164 research outputs found

    Correlation of spirometry and six minute walk test in patients with chronic obstructive pulmonary disease from Sundargarh, Odisha, India

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    Background: Six‑Minute Walk Test (6MWT) is a simple, objective, reproducible test which correlated well with different spirometric indices, and thus able to predict severity of Chronic Obstructive Pulmonary Disease (COPD) and can replace spirometry in resource poor set‑up. Here, author evaluated the correlation of 6 minute walk distance (6MWD) with spirometric indices in COPD patients and the potential of 6MWT as an alternative to the assessment of severity of COPD.Methods: This cross-sectional observational study included a total of 80 COPD patients, diagnosed by GOLD criteria (Post bronchodilator FEV1/ FVC ratio <0.7). Modified Medical Research Council (mMRC) grading was used (age, weight, height, body mass index- BMI and breathlessness) and all the patients underwent spirometric measurement of FEV1, FVC and FEV1/ FVC ratio and tests were repeated after bronchodilation using 200-400 μg of salbutamol. 6MWT was performed following American Thoracic Society (ATS) protocol of 6MWT and distance was measured in meters.Results: Author found significant negative correlation of 6MWT with age (r=-0.384, p=0.00) and mMRC grading of dyspnea (r=-0.559, p=0.00) and significant positive correlation with height (r=0.267, p=0.019) and weight (r=0.293, p=0.008). Significant positive correlation of 6MWD was noted with post bronchodilator FEV1(r=0.608, p=0.00), FEV1% (r=0.429, p=0.00), FVC (r=0.514 p=0.00), FVC% (r=0.313 p=0.005), FEV1/FVC % (r=0.336, p=0.001). Positive correlation was also observed between 6MWT and BMI but statistically insignificant (r=0.177, p=0.116). There was significant negative correlation between 6MWT and GOLD staging (r=-0.536, p=0.00).Conclusions: This finding concludes that 6MWT can be used for the assessment of severity of disease in COPD patients in places where spirometry is not available

    Development of surfactant formulation for high-temperature off-shore carbonate reservoirs

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    The residual oil left behind after water flooding in petroleum reservoirs can be mobilized by surfactant formulations that yield ultralow interfacial tension (IFT) with oil. However, finding ultralow IFT surfactant formulations is difficult for high-temperature, off-shore, carbonate reservoirs. These reservoirs are often water-flooded with seawater (with a lot of divalent ions), which is often incompatible with many surfactants at high temperatures. The goal of this research is to develop a surfactant formulation for an off-shore carbonate reservoir at 100°C previously flooded by seawater. Surfactant–oil–brine phase behavior was studied for formulations, starting from a single surfactant to mixtures of surfactants and a co-solvent. Mixtures of three surfactants and one co-solvent were needed to produce ultralow IFT formulations for the oil of interest. The surfactant system with polymer mobility control was tested in crushed reservoir rock packs. The cumulative oil recovery was &gt;99% for the surfactant–polymer (SP) flood with an optimal salinity gradient. The constant salinity SP floods with seawater increased oil recovery significantly beyond the water flood (cumulative oil recovery &gt;91%), even though the recovery was lower than that of the optimal salinity gradient SP flood. Our experimental work demonstrates the effectiveness of the surfactant formulation for a high-temperature carbonate reservoir at seawater salinity
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