Shale gas is an important component of unconventional oil and gas resources.Studying the imbibition behavior is helpful to optimize flowback parameters and enhance gas recovery.Recent imbibition studies have focused o...Shale gas is an important component of unconventional oil and gas resources.Studying the imbibition behavior is helpful to optimize flowback parameters and enhance gas recovery.Recent imbibition studies have focused on shale matrix,and the pressure conditions discussed were mostly atmospheric.The initial imbibition behavior begins from propped fractures to matrix,but there are few studies working on explaining the imbibition behavior in propped fractures or the phenomenon of many shale wells exhibit higher productivity after a“soaking”period.Therefore,propped fracture samples were designed for imbibition and migration experiments.In order to accurately study the mechanism and main influencing factors of fracturing fluid imbibition and migration in propped and unpropped shale fractures under high temperature and high pressure,a series of experiments based on nuclear magnetic resonance(NMR)were carried out.Results showed that NMR T2 spectra of all samples exhibited a bimodal distribution.The final imbibition volume of fracturing fluid was positively related to pressure and fracture width.The imbibition effect of fracturing fluid was more evident in matrix pores under high pressure.In the migration during soaking stage,the fracturing fluid gradually migrated from large pores to small pores and gradually displaced the shale gas from the matrix,thus allowing the water blocking in propped fractures to self-unlock to some extent.Gas permeability decreased in the imbibition stage,while it recovered in the migration stage to some extent.展开更多
Since the advent of transcatheter aortic valve replacement(TAVR)in 2002,it has now become the default interventional strategy for symptomatic patients presenting with severe aortic stenosis,particularly in intermediat...Since the advent of transcatheter aortic valve replacement(TAVR)in 2002,it has now become the default interventional strategy for symptomatic patients presenting with severe aortic stenosis,particularly in intermediate to highsurgical risk patients.In 2019,the United States Food and Drug Administration approved TAVR in low-risk patients based on two randomized trials.However,these breakthrough trials excluded patients with certain unfavorable anatomies and odd profiles.While currently there is no randomized study of TAVR in young patients,it may be preferred by the young population given the benefits of early discharge,shorter hospital stay,and expedite recovery.Nonetheless,it is important to ruminate various factors including lifetime expectancy,risk of pacemaker implantation,and the need for future valve or coronary interventions in young cohorts before considering TAVR in these patients.Furthermore,the data on long-term durability(>10 years)of TAVR is still unknown given most of the procedures were initially performed in the high or prohibitive surgical risk population.Thus,this editorial aims to highlight the importance of considering an individualized approach in young patients with consideration of various factors including lifetime expectancy while choosing TAVR against surgical aortic valve replacement.展开更多
Slickwater fracturing fluids have gained widespread application in the development of tight oil reservoirs. After the fracturing process, the active components present in slickwater can directly induce spontaneous imb...Slickwater fracturing fluids have gained widespread application in the development of tight oil reservoirs. After the fracturing process, the active components present in slickwater can directly induce spontaneous imbibition within the reservoir. Several variables influence the eventual recovery rate within this procedure, including slickwater composition, formation temperature, degree of reservoir fracture development, and the reservoir characteristics. Nonetheless, the underlying mechanisms governing these influences remain relatively understudied. In this investigation, using the Chang-7 block of the Changqing Oilfield as the study site, we employ EM-30 slickwater fracturing fluid to explore the effects of the drag-reducing agent concentration, imbibition temperature, core permeability, and core fracture development on spontaneous imbibition. An elevated drag-reducing agent concentration is observed to diminish the degree of medium and small pore utilization. Furthermore, higher temperatures and an augmented permeability enhance the fluid flow properties, thereby contributing to an increased utilization rate across all pore sizes. Reduced fracture development results in a lower fluid utilization across diverse pore types. This study deepens our understanding of the pivotal factors affecting spontaneous imbibition in tight reservoirs following fracturing. The findings act as theoretical, technical, and scientific foundations for optimizing fracturing strategies in tight oil reservoir transformations.展开更多
A seepage-geomechanical coupled embedded fracture flow model has been established for multi-field coupled simulation in tight oil reservoirs,revealing the patterns of change in pressure field,seepage field,and stress ...A seepage-geomechanical coupled embedded fracture flow model has been established for multi-field coupled simulation in tight oil reservoirs,revealing the patterns of change in pressure field,seepage field,and stress field after long-term water injection in tight oil reservoirs.Based on this,a technique for enhanced oil recovery(EOR)combining multi-field reconstruction and combination of displacement and imbibition in tight oil reservoirs has been proposed.The study shows that after long-term water flooding for tight oil development,the pressure diffusion range is limited,making it difficult to establish an effective displacement system.The variation in geostress exhibits diversity,with the change in horizontal minimum principal stress being greater than that in horizontal maximum principal stress,and the variation around the injection wells being more significant than that around the production wells.The deflection of geostress direction around injection wells is also large.The technology for EOR through multi-field reconstruction and combination of displacement and imbibition employs water injection wells converted to production and large-scale fracturing techniques to restructure the artificial fracture network system.Through a full lifecycle energy replenishment method of pre-fracturing energy supplementation,energy increase during fracturing,well soaking for energy storage,and combination of displacement and imbibition,it effectively addresses the issue of easy channeling of the injection medium and difficult energy replenishment after large-scale fracturing.By intensifying the imbibition effect through the coordination of multiple wells,it reconstructs the combined system of displacement and imbibition under a complex fracture network,transitioning from avoiding fractures to utilizing them,thereby improving microscopic sweep and oil displacement efficiencies.Field application in Block Yuan 284 of the Huaqing Oilfield in the Ordos Basin has demonstrated that this technology increases the recovery factor by 12 percentage points,enabling large scale and efficient development of tight oil.展开更多
Mutations in mitochondrial DNA(mtDNA)are maternally inherited and have the potential to cause severe disorders.Mitochondrial replacement therapies,including spindle,polar body,and pronuclear transfers,are promising st...Mutations in mitochondrial DNA(mtDNA)are maternally inherited and have the potential to cause severe disorders.Mitochondrial replacement therapies,including spindle,polar body,and pronuclear transfers,are promising strategies for preventing the hereditary transmission of mtDNA diseases.While pronuclear transfer has been used to generate mitochondrial replacement mouse models and human embryos,its application in non-human primates has not been previously reported.In this study,we successfully generated four healthy cynomolgus monkeys(Macaca fascicularis)via female pronuclear transfer.These individuals all survived for more than two years and exhibited minimal mtDNA carryover(3.8%–6.7%),as well as relatively stable mtDNA heteroplasmy dynamics during development.The successful establishment of this nonhuman primate model highlights the considerable potential of pronuclear transfer in reducing the risk of inherited mtDNA diseases and provides a valuable preclinical research model for advancing mitochondrial replacement therapies in humans.展开更多
