and density. It was also found that Aswan sandstone, Isawya limestone, Assiut limestone, and Minya marble have CS 111.94 MPa, 131.22 MPa, 125.0 MPa, and 502.5 MPa respectively. Was established that ROP was directly proportional to porosity. Increasing ROP in case of Aswan sandstone is associated with increase in porosity – 23.158%, and in case of Assiut limestone and Isawya limestone ROP is also associated with an increase in porosity – 19.9% and 17.93% respectively. Decreasing ROP in case of Minya marble is associated with decrease in porosity – 2.314%. So, we concluded that marble has lower ROP due to its higher CS, TS, and density and lower porosity than other tested rocks.Мета. Вивчення впливу комплексу основних експлуатаційних параметрів і ряду фізико-механічних властивостей порід на швидкість буріння в умовах різних родовищ Південного Єгипту. Методика. Були відібрані 4 типи порід з різних районів на півдні Єгипту (Асуанської піщаник, вапняк Ісав, Ассіутскій вапняк і мармур Міньї). Експериментальні зразки отримано на стаціонарній лабораторній буровій установці з алмазним долотом при швидкостях обертання 400 і 1200 об/хв та при навантаженнях від 12 до 220 кг. Під час експериментів постійно вимірювалися навантаження на долото, частота обертання, крутний момент на долоті й питома енергія, а також досліджувався вплив цих факторів на швидкість буріння. Як розчин для промивання і охолоджуючий агент використовувалася вода. Результати. Встановлено залежності швидкості буріння від навантаження на долото, питомої енергії та частоти обертання і питомої енергії. Виявлено, що для всіх чотирьох типів породи швидкість буріння збільшується з ростом навантаження на долото, в той час як питома енергія зменшується з ростом швидкості буріння. Розроблено ефективний спосіб прогнозування продуктивності бурової установки. Встановлено, що швидкість буріння обернено пропорційна міцності на стиск, міцності на розтягнення й щільності, а також змінюється прямо пропорційно пористості. Визначено, що менша швидкість буріння мармуру пов’язана з великими значеннями міцності на стиск, розтяг і щільність, а також з меншою пористістю у порівнянні з іншими досліджуваними породами. Наукова новизна. Встановлено нові закономірності взаємозв’язку експлуатаційних параметрів буріння з урахуванням різного типу породи (пісковик, вапняк, мармур) та її мінерального складу, а також обґрунтовано головну умову експлуатаційного фактору, який забезпечує оптимальну швидкість буріння. Практична значимість. Отримані результати дозволяють вибирати оптимальні параметри і режими буріння в процесі розвідки умов залягання родовищ Південного Єгипту, їх мінерального вмісту та стратиграфічних особливостей. Результати будуть корисними для проектних організацій, наукових інститутів з геології й розвідки, а також гірничих підприємств.Цель. Изучение влияния комплекса основных эксплуатационных параметров и ряда физико-механических свойств пород на скорость бурения в условиях пород различных месторождений Южного Египта. Методика. Были отобраны 4 типа пород из различных районов на юге Египта (Асуанский песчаник, известняк Исавии, Ассиутский известняк и мрамор Миньи). Экспериментальные образцы получены на стационарной лабораторной буровой установке с алмазным долотом при скоростях вращения 400 и 1200 об/мин и при нагрузках от 12 до 220 кг. Во время экспериментов постоянно измерялись нагрузки на долото, частота вращения, крутящий момент на долоте и удельная энергия, а также и исследовалось влияние этих факторов на скорость бурения. В качестве промывочного раствора и охлаждающего агента использовалась вода. Результаты. Установлены зависимости скорости бурения от нагрузки на долото, удельной энергии и частоты вращения и удельной энергии. Выявлено, что для всех четырех типов породы скорость бурения увеличивается с ростом нагрузки на долото, в то время как удельная энергия уменьшается с ростом скорости бурения. Разработан эффективный способ прогнозирования производительности буровой установки. Установлено, что скорость бурения обратно пропорциональна прочности на сжатие, прочности на растяжение и плотности, а также изменяется прямо пропорционально пористости. Определено, что меньшая скорости бурения мрамора связана с большими значениями прочности на сжатие, растяжение и плотности, а также с меньшей пористостью по сравнению с другими исследуемыми породами. Научная новизна. Получены новые закономерности взаимосвязи эксплуатационных параметров бурения с учетом различного типа породы (песчаник, известняк, мрамор) и ее минерального состава, а также обосновано главное условие эксплуатационного фактора, который обеспечивает оптимальную скорость бурения. Практическая значимость. Полученные результаты позволяют выбирать оптимальные параметры и режимы бурения в процессе разведки условий залегания месторождений Южного Египта, их минерального содержание и стратиграфических особенностей. Результаты будут полезными для проектных организаций, научных институтов по геологии и разведке, а также горных предприятий.Our sincere gratitude for Mining and Metallurgical Engineering Dept. Faculty of Engineering, Assiut, Egypt for invaluable assistance to upgrade and guidance to completed this article

