| 1. |
- Ruilope, LM, et al.
(author)
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Design and Baseline Characteristics of the Finerenone in Reducing Cardiovascular Mortality and Morbidity in Diabetic Kidney Disease Trial
- 2019
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In: American journal of nephrology. - : S. Karger AG. - 1421-9670 .- 0250-8095. ; 50:5, s. 345-356
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Journal article (peer-reviewed)abstract
- <b><i>Background:</i></b> Among people with diabetes, those with kidney disease have exceptionally high rates of cardiovascular (CV) morbidity and mortality and progression of their underlying kidney disease. Finerenone is a novel, nonsteroidal, selective mineralocorticoid receptor antagonist that has shown to reduce albuminuria in type 2 diabetes (T2D) patients with chronic kidney disease (CKD) while revealing only a low risk of hyperkalemia. However, the effect of finerenone on CV and renal outcomes has not yet been investigated in long-term trials. <b><i>Patients and</i></b> <b><i>Methods:</i></b> The Finerenone in Reducing CV Mortality and Morbidity in Diabetic Kidney Disease (FIGARO-DKD) trial aims to assess the efficacy and safety of finerenone compared to placebo at reducing clinically important CV and renal outcomes in T2D patients with CKD. FIGARO-DKD is a randomized, double-blind, placebo-controlled, parallel-group, event-driven trial running in 47 countries with an expected duration of approximately 6 years. FIGARO-DKD randomized 7,437 patients with an estimated glomerular filtration rate ≥25 mL/min/1.73 m<sup>2</sup> and albuminuria (urinary albumin-to-creatinine ratio ≥30 to ≤5,000 mg/g). The study has at least 90% power to detect a 20% reduction in the risk of the primary outcome (overall two-sided significance level α = 0.05), the composite of time to first occurrence of CV death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for heart failure. <b><i>Conclusions:</i></b> FIGARO-DKD will determine whether an optimally treated cohort of T2D patients with CKD at high risk of CV and renal events will experience cardiorenal benefits with the addition of finerenone to their treatment regimen. Trial Registration: EudraCT number: 2015-000950-39; ClinicalTrials.gov identifier: NCT02545049.
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| 2. |
- Uy, G. L., et al.
(author)
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Contribution of chemotherapy mobilization to disease control in multiple myeloma treated with autologous hematopoietic cell transplantation
- 2015
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In: Bone Marrow Transplantation. - : Springer Science and Business Media LLC. - 0268-3369 .- 1476-5365. ; 50:12, s. 1513-1518
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Journal article (peer-reviewed)abstract
- In patients with multiple myeloma (MM) undergoing autologous hematopoietic cell transplantation (auto-HCT), peripheral blood progenitor cells may be collected following mobilization with growth factor alone (GF) or cytotoxic chemotherapy plus GF (CC+GF). It is uncertain whether the method of mobilization affects post-transplant outcomes. We compared these mobilization strategies in a retrospective analysis of 968 patients with MM from the Center for International Blood and Marrow Transplant Research database who received an auto-Ha in the US and Canada between 2007 and 2012. The kinetics of neutrophil engraftment (>= 0.5 x 10(9)/L) was similar between groups (13 vs 13 days, P=0.69) while platelet engraftment (>= 20 x 10(9)/L) was slightly faster with CC+GF (19 vs 18 days, P=0.006). Adjusted 3-year PFS was 43% (95% confidence interval (CI) 38-48) in GF and 40% (95% CI 35-45) in CC+GF, P=0.33. Adjusted 3-year OS was 82% (95% CI 78-86) vs 80% (95% CI 75-84), P=0.43 and adjusted 5-year OS was 62% (95% CI 54-68) vs 60% (95% CI 52-67), P=0.76, for GF and CC+GF, respectively. We conclude that MM patients undergoing auto-Ha have similar outcomes irrespective of the method of mobilization and found no evidence that the addition of chemotherapy to mobilization contributes to disease control.
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| 3. |
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| 4. |
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| 5. |
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| 6. |
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| 7. |
- D'Souza, Anita, et al.
(author)
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Improved Outcomes After Autologous Hematopoietic Cell Transplantation for Light Chain Amyloidosis : A Center for International Blood and Marrow Transplant Research Study
- 2015
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In: Journal of Clinical Oncology. - 0732-183X .- 1527-7755. ; 33:32, s. 3741-
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Journal article (peer-reviewed)abstract
- Purpose Autologous hematopoietic cell transplantation, or autotransplantation, is effective in light-chain amyloidosis (AL), but it is associated with a high risk of early mortality (EM). In a multicenter randomized comparison against oral chemotherapy, autotransplantation was associated with 24% EM. We analyzed trends in outcomes after autologous hematopoietic cell transplantation for AL in North America. Patients and Methods Between 1995 and 2012, 1,536 patients with AL who underwent autotransplantation at 134 centers were identified in the Center for International Blood and Marrow Transplant Research database. EM and overall survival (OS) were analyzed in three time cohorts: 1995 to 2000 (n = 140), 2001 to 2006 (n = 596), and 2007 to 2012 (n = 800). Hematologic and renal responses and factors associated with EM, relapse and/or progression, progression-free survival and OS were analyzed in more recent subgroups from 2001 to 2006 (n = 197) and from 2007 to 2012 (n = 157). Results Mortality at 30 and 100 days progressively declined over successive time periods from 11% and 20%, respectively, in 1995 to 2000 to 5% and 11%, respectively, in 2001 to 2006, and to 3% and 5%, respectively, in 2007 to 2012. Correspondingly, 5-year OS improved from 55% in 1995 to 2000 to 61% in 2001 to 2006 and to 77% in 2007 to 2012. Hematologic response to transplantation improved in the latest cohort. Renal response rate was 32%. Centers performing more than four AL transplantations per year had superior survival outcomes. In the multivariable analysis, cardiac AL was associated with high EM and inferior progression-free survival and OS. Autotransplantation in 2007 to 2012 and use of higher dosages of melphalan were associated with a lowered relapse risk. A Karnofsky score less than 80 and creatinine levels 2 mg/m(2) or greater were associated with worsened OS. Conclusion Post-transplantation survival in AL has improved, with a dramatic reduction in early post-transplantation mortality and excellent 5-year survival. The risk-benefit ratio for autotransplantation has changed, and randomized comparison with nontransplantation approaches is again warranted.
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| 8. |
- Kumar, M., et al.
