Achieving high convective volume in hemodiafiltration: Lessons learned after successful implementation in the HDFit trial

2020 ◽  
Author(s):  
Murilo Guedes ◽  
Ana Claudia Dambiski ◽  
Sinaia Canhada ◽  
Ana Beatriz L. Barra ◽  
Carlos Eduardo Poli‐de‐Figueiredo ◽  
...  
2005 ◽  
Vol 12 (4) ◽  
pp. 351-372 ◽  
Author(s):  
Khaled Al‐Reshaid ◽  
Nabil Kartam ◽  
Narendra Tewari ◽  
Haya Al‐Bader

PurposeIt is a well‐known fact that the construction industry always passes through two distinctive problems during the construction stage: slippages of project‐schedules, i.e. time‐frame, and overruns of project‐costs, i.e. budget. However, limited literature is available to solve or dilute these two problems before they even occur. It is strongly believed that the bulk of the two mentioned problems can be mitigated to a great extent, if not eliminated, provided that proper attention is paid to the pre‐construction phases of projects. Normally projects are implemented through traditionally old techniques which generally emphasize only solving “construction problems during the construction phase”. The aim of this article is therefore to unveil a professional methodology known as Project Control System (PCS) focusing on pre‐construction phases of construction projects.Design/methodology/approachIn this article, the authors share the lessons learned during implementation of Kuwait University projects worth approximately $400 million in a span of ten years. The task of the project management/construction management (PM/CM) is being provided to the university by a joint venture team of international and local specialists.FindingsThe pre‐construction methodology ensures smooth and successful implementation during construction phases of the projects as they are generally executed in a fast‐pace, deadline‐driven and cost‐conscious environment. The intuitive proactive methods, if implemented during pre‐construction stage, automatically answer the questions that are encountered during the execution periods of projects.Originality/valueIn this article, the authors share the lessons learned during PM/CM during projects over a span of ten years, which could be of use to others.


2021 ◽  
Author(s):  
Nadiah Kamaruddin ◽  
Nurfuzaini A Karim ◽  
M Ariff Naufal Hasmin ◽  
Sunanda Magna Bela ◽  
Latief Riyanto ◽  
...  

Abstract Field A is a mature hydrocarbon-producing field located in eastern Malaysia that began producing in 1968. Comprised of multistacked reservoirs at heights ranging from 4,000 to 8,000 ft, they are predominantly unconsolidated, requiring sand exclusion from the start. Most wells in this field were completed using internal gravel packing (IGP) of the main reservoir, and particularly in shallower reservoirs. With these shallower reservoirs continuously targeted as good potential candidates, identifying a sustainable sand control solution is essential. Conventional sand control methods, namely IGP, are normally a primary choice for completion; however, this method can be costly, which requires justification during challenging economic times. To combat these challenges, a sand consolidation system using resin was selected as a primary completion method, opposed to a conventional IGP system. Chemical sand consolidation treatments provide in situ sand influx control by treating the incompetent formation around the wellbore itself. The initial plan was to perform sand consolidation followed by a screenless fracturing treatment; however, upon drilling the targeted zone and observing its proximity to a water zone, fracturing was stopped. With three of eight zones in this well requiring sand control, a pinpoint solution was delivered in stages by means of a pump through with a packer system [retrievable test treat squeeze (RTTS)] at the highest possible accuracy, thus ensuring treatment placement efficiency. The zones were also distanced from one another, requiring zonal isolation (i.e., mechanical isolation, such as bridge plugs, was not an option) as treatments were deployed. While there was a major challenge in terms of mobilization planning to complete this well during the peak of a movement control order (MCO) in Malaysia, optimal operations lead to a long-term sand control solution. Well unloading and test results upon well completion provided excellent results, highlighting good production rates with zero sand production. The groundwork processes of candidate identification down to the execution of sand consolidation and temporary isolation between zones are discussed. Technology is compared in terms of resin fluid system types. Laboratory testing on the core samples illustrates how the chemical consolidation process physically manifests. This is used to substantiate the field designs, execution plan, initial results, follow-up, lessons learned, and best practices used to maximize the life of a sand-free producer well. This success story illustrates potential opportunity in using sand consolidation as a primary method in the future.