Transcatheter aortic valve replacement(TAVR)has emerged as a formidable treatment option for severe symptomatic aortic stenosis ahead of surgical aortic valve replacement.The encouraging results from large randomized ...Transcatheter aortic valve replacement(TAVR)has emerged as a formidable treatment option for severe symptomatic aortic stenosis ahead of surgical aortic valve replacement.The encouraging results from large randomized controlled trials has resulted in an exponential rise in the use of TAVR even in the low-risk patients.However,this is not without challenges.Need for permanent pacemaker(PPM)post-TAVR remains the most frequent and clinically relevant challenge.Naturally,identifying risk factors which predispose an individual to develop high grade conduction block post-TAVR is important.Various demographic factors,electrocardiographic features,anatomic factors and procedural characteristics have all been linked to the development of advanced conduction block and need for PPM following TAVR.Amongst these electrophysiological variables,most notably a prolonged QRS>120 ms regardless of the type of conduction block seems to be one of the strongest predictors on logistic regression models.The index study by Nwaedozie et al highlights that patients requiring PPM post-TAVR had higher odds of having a baseline QRS>120 ms and were more likely to be having diabetes mellitus that those who did not require PPM.展开更多
In this editorial,we comprehensively summarized the preoperative risk factors of early permanent pacemaker implantation after transcatheter aortic valve replacement(TAVR)among patients with severe aortic stenosis from...In this editorial,we comprehensively summarized the preoperative risk factors of early permanent pacemaker implantation after transcatheter aortic valve replacement(TAVR)among patients with severe aortic stenosis from several renowned clinical studies and focused on the primary prevention of managing the modifiable factors,e.g.,paroxysmal atrial fibrillation before the TAVR.展开更多
Pacemaker post-transcatheter aortic valve replacement is related to multifactorial risk.Nwaedozie et al brought to the body of evidence electrocardiogram and clinical findings.However,procedural characteristics have a...Pacemaker post-transcatheter aortic valve replacement is related to multifactorial risk.Nwaedozie et al brought to the body of evidence electrocardiogram and clinical findings.However,procedural characteristics have at least as much impact on the final need for a permanent pacemaker and potentially on the pacing rate.In this regard,long-term follow-up and understanding of the impact of long-term stimulation is of utmost importance.展开更多
BACKGROUND Osteonecrosis or avascular necrosis(AVN)of the hip was one of the dreaded complications of coronavirus disease 2019(COVID-19),which emerged in patients who received steroid therapy.Corticosteroids have been...BACKGROUND Osteonecrosis or avascular necrosis(AVN)of the hip was one of the dreaded complications of coronavirus disease 2019(COVID-19),which emerged in patients who received steroid therapy.Corticosteroids have been a mainstay in the treatment protocol of COVID-19 patients.Popular corticosteroid drugs used in patients suffering from COVID-19 were intravenous(IV)or oral dexamethasone,methylprednisolone or hydrocortisone.The use of such high doses of corticost-eroids has shown very positive results and has been lifesaving in many cases.Still,long-term consequences were drug-induced diabetes,osteoporosis,Cushing syndrome,muscle wasting,peripheral fat mobilization,AVN,hirsutism,sleep disturbances and poor wound healing.A significant number of young patients were admitted for bilateral total hip replacements(THR)secondary to AVN following steroid use for COVID-19 treatment.AIM To assess the efficacy of bilateral pericapsular end nerve group(PENG)blocks in patients posted for bilateral THR post-steroid therapy after COVID-19 infection and assess the time taken to first ambulate after surgery.METHODS This prospective observational study was conducted between January 2023 and August 2023 at Care Hospitals,Hyderabad,India.Twenty young patients 30-35 years of age who underwent bilateral THR were studied after due consent over 8 months.All the patients received spinal anaesthesia for surgery and bilateral PENG blocks for postoperative analgesia.RESULTS The duration of surgery was 2.5 h on average.Seventeen out of twenty patients(85%)had a Visual Analog Score(VAS)of less than 2 and did not require any supplementation.One patient was removed from the study,as he required re-exploration.The remaining two patients had a VAS of more than 8 and received IV morphine post-operatively as a rescue analgesic drug.Fifteen out of seventeen patients(88.2%)could be mobilized 12 h after the procedure.CONCLUSION Osteonecrosis or AVN of the hip was one of the dreaded complications of COVID-19,which surfaced in patients who received steroid therapy requiring surgical intervention.Bilateral PENG block is an effective technique to provide post-operative analgesia resulting in early mobilization and enhanced recovery after surgery.展开更多
Since the production regime of shut-in after fracturing is generally adopted for wells in shale oil reservoir,a shut-in pressure drop model coupling wellbore-fracture network-reservoir oil-water two-phase flow has bee...Since the production regime of shut-in after fracturing is generally adopted for wells in shale oil reservoir,a shut-in pressure drop model coupling wellbore-fracture network-reservoir oil-water two-phase flow has been proposed.The model takes into account the effects of wellbore afterflow,fracture network channeling,and matrix imbibition and oil exchange after stop of pumping.The simulated log-log curve of pressure-drop derivative by the model presents W-shape,reflecting the oil-water displacement law between wellbore,fracture network and matrix,and is divided into eight main control flow stages according to the soaking time.In the initial stage of pressure drop,the afterflow dominates;in the early stage,the pressure drop is controlled by the cross-flow and leakoff of the fracture system,and the fractures close gradually;in the middle stage of pressure drop,matrix imbibition and oil exchange take dominance,and the fracturing fluid loss basically balances with oil replaced from matrix;the late stage of pressure drop is the reservoir boundary control stage,and the leakoff rate of fracturing-fluid and oil exchange rate decrease synchronously till zero.Finally,the fracture network parameters such as half-length of main fracture,main fracture conductivity and secondary fracture density were inversed by fitting the pressure drop data of five wells in Jimsar shale oil reservoir,and the water imbibition volume of matrix and the oil replacement volume in fracture were calculated by this model.The study results provide a theoretical basis for comprehensively evaluating the fracturing effect of shale oil hori-zontal wells and understanding the oil-water exchange law of shale reservoir after fracturing.展开更多
Continuous renal replacement therapy(CRRT)is widely used for treating critically-ill patients in the emergency department in China.Anticoagulant therapy is needed to prevent clotting in the extracorporeal circulation ...Continuous renal replacement therapy(CRRT)is widely used for treating critically-ill patients in the emergency department in China.Anticoagulant therapy is needed to prevent clotting in the extracorporeal circulation during CRRT.Regional citrate anticoagulation(RCA)has been shown to potentially be safer and more effective,and is now recommended as the preferred anticoagulant method for CRRT.However,there is still a lack of unified standards for RCA management in the world,and there are many problems in using this method in clinical practice.The Emergency Medical Doctor Branch of the Chinese Medical Doctor Association(CMDA)organized a panel of domestic emergency medicine experts and international experts of CRRT to discuss RCA-related issues,including the advantages and disadvantages of RCA in CRRT anticoagulation,the principle of RCA,parameter settings for RCA,monitoring of RCA(mainly metabolic acid-base disorders),and special issues during RCA.Based on the latest available research evidence as well as the paneled experts'clinical experience,considering the generalizability,suitability,and potential resource utilization,while also balancing clinical advantages and disadvantages,a total of 16 guideline recommendations were formed from the experts'consensus.展开更多
