Quantitative and Qualitative Methods for the Characterization of Karst Springs (case study: Lorestan province, Zagros Mountain, Iran)

Karst groundwater resources in the Zagros Mountains are vital for supplying of different demands in the region which need to sustainable management and protection. Quantitative and qualitative characterization of karst aquifers in this region were understudied due to lack of site-specific logging-data and speleological investigations. In this study, a state-of-the-art of the statistical methods developed to characterize karst aquifer based on analyses of the spring recession hydrograph and spring water quality are presented. These methods including Manging’s method for classification of karst aquifers, relationships of precipitation and discharge data, groundwater quality index (GQI), hydrochemical diagrams (Piper, Durov and Gibbs), and Saturation index (SI), Chloro-Alkaline indices (CAI). 42 major karst springs mainly located in folded part of Zagros region (western Iran) are selected for application of the reviewed methods. Results indicated that the saturated zone exerts almost main control over the discharge of 76% of the studied springs. The base-flow contributes as between 80.0% to 100% of total water storage in the study aquifers. 78.5% of the studied aquifers have a high karstification degree. An insignificant lag-time is observed between the precipitation on the karst basin and spring discharge. The hydrochemical diagrams show that the waters are dominated by HCO3 and Ca and the majority of the waters are alkaline, with originate from silicate minerals weathering. Such repeatable methods adopted in this study can provide crucial information of the karst aquifers, especially those suffer scarcity of aquifer hydrodynamic data.

Efficacy and safety of endotracheal instillation of iloprost for persistent pulmonary hypertension of the newborn

Objective: To determine the efficacy and safety of endotracheal instillation of iloprost as a rescue therapy for persistent pulmonary hypertension of the newborn. Methods: Neonates diagnosed with persistent pulmonary hypertension who were unresponsive to standard treatment protocol applied for persistent pulmonary hypertension in our unit, and who were being followed up with mechanical ventilation, were included in the study. Iloprost was instilled endotracheally as a rescue treatment. Systolic pulmonary artery pressure, oxygen saturation index, mean airway pressure, fraction of inspired oxygen, preductal and postductal venous oxygen saturation, heart rate, and blood pressure were recorded before and after 30 minutes of endotracheal iloprost instillation. Adverse events after endotracheal iloprost were recorded. Results: Twenty neonates were included. The median gestational age and birth weight were found to be 37 (30.5-38) weeks and 2975 (2125-3437.5) grams, respectively. When compared to the period before endotracheal iloprost instillation, systolic pulmonary artery pressure, oxygen saturation index, mean airway pressure, and fraction of inspired oxygen values significantly decreased (p < 0.001, p < 0.001, p = 0.021, p = 0.001, respectively), whereas preductal and postductal oxygen saturation values significantly increased 30 minutes after the endotracheal iloprost instillation (p = 0.002, p < 0.001, respectively). There were no significant differences in heart rate and blood pressure values before and after the iloprost administration. No adverse events were observed. Conclusion: Endotracheal instillation of iloprost was found to be an effective and safe therapy for persistent pulmonary hypertension unresponsive to conventional treatment.

Develop an integrating coagulation and RO systems to treat highly turbid water using synthesized coagulants

In the present study coagulation process was used as pretreatment for the RO membrane with turbid raw water collected from Bisalpur Dam, Rajasthan, India. To optimize coagulation performance, three kinds of coagulants, namely, Alum (commercially available), synthesized inorganic polymeric coagulant-medium basicity (IPC-M), and inorganic polymeric coagulant-ultra high basicity (IPC-UH) were examined for turbidity removal with varying operating parameters. It was observed that in the optimum pH range of 6–7, the IPC-UH resulted as the best performing coagulant with 0.99 mg/L equivalent Al2O3 dose revealing 2 NTU residual turbidity and residual aluminium of 0.001 mg/L. Moreover, Langelier saturation index and Ryznar stability index values were evaluated at optimum conditions of all the three coagulants proclaiming negligible scaling potential. Furthermore, the coagulant-treated water (100 L) was fed to the RO membrane, and the performance was noted in terms of flux, pressure, and TDS. It was observed that IPC-UH has the lowest reduction in permeate flux of 0.78 L/min/m2 compared to commercially available coagulant alum (0.90 L/min/m2). Also, the increased feed pressure was observed for all the coagulants treated water with the lowest value of 2.3 kg/cm2 for IPC-UH, which was 2.5 kg/cm2 for Alum (commercially available coagulant). Henceforth, integration of coagulation before the RO system resulted in effective pretreatment of turbid water with very minute scaling.

