40 results on '"V. Lehman"'
Search Results
2. Big Data Yields Completion Optimization: Using Drilling Data to Optimize Completion Efficiency in a Low Permeability Formation
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Lyle V. Lehman, Bruce Noblett, and Kale Jackson
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Engineering ,Petroleum engineering ,business.industry ,Big data ,Drilling ,02 engineering and technology ,010502 geochemistry & geophysics ,01 natural sciences ,Permeability (earth sciences) ,020401 chemical engineering ,Low permeability ,0204 chemical engineering ,business ,0105 earth and related environmental sciences - Abstract
Poor production results in the subject area was determined to be caused by poor reservoir contact along the laterals. In a series of wells using multi-stage plug-and-perf completions, poor perforation efficiency was diagnosed. A solution to improve formation contact was employed which made absolute contact with the reservoir by using sliding sleeves and coil tubing technology. However this system demonstrated issues mainly around lower estimated ultimate recovery (EUR) values due to wide fracture spacing limitations and also suffered occasional human related, not tool quality, failures which caused costly penalties in completing wells. Returning back to the original completion scheme re-presented the original problem that very few of the perforation clusters were opening and thus using plug-and-perf and also obtaining better perforation efficiency was re-sought.This solution step developed in this paper uses drilling data which through the use of neural networks, can generate a synthetic log. The log can yield rock properties which can generate stresses along the wellbore. These stresses are then used to select perforation spacing to better take advantage of ‘like’ stresses so that perforation opening can improve. Minimum pressure drops between perforations can then be designed. Additional information pertaining to reservoir quality was generated by adding gas chromatograph data to determine the highest permeability sections of the lateral as well as the liquid-rich hydrocarbon bearing sections. This analysis allows for a solution matrix of job and cluster spacing types to optimize fracture spacing (frequency of contact) and conductivity requirements to optimize the completion based on stress and relative or contrasting permeability.This paper will demonstrate how the problem was determined, the solution was implemented, how some alternatives were explored and how fracture geometry was greatly improved using these workflows.
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- 2016
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3. Imaging of immune system (PP-052)
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G. Efimov, T. Honda, T. Katakai, L. Ng, T. Lim, Y. Sakamoto, D. Chudakov, C. R. Mackay, J. Rossjohn, P. V. Lehman, A. J. Krupp, S. Welten, F. Sanchez-Madrid, T. Takai, M. Sixt, T. Okada, E. N. Meeusen, P. Castagnoli, N. Marsteller, M. Tomura, A. Kruglov, N. G. Walpole, M. Weber, M. Grimbaldeston, L. Cavanagh, M. J. de Veer, A. Smith, O. Barreiro, J. Scheller, S. Goh, V. Stein, V. Moreno, S. Nedospasov, K. Kabashima, C. Lim, L. C. Sullivan, S. Narumiya, T. Kinashi, G. Egawa, D. A. Peterson, K. Habiro, Y. Ueda, W. Weninger, Y. Watanabe, J. Qin, T. Chtanova, B. Roediger, H. Tanizaki, A. Nakamura, C. S. Clements, A. G. Brooks, O. Vakhrusheva, P. Martin, and Y. Miyachi
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Immune system ,business.industry ,Immunology ,Immunology and Allergy ,Medicine ,General Medicine ,business - Published
- 2010
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4. Development of Brittle Shale Fracture Network Model - Part 2: What is the Value of SRV?
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Koras Shah, Amir Mohammadnejad, Lyle V. Lehman, Robert Frank Shelley, Deepak Gusain, and Matthew T. Conway
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Hydraulic fracturing ,Brittleness ,Value (economics) ,Fracture (geology) ,Geotechnical engineering ,Oil shale ,Geology ,Network model - Abstract
This paper discusses the workflow for developing a model to predict gas production for hydraulic fracture stages in a brittle shale environment. In our last paper (SPE 163829), we developed a model to predict fracture network geometry (width, length, and height) obtained from microseismic data for various fracture treatment designs. In this study, using both microseismic data and fracture/completion data; frac treatment production is estimated. The well database used for this purpose is comprised of fracture design parameters including treatment volumes, rates, proppant mass and size; well properties include perforation interval length, and perforation depth. The goal of this study is to provide insight into factors affecting well production in a brittle shale environment. Initial data screening demonstrated massive data scattering and as a result data mining techniques are employed to find possible hidden relationships to explain the nature of the data. Also, using sensitivity analysis on the predictive model, improvements in the current fracture designs and completion schemes in Barnett shale are made. The database is examined from different aspects using various data mining approaches. After screening and preprocessing the data, non-process affected outlier wells are removed from the dataset. Then, a forward predictive neural network model is trained with fracture design and well data parameters as inputs and well cumulative gas production per stage as outputs. Neural networks are trained with the help of genetic algorithm (GA). The sensitivity study on the trained network provided many insights about well completion and stimulation strategies. Recommendations on how to improve fracture designs and well completion schemes are provided based on sensitivity analysis on the neural networks. Results of neural network modeling in Barnett shale are compared to other gas producing shale assets such as Fayetteville and Haynesville shale to compare the findings. The results of this work potentially help understanding of completion and fracture treatment designs on well productivity in gas producing shale assets. This will potentially help operators understand how to more effectively design frac treatments and/or reduce the operational costs associated with well completion in a brittle shale environment. Considering the fact that the relationship between stimulated reservoir volume and production is not entirely understood, this work may shed some lights on the aforementioned issue.
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- 2013
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5. Emergence, divergence, convergence: Three models of symphony orchestras at the crossroads
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Adam D. Galinsky and Erin V. Lehman
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Geography ,Divergence (linguistics) ,Symphony ,Convergence (relationship) ,Economic geography ,Cultural policy - Abstract
(1995). Emergence, divergence, convergence: Three models of symphony orchestras at the crossroads. The European Journal of Cultural Policy: Vol. 2, No. 1, pp. 117-139.
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- 1995
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6. Enquête régionale sur la pertinence des examens cytobactériologiques des urines en établissement d’hébergement pour personnes âgées dépendantes
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L. Guet, W. Mourier, M. Le Bourhis-Zaimi, V. Lehman, C. Cyvoct, and D. Thillard
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03 medical and health sciences ,Epidemiology ,Public Health, Environmental and Occupational Health ,030501 epidemiology ,0305 other medical science - Abstract
Introduction Suite aux nouvelles recommandations sur la prise en charge des infections urinaires (IU) communautaires de l’adulte (SPILF, 2014), nous avons souhaite realiser une enquete sur la pertinence des examens cytobacteriologiques des urines (ECBU) dans les etablissements d’hebergement pour personnes âgees dependantes (EHPAD) de la region. Methodes Une enquete retrospective par auto-questionnaire a ete realisee par les EHPAD de la region. L’inclusion s’est faite d’avril a juin 2015 a partir des ECBU envoyes au laboratoire de biologie medicale. Le questionnaire comportait une fiche reprenant les principales caracteristiques de l’etablissement et de ses residents ainsi qu’une fiche pour chaque ECBU realise (motifs, BU, prescription, realisation et antibiotherapie). Resultats Trente-deux etablissements ont participe a l’enquete. Trois cent trente-trois fiches ECBU ont ete recues. Les caracteristiques des patients etaient : âge median 87 ans (34 a 105), deux tiers de femmes (253/333) et deux tiers avec un GIR ≤ 2 (204/302). Des signes cliniques positifs etaient presents pour 72 % des patients (239/333). L’ECBU etait prescrit par le medecin dans 82 % des cas (272/332) et realise par l’IDE dans 83 % des cas (273/333). Les resultats des ECBU etaient : 62 % (207/331) positifs, 19 % (32/331) negatifs et 19 % (32/331) polymicrobiens. Les germes retrouves dans les ECBU positifs etaient principalement : Escherichia coli (66 %, 137/207), Proteus (11 %, 23/207), Klebsiella (6 %, 12/207). Une antibiotherapie etait presente chez 61 % (201/330) des patients (C3G : 31 %, 62/201, Fluoroquinolones : 29 %, 58/201). Parmi les ECBU realises, 24 % (79/333) etaient consideres comme non pertinents. Enfin, la proportion d’ECBU realises a l’initiative de l’IDE etait significativement (p = 0,03) plus importante parmi les ECBU non pertinents (25 %, 20/79) que parmi les ECBU pertinents (15 %, 38/253). Conclusion Cette enquete regionale a permis de mettre en evidence une heterogeneite des pratiques de prise en charge diagnostique et therapeutique des infections urinaires en EHPAD. Un outil d’« aide a la demarche diagnostique d’une infection urinaire du sujet âge » a ete elabore suite a ce travail.
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- 2016
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7. The Case for and Against Using Ball-Drop Multi-Stage Fracturing Systems in Unconventional Horizontal Wells
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Lyle V. Lehman and Koras Shah
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Petroleum engineering ,Horizontal wells ,Ball (bearing) ,Geology - Abstract
The use of multi-stage stimulation tools to accelerate the process of stimulating horizontal wells has grown at a tremendous rate. In fact, the usage of these systems is currently underwritten by stimulation service companies because time constraints are minimized on 20-plus-stage treatments. However, using these tools can come with a cost. This paper will examine the cost benefit of using these tools in unconventional matrix and naturally fractured-based gas and oil completions. The authors will present data that will help readers choose a system to meet their needs based on their particular case. Impact on production rate and ultimate recovery, frac fluid imbibition, reduced service costs, risk in running these systems in horizontal wells and other factors will be explored.
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- 2011
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8. Survey of over 1000 Frac Stage database with Net Pressure in the Barnett Shale. Part 1
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Koras Shah, Lyle V. Lehman, and Robert Frank Shelley
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Petroleum engineering ,Stage (hydrology) ,Oil shale ,Geology - Abstract
This paper discusses a project of data mining through a database of more than 1,000 frac stages in the Barnett Shale. The database includes fracture pressure and other job data as well as the fracture shape that was mapped by microseismic processes. The original intent of the data mining project was to seek relationships between hydraulic fractures staying in zone and aiding in generating a fracture network as these events relate to net pressure trend. Results from the data mining exercise were revealing. The implications of this work potentially yield answers to questions such as: Can a frac model be developed that predicts fracture network development in a shale?Is using poroelastic-based physics in a model appropriate for shales?Can a model of this type be used to analyze frac data?What is the ultimate value of microseismic mapping in shale reservoirs? This paper is the first in a series on the database and will answer most of these questions. It will also propose future issues in the development of artificial analysis that may help select fracture network as opposed to planar frac geometry from geological and geographic data.
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- 2010
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9. Inlay wax patterns direct and three-quarter crowns indirect-direct
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C V, LEHMAN
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Dental Materials ,Crowns ,Inlays ,Humans ,Prostheses and Implants ,Tooth - Published
- 2010
10. Holistic Field Evaluations Improve Prospect Opportunities
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Lyle V. Lehman, Bill Grieser, and Bob Shelley
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Computer science ,business.industry ,Field (Bourdieu) ,Environmental resource management ,business ,Environmental planning - Abstract
A holistic or overall reservoir performance perspective is seldom used in the well planning/decision process. The industry has a tendency to use broad generalizations along with uncertain interpolated reservoir information. Geologic complexity tends to turn these generalizations and assumptions into less-than-acceptable potential prospect performance predictors. In addition, the industry has a tendency to evaluate the reservoir and well drilling/completion process from a segmented or compartmentalized perspective. Numerous examples of this process exist. Petrophysicists, reservoir engineers, geologists, and drilling and completion engineers perform discrete evaluations based on their training and experiences in other reservoirs. Service companies are given incentives to concentrate on delivery/service issues and product revenue. Consultants focus on developing specific niches or completing assigned tasks. Single wells are analyzed rather than trying to understand how the well fits within the entire reservoir. Many operators grade themselves on their ability to drill and complete for less than industry standard. Their focus is on well cost. What the industry needs is an understanding of how all these issues fit into the big picture. The subject of this paper is a summary of field evaluations performed to provide a holistic perspective. Results are presented that show how these efforts have identified significant reservoir opportunities with resulting productivity and prospect economic improvement. The evaluations presented in this paper are holistic in nature and were performed by a team of experts. These evaluations consist of field data quantification, integration, enhancement, statistical and visual analysis, dimension reduction, and development of a predictive artificial neural network (ANN) model. The ANN model is used to identify patterns and trends related to the geology and to reservoir and well completion issues. Economic assessments of various completion/stimulation methods are presented. Engineering evaluations are performed to resolve difficult interpretation issues and test conclusions. The resulting information was then used to drive changes in well completion/stimulation procedures, which in some cases doubled the prospects value. This paper will illustrate the benefits of taking a holistic approach to field-wide problem solving.
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- 2004
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11. Conductivity Maintenance: Long-Term Results from the Use of Conductivity Enhancement Material
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Matthew Gusdorf, Bob Shelley, Judy Lynn Tiffin, Lyle V. Lehman, and Tim Crumrine
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Environmental science ,Long term results ,Conductivity ,Composite material - Abstract
In 1997, a surface modification agent was introduced into the global stimulation market. The agent was designed to enhance and sustain fracture conductivity by making the proppant surface tacky. Several conductivity-enhancing mechanisms were suggested. Two important mechanisms resulting from increased surface tackiness are 1) increased proppant pack porosity resulting in increased pack permeability and 2) increased proppant pack stability that prevents encroachment of formation fines into the pack and migration of fines within the proppant pack. In terms of extended conductivity maintenance, the fines control aspect has proved to be the most valuable property developed from the product. This paper presents a brief discussion on the theory of applying a tacky surface on proppants to mitigate conductivity loss from fines migration in the propped fracture. The paper then offers direct comparison case histories, which contain long-term production data that illustrate the benefits from lower operating expenses and increased production over the use of previous completion methods. Case histories are discussed in reservoirs that are known for fines migration, such as coal-bed methane (CBM) and high permeability-unconsolidated sandstones. The histories also include zones not widely known for fines migration problems, where the authors feel that this condition does exist.
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- 2003
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12. Calibrating Fracture Models with Direct Diagnostics: A Necessary but Humbling Experience
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Kevin Fisher, Dwight D. Fulton, Lyle V. Lehman, E.J. Davis, Michael J. Mayerhofer, Chris Wright, and Leen Weijers
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Fracture (geology) ,Mechanical engineering ,Geology - Abstract
Although fracture models are predictive, and physical measurements are accurate, both require a certain level of scientific knowledge and training to interpret and execute correctly. Based on this understanding, if we can create fracture models that are highly accurate, we can make predictions more effective and valuable. One technique makes modeling a more useful tool for designing, fine-tuning, and implementing fracturing treatments. Physical measurements of mini-fracture dimensions are input into a fracture model, allowing the model to more accurately reflect reality. After the model matches both the observed net pressure response and the directly measured hydraulic fracture geometry (the model is calibrated), the model can more closely predict the outcome of a main fracturing treatment. A survey of stimulation experts indicates that many think this step can more than double the value of using a model compared to simply using fluid-efficiency data. This paper discusses how physical measurements from a mini-frac treatment can be input into a fracturing model. Case histories will illustrate how decisions were made to alter fracturing designs and mitigate the risks associated with proppant placement.
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- 2002
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13. Real-Time Fracture Mapping from the 'Live' Treatment Well
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M.K. Fisher, J.F. Special, Larry Griffin, W.V. Grieser, E.J. Davis, Lyle V. Lehman, James Ward, Chris Wright, J. Podowski, and Dwight D. Fulton
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Orthodontics ,Fracture (geology) ,Geology - Abstract
The recent and dramatic increase in direct fracture mapping has profoundly altered our understanding of how fractures really do grow. New fracture-mapping technologies have allowed us to often directly measure what we could previously only model or assume. However, perhaps the greatest limitation of these new direct fracture-mapping technologies (tilt and microseismic) is the need for a nearby offset well in which to deploy instruments. In many environments, most notably offshore, there is often no feasible way to employ an offset observation well. Treatment well tilt mapping uses the fracture (injection) well itself as the "observation" well. The goal, quite simply, is to expand the range of environments where direct fracture mapping can be performed. The concept is simple: if fracture-induced deformation can be measured thousands of feet away at the surface or in offset wells, then it most certainly can be measured in the fracture well itself. The measurement of fracture-induced tilt versus time and depth (via an array of 4 to 20 tiltmeters) can allow robust real-time mapping of fracture height and width. Fracture length is then "modeled" based on observed height and width, and inferred fracture fluid efficiency. Treatment well tilt measurements can also provide direct measurement of mechanical fracture closure aiding, among other things, the estimation of formation closure stress. Mapping from the treatment well brings its own set of limitations and challenges. One is conducting minute wellbore movement measurements in the midst of a highvelocity flow stream. We have solved this challenge. Field data shows that the fracture-induced tilt signals in the treatment well are several orders of magnitude higher than those measured in offset wells, and they are much greater than the fluid-motion noise. The trickier challenge is deploying tools in a well during the pumping of proppant. So far we have performed real-time treatment well mapping only on fractures with clean fluid (i.e., no proppant), however, efforts are underway to overcome the difficulties with proppant. This paper provides an overview of the basic concepts, shows some real-data from treatment well applications, and presents one brief case study.
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- 2001
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14. Proppant Conductivity — What Counts and Why
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Randy Haynes, Alan Blackmon, Matt Blauch, Mark A. Parker, and Lyle V. Lehman
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Engineering ,Petroleum engineering ,High conductivity ,business.industry ,Well stimulation ,Mineralogy ,Conductivity ,law.invention ,Clogging ,Hydraulic fracturing ,Hydraulic conductivity ,Decantation ,Oil well ,law ,business - Abstract
The emergence of "accepted" proppant conductivity testing methods has led to much discussion about what is needed to regain high conductivity levels, and several marketing campaigns have been based on these findings. The industry has generally accepted the principle that delivering high conductivity levels in the fracture is key to achieving high production levels. This paper does not refute this point, but modifies it. This paper presents theory, laboratory data, and case histories indicating that high initial conductivity levels can only gain high initial levels of potential or actual production. For sustained, high production levels, the proppant pack's integrity must be maintained. With time, most proppant packs are damaged by fines migration, gel clogging, and geochemical precipitation. These processes can be abated with various additives and techniques. This paper discusses these techniques in detail and shows case histories in which the techniques proved costeffective in sustaining higher levels of production than those found in comparable wells.
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- 1999
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15. Investigation of a New Fracturing Fluid and Conductivity Enhancement Technology on Coalbed Methane Production
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Michael A. Mccabe, B. Bowles, John M. Terracina, Matthew E. Blauch, L.M. Robert, and Lyle V. Lehman
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education.field_of_study ,Coalbed methane ,Petroleum engineering ,business.industry ,Population ,Mineralogy ,engineering.material ,Viscosity ,Hydraulic fracturing ,Coating ,Fracture (geology) ,engineering ,Coal gas ,Environmental science ,Coal ,education ,business - Abstract
Results of recent field trials with a newly developed fracturing-fluid system and liquid surface-modification additive for coating proppant are presented in this paper. The work was performed in the Underpressured Fruitland Coal (UFTC) gas reservoir in the Northern San Juan Basin of Colorado and New Mexico. This new technology has influenced production in the region. Data of the test-well population are compared to the coal gas and water production from the reservoir. This study identifies and applies the new fracturing system technology for improving production. The results of this study provide information that may apply to other coal-gas reservoirs. The study group of wells uses hydraulic fracturing treatments consisting of a new low polymer loading crosslinked fluid system with a proppant surface-modification additive. The fluid system has increased crosslinked-fluid viscosity, requiring a lower gelling-agent concentration. A liquid additive that coats the proppant and increases its surface adhesion is added in the blender tub during the treatment. The surface friction between the coated proppant grains resists high flow rates during cleanup. Modifying the proppant also influences the migration behavior and blocking effects of fines (coal and precipitates) within the propped fracture.
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- 1999
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16. Desorption Enhancement in Fracture-Stimulated Coalbed Methane Wells
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Lavelle M. Robert, Lyle V. Lehman, and Matthew E. Blauch
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chemistry.chemical_compound ,Hydraulic fracturing ,Petroleum engineering ,chemistry ,Coalbed methane ,Waste management ,Desorption ,Well stimulation ,Fracture (geology) ,Methane - Abstract
The dewatering process, which stimulates gas desorption, is essential for gas production in coalbed methane (CBM) reservoirs. Many CBM wells require hydraulic fracturing to provide interconnectivity and hydraulic access to the cleat/matrix system. Without hydraulic communication and access to the hierar-chical flowpath, gas desorption is severely limited or nonexistent. When economics allow operators to continue long-term gas production, the gas rate of most coalbed wells will eventually increase. Over time, gas desorbs from the coal macerals that form the cleat blocks. However, some coalbed fields experience premature or severe declines in production because of poor hydraulic-fracture conductivity. Particulates have been discovered as a primary cause of poor hydraulic-fracture conductivity. These particulates flow with produced water; they are then deposited within the proppant pack where they block pore throats and interfere with gas desorption. A surface modification agent (SMA) that prevents or reduces hydraulic-fracture conductivity damage has been developed and successfully field-tested. This agent, which has strong adhesive properties, helps delay or prevent conductivity damage to the proppant bed. This paper discusses (1) the problems associated with poor hydraulic-fracture conductivity, (2) why it occurs in coalbed wells, and (3) how a new SMA can minimize the problem.
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- 1998
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17. Etiology of Multiple Fractures
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Brumley John L and Lyle V. Lehman
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Pediatrics ,medicine.medical_specialty ,Etiology ,medicine ,Multiple fractures ,Geology - Abstract
Abstract This paper discusses multiple fracture creation, detection, and prevention. Multiple fracture creation will be discussed on the basis of rock mechanics theory, laboratory experiments, and field observations. In addition, several references from SPE papers will be outlined. The section on qualitative analysis will discuss several methods of detection, ranging from core and log analysis, production history matching, and pressure transient analysis to the use of a real-time, three-dimensional (3D) fracturing model that can possibly provide quantitative analysis. Mitigation methods with regard to perforation techniques will also be briefly discussed. Introduction Poor post-fracture well performance has long been attributed to such factors as proppant convecting out of zone or poor conductivity resulting from misapplied gel-break chemistry. Although evidence suggests that such effects could worsen poor fracturing treatment performance, many fracturing treatments that result in poor production may result primarily from the creation of multiple fractures. Many stimulation engineers have yet to accept this phenomenon fully because they believe that all multiple fractures result in screenouts. Screenouts may not always occur. This paper presents a successfully executed instance in which a 3D frac model revealed a surface treating pressure that indicated eight multiple fractures. In a recent work, Mahrer et al. cited 285 articles, reports, and other documents that provided qualified observations of multiple fractures. A vigorous research of the literature was performed to discover citings of single-wing, planar fractures. With the exception of a theoretical reference by Howard and Fast, Mahrer found no references to such fractures. At the presentation of his work, however, Mahrer was besieged by several single-wing fracture constituents who would not accept his research. Mahrer proposed that the paradigm of single planar fractures should be the exception, not the norm. This paper complements Mahrer's work by exhibiting other facets of multiple fractures. In rock mechanics theory, single-fracture planes are the given norm. This postulate is easy to address numerically and conceptually. However, many cases exist in which single planar fractures were not created during experimentation with hydrostone. Although this material is considered the most manageable rock available, it allows multiple fracture initiation in nonunique circumstances. Table 1 outlines several symptoms of multiple fractures. This paper will discuss each of these symptoms and their possible causes:sand production without the placement of more than six sand grains of proppant,cyclic production performance after the fracturing treatment,shallow mineback studies,pressure behavior during stimulation, and other lesser known illustrations. A detailed section is included that discusses how to use a 3D fracture simulator to qualify and possibly quantify multiple fractures. This section will describe the differences between single-plane tortuosity and a similar effect that occurs when multiple fractures are present. Types of Multiple Fractures and Their Environments This paper will focus on multiple fractures that coalesce, overlap, or compete for the same pore space (Fig. 1). Most experts consider noncompeting fractures (Fig. 2), such as those generated when long pay intervals are fractured with several perforated intervals, as no threat to the fracture treatment's success. An example of this type of noncompeting fracture occurs in the Hugoton wells, where several members of the Chase group are being stimulated simultaneously. Multiple fractures will most likely occur in (1) naturally fractured formations, (2) long intervals of perforations, with the perforating phase being 0 >to >180, and (3) strongly dipping planes and/or deviated wellbores to flat bedding planes. P. 163^
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- 1997
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18. Economic Ranking of Applications Which Directly Benefit Fracturing Optimization in a Moderate Permeability/Multi-Layered Environment
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Lyle V. Lehman, Charles C. Kelley, and C.W. Kelley
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Permeability (earth sciences) ,Engineering ,Petroleum engineering ,business.industry ,business ,Ranking (information retrieval) - Abstract
Abstract This paper discusses processes that are common and un-common in stimulating wells which exhibit medium permeability/multilayered environments. These zones are typically found in the Texas and Oklahoma Panhandles, Southwest Kansas and Western Oklahoma. This paper ranks these processes in order of their cost effective ability to recover additional hydrocarbons from these reservoirs. In evaluating these methods, a theory will be presented which outlines the boundary mechanism in these areas. This dimension totally controls the effectiveness of the frac treatment. A method of controlling the resultant frac height in this type of environment will be offered. Value is placed upon processes such as: placing additional proppant in the zone, intense quality control, use of a leading-edge three dimensional real-time frac models, stress logs, calibration tests, reservoir evaluation prior to treatment and perforating. A field example will be cited where these processes were directly beneficial to the net present value of the well. Introduction In the history of well completions, the area of stimulating medium permeability formations or reservoirs has been the most often overlooked. By the term "medium permeability" the authors wish to specify the permeability range of 1 to 10 mDs. This range is not tight and not "loose" by most standards. In this range, the FCD starts to work against the stimulation engineer in terms of providing contrast in the pay section. This relationship: (1) states that the induced permeability of a proppant pack must be greater per unit of distance from the wellbore If this value does not increase proportionately, then placing proppant farther from the wellbore can become a non-economical option. In other words, there is an equilibrium point where "Bigger is not Better". Industry targets for this ratio are taken from Cinco's work and supplemented to fit the original Agarwal equation so that the target ratio is 31.4159. From manipulation of the relationship, one can easily see that with permeability below 1, the target ratio can easily be reached. At a permeability value of 1, the denominator quits being a "multiplier" and starts dividing into induced perm (conductivity). Since conductivity is a function of the proppant perm multiplied by the propped width, it can be increased by placing more proppant in the induced area, without making that area any longer. Conductivity contrast is lessened by placing additional proppant in excess area, however. The definition of multi-layered is self explanatory in that the productive zone is not continuous, but separated by "interior" shales or shaley pay sections, that do not produce hydrocarbons. In the Texas and Oklahoma Panhandle, Western Oklahoma and Southwest Kansas, as well as other areas, many formations exist that fit these descriptions. The successes rate in effectively stimulating them is regional, at best. However, from this should not be the case. It is to the operator's benefit that he have a well of this type, because the stimulation success is considerably easier in these formations due to the multiple layering providing permeability traps, thus bounding or, "framing" the frac treatments to generate a more elliptical shape than in unbounded formations. Stress in the interior shales is not sufficient to provide this effect. Permeability out of the perforated field becomes the more efficient bounding mechanism. There are several steps that an operator can take that directly effect the outcome of stimulation treatments in these formations. Many recent papers offer insights into building a working theory to optimize stimulation treatments in low perm formations that are bound principally by stress alone. These works offer insight in ways to place proppant more strategically in the pay section and or in the pay section and not below. In those cases, proppant convection appears to be the worst enemy that the stimulation engineer can face. P. 85
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- 1996
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19. Stimulation Fluid Development and Applied Fracturing Model Improves Results, Morrow Sandstone, Hutchison County, Texas
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Robert Olson, Lyle V. Lehman, and Charles C. Kelley
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Permeability (earth sciences) ,Hydraulic fracturing ,Mining engineering ,Petroleum engineering ,Oil well ,law ,Well stimulation ,Drilling ,Lower cost ,High flow rate ,Geology ,High stress ,law.invention - Abstract
Abstract The Morrow formation in Hutchison County, Texas was long considered incapable of producing hydrocarbons at an economic rate. Most post-frac production rates were the same or less than pre-frac rates. Only high flow rate, non-stimulated completions were considered economic, but these completions were few in number. These facts lowered expectations for sufficient recovery of investment necessary to continue developmental drilling. Utilization of modern fracture model techniques, core analysis, fluid testing and stress data lead to a system of stimulation techniques, fluids and proppants that has created a cost-effective stimulation system for the Morrow formation. Lithology studies showed that the frac fluid was primarily critical to success. These studies lead to an unorthodox fluid. It contained two elements that would not be considered practical in any other formations or circumstances in the Western Anadarko basin. Proppant placement was identified as the second most important issue. Fracture height was found to be controlled by permeability, not stress. This led to the discovery that proppant convection did not allow for good proppant placement. Proppant staging methods were augmented to combat excessive convection and then acquire advantageous proppant placement. Proppant selection was identified as the third most important criteria. Reservoir stresses and modeling showed that high cost, high stress proppants were not necessary. Lower cost, larger sized proppants yielded much higher conductivity than in previous completions. These criteria were integrated into a solution which brought the post-frac production rate from a one fold to a ten fold increase. Introduction The West Arrington Morrow field of Hutchison County, Texas contains many producing horizons. One of which is the Morrow sandstone. This zone has been long overlooked for it's potential in supplying hydrocarbons due to problems in completions. Fortunately for Arrington CJM, Inc., their first three experiences with the zone were high flow rate, natural completions. Unfortunately, this was not the standard for completions to come. P. 129
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- 1995
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20. Combining cloud radar and radar wind profiler for a value added estimate of vertical air motion and particle terminal velocity within clouds
- Author
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M. Radenz, J. Bühl, V. Lehmann, U. Görsdorf, and R. Leinweber
- Subjects
Environmental engineering ,TA170-171 ,Earthwork. Foundations ,TA715-787 - Abstract
Vertical-stare observations from a 482 MHz radar wind profiler and a 35 GHz cloud radar are combined on the level of individual Doppler spectra to measure vertical air motions in clear air, clouds and precipitation. For this purpose, a separation algorithm is proposed to remove the influence of falling particles from the wind profiler Doppler spectra and to calculate the terminal fall velocity of hydrometeors. The remaining error of both vertical air motion and terminal fall velocity is estimated to be better than 0.1 m s−1 using numerical simulations. This combination of instruments allows direct measurements of in-cloud vertical air velocity and particle terminal fall velocity by means of ground-based remote sensing. The possibility of providing a profile every 10 s with a height resolution of
- Published
- 2018
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- View/download PDF
21. Mean wind vector estimation using the velocity–azimuth display (VAD) method: an explicit algebraic solution
- Author
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G. Teschke and V. Lehmann
- Subjects
Environmental engineering ,TA170-171 ,Earthwork. Foundations ,TA715-787 - Abstract
This paper deals with the analysis of the sampling setup for Doppler profilers aiming at the determination of vertical profiles of the wind. An explicit solution for the retrieval of mean wind vectors under the assumption of local homogeneity is presented for the case of a symmetric velocity–azimuth display sampling, and a stability analysis is performed. Furthermore, the explicit solution allows a detailed investigation of the propagation of radial wind measurement errors on the retrieved wind vector.
- Published
- 2017
- Full Text
- View/download PDF
22. Vibrational stabilization of linear time delay systems and its robustness with respect to the delay size
- Author
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R. V. Lehman, J. Fakhfakh, and Joseph Bentsman
- Subjects
Vibration ,Periodic system ,Time delays ,General Computer Science ,Control and Systems Engineering ,Control theory ,Robustness (computer science) ,Mechanical Engineering ,Linear system ,Electrical and Electronic Engineering ,Time complexity ,Mathematics - Abstract
The purpose of this paper is to investigate the effectiveness of vibrational stabilization for a class of linear systems with time delay. The total vibrational stabilizability conditions are formulated. The robustness of an oscillatory stabilizing effect with respect to the magnitudes of the delays and the parameters of oscillations is also investigated on the basis of numerical examples.
- Published
- 1989
- Full Text
- View/download PDF
23. Combined vertical-velocity observations with Doppler lidar, cloud radar and wind profiler
- Author
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J. Bühl, R. Leinweber, U. Görsdorf, M. Radenz, A. Ansmann, and V. Lehmann
- Subjects
Environmental engineering ,TA170-171 ,Earthwork. Foundations ,TA715-787 - Abstract
Case studies of combined vertical-velocity measurements of Doppler lidar, cloud radar and wind profiler are presented. The measurements were taken at the Meteorological Observatory, Lindenberg, Germany. Synergistic products are presented that are derived from the vertical-velocity measurements of the three instruments: a comprehensive classification mask of vertically moving atmospheric targets and the terminal fall velocity of water droplets and ice crystals corrected for vertical air motion. It is shown that this combination of instruments can up-value the measurement values of each single instrument and may allow the simultaneous sensing of atmospheric targets and the motion of clear air.
- Published
- 2015
- Full Text
- View/download PDF
24. An assessment of the performance of a 1.5 μm Doppler lidar for operational vertical wind profiling based on a 1-year trial
- Author
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E. Päschke, R. Leinweber, and V. Lehmann
- Subjects
Environmental engineering ,TA170-171 ,Earthwork. Foundations ,TA715-787 - Abstract
We present the results of a 1-year quasi-operational testing of the 1.5 μm StreamLine Doppler lidar developed by Halo Photonics from 2 October 2012 to 2 October 2013. The system was configured to continuously perform a velocity-azimuth display scan pattern using 24 azimuthal directions with a constant beam elevation angle of 75°. Radial wind estimates were selected using a rather conservative signal-to-noise ratio based threshold of −18.2 dB (0.015). A 30 min average profile of the wind vector was calculated based on the assumption of a horizontally homogeneous wind field through a Moore–Penrose pseudoinverse of the overdetermined linear system. A strategy for the quality control of the retrieved wind vector components is outlined for ensuring consistency between the Doppler lidar wind products and the inherent assumptions employed in the wind vector retrieval. Quality-controlled lidar measurements were compared with independent reference data from a collocated operational 482 MHz radar wind profiler running in a four-beam Doppler beam swinging mode and winds from operational radiosonde measurements. The intercomparison results reveal a particularly good agreement between the Doppler lidar and the radar wind profiler, with root mean square errors ranging between 0.5 and 0.7 m s−1 for wind speed and between 5 and 10° for wind direction. The median of the half-hourly averaged wind speed for the intercomparison data set is 8.2 m s−1, with a lower quartile of 5.4 m s−1 and an upper quartile of 11.6 m s−1.
- Published
- 2015
- Full Text
- View/download PDF
25. [Letter: Discomfort in school children]
- Author
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V, Lehman
- Subjects
Norway ,Social Adjustment ,School Health Services - Published
- 1976
26. A group home--hospital treatment model for severely disturbed adolescents
- Author
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L R, Hoffmann, V, Lehman, and E D, Zev
- Subjects
Halfway Houses ,Hospitals, Psychiatric ,Male ,Adolescent ,Aftercare ,Group Processes ,Adolescent Psychiatry ,Evaluation Studies as Topic ,Education, Special ,Humans ,Female ,New York City ,Affective Symptoms ,Social Adjustment - Published
- 1975
27. Advanced intermittent clutter filtering for radar wind profiler: signal separation through a Gabor frame expansion and its statistics
- Author
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V. Lehmann and G. Teschke
- Subjects
Science ,Physics ,QC1-999 ,Geophysics. Cosmic physics ,QC801-809 - Abstract
A new signal processing method is presented for the suppression of intermittent clutter echoes in radar wind profilers. This clutter type is a significant problem during the seasonal bird migration and often results in large discrepancies between profiler wind measurements and independent reference data. The technique presented makes use of a discrete Gabor frame expansion of the coherently averaged time series data in combination with a statistical filtering approach to exploit the different signal characteristics between signal and clutter. The rationale of this algorithm is outlined and the mathematical methods used are presented in due detail. A first test using data obtained with an operational 482 MHz wind profiler indicates that the method outperforms the previously used clutter suppression algorithm.
- Published
- 2008
- Full Text
- View/download PDF
28. Investigation of inertia-gravity waves in the upper troposphere/lower stratosphere over Northern Germany observed with collocated VHF/UHF radars
- Author
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A. Serafimovich, P. Hoffmann, D. Peters, and V. Lehmann
- Subjects
Physics ,QC1-999 ,Chemistry ,QD1-999 - Abstract
A case study to investigate the properties of inertia-gravity waves in the upper troposphere/lower stratosphere has been carried out over Northern Germany during the occurrence of an upper tropospheric jet in connection with a poleward Rossby wave breaking event from 17-19 December 1999. The investigations are based on the evaluation of continuous radar measurements with the OSWIN VHF radar at Kühlungsborn (54.1 N, 11.8 E) and the 482 MHz UHF wind profiler at Lindenberg (52.2 N, 14.1 E). Both radars are separated by about 265 km. Based on wavelet transformations of both data sets, the dominant vertical wavelengths of about 2-4 km for fixed times as well as the dominant observed periods of about 11 h and weaker oscillations with periods of 6 h for the altitude range between 5 and 8 km are comparable. Gravity wave parameters have been estimated at both locations separately and by a complex cross-spectral analysis of the data of both radars. The results show the appearance of dominating inertia-gravity waves with characteristic horizontal wavelengths of 300 km moving in the opposite direction than the mean background wind and a secondary less pronounced wave with a horizontal wavelength in the order of about 200 km moving with the wind. Temporal and spatial differences of the observed waves are discussed.
- Published
- 2005
29. Wavelet based methods for improved wind profiler signal processing
- Author
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V. Lehmann and G. Teschke
- Subjects
Science ,Physics ,QC1-999 ,Geophysics. Cosmic physics ,QC801-809 - Abstract
In this paper, we apply wavelet thresholding for removing automatically ground and intermittent clutter (airplane echoes) from wind profiler radar data. Using the concept of discrete multi-resolution analysis and non-parametric estimation theory, we develop wavelet domain thresholding rules, which allow us to identify the coefficients relevant for clutter and to suppress them in order to obtain filtered reconstructions.Key words. Meteorology and atmospheric dynamics (instruments and techniques) – Radio science (remote sensing; signal processing)
- Published
- 2001
- Full Text
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30. Field campaign LINEX 96/1 — Possibilities of water vapor observation in the free atmosphere
- Author
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H. Steinhagen, S. Bakan, J. Bösenberg, H. Dier, D. Engelbart, J. Fischer, G. Gendt, U Görsdorf, J. Güldner, F. Jansen, V. Lehmann, U. Leiterer, J. Neisser, and Volker Wulfmeyer
- Subjects
differential absorption lidar (dial) ,rawinsonde measurement ,tethersonde measurement ,bias ,wasserdampf ,differentieller absorptions-lidar (dial) ,Meteorology. Climatology ,QC851-999 - Abstract
LINEX 96/1 was a field experiment to assess information content, accuracy, and availability for different remote sensing techniques measuring water vapor. An important goal of LINEX 96/1 was the test of a new Differential Absorption Lidar (DIAL) developed by the MPI für Meteorologie Hamburg. Comparisons of DIAL with rawinsonde and tethersonde measurements showed an excellent accuracy of the DIAL method in the determination of water vapor with high vertical and temporal resolution. The operation of the microwave radiometer WVR-1100 showed a high availability of water vapor and liquid water column content measurements except during rain. Microwave radiometers are reliable systems to measure the precipitable water vapor and liquid water content under unattended operational conditions with high accuracy and temporal resolution. Measurements of the water vapor column content by groundbased GPS receivers proved highly reliable. Comparisons with corresponding values of the microwave radiometer showed a bias less than 0.6 mm and a standard deviation less than 0.9 mm. The main problem of an operational use of this new information is that the evaluated data are not available in real-time because, at present, the data have to be postprocessed in a ground control center. During LINEX 96/1, possibilities for estimation of water vapor column content from sun and star photometer measurements were also demonstrated. The comparison of the precipitable water vapor content measurements of sun and star photometers, microwave radiometer, and rawinsondes RS 80 showed a good agreement. Unfortunately, the use of optical methods like sun and star photometers is restricted by cloudy conditions. The field campaign LINEX 96/1 was an important contribution to the COST Action 76 by investigation of the new possibilities measuring water vapor in the free atmosphere with the objective of improvements of our knowledge about the 4-dimensional water vapor field.
