Effect of navigation endoscopy combined with threedimensional printing technology in the treatment of orbital blowout fractures

●AIM:To explore the combined application of surgical navigation nasal endoscopy(NNE)and three-dimensional printing technology(3DPT)for the adjunctive treatment of orbital blowout fractures(OBF).●METHODS:Retrospective analysis was conducted on the data of patients with OBF who underwent surgical treatment at the Affiliated Eye Hospital of Nanchang University between July 2012 and November 2022.The control group consisted of patients who received traditional surgical treatment(n=43),while the new surgical group(n=52)consisted of patients who received NNE with 3DPT.The difference in therapeutic effects between the two groups was evaluated by comparing the duration of the operation,best corrected visual acuity(BCVA),enophthalmos difference,recovery rate of eye movement disorder,recovery rate of diplopia,and incidence of postoperative complications.●RESULTS:The study included 95 cases(95 eyes),with 63 men and 32 women.The patients’age ranged from 5 to 67y(35.21±15.75y).The new surgical group and the control group exhibited no statistically significant differences in the duration of the operation,BCVA and enophthalmos difference.The recovery rates of diplopia in the new surgical group were significantly higher than those in the control group at 1mo[OR=0.03,95%CI(0.01–0.15),P<0.0000]and 3mo[OR=0.11,95%CI(0.03–0.36),P<0.0000]postoperation.Additionally,the recovery rates of eye movement disorders at 1 and 3mo after surgery were OR=0.08,95%CI(0.03–0.24),P<0.0000;and OR=0.01,95%CI(0.00–0.18),P<0.0000.The incidence of postoperative complications was lower in the new surgical group compared to the control group[OR=4.86,95%CI(0.95–24.78),P<0.05].●CONCLUSION:The combination of NNE and 3DPT can shorten the recovery time of diplopia and eye movement disorder in patients with OBF.

Evaluation of the Customer Satisfaction Index for Wellhead Blowout Preventers of China’s Petroleum Industry——A new method based on PLS

This paper establishes an evaluation model of the customer satisfaction index for the wellhead blowout preventers of China＇s petroleum industry based on evaluation models of the customer satisfaction index at home and aboard, and by considering the consuming situation in China and the features of the China＇s petroleum industry. For the existence of： （1） multiple correlations among the factors in the model; （2） the variables need to be explained, but that are hard to observe; （3） the customer satisfaction degree of observation variables appears the shape of skewness or two or three peaks, the correlations between the satisfaction index and its factors cannot be described by common multiple regression. This paper uses a partial least squares （PLS） method based on principal components and typical correlative analysis to solve the problem. When PLS is used in the model of the customer satisfaction index of the wellhead blowout preventers, the latent variables and the explanation degree coefficient of the manifest variable to the corresponding latent variables are estimated by PLS path analysis, and the influencing coefficient among the latent variables in the model is estimated by PLS regression analysis. PLS is also be used to calculate and analyze the model and disclose the correlations among the structural variables as well as the correlation between structural variables and its corresponding observation variables, evaluating results of which provide useful information for petroleum industry to improve the product quality and to the enhancement of the customer satisfaction to the product.

Analysis of the effect of repair materials for orbital blowout fracture on complications

AIM: To investigate the effect of repair materials for orbital blowout fractures on the occurrence of postoperative complications. METHODS: The clinical data and follow-up data of 54 subjects with orbital blowout fractures were retrospectively analyzed. The study was divided into three groups according to the used repair materials: titanium mesh(16 cases), Medpor(12 cases), and Medpor titanium mesh(26 cases). All test data were analyzed using the SPSS version 23.0 statistical software. The mean age and duration of disease between the groups were compared through oneway analysis of variance. The Chi-square(χ~2) test was used to compare the number of males and females, different fracture types, and different surgical approaches among groups. The χ~2 test was used to compare the frequencies for complications in each group.RESULTS: The baseline characteristics of age and gender in each group were matched(F=1.763, P=0.172;χ~2=0.026, P=0.987). In addition, there was no difference in the type of fracture and surgical approach(χ~2=0.460, P=0.977;χ~2=0.691, P=0.952), or the incidence of complications(χ~2=0.081, P=0.960) between the three groups. CONCLUSION: Although there is no difference in effect of various repair materials on the incidence of complications, the effect of repair materials on postoperative complications of orbital blowout fractures should not be ignored.

