Unconventional Reservoir Characterization and Formation Evaluation: A Case Study of a Tight Sandstone Reservoir in West Africa

Unconventional reservoirs, including gas shales and tight gas sands, have gained prominence in the energy sector due to technological advancements and escalating energy demands. The oil industry is eagerly refining techniques to decipher these reservoirs, aiming to reduce data collection costs and uncertainties in reserve estimations. Characteristically, tight reservoirs exhibit low matrix porosity and ultra-low permeability, necessitating artificial stimulation for enhanced production. The efficacy of the stimulation hinges on the organic material distribution, the rock’s mechanical attributes, and the prevailing stress field. Comprehensive petrophysical analysis, integrating standard and specialized logs, core analyses, and dynamic data, is pivotal for a nuanced understanding of these reservoirs. This ensures a reduction in prediction uncertainties, with parameters like shale volume, porosity, and permeability being vital. This article delves into an intricate petrophysical evaluation of the Nene field, a West African unconventional reservoir. It underscores the geological intricacies of the field, the pivotal role of data acquisition, and introduces avant-garde methodologies for depth matching, rock typing, and the estimation of permeability. This research highlights the significance of unconventional reservoir exploration in today’s energy milieu, offering a granular understanding of the Nene field’s geological challenges and proffering a blueprint for analogous future endeavours in unconventional reservoirs

The Athletes\u27 Relationships with Training Scale (ART): A Self-Report Measure of Unhealthy Training Behaviors Associated with Eating Disorders

Objective: Several studies indicate that eating-disorder (ED) psychopathology is elevated in athletes compared to non-athletes. The assessment of excessive exercise among athletes is a challenge because, compared to non-athletes, athletes are required to train at higher intensities and for longer periods of time. However, individuals participating in competitive sports are still susceptible to unhealthy physical-activity patterns. Most ED assessments were developed and normed in non-athlete samples and, therefore, do not capture the nuances of athletes\u27 training experiences. The purpose of the current study was to develop and validate a clinically useful, self-report measure of unhealthy training behaviors and beliefs in athletes, the Athletes\u27 Relationships with Training Scale (ART). Method: The initial item pool was administered to N = 267 women collegiate athletes who were participating in an ED prevention program study and N = 65 women athletes who were in ED treatment. Results: Factor analyses indicated the ART had a four-factor structure. Factorial and construct validity of the ART were demonstrated. ART scores significantly predicted health care utilization and differed between athletes with an ED versus athletes without an ED. For athletes in ED treatment, ART scores significantly decreased from treatment admission to discharge. Discussion: The ART showed evidence of strong psychometric properties and clinical utility. The ART could be helpful for clinicians and athletic trainers to help gauge whether athletes are engaging in unhealthy training practices that may warrant clinical attention and for tracking clinical outcomes in athletes with EDs who are receiving treatment

Athletes’ Relationships with Training Scale (ART)

The Athletes’ Relationships with Training Scale (ART)* is a self-report measure of unhealthy training behaviors and beliefs in athletes. The ART was designed for use by clinicians and athletic trainers to help identify athletes who are engaging in unhealthy training practices which could be associated with an eating disorder. The ART may also be helpful for tracking clinical outcomes in athletes with eating disorders who are receiving treatment. This record contains the 15-item ART as well as scoring instructions and guidelines for interpreting total scores

Postoperative outcomes in oesophagectomy with trainee involvement

BACKGROUND: The complexity of oesophageal surgery and the significant risk of morbidity necessitates that oesophagectomy is predominantly performed by a consultant surgeon, or a senior trainee under their supervision. The aim of this study was to determine the impact of trainee involvement in oesophagectomy on postoperative outcomes in an international multicentre setting. METHODS: Data from the multicentre Oesophago-Gastric Anastomosis Study Group (OGAA) cohort study were analysed, which comprised prospectively collected data from patients undergoing oesophagectomy for oesophageal cancer between April 2018 and December 2018. Procedures were grouped by the level of trainee involvement, and univariable and multivariable analyses were performed to compare patient outcomes across groups. RESULTS: Of 2232 oesophagectomies from 137 centres in 41 countries, trainees were involved in 29.1 per cent of them (n = 650), performing only the abdominal phase in 230, only the chest and/or neck phases in 130, and all phases in 315 procedures. For procedures with a chest anastomosis, those with trainee involvement had similar 90-day mortality, complication and reoperation rates to consultant-performed oesophagectomies (P = 0.451, P = 0.318, and P = 0.382, respectively), while anastomotic leak rates were significantly lower in the trainee groups (P = 0.030). Procedures with a neck anastomosis had equivalent complication, anastomotic leak, and reoperation rates (P = 0.150, P = 0.430, and P = 0.632, respectively) in trainee-involved versus consultant-performed oesophagectomies, with significantly lower 90-day mortality in the trainee groups (P = 0.005). CONCLUSION: Trainee involvement was not found to be associated with significantly inferior postoperative outcomes for selected patients undergoing oesophagectomy. The results support continued supervised trainee involvement in oesophageal cancer surgery

