Convergence of material balance in mathematical simulation of petroleum reservoirs

One criterion for determining the precision of pressures calculated by a simulation model is the accuracy of the material balance. A high degree of precision in the calculated pressures is a necessary condition for elimination of error in prediction of fluid migration in the reservoir. However, this condition is not sufficient to guarantee accuracy of the simulation, since inaccuracies are introduced by truncation errors, machine round-off errors, and by the use of finite difference approximations to represent nonlinear partial differential equations. A new procedure called Error Matrix Technique has been developed for reduction of material balance errors. This reduction is accomplished by adjusting potential gradients at every grid point in the simulation model so that the material balance is accurately maintained. The resulting error matrix is solved by the strongly Implicit Procedure. Performance of a hypothetical oil reservoir was simulated by both conventional methods and by the Error Matrix Technique. The new technique was found to be significantly more accurate than the conventional simulation --Abstract, page ii

Ocean governance in Bangladesh: Necessities to implement structure, policy guidelines, and actions for ocean and coastal management

After the permanent demarcation of Exclusive Economic Zone boundaries with Myanmar and India through the International Tribunal for the Law of the Sea and the United Nations Convention on the Law of the Sea, Bangladesh has exclusive rights to exploit and to explore marine resources across 118,813 km(2) in the Bay of Bengal. To reap economic benefits from maritime space, the government of Bangladesh recently emphasized the development of a blue economy. Maritime economic activities, including shipping, trade, fishing, fishing industries, mineral extraction, exploitation of hydrocarbons, salt production, production of renewable energy, and marine and coastal tourism, are key elements of the maritime interests of policymakers. However, the safety of maritime activities also raises concerns that include shipping accidents, smuggling, and illegal fishing, which pose threats to maritime interests. Enhancing blue economic growth and protecting marine and coastal environments are essential to ensure maritime security. Therefore, in the framework of a comprehensive ocean governance approach, we suggest establishing a separate Ministry of Ocean Affairs with essential functions to formulate an integrated coastal and marine strategy, to address the policy guidelines, and to implement action plans for coastal management in Bangladesh. (C) 2021 Elsevier B.V. All rights reserved.Peer reviewe

Chemical tapering of polymer optical fiber

Polymer optical fibers (POFs) have significant advantages over numerous sensing applications. The key element in developing sensor is by removing the cladding of the fiber. The use of organic solvent is one of the methods to create tapered POF in order to expose the core region. In this study, the etching chemicals involved is acetone, methyl isobutyl ketone (MIBK), and acetone-methanol mixture. The POF is immersed in 100%, 80%, and 50% of acetone and MIBK dilution. In addition, the mixture of acetone and methanol is also used for POF etching by the ratio 2:1 of the volume. Acetone has shown to be the most reactive solvent towards POF due to its fastest etching rate compared to MIBK and acetone-methanol mixture. The POF is immersed and lifted from the solution for a specific time, depending on the power loss properties for the purpose of producing unclad POF. In comparison to silica fiber optic, the advantages of POF in terms of its simple technique and easy handling enable it to produce unclad POF without damaging the core region. The surface roughness of the POF is investigated under the microscope after being immersed into different solvent. This method of chemical tapering of POF can be used as the fundamental technique for sensor development. Next, the unclad fiber is immersed into ethanol solutions in order to determine the reaction of unclad POF towards its surrounding. The findings show that this particular sensor is sensitive towards concentration changes ranging between 10 wt% to 50 wt%

Nutraceutical therapies for atherosclerosis

Atherosclerosis is a chronic inflammatory disease affecting large and medium arteries and is considered to be a major underlying cause of cardiovascular disease (CVD). Although the development of pharmacotherapies to treat CVD has contributed to a decline in cardiac mortality in the past few decades, CVD is estimated to be the cause of one-third of deaths globally. Nutraceuticals are natural nutritional compounds that are beneficial for the prevention or treatment of disease and, therefore, are a possible therapeutic avenue for the treatment of atherosclerosis. The purpose of this Review is to highlight potential nutraceuticals for use as antiatherogenic therapies with evidence from in vitro and in vivo studies. Furthermore, the current evidence from observational and randomized clinical studies into the role of nutraceuticals in preventing atherosclerosis in humans will also be discussed