Anxiety and depression in surgeons: A systematic review.

INTRODUCTION: The unique pressures of a surgical career put surgeons at particular risk of mental health conditions, including anxiety and depression. Surgeons have previously been shown to have a high prevalence of psychological distress. This study aimed to systematically review the prevalence of anxiety and depression amongst surgeons, and to identify factors that can modify the risk of anxiety and depression in surgeons. METHODS: A 10-year systematic review was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines to identify citations related to the keywords "anxiety" OR "depression" AND "surgeon" in PubMed/Medline and ScienceDirect databases. Inclusion and exclusion criteria were applied to produce a final list of citations. RESULTS: Thirty-one citations were included with a total of 11,399 participants. The median percentage of anxiety in surgeons was 20 with a range of 54.6%. While the median percentage of depression was 24 with a range of 59%. Risk factors associated with a higher risk of anxiety and depression include female gender, younger age, concurrent burnout, and occupational concerns regarding the COVID-19 pandemic. Protective factors include institutional support and a sense of social belonging. CONCLUSIONS: There was a high prevalence of anxiety and depression amongst surgeons over the past decade. It is imperative to develop strategies to mitigate the effect of anxiety and depression in surgeons

Post-operative antibiotics for cutaneous abscess after incision and drainage: Variations in clinical practice

Background. Acute cutaneous abscess is a common surgical condition that mostly requires incision and drainage. Despite this, there is no standardized national or international guidance on post-operative antibiotics prescription. Traditionally, antibiotics are not indicated unless complications and/or risk factors such as immunocompromisation, diabetes or cellulitis exist. We aimed to study the local practice for post-operative antibiotics prescription for cutaneous abscesses in a UK university teaching hospital. Methods. Retrospective data collection for emergency general surgical admissions for a period of 6 months was carried out. All patients with cutaneous abscesses were included in this analysis. Scrotal, breast and limb abscesses were excluded. Patients’ demographics, co-morbidities and complications, including local (cellulitis, necrosis) and systemic (e.g sepsis), were studied. Approval for access to patient data was granted by the local clinical governance department prior to the commencement of this study. Computations were performed using IBM SPSS version 26. Chi square (X 2), Pearson correlation (r), one or two samples t-test (one or two tailed) were applied. Results. A total of 148 patients were included. The mean age was 40 years (55 % males). The most common site of abscess was perianal (27.7 %), followed by pilonidal (20.3 %) and axilla (16.9 %). A total of 107 (73 %) were managed surgically with incision and drainage, and of these 92 (86 %) were managed within 24 h. Altogether, 83 (76 %) were prescribed post-operative antibiotics, while only 25 (23 %) had indications. The most used post-operative empirical antibiotics was co-amoxiclav (59 %). There was a significant relationship between ‘abscess site’ × ‘antibiotics’ [X 2 (36)=54.8, P=0.023]. A total of 103 patients’ average duration of post-operative antibiotics was 7.2 (sd 2.9) days. Ten patients subject to readmission spent an average of 8.4 (sd 3.8) days on antibiotics. Conclusions. There were variations in clinical practice regarding post-operative antibiotic prescription for cutaneous abscesses. Research is required in the future in cooperation with microbiologists to develop a standardized evidence-based treatment protocol for the management of such a common surgical condition

Academic requirements for Certificate of Completion of Training in surgical training: Consensus recommendations from the Association of Surgeons in Training/National Research Collaborative Consensus Group.

