Effect of sequential nursing care combined with communication intervention on visual recovery and pain after cataract ultrasound emulsification

BACKGROUND Cataracts are a common ophthalmic disease and postoperative vision recovery is crucial to patient quality of life.Rational and efficient care models play an impor-tant role in promoting vision recovery.AIM To evaluate the clinical effectiveness of procedural nursing care combined with communication intervention in vision recovery after cataract ultrasound emulsi-fication.METHODS A randomized controlled study was conducted on 100 patients with cataracts who underwent ultrasound emulsification surgery.They were randomly assigned to an experimental group or a control group.The experimental group received procedural nursing combined with Connect,Introduce,Communicate,Ask,Respond,Exit(CICARE)communication intervention,whereas the control group received conventional nursing.The effectiveness of the nursing model was assessed by comparing differences in vision recovery,pain scores,and mental health status between the two groups.RESULTS It was found that over time the visual acuity of patients in both groups gradually recovered and patients in the experimental group had lower pain scores and superior mental health status than the control group(P<0.05).CONCLUSION Procedural nursing combined with CICARE communication intervention has positive effects on vision recovery in patients after cataract ultrasound emulsification.

Synergistic anionic/zwitterionic mixed surfactant system with high emulsification efficiency for enhanced oil recovery in low permeability reservoirs

Emulsification is one of the important mechanisms of surfactant flooding. To improve oil recovery for low permeability reservoirs, a highly efficient emulsification oil flooding system consisting of anionic surfactant sodium alkyl glucosyl hydroxypropyl sulfonate(APGSHS) and zwitterionic surfactant octadecyl betaine(BS-18) is proposed. The performance of APGSHS/BS-18 mixed surfactant system was evaluated in terms of interfacial tension, emulsification capability, emulsion size and distribution, wettability alteration, temperature-resistance and salt-resistance. The emulsification speed was used to evaluate the emulsification ability of surfactant systems, and the results show that mixed surfactant systems can completely emulsify the crude oil into emulsions droplets even under low energy conditions. Meanwhile,the system exhibits good temperature and salt resistance. Finally, the best oil recovery of 25.45% is achieved for low permeability core by the mixed surfactant system with a total concentration of 0.3 wt%while the molar ratio of APGSHS:BS-18 is 4:6. The current study indicates that the anionic/zwitterionic mixed surfactant system can improve the oil flooding efficiency and is potential candidate for application in low permeability reservoirs.

Fluid property identification of the Lower Cretaceous reservoirs with complex oil-water contacts in Deseo Basin,Chad

Recently,exploration breakthroughs have been made in the Lower Cretaceous sandstone reservoirs in the Doseo Basin,but the identification of reservoir fluid property is difficult due to variable reservoir lithology,complex oil-water contact within and faint responses of the oil zone,which causes the lower accuracy of reservoir fluid property identification with conventional mudlogging and wirelogging techniques.Applying the geochemical logging,fluorescent logging,mud logging and cutting logging technology,in combination with formation test data,this paper distinguishes the crude oil types,analyzes the logging response characteristics of oil zone after water washing,and establishes the interpretation charts and parameter standards for reservoir fluid properties.The crude oil can be divided into two types,namely viscous-heavy and thin-light,based on total hydrocarbon content and component concentration tested by mud logging,features of pyrolysis gas chromatogram and fluorescence spectroscopy.The general characteristics of oil layers experienced water washing include the decrease of total hydrocarbon content and component concentration from mud logging,the decrease of S1 and PS values from geochemical logging,the decrease of hydrocarbon abundance and absence of some light components in pyrolysis gas chromatogram,and the decrease of fluorescence area and intensity from fluorescence logging.According to crude oil types,the cross plots of S1 versus peak-baseline ratio,and the cross plots of rock wettability versus fluorescence area ratio are drawn and used to interpret reservoir fluid property.Meanwhile,the standards of reservoir fluid parameter are established combining with the parameters of PS and the parameters in above charts,and comprehensive multiparameter correlation in both vertical and horizontal ways is also performed to interpret reservoir fluid property.The application in the Doseo Basin achieved great success,improving interpretation ability of fluid property in the reservoir with complex oil-water contact,and also provided technical reference for the efficient exploration and development of similar reservoirs.