(author)
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Arsenic and trace elements in groundwater, vegetables and selected food grains from middle gangetic plain—human health perspective
- 2016
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In: Arsenic Research and Global Sustainability - Proceedings of the 6th International Congress on Arsenic in the Environment, AS 2016. - : CRC Press/Balkema. - 9781138029415 ; , s. 320-321
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Conference paper (peer-reviewed)abstract
- Very limited efforts have been directed to determine the degree of Arsenic (As) and other trace elements contamination in food grains and understanding the associated risk to human through consumption of food in middle Gangetic plain of Bihar, India. Arsenic concentration in groundwater (>80%) samples found above BIS and WHO permissible limit, while 28% samples exceeded the previous WHO drinking water guideline (400 μg/L) for manganese (Mn). In dietary food grains As followed the sequence as rice > wheat > maize. The estimated daily intake by individual of As, Mn, Ni, Cd, Co, Pb, Zn and Cr from drinking water and dietary food grains were 169,14582, 474, 19, 26, 1449, 12955 and 882 μg/ kg. The Health Risk Index (HRI) were >1 for As in drinking water, vegetables and rice indicated the potential health risk to the residents of the study area. However, HRI <1 for wheat and maize indicate a relative absence of health risks associated with their ingestion.
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| 9. |
- Kumar, M., et al.
(author)
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Frontier review on the propensity and repercussion of SARS-CoV-2 migration to aquatic environment
- 2020
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In: Journal of Hazardous Materials Letters. - : Elsevier BV. - 2666-9110. ; 1
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Journal article (peer-reviewed)abstract
- Increased concern has recently emerged pertaining to the occurrence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in aquatic environment during the current coronavirus disease 2019 (COVID-19) pandemic. While infectious SARS-CoV-2 has yet to be identified in the aquatic environment, the virus potentially enters the wastewater stream from patient excretions and a precautionary approach dictates evaluating transmission pathways to ensure public health and safety. Although enveloped viruses have presumed low persistence in water and are generally susceptible to inactivation by environmental stressors, previously identified enveloped viruses persist in the aqueous environment from days to several weeks. Our analysis suggests that not only the surface water, but also groundwater, represent SARS-CoV-2 control points through possible leaching and infiltrations of effluents from health care facilities, sewage, and drainage water. Most fecally transmitted viruses are highly persistent in the aquatic environment, and therefore, the persistence of SARS-CoV-2 in water is essential to inform its fate in water, wastewater and groundwater and subsequent human exposure.
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| 10. |
- McClune, Brian L., et al.
(author)
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Allotransplantation for Patients Age >= 40 Years with Non-Hodgkin Lymphoma : Encouraging Progression-Free Survival
- 2014
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In: Biology of blood and marrow transplantation. - : Elsevier BV. - 1083-8791 .- 1523-6536. ; 20:7, s. 960-968
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Journal article (peer-reviewed)abstract
- Non-Hodgkin lymphoma (NHL) disproportionately affects older patients, who do not often undergo allogeneic hematopoietic cell transplantation (HCT). We analyzed Center for International Blood and Marrow Transplant Research data on 1248 patients age >= 40 years receiving reduced-intensity conditioning (RIC) or nonmyeloablative (NMA) conditioning HCT for aggressive (n = 668) or indolent (n = 580) NHL Aggressive lymphoma was more frequent in the oldest cohort 49% for age 40 to 54 versus 57% for age 55 to 64 versus 67% for age >= 65; P = .0008). Fewer patients aged >= 65 had previous autografting (26% versus 24% versus 9%; P = .002). Rates of relapse, acute and chronic GVHD, and nonrelapse mortality (NRM) at 1 year post-HCT were similar in the 3 age cohorts (22% [95% confidence interval (CI), 19% to 26%] for age 40 to 54, 27% [95% CI, 23% to 31%] for age 55 to 64, and 34% [95% CI, 24% to 44%] for age >= 65. Progression-free survival (PFS) and overall survival (OS) at 3 years was slightly lower in the older cohorts (OS: 54% [95% CI, 50% to 58%] for age 40 to 54; 40% [95% CI, 36% to 44%] for age 55 to 64, and 39% [95% CI, 28% to 50%] for age >= 65; P < .0001). Multivariate analysis revealed no significant effect of age on the incidence of acute or chronic GVHD or relapse. Age >= 55 years, Karnofsky Performance Status <80, and HLA mismatch adversely affected NRM, PFS, and OS. Disease status at HCT, but not histological subtype, was associated with worse NRM, relapse, PFS, and OS. Even for patients age >= 55 years, OS still approached 40% at 3 years, suggesting that HCT affects long-term remission and remains underused in qualified older patients with NHL.
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| 11. |
- Pistone, Kristina, et al.
(author)
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Observed correlations between aerosol and cloud properties in an Indian Ocean trade cumulus regime
- 2016
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In: Atmospheric Chemistry And Physics. - : Copernicus GmbH. - 1680-7316 .- 1680-7324. ; 16:8, s. 5203-5227
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Journal article (peer-reviewed)abstract
- There are many contributing factors which determine the micro- and macrophysical properties of clouds, including atmospheric vertical structure, dominant meteorological conditions, and aerosol concentration, all of which may be coupled to one another. In the quest to determine aerosol effects on clouds, these potential relationships must be understood. Here we describe several observed correlations between aerosol conditions and cloud and atmospheric properties in the Indian Ocean winter monsoon season. In the CARDEX (Cloud, Aerosol, Radiative forcing, Dynamics EXperiment) field campaign conducted in February and March 2012 in the northern Indian Ocean, continuous measurements were made of atmospheric precipitable water vapor (PWV) and the liquid water path (LWP) of trade cumulus clouds, concurrent with measurements of water vapor flux, cloud and aerosol vertical profiles, meteorological data, and surface and total-column aerosol from instrumentation at a ground observatory and on small unmanned aircraft. We present observations which indicate a positive correlation between aerosol and cloud LWP only when considering cases with low atmospheric water vapor (PWV < 40aEuro-kg m(-2)), a criterion which acts to filter the data to control for the natural meteorological variability in the region. We then use the aircraft and ground-based measurements to explore possible mechanisms behind this observed aerosol-LWP correlation. The increase in cloud liquid water is found to coincide with a lowering of the cloud base, which is itself attributable to increased boundary layer humidity in polluted conditions. High pollution is found to correlate with both higher temperatures and higher humidity measured throughout the boundary layer. A large-scale analysis, using satellite observations and meteorological reanalysis, corroborates these covariations: high-pollution cases are shown to originate as a highly polluted boundary layer air mass approaching the observatory from a northwesterly direction. The source air mass exhibits both higher temperatures and higher humidity in the polluted cases. While the warmer temperatures may be attributable to aerosol absorption of solar radiation over the subcontinent, the factors responsible for the coincident high humidity are less evident: the high-aerosol conditions are observed to disperse with air mass evolution, along with a weakening of the high-temperature anomaly, while the high-humidity condition is observed to strengthen in magnitude as the polluted air mass moves over the ocean toward the site of the CARDEX observations. Potential causal mechanisms of the observed correlations, including meteorological or aerosol-induced factors, are explored, though future research will be needed for a more complete and quantitative understanding of the aerosol-humidity relationship.