Landscape pattern change and driving force of blowout distribution in the Hulun Buir Sandy Grassland

The land coverage pattern changes for the past 50 years in a typical region of the Hulun Buir Sandy Grassland were interpreted and analyzed based on a series of remote sensing images in 1959, 2002, 2004 and 2009. The temporal and spatial changes of landscape patterns were revealed and the driving forces were analyzed. The results show that all land coverage types had large variable amplitudes. The grassland area decreased, whereas other areas incleased. Owing to implementation of artificial sand fixation from 2004 to 2009, the areas of flowing blowouts and depositional area decreased by 71,369 and 128,835 m2, respectively. The average patch area reduced, but the number of blowouts increased, fractal dimension increased, and blowout structure became complex. The fragmentation index increased, whereas contagion index decreased. Driving force analysis shows that human factors such as overglazing are slightly larger than natural factors of increased temperature and decreased precipitation

Numerical Simulation of Water and Sand Blowouts When Penetrating Through Shallow Water Flow Formations in Deep Water Drilling

In this study, we applied a two-phase flow model to simulate water and sand blowout processes when penetrating shallow water flow(SWF) formations during deepwater drilling. We define ‘sand' as a pseudo-component with high density and viscosity, which can begin to flow with water when a critical pressure difference is attained. We calculated the water and sand blowout rates and analyzed the influencing factors from them, including overpressure of the SWF formation, as well as its zone size, porosity and permeability, and drilling speed(penetration rate). The obtained data can be used for the quantitative assessment of the potential severity of SWF hazards. The results indicate that overpressure of the SWF formation and its zone size have significant effects on SWF blowout. A 10% increase in the SWF formation overpressure can result in a more than 90% increase in the cumulative water blowout and a 150% increase in the sand blowout when a typical SWF sediment is drilled. Along with the conventional methods of well flow and pressure control, chemical plugging, and the application of multi-layer casing, water and sand blowouts can be effectively reduced by increasing the penetration rate. As such, increasing the penetration rate can be a useful measure for controlling SWF hazards during deepwater drilling.

Role of orthoptics and scoring system for orbital floor blowout fracture:surgical or conservative treatment

AIM:To assess the role of orthoptics in referring patients with orbital floor blowout fracture(OFBF)for conservative or surgical treatment and based on the results,to propose a scoring system for such decision making.METHODS:A retrospective analysis of 69 patients with OFBF was performed(35 treated conservatively,34 surgically).The role of orthoptics in referring to surgery or conservative treatment was retrospectively evaluated,the factors with the highest significance for decision making were identified,and a scoring system proposed using Logistic regression.RESULTS:According to defined criteria,the treatment was unsuccessful in 2(6%)surgically treated and only in one(3%)conservatively treated patient.The proposed scoring system includes the defect size and several values resulting from the orthoptic examination,the elevation of the eyebulb measured on Lancaster screen being the most significant.CONCLUSION:The study demonstrates the benefits of orthoptic examination when making decisions on conservative or surgical treatment and for diagnosing ocular motility disorder(with or without binocular diplopia)in OFBF patients.The proposed scoring system could,following verification in a prospective study,become a valuable adjunctive tool.

A Real-time Monitoring System for Tire Blowout or Severe Leakage

The tire blowout or severe leakage real-time monitoring is one of key technologies for developing a tire blowout automatic braking system.An indirect real-time monitoring method to fuse analyses of tire vibration and effective radius is provided in this paper,and a monitoring system is developed.The calibration and related test results showthat the system can detect the tire blowout in low and middle vehicle speeds and the severe leakage in all speeds timely and accurately.