Characterization of Flame Retardancy and Oil-Water Separation Capacity of Superhydrophobic Silylated Melamine Sponges

A silylated melamine sponge(SMS)was prepared by two simple steps,namely,immersion and dehydration of a melamine sponge coated with methyltrichlorosilane.The silylated structure of SMS was characterized by FT-IR(Fourier-transform infrared)spectroscopy,SEM(Scanning electron microscopy)and in terms of water contact angles.Its oil-water absorption and separation capacities were measured by FT-IR and UV-visible spectrophoto-metry.The experimental results have shown that oligomeric silanol covalently bonds by Si-N onto the surface of melamine sponge skeletons.SMS has shown superhydrophobicity with a water contact angle exceeding 150°±1°,a better separation efficiency with regard to diesel oil(by 99.31%(wt/wt%)in oil-water mixture and even up to 99.99%(wt/wt%)for diesel oil in its saturated aqueous solution.Moreover,SMS inherited the intrinsicflame retardancy of the melamine sponge.In general,SMS has shown superhydrophobicity,high porosity,excellent selectivity,remarkable recyclability,and better absorption capacity for various oils and organic solvents,and a high separation efficiency for oil in saturated aqueous solutions.

Numerical Simulation of Oil-Water Two-Phase Flow in Low Permeability Tight Reservoirs Based on Weighted Least Squares Meshless Method

In response to the complex characteristics of actual low-permeability tight reservoirs,this study develops a meshless-based numerical simulation method for oil-water two-phase flow in these reservoirs,considering complex boundary shapes.Utilizing radial basis function point interpolation,the method approximates shape functions for unknown functions within the nodal influence domain.The shape functions constructed by the aforementioned meshless interpolation method haveδ-function properties,which facilitate the handling of essential aspects like the controlled bottom-hole flow pressure in horizontal wells.Moreover,the meshless method offers greater flexibility and freedom compared to grid cell discretization,making it simpler to discretize complex geometries.A variational principle for the flow control equation group is introduced using a weighted least squares meshless method,and the pressure distribution is solved implicitly.Example results demonstrate that the computational outcomes of the meshless point cloud model,which has a relatively small degree of freedom,are in close agreement with those of the Discrete Fracture Model(DFM)employing refined grid partitioning,with pressure calculation accuracy exceeding 98.2%.Compared to high-resolution grid-based computational methods,the meshless method can achieve a better balance between computational efficiency and accuracy.Additionally,the impact of fracture half-length on the productivity of horizontal wells is discussed.The results indicate that increasing the fracture half-length is an effective strategy for enhancing production from the perspective of cumulative oil production.

Analysis of Ultrasonic Emulsification Surgery and Small Incision Cataract Extracapsular Extraction Surgery for Cataract Clinical Treatment Level Improvement

Objective:To analyze the efficacy of ultrasonic emulsification and small incision cataract extracapsular extraction in cataract patients.Methods:96 cataract patients admitted from May 2021 to May 2023 were selected and randomly grouped into group A(ultrasonic emulsification)and group B(small-incision extracapsular cataract extraction),with 48 cases each.Results:At 1 week,1-month,and 3 months post-operation,the visual acuity of group A was higher and the astigmatism value was lower than that of group B(P<0.05);at 12h,24h,and 48h post-operation,the intraocular pressure of group A was higher than that of group B(P<0.05);the thickness of macular area of group A was lower than that of group B at 1 week and 1-month post-operation(P<0.05).Conclusion:Ultrasonic emulsification in cataract patients was slightly better than small incision cataract extracapsular extraction in correcting astigmatism,improving visual acuity,and regulating macular thickness.However,due to the high energy of ultrasonic emulsification,the risk of complications such as high postoperative intraocular pressure was higher.Small-incision extracapsular cataract extraction has better application value in economically disadvantaged areas.

