Objective: The aim of this study was to describe the use of the postpartum intrauterine device in the maternity ward of the Ratoma communal medical center in Conakry. Methods: This was a descriptive cross-sectional st...Objective: The aim of this study was to describe the use of the postpartum intrauterine device in the maternity ward of the Ratoma communal medical center in Conakry. Methods: This was a descriptive cross-sectional study carried out between July 1<sup>st</sup> 2015 and June 30 2016, i.e. a duration of one year. Results: A total of 551 patients received advice on various contraceptive methods. Most of this advice was given in the post-partum period (40.2%) and during antenatal care (39.1%). Of the patients advised, 87 (15.8%) used the intrauterine device. The majority of users (93%) were married and uneducated (63.2%), and 39.1% were poor. The majority (56.3%) of intra-uterine devices were inserted in the immediate post-partum period. The majority of women had no adverse events either during the first six weeks (n = 57;65.5%) or at 3<sup>rd</sup> months (n = 75;86.2%) or 6<sup>th</sup> months (n = 76;87.4%) after IUD insertion. Most users remained complication-free throughout the follow-up period (n = 76;87.4% at 6<sup>th</sup> weeks and 3<sup>rd</sup> months, and n = 77;88.5% at 6<sup>th</sup> months). The continuation rate was 89.7% at 6 weeks and 3<sup>rd</sup> months, and 87.4% at 6<sup>th</sup> months after insertion. The majority of users (87.0%) were satisfied with the care they received. Conclusion: This study showed very few complications among intrauterine device users, and high continuation and satisfaction rates. The intrauterine device is a long-acting, effective, reversible and safe contraceptive that can be used by most women for birth spacing in Guinea, where women do not regularly visit health facilities.展开更多
Objective The trial was designed to evaluate the safety and performance of the ev3 Protégé TM stent in the treatment of de novo or re-stenotic common and/or internal carotid artery stenoses with adjunctive u...Objective The trial was designed to evaluate the safety and performance of the ev3 Protégé TM stent in the treatment of de novo or re-stenotic common and/or internal carotid artery stenoses with adjunctive use of a CE-marked filter embolic protection device.Methods This study was a prospective multi-center, single-arm trial. Between June and October 2003, 77 patients were enrolled in 8 investigational centers throughout Europe. The primary endpoint was the incidence of Major Neurological Events (MANE) through one month. Other endpoints were the ability to properly place the stent, and primary patency and MANE after six months. Eligible for the study were patients with a de novo or restenotic target lesion located in the common and/or internal carotid artery (>70% stenosis for asymptomatic and >50% stenosis for symptomatic patients). The ev3 Spider (Embolic Protection Filter was used in 75 of 77 cases. Results In 76 out of the 77 patients (99%), the stent could be successfully implanted with a residual stenosis ≤30% as criterion. Of the 74 patients that had a carotid ultrasound at one month follow-up, none had a re-stenosis of the target lesion. There were three MANEs during or immediately after the procedure (3.9%), two were major and one was a minor stroke. There were eight severe complications (9.1%); six of these happened during or immediately after the procedure and were related to the procedure, none was related to the device. They are resolved without sequelae. No deaths have occurred.Conclusions The Protégé stent is safe and performs well in the treatment of carotid artery stenosis. The technical success rate for placement of the Protégé stent as assessed by the residual stenosis post implant was very high and all stents were successfully deployed. The incidence of MANE was comparable with that in other recent carotid stent studies and still lower than standard CEA.展开更多
The separate-layer injection in different interlayers and the injection of the same-molecular-weight polymer so- lution in a layer are necessary in the polymer flooding process because of heterogeneous multilayer sand...The separate-layer injection in different interlayers and the injection of the same-molecular-weight polymer so- lution in a layer are necessary in the polymer flooding process because of heterogeneous multilayer sandstone reservoirs in EOR projects. To alleviate the matching problems between the layer permeability and the injected polymer molecular weight, a molecular weight adjusting device with porous medium was designed on the basis of mechanical degradation principle. In terms of four variables （polymer concentration, pore diameter, length of shear component and flow rate ）, the theological behavior of hydrolyzed polyacrylamide （HPAM） solu- tion flowing through the device was investigated in detail. The change of these variables is able to control the shear rate of HPAM solutions through ceramic foam, and achieve the desired degree of shear degradation and the final theological parameters-viscosity loss, viscoelasticity and pressure drop. Therefore, a linear relationship between viscosity loss and shearing rate was established so as to obtain the targeted viscosity easily. Field tests in the Daqing Oil Field showed that the polymer molecular weight could drop 20% to 50%. In a word, the results could guide the industrial application of the novel device and the further study of polymer degradation flowing through the porous medium.展开更多
Due to the well condition and the un-expected imbalance movement of the pumping unit in use, the energy consumes a lot. The existing balancing equipment cannot adjust and monitor the pumping units in real time. Theref...Due to the well condition and the un-expected imbalance movement of the pumping unit in use, the energy consumes a lot. The existing balancing equipment cannot adjust and monitor the pumping units in real time. Therefore this paper introduces the new adaptive balancing equipment—fan-shaped adaptive balancing intelligent device, projects a design of such control system based on PLC, and determines the principle of the control system, the execution software and the design flow. Site commissioning effect on Daqing Oilfield shows this fan-shaped adaptive balancing intelligent device can effectively adjust and monitor the pumping unit in real time, the balance even adjusts from 0.787 to 0.901, and integrated energy saving rate is 14.2%. It is approved that this control device is professionally designed, with strong compatibility, and high reliability.展开更多