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| 12. |
- Steffen, Will, et al.
(author)
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Planetary boundaries : Guiding human development on a changing planet
- 2015
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In: Science. - : American Association for the Advancement of Science (AAAS). - 0036-8075 .- 1095-9203. ; 347:6223
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Journal article (peer-reviewed)abstract
- The planetary boundaries framework defines a safe operating space for humanity based on the intrinsic biophysical processes that regulate the stability of the Earth system. Here, we revise and update the planetary boundary framework, with a focus on the underpinning biophysical science, based on targeted input from expert research communities and on more general scientific advances over the past 5 years. Several of the boundaries now have a two-tier approach, reflecting the importance of cross-scale interactions and the regional-level heterogeneity of the processes that underpin the boundaries. Two core boundaries-climate change and biosphere integrity-have been identified, each of which has the potential on its own to drive the Earth system into a new state should they be substantially and persistently transgressed.
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| 13. |
- Wilcox, Eric M., et al.
(author)
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Black carbon solar absorption suppresses turbulence in the atmospheric boundary layer
- 2016
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In: Proceedings of the National Academy of Sciences of the United States of America. - : Proceedings of the National Academy of Sciences. - 0027-8424 .- 1091-6490. ; 113:42, s. 11794-11799
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Journal article (peer-reviewed)abstract
- The introduction of cloud condensation nuclei and radiative heating by sunlight-absorbing aerosols can modify the thickness and coverage of low clouds, yielding significant radiative forcing of climate. The magnitude and sign of changes in cloud coverage and depth in response to changing aerosols are impacted by turbulent dynamics of the cloudy atmosphere, but integrated measurements of aerosol solar absorption and turbulent fluxes have not been reported thus far. Here we report such integrated measurements made from unmanned aerial vehicles (UAVs) during the CARDEX (Cloud Aerosol Radiative Forcing and Dynamics Experiment) investigation conducted over the northern Indian Ocean. The UAV and surface data reveal a reduction in turbulent kinetic energy in the surface mixed layer at the base of the atmosphere concurrent with an increase in absorbing black carbon aerosols. Polluted conditions coincide with a warmer and shallower surface mixed layer because of aerosol radiative heating and reduced turbulence. The polluted surface mixed layer was also observed to be more humid with higher relative humidity. Greater humidity enhances cloud development, as evidenced by polluted clouds that penetrate higher above the top of the surface mixed layer. Reduced entrainment of dry air into the surface layer from above the inversion capping the surface mixed layer, due to weaker turbulence, may contribute to higher relative humidity in the surface layer during polluted conditions. Measurements of turbulence are important for studies of aerosol effects on clouds. Moreover, reduced turbulence can exacerbate both the human health impacts of high concentrations of fine particles and conditions favorable for low-visibility fog events.
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| 14. |
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| 15. |
- Damato, V, et al.
(author)
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Rituximab abrogates aquaporin-4-specific germinal center activity in patients with neuromyelitis optica spectrum disorders
- 2022
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In: Proceedings of the National Academy of Sciences of the United States of America. - : Proceedings of the National Academy of Sciences. - 1091-6490. ; 119:24, s. e2121804119-
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Journal article (peer-reviewed)abstract
- By studying paired blood and deep cervical lymph node samples from patients with neuromyelitis optica spectrum disorders, our data provide evidence for a germinal center–based generation of aquaporin-4 antibodies. Frequent serum aquaporin-4 immunoglobulin Ms (IgMs) and shifts in IgG subclasses were observed alongside preferential synthesis of aquaporin-4 IgGs and aquaporin-4–reactive B cells within lymph nodes. Both intranodal synthesis of aquaporin-4 antibodies and intranodal aquaporin-4–reactive B cells were robustly eliminated with rituximab administration. This study systematically explores lymph nodes that drain the central nervous system (CNS) in patients with CNS autoimmunity and offers a potential explanation as to why rituximab is clinically highly efficacious in autoantibody-mediated diseases despite no accompanying reduction in serum autoantibody levels.
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| 16. |
- Höpner, Friederike, et al.
(author)
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Vertical profiles of optical and microphysical particle properties above the northern Indian Ocean during CARDEX 2012
- 2016
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In: Atmospheric Chemistry And Physics. - : Copernicus GmbH. - 1680-7316 .- 1680-7324. ; 16:2, s. 1045-1064
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Journal article (peer-reviewed)abstract
- A detailed analysis of optical and microphysical properties of aerosol particles during the dry winter monsoon season above the northern Indian Ocean is presented. The Cloud Aerosol Radiative Forcing Experiment (CARDEX), conducted from 16 February to 30 March 2012 at the Maldives Climate Observatory on Hanimaadhoo island (MCOH) in the Republic of the Maldives, used autonomous unmanned aerial vehicles (AUAV) to perform vertical in situ measurements of particle number concentration, particle number size distribution as well as particle absorption coefficients. These measurements were used together with surface-based Mini Micro Pulse Lidar (MiniMPL) observations and aerosol in situ and off-line measurements to investigate the vertical distribution of aerosol particles. Air masses were mainly advected over the Indian subcontinent and the Arabian Peninsula. The mean surface aerosol number concentration was 1717 +/- 604cm(-3) and the highest values were found in air masses from the Bay of Bengal and Indo-Gangetic Plain (2247 +/- 370cm(-3)). Investigations of the free tropospheric air showed that elevated aerosol layers with up to 3 times higher aerosol number concentrations than at the surface occurred mainly during periods with air masses originating from the Bay of Bengal and the Indo-Gangetic Plain. This feature is different compared to what was observed during the Indian Ocean Experiment (INDOEX) conducted in winter 1999, where aerosol number concentrations generally decreased with height. In contrast, lower particle absorption at the surface (sigma(abs)(520nm) = 8.5 + 4.2Wm(-1)) was found during CARDEX compared to INDOEX 1999. Layers with source region specific single-scattering albedo (SSA) values were derived by combining vertical in situ particle absorption coefficients and scattering coefficients calculated with Mie theory. These SSA layers were utilized to calculate vertical particle absorption profiles from MiniMPL profiles. SSA surface values for 550 nm for dry conditions were found to be 0 : 94 +/- 0 : 02 and 0 : 91 +/- 0 : 02 for air masses from the Arabian Sea (and Middle East countries) and India (and Bay of Bengal), respectively. Lidar-derived particle absorption coefficient profiles showed both a similar magnitude and structure as the in situ profiles measured with the AUAV. However, primarily due to insufficient accuracy in the SSA estimates, the lidar-derived absorption coefficient profiles have large uncertainties and are generally weakly correlated to vertically in situ measured particle absorption coefficients. Furthermore, the mass absorption efficiency (MAE) for the northern Indian Ocean during the dry monsoon season was calculated to determine equivalent black carbon (EBC) concentrations from particle absorption coefficient measurements. A mean MAE of 11.6 and 6.9m(2) g(-1) for 520 and 880 nm, respectively, was found, likely representing internally mixed BC containing particles. Lower MAE values for 880 and 520 nm were found for air masses originating from dust regions such as the Arabian Peninsula and western Asia (MAE(880 nm) = 5.6m(2) g(-1), MAE(520 nm) = 9.5m(2) g(-1)) or from closer source regions as southern India (MAE(880 nm) = 4.3m(2) g(-1), MAE(520 nm) = 7. 3m(2) g(-1)).
