The CO2 SINK Boreholes for Geological Storage Testing

Europe’s first onshore scientific carbon dioxide storage testing project CO2SINK (CO2 Storage by Injection into a Natural saline aquifer at Ketzin) is performed in a saline aquifer in NE Germany. The major objectives of CO2SINK are the advancement of the science and practical processes for underground storage of carbon dioxide, and the provision of operational field results to aid in the development of standards for CO2 geological storage. Three boreholes (one injection well and two observation wells) have been drilled in2007, each to a depth of about 800 m. The wells are completed as “smart” wells containing a variety of permanent downhole sensing equipment, which has proven its functionality during its baseline surveys. The injection of CO2 is scheduled for spring 2008 and is intended to last up to two years to allow for monitoring of migration and fate of the injected gas through a combination of downhole monitoring with surface geophysical surveys. This report summarizeswell design, drilling, coring, and completion operations

First outline and baseline data of a randomized, controlled multicenter trial to evaluate the health economic impact of home telemonitoring in chronic heart failure — CardioBBEAT

Background: Evidence that home telemonitoring for patients with chronic heart failure (CHF) offers clinical benefit over usual care is controversial as is evidence of a health economic advantage. Methods: Between January 2010 and June 2013, patients with a confirmed diagnosis of CHF were enrolled and randomly assigned to 2 study groups comprising usual care with and without an interactive bi-directional remote monitoring system (Motiva$^{®}$). The primary endpoint in CardioBBEAT is the Incremental Cost-Effectiveness Ratio (ICER) established by the groups' difference in total cost and in the combined clinical endpoint "days alive and not in hospital nor inpatient care per potential days in study" within the follow-up of 12 months. Results: A total of 621 predominantly male patients were enrolled, whereof 302 patients were assigned to the intervention group and 319 to the control group. Ischemic cardiomyopathy was the leading cause of heart failure. Despite randomization, subjects of the control group were more often in NYHA functional class III-IV, and exhibited peripheral edema and renal dysfunction more often. Additionally, the control and intervention groups differed in heart rhythm disorders. No differences existed regarding risk factor profile, comorbidities, echocardiographic parameters, especially left ventricular and diastolic diameter and ejection fraction, as well as functional test results, medication and quality of life. While the observed baseline differences may well be a play of chance, they are of clinical relevance. Therefore, the statistical analysis plan was extended to include adjusted analyses with respect to the baseline imbalances. Conclusions: CardioBBEAT provides prospective outcome data on both, clinical and health economic impact of home telemonitoring in CHF. The study differs by the use of a high evidence level randomized controlled trial (RCT) design along with actual cost data obtained from health insurance companies. Its results are conducive to informed political and economic decision-making with regard to home telemonitoring solutions as an option for health care. Overall, it contributes to developing advanced health economic evaluation instruments to be deployed within the specific context of the German Health Care System