BACKGROUND: Surgical trainees are expected to demonstrate academic achievement in order to obtain their certificate of completion of training (CCT). These standards are set by the Joint Committee on Surgical Training (JCST) and specialty advisory committees (SAC). The standards are not equivalent across all surgical specialties and recognise different achievements as evidence. They do not recognise changes in models of research and focus on outcomes rather than process. The Association of Surgeons in Training (ASiT) and National Research Collaborative (NRC) set out to develop progressive, consistent and flexible evidence set for academic requirements at CCT. METHODS: A modified-Delphi approach was used. An expert group consisting of representatives from the ASiT and the NRC undertook iterative review of a document proposing changes to requirements. This was circulated amongst wider stakeholders. After ten iterations, an open meeting was held to discuss these proposals. Voting on statements was performed using a 5-point Likert Scale. Each statement was voted on twice, with ≥80% of votes in agreement meaning the statement was approved. The results of this vote were used to propose core and optional academic requirements for CCT. RESULTS: Online discussion concluded after ten rounds. At the consensus meeting, statements were voted on by 25 delegates from across surgical specialties and training-grades. The group strongly favoured acquisition of 'Good Clinical Practice' training and research methodology training as CCT requirements. The group agreed that higher degrees, publications in any author position (including collaborative authorship), recruiting patients to a study or multicentre audit and presentation at a national or international meeting could be used as evidence for the purpose of CCT. The group agreed on two essential 'core' requirements (GCP and methodology training) and two of a menu of four 'additional' requirements (publication with any authorship position, presentation, recruitment of patients to a multicentre study and completion of a higher degree), which should be completed in order to attain CCT. CONCLUSION: This approach has engaged stakeholders to produce a progressive set of academic requirements for CCT, which are applicable across surgical specialties. Flexibility in requirements whilst retaining a high standard of evidence is desirable

Academic requirements for certificate of completion of training in surgical training: consensus recommendations from the Association of Surgeons in Training/National Research Collaborative Consensus Group

Background Surgical trainees are expected to demonstrate academic achievement in order to obtain their certificate of completion of training (CCT). These standards are set by the Joint Committee on Surgical Training (JCST) and specialty advisory committees (SAC). The standards are not equivalent across all surgical specialties and recognise different achievements as evidence. They do not recognise changes in models of research and focus on outcomes rather than process. The Association of Surgeons in Training (ASiT) and National Research Collaborative (NRC) set out to develop progressive, consistent and flexible evidence set for academic requirements at CCT. Methods A modified-Delphi approach was used. An expert group consisting of representatives from the ASiT and the NRC undertook iterative review of a document proposing changes to requirements. This was circulated amongst wider stakeholders. After ten iterations, an open meeting was held to discuss these proposals. Voting on statements was performed using a 5-point Likert Scale. Each statement was voted on twice, with ≥80% of votes in agreement meaning the statement was approved. The results of this vote were used to propose core and optional academic requirements for CCT. Results Online discussion concluded after ten rounds. At the consensus meeting, statements were voted on by 25 delegates from across surgical specialties and training-grades. The group strongly favoured acquisition of ‘Good Clinical Practice’ training and research methodology training as CCT requirements. The group agreed that higher degrees, publications in any author position (including collaborative authorship), recruiting patients to a study or multicentre audit and presentation at a national or international meeting could be used as evidence for the purpose of CCT. The group agreed on two essential ‘core’ requirements (GCP and methodology training) and two of a menu of four ‘additional’ requirements (publication with any authorship position, presentation, recruitment of patients to a multicentre study and completion of a higher degree), which should be completed in order to attain CCT. Conclusion This approach has engaged stakeholders to produce a progressive set of academic requirements for CCT, which are applicable across surgical specialties. Flexibility in requirements whilst retaining a high standard of evidence is desirable

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries