COVID-19 can cause irreversible lung damage from acute respiratory distress syndrome (ARDS), chronic respiratory failure associated with post COVID-19 de novo fibrosis or worsening of an underlying fibrotic lung disease. Pregnant women are at increased risk for invasive mechanical ventilation, extracorporeal membrane oxygenation, and death. The Centers for Disease Control and Prevention reported more than 22,000 hospitalizations and 161 deaths for COVID-19 in pregnant women. Between August 2020 and September 2021, five patients underwent bilateral lung transplant (LT) for COVID-19 ARDS at the Henry Ford Hospital in Detroit, Michigan. De-identified demographics data, clinical characteristics, perioperative challenges, explanted lung pathology, and post-transplant outcomes are described. In post-hospitalization follow-up (median survival 273 days), we see improving endurance and excellent lung function. One patient did not survive to hospital discharge and succumbed to complications 5 months after LT. We report the first cases of bilateral LT in two postpartum women.
ABSTRACT. Five hundred and eigh body masses of74 forest birds, and measurements of wing, tail, tarsus and beak of 14 poorly known species mist-netted at two sites in the Atlantic Forest of eastern Parana State, southern Brazil, are presented.
A workforce with the adequate field epidemiology knowledge, skills and abilities is the foundation of a strong and effective animal health system. Field epidemiology training is conducted in several countries to meet the increased global demand for such a workforce. However, core competencies for field veterinary epidemiology have not been identified and agreed upon globally, leading to the development of different training curricula. Having a set of agreed core competencies can harmonize field veterinary epidemiology training. The Food and Agriculture Organization of the United Nations (FAO) initiated a collective, iterative, and participative process to achieve this and organized two expert consultative workshops in 2018 to develop core competencies for field veterinary epidemiology at the frontline and intermediate levels. Based on these expert discussions, 13 competencies were identified for the frontline and intermediate levels. These competencies were organized into three domains: epidemiological surveillance and studies; field investigation, preparedness and response; and One Health, communication, ethics and professionalism. These competencies can be used to facilitate the development of field epidemiology training curricula for veterinarians, adapted to country training needs, or customized for training other close disciplines. The competencies can also be useful for mentors and employers to monitor and evaluate the progress of their mentees, or to guide the selection process during the recruitment of new staff.
No abstract
FPSOs (Floating, Production, Storage and Offloading vessels) are ships with capacity to process, store and transfer oil. On the deck of the ship, there is a processing plant which separates and treats fluids from the wells. After separation, the oil is stored inside the vessel cargo tanks and, periodically, it is offloaded into a shuttle tanker through loading hoses.The biggest FPSOs have capacity to process about 200 thousand barrels of oil per day. They are a good solution to develop exploration projects in offshore oil fields, especially in deep water, due to the comparatively low initial investment, short time for installation and great operational flexibility. However, FPSOs can experience problems arising from scale deposition in flexible sub-sea hoses.Recently, in order to explore giant offshore oil fields in Brazil and to avoid the high installation cost of a great number of sub-sea pipelines, VLCCs (Very Large Crude Carriers) have been converted into FPSO's.Over time, some of these converted floating plants have suffered production drops due to the obstruction of both production and gas lift lines by hydrate or scale depositions.In many of these FPSOs, the reduced space and the lack of cranes in the areas close to the flow line access points were a barrier to restoring lost oil production. In some cases, it was necessary to shut-in production from some lines for several months to allow for the installation of a work-over rig. The financial consequences of such shut-in's were extreme.In order to restore production faster and with lower cost, a pioneering method of intervention in FPSO production and gas lift lines was developed based on the use of coiled tubing .This paper presents case histories of successful jobs that cleared two production lines and a gas lift line, including the description of logistics, rig-up process and operation of coiled tubing units in FPSOs. With minor modifications this method can be used in a wide variety of floating production vessels.The FPSO is a floating, production, storage and offloading ship-shaped vessel. Production facilities are mounted on raised supports above the vessel deck. Reservoir fluids pass from subsea production wells, via flowlines and risers, up into the turret and then to the production facilities. Produced oil is stored in the vessel cargo tanks and periodically offloaded onto a shuttle tanker via a loading hose.
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