- Published
- 1998
- Full Text
- View/download PDF
31. Performance of the first European 482 MHz Wind Profiler Radar with RASS under operational conditions
- Author
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H. Steinhagen, J. Dibbern, D. Engelbart, U. Görsdorf, V. Lehmann, J. Neisser, and J. W. Neuschaefer
- Subjects
radio-acoustic sounding system ,Meteorology. Climatology ,QC851-999 - Abstract
The first 482 MHz Wind Profiler Radar (WPR) in Europe completed with a Radio-Acoustic Sounding System (RASS) has been operated at the Meteorological Observatory Lindenberg since July 3rd, 1996 after a comprehensive study regarding the investigation of frequency compatibility between the WPR and the television channel 22 (478-486 MHz). The WPR can operate with different height and time resolutions (e. g. 250 m in the so-called Low Mode or 500 m in the High Mode). A height range of up to approximately 16 km can be realized in the High Mode. The installed WPR/RASS combination allows also the measurement of profiles of the virtual temperature with the Low Mode resolution in the height range from 500 m up to approximately 4000 m. The main objective of this contribution is the investigation of the accuracy and the availability of this new remote sensing system. First results of the accuracy can be given on the base of about 1000 intercomparisons between WPR/RASS and Rawinsonde data. The bias of the horizontal wind velocities is less than 0.4 m/s in the Low Mode and 0.7 m/s in the High Mode (from 3 to 10 km) and therefore smaller than the average accuracy of both systems. The bias of the temperature measurements is less than 1 K and can be improved by some corrections in future. A first statistics of the data availability can be shown based on nearly 6000 profiles of wind and temperature. The 80 % availability of the WPR/RASS was determined with 12.8 km for wind and 2.3 km for temperature measurements. The new possibilities of investigating the troposphere as well as the lowest part of the stratosphere are presented by measurement examples from February and March 1997.
- Published
- 1998
- Full Text
- View/download PDF
32. Breakthrough Invasive Fusarium Orbital Rhinosinusitis With Meningitis.
- Author
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Tawfiq RK, Ranganath N, Lehman V, Yin LX, and Schuetz AN
- Subjects
- Humans, Fusarium, Meningitis, Rhinitis complications, Rhinitis diagnosis, Sinusitis complications, Sinusitis diagnosis
- Published
- 2022
- Full Text
- View/download PDF
33. Comparison of Stroke Risk Factors between Symptomatic and Asymptomatic Patients in a North American Moyamoya Disease Cohort.
- Author
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Kumar M, Larson A, Jabal MS, Rinaldo L, Savastano L, Lanzino G, Meyer F, Lehman V, and Klaas J
- Subjects
- Adult, Female, Hemorrhage, Humans, Male, North America epidemiology, Retrospective Studies, Risk Factors, Moyamoya Disease diagnostic imaging, Moyamoya Disease epidemiology, Stroke diagnosis, Stroke epidemiology, Stroke etiology
- Abstract
Background: Risk factors for stroke in symptomatic and asymptomatic moyamoya disease (MMD) patients have recently been reported in a Japanese cohort. Such information in a North American population is lacking., Objective: We sought to elucidate the prevalence of stroke risk factors among North American patients with ischemic, hemorrhagic, and asymptomatic MMD., Methods: We retrospectively reviewed our institution's database between 1990 and 2021. We excluded cases of moyamoya syndrome. We divided 119 patients into 3 groups based on the onset pattern; ischemic, hemorrhagic, and asymptomatic. We compared the prevalence of well-known stroke risk factors (diabetes, hypertension, etc.) between these three groups of patients. In the asymptomatic group, we analyzed the prevalence of cerebrovascular events on follow-up from the time of diagnosis., Results: Overall, 119 patients with MMD were available with predominately White ethnicity (80.7%). The mean age was 39 years, and 73.9% were female. Patients presented with ischemic stroke (82%) and hemorrhagic stroke (11%); 7% of patients were asymptomatic. The prevalence of stroke risk factors did not differ among ischemic, hemorrhagic, or asymptomatic MMD patients. In 8 asymptomatic patients, there was 81.8 months (SD ±51.0) of follow-up, and none of them developed any cerebrovascular events., Conclusions: No significant differences in the prevalence of stroke risk factors between MMD cohorts were found, corroborating evidence provided in a recent Japanese-based study. There were no apparent associations between stroke risk factors and interval cerebrovascular events in an asymptomatic group of MMD patients., (© 2022 The Author(s). Published by S. Karger AG, Basel.)
- Published
- 2022
- Full Text
- View/download PDF
34. Decreased vessel wall enhancement as a biomarker for response to corticosteroids in a patient with CNS vasculitis.
- Author
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Brinjikji W, Lehman V, Huston J 3rd, Luetmer PH, Lanzino G, and Rabinstein AA
- Subjects
- Biomarkers, Female, Humans, Magnetic Resonance Angiography, Middle Aged, Neurosurgical Procedures, Vascular Surgical Procedures, Adrenal Cortex Hormones pharmacology, Vasculitis, Central Nervous System diagnostic imaging, Vasculitis, Central Nervous System drug therapy, Vasculitis, Central Nervous System surgery
- Published
- 2019
- Full Text
- View/download PDF
35. Vessel Wall Imaging of Intracranial Aneurysms: Systematic Review and Meta-analysis.
- Author
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Texakalidis P, Hilditch CA, Lehman V, Lanzino G, Pereira VM, and Brinjikji W
- Subjects
- Brain blood supply, Brain diagnostic imaging, Humans, Observational Studies as Topic, Blood Vessels diagnostic imaging, Intracranial Aneurysm diagnostic imaging
- Abstract
Vessel wall imaging (VWI) is emerging as a novel imaging tool for the management and risk stratification of patients with intracranial saccular aneurysms. Our objective was to compare the rates of wall enhancement in unstable (ruptured, growing, or symptomatic) and stable aneurysms and assess the ability of VWI with high-resolution magnetic resonance imaging to distinguish between these 2 entities. This study was performed according to Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, and eligible studies were identified through a comprehensive literature review. A meta-analysis was conducted to examine the association between aneurysm wall enhancement and aneurysm instability with the use of a random effects model. The I
2 statistic was used to assess for heterogeneity. Six studies comprising 505 saccular aneurysms were included. Aneurysms that showed vessel wall enhancement had statistically significant higher odds of being unstable (odds ratio [OR]: 20; 95% confidence interval [CI]: 6.4-62.1; I2 : 63.1%). The sensitivity, specificity, positive predictive value, and negative predictive value of VWI in identifying unstable aneurysms were 95.0% (90.4-97.8), 62.7% (57.1-67.9), 55.8% (52.2-59.4), and 96.2% (92.8-98.0), respectively. There is a statistically significant association between vessel wall enhancement and aneurysm instability. Importantly, the lack of wall enhancement is a strong predictor of aneurysm stability. VWI could potentially provide new insights in the management of intracranial aneurysms., (Copyright © 2018 Elsevier Inc. All rights reserved.)- Published