文摘Objective: The aim of this study was to describe the use of the postpartum intrauterine device in the maternity ward of the Ratoma communal medical center in Conakry. Methods: This was a descriptive cross-sectional study carried out between July 1<sup>st</sup> 2015 and June 30 2016, i.e. a duration of one year. Results: A total of 551 patients received advice on various contraceptive methods. Most of this advice was given in the post-partum period (40.2%) and during antenatal care (39.1%). Of the patients advised, 87 (15.8%) used the intrauterine device. The majority of users (93%) were married and uneducated (63.2%), and 39.1% were poor. The majority (56.3%) of intra-uterine devices were inserted in the immediate post-partum period. The majority of women had no adverse events either during the first six weeks (n = 57;65.5%) or at 3<sup>rd</sup> months (n = 75;86.2%) or 6<sup>th</sup> months (n = 76;87.4%) after IUD insertion. Most users remained complication-free throughout the follow-up period (n = 76;87.4% at 6<sup>th</sup> weeks and 3<sup>rd</sup> months, and n = 77;88.5% at 6<sup>th</sup> months). The continuation rate was 89.7% at 6 weeks and 3<sup>rd</sup> months, and 87.4% at 6<sup>th</sup> months after insertion. The majority of users (87.0%) were satisfied with the care they received. Conclusion: This study showed very few complications among intrauterine device users, and high continuation and satisfaction rates. The intrauterine device is a long-acting, effective, reversible and safe contraceptive that can be used by most women for birth spacing in Guinea, where women do not regularly visit health facilities.
文摘Objective The trial was designed to evaluate the safety and performance of the ev3 Protégé TM stent in the treatment of de novo or re-stenotic common and/or internal carotid artery stenoses with adjunctive use of a CE-marked filter embolic protection device.Methods This study was a prospective multi-center, single-arm trial. Between June and October 2003, 77 patients were enrolled in 8 investigational centers throughout Europe. The primary endpoint was the incidence of Major Neurological Events (MANE) through one month. Other endpoints were the ability to properly place the stent, and primary patency and MANE after six months. Eligible for the study were patients with a de novo or restenotic target lesion located in the common and/or internal carotid artery (>70% stenosis for asymptomatic and >50% stenosis for symptomatic patients). The ev3 Spider (Embolic Protection Filter was used in 75 of 77 cases. Results In 76 out of the 77 patients (99%), the stent could be successfully implanted with a residual stenosis ≤30% as criterion. Of the 74 patients that had a carotid ultrasound at one month follow-up, none had a re-stenosis of the target lesion. There were three MANEs during or immediately after the procedure (3.9%), two were major and one was a minor stroke. There were eight severe complications (9.1%); six of these happened during or immediately after the procedure and were related to the procedure, none was related to the device. They are resolved without sequelae. No deaths have occurred.Conclusions The Protégé stent is safe and performs well in the treatment of carotid artery stenosis. The technical success rate for placement of the Protégé stent as assessed by the residual stenosis post implant was very high and all stents were successfully deployed. The incidence of MANE was comparable with that in other recent carotid stent studies and still lower than standard CEA.
基金Supported by the Program for Yangtse River Scholars and Innovative Research Terms in Universities(IRT0936)the National Basic Research Program of China(2009CB219905+2 种基金2009CB219907)the Daqing Oilfield Co.Ltd
文摘The separate-layer injection in different interlayers and the injection of the same-molecular-weight polymer so- lution in a layer are necessary in the polymer flooding process because of heterogeneous multilayer sandstone reservoirs in EOR projects. To alleviate the matching problems between the layer permeability and the injected polymer molecular weight, a molecular weight adjusting device with porous medium was designed on the basis of mechanical degradation principle. In terms of four variables （polymer concentration, pore diameter, length of shear component and flow rate ）, the theological behavior of hydrolyzed polyacrylamide （HPAM） solu- tion flowing through the device was investigated in detail. The change of these variables is able to control the shear rate of HPAM solutions through ceramic foam, and achieve the desired degree of shear degradation and the final theological parameters-viscosity loss, viscoelasticity and pressure drop. Therefore, a linear relationship between viscosity loss and shearing rate was established so as to obtain the targeted viscosity easily. Field tests in the Daqing Oil Field showed that the polymer molecular weight could drop 20% to 50%. In a word, the results could guide the industrial application of the novel device and the further study of polymer degradation flowing through the porous medium.
文摘Due to the well condition and the un-expected imbalance movement of the pumping unit in use, the energy consumes a lot. The existing balancing equipment cannot adjust and monitor the pumping units in real time. Therefore this paper introduces the new adaptive balancing equipment—fan-shaped adaptive balancing intelligent device, projects a design of such control system based on PLC, and determines the principle of the control system, the execution software and the design flow. Site commissioning effect on Daqing Oilfield shows this fan-shaped adaptive balancing intelligent device can effectively adjust and monitor the pumping unit in real time, the balance even adjusts from 0.787 to 0.901, and integrated energy saving rate is 14.2%. It is approved that this control device is professionally designed, with strong compatibility, and high reliability.
