72 research outputs found
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Gypsy Field project in reservoir characterization. Final report
The overall objective of this project is to use the extensive Gypsy Field laboratory and data set as a focus for developing and testing reservoir characterization methods that are targeted at improved recovery of conventional oil. The Gypsy Field laboratory consists of coupled outcrop and subsurface sites which have been characterized to a degree of detail not possible in a production operation. Data from these sites entail geological descriptions, core measurements, well logs, vertical seismic surveys, a 3D seismic survey, crosswell seismic surveys, and pressure transient well tests. The overall project consists of four interdisciplinary sub-projects which are closely interlinked: modeling depositional environments; sweep efficiency; tracer testing; and integrated 3D seismic interpretation. The first of these aims at improving the ability to model complex depositional environments which trap movable oil. The second is a development geophysics project which proposes to improve the quality of reservoir geological models through better use of 3D seismic data. The third investigates the usefulness of a new numerical technique for identifying unswept oil through rapid calculation of sweep efficiency in large reservoir models. The fourth explores what can be learned from tracer tests in complex depositional environments, particularly those which are fluvial dominated
Hospital discharge planning and continuity of care for aged people in an Italian local health unit: does the care-home model reduce hospital readmission and mortality rates?
<p>Abstract</p> <p>Background</p> <p>Hospital discharge planning is aimed to decrease length of stay in hospitals as well as to ensure continuity of health care after being discharged. Hospitalized patients in Turin, Italy, who are in need of medical, social and rehabilitative care are proposed as candidates to either discharge planning relying on a care-home model (DPCH) for a period of about 30 days, or routine discharge care. The aim of this study was to evaluate whether a hospital DPCH that was compared with routine care, improved patients' outcomes in terms of reduced hospital readmission and mortality rates in patients aged 64 years and older.</p> <p>Methods</p> <p>In a retrospective observational cohort study a sample of 380 subjects aged 64 years and over was examined. Participants were discharged from the hospital S.Giovanni Bosco in Turin, Italy from March 1<sup>st</sup>, 2005 to February 28<sup>th</sup>, 2006. Of these subjects, 107 received routine discharge care while 273 patients were referred to care-home (among them, 99 received a long-term care intervention (LTCI) afterwards while 174 did not). Data was gathered from various administrative and electronic databases. Cox regression models were used to evaluate factors associated with mortality and hospital readmission.</p> <p>Results</p> <p>When socio-demographic factors, underlying disease and disability were taken into account, DPCH decreased mortality rates only if it was followed by a LTCI: compared to routine care, the Hazard Ratio (HR) of death was 0.36 (95% Confidence Interval (CI): 0.20 – 0.66) and 1.15 (95%CI: 0.77 – 1.74) for DPCH followed by LTCI and DPCH not followed by LTCI, respectively. On the other hand, readmission rates did not significantly differ among DPCH and routine care, irrespective of the implementation of a LTCI: HRs of hospital readmission were 1.01 (95%CI: 0.48 – 2.24) and 1.18 (95%CI: 0.71 – 1.96), respectively.</p> <p>Conclusion</p> <p>The use of DPCH after hospital discharge reduced mortality rates, but only when it was followed by a long-term health care plan, thus ensuring continuity of care for elderly participants.</p
Nevoid basal cell carcinoma syndrome (Gorlin syndrome)
Nevoid basal cell carcinoma syndrome (NBCCS), also known as Gorlin syndrome, is a hereditary condition characterized by a wide range of developmental abnormalities and a predisposition to neoplasms
Design and baseline characteristics of the finerenone in reducing cardiovascular mortality and morbidity in diabetic kidney disease trial
Background: Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials.
Patients and Methods: The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate >= 25 mL/min/1.73 m(2) and albuminuria (urinary albumin-to-creatinine ratio >= 30 to <= 5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level alpha = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure.
Conclusions: FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen.
Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049
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Gypsy field project in reservoir characterization. Quarterly report, October 1, 1994--December 31, 1994
The overall objective of this project is to use the extensive Gypsy Field laboratory and data set as a focus for developing and testing reservoir characterization methods that are targeted at improved recovery of conventional oil. The Gypsy Field laboratory consists of coupled outcrop and subsurface sites which have been characterized to a degree of detail not possible in a production operation
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Gypsy Field project in reservoir characterization. Quarterly progress report, January 1--March 31, 1996
The overall objective of this project is to use the extensive Gypsy Field laboratory and data set as a focus for developing and testing reservoir characterization methods that are targeted at improved recovery of conventional oil. The Gypsy Field laboratory, as described by Doyle, O`Meara, and Witterholt (1992), consists of coupled outcrop and subsurface sites which have been characterized to a degree of detail not possible in a production operation. Data from these sites entail geological descriptions, core measurements, well logs, vertical seismic surveys, a 3D seismic survey, crosswell seismic surveys, and pressure transient well tests. The overall project consists of four interdisciplinary sub-projects which are closely interlinked: (1) Modeling depositional environments. (2) Upscaling. (3) Sweep efficiency. (4) Tracer testing. The first of these aims at improving our ability to model complex depositional environments which trap movable oil. The second entails testing the usefulness of current methods for upscaling from complex geological models to models which are more tractable for standard reservoir simulators. The third investigates the usefulness of numerical techniques for identifying unswept oil through rapid calculation of sweep efficiency in large reservoir models. The fourth explores what can be learned from tracer tests in complex depositional environments, particularly those which are fluvial dominated
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Gypsy Field project in reservoir characterization. [Quarterly report], October 1--December 31, 1995
The overall objective of this project is to use the extensive Gypsy Field laboratory and data set as focus for developing and testing reservoir characterization methods that are targeted at improved recovery of conventional oil. The Gypsy Field laboratory, as described by Doyle, O`Meara, and Witterholt (1991), consists of coupled outcrop and subsurface sites which have been characterized to a degree of detail not possible in a production operation. Data from these sites entail geological descriptions, core measurements, well logs, vertical seismic surveys, a 3D seismic survey, crosswell seismic surveys, and pressure transient well tests. The over all project consists of four inter disciplinary sub-projects which are closely interlinked: (1) modeling depositional environments; (2) upscaling; (3) sweep efficiency; and (4) tracer testing. During this quarter, the main activities involved task 1, modeling depositional environments, for which progress is reported. This task aims at improving the investigators ability to model complex depositional environments which trap movable oil
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Gypsy Field project in reservoir characterization. Quarterly report, October 30--December 31, 1996
The overall objective of this project is to use the extensive Gypsy Field laboratory and data set as a focus for developing and testing reservoir characterization methods that are targeted at improved recovery of conventional oil. The Gypsy Field laboratory consists of coupled outcrop and subsurface sites which have been characterized to a degree of detail not possible in a production operation. Data from these sites entail geological descriptions, core measurements, well logs, vertical seismic surveys, a 3D seismic survey, crosswell seismic surveys, and pressure transient well tests. The overall project consists of four interdisciplinary sub-projects which are closely interlinked: modeling depositional environments; upscaling; sweep efficiency; and tracer testing. The first of these aims at improving the ability to model complex depositional environments which trap movable oil. The second entails testing the usefulness of current methods for upscaling from complex geological models to models which are more tractable for standard reservoir simulators. The third investigates the usefulness of numerical techniques for identifying unswept oil through rapid calculation of sweep efficiency in large reservoir models. The fourth explores what can be learned from tracer tests in complex depositional environments, particularly those which are fluvial dominated. During this quarter, the main activities involved the modeling depositional environments sub-project, for which the progress is reported within
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GYPSY field project in reservoir characterization. Quarterly progress report, April 1, 1995--June 30, 1995
We study the determination of possibly discontinuous reservoir parameter functions defined on two dimensional regions from sparse pointwise measurements supplemented with measurements of a nonlinear function of the parameter. The specific application we have in mind is that of determining a permeability function from core measurements and pressure data, cf. Our approach involves two steps. The first is to detect the discontinuous behavior, and the second is to isolate and refine the region containing it. For the first step we use a regularized output least squares procedure in which the reservoir mapping is approximated by linear combinations of bicubic B-splines. The regularization used is the H{sup 1} seminorm that is related to the potential energy functional of an elastic membrane. This regularization gives sufficient compactness to obtain the existence of a solution to the associated minimization problem while implying minimal additional smoothing. The result of the procedure is to obtain a discontinuous function. We then essentially subtract this function from the model coefficient thereby, at least intuitively, reducing the discontinuous behavior. In Section 2 we discuss the estimation of parameters by a regularized output least squares method in which there are data available in the form of measurements of permeability and pressure at locations within a two dimensional reservoir. Of interest here is the detection of the presence of features in the permeability function. In Section 4 we describe a procedure to isolate the anomalies that have been detected. Essentially we seek a piecewise constant function possessing a rectangular subregion containing the feature of interest. Having found such a function, we again consider the regularized output least squares method to detect further anomalies in the permeability function repeating the procedure. Finally, Section 5 is devoted to the reporting the outcome of several numerical experiments
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