Unconventional Reservoir Characterization and Formation Evaluation: A Case Study of a Tight Sandstone Reservoir in West Africa

Unconventional reservoirs, including gas shales and tight gas sands, have gained prominence in the energy sector due to technological advancements and escalating energy demands. The oil industry is eagerly refining techniques to decipher these reservoirs, aiming to reduce data collection costs and uncertainties in reserve estimations. Characteristically, tight reservoirs exhibit low matrix porosity and ultra-low permeability, necessitating artificial stimulation for enhanced production. The efficacy of the stimulation hinges on the organic material distribution, the rock’s mechanical attributes, and the prevailing stress field. Comprehensive petrophysical analysis, integrating standard and specialized logs, core analyses, and dynamic data, is pivotal for a nuanced understanding of these reservoirs. This ensures a reduction in prediction uncertainties, with parameters like shale volume, porosity, and permeability being vital. This article delves into an intricate petrophysical evaluation of the Nene field, a West African unconventional reservoir. It underscores the geological intricacies of the field, the pivotal role of data acquisition, and introduces avant-garde methodologies for depth matching, rock typing, and the estimation of permeability. This research highlights the significance of unconventional reservoir exploration in today’s energy milieu, offering a granular understanding of the Nene field’s geological challenges and proffering a blueprint for analogous future endeavours in unconventional reservoirs

The Prevalence and Major Causes of Low Vision among Children in Gaza strip, Palestine

Low vision is a serious public health problem and is significantly increasing globally in the past couple of decades. However, there is no available data in the literature about the prevalence of low vision among children in Palestine. This study aimed to determine the prevalence and etiology of low vision at Al-Noor center of the visually impaired, Gaza Strip, Palestine. This retrospective analysis was based on the observation of 423 files, using a convenience sampling method. The information extracted from the files includes: date of first consultation, gender, age, systemic diseases, parental congruity, causes of visual impairment as diagnosed by an ophthalmologist and types of optical aids prescribed. The majority of patients 202 (47.7%) were from the age group between 6-12 years old. Two hundred and twelve (50.1%) of the subjects were males and 211 (49.8%) females. The main causes of low vision were amblyopia among patients in the zero to five years age group, retinitis pigmentosa among the 6-12 years age group and cataract, macular dystrophies and ocular albinism among the 13-18 years of age. The prevalence and etiology of low vision in children in Gaza Strip is high compared to other countries. It is recommended that regular checks of visual acuity be conducted for all children of age 0-18 years, who attend the visually impaired center

Anastomotic leak following oesophagectomy : research priorities from an international Delphi consensus study

Background: The Oesophago-Gastric Anastomosis Audit (OGAA) is an international collaborative group set up to study anastomotic leak outcomes after oesophagectomy for cancer. This Delphi study aimed to prioritize future research areas of unmet clinical need in RCTs to reduce anastomotic leaks. Methods: A modified Delphi process was overseen by the OGAA committee, national leads, and engaged clinicians from high-income countries (HICs) and low/middle-income countries (LMICs). A three-stage iterative process was used to prioritize research topics, including a scoping systematic review (stage 1), and two rounds of anonymous electronic voting (stages 2 and 3) addressing research priority and ability to recruit. Stratified analyses were performed by country income. Results: In stage 1, the steering committee proposed research topics across six domains: preoperative optimization, surgical oncology, technical approach, anastomotic technique, enhanced recovery and nutrition, and management of leaks. In stages 2 and stage 3, 192 and 171 respondents respectively participated in online voting. Prioritized research topics include prehabilitation, anastomotic technique, and timing of surgery after neoadjuvant chemo(radio)therapy. Stratified analyses by country income demonstrated no significant differences in research priorities between HICs and LMICs. However, for ability to recruit, there were significant differences between LMICs and HICs for themes related to the technical approach (minimally invasive, width of gastric tube, ischaemic preconditioning) and location of the anastomosis. Conclusion: Several areas of research priority are consistent across LMICs and HICs, but discrepancies in ability to recruit by country income will inform future study design