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| 17. |
- Kumar, M., et al.
(author)
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Groundwater evolution and its utility in upper Ganges-Yamuna Alluvial plain of Northern India, India : Evidence from solute chemistry and stable isotopes
- 2018
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In: Groundwater for Sustainable Development. - : Elsevier BV. - 2352-801X. ; 7, s. 400-409
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Journal article (peer-reviewed)abstract
- The current study was focused on the characterization of recharge, weathering processes and to check the aptness of groundwater for household and agriculture utility in the Chhaprola industrial area located in Gautam Buddha Nagar district of Uttar Pradesh, India. Groundwater samples (n = 33) were analyzed for major cations and anions from which (n = 22) were analyzed for stable isotopic records (δ2H and δ18O). Solute chemistry revealed neutral to moderately basic nature (pH ranged 6.4–8.8) and showed a higher (ranged 552–3130 µS/cm) of electrical conductivity. Isotopic signals ranged from − 8.7 to − 3.3‰ for δ18O and − 60.1 to − 37‰ for δ2H. Bivariate plot of stable isotopes (δ18O and δ2H) showed that majority of the samples fell below the global meteoric water line (GMWL) and local meteoric water line (LMWL) of New Delhi, indicating enrichment of heavier isotopes in the aquifers, which explain that recharging water, has undergone evaporation before recharging the aquifer. Monsoonal precipitation was observed as the major source of aquifer recharge in the surveyed area. Vertical hydraulic connectivity of the aquifer layers was traced with the help of isotopic record which exhibited a more negative intercept for shallow depth tube well than the middle depth tube well. About 76% of the samples exhibited negative Schoeller index thereby indicated cation-anion exchange reactions while the remaining samples depicted the Base Exchange Reactions. Sodium-normalized Ca versus Na-normalized Mg and HCO3, indicated an equal contribution of silicate and carbonate type weathering on global-average weathering system. About 52% of the groundwater samples fell into the Ca-HCO3 - water type while remaining samples fell into 33% and 15% of Na-HCO3 and Mg-HCO3 type, respectively. Water quality indices (viz. residual sodium carbonate, Kelly index, permeability index, magnesium hazard, and Chloroalkaline indices) revealed unsuitability of the groundwater for drinking and irrigation purpose at few locations.
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| 18. |
- Landgren, Ola, et al.
(author)
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Association of Immune Marker Changes with Progression of Monoclonal Gammopathy of Undetermined Significance to Multiple Myeloma
- 2019
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In: JAMA Oncology. - : American Medical Association (AMA). - 2374-2437 .- 2374-2445.
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Journal article (peer-reviewed)abstract
- Importance: Multiple myeloma is consistently preceded by monoclonal gammopathy of undetermined significance (MGUS). Risk models that estimate the risk of progression from MGUS to multiple myeloma use data from a single time point, usually the initial workup. Objective: To longitudinally investigate the alterations of serum immune markers with stable vs progressive MGUS. Design, Setting, and Participants: This prospective cross-sectional cohort study included 77469 adult participants aged 55 to 74 years in the screening arm of the National Cancer Institute Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial who had a diagnosis of progressing MGUS (n = 187) or stable MGUS (n = 498), including light-chain subtype, from November 1993, through December 2011. For each participant, all available serially stored prediagnostic serum samples (N = 3266) were obtained. Data analysis was performed from April 2018, to December 2018. Main Outcomes and Measures: Serum protein and monoclonal immunoglobulin levels, serum free light chains, and serum light chains within each immunoglobulin class were measured. Results: Of 685 individuals included in the study, 461 (67.3%) were men; the mean (SD) age was 69.1 (5.6) years. In cross-sectional modeling, risk factors associated with progressive MGUS were IgA isotype (adjusted odds ratio [OR], 1.80; 95% CI, 1.03-3.13; P =.04), 15 g/L or more monoclonal spike (adjusted OR, 23.5; 95% CI, 8.9-61.9; P <.001), skewed (<0.1 or >10) serum free light chains ratio (adjusted OR, 46.4; 95% CI, 18.4-117.0; P <.001), and severe immunoparesis (≥2 suppressed uninvolved immunoglobulins) (adjusted OR, 19.1; 95% Cl, 7.5-48.3; P <.001). Risk factors associated with progressive light-chain MGUS were skewed serum free light chains ratio (adjusted OR, 44.0; 95% CI, 14.2-136.3; P <.001) and severe immunoparesis (adjusted OR, 48.6; 95% CI, 9.5-248.2; P <.001). In longitudinal analysis of participants with serial samples prior to progression, 23 of 43 participants (53%) had high-risk MGUS before progression; 16 of these 23 (70%) experienced conversion from low-risk or intermediate-risk MGUS within 5 years. Similar results were found for light-chain MGUS. Conclusions and Relevance: The findings of evolving risk patterns support annual blood testing and risk assessment for patients with MGUS or light-chain MGUS.
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| 19. |
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| 20. |
- Ornato, J P, et al.
(author)
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Future directions for resuscitation research. III. External cardiopulmonary resuscitation advanced life support.
- 1996
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In: Resuscitation. - 0300-9572 .- 1873-1570. ; 32:2, s. 139-58
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Journal article (peer-reviewed)abstract
- This discussion about advanced cardiac life support (ACLS) reflects disappointment with the over 50% of out-of-hospital cardiopulmonary resuscitation (CPR) attempts that fail to achieve restoration of spontaneous circulation (ROSC). Hospital discharge rates are equally poor for in-hospital CPR attempts outside special care units. Early bystander CPR and early defibrillation (manual, semi-automatic or automatic) are the most effective methods for achieving ROSC from ventricular fibrillation (VF). Automated external defibrillation (AED), which is effective in the hands of first responders in the out-of-hospital setting, should also be used and evaluated in hospitals, inside and outside of special care units. The first countershock is most important. Biphasic waveforms seem to have advantages over monophasic ones. Tracheal intubation has obvious efficacy when the airway is threatened. Scientific documentation of specific types, doses, and timing of drug treatments (epinephrine, bicarbonate, lidocaine, bretylium) are weak. Clinical trials have failed so far to document anything statistically but a breakthrough effect. Interactions between catecholamines and buffers need further exploration. A major cause of unsuccessful attempts at ROSC is the underlying disease, which present ACLS guidelines do not consider adequately. Early thrombolysis and early coronary revascularization procedures should also be considered for selected victims of sudden cardiac death. Emergency cardiopulmonary bypass (CPB) could be a breakthrough measure, but cannot be initiated rapidly enough in the field due to technical limitations. Open-chest CPR by ambulance physicians deserves further trials. In searches for causes of VF, neurocardiology gives clues for new directions. Fibrillation and defibrillation thresholds are influenced by the peripheral sympathetic and parasympathetic nervous systems and impulses from the frontal cerebral cortex. CPR for cardiac arrest of the mother in advanced pregnancy requires modifications and outcome data. Until more recognizable critical factors for ROSC are identified, titrated sequencing of ACLS measures, based on physiologic rationale and sound judgement, rather than rigid standards, gives the best chance for achieving survival with good cerebral function.