2021 ◽  
Author(s):  
Majed Nahed Alrabeh ◽  
Zulkiflie Bin Samsudine ◽  
Salvador Alejandro Ruvalcaba Velarde ◽  
Faisal Mohammed Alhajri

Abstract The objective of this paper is to present the findings obtained from a detailed engineering evaluation resulting from trial testing two state-of-the-art surface horizontal pumping systems (HPS's) in two water supply wells. The two horizontal pumping systems were deployed as an alternative to downhole electrical submersible pumps (ESPs) to provide the benefits of eliminating ESP workover costs, modularity regarding wellsite deployments, and enhanced maintenance operations. For this trial test evaluation method, two HPS's were deployed to boost water production to the water injection plant (WIP). To ensure a thorough evaluation, the trial test well candidates were designed to accommodate both a subsurface ESP as well as a surface HPS to provide an accurate comparison, and representation, between the different artificial lift methods. The trial test and comparison method described in this paper focused primarily on the following items; maintenance and well intervention requirements, evaluation of operational availability, including potential for cavitation and effects of interference, maximum production rates, as well as root cause engineering evaluations for mechanical seals and cooling unit auxiliary motors. Various best practices and mitigation measures were identified and are presented in this paper. With regard to the results, it was observed that each artificial lift method comprised a set of advantages and disadvantages. The decision on which type of technology to use can be dependent on several factors. Overall, the HPS's demonstrated the ability to supply water production to the WIP. The HPS did experience operational challenges in providing higher production requirements. Additional challenges were also observed in the sealing mechanism as well as the auxiliary cooling unit. Precautionary pump tripping automated protocols were taken to prevent pump cavitation due to sub-optimal intake pressure resulting from possible interference. The HPS, unlike the ESPs, did not require any workover as it is located at the wellsite and therefore resulted in substantial cost savings and was easy to maintain due to its surface application. In summary, this paper adds a new and very beneficial evaluation of HPS's, and highlights best practices and lessons learned to the existing body of literature. The new information discussed in this paper is highly beneficial to engineering selections of artificial lift methods and to the successful implementation of HPS's in the industry.


2013 ◽  
Vol 3 (2) ◽  
pp. 9
Author(s):  
Bedilu Habte

In addition to their ability to reach distant learners, interactive e-learning environments have the potential to make the teaching-learning process more effective. This paper highlights some of the e-learning implementation efforts at the Addis Ababa Institute of Technology (AAiT) in Ethiopia. This case study shows that limited resources do not deter a developing nation to exploit the power of e-learning. Based on feedback from participants in the first national videoconferencing program held in Ethiopian higher education system between October 2011 and June 2012, the paper addresses the lessons learned and recommended actions for moving forward to a successful implementation of e-learning in Ethiopia, particularly in a videoconferencing mode.


2018 ◽  
Vol 39 (1_suppl) ◽  
pp. S3-S21 ◽  
Author(s):  
Rafael Pérez-Escamilla

Public–private partnerships (PPPs) have been recognized as central for addressing the childhood obesity epidemic. However, very few real-world examples have been published documenting the workings of effective PPPs. The objective of this article is to identify the factors that enabled the successful implementation of school-based PPPs focusing mainly on nutrition and physical activity in 7 countries located in Asia (China and India), Africa (South Africa), Europe (Germany, United Kingdom), and Latin America (Brazil and Mexico). We triaged qualitative data from (1) proceedings from 2 school-based healthy lifestyles program evaluation workshops in October 2013 and in May 2016; (2) Mondelēz International Foundation (MIF) annual country reports and MIF project reports; and (3) interviews with key program leaders from each program. Extracted data were mapped into each of the 11 guiding principles for effective PPPs recently developed by a multisectoral public–private group of stakeholders in the United States. Three of the 7 countries met all, and the remaining 4 met between 4 and 7 of the guiding principles. Therefore, it is not surprising that there is strong evidence that all programs are having a positive impact on healthy lifestyles knowledge and practices in the target populations. This MIF-led initiative provides important lessons as to how to establish effective PPPs designed to tackle the childhood obesity epidemic globally.


2020 ◽  
Vol 39 (3) ◽  
pp. 347-356 ◽  
Author(s):  
Robin J. Dunn ◽  
Sarah A. Doolittle

Don Hellison presented his ideas to teachers and coaches who sought strategies for enhancing responsibility behaviors in youth of underserved communities. He also conveyed his concepts to teacher educators charged with preparing professionals in sport and physical activity all over the world. Using a variety of formal and informal ways of sharing teaching personal and social responsibility (TPSR), Don, his colleagues, and those responsible for educating teachers and coaches have shared TPSR as a way to help youth learn social and emotional life skills through sport and physical activity. This article is designed to review what is known about how teachers and other physical activity professionals learn to do TPSR by exploring the literature and research as well as summarizing lessons learned about the process. Common barriers to successful implementation of TPSR and future directions for research and practice on professional development in TPSR are discussed.