Gas Blowout Impacts on Ground Water Environs around the Tengratila Gas Field, Chattak, Bangladesh

Gas blowout is one of the major hazard in petroleum field which normally damages the gas bearing geologic formation, structure, local tectonic setting, environment and so on. In Bangladesh, there have been three well known gas blowouts. Among them, the most dangerous gas well blowout took place on 8 January 2005 in Sunamganj district when chattak-2 (also known as Tengratila) gas field was drilled. As a result, the surrounding area is facing various problems among them water is the top of the list. From this point of view, the present study has been considered to find the impact of blowout on water around the gas blowout area. In this regard, the water samples (some are very near and some are away from the well) are collected and analyzed in the laboratory following the standard method. Some physical and chemical parameters of water such as pH, turbidity, EC, total solids, dissolved solids, suspended solids, manganese ion, calcium ion, magnesium, iron, chloride and total hardness have measured where without turbidity, manganese and iron, all are still in tolerable state for all purposes and ranging within standard limit based on WHO, EU and EQS for Bangladesh. The quality of the near well tube wells water is much decreased than far away tube wells water which might be the direct or indirect influence of the blowout incident around the area.

Carotid blowout syndrome caused by chronic infection:A case report

BACKGROUND Carotid blowout syndrome(CBS)refers to rupture of the extracranial carotid artery and its branches;as a severe complication,it usually occurs after surgery or radiotherapy for malignant tumours of the head and neck.We present a case of CBS caused by chronic infection of the external carotid artery(ECA).In this case,we did not find any evidence of head and neck tumours.CASE SUMMARY A 42-year-old man was referred to the Emergency Department with a complaint of a lump found on the left side of his neck with pain and fever for 4 d.We diagnosed the condition as neck infection with abscess formation based on physical examination,routine blood examination,ultrasound examination and plain computed tomography(CT)and decided to perform emergency surgery.During the operation,30 mL of grey and smelly pus was drained from the deep surface of the sternocleidomastoid muscle.The second day after the operation,the patient suddenly exhibited a large amount of haemoptysis and incision bleeding.The enhanced CT showed distal occlusion of the left ECA and irregular thickening of the broken ends of the artery encased in an uneven enhancement of soft tissue density.Infected ECA occlusion and rupture were considered.The patient was transferred to a vascular unit for transcatheter ECA embolization and recovered well.CONCLUSION Surgeons need to pay attention to vascular lesions caused by chronic infection that may develop into acute CBS.

Off-Pump Multilayered Sutureless Repair for a Left Ventricular Blowout Rupture after Aortic Dissection Repair

A left ventricular (LV) free wall rupture is a highly lethal condition. A 75-year-old female who experienced chest pain was diagnosed as having an acute aortic dissection Stanford type A and underwent emergent surgery. Under cardiopulmonary bypass with LV venting through the right superior pulmonary vein, a proximal aortic stamp was formed. The patient was cooled, selective antegrade brain perfusion was performed, and a hemiarch repair was performed. After the patient was transferred to the intensive care unit, her blood pressure suddenly fell to 50 mmHg. She had a blowout rupture in the left ventricular anterolateral free wall. Since the bleeding hall was not large and the damage to the surrounding left ventricular tissue was not very wide, an off-pump multilayered sutureless repair was performed by using three layers of collagen fleece squares with fibrinogen-based impregnation (TachoComb;CSL Behring, Tokyo, Japan) and three layers of gelatin-resorcin-formalin glue reinforced by an equine pericardial patch (Xenomedica;Edwards Lifesciences, LLC, Irvine, CA). The blow-out rupture seemed to be caused by perioperative myocardial infarction generated by the compression of the left ventricular vent to the LV lateral wall. The patient was free from re-rupture or aneurysm enlargement. The thickness of the hemostatic material seemed to help control the bulging of the aneurysm and to prevent further LV aneurysm enlargement and re-rupture.