Triglyceride Saturation in Patients at Risk of NASH and NAFLD: A Cross-Sectional Study

Chemical shift magnetic resonance imaging (MRI) is commonly used to estimate the amount of fat in tissues, namely the proton density fat fraction (PDFF). In addition to PDFF, the type of fat can be inferred and characterized in terms of the number of double bonds (NDB), number of methylene-interrupted double bonds (NMIDB) and the chain length (CL) of the fatty acid chains. The saturation index is potentially a marker for metabolic disorders. This study assesses the feasibility of estimating these parameters independently or in a constrained manner. Correlations with spectroscopy were measured in 109 subjects’ subcutaneous and visceral fat depots (p = 2 × 10−28), and with the NAFLD Activity Score (NAS) from histological evaluation of biopsies. The findings indicate that imaging estimates are comparable to spectroscopy (p = 0.0002), but there is no significant association of NDB with NAS (p = 0.1).

Oxygen Saturation Index in Neonates with a Congenital Diaphragmatic Hernia: A Retrospective Cohort Study

<b><i>Introduction:</i></b> The oxygenation index (OI) is a marker for respiratory disease severity and adverse neonatal outcomes. The oxygen saturation index (OSI) is an alternative that allows for continuous noninvasive monitoring, but evidence for clinical use in critically ill neonates is scarce. The aim of this study was to evaluate the OSI as compared to the OI in term neonates with a congenital diaphragmatic hernia (CDH). <b><i>Methods:</i></b> A single-center retrospective cohort study was conducted including all live-born infants with an isolated CDH between June 2017 and December 2020. Paired values of the OI and OSI in the first 24 h after birth were collected. The relation between OI and OSI measurements was assessed, taking into account arterial pH, body temperature, and preductal versus postductal location of oxygen saturation measurement or arterial blood sampling. The predictive values for pulmonary hypertension, need for extracorporeal membrane oxygenation therapy, and survival at discharge were evaluated. <b><i>Results:</i></b> Of 33 subjects included, 398 paired values of the OI (median 5.8 [3.3–17.2]) and OSI (median 7.3 [3.6–14.4]) were collected. The OI and OSI correlated strongly (<i>r</i> = 0.77, <i>p</i> &#x3c; 0.001). The OSI values corresponding to the clinically relevant OI values (10, 15, 20, and 40) were 8.9, 10.9, 12.9, and 20.9, respectively. The predictive values of the OI and OSI were comparable for all adverse neonatal outcomes. No difference was found in the area under the receiver operating characteristic curves for the OI and the OSI for adverse neonatal outcomes. <b><i>Conclusions:</i></b> The OSI could replace the OI in clinical practice in infants with a CDH.

