16 research outputs found

    Heuristics for Gaining Project Insights

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    This paper presents a collection of behaviours for gaining insights in projects of small, innovating organisations. An explorative study of 12 informants and their subject matter expertise are used to inform this work. The paper draws on three bodies of literature – Innovation Management, Knowledge Management and Project Management to inform the theoretical background. So far no framework has been developed that are tailored to the unique situation of Small Innovators as they aim to foster innovation within the organisation. A number of propositions is offered based on the qualitative data analysis and hermeneutic literature appraisal that address potential heuristics processes that could enhance a Small Innovator’s ability to gain better insights while pursuing innovative project outcomes

    Strategy for the management of diabetic macular edema: the European Vitreo-Retinal Society macular edema study

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    Objective. To compare the efficacy of different therapies in the treatment of diabetic macular edema (DME). Design. Nonrandomized, multicenter clinical study. Participants. 86 retina specialists from 29 countries provided clinical information on 2,603 patients with macular edema including 870 patients with DME. Methods. Reported data included the type and number of treatment(s) performed, the pre-and posttreatment visual acuities, and other clinical findings.The results were analyzed by the French INSEE (National Institute of Statistics and Economic Studies). Main Outcome Measures. Mean change of visual acuity and mean number of treatments performed. Results.The change in visual acuity over time in response to each treatment was plotted in second order polynomial regression trend lines. Intravitreal triamcinolone monotherapy resulted in some improvement in vision. Treatmentwith threshold or subthreshold grid laser also resulted in minimal vision gain. Anti-VEGF therapy resulted in more significant visual improvement. Treatment with pars plana vitrectomy and internal limiting membrane (ILM) peeling alone resulted in an improvement in vision greater than that observed with anti-VEGF injection alone. In our DME study, treatment with vitrectomy and ILM peeling alone resulted in the better visual improvement compared to other therapies

    Real-World Evidence of the Cambridge Hybrid Closed-Loop App With a Novel Real-Time Continuous Glucose Monitoring System.

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    We evaluated the performance of the interoperable Cambridge hybrid closed-loop app with FreeStyle Libre 3 glucose sensor, and YpsoPump insulin pump in a real-world setting. Data from 100 users (63 adults [mean ± SD age 41.9 ± 14.0 years], 15 children [8.6 ± 5.2 years)] and 22 users of unreported age) for a period of 28 days were analyzed. Time in range (3.91- 10.0mmol/L) was 72.6 ± 11.1% overall. Time below range (<3.9mmol/L) was 3.1% (1.4-5.1) (median [interquartile range]). Auto-mode was active for 95.8% (91.8-97.9) of time. This real-world analysis suggests that the performance of Cambridge hybrid closed-loop app with this glucose sensor is comparable to other commercially available hybrid closed-loop systems

    How to sustain a CO2-thermosiphon in a partially saturated geothermal reservoir: Lessons learned from field experiment and numerical modeling

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    CO2 has been proposed as a working fluid for geothermal energy production because of its ability to establish a self-sustaining CO2 thermosiphon, taking advantage of the strong temperature dependence of CO2 density. To test the concept of CO2 heat extraction, in January 2015 a CO2 thermosiphon was operated at the SECARB Cranfield Site, Cranfield, Mississippi, where a brine-saturated sand at a depth of 3.2 km has been under near continuous CO2 flood since December 2009 as part of a U.S. Department of Energy demonstration of CO2 sequestration, resulting in a partially saturated reservoir surrounding a well pair. The lateral distance between the producer and injector was 112 m at reservoir depth, a distance considered pre-commercial in scale, but great enough that thermal breakthrough was still not significant after several years of injection. Instead of producing power with a turbine, heat was extracted heat from recirculated fluid using a heat exchanger and portable chiller. The well field and surface equipment were instrumented to compare field observations with predicted responses from numerical models. Thermosiphon flow could be initiated by venting, but thereafter flow rate steadily declined, indicating that the thermosiphon was not sustainable. To model the system, the capability of T2Well, a fully coupled wellbore/reservoir numerical simulator, was expanded to enable simulation of the entire loop of fluid circulation in the fully-coupled system consisting of the injection/production wells, the reservoir, and the surface devices (heat exchanger, flow-rate regulator etc.). Combined with the newly developed TOUGH2 equation of state module called EOS7CMA, the enhanced T2Well was used prior to the field experiment to simulate the circulation of a CO2-H2O-CH4 mixture in a model geothermal system patterned after the Cranfield demonstration test. The model predicted that a sustainable thermosiphon could be achieved. After the field thermosiphon did not achieve the pre-test prediction of flow rates and thermosiphon sustainability, the numerical model was modified to improve realism and calibrate certain processes; it was then able to reproduce the major phenomena observed in the field. In a series of sensitivity studies, many factors were found that could potentially contribute to the failing of a sustainable thermosiphon. These factors could be categorized as two types: factors that increase the resistance to flow and factors that increase heat loss of the working fluid. The lessons learned can be applied to both future modeling and to achieving CO2-based geothermal reservoir exploitation
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