Ignition and Lean Blowout Characteristics of a Reverse-Flow Combustor for an Ultra-Compact Gas Turbine Engine

The flame stability limit and propagation characteristics of a reverse-flow combustor without any flame-stabilized device were experimentally investigated under room temperature and pressure.The results indicate that it is feasible to stabilize the flame in the recirculation zones constructed by the impact jet flow from the primary holes and dilution holes.The flame projected area is mainly distributed in the recirculation zone upstream of the primary holes,whose presence and absence mark the ignition and extinction.During the ignition process,the growth rate and value of the flame projected area first increase and then decrease with the inlet velocity increasing from 9.4 m/s to 42.1 m/s.A rapid reduction followed by a slow reduction of ignition and lean blowout equivalence ratios is achieved by the increased inlet velocity.Then the non-reacting fluid structure in three sections was measured,and detailed velocity profiles were analyzed to improve the understanding of the flame stabilization mechanism.The results are conducive to the design of an ultra-compact combustor.

An LSTM-based approach to detect transition to lean blowout in swirl-stabilized dump combustion systems

Lean combustion is environment friendly with low NO_(x)emissions providing better fuel efficiency in a combustion system.However,approaching towards lean combustion can make engines more susceptible to an undesirable phenomenon called lean blowout(LBO)that can cause flame extinction leading to sudden loss of power.During the design stage,it is quite challenging for the scientists to accurately determine the optimal operating limits to avoid sudden LBO occurrences.Therefore,it is crucial to develop accurate and computationally tractable frameworks for online LBO prediction in low NO_(x)emission engines.To the best of our knowledge,for the first time,we propose a deep learning approach to detect the transition to LBO in combustion systems.In this work,we utilize a laboratory-scale swirl-stabilized combustor to collect acoustic data for different protocols.For each protocol,starting far from LBO,we gradually move towards the LBO regime,capturing a quasi-static time series dataset at different conditions.Using one of the protocols in our dataset as the reference protocol,we find a transition state metric for our trained deep learning model to detect the imminent LBO in other test protocols.We find that our proposed approach is more precise and computationally faster than other baseline models to detect the transition to LBO.Therefore,we endorse this technique for monitoring the operation of lean combustion engines in real time.

An FV-EE model to predict lean blowout limits for gas turbine combustors with different structures and sprays

The occurrence of Lean Blowout(LBO)is a disadvantage that endangers a stable operation of gas turbines.A determination of LBO limits is essential in the design of gas turbine combustors.A semiempirical model is one of the most widely used methods to predict LBO limits.Among the existing semiempirical models for predicting LBO limits,Lefebvre’s LBO model and the Flame Volume(FV)model are particularly suitable for gas turbine combustors.On the basis of Lefebvre’s and FV models,the concept of effective evaporation efficiency is introduced in this paper,and a Flame Volume-Evaporation Efficiency(FV-EE)model is derived and validated.LBO experiments are carried out in a model combustor with 23 different structures and 10 different sprays.The prediction uncertainty of the FV-EE model is less than±13%for all of these 33 structures and sprays,compared with±50%for the FV model and±60%for Lefebvre’s model.Furthermore,the prediction uncertainty of the FV-EE model is also less than±13%for other combustors from available literature.

Underground storage tank blowout analysis:Stability prediction using an artificial neural network

Most geotechnical stability research is linked to“active”failures,in which soil instability occurs due to soil self-weight and external surcharge applications.In contrast,research on passive failure is not common,as it is predominately caused by external loads that act against the soil self-weight.An earlier active trapdoor stability investigation using the Terzaghi’s three stability factor approach was shown to be a feasible method for evaluating cohesive-frictional soil stability.Therefore,this technical note aims to expand“active”trapdoor research to assess drained circular trapdoor passive stability(blowout condition)in cohesive-frictional soil under axisymmetric conditions.Using numerical finite element limit analysis(FELA)simulations,soil cohesion,surcharge,and soil unit weight effects are considered using three stability factors(Fc,Fs,and Fγ),which are all associated with the cover-depth ratio and soil internal friction angle.Both upper-bound(UB)and lower-bound(LB)results are presented in design charts and tables,and the large dataset is further studied using an artificial neural network(ANN)as a predictive model to produce accurate design equations.The proposed passive trapdoor problem under axisymmetric conditions is significant when considering soil blowout stability owing to faulty underground storage tanks or pipelines with high internal pressures.

