RESUMO
Flow assurance is a long-term challenge for oil and gas exploration as it plays a key role in designing safe and efficient operation techniques to ensure the uninterrupted transport of reservoir fluids. In this regard, the sensitive monitoring of the scale formation process is important by providing an accurate assessment of the minimum inhibitor concentration (MIC) of antiscale products. The optimum dosage of antiscale inputs is of pivotal relevance as their application at concentrations both lower and higher than MIC can imply pipeline blockages, critically hindering the entire supply chain of oil-related inputs and products to society. Using a simple and low-cost impedimetric platform, we here address the monitoring of the scale formation on stainless-steel capillaries from its early stages under real topside (ambient pressure and 60 °C) and subsea (1000 psi and 80 °C) sceneries of the oil industry. The method could continuously gauge the scale formation with a sensitivity higher than the conventional approach, i.e., the tube blocking test (TBT), which proved to be mandatory for avoiding misleading inferences on the MIC. In fact, whereas our sensor could entail accurate MICs, as confirmed by scanning electron microscopy, TBT suffered from negative deviations, with the predicted MICs being lower than the real values. Importantly, the impedance measurements were performed through a hand-held, user-friendly workstation. In this way, our method is envisioned to deliver an attractive and readily deployable platform to combat the scale formation issues because it can continuously monitor the salt precipitation from its early stages and yield the accurate determination of MIC.
RESUMO
BACKGROUND: Clinical practice guidelines (CPGs) recommend universal prenatal screening for Group B Streptococcus (GBS) to identify candidates for intrapartum antibiotic prophylaxis to prevent early onset neonatal GBS infection. Interventions to promote physician adherence to these guidelines are imperative. This study examined the effectiveness of academic detailing (AD) of obstetricians, compared with CPG mailshot and no intervention, on the screening of pregnant women for GBS. METHODS: A randomized controlled clinical trial was conducted in the medical cooperative of Porto Alegre, Brazil. All obstetricians who assisted in a delivery covered by private health insurance managed by the cooperative in the 3 months preceding the study (n = 241) were invited to participate. The obstetricians were randomized to three groups: direct mail (DM, n = 76), AD (n = 76) and control (C, n = 89, no intervention). Those in the DM group were sent guidelines on GBS. The AD group received the guidelines and an educational visit detailing the guidelines, which was conducted by a trained physician. Data on obstetrician age, gender, time since graduation, whether patients received GBS screening during pregnancy, and obstetricians who requested screening were collected for all participant obstetricians for 3 months before and after the intervention, using database from the private health insurance information system. RESULTS: Three months post-intervention, the data showed that the proportion of pregnant women screened for GBS was higher in the AD group (25.4%) than in the DM (15.9%) and C (17.7%) groups (P = 0.023). Similar results emerged when the three groups were taken as a cluster (pregnant women and their obstetricians), but the difference was not statistically significant (Poisson regression, P = 0.108). Additionally, when vaginal deliveries were analyzed separately, the proportion screened was higher in the AD group (75%) than in the DM group (41.9%) and the C group (30.4%) (chi-square, P < 0.001). CONCLUSIONS: The results suggest that AD increased the prevalence of GBS screening in pregnant women in this population.