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| 21. |
- Pasquini, Marcelo C., et al.
(author)
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Hematopoietic Cell Transplantation Outcomes in Monosomal Karyotype Myeloid Malignancies
- 2016
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In: Biology of blood and marrow transplantation. - : Elsevier BV. - 1083-8791 .- 1523-6536. ; 22:2, s. 248-257
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Journal article (peer-reviewed)abstract
- The presence of monosomal karyotype (MK+) in acute myeloid leukemia (AML) is associated with dismal outcomes. We evaluated the impact of MK+ in AML (MK+AML, n = 240) and in myelodysplastic syndrome (MDS) (MK+MDS, n = 221) on hematopoietic cell transplantation outcomes compared with other cytogenetically defined groups (AML, n = 3360; MDS, n = 1373) as reported to the Center for International Blood and Marrow Transplant Research from 1998 to 2011. MK+AML was associated with higher disease relapse (hazard ratio, 1.98; P < .01), similar transplantation-related mortality (TRM) (hazard ratio, 1.01; P = .90), and worse survival (hazard ratio, 1.67; P < .01) compared with those outcomes for other cytogenetically defined AML. Among patients with MDS, MK+ MDS was associated with higher disease relapse (hazard ratio, 2.39; P < .01), higher TRM (hazard ratio, 1.80; P < .01), and worse survival (HR, 2.02; P < .01). Subset analyses comparing chromosome 7 abnormalities (del7/7q) with or without MK+ demonstrated higher mortality for MK+ disease in for both AML (hazard ratio, 1.72; P < .01) and MDS (hazard ratio, 1.79; P < .01). The strong negative impact of MK+ in myeloid malignancies was observed in all age groups and using either myeloablative or reduced-intensity conditioning regimens. Alternative approaches to mitigate disease relapse in this population are needed.
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| 22. |
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| 23. |
- Rockström, Johan, et al.
(author)
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Identifying a Safe and Just Corridor for People and the Planet
- 2021
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In: Earth's Future. - 2328-4277. ; 9:4
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Journal article (peer-reviewed)abstract
- Keeping the Earth system in a stable and resilient state, to safeguard Earth's life support systems while ensuring that Earth's benefits, risks, and related responsibilities are equitably shared, constitutes the grand challenge for human development in the Anthropocene. Here, we describe a framework that the recently formed Earth Commission will use to define and quantify target ranges for a safe and just corridor that meets these goals. Although safe and just Earth system targets are interrelated, we see safe as primarily referring to a stable Earth system and just targets as being associated with meeting human needs and reducing exposure to risks. To align safe and just dimensions, we propose to address the equity dimensions of each safe target for Earth system regulating systems and processes. The more stringent of the safe or just target ranges then defines the corridor. Identifying levers of social transformation aimed at meeting the safe and just targets and challenges associated with translating the corridor to actors at multiple scales present scope for future work.
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| 24. |
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| 25. |
- Asai, Masato, et al.
(author)
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Loss of Function of the Melanocortin 2 Receptor Accessory Protein 2 Is Associated with Mammalian Obesity
- 2013
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In: Science. - : American Association for the Advancement of Science (AAAS). - 1095-9203 .- 0036-8075. ; 341:6143, s. 275-278
-
Journal article (peer-reviewed)abstract
- Melanocortin receptor accessory proteins (MRAPs) modulate signaling of melanocortin receptors in vitro. To investigate the physiological role of brain-expressed melanocortin 2 receptor accessory protein 2 (MRAP2), we characterized mice with whole-body and brain-specific targeted deletion of Mrap2, both of which develop severe obesity at a young age. Mrap2 interacts directly with melanocortin 4 receptor (Mc4r), a protein previously implicated in mammalian obesity, and it enhances Mc4r-mediated generation of the second messenger cyclic adenosine monophosphate, suggesting that alterations in Mc4r signaling may be one mechanism underlying the association between Mrap2 disruption and obesity. In a study of humans with severe, early-onset obesity, we found four rare, potentially pathogenic genetic variants in MRAP2, suggesting that the gene may also contribute to body weight regulation in humans.
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| 26. |
- Azzam, Ahmed Y., et al.
(author)
-
Carotid endarterectomy versus carotid stenting for asymptomatic carotid stenosis : Evaluating the overlapping meta-analyses of randomized controlled trials
- 2023
-
In: EUROPEAN JOURNAL OF RADIOLOGY OPEN. - : Elsevier. - 2352-0477. ; 10
-
Journal article (peer-reviewed)abstract
- Background: Asymptomatic carotid stenosis is associated with increased risk of ischemic stroke. The management of asymptomatic carotid stenosis ranges from open surgical approaches, minimally invasive endovascular in-terventions, and medical therapeutics. However, the research synthesis comparing these interventions, as shown by the scattered and overlapping published meta-analysis, has been inconsistent and non-comprehensive.Methods: Using previously-employed methods, we searched for and compared published meta-analyses comparing carotid endarterectomy and carotid stenting. A comprehensive search was conducted for all rele-vant studies published until November 13th, 2021, using the following databases: PubMed/MEDLINE, Scopus, Web of Science, Cochrane Library, OVID, and Google Scholar.Results: Five meta-analysis studies were included in this review. In summary, clinical findings were: carotid endarterectomy reduced the rate of ischemic stroke and stroke-related mortality, but led to a higher rate of intraoperative cranial nerve injury. There was no significant difference between carotid endarterectomy and carotid stenting in ipsilateral stroke and myocardial infarction events.Conclusions: The clinical findings favor the carotid endarterectomy over the carotid stenting in terms of stroke incidence (overall and minor events) and stroke-related mortality rates. However, the carotid stenting was su-perior to the carotid endarterectomy in the events of cranial nerve injury during the intervention.
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| 27. |
- Bosch, Carme, et al.