Mechanical, Cardiorespiratory, and Muscular Oxygenation Responses to Sprint Interval Exercises Under Different Hypoxic Conditions in Healthy Moderately Trained Men

Objective: The aim of this study was to determine the effects of sprint interval exercises (SIT) conducted under different conditions (hypoxia and blood flow restriction [BFR]) on mechanical, cardiorespiratory, and muscular O2 extraction responses.Methods: For this purpose, 13 healthy moderately trained men completed five bouts of 30 s all-out exercises interspaced by 4 min resting periods with lower limb bilateral BFR at 60% of the femoral artery occlusive pressure (BFR60) during the first 2 min of recovery, with gravity-induced BFR (pedaling in supine position; G-BFR), in a hypoxic chamber (FiO2≈13%; HYP) or without additional stress (NOR). Peak and average power, time to achieve peak power, rating of perceived exertion (RPE), and a fatigue index (FI) were analyzed. Gas exchanges and muscular oxygenation were measured by metabolic cart and NIRS, respectively. Heart rate (HR) and peripheral oxygen saturation (SpO2) were continuously recorded.Results: Regarding mechanical responses, peak and average power decreased after each sprint (p &lt; 0.001) excepting between sprints four and five. Time to reach peak power increased between the three first sprints and sprint number five (p &lt; 0.001). RPE increased throughout the exercises (p &lt; 0.001). Of note, peak and average power, time to achieve peak power and RPE were lower in G-BFR (p &lt; 0.001). Results also showed that SpO2 decreased in the last sprints for all the conditions and was lower for HYP (p &lt; 0.001). In addition, Δ[O2Hb] increased in the last two sprints (p &lt; 0.001). Concerning cardiorespiratory parameters, BFR60 application induced a decrease in gas exchange rates, which increased after its release compared to the other conditions (p &lt; 0.001). Moreover, muscle blood concentration was higher for BFR60 (p &lt; 0.001). Importantly, average and peak oxygen consumption and muscular oxyhemoglobin availability during sprints decreased for HYP (p &lt; 0.001). Finally, the tissue saturation index was lower in G-BFR.Conclusions: Thus, SIT associated with G-BFR displayed lower mechanical, cardiorespiratory responses, and skeletal muscle oxygenation than the other conditions. Exercise with BFR60 promotes higher blood accumulation within working muscles, suggesting that BFR60 may additionally affect cellular stress. In addition, HYP and G-BFR induced local hypoxia with higher levels for G-BFR when considering both exercise bouts and recovery periods.

Test-retest reproducibility of in vivo magnetization transfer ratio and saturation index in mice at 9.4 Tesla

Background: Magnetization transfer saturation (MTsat) imaging was developed to reduce T1 dependence and improve specificity to myelin compared to the widely used MT ratio (MTR), while maintaining a feasible scan time. Knowledge of MTsat reproducibility is necessary to apply MTsat in preclinical neuroimaging. Purpose: To assess the test-retest reproducibility of MTR and MTsat in the mouse brain at 9.4 T and calculate sample sizes required to detect various effect sizes. Study Type: Prospective. Animal Model: C57Bl/6 Mouse Model (6 females and 6 males, aged 12 to 14 weeks). Field Strength/Sequence: Magnetization Transfer Imaging at 9.4 T. Assessment: All mice were scanned at two timepoints (5 days apart). MTR and MTsat maps were analyzed using mean region of interest (ROI), and whole brain voxel-wise analysis. Statistical Tests: Bland Altman plots assessed biases between test and retest measurements. Test retest reproducibility was evaluated via between and within-subject coefficients of variation (CV). Sample sizes required were calculated (at a 95 % significance level and power of 80 %), given various minimum detectable effect sizes, using both between and within-subject approaches. Results: Bland Altman plots showed negligible biases between test and retest sessions. ROI based and voxel-wise CVs revealed high reproducibility for both MTR (ROI: CVs < 8 %) and MTsat (ROI: CVs < 10 %). With a sample size of 6, changes on the order of 15% can be detected in MTR and MTsat, both between and within subjects, while smaller changes (6 to 8 %) require sample sizes of 10 to 15 for MTR, and 15 to 20 for MTsat. Data Conclusion: MTsat exhibits comparable reproducibility to MTR, while providing sensitivity to myelin with less T1 dependence than MTR. Our findings suggest both MTR and MTsat can detect moderate changes, common in pathologies, with feasible preclinical sample sizes. Keywords: magnetization transfer ratio, magnetization transfer saturation, reproducibility, preclinical rodent imaging