- 2018
- Full Text
- View/download PDF
36. Intracranial and Extracranial Neurovascular Manifestations of Takayasu Arteritis.
- Author
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Bond KM, Nasr D, Lehman V, Lanzino G, Cloft HJ, and Brinjikji W
- Subjects
- Adult, Carotid Stenosis diagnostic imaging, Cerebral Hemorrhage diagnostic imaging, Cerebral Infarction diagnostic imaging, Constriction, Pathologic, Dizziness etiology, Female, Headache etiology, Humans, Intracranial Aneurysm diagnostic imaging, Magnetic Resonance Imaging, Male, Middle Aged, Subclavian Steal Syndrome diagnostic imaging, Takayasu Arteritis pathology, Vasculitis, Central Nervous System diagnostic imaging, Young Adult, Blood Vessels pathology, Nervous System pathology, Takayasu Arteritis complications
- Abstract
Background and Purpose: Takayasu arteritis is a rare, large-vessel vasculitis that presents with symptoms related to end-organ ischemia. While the extracranial neurovascular manifestations of Takayasu arteritis are well-established, little is known regarding the intracranial manifestations. In this study, we characterize the intracranial and cervical neurovascular radiologic findings in patients with Takayasu arteritis., Materials and Methods: Patients with Takayasu arteritis who presented to our institution between 2001 and 2016 with intracranial and/or cervical vascular imaging were included in this study. Images were evaluated for the presence of vascular abnormalities, including intracranial or extracranial stenosis, vessel-wall thickening, dissection, subclavian steal, aneurysms, infarcts, and hemorrhages. Descriptive analyses are reported., Results: Seventy-nine patients with Takayasu arteritis met the criteria for inclusion in this study. The most common presenting neurologic symptoms were headache (32.9%) and dizziness (15.2%). Intracranial and extracranial vascular imaging was performed in 84.8% and 89.9% of patients, respectively. Among patients with intracranial vascular imaging, 3 (3.9%) had intracranial aneurysms, 3 (3.9%) had acute large-vessel occlusion, 6 (7.6%) had intracranial vasculitis, and 1 (1.3%) had reversible cerebrovascular constriction syndrome. Among patients with cervical vascular imaging, 42 (53.1%) had some degree of narrowing of the common carotid artery and 18 (22.8%) had narrowing of the ICAs. Seventeen patients (23.6%) had subclavian steal., Conclusions: Intracranial vascular abnormalities in patients with Takayasu arteritis presenting with neurologic symptoms are not rare, with cerebral vasculitis seen in 7.8% of patients, and stroke secondary to large-vessel occlusion, in 3.9% of patients. Cervical vascular manifestations of Takayasu arteritis were present in most patients in our study., (© 2017 by American Journal of Neuroradiology.)
- Published
- 2017
- Full Text
- View/download PDF
37. A practice audit of CT-guided injections of pars interarticularis defects in patients with axial low back pain: a primer for further investigation.
- Author
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Wald JT, Geske JR, Diehn FE, Murthy NS, Kaufmann TJ, Thielen KR, Morris JM, Lehman VT, and Maus TP
- Subjects
- Adult, Chronic Pain diagnostic imaging, Chronic Pain drug therapy, Female, Follow-Up Studies, Humans, Injections, Intralesional methods, Male, Medical Audit, Middle Aged, Pilot Projects, Retrospective Studies, Treatment Outcome, Young Adult, Adrenal Cortex Hormones administration & dosage, Anesthetics, Local administration & dosage, Low Back Pain diagnostic imaging, Low Back Pain drug therapy, Lumbar Vertebrae diagnostic imaging, Tomography, X-Ray Computed methods
- Abstract
Objective: To assess whether computed tomography (CT)-guided injections of local anesthetic and corticosteroid into chronic lumbar pars interarticularis defects may identify and provide benefit to a cohort of patients where the pars defects act as a primary axial pain generator., Design: Retrospective practice audit., Setting: Single academic radiology pain management practice., Patients: 59 consecutive patients undergoing CT-guided injections of lumbar pars defects., Methods: Patients were assessed with a pain numerical rating scale (NRS, 0-10) and Roland-Morris disability questionnaire (R-M) prior to injection and at 2 weeks and 2 months follow-up. For categorical outcomes, successful pain relief response was defined as either ≥50% reduction in NRS or pain 0/10; functional response was defined as ≥40% reduction in R-M score. Continuous outcomes (mean NRS, R-M scores) were assessed for significant change following injection., Results: For categorical outcomes, 37.9% of patients were responders at 2 months' follow-up; 20.7 % had complete relief of index pain. For functional recovery, 34.5% were responders at 2 months. Using continuous outcomes, mean NRS was 5.4 ± 2.1 prior to injection and 3.6 ± 2.6 at 2 months (P < 0.0001). Mean R-M score was 11.7 ± 6.0 prior to injection and 9.0 ± 5.4 at 2 months (P = 0.001). There were no complications., Conclusions: This practice audit suggests that in patients with axial low back pain and chronic pars defects, the pars defects may be implicated as the primary axial pain generator in a small subgroup of patients. Local deposition of corticosteroids into the pars defect may provide significant pain relief in one out of three patients, and complete relief in one out of five patients. This data suggest there may be benefit to pursuing randomized controlled trials of pars injections comparing steroid injection with placebo., (Wiley Periodicals, Inc.)
- Published
- 2014
- Full Text
- View/download PDF
38. A group home--hospital treatment model for severely disturbed adolescents.
- Author
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Hoffmann LR, Lehman V, and Zev ED
- Subjects
- Adolescent, Aftercare, Education, Special, Evaluation Studies as Topic, Female, Group Processes, Humans, Male, New York City, Social Adjustment, Adolescent Psychiatry, Affective Symptoms rehabilitation, Halfway Houses, Hospitals, Psychiatric
- Published
- 1975
39. [Letter: Discomfort in school children].
- Author
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Lehman V
- Subjects
- Norway, School Health Services, Social Adjustment
- Published
- 1976
40. Leukolytic activity of Acinetobacter calcoaceticus.
- Author
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Lehman V and Wiig JN
- Subjects
- Alcaligenes enzymology, Animals, Culture Media, Dye Dilution Technique, Edetic Acid pharmacology, Electrophoresis, Female, Hot Temperature, Hydrogen-Ion Concentration, Magnesium pharmacology, Male, Methods, Mice, Phospholipases analysis, Thymus Gland cytology, Alcaligenes drug effects, Hemolysin Proteins, Hemolysis, T-Lymphocytes drug effects
- Published
- 1972
- Full Text
- View/download PDF
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