Outcomes of obstructed abdominal wall hernia: results from the UK national small bowel obstruction audit

Background: Abdominal wall hernia is a common surgical condition. Patients may present in an emergency with bowel obstruction, incarceration or strangulation. Small bowel obstruction (SBO) is a serious surgical condition associated with significant morbidity. The aim of this study was to describe current management and outcomes of patients with obstructed hernia in the UK as identified in the National Audit of Small Bowel Obstruction (NASBO). Methods: NASBO collated data on adults treated for SBO at 131 UK hospitals between January and March 2017. Those with obstruction due to abdominal wall hernia were included in this study. Demographics, co-morbidity, imaging, operative treatment, and in-hospital outcomes were recorded. Modelling for factors associated with mortality and complications was undertaken using Cox proportional hazards and multivariable regression modelling. Results: NASBO included 2341 patients, of whom 415 (17·7 per cent) had SBO due to hernia. Surgery was performed in 312 (75·2 per cent) of the 415 patients; small bowel resection was required in 198 (63·5 per cent) of these operations. Non-operative management was reported in 35 (54 per cent) of 65 patients with a parastomal hernia and in 34 (32·1 per cent) of 106 patients with an incisional hernia. The in-hospital mortality rate was 9·4 per cent (39 of 415), and was highest in patients with a groin hernia (11·1 per cent, 17 of 153). Complications were common, including lower respiratory tract infection in 16·3 per cent of patients with a groin hernia. Increased age was associated with an increased risk of death (hazard ratio 1·05, 95 per cent c.i. 1·01 to 1·10; P = 0·009) and complications (odds ratio 1·05, 95 per cent c.i. 1·02 to 1·09; P = 0·001). Conclusion: NASBO has highlighted poor outcomes for patients with SBO due to hernia, highlighting the need for quality improvement initiatives in this group

National prospective cohort study of the burden of acute small bowel obstruction

Background Small bowel obstruction is a common surgical emergency, and is associated with high levels of morbidity and mortality across the world. The literature provides little information on the conservatively managed group. The aim of this study was to describe the burden of small bowel obstruction in the UK. Methods This prospective cohort study was conducted in 131 acute hospitals in the UK between January and April 2017, delivered by trainee research collaboratives. Adult patients with a diagnosis of mechanical small bowel obstruction were included. The primary outcome was in‐hospital mortality. Secondary outcomes included complications, unplanned intensive care admission and readmission within 30 days of discharge. Practice measures, including use of radiological investigations, water soluble contrast, operative and nutritional interventions, were collected. Results Of 2341 patients identified, 693 (29·6 per cent) underwent immediate surgery (within 24 h of admission), 500 (21·4 per cent) had delayed surgery after initial conservative management, and 1148 (49·0 per cent) were managed non‐operatively. The mortality rate was 6·6 per cent (6·4 per cent for non‐operative management, 6·8 per cent for immediate surgery, 6·8 per cent for delayed surgery; P = 0·911). The major complication rate was 14·4 per cent overall, affecting 19·0 per cent in the immediate surgery, 23·6 per cent in the delayed surgery and 7·7 per cent in the non‐operative management groups (P < 0·001). Cox regression found hernia or malignant aetiology and malnutrition to be associated with higher rates of death. Malignant aetiology, operative intervention, acute kidney injury and malnutrition were associated with increased risk of major complication. Conclusion Small bowel obstruction represents a significant healthcare burden. Patient‐level factors such as timing of surgery, acute kidney injury and nutritional status are factors that might be modified to improve outcomes

Outcomes following small bowel obstruction due to malignancy in the national audit of small bowel obstruction

