26 research outputs found

    Macrosomia and large for gestational age in Asia:One size does not fit all

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    Macrosomia, usually defined as infant birth weight of >= 4000 g, does not consider gestational age, sex, or country/region-specific differences in mean birth weight and maternal body weight. This issue is particularly relevant for Asia, where 60% of the world's population lives, due to variations in maternal size and birth weights across populations. Large for gestational age (LGA), defined as birth weight > 90th centile, is a more sensitive measure as it considers gestational age and sex, though it is dependent on the choice of growth charts. We aimed to review reporting of macrosomia and LGA in Asia. We reviewed the literature on prevalence and risk of macrosomia and LGA in Asia over the last 29 years. Prevalence of macrosomia ranged from 0.5% (India) to 13.9% (China) while prevalence of LGA ranged from 4.3% (Korea) to 22.1% (China), indicating substantial variation in prevalence within and between Asian countries. High pre-pregnancy body mass index, excessive gestational weight gain, and impaired glucose tolerance conferred risk of macrosomia/LGA. Incidence of macrosomia and LGA varies substantially within and between Asian countries, as do the growth charts and definitions. The latter makes it impossible to make comparisons but suggests differences in intrauterine growth between populations. Reporting LGA, using standardized country/regional growth charts, would better capture the incidence of high birth weight and allow for comparison and identification of contributing factors. Better understanding of local drivers of excessive intrauterine growth could enable development of improved strategies for prevention and management of LGA

    Two-phase flow metering using a large coriolis mass flow meter applied to ship fuel bunkering

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    With rising oil prices, there is growing interest in more accurate measurement during transfers of marine fuel oil, whether for the purposes of environmental monitoring or for validating custody transfer. Air entrainment is a common problem in marine fuel transfer (bunkering) operations, which can induce measurement errors in many metering technologies. The latest generation of Coriolis mass flow meters is able to operate in both single- and two-phase (oil-air) flow conditions. Witnessed trials have taken place at the National Engineering Laboratory in the UK using a large (200mm diameter) Coriolis flowmeter. The accuracies of the mass flow and density measurements were assessed for steady single-phase and two-phase flow on high and low viscosity oils. Meter accuracy was further assessed over a series of simulated bunkering operations, in which the meter started and finished empty of oil, with periods of both single and two-phase operation. Further trials of a metering skid are currently being carried on a bunkering vessel in Singapore

    Two-Phase Flow Metering Using A Large Coriolis Mass Flow Meter Applied To Ship Fuel Bunkering

    No full text
    With rising oil prices, there is growing interest in more accurate measurement during transfers of marine fuel oil, whether for the purposes of environmental monitoring or for validating custody transfer. Air entrainment is a common problem in marine fuel transfer (bunkering) operations, which can induce measurement errors in many metering technologies. The latest generation of Coriolis mass flow meters is able to operate in both single- and two-phase (oil-air) flow conditions. Witnessed trials have taken place at the National standards laboratories at TUV NEL Ltd in the UK using a large (200mm diameter) Coriolis flowmeter. These independent facilities have a unique combination of multiphase and heavy oil flow research capabilities. The accuracies of the mass flow and density measurements were assessed for steady single-phase and two-phase flow on high and low viscosity oils. Meter accuracy was further assessed over a series of simulated bunkering operations, in which the meter started and finished empty of oil, with periods of both single and two-phase operation. Further trials of a metering skid are currently being carried on a bunkering vessel in Singapore
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