(author)
-
Source-diagnostic dual-isotope composition and optical properties of water-soluble organic carbon and elemental carbon in the South Asian outflow intercepted over the Indian Ocean
- 2014
-
In: Journal of Geophysical Research - Atmospheres. - 2169-897X .- 2169-8996. ; 119:20, s. 11743-11759
-
Journal article (peer-reviewed)abstract
- The dual carbon isotope signatures and optical properties of carbonaceous aerosols have been investigated simultaneously for the first time in the South Asian outflow during an intensive campaign at the Maldives Climate Observatory on Hanimaadhoo (MCOH) (February and March 2012). As one component of the Cloud Aerosol Radiative Forcing Dynamics Experiment, this paper reports on the sources and the atmospheric processing of elemental carbon (EC) and water-soluble organic carbon (WSOC) as examined by a dual carbon isotope approach. The radiocarbon (C-14) data show that WSOC has a significantly higher biomass/biogenic contribution (865%) compared to EC (594%). The more C-13-enriched signature of MCOH-WSOC (-20.80.7) compared to MCOH-EC (-25.8 +/- 0.3 parts per thousand) and megacity Delhi WSOC (-24.1 +/- 0.9 parts per thousand) suggests that WSOC is significantly more affected by aging during long-range transport than EC. The C-13-C-14 signal suggests that the wintertime WSOC intercepted over the Indian Ocean largely represents aged primary biomass burning aerosols. Since light-absorbing organic carbon aerosols (Brown Carbon (BrC)) have recently been identified as potential contributors to positive radiative forcing, optical properties of WSOC were also investigated. The mass absorption cross section of WSOC (MAC(365)) was 0.5 +/- 0.2 m(2)g(-1) which is lower than what has been observed at near-source sites, indicating a net decrease of WSOC light-absorption character during long-range transport. Near-surface WSOC at MCOH accounted for similar to 1% of the total direct solar absorbance relative to EC, which is lower than the BrC absorption inferred from solar spectral observations of ambient aerosols, suggesting that a significant portion of BrC might be included in the water-insoluble portion of organic aerosols.
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| 28. |
- Chandrika Ranjendra Nair, Hari Ram, 1989-, et al.
(author)
-
Aerosol demasking enhances climate warming over South Asia
- 2023
-
In: npj Climate and Atmospheric Science. - 2397-3722. ; 6
-
Journal article (peer-reviewed)abstract
- Anthropogenic aerosols mask the climate warming caused by greenhouse gases (GHGs). In the absence of observational constraints, large uncertainties plague the estimates of this masking effect. Here we used the abrupt reduction in anthropogenic emissions observed during the COVID-19 societal slow-down to characterize the aerosol masking effect over South Asia. During this period, the aerosol loading decreased substantially and our observations reveal that the magnitude of this aerosol demasking corresponds to nearly three-fourths of the CO2-induced radiative forcing over South Asia. Concurrent measurements over the northern Indian Ocean unveiled a ~7% increase in the earth’s surface-reaching solar radiation (surface brightening). Aerosol-induced atmospheric solar heating decreased by ~0.4 K d−1. Our results reveal that under clear sky conditions, anthropogenic emissions over South Asia lead to nearly 1.4 W m−2 heating at the top of the atmosphere during the period March–May. A complete phase-out of today’s fossil fuel combustion to zero-emission renewables would result in rapid aerosol demasking, while the GHGs linger on.
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| 29. |
- Chandrika Ranjendra Nair, Hari Ram, 1989-, et al.
(author)
-
Aerosol demasking enhances climate warming over South Asia
- 2023
-
In: npj Climate and Atmospheric Science. - 2397-3722. ; 6:1
-
Journal article (peer-reviewed)abstract
- Anthropogenic aerosols mask the climate warming caused by greenhouse gases (GHGs). In the absence of observational constraints, large uncertainties plague the estimates of this masking effect. Here we used the abrupt reduction in anthropogenic emissions observed during the COVID-19 societal slow-down to characterize the aerosol masking effect over South Asia. During this period, the aerosol loading decreased substantially and our observations reveal that the magnitude of this aerosol demasking corresponds to nearly three-fourths of the CO2-induced radiative forcing over South Asia. Concurrent measurements over the northern Indian Ocean unveiled a ~7% increase in the earth’s surface-reaching solar radiation (surface brightening). Aerosol-induced atmospheric solar heating decreased by ~0.4 K d−1. Our results reveal that under clear sky conditions, anthropogenic emissions over South Asia lead to nearly 1.4 W m−2 heating at the top of the atmosphere during the period March–May. A complete phase-out of today’s fossil fuel combustion to zero-emission renewables would result in rapid aerosol demasking, while the GHGs linger on.
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| 30. |
- Cornell, Robert F., et al.
(author)
-
Bortezomib-Based Induction Is Associated with Superior Outcomes in Light Chain Amyloidosis Patients Treated with Autologous Hematopoietic Cell Transplantation Regardless of Plasma Cell Burden
- 2021
-
In: Transplantation and Cellular Therapy. - : Elsevier. - 2666-6375 .- 2666-6367. ; 27:3, s. 264.e1-264.e7
-
Journal article (peer-reviewed)abstract
- The benefits of pre-transplant induction chemotherapy in light chain (AL) amyloidosis, a low burden plasma cell (PC) neoplasm associated with multiorgan dysfunction, is debatable, although with the availability of bortezomib, this approach is being increasingly pursued. We analyzed the outcomes of AL amyloidosis patients undergoing autologous hematopoietic cell transplant between 2014 and 2018 that were reported to the Center for International Blood and Marrow Transplant Research database. Of 440 patients, 294 received bortezomib-based induction, and 146 received no induction. Patients receiving induction had greater PC burden compared to no induction (PC 10% or more, 39% versus 11%; P < .01). At 2 years, the induction group compared to no induction had lower relapse/progression: 13% (9% to 18%) versus 23% (16% to 32%) (P = .02); better progression-free survival (PFS): 82% (77% to 87%) versus 69% (61% to 77%) (P < .01); and similar overall survival (OS): 92% (88% to 95%) versus 89% (84% to 94%) (P = .22), findings that were confirmed on multivariate analysis. A subset analysis limited to patientswith <10% PC also showed superior relapse/progression (hazard ratio [HR],.43; 95% confidence interval [CI],.24 to.78; P < .01) and PFS (HR,.43; 95% CI,.26 to .72; P < .01) for induction compared to no induction. Thus, we conclude that pre-transplant bortezomib-based induction was associated with improved relapse/progression and PFS in AL amyloidosis. Longer survival follow-up is warranted, as OS was excellent in both cohorts at 2 years.
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| 31. |
- Cornell, Robert F, et al.