喷淋作用下的深水测试放喷热辐射规律及关键参数

在深水天然气测试过程中,多相混合物会通过地面流程分离、泄压、加热后通过燃烧臂放喷燃烧,现场一般采用喷淋的方式来降低热辐射的影响。为了降低深水放喷测试作业时平台及燃烧臂的热辐射风险隐患,首先采用Thornton模型研究了火焰表面辐射能量、视角系数以及水幕透射率等参数,构建了喷淋作用下放喷火焰的热辐射通量计算模型,并结合现场燃烧放喷下的仿真模型,应用有限元软件分析了放喷喷淋影响下的火焰温度和辐射量变化规律。研究结果表明:(1)喷淋形成的水幕使靠近平台区域的温度和辐射量明显降低,放喷管道附近的辐射量由2 050 W/m^(2)减小到了1 840 W/m^(2);(2)在单个水幕的作用下,水幕吸收了一定的热辐射量,水幕温度从11.85℃上升到约26.85℃;(3)由于平台附近的空气中CO_(2)和H_(2)O含量较低,空气的热辐射吸收系数较小,温度主要受到热对流的影响,空气温度基本保持在26.85~36.15℃之间;(4)不同放喷管径和产量变化下平台附近区域的温度和辐射量变化趋势基本一致,管径减小使得辐射峰值增大。结论认为,该研究成果进一步明确了深水测试放喷不同工况下的热辐射分布,为深水地面放喷热辐射设计分析及安全控制提供了技术支撑。

深水半潜式钻井平台水下设备作业虚拟仿真教学平台构建

深水油气钻井与陆地及浅水的同类作业存在显著差异,给海洋油气工程专业学生的现场实习、实践带来了诸多困难。为加深学生对深水油气钻井工程装备的认知,采用虚拟仿真技术,构建还原度高、实战性强的深水半潜式钻井平台水下设备作业虚拟仿真教学平台,实现隔水管运移存储及下放、隔水管与上部升沉补偿装置及底部立管总成的连接、水下防喷器结构及安装等功能,帮助学生在无需前往深水平台的前提下、在虚拟环境中系统掌握水下设备的操控方法及作业程序,提升学生的深水钻井作业的工程实践能力。

深水隔水管-防喷器组耦合系统动力学建模与仿真验证

在深水钻井过程中,隔水管与防喷器组系统是整个作业环节的重要一环。由于在作业过程中面临着诸多风险,因此,建立精确的隔水管-防喷器组耦合系统力学分析模型,准确分析其力学行为和性能,对指导钻井作业安全进行具有重要意义。目前大多只关注于对隔水管的独立建模而忽视防喷器组的潜在影响,这将导致所建模型与实际情况存在差异,使得隔水管系统的力学特性无法得到精确分析。提出了隔水管与防喷器组刚柔耦合概念,推导耦合系统动能、势能,采用拉格朗日方法建立理论模型,用Newmark-β直接积分法对动力学模型进行数值计算。采用ADAMS软件进行了仿真建模,开展不同工况条件下的动态响应对比分析。结果表明,理论模型得到的隔水管横向位移包络线、弯矩包络线、隔水管中部节点横向位移时程曲线和底部弯矩时程曲线与ADAMS仿真结果吻合良好,从而表明了该理论模型的重要性,可为我国隔水管的设计和分析提供参考和支持。