Parkinson's disease(PD), characterized by the loss of dopaminergic(DA) neurons in the substantia nigra pars compacta(SNpc) of the midbrain, is a prototype neurological disease that is suitable for cellular replace...Parkinson's disease(PD), characterized by the loss of dopaminergic(DA) neurons in the substantia nigra pars compacta(SNpc) of the midbrain, is a prototype neurological disease that is suitable for cellular replacement therapy. Levodopa has been utilized to replace the insufficient dopamine released by degenerating DA neurons since the 1960s and it remains the cornerstone of PD treatment. However, as the disease progresses.展开更多
BACKGROUND Conduction and rhythm abnormalities requiring permanent pacemakers(PPM)are short-term complications following transcatheter aortic valve replacement(TAVR),and their clinical outcomes remain conflicting.Pote...BACKGROUND Conduction and rhythm abnormalities requiring permanent pacemakers(PPM)are short-term complications following transcatheter aortic valve replacement(TAVR),and their clinical outcomes remain conflicting.Potential novel predictors of post-TAVR PPM,like QRS duration,QTc prolongation,and supraventricular arrhythmias,have been poorly studied.AIM To evaluate the effects of baseline nonspecific interventricular conduction delay and supraventricular arrhythmia on post-TAVR PPM requirement and determine the impact of PPM implantation on clinical outcomes.METHODS RESULTS Out of the 357 patients that met inclusion criteria,the mean age was 80 years,188(52.7%)were male,and 57(16%)had a PPM implantation.Baseline demographics,valve type,and cardiovascular risk factors were similar except for type II diabetes mellitus(DM),which was more prevalent in the PPM cohort(59.6%vs 40.7%;P=0.009).The PPM cohort had a significantly higher rate of pre-procedure right bundle branch block,prolonged QRS>120 ms,prolonged QTc>470 ms,and supraventricular arrhythmias.There was a consistently significant increase in the odds ratio(OR)of PPM implantation for every 20 ms increase in the QRS duration above 100 ms:QRS 101-120[OR:2.44;confidence intervals(CI):1.14-5.25;P=0.022],QRS 121-140(OR:3.25;CI:1.32-7.98;P=0.010),QRS 141-160(OR:6.98;CI:3.10-15.61;P<0.001).After model adjustment for baseline risk factors,the OR remained significant for type II DM(aOR:2.16;CI:1.18-3.94;P=0.012),QRS>120(aOR:2.18;CI:1.02-4.66;P=0.045)and marginally significant for supraventricular arrhythmias(aOR:1.82;CI:0.97-3.42;P=0.062).The PPM cohort had a higher adjusted OR of heart failure(HF)hospitalization(aOR:2.2;CI:1.1-4.3;P=0.022)and nonfatal myocardial infarction(MI)(aOR:3.9;CI:1.1-14;P=0.031)without any difference in mortality(aOR:1.1;CI:0.5-2.7;P=0.796)at one year.CONCLUSION Pre-TAVR type II DM and QRS duration>120,regardless of the presence of bundle branch blocks,are predictors of post-TAVR PPM.At 1-year post-TAVR,patients with PPM have higher odds of HF hospitalization and MI.展开更多
Countercurrent imbibition is an important mechanism for tight oil recovery,that is,water imbibes spontaneously from the fracture into the porous matrix while oil flows reversely into the fracture.Its significance over...Countercurrent imbibition is an important mechanism for tight oil recovery,that is,water imbibes spontaneously from the fracture into the porous matrix while oil flows reversely into the fracture.Its significance over cocurrent imbibition and forced imbibition is highlighted when permeability reduces.We used the computed tomography(CT)scanning to measure the one-dimensional evolution of water saturation profile and countercurrent imbibition distance(CID)at different fluid pressures,initial water saturations,and permeability.Surprisingly,experiments show that CID evolution for tight reservoir cores dramatically deviates from the classical diffusive rule(i.e.,evolutes proportional to square root of time,t^(0.5)).At early stage,CID extends faster than t^(0.5)(super-diffusive);while at late stage,CID extends much slower than t^(0.5)(sub-diffusive).After tens of hours,the CID change becomes too slow to be practically efficient for tight oil recovery.This research demonstrates that this deviation from classic theory is a result of(1)a much longer characteristic capillary length than effective invasion depth,which eliminates full development of a classical displacement front;and(2)non-zero flow at low water saturation,which was always neglected for conventional reservoir and is amplified in sub-mili-Darcy rocks.To well depict the details of the imbibition front in this situation,we introduce non-zero wetting phase fluidity at low saturation into classical countercurrent imbibition model and conduct numerical simulations,which successfully rationalizes the non-diffusive behavior and fits experimental data.Our data and theory imply an optimum soaking time in tight oil recovery by countercurrent imbibition,beyond which increasing exposed fracture surface area becomes a more efficient enhanced oil recovery(EOR)strategy than soaking for longer time.展开更多
Spontaneous imbibition is an important phenomenon in tight reservoirs.The existence of a large number of fractures and micro-nano pores is the key factor affecting the spontaneous imbibition of tight reservoirs.In thi...Spontaneous imbibition is an important phenomenon in tight reservoirs.The existence of a large number of fractures and micro-nano pores is the key factor affecting the spontaneous imbibition of tight reservoirs.In this study,based on high-pressure mercury injection and nuclear magnetic resonance experiments,the pore distribution of tight sandstone is described.The influence of fractures,core porosity and permeability,and surfactants on the spontaneous imbibition of tight sandstone are studied by physical fracturing,interfacial tension test,wettability test and imbibition experiments.The results show that:the pore radius of tight sandstone is concentrated in 0.01-1 mm.Fractures can effectively reduce the oil drop adsorption on the core surface,enhancing the imbibition recovery of the tight sandstone with an increase of about 10%.As the number of fractures increases,the number of oil droplets adsorbed on the core surface decrease and the imbibition rate increases.The imbibition recovery increases with the increase in pore connectivity,while the imbibition rate increases with the increases in core porosity and permeability.The surfactant can improve the core water wettability and reduce the oilwater interfacial tension,reducing the adsorption of oil droplets on the core surface,and improving the core imbibition recovery with an increase of about 15%.In a word,the existence of fractures and surfactants can enhance the pore connectivity of the reservoir,reduce the adsorption of oil droplets on the core surface,and improve the imbibition rate and recovery rate of the tight oil reservoir.展开更多
Nanomaterials and low-salinity water(LSW)are two popular enhanced oil recovery(EOR)methods that have been widely studied in recent years.The former is used for in-depth conformance improvement and the latter for micro...Nanomaterials and low-salinity water(LSW)are two popular enhanced oil recovery(EOR)methods that have been widely studied in recent years.The former is used for in-depth conformance improvement and the latter for microscopic oil displacement(by altering the potential and contact angle).However,there are few literature on combining them to achieve synergistic effects,especially for tight sandstone res-ervoirs.Based on the reservoir conditions of the Jimusar Oilfield,this study investigated the oil recovery mechanism of the combined imbibition system,which was composed of black nanosheet(BN)and LSW.Its performances including decreasing interfacial tension,emulsification,and wettability alterations were evaluated.The imbibition differences between the single system of BN and LSW and the combined BN-LsW imbibition system were then compared.Results showed that the combined imbibition system had a better emulsification effect on the crude oil and could also alter the wettability of the core surface.Moreover,the combined system could increase both the imbibition rate and the ultimate oil recovery.The nuclear magnetic T2 spectrum also indicated that the addition of black nanosheets could divert more fluid into small pores and thus improve the microscopic sweep efficiency.展开更多