Postoperative outcomes in oesophagectomy with trainee involvement

Abstract Background: The complexity of oesophageal surgery and the significant risk of morbidity necessitates that oesophagectomy is predominantly performed by a consultant surgeon, or a senior trainee under their supervision. The aim of this study was to determine the impact of trainee involvement in oesophagectomy on postoperative outcomes in an international multicentre setting. Methods:Data from the multicentre Oesophago-Gastric Anastomosis Study Group (OGAA) cohort study were analysed, which comprised prospectively collected data from patients undergoing oesophagectomy for oesophageal cancer between April 2018 and December 2018. Procedures were grouped by the level of trainee involvement, and univariable and multivariable analyses were performed to compare patient outcomes across groups. Results: Of 2232 oesophagectomies from 137 centres in 41 countries, trainees were involved in 29.1 per cent of them (n = 650), performing only the abdominal phase in 230, only the chest and/or neck phases in 130, and all phases in 315 procedures. For procedures with a chest anastomosis, those with trainee involvement had similar 90-day mortality, complication and reoperation rates to consultant-performed oesophagectomies (P = 0.451, P = 0.318, and P = 0.382, respectively), while anastomotic leak rates were significantly lower in the trainee groups (P = 0.030). Procedures with a neck anastomosis had equivalent complication, anastomotic leak, and reoperation rates (P = 0.150, P = 0.430, and P = 0.632, respectively) in trainee-involved versus consultant-performed oesophagectomies, with significantly lower 90-day mortality in the trainee groups (P = 0.005). Conclusions: Trainee involvement was not found to be associated with significantly inferior postoperative outcomes for selected patients undergoing oesophagectomy. The results support continued supervised trainee involvement in oesophageal cancer surgery

Anastomotic leak following oesophagectomy: research priorities from an international Delphi consensus study

Background: The Oesophago-Gastric Anastomosis Audit (OGAA) is an international collaborative group set up to study anastomotic leak outcomes after oesophagectomy for cancer. This Delphi study aimed to prioritize future research areas of unmet clinical need in RCTs to reduce anastomotic leaks.Methods: A modified Delphi process was overseen by the OGAA committee, national leads, and engaged clinicians from high-income countries (HICs) and low/middle-income countries (LMICs). A three-stage iterative process was used to prioritize research topics, including a scoping systematic review (stage 1), and two rounds of anonymous electronic voting (stages 2 and 3) addressing research priority and ability to recruit. Stratified analyses were performed by country income.Results: In stage 1, the steering committee proposed research topics across six domains: preoperative optimization, surgical oncology, technical approach, anastomotic technique, enhanced recovery and nutrition, and management of leaks. In stages 2 and stage 3, 192 and 171 respondents respectively participated in online voting. Prioritized research topics include prehabilitation, anastomotic technique, and timing of surgery after neoadjuvant chemo(radio)therapy. Stratified analyses by country income demonstrated no significant differences in research priorities between HICs and LMICs. However, for ability to recruit, there were significant differences between LMICs and HICs for themes related to the technical approach (minimally invasive, width of gastric tube, ischaemic preconditioning) and location of the anastomosis.Conclusion: Several areas of research priority are consistent across LMICs and HICs, but discrepancies in ability to recruit by country income will inform future study design

Textbook outcome following oesophagectomy for cancer: international cohort study

Background: Textbook outcome has been proposed as a tool for the assessment of oncological surgical care. However, an international assessment in patients undergoing oesophagectomy for oesophageal cancer has not been reported. This study aimed to assess textbook outcome in an international setting. Methods: Patients undergoing curative resection for oesophageal cancer were identified from the international Oesophagogastric Anastomosis Audit (OGAA) from April 2018 to December 2018. Textbook outcome was defined as the percentage of patients who underwent a complete tumour resection with at least 15 lymph nodes in the resected specimen and an uneventful postoperative course, without hospital readmission. A multivariable binary logistic regression model was used to identify factors independently associated with textbook outcome, and results are presented as odds ratio (OR) and 95 per cent confidence intervals (95 per cent c.i.). Results: Of 2159 patients with oesophageal cancer, 39.7 per cent achieved a textbook outcome. The outcome parameter 'no major postoperative complication' had the greatest negative impact on a textbook outcome for patients with oesophageal cancer, compared to other textbook outcome parameters. Multivariable analysis identified male gender and increasing Charlson comorbidity index with a significantly lower likelihood of textbook outcome. Presence of 24-hour on-call rota for oesophageal surgeons (OR 2.05, 95 per cent c.i. 1.30 to 3.22; P = 0.002) and radiology (OR 1.54, 95 per cent c.i. 1.05 to 2.24; P = 0.027), total minimally invasive oesophagectomies (OR 1.63, 95 per cent c.i. 1.27 to 2.08; P < 0.001), and chest anastomosis above azygous (OR 2.17, 95 per cent c.i. 1.58 to 2.98; P < 0.001) were independently associated with a significantly increased likelihood of textbook outcome. Conclusion: Textbook outcome is achieved in less than 40 per cent of patients having oesophagectomy for cancer. Improvements in centralization, hospital resources, access to minimal access surgery, and adoption of newer techniques for improving lymph node yield could improve textbook outcome