Introduction Patients with cancer who develop small bowel obstruction are at high risk of malnutrition and morbidity following compromise of gastrointestinal tract continuity. This study aimed to characterise current management and outcomes following malignant small bowel obstruction. Methods A prospective, multicentre cohort study of patients with small bowel obstruction who presented to UK hospitals between 16th January and 13th March 2017. Patients who presented with small bowel obstruction due to primary tumours of the intestine (excluding left-sided colonic tumours) or disseminated intra-abdominal malignancy were included. Outcomes included 30-day mortality and in-hospital complications. Cox-proportional hazards models were used to generate adjusted effects estimates, which are presented as hazard ratios (HR) alongside the corresponding 95% confidence interval (95% CI). The threshold for statistical significance was set at the level of P ≤ 0.05 a-priori. Results 205 patients with malignant small bowel obstruction presented to emergency surgery services during the study period. Of these patients, 50 had obstruction due to right sided colon cancer, 143 due to disseminated intraabdominal malignancy, 10 had primary tumours of the small bowel and 2 patients had gastrointestinal stromal tumours. In total 100 out of 205 patients underwent a surgical intervention for obstruction. 30-day in-hospital mortality rate was 11.3% for those with primary tumours and 19.6% for those with disseminated malignancy. Severe risk of malnutrition was an independent predictor for poor mortality in this cohort (adjusted HR 16.18, 95% CI 1.86 to 140.84, p = 0.012). Patients with right-sided colon cancer had high rates of morbidity. Conclusions Mortality rates were high in patients with disseminated malignancy and in those with right sided colon cancer. Further research should identify optimal management strategy to reduce morbidity for these patient groups

Outcomes of obstructed abdominal wall hernia: results from the UK national small bowel obstruction audit

Background Abdominal wall hernia is a common surgical condition. Patients may present in an emergency with bowel obstruction, incarceration or strangulation. Small bowel obstruction (SBO) is a serious surgical condition associated with significant morbidity. The aim of this study was to describe current management and outcomes of patients with obstructed hernia in the UK as identified in the National Audit of Small Bowel Obstruction (NASBO). Methods NASBO collated data on adults treated for SBO at 131 UK hospitals between January and March 2017. Those with obstruction due to abdominal wall hernia were included in this study. Demographics, co‐morbidity, imaging, operative treatment, and in‐hospital outcomes were recorded. Modelling for factors associated with mortality and complications was undertaken using Cox proportional hazards and multivariable regression modelling. Results NASBO included 2341 patients, of whom 415 (17·7 per cent) had SBO due to hernia. Surgery was performed in 312 (75·2 per cent) of the 415 patients; small bowel resection was required in 198 (63·5 per cent) of these operations. Non‐operative management was reported in 35 (54 per cent) of 65 patients with a parastomal hernia and in 34 (32·1 per cent) of 106 patients with an incisional hernia. The in‐hospital mortality rate was 9·4 per cent (39 of 415), and was highest in patients with a groin hernia (11·1 per cent, 17 of 153). Complications were common, including lower respiratory tract infection in 16·3 per cent of patients with a groin hernia. Increased age was associated with an increased risk of death (hazard ratio 1·05, 95 per cent c.i. 1·01 to 1·10; P = 0·009) and complications (odds ratio 1·05, 95 per cent c.i. 1·02 to 1·09; P = 0·001). Conclusion NASBO has highlighted poor outcomes for patients with SBO due to hernia, highlighting the need for quality improvement initiatives in this group

Chromosomal microarray on product of conception in early pregnancy loss: A case report

Introduction: Early recurrent pregnancy loss (RPL) has many etiologies but even after routine investigations, in up to 50% of cases the cause may not be found. Evaluation of products of conception (POC) is very important to detect chromosomal abnormalities associated with RPL. Various studies have now demonstrated the benefits of chromosomal microarray analysis (CMA) compared to conventional cytogenetic analysis in managing RPL. Case Report: We report a couple with two early pregnancy losses. The cytogenetic analysis by CMA was carried out in the POC from the second RPL at 6 weeks' gestation. The CMA revealed complex structural chromosomal abnormalities including the 16.3 Mb microdeletion involving chromosome 10 within the 10q26.11-q26.3 segment, indicating monosomy for this region, and the 57.4 Mb microduplication involving chromosome 13 within 13q21.1q34, indicating trisomy for this region. Karyotype of POC could not be obtained due to the failure of the culture. The parental cytogenetic studies are recommended for associated balanced chromosomal rearrangements. Conclusion: Failure of the culture of POC especially in very early pregnancy loss is a common issue along with maternal and microbe contamination. CMA helps in overcoming these issues, as well as is useful in detecting very small structural chromosome aberrations such as microdeletions or microduplications. It is important to put in place evidence-based guidelines for managing early RPL in keeping with the available testing facilities, cost, and the awareness of patients and clinicians. A large country, like India, needs to discuss and develop consensus guidelines for genetic investigations in POC