Clinical Application of Cataract Ultrasonic Emulsification Combined with Atrial Angle Segmentation in the Treatment of Primary Angle-Closure Glaucoma

Objective:To evaluate the therapeutic effect of cataract ultrasonic emulsification(PE)combined with atrial angle separation(CSS)for primary angle-closure glaucoma(PACG).Methods:78 patients with PACG admitted to the hospital between October 2021 and October 2023 were selected and grouped by randomized numerical table;39 cases were counted in the observation group and selected PE combined with CSS surgery;39 cases were counted in the reference group and selected PE combined with trabeculectomy and the total effective rate,the state of the atrial angle,the clinical indexes,the degree of ocular symptoms,and the complication rate were compared.Results:The total effective rate of the observation group was higher than that of the reference group,and the percentage of the wide atrial angle of the atrial angle status was higher than that of the reference group;3 months after the operation,the logarithm of the minimum angle of resolution(Log MAR)and intraocular pressure of the observation group was lower than that of the reference group,and the central anterior chamber depth(ACD)was greater than that of the reference group;the scores of the degree of ocular symptoms of the observation group were lower than that of the reference group,and the rate of complication was lower than that of the reference group(P<0.05).Conclusion:PE combined with CSS surgical treatment for PACG patients can improve the efficacy of treatment,improve the state of the patients’atrial angles,and restore the ocular function indexes.It can alleviate the ocular symptoms as soon as possible and has a high surgical safety.

Ultrasonic method for measuring water holdup of low velocity and high-water-cut oil-water two-phase flow

Oil reservoirs with low permeability and porosity that are in the middle and late exploitation periods in China＇s onshore oil fields are mostly in the high-water-cut production stage.This stage is associated with severely non-uniform local-velocity flow profiles and dispersed-phase concentration（of oil droplets） in oil-water two-phase flow,which makes it difficult to measure water holdup in oil wells.In this study,we use an ultrasonic method based on a transmission-type sensor in oil-water two-phase flow to measure water holdup in lowvelocity and high water-cut conditions.First,we optimize the excitation frequency of the ultrasonic sensor by calculating the sensitivity of the ultrasonic field using the finite element method for multiphysics coupling.Then we calculate the change trend of sound pressure level attenuation ratio with the increase in oil holdup to verify the feasibility of the employed diameter for the ultrasonic sensor.Based on the results,we then investigate the effects of oildroplet diameter and distribution on the ultrasonic field.To further understand the measurement characteristics of the ultrasonic sensor,we perform a flow loop test on vertical upward oilwater two-phase flow and measure the responses of the optimized ultrasonic sensor.The results show that the ultrasonic sensor yields poor resolution for a dispersed oil slug in water flow（D OS/W flow）,but the resolution is favorable for dispersed oil in water flow（D O/W flow） and very fine dispersed oil in water flow（VFD O/W flow）.This research demonstrates the potential application of a pulsed-transmission ultrasonic method for measuring the fraction of individual components in oil-water two-phase flow with a low mixture velocity and high water cut.

PROGRESS IN PHASE INVERSION EMULSIFICATION FOR EPOXY RESIN WATERBORNE DISPERSIONS

In this review, our recent work in phase inversion emulsification （PIE） for polymer （especially epoxy resin） waterborne dispersions is summarized. Based on experimental results about PIE process, the physical model is proposed which can guide the synthesis of the waterborne dispersions such as polymer/nanoparticle composite dispersion. In the presence of a latent curing catalyst, PIE can give a crosslinkable epoxy resin waterborne dispersion. The dispersions can form cured transparent coatings with some unique properties such as UV shielding. They are promising in functional coatings, waterborne resin matrices for composites, and sizing for high performance fibers.

Analysis of the causative factors related to earlier emulsification of silicone oil

The aim of this study is to report and analyze the factors related with earlier occurrence of silicone oil(SO) emulsification in patients underwent pars plana vitrectomy and SO injection in our hospital. We retrospectively reviewed consecutive case series undergone both SO injection and removal in our hospital, and 182 ones were eligible. Possible related independent factors included: macula status(on/off), concomitant phacoemulsification with the surgery of SO tamponading, concomitant status of proliferative vitreoretinopathy, combined surgery of retinotomy, time to have emulsification(<6 mo/≥6 mo after primary SO injection), route of SO injection(anterior/posterior), lens status(aphakic/pseudophakic/phakic), anesthesia(local/general), brands and type of SO, with/without episcleral cryotherapy, with/without hypertension, with/without diabetes, with/without intraoperative use of triamcinolone acetonide. The study revealed that brand and type of SO was the significant factor related with earlier emulsification of SO. Further study was warranted to find out the underlying causes.