Analysis of Hydrogeochemical Characteristics and Origins of Chromium Contamination in Groundwater at a Site in Xinxiang City, Henan Province

Hexavalent chromium contamination in groundwater has become a very serious and challenging problem. Identification of the groundwater chemical characteristics of the sites and their control mechanisms for remediation of pollutants is a significant challenge. In this study, a contaminated site in Xinxiang City, Henan Province, was investigated and 92 groundwater samples were collected from the site. Furthermore, the hydrogeochemical characteristics and the distribution patterns of components in the groundwater were analyzed by a combination of multivariate statistical analysis, Piper diagram, Gibbs diagram, ions ratio and hydrogeochemical simulation. The results showed that the HCO3-Cl-Mg-Ca type, SO4-HCO3-Na type, and HCO3-Mg-Ca-Na type characterize the hydrogeochemical composition of shallow groundwater and HCO3-Cl-Mg-Ca type, HCO3-Na-Mg type, and HCO3-SO4-Mg-Na-Ca type characterize the hydrogeochemical composition of deep groundwater. Ion ratios and saturation index indicated that the groundwater hydrogeochemical characteristics of the study area are mainly controlled by water–rock action and evaporative crystallization. The dissolution of halite, gypsum and anhydrite, the precipitation of aragonite, calcite and dolomite, and the precipitation of trivalent chromium minerals other than CrCl3 and the dissolution of hexavalent chromium minerals occurred in groundwater at the site. The minimum value of pH in groundwater at the site is 7.55 and the maximum value is 9.26. The influence of pH on the fugacity state of minerals was further investigated. It was concluded that the saturation index of dolomite, calcite, aragonite and MgCr2O4 increases with the increase of pH, indicating that these minerals are more prone to precipitation, and the saturation index of Na2Cr2O7, K2Cr2O7 and CrCl3 decreases with the increase of pH, implying that Na2Cr2O7, K2Cr2O7 and CrCl3 are more prone to dissolution. The saturation index of the remaining minerals is less affected by pH changes. The study can provide a scientific basis for groundwater remediation.

Analysis of Hydrogeochemical Characteristics of Tunnel Groundwater Based on Multivariate Statistical Technology

Following tunnel excavation, which is influenced by hydraulic fracturing and geological structure, a series of hydrochemical reactions occur in the karst aquifer, which has a significant impact on groundwater hydrology and the earth process. Based on five sets of 38 samples collected in the Tongzi Tunnel in 2020 and 2021, the main geochemical processes and water quality conditions of the karst aquifer system during tunnel construction were revealed by multivariate statistical analysis and graphical methods. The results showed that water-rock action is the main mechanism controlling groundwater chemistry in the study area; HCO3-, Ca2+, and Mg2+ are associated with the widely distributed carbonate rocks in the study area. SO42- is derived from gypsum and sulfate rocks and special strata, which are another important source of Ca2+. Sodium-containing silicates and reverse cation exchange as the causal mechanisms of Na+ whereas F- is derived from fluorite. According to the mineral saturation index calculations, the dissolution and precipitation of minerals such as alum, gypsum, calcite, dolomite, and salt rock have an important influence on the main chemical components in water. The 38 samples were subjected to cluster analysis, and the results could be classified into seven categories. The representative clusters 1, 3, and 5 were selected for principal component analysis. Clusters 1 and 5 of groundwater represent weathering, dissolution, and ion exchange of carbonate and sulfate rocks and are closely related to the lithologic limestone, limestone intercalated with carbonaceous mudstone, carbonaceous mudstone, and coal-measure strata in the aquifer. Cluster 3 is dominated by upper surface river water and characterizes the geochemistry in natural water bodies dominated by the dissolution of carbonate, sulfate, and salt rocks. Finally, groundwater quality is mostly found in Class IV, with NO3- and F- being the main contaminants in the water.