The shale oil reservoir is characterized by tight lithology and ultra-low permeability,and its efficient exploitation requires the technology of multi-stage and multi-cluster hydraulic fracturing in horizontal wells a...The shale oil reservoir is characterized by tight lithology and ultra-low permeability,and its efficient exploitation requires the technology of multi-stage and multi-cluster hydraulic fracturing in horizontal wells and shut-in imbibition.After multi-stage and multi-cluster hydraulic fracturing,a complex fracture network is formed,and a large volume of frac fluid is stored within the fracture network.During shut-in,imbibition and exchange between oil and water occurs under the action of the capillary force and osmotic pressure,and the formation pressure builds up in the shale reservoir.On basis of the characteristics of shale oil reservoir,we establish a model of imbibition during fracturing injection and shut-in by coupling oilewater two-phase flow and saline ion diffusion in the hydraulic fractures(HFs)network,natural fractures(NFs)and matrix system under the action of capillary force and osmotic pressure.The DFN method and the multiple continuum method are introduced to characterize fluid flow between the HF and the NF and that between the NF and the matrix respectively,which avoids the problem of a large amount of computation of seepage within the complex fracture.Then,the discrete fracture network(DFN)model and the multiple continuum model are solved with the finite element method,and it is verified in flow field,saturation field and concentration field that the models are accurate and reliable.We propose the imbibition exchange volume for quantitative evaluation of the imbibition degree and a method of calculating the imbibition exchange volume.Simulation of oil and water flow in the fracturing and shut-in stages is performed based on these models.It is found that imbibition in the shale reservoir is driven by mechanisms of pressure difference,capillary force and osmotic pressure.The osmotic pressure and capillary force only cause an increase in the imbibition rate and a reduction in the imbibition equilibrium time and do not lead to variation in the peak of imbibition exchange volume.The imbibition equilibrium time under the action of the capillary force and osmotic pressure is reduced from 150 to 45 d compared with that under the action of the pressure difference.If imbibition equilibrium is reached,low initial water saturation,strong rock compressibility,high formation water salinity and high matrix permeability enhance imbibition and exchange of oil and water in the reservoir.The leakoff volume of frac fluid is generally larger than the imbibition exchanged volume.Leakoff equilibrium occurs slightly earlier than imbibition equilibrium.The imbibition equilibrium time is mainly affected by reservoir permeability and NF density.The number of interconnected fractures mainly affects the frac fluid volume within the hydraulic fracture in the fracturing process.The stimulated reservoir volume(SRV)mainly affects frac fluid imbibition exchange in the shut-in process.展开更多
Shale oil can be extracted from shale by using interconnected pore networks.The migration of hydrocarbon molecules within the shale is controlled by pore connectivity.However,assessing the pore connectivity of shale o...Shale oil can be extracted from shale by using interconnected pore networks.The migration of hydrocarbon molecules within the shale is controlled by pore connectivity.However,assessing the pore connectivity of shale oil reservoirs is uncommon.To characterize pore connectivity and clarify its controlling factors,this study used spontaneous imbibition(SI)combined with nuclear magnetic resonance(NMR)T_(2)and T_(1)-T_(2)technologies on shale oil reservoirs selected from the Shahejie Formation in the Dongying Sag,Bohai Bay Basin.According to the findings,the SI processes of shales include fast-rising,slow-rising,and stable stages.The fast-rising stage denotes pore connectivity.The shales studied have poor connectivity,with lower imbibition slopes and connected porosity ratios,but large effective tortuosity.During the SI process,micropores have the highest imbibition saturation,followed by mesopores and macropores.Furthermore,n-dodecane ingested into micropores appears primarily as adsorbed,whereas n-dodecane appears primarily as free states in mesopores and macropores during the SI process.The pore connectivity of the shales under study is primarily controlled by inorganic minerals.Quartz and feldspar develop large and regular pores,resulting in better pore connectivity,whereas clay minerals and calcite with plenty of complex intragranular pores do not.Organic matter negatively influences pore connectivity because the dissolution of calcite by organic acid produced during hydrocarbon generation leads to a more complex and heterogeneous pore structure.This study sheds light on the pore connectivity and controlling factors of the shale oil reservoir and aids in the understanding of shale oil mobility.展开更多
BACKGROUND Hemophilia A is a rare inherited bleeding disorder caused by mutations in the factor Ⅷ gene. This clotting factor plays an intrinsic role in the blood coagulation pathway. Patients with hemophilia may deve...BACKGROUND Hemophilia A is a rare inherited bleeding disorder caused by mutations in the factor Ⅷ gene. This clotting factor plays an intrinsic role in the blood coagulation pathway. Patients with hemophilia may develop orthopedic manifestations such as hemarthrosis, but multiple malunion of fractures over the knee is rare and difficult to treat.CASE SUMMARY We report a patient with hemophilia A who developed severe knee osteoarthritis along with fracture malunion and nonunion. Total knee replacement was performed using a custom-made modular hinged knee prosthesis(cemented) equipped with extended distal and proximal stems. At 3 years’ follow-up, the patient exhibited excellent clinical function and remained satisfied with the surgical outcome. Surgical intervention was accompanied by rigorous coagulation factor replacement.CONCLUSION This case highlights various unique scenarios specific to individuals with hemophilia and fracture deformity.展开更多
Slickwater-based fracturing fluid has recently garnered significant attention as the major fluid for volumetric fracturing;however,lots of challenges and limitations such as low viscosity,poor salt tolerance,and possi...Slickwater-based fracturing fluid has recently garnered significant attention as the major fluid for volumetric fracturing;however,lots of challenges and limitations such as low viscosity,poor salt tolerance,and possible formation damage hinder the application of the conventional simple slickwater-based fracturing fluid.In addition,nanomaterials have proven to be potential solutions or improvements to a number of challenges associated with the slickwater.In this paper,molybdenum disulfide(MoS_(2))nanosheets were chemically synthesized by hydrothermal method and applied to improve the performance of conventional slickwater-based fracturing fluid.Firstly,the microstructure characteristics and crystal type of the MoS_(2)nanosheets were analyzed by SEM,EDS,TEM,XPS,and Raman spectroscopy techniques.Then,a series of evaluation experiments were carried out to compare the performance of MoS_(2)nanosheet-modified slickwater with the conventional slickwater,including rheology,drag reduction,and sand suspension.Finally,the enhanced imbibition capacity and potential mechanism of the nanosheet-modified slickwater were systematically investigated.The results showed that the self-synthesized MoS_(2)nanosheets displayed a distinct ultrathin flake-like morphology and a lateral size in the range of tens of nanometers.In the nano-composites,each MoS_(2)nanosheet plays the role of cross-linking point,so as to make the spatial structure of the entire system more compact.Moreover,nanosheet-modified slickwater demonstrates more excellent properties in rheology,drag reduction,and sand suspension.The nanosheet-modified slickwater has a higher apparent viscosity after shearing 120 min under 90℃ and 170 s^(−1).The maximum drag reduction rate achieved 76.3%at 20℃,and the sand settling time of proppants with different mesh in the nano-composites was prolonged.Spontaneous imbibition experiments showed that the gel-breaking fluid of nanosheet-modified slickwater exhibited excellent capability of oil-detaching,and increase the oil recovery to∼35.43%.By observing and analyzing the interfacial behavior of MoS_(2)nanosheets under stimulated reservoir conditions,it was found that the presence of an interfacial tension gradient and the formation of a climbing film may play an essential role in the spontaneous imbibition mechanism.This work innovatively uses two-dimensional MoS_(2)nanosheets to modify regular slickwater and confirms the feasibility of flake-like nanomaterials to improve the performance of slickwater.The study also reveals the underlying mechanism of enhanced imbibition efficiency of the nano-composites.展开更多
基金The authors gratefully acknowledge the support of the National Natural Science Foundation of China(Grant Nos.52174036,51774243,51904257,51874251)the Sichuan Province Science and Technology Program(Grant Nos.2021YJ0345,2022JDJQ0009,2022NSFSC0186).