(author)
-
Maintenance versus Induction Therapy Choice on Outcomes after Autologous Transplantation for Multiple Myeloma
- 2017
-
In: Biology of blood and marrow transplantation. - : Elsevier BV. - 1083-8791 .- 1523-6536. ; 23:2, s. 269-277
-
Journal article (peer-reviewed)abstract
- Bortezomib (V), lenalidomide (R), cyclophosphamide (C), and dexamethasone (D) are components of the most commonly used modern doublet (RD, VD) or triplet (VRD, CVD) initial induction regimens before autologous hematopoietic cell transplantation (AHCT) for multiple myeloma (MM) in the United States. In this study we evaluated 693 patients receiving "upfront" AHCT after initial induction therapy with modern doublet or triplet regimens using data reported to the Center for International Blood and Marrow Transplant Research from 2008 to 2013. Analysis was limited to those receiving a single AHCT after 1 line of induction therapy within 12 months from treatment initiation for MM. In multivariate analysis, progression-free survival (PFS) and overall survival were similar irrespective of induction regimen. However, high-risk cytogenetics and nonreceipt of post-transplant maintenance/consolidation therapy were associated with higher risk of relapse. Patients receiving post-transplant therapy had significantly improved 3-year PFS versus no post-transplant therapy (55% versus 39%, P = .0001). This benefit was most evident in patients not achieving at least a complete response post-AHCT (P = .005). In patients receiving upfront AHCT, the choice of induction regimen (doublet or triplet therapies) appears to be of lower impact than use of post-transplant therapy.
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| 32. |
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| 33. |
- DeFilipp, Zachariah, et al.
(author)
-
Maintenance Tyrosine Kinase Inhibitors Following Allogeneic Hematopoietic Stem Cell Transplantation for Chronic Myelogenous Leukemia : A Center for International Blood and Marrow Transplant Research Study
- 2020
-
In: Biology of blood and marrow transplantation. - : Elsevier. - 1083-8791 .- 1523-6536. ; 26:3, s. 472-479
-
Journal article (peer-reviewed)abstract
- It remains unknown whether the administration of tyrosine kinase inhibitors (TKIs) targeting BCR-ABL1 after allogeneic hematopoietic cell transplantation (HCT) is associated with improved outcomes for patients with chronic myelogenous leukemia (CML). In this registry study, we analyzed clinical outcomes of 390 adult patients with CML who underwent transplantation between 2007 and 2014 and received maintenance TKI following HCT (n = 89) compared with no TKI maintenance (n = 301), as reported to the Center for International Blood and Marrow Transplant Research. All patients received TKI therapy before HCT. The majority of patients had a disease status of first chronic phase at HCT (n = 240; 62%). The study was conducted as a landmark analysis, excluding patients who died, relapsed, had chronic graft-versus-host disease, or were censored before day +100 following HCT. Of the 89 patients who received TKI maintenance, 77 (87%) received a single TKI and the other 12 (13%) received multiple sequential TKIs. The most common TKIs used for maintenance were dasatinib (n = 50), imatinib (n = 27), and nilotinib (n = 27). As measured from day +100, the adjusted estimates for 5-year relapse (maintenance, 35% versus no maintenance, 26%; P = .11), leukemia-free survival (maintenance, 42% versus no maintenance, 44%; P = .65), or overall survival (maintenance, 61% versus no maintenance, 57%; P = .61) did not differ significantly between patients receiving TKI maintenance or no maintenance. These results remained unchanged in multivariate analysis and were not modified by disease status before transplantation. In conclusion, our data from this day +100 landmark analysis do not demonstrate a significant impact of maintenance TKI therapy on clinical outcomes. The optimal approach to TKI administration in the post-transplantation setting in patients with CML remains undetermined.
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| 34. |
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| 35. |
- Gerds, Aaron T., et al.
(author)
-
Outcomes after Umbilical Cord Blood Transplantation for Myelodysplastic Syndromes
- 2017
-
In: Biology of blood and marrow transplantation. - : Elsevier. - 1083-8791 .- 1523-6536. ; 23:6, s. 971-979
-
Journal article (peer-reviewed)abstract
- For patients with hematologic malignancies undergoing allogeneic hematopoietic cell transplantation, umbilical cord blood transplantation (UCBT) has become an acceptable alternative donor source in the absence of a matched sibling or unrelated donor. To date, however, there have been few published series dedicated solely to describing the outcomes of adult patients with myelodysplastic syndrome (MDS) who have undergone UCBT. Between 2004 and 2013, 176 adults with MDS underwent UCBT as reported to the Center for International Blood and Marrow Transplant Research. Median age at the time of transplantation was 56 years (range, 18-73 years). The study group included 10% with very low, 23% with low, 19% with intermediate, 19% with high, and 13% with very high-risk Revised International Prognostic Scoring System (IPSS-R) scores. The 100-day probability of grade II-IV acute graft-versus-host disease (GVHD) was 38%, and the 3-year probability of chronic GVHD was 28%. The probabilities of relapse and transplantation-related mortality (TRM) at 3 years were 32% and 40%, respectively, leading to a 3-year disease-free survival (DFS) of 28% and an overall survival (OS) of 31%. In multivariate analysis, increasing IPSS-R score at the time of HCT was associated with inferior TRM (P = .0056), DFS (P = .018), and OS (P = .0082), but not with GVHD or relapse. The presence of pretransplantation comorbidities was associated with TRM (P = .001), DFS (P = .02), and OS (P = .001). Reduced intensity conditioning was associated with increased risk of relapse (relative risk, 3.95; 95% confidence interval, 1.78-8.75; P < .001), and although a higher proportion of myeloablative UCBTs were performed in patients with high-risk disease, the effect of conditioning regimen intensity was the same regardless of IPSS-R score. For some individuals who lack a matched sibling or unrelated donor, UCBT can result in long-term DFS; however, the success of UCBT in this population is hampered by a high rate of TRM. (C) 2017 American Society for Blood and Marrow Transplantation.
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| 36. |
- Jayamani, Jayaraj, et al.