Preparation of Monodispersed O/W Emulsion by Ceramic External Membrane Emulsification System——Preliminary Study on Integrated Ceramic Membrane Emulsification Reactor

A new reactor with integrated conventional slurry stirred reactor and ceramic external membrane emulsification system, was introduced in this paper. Toluene and toluene containing surfactant was separately used as dispersed phase for preparation of emulsions. Two kinds of emulsions were prepared and compared. The volume average sizes of prepared emulsions were 3.53μm and 3.6μm respectively. The results showed that the droplet sizes of two kinds of emulsions were similar, but the monodispersed emulsion was only obtained with addition of surfactant into the dispersed phase.

Influences of water treatment agents on oil-water interfacial properties of oilfield produced water

The emulsion stability of oilfield produced water is related to the oil-water interfacial film strength and the zeta potential of the oil droplets. We investigated the effects of water treatment agents （corrosion inhibitor SL-2, scale inhibitor HEDP, germicide 1227, and flocculant polyaluminium chloride PAC） on the stability of oilfield produced water. The influence of these treatment agents on oil-water interfacial properties and the mechanism of these agents acting on the oilfield produced water were studied by measuring the interfacial shear viscosity, interfacial tension and zeta electric potential. The results indicated that the scale inhibitor HEDP could increase the oil-water interfacial film strength, and it could also increase the absolute value of the zeta potential of oil droplets. HEDP played an important role in the stability of the emulsion. Polyaluminum chloride （PAC） reduced the stability of the emulsion by considerably decreasing the absolute value of the zeta potential of oil droplets. Corrosion inhibitor SL-2 and germicide 1227 could decrease the oil-water interfacial tension, whereas they had little influence on oil-water interfacial shear viscosity and oil-water interfacial electricity properties.

A Mutant Strain of a Surfactant-Producing Bacterium with Increased Emulsification Activity

As reported in this paper, a strain of oil-degrading bacterium Sp - 5 - 3 was determined to belong to Enterobacteriaceae, which would be useful for microbial enhanced oil recovery (MEOR). The aim of our study was to generate a mutant using low energy N+ beam implantation. With 10 keV of energy and 5.2× 1014 N+/cm2 of dose - the optimum condition, a mutant, S-34, was obtained, which had nearly a 5-fold higher surface and a 13-fold higher of emulsifica-tion activity than the wild type. The surface activity was measured by two methods, namely, a surface tension measuring instrument and a recording of the repulsive circle of the oil film; the emulsification activity was scaled through measuring the separating time of the oil-fermentation mixture. The metabolic acid was determined as methane by means of gas chromatography.

Numerical Simulation of Fluid Flow and Oil-Water Separation in Hydrocyclones

The fluid flow and oil-water separation were simulated using a Reynolds stress transport equation model of turbulence in water flow and a stochastic model of oil droplet motion. Simulation results give the axial and tangential velocity components, the pressure and turbulence intensity distribution and droplet trajectories for a hydrocyclone of F type and a hydrocyclone proposed by the present authors. The flow field predictions are in qualitative agreement with the LDV measurements. The results show that the proposed hydrocyclone has better performance than the hydrocyclone of F type due to creating stronger centrifugal force and lower axial velocity.

Analysis of the rates of emulsification in intraocular silicone oil tamponades of differing viscosities

AIM:To investigate the rates of emulsification in silicone oil(SO)tamponades of differing viscosities used during pars plana vitrectomy(PPV)in the treatment of complicated vitreoretinal diseases.METHODS:This study was a prospective randomized clinical trial.Totally 290 cases with greater likelihoods of secondary detachment were included and randomly grouped into either Siluron 2000(n=143)or Siluron 5000(n=147)SO tamponades with 23-gauge PPV.Patient followups and data analyses were conducted 1,3,6,and 12 mo post-surgery.RESULTS:The time of the SO emulsification ranged from 1 to 17 mo,with a mean of 7.3±4.2 mo.The Siluron 5000 group showed a slower emulsification rate in comparison to the Siluron 2000 group.The Siluron 2000 group took a shorter time to show signs of emulsification,necessitating earlier SO removal.However,there were no significant differences in the occurrence of complications,including secondary retinal detachment,cataract,corneal abnormality,high intraocular pressure and hypotony.CONCLUSION:The Siluron 2000 SO tamponade shows a faster rate of emulsification than the Siluron 5000 SO,necessitating earlier removal.Both groups show similar results in terms of anatomical success and visual acuity outcome,and there is no significant difference between the SOs regarding the occurrence of complications.