文摘Shale gas is an important component of unconventional oil and gas resources.Studying the imbibition behavior is helpful to optimize flowback parameters and enhance gas recovery.Recent imbibition studies have focused on shale matrix,and the pressure conditions discussed were mostly atmospheric.The initial imbibition behavior begins from propped fractures to matrix,but there are few studies working on explaining the imbibition behavior in propped fractures or the phenomenon of many shale wells exhibit higher productivity after a“soaking”period.Therefore,propped fracture samples were designed for imbibition and migration experiments.In order to accurately study the mechanism and main influencing factors of fracturing fluid imbibition and migration in propped and unpropped shale fractures under high temperature and high pressure,a series of experiments based on nuclear magnetic resonance(NMR)were carried out.Results showed that NMR T2 spectra of all samples exhibited a bimodal distribution.The final imbibition volume of fracturing fluid was positively related to pressure and fracture width.The imbibition effect of fracturing fluid was more evident in matrix pores under high pressure.In the migration during soaking stage,the fracturing fluid gradually migrated from large pores to small pores and gradually displaced the shale gas from the matrix,thus allowing the water blocking in propped fractures to self-unlock to some extent.Gas permeability decreased in the imbibition stage,while it recovered in the migration stage to some extent.
文摘Since the advent of transcatheter aortic valve replacement(TAVR)in 2002,it has now become the default interventional strategy for symptomatic patients presenting with severe aortic stenosis,particularly in intermediate to highsurgical risk patients.In 2019,the United States Food and Drug Administration approved TAVR in low-risk patients based on two randomized trials.However,these breakthrough trials excluded patients with certain unfavorable anatomies and odd profiles.While currently there is no randomized study of TAVR in young patients,it may be preferred by the young population given the benefits of early discharge,shorter hospital stay,and expedite recovery.Nonetheless,it is important to ruminate various factors including lifetime expectancy,risk of pacemaker implantation,and the need for future valve or coronary interventions in young cohorts before considering TAVR in these patients.Furthermore,the data on long-term durability(>10 years)of TAVR is still unknown given most of the procedures were initially performed in the high or prohibitive surgical risk population.Thus,this editorial aims to highlight the importance of considering an individualized approach in young patients with consideration of various factors including lifetime expectancy while choosing TAVR against surgical aortic valve replacement.
基金The authors sincerely appreciate the financial support from the National Natural Science Foundation of China(No.52074279,51874261).
文摘Slickwater fracturing fluids have gained widespread application in the development of tight oil reservoirs. After the fracturing process, the active components present in slickwater can directly induce spontaneous imbibition within the reservoir. Several variables influence the eventual recovery rate within this procedure, including slickwater composition, formation temperature, degree of reservoir fracture development, and the reservoir characteristics. Nonetheless, the underlying mechanisms governing these influences remain relatively understudied. In this investigation, using the Chang-7 block of the Changqing Oilfield as the study site, we employ EM-30 slickwater fracturing fluid to explore the effects of the drag-reducing agent concentration, imbibition temperature, core permeability, and core fracture development on spontaneous imbibition. An elevated drag-reducing agent concentration is observed to diminish the degree of medium and small pore utilization. Furthermore, higher temperatures and an augmented permeability enhance the fluid flow properties, thereby contributing to an increased utilization rate across all pore sizes. Reduced fracture development results in a lower fluid utilization across diverse pore types. This study deepens our understanding of the pivotal factors affecting spontaneous imbibition in tight reservoirs following fracturing. The findings act as theoretical, technical, and scientific foundations for optimizing fracturing strategies in tight oil reservoir transformations.
基金Supported by the Joint Fund Project of the National Natural Science Foundation of China(U22B2075).
文摘A seepage-geomechanical coupled embedded fracture flow model has been established for multi-field coupled simulation in tight oil reservoirs,revealing the patterns of change in pressure field,seepage field,and stress field after long-term water injection in tight oil reservoirs.Based on this,a technique for enhanced oil recovery(EOR)combining multi-field reconstruction and combination of displacement and imbibition in tight oil reservoirs has been proposed.The study shows that after long-term water flooding for tight oil development,the pressure diffusion range is limited,making it difficult to establish an effective displacement system.The variation in geostress exhibits diversity,with the change in horizontal minimum principal stress being greater than that in horizontal maximum principal stress,and the variation around the injection wells being more significant than that around the production wells.The deflection of geostress direction around injection wells is also large.The technology for EOR through multi-field reconstruction and combination of displacement and imbibition employs water injection wells converted to production and large-scale fracturing techniques to restructure the artificial fracture network system.Through a full lifecycle energy replenishment method of pre-fracturing energy supplementation,energy increase during fracturing,well soaking for energy storage,and combination of displacement and imbibition,it effectively addresses the issue of easy channeling of the injection medium and difficult energy replenishment after large-scale fracturing.By intensifying the imbibition effect through the coordination of multiple wells,it reconstructs the combined system of displacement and imbibition under a complex fracture network,transitioning from avoiding fractures to utilizing them,thereby improving microscopic sweep and oil displacement efficiencies.Field application in Block Yuan 284 of the Huaqing Oilfield in the Ordos Basin has demonstrated that this technology increases the recovery factor by 12 percentage points,enabling large scale and efficient development of tight oil.
基金supported by the National Natural Science Foundation of China (82021001,31825018)National Key Research and Development Program of China (2022YFF0710901)+3 种基金Shanghai Municipal Science and Technology Major Project (2018SHZDZX05)Strategic Priority Research Program of the Chinese Academy of Sciences (XDB32060100)Biological Resources Program of Chinese Academy of Sciences (KFJ-BRP-005)National Science and Technology Innovation 2030 Major Program 2021ZD0200900。
文摘Mutations in mitochondrial DNA(mtDNA)are maternally inherited and have the potential to cause severe disorders.Mitochondrial replacement therapies,including spindle,polar body,and pronuclear transfers,are promising strategies for preventing the hereditary transmission of mtDNA diseases.While pronuclear transfer has been used to generate mitochondrial replacement mouse models and human embryos,its application in non-human primates has not been previously reported.In this study,we successfully generated four healthy cynomolgus monkeys(Macaca fascicularis)via female pronuclear transfer.These individuals all survived for more than two years and exhibited minimal mtDNA carryover(3.8%–6.7%),as well as relatively stable mtDNA heteroplasmy dynamics during development.The successful establishment of this nonhuman primate model highlights the considerable potential of pronuclear transfer in reducing the risk of inherited mtDNA diseases and provides a valuable preclinical research model for advancing mitochondrial replacement therapies in humans.
