ABSTRACT
Objective: Food insecurity impacts 1 out of 6 patients with celiac disease (CD) in the United States, and rates have increased during the COVID-19 pandemic. This is particularly concerning for vulnerable populations who require specialized medical diets. State and federal resource programs do not account for the increased cost of gluten-free (GF) foods, and food pantries do not address overall health issues that often come with food insecurity. Our project aimed to provide GF food to food insecure families through a hospital-based food pantry and offer dietitian-led cooking classes to improve dietary quality and nutrition knowledge. Method(s): To address barriers to food access, Boston Children's Hospital (BCH) opened a food pantry, the Family Food Connections (FFC), in the Jamaica Plain neighborhood of Boston. FFC offers weekly food supplies to BCH patient families and community members. GF food bags are available for those who request them. Monthly virtual cooking classes led by a registered dietitian are offered free of charge to families with and without CD. All classes are held via Zoom with simultaneous translation services available in Spanish. Classes feature naturally GF recipes, and provide instructions on scratch cooking, nutrition education, and use of ingredients found in the food packages. The recipes are designed to include seasonal ingredients and are used as a platform to teach about nutrition related topics. Classes also serve as an open forum for families to ask nutrition and meal preparation related questions to the dietitian instructor. Metrics on pantry usage and class attendance were collected using Zoom analytics tools and REDCap. Result(s): Utilization of both the food pantry and cooking classes increased monthly. During the first six months of operation, an average of 500 families per week visited the FFC for food packages, totaling over 5,000 unique family visits. Of these families, 122 indicated needing all gluten-free food (64) or some gluten-free food (58). As of May 2022, 34 families attended the live virtual cooking classes, and 628 families viewed the recorded sessions. Survey questionnaire responses were limited to date (N=11) but did indicate that families previously had never attended a cooking class due to a lack of time, or they were not aware that classes were available. Conclusion(s): Initial utilization of the FFC, GF food packages, and accompanying cooking classes revealed a significant demand for the provision of GF food as well as a GF focused cooking and nutrition education program. The classes allow for processing nutrition education through non-intentional learning, and provide an opportunity to improve health and quality of life for all who attend, regardless of dietary restrictions. Future studies will evaluate changes in health outcomes, quality of life, cooking habits, and GF diet knowledge.
ABSTRACT
This paper describes the evolution of subsea stimulation treatments within one field including a novel dual vessel approach that was developed and successfully implemented on multiple wells. The methodology that enabled stimulations of high volume, complexity and precision is described, including observed results and opportunities for continuous improvement. In a harsh low oil price environment such cost-efficient stimulations can unlock additional potential for many subsea developments. Three West of Shetlands (WoS) injectors stimulation campaigns successfully delivered 11 subsea well treatments with a novel dual vessel batch approach in 2020 delivering operations of outstanding efficiency and reservoir results while driving costs down. A construction vessel provided remotely operated vehicle (ROV) support including deploying the well control package, whereas the stimulation vessel ran its own downline to facilitate optimized use of its dedicated pumping system and large chemical handling capacity. To enable deep water stimulation, the quick connect downline was engineered and project specific equipment installed onto the stimulation vessel allowing deployment to 450m water depth. Notable cost reductions in excess of 34% were achieved utilizing the efficiency offered by manifold entry for batch treatments to minimise the number of subsea re-connection operations while the stimulation vessel allowed much larger bulk loadouts and optimised the number of vessel loadings for continuous operations. This novel dual vessel approach for batch subsea stimulations allowed multiple well access through 'daisy chains' within isolated pipeline segments, while keeping injection operations live to other wells from the Glen Lyon Floating Production Storage and Offloading Vessel (FPSO) in the Schiehallion field. Improved HSE performance was achieved through reduced chemical handling and transportation. Real time data solutions for onshore monitoring were developed which aided the management of COVID-19 risks. The post-stimulation injection rate from the stimulation has signifcantly improved in all wells, resulting in large additional injection capacity for the field. Maintaining increased injection capacity has proved to be a challenge. The acquired understanding regarding water quality and longevity of treatments will allow identification of further continuous improvement opportunities to enable sustainable stimulation results. © 2021, Society of Petroleum Engineers