HYDRODYNAMIC AND THERMODYNAMIC EFFECTS IN PHASE INVERSION EMULSIFICATION PROCESS OF EPOXY RESIN IN WATER

The mechanism of phase inversion emulsification process （PIE） was studied for waterborne dispersion of highly viscous epoxy resin using non-ionic polymeric surfactants. Drop deformation and breakup, rheological properties, conductivity, and particle size measurements reveal the micro-structural transition amid emulsification. It is revealed that strong flow causes water drop to burst with the formation of droplets and huge interface. Phase inversion corresponds to an abrupt rheological transition from a type of viscous melt with weak elasticity to a highly elastic type of aqueous gel. This implies that the phase inversion equivalent to a curvature inversion. Based on this, a geometric model is postulated to correlate process variables to the particle size. The coverage and conformation of the surfactant plays key role for the particle size of the final emulsion. The interactions of thermodynamic and hydrodynamic effects are also discussed. It is concluded that the thermodynamics control the PIE while the hydrodynamics drives the creation of interface and involves every step of PIE.

MEMBRANE EMULSIFICATION SYSTEMS

Microcapsules (or microspheres) with small size and narrow size distribution have potential applications as carriers of proteins and polypeptides. However the conventional preparation methods severely limit their real applications. Membrane emulsification technology may become a new preparation method of microcapsules with monodisperse droplets, mild conditions, good stability, low energy consumption and easy to realize mass production. In this paper, studies on membrane emulsification systems and the possible existing problems are summarized, and primary attempts on preparing alginate/chitosan microcapsules are conducted.

PREPARATION OF BISPHENOL A EPOXY RESIN WATERBORNE DISPERSIONS BY THE PHASE INVERSION EMULSIFICATION TECHNIQUE

The phase inversion emulsification technique (PIET) is an effective physical method for preparing waterborne dispersions of polymer resins. Some results concerning the preparation of bisphenol A epoxy resin waterborne dispersions by PIET in our laboratory were summarized. Electrical properties, rheological behavior and morphological evolution during phase inversion progress were systematically characterized. The effects of the emulsifier concentration and emulsification temperature on phase inversion progress and the structural features of the waterborne particles were studied as well. The deformation and break up of water drops in a shear field were analyzed in terms of micro-theology, while the interaction and coalescence dynamics of water drops were discussed in terms of DLVO theory and Smoluchowski effective collision theory, respectively. Based on the experimental results and theoretical analysis, a physical model of phase inversion progress was suggested, by which the effects of the parameters on phase inversion progress and the structural features of the waterborne particles were interpreted and predicted.

Preparation of Macroporous TiO2 Ceramic Based on Membrane Jet-flow Emulsification

A novel method to prepare macroporous TiO2 ceramic, based on membrane emulsification was reported.To solve the paradox between the instability of nonaqueous emulsion and long emulsification time required by themembrane emulsification, a two-stage ceramic membrane jet-flow emulsification .was. proposed. Discussion wasconducted on the evolution of droplet size with time, which followed the Ostwalcl npemng theory. And a monodispersed nonaqueous emulsion with an average droplet size of 1.6μm could beprepared. Using the emulsion, as atemplate, TiO2 ceramics with an average pore size ot 1.1 μm were obtaineed. Tne material could be prospectivelyused for preparation of catalysts, adsorbents, and membranes.

Impact of emulsification of crude oil on normalized radar cross section

The emulsification of crude oil is caused by the oil flowing into the water,resulting in the increase of oil film tension,viscosity,water content,and volume,which brings great harm to the marine ecological environment and difficulties for the cleanup of marine emergency equipment.The realization observation of emulsification crude oil will increase the response speed of marine emergency response.Therefore,we set up crude oil emulsification samples to study the physical property in laboratory and conducted radar measurements at different incidence angles in outdoor.The radar is C band in resolution of 0.7 m by 0.7 m.A fully polarimetric scatterometer(HH,VV,and VH/HV)is mounted at 1.66 m(minimum altitude)height at an incidence angle between 35°and 60°.An asphalt content of less than 3%crude oil and the filtered seawater were used to the outdoor emulsification scattering experiment.The measurement results are as follows.The water content can be used to describe the process of emulsification and it is easy to measure.Wind speed,asphalt content,seawater temperature,and photo-oxidation affect the emulsifying process of crude oil,and affects the normalized radar cross section(NRCS)of oil film but wind is not the dominant factor.It is the first time to find that the emulsification of crude oil results in an increase of NRCS.