文摘Transcatheter aortic valve replacement(TAVR)has emerged as a formidable treatment option for severe symptomatic aortic stenosis ahead of surgical aortic valve replacement.The encouraging results from large randomized controlled trials has resulted in an exponential rise in the use of TAVR even in the low-risk patients.However,this is not without challenges.Need for permanent pacemaker(PPM)post-TAVR remains the most frequent and clinically relevant challenge.Naturally,identifying risk factors which predispose an individual to develop high grade conduction block post-TAVR is important.Various demographic factors,electrocardiographic features,anatomic factors and procedural characteristics have all been linked to the development of advanced conduction block and need for PPM following TAVR.Amongst these electrophysiological variables,most notably a prolonged QRS>120 ms regardless of the type of conduction block seems to be one of the strongest predictors on logistic regression models.The index study by Nwaedozie et al highlights that patients requiring PPM post-TAVR had higher odds of having a baseline QRS>120 ms and were more likely to be having diabetes mellitus that those who did not require PPM.
文摘In this editorial,we comprehensively summarized the preoperative risk factors of early permanent pacemaker implantation after transcatheter aortic valve replacement(TAVR)among patients with severe aortic stenosis from several renowned clinical studies and focused on the primary prevention of managing the modifiable factors,e.g.,paroxysmal atrial fibrillation before the TAVR.
文摘Pacemaker post-transcatheter aortic valve replacement is related to multifactorial risk.Nwaedozie et al brought to the body of evidence electrocardiogram and clinical findings.However,procedural characteristics have at least as much impact on the final need for a permanent pacemaker and potentially on the pacing rate.In this regard,long-term follow-up and understanding of the impact of long-term stimulation is of utmost importance.
文摘BACKGROUND Osteonecrosis or avascular necrosis(AVN)of the hip was one of the dreaded complications of coronavirus disease 2019(COVID-19),which emerged in patients who received steroid therapy.Corticosteroids have been a mainstay in the treatment protocol of COVID-19 patients.Popular corticosteroid drugs used in patients suffering from COVID-19 were intravenous(IV)or oral dexamethasone,methylprednisolone or hydrocortisone.The use of such high doses of corticost-eroids has shown very positive results and has been lifesaving in many cases.Still,long-term consequences were drug-induced diabetes,osteoporosis,Cushing syndrome,muscle wasting,peripheral fat mobilization,AVN,hirsutism,sleep disturbances and poor wound healing.A significant number of young patients were admitted for bilateral total hip replacements(THR)secondary to AVN following steroid use for COVID-19 treatment.AIM To assess the efficacy of bilateral pericapsular end nerve group(PENG)blocks in patients posted for bilateral THR post-steroid therapy after COVID-19 infection and assess the time taken to first ambulate after surgery.METHODS This prospective observational study was conducted between January 2023 and August 2023 at Care Hospitals,Hyderabad,India.Twenty young patients 30-35 years of age who underwent bilateral THR were studied after due consent over 8 months.All the patients received spinal anaesthesia for surgery and bilateral PENG blocks for postoperative analgesia.RESULTS The duration of surgery was 2.5 h on average.Seventeen out of twenty patients(85%)had a Visual Analog Score(VAS)of less than 2 and did not require any supplementation.One patient was removed from the study,as he required re-exploration.The remaining two patients had a VAS of more than 8 and received IV morphine post-operatively as a rescue analgesic drug.Fifteen out of seventeen patients(88.2%)could be mobilized 12 h after the procedure.CONCLUSION Osteonecrosis or AVN of the hip was one of the dreaded complications of COVID-19,which surfaced in patients who received steroid therapy requiring surgical intervention.Bilateral PENG block is an effective technique to provide post-operative analgesia resulting in early mobilization and enhanced recovery after surgery.
基金Supported by the National Natural Science Foundation of China(No.51974332)。
文摘Since the production regime of shut-in after fracturing is generally adopted for wells in shale oil reservoir,a shut-in pressure drop model coupling wellbore-fracture network-reservoir oil-water two-phase flow has been proposed.The model takes into account the effects of wellbore afterflow,fracture network channeling,and matrix imbibition and oil exchange after stop of pumping.The simulated log-log curve of pressure-drop derivative by the model presents W-shape,reflecting the oil-water displacement law between wellbore,fracture network and matrix,and is divided into eight main control flow stages according to the soaking time.In the initial stage of pressure drop,the afterflow dominates;in the early stage,the pressure drop is controlled by the cross-flow and leakoff of the fracture system,and the fractures close gradually;in the middle stage of pressure drop,matrix imbibition and oil exchange take dominance,and the fracturing fluid loss basically balances with oil replaced from matrix;the late stage of pressure drop is the reservoir boundary control stage,and the leakoff rate of fracturing-fluid and oil exchange rate decrease synchronously till zero.Finally,the fracture network parameters such as half-length of main fracture,main fracture conductivity and secondary fracture density were inversed by fitting the pressure drop data of five wells in Jimsar shale oil reservoir,and the water imbibition volume of matrix and the oil replacement volume in fracture were calculated by this model.The study results provide a theoretical basis for comprehensively evaluating the fracturing effect of shale oil hori-zontal wells and understanding the oil-water exchange law of shale reservoir after fracturing.
文摘Continuous renal replacement therapy(CRRT)is widely used for treating critically-ill patients in the emergency department in China.Anticoagulant therapy is needed to prevent clotting in the extracorporeal circulation during CRRT.Regional citrate anticoagulation(RCA)has been shown to potentially be safer and more effective,and is now recommended as the preferred anticoagulant method for CRRT.However,there is still a lack of unified standards for RCA management in the world,and there are many problems in using this method in clinical practice.The Emergency Medical Doctor Branch of the Chinese Medical Doctor Association(CMDA)organized a panel of domestic emergency medicine experts and international experts of CRRT to discuss RCA-related issues,including the advantages and disadvantages of RCA in CRRT anticoagulation,the principle of RCA,parameter settings for RCA,monitoring of RCA(mainly metabolic acid-base disorders),and special issues during RCA.Based on the latest available research evidence as well as the paneled experts'clinical experience,considering the generalizability,suitability,and potential resource utilization,while also balancing clinical advantages and disadvantages,a total of 16 guideline recommendations were formed from the experts'consensus.
基金the Singapore Ministry of Health's National Medical Research Council (Open Fund Large Collaborative Grant (MOH-000207)Singapore Translational Research (STaR) Investigator A word (NMRC/STaR/0030/2018) to EKT,CS-IRG-NIG,OF-YIRG and TA award to BX) for their support。
文摘Parkinson's disease(PD), characterized by the loss of dopaminergic(DA) neurons in the substantia nigra pars compacta(SNpc) of the midbrain, is a prototype neurological disease that is suitable for cellular replacement therapy. Levodopa has been utilized to replace the insufficient dopamine released by degenerating DA neurons since the 1960s and it remains the cornerstone of PD treatment. However, as the disease progresses.