西藏谷露地热田ZK401高温地热井钻井工艺技术

谷露地热田是西藏那曲—尼木地热带上的典型水热型高温地热田,安全、经济和高效的钻井工艺技术很大程度上决定了其高温地热资源的可开发利用潜力。ZK401井是在谷露地热田实施的一口优质高产探采结合井,地层以花岗岩类为主,其岩石硬度大,机械钻速低,钻头使用寿命短。自上而下揭露多层热储,其35~41m即可揭露124.8℃中温地热流体,汽水总量约40 t·h^(-1);50~320 m揭露超过120℃的中温热储,汽水总量约30~35 t·h^(-1);320~1320 m揭露186.9℃高温热储,汽水总量高达348 t·h^(-1),具有热储埋深浅、温度高,断裂构造发育,地层出水量大的特点,高温及水侵作用致使钻井液极易失效,井喷风险大,安全钻井难。为解决上述钻井施工难点,进行了高温地热钻井关键技术研究。通过采用异形齿PDC钻头和岩石热裂提速技术,使单只异形齿PDC钻头进尺较同规格牙轮钻头提高了23%~48%,使三开井段花岗岩类地层的平均机械钻速提升至3.18 m·h^(-1)。通过优化井身结构,采用简易控压钻井技术,利用低温清水作为二开及三开钻进循环钻井液,达到了及时发现并有效保护热储层和控制井喷风险的目的;实现了ZK401井在520 m揭露186.9℃高温热储且汽水总量达348 t·h^(-1)苛刻条件下的安全、持续钻进,且非生产时间较采用常规钻井技术的邻井缩短了37%,极大地降低了钻井成本,提高了高温地热资源的可开发利用潜力。为后续该区域乃至其他地区解决高温地热井钻井施工提供参考。

Biomechanical analysis of an absorbable material for treating fractures of the inferior orbital wall

AIM:To investigate the biomechanical properties and practical application of absorbable materials in orbital fracture repair.METHODS:The three-dimensional(3D)model of orbital blowout fractures was reconstructed using Mimics21.0 software.The repair guide plate model for inferior orbital wall fracture was designed using 3-matic13.0 and Geomagic wrap 21.0 software.The finite element model of orbital blowout fracture and absorbable repair plate was established using 3-matic13.0 and ANSYS Workbench 21.0 software.The mechanical response of absorbable plates,with thicknesses of 0.6 and 1.2 mm,was modeled after their placement in the orbit.Two patients with inferior orbital wall fractures volunteered to receive single-layer and double-layer absorbable plates combined with 3D printing technology to facilitate surgical treatment of orbital wall fractures.RESULTS:The finite element models of orbital blowout fracture and absorbable plate were successfully established.Finite element analysis(FEA)showed that when the Young’s modulus of the absorbable plate decreases to 3.15 MPa,the repair material with a thickness of 0.6 mm was influenced by the gravitational forces of the orbital contents,resulting in a maximum total deformation of approximately 3.3 mm.Conversely,when the absorbable plate was 1.2 mm thick,the overall maximum total deformation was around 0.4 mm.The half-year follow-up results of the clinical cases confirmed that the absorbable plate with a thickness of 1.2 mm had smaller maximum total deformation and better clinical efficacy.CONCLUSION:The biomechanical analysis observations in this study are largely consistent with the clinical situation.The use of double-layer absorbable plates in conjunction with 3D printing technology is recommended to support surgical treatment of infraorbital wall blowout fractures.

多功能一趟管联作高效修井技术研究与应用

为缩短作业占时,提高修井效率,控减劳务费用,实现降本增效,提出“一趟管修井”优化设计方法,研发“不动管联作”系列技术,建立“多工序集成”作业提速新模式。通过优化整合一趟管联作管柱设计,创新研发多功能组合工具串,形成了射孔下泵联作、冲洗下泵联作、压裂下泵联作、丢手下泵联作、修井一趟管联作等五大类共十项联作技术。实现了只利用一趟管柱即可完成传统技术上需要起下三趟管柱作业工序的工作量,在达到同样作业目的前提下,还解决了带压起下管过程井口冒喷污染、井控风险高等技术问题。联作技术已在江汉油区累计推广152井次,累计减少起下换管74.4×10^(4) m,单井平均缩短作业占时26 h,降低修井费用￥3.5万元,提高修井效率约30%。