Author(s):  
Sofia Jansson ◽  
Sepideh Farahshoor ◽  
Karolina Linden ◽  
Malin Bogren

Summary Antenatal clinics in western Sweden have recently invested in a birth method called Confident Birth. In this study, we investigate midwives’ and first line managers’ perceptions regarding the method, and identify opportunities and obstacles in its implementation. Semi-structured individual interviews were conducted with ten midwives and five first line managers working in 19 antenatal clinics in western Sweden. The Consolidated Framework for Implementation Research was used in a directed content analysis approach. Intervention Characteristics—such as perceptions about the Confident Birth method—were found to have equipped the midwives with coping strategies that were useful for expecting parents during birth. Outer Setting—the method was implemented to harmonize the antenatal education, and provided a mean for a birth companionship of choice. Inner setting—included time-consuming preparations and insufficient information at all levels, which affected the implementation. Characteristics of individuals—, such as knowledge and believes in the method, where trust in the method was seen as an opportunity, while long experience of teaching other birth preparatory methods, affected how the Confident Birth method was perceived. Process—such as no strategy for ensuring that the core of the method remained intact or plans for guiding its implementation were major obstacles to successful implementation. The findings speak to the importance of adequate planning, time, information and communication throughout the process to have a successful implementation. Based on lessons learned from this study, we have developed recommendations for successful implementation of interventions, such as the Confident Birth, in antenatal care settings.


2018 ◽  
Vol 32 (3) ◽  
pp. 113-123
Author(s):  
Suzanne J Wood

Using any number of open system strategic frameworks, the planning process follows a fairly consistent trajectory: formulation, implementation, and evaluation. Most agree that the formulation and evaluation phases are the most straightforward, yet successful implementation remains elusive. If done thoughtfully, taking advantage of a complementary framework suitable for aligning facility-level initiatives with system priorities presents a feasible opportunity for health systems interested in cascading enterprise-wide strategy successfully. This study provides lessons learned from: (a) consulting literature addressing barriers to implementing strategy effectively, and (b) analyzing insights from a participatory action research study designed to overcome impediments to aligning hospital-level initiatives with enterprise-wide goals and objectives. The analysis provides a baseline examination of hospital alignment efforts that underscores best practices and exposes gaps in both process and evaluation. Results suggest specific tools may function to effectively engage internal stakeholders in a cooperative process capable of yielding preferred strategic outcomes, particularly through the implementation and evaluation phases.


2016 ◽  
Vol 14 (3) ◽  
pp. 201 ◽  
Author(s):  
Claire Connolly Knox, PhD ◽  
Alan S. Harris, CEM, FPEM

Experiential learning allows students to step outside the classroom and into a community setting to integrate theory with practice, while allowing the community partner to reach goals or address needs within their organization. Emergency Management and Homeland Security scholars recognize the importance, and support the increased implementation, of this pedagogical method in the higher education curriculum. Yet challenges to successful implementation exist including limited resources and time. This longitudinal study extends the literature by detailing the evolution of a partnership between a university and office of emergency management in which a functional exercise is strategically integrated into an undergraduate course. The manuscript concludes with a discussion of lessons learned from throughout the multiyear process.


2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18259-e18259
Author(s):  
Holly A. Massett ◽  
Jacqueline Goldberg ◽  
Sharon Hampp ◽  
Margaret M. Mooney ◽  
Brian Campbell ◽  
...  

e18259 Background: NCI instituted a Central IRB (CIRB) with voluntary participation in 2001 for its late-phase trials and demonstrated that efficiency could be improved and costs reduced (Wagner et al JCO, 2010; 28). As a forerunner to the new NIH policy for single IRBs for all NIH multi-site trials (Hudson et al. JAMA Oct 4, 2010), NCI implemented a new CIRB model in 2014 where the CIRB was the IRB of record. We report adoption data of the new model within NCI’s National Clinical Trials Network (NCTN) and lessons learned from the rollout. Methods: We reviewed: Annual CIRB participant data from 2013-2016; site/accrual data for late phase trials activated between 2013-2016 (N = 64) via CIRB or local IRBs; and data from CIRB reports to identify acceptance and lessons learned. We compared time required for CIRB protocol reviews via the new model to baseline measures in the literature. Results: Of the 2,300 U.S. NCTN sites, the percentage of participation went from 47% in 2013, to 74% (2014), 79% (2015), and 81% (2016). For activated trials, a median of 43% of sites used their local IRB in 2013, dropping to 18% in 2014, 5% in 2015, and only 1% in 2016; i.e., 99% of sites opening trials in 2016 did so using the CIRB. Annual accrual to NCTN trials remained steady through the CIRB adoption; CIRB sites represented a median of 56% of total accrual in 2013 increasing to 87% in 2016. Help-desk and survey data indicate increased acceptance and a reduction of concerns over the 3 years. Previous analyses prior to 2013 reported a median of 70-123 days required from protocol application receipt to final CIRB approval; the new model reports a median of 41 days in 2016. Conclusions: NCI has demonstrated that a single IRB for multi-site trials is not only viable but valuable. Its new CIRB model rollout over 3 years has resulted in a doubling of site adoption, high utilization rates, further efficiencies, and overall acceptance, with no noticeable effect on overall NCTN accrual. Our experiences provide important lessons learned and insights into the successful implementation of a single IRB at a national level, and support the feasibility of NIH’s recently finalized policy requiring all sites to use a single IRB for multi-site research.


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