文摘BACKGROUND Conduction and rhythm abnormalities requiring permanent pacemakers(PPM)are short-term complications following transcatheter aortic valve replacement(TAVR),and their clinical outcomes remain conflicting.Potential novel predictors of post-TAVR PPM,like QRS duration,QTc prolongation,and supraventricular arrhythmias,have been poorly studied.AIM To evaluate the effects of baseline nonspecific interventricular conduction delay and supraventricular arrhythmia on post-TAVR PPM requirement and determine the impact of PPM implantation on clinical outcomes.METHODS RESULTS Out of the 357 patients that met inclusion criteria,the mean age was 80 years,188(52.7%)were male,and 57(16%)had a PPM implantation.Baseline demographics,valve type,and cardiovascular risk factors were similar except for type II diabetes mellitus(DM),which was more prevalent in the PPM cohort(59.6%vs 40.7%;P=0.009).The PPM cohort had a significantly higher rate of pre-procedure right bundle branch block,prolonged QRS>120 ms,prolonged QTc>470 ms,and supraventricular arrhythmias.There was a consistently significant increase in the odds ratio(OR)of PPM implantation for every 20 ms increase in the QRS duration above 100 ms:QRS 101-120[OR:2.44;confidence intervals(CI):1.14-5.25;P=0.022],QRS 121-140(OR:3.25;CI:1.32-7.98;P=0.010),QRS 141-160(OR:6.98;CI:3.10-15.61;P<0.001).After model adjustment for baseline risk factors,the OR remained significant for type II DM(aOR:2.16;CI:1.18-3.94;P=0.012),QRS>120(aOR:2.18;CI:1.02-4.66;P=0.045)and marginally significant for supraventricular arrhythmias(aOR:1.82;CI:0.97-3.42;P=0.062).The PPM cohort had a higher adjusted OR of heart failure(HF)hospitalization(aOR:2.2;CI:1.1-4.3;P=0.022)and nonfatal myocardial infarction(MI)(aOR:3.9;CI:1.1-14;P=0.031)without any difference in mortality(aOR:1.1;CI:0.5-2.7;P=0.796)at one year.CONCLUSION Pre-TAVR type II DM and QRS duration>120,regardless of the presence of bundle branch blocks,are predictors of post-TAVR PPM.At 1-year post-TAVR,patients with PPM have higher odds of HF hospitalization and MI.
文摘Countercurrent imbibition is an important mechanism for tight oil recovery,that is,water imbibes spontaneously from the fracture into the porous matrix while oil flows reversely into the fracture.Its significance over cocurrent imbibition and forced imbibition is highlighted when permeability reduces.We used the computed tomography(CT)scanning to measure the one-dimensional evolution of water saturation profile and countercurrent imbibition distance(CID)at different fluid pressures,initial water saturations,and permeability.Surprisingly,experiments show that CID evolution for tight reservoir cores dramatically deviates from the classical diffusive rule(i.e.,evolutes proportional to square root of time,t^(0.5)).At early stage,CID extends faster than t^(0.5)(super-diffusive);while at late stage,CID extends much slower than t^(0.5)(sub-diffusive).After tens of hours,the CID change becomes too slow to be practically efficient for tight oil recovery.This research demonstrates that this deviation from classic theory is a result of(1)a much longer characteristic capillary length than effective invasion depth,which eliminates full development of a classical displacement front;and(2)non-zero flow at low water saturation,which was always neglected for conventional reservoir and is amplified in sub-mili-Darcy rocks.To well depict the details of the imbibition front in this situation,we introduce non-zero wetting phase fluidity at low saturation into classical countercurrent imbibition model and conduct numerical simulations,which successfully rationalizes the non-diffusive behavior and fits experimental data.Our data and theory imply an optimum soaking time in tight oil recovery by countercurrent imbibition,beyond which increasing exposed fracture surface area becomes a more efficient enhanced oil recovery(EOR)strategy than soaking for longer time.
基金This work was supported by the National Natural Science Foundation of China(No.51874320).
文摘Spontaneous imbibition is an important phenomenon in tight reservoirs.The existence of a large number of fractures and micro-nano pores is the key factor affecting the spontaneous imbibition of tight reservoirs.In this study,based on high-pressure mercury injection and nuclear magnetic resonance experiments,the pore distribution of tight sandstone is described.The influence of fractures,core porosity and permeability,and surfactants on the spontaneous imbibition of tight sandstone are studied by physical fracturing,interfacial tension test,wettability test and imbibition experiments.The results show that:the pore radius of tight sandstone is concentrated in 0.01-1 mm.Fractures can effectively reduce the oil drop adsorption on the core surface,enhancing the imbibition recovery of the tight sandstone with an increase of about 10%.As the number of fractures increases,the number of oil droplets adsorbed on the core surface decrease and the imbibition rate increases.The imbibition recovery increases with the increase in pore connectivity,while the imbibition rate increases with the increases in core porosity and permeability.The surfactant can improve the core water wettability and reduce the oilwater interfacial tension,reducing the adsorption of oil droplets on the core surface,and improving the core imbibition recovery with an increase of about 15%.In a word,the existence of fractures and surfactants can enhance the pore connectivity of the reservoir,reduce the adsorption of oil droplets on the core surface,and improve the imbibition rate and recovery rate of the tight oil reservoir.
基金funded by the Karamay Innovative Environment Construction Plan(Innovative Talents)Project(No.20212022hjcxrc0015)the Research Foundation of China University of Petroleum-Beijing at Karamay(No.XQZX20200010)+3 种基金the University Scientific Research Project of Xinjiang Uygur Autonomous Region(No.XJEDU2019Y067)the Natural Science Foundation of Xinjiang Uygur Autonomous Region(No.2019D01B57)the CNPC Strategic Cooperation Science and Technology Project(No.ZLZX2020-01-04-04)the Sichuan Province Regional Innovation Cooperation Project(No.2020YFQ0036).
文摘Nanomaterials and low-salinity water(LSW)are two popular enhanced oil recovery(EOR)methods that have been widely studied in recent years.The former is used for in-depth conformance improvement and the latter for microscopic oil displacement(by altering the potential and contact angle).However,there are few literature on combining them to achieve synergistic effects,especially for tight sandstone res-ervoirs.Based on the reservoir conditions of the Jimusar Oilfield,this study investigated the oil recovery mechanism of the combined imbibition system,which was composed of black nanosheet(BN)and LSW.Its performances including decreasing interfacial tension,emulsification,and wettability alterations were evaluated.The imbibition differences between the single system of BN and LSW and the combined BN-LsW imbibition system were then compared.Results showed that the combined imbibition system had a better emulsification effect on the crude oil and could also alter the wettability of the core surface.Moreover,the combined system could increase both the imbibition rate and the ultimate oil recovery.The nuclear magnetic T2 spectrum also indicated that the addition of black nanosheets could divert more fluid into small pores and thus improve the microscopic sweep efficiency.
基金the financial support of the National Key Research and Development Program of China(2020YFA0711804)the National Natural Science Foundation of China(Grant No.52074332)express their gratitude to project ZR2020YQ36 supported by Shandong Provincial Natural Science Foundation.
文摘The shale oil reservoir is characterized by tight lithology and ultra-low permeability,and its efficient exploitation requires the technology of multi-stage and multi-cluster hydraulic fracturing in horizontal wells and shut-in imbibition.After multi-stage and multi-cluster hydraulic fracturing,a complex fracture network is formed,and a large volume of frac fluid is stored within the fracture network.During shut-in,imbibition and exchange between oil and water occurs under the action of the capillary force and osmotic pressure,and the formation pressure builds up in the shale reservoir.On basis of the characteristics of shale oil reservoir,we establish a model of imbibition during fracturing injection and shut-in by coupling oilewater two-phase flow and saline ion diffusion in the hydraulic fractures(HFs)network,natural fractures(NFs)and matrix system under the action of capillary force and osmotic pressure.The DFN method and the multiple continuum method are introduced to characterize fluid flow between the HF and the NF and that between the NF and the matrix respectively,which avoids the problem of a large amount of computation of seepage within the complex fracture.Then,the discrete fracture network(DFN)model and the multiple continuum model are solved with the finite element method,and it is verified in flow field,saturation field and concentration field that the models are accurate and reliable.We propose the imbibition exchange volume for quantitative evaluation of the imbibition degree and a method of calculating the imbibition exchange volume.Simulation of oil and water flow in the fracturing and shut-in stages is performed based on these models.It is found that imbibition in the shale reservoir is driven by mechanisms of pressure difference,capillary force and osmotic pressure.The osmotic pressure and capillary force only cause an increase in the imbibition rate and a reduction in the imbibition equilibrium time and do not lead to variation in the peak of imbibition exchange volume.The imbibition equilibrium time under the action of the capillary force and osmotic pressure is reduced from 150 to 45 d compared with that under the action of the pressure difference.If imbibition equilibrium is reached,low initial water saturation,strong rock compressibility,high formation water salinity and high matrix permeability enhance imbibition and exchange of oil and water in the reservoir.The leakoff volume of frac fluid is generally larger than the imbibition exchanged volume.Leakoff equilibrium occurs slightly earlier than imbibition equilibrium.The imbibition equilibrium time is mainly affected by reservoir permeability and NF density.The number of interconnected fractures mainly affects the frac fluid volume within the hydraulic fracture in the fracturing process.The stimulated reservoir volume(SRV)mainly affects frac fluid imbibition exchange in the shut-in process.
基金This study was financially supported by the Natural Science Foundation of Shandong Province(ZR2020QD036,ZR2020QD037,and ZR2021QD072)the National Natural Science Foundation of China(41972123).
文摘Shale oil can be extracted from shale by using interconnected pore networks.The migration of hydrocarbon molecules within the shale is controlled by pore connectivity.However,assessing the pore connectivity of shale oil reservoirs is uncommon.To characterize pore connectivity and clarify its controlling factors,this study used spontaneous imbibition(SI)combined with nuclear magnetic resonance(NMR)T_(2)and T_(1)-T_(2)technologies on shale oil reservoirs selected from the Shahejie Formation in the Dongying Sag,Bohai Bay Basin.According to the findings,the SI processes of shales include fast-rising,slow-rising,and stable stages.The fast-rising stage denotes pore connectivity.The shales studied have poor connectivity,with lower imbibition slopes and connected porosity ratios,but large effective tortuosity.During the SI process,micropores have the highest imbibition saturation,followed by mesopores and macropores.Furthermore,n-dodecane ingested into micropores appears primarily as adsorbed,whereas n-dodecane appears primarily as free states in mesopores and macropores during the SI process.The pore connectivity of the shales under study is primarily controlled by inorganic minerals.Quartz and feldspar develop large and regular pores,resulting in better pore connectivity,whereas clay minerals and calcite with plenty of complex intragranular pores do not.Organic matter negatively influences pore connectivity because the dissolution of calcite by organic acid produced during hydrocarbon generation leads to a more complex and heterogeneous pore structure.This study sheds light on the pore connectivity and controlling factors of the shale oil reservoir and aids in the understanding of shale oil mobility.
文摘BACKGROUND Hemophilia A is a rare inherited bleeding disorder caused by mutations in the factor Ⅷ gene. This clotting factor plays an intrinsic role in the blood coagulation pathway. Patients with hemophilia may develop orthopedic manifestations such as hemarthrosis, but multiple malunion of fractures over the knee is rare and difficult to treat.CASE SUMMARY We report a patient with hemophilia A who developed severe knee osteoarthritis along with fracture malunion and nonunion. Total knee replacement was performed using a custom-made modular hinged knee prosthesis(cemented) equipped with extended distal and proximal stems. At 3 years’ follow-up, the patient exhibited excellent clinical function and remained satisfied with the surgical outcome. Surgical intervention was accompanied by rigorous coagulation factor replacement.CONCLUSION This case highlights various unique scenarios specific to individuals with hemophilia and fracture deformity.
基金This research was financially supported by the National Natural Science Foundation of China(Grant Nos.52004306 and 52174045)the Strategic Cooperation Technology Projects of CNPC and CUPB(Grant Nos.ZLZX2020-01 and ZLZX2020-02)the National Sciencea and Technology Major Projects of China(Grant Nos.2016ZX05030005and 2016ZX05051003).
文摘Slickwater-based fracturing fluid has recently garnered significant attention as the major fluid for volumetric fracturing;however,lots of challenges and limitations such as low viscosity,poor salt tolerance,and possible formation damage hinder the application of the conventional simple slickwater-based fracturing fluid.In addition,nanomaterials have proven to be potential solutions or improvements to a number of challenges associated with the slickwater.In this paper,molybdenum disulfide(MoS_(2))nanosheets were chemically synthesized by hydrothermal method and applied to improve the performance of conventional slickwater-based fracturing fluid.Firstly,the microstructure characteristics and crystal type of the MoS_(2)nanosheets were analyzed by SEM,EDS,TEM,XPS,and Raman spectroscopy techniques.Then,a series of evaluation experiments were carried out to compare the performance of MoS_(2)nanosheet-modified slickwater with the conventional slickwater,including rheology,drag reduction,and sand suspension.Finally,the enhanced imbibition capacity and potential mechanism of the nanosheet-modified slickwater were systematically investigated.The results showed that the self-synthesized MoS_(2)nanosheets displayed a distinct ultrathin flake-like morphology and a lateral size in the range of tens of nanometers.In the nano-composites,each MoS_(2)nanosheet plays the role of cross-linking point,so as to make the spatial structure of the entire system more compact.Moreover,nanosheet-modified slickwater demonstrates more excellent properties in rheology,drag reduction,and sand suspension.The nanosheet-modified slickwater has a higher apparent viscosity after shearing 120 min under 90℃ and 170 s^(−1).The maximum drag reduction rate achieved 76.3%at 20℃,and the sand settling time of proppants with different mesh in the nano-composites was prolonged.Spontaneous imbibition experiments showed that the gel-breaking fluid of nanosheet-modified slickwater exhibited excellent capability of oil-detaching,and increase the oil recovery to∼35.43%.By observing and analyzing the interfacial behavior of MoS_(2)nanosheets under stimulated reservoir conditions,it was found that the presence of an interfacial tension gradient and the formation of a climbing film may play an essential role in the spontaneous imbibition mechanism.This work innovatively uses two-dimensional MoS_(2)nanosheets to modify regular slickwater and confirms the feasibility of flake-like nanomaterials to improve the performance of slickwater.The study also reveals the underlying mechanism of enhanced imbibition efficiency of the nano-composites.