(author)
-
Studies on Corrosion of Titanium and Air-Oxidized Titanium in Fluorinated Nitric Acid
- 2019
-
In: Transactions of the Indian Institute of Metals. - : Springer Science and Business Media LLC. - 0972-2815 .- 0975-1645. ; 72:7, s. 1917-1926
-
Journal article (peer-reviewed)abstract
- Titanium (Ti) is a lustrous transition metal which possesses excellent corrosion resistance in several aggressive environments but is attacked by acidic fluoride media. In this work, the addition of fluoride ion to nitric acid on the corrosion behavior of Ti and air-oxidized Ti was studied. Air oxidation of Ti at 800 °C for 5 h resulted in the formation of an intact rutile TiO2 layer with a thickness of about 35 μm. The corrosion resistance was investigated from the polarization resistance ($$R_{\text{P}}$$RP) values which were obtained from linear polarization and electrochemical impedance spectroscopy (EIS) measurements. A decrease in the $$R_{\text{P}}$$RPvalue of Ti with the addition of fluoride ion in nitric acid was observed, and this indicated the formation of an unstable layer, which resulted in accelerated dissolution. The several order increase in the $$R_{\text{P}}$$RPvalue of air-oxidized Ti in nitric acid containing fluoride ions pointed the improved resistance to corrosion. The diffusivity of species through the air-oxidized TiO2 layer was estimated from the electrochemical equivalent circuit (EEC) analysis of EIS data. Even though the diffusivity increased by several orders with the addition of fluoride ions, air-oxidized Ti provided better protection against nitric acid containing fluoride ions than Ti. The corrosion rates of Ti and air-oxidized Ti in boiling nitric acid containing fluoride ions were also estimated from weight loss experiments. Even in boiling fluorinated nitric acid, air-oxidized Ti provided better corrosion protection, with corrosion rates of about 1000 times less than that of Ti.
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| 37. |
- Kiros, Yohannes, 1956-, et al.
(author)
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Electrode R&D, stack design and performance of biomass-based alkaline fuel cell module
- 1999
-
In: International journal of hydrogen energy. - : Pergamon Press. - 0360-3199 .- 1879-3487. ; 24, s. 549-564
-
Journal article (peer-reviewed)abstract
- Electrode formulations with di}erent materials and manufacturing techniques were tested electrochemically in order to assess their stability and activity in long!term operations. Cathode electrocatalysts such as CoTPP, Ca0.9La0.1MnO3 and Pt-Co alloys were incorporated in high surface area carbons and operated at a constant load of 100 mA cm-2 80C and an electrolyte concentration of 6M KOH. Similarly, anode catalysts with Pt-Pd bimetallic combinations were also tested and ascertained in half!cell measurements. Surface area measurements and Transmission Electron Microscopy (TEM) analyses were carried out both before and after the electrochemical test procedures. The electrodes were incorporated into a seven and two cell module design of the external and internal manifolding types and the experiences gained from these design principles are described, respectively. Furthermore, a biomass fed AFC module with all the system descriptions, steps, and a demonstration layout of producer gas to alkaline fuel cell are examined and discussed. Wood charcoal and agro-residues were used as feedstock and as a primary fuel. Power output of the different feedstock in a producer gas fed alkaline fuel cell has the shown potentiality and effciency to be applied as a stand alone power generator.
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| 38. |
- Knaup, Jan M., et al.
(author)
-
Focus on Functional Oxides Preface
- 2014
-
In: Physica Status Solidi. Rapid Research Letters. - : Wiley. - 1862-6254 .- 1862-6270. ; 8:6, s. 451-452
-
Journal article (other academic/artistic)
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| 39. |
- Krishna Prasad, M. Bala, et al.
(author)
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Metal fractionation studies in surfacial and core sediments in the Achankovil River basin in India
- 2006
-
In: Environmental Monitoring & Assessment. - : Springer Science and Business Media LLC. - 0167-6369 .- 1573-2959. ; 121:1-3, s. 77-102
-
Journal article (peer-reviewed)abstract
- The Fractionation of Fe, Zn, Cu, Pb, Mn and Cd in the sediments of the Achankovil River, Western Ghats, India using a sequential extraction method was carried out to understand the metal availability in the basin for biotic and abiotic activities. Spatial distribution of heavy metals has been studied. Sediment grain size has significant control over the heavy metal distribution. The fluctuations in their concentration partly depend upon the lithology of the river basin and partly the anthropogenic activities. The sediments are dominated by sand and are moderately to strongly positively skewed and are very leptokurtotic in nature. The quartzite and feldspars are abundant minerals along with significant amount of mica with low clay content. The core sediments show increasing trend of heavy metal concentration with depth due to the recent addition of anthropogenic sources and post-diagenic activities. Significant amount of Cd (18%) was found in carbonate fraction, which may pose environmental problems due to its toxic nature. Small concentrations of metals, except Cd and Cu, are in exchangeable fraction, which indicate low bio-availability. Enrichment Factor (EF) for individual metals shows the contribution from terrregious and in part from anthropogenic sources. Selective Sequential Extraction (SSE) study shows the variation in specific metal distribution pattern, their distribution in different phases and their bio-availability. Maximum amount of the metals were bound to the non-residual fractions (mainly Fe-oxides). Overall, bio-availability of these micronutrients from sediments seems to be very less. Non-residual phase is the most important phase for majority of heavy metals studied. Among the non-residual fraction, maximum amount of the heavy metals bound to Fe-oxides. The study high lights the need for in-depth study of heavy metals distribution and fractionation in the smaller river basins to get precise information on the behavior and transport of heavy metals in the fluvial environment and their contribution to the world ocean.
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| 40. |
- Kumar, Manish, et al.
(author)
-
Arsenic enrichment in groundwater in the middle Gangetic Plain of Ghazipur District in Uttar Pradesh, India
- 2010
-
In: Journal of Geochemical Exploration. - : Elsevier BV. - 0375-6742 .- 1879-1689. ; 105:3, s. 83-94
-
Journal article (peer-reviewed)abstract
- Groundwater with high geogenic arsenic (As) is extensively present in the Holocene alluvial aquifers of Ghazipur District in the middle Gangetic Plain, India. A shift in the climatic conditions, weathering of carbonate and silicate minerals, surface water interactions, ion exchange, redox processes, and anthropogenic activities are responsible for high concentrations of cations, anions and As in the groundwater. The spatial and temporal variations for As concentrations were greater in the pre-monsoon (6.4-259.5 mu g/L) when compared to the post-monsoon period (5.1-205.5 mu g/L). The As enrichment was encountered in the sampling sites that were close to the Ganges River (i.e. south and southeast part of Ghazipur district). The depth profile of As revealed that low concentrations of NO3- are associated with high concentration of As and that As depleted with increasing depth. The poor relationship between As and Fe indicates the As release into the groundwater, depends on several processes such as mineral weathering, O-2 consumption, and NO3- reduction and is de-coupled from Fe cycling. Correlation matrix and factor analysis were used to identify various factors influencing the gradual As enrichment in the middle Gangetic Plain. Groundwater is generally supersaturated with respect to calcite and dolomite in post-monsoon period, but not in pre-monsoon period. Saturation in both periods is reached for crystalline Fe phases such as goethite, but not with respect to poorly crystalline Fe phases and any As-bearing phase. The results indicate release of arsenic in redox processes in dry period and dilution of arsenic concentration by recharge during monsoon. Increased concentrations of bicarbonate after monsoon are caused by intense flushing of unsaturated zone, where CO2 is formed by decomposition of organic matter and reactions with carbonate minerals in solid phase. The present study is vital considering the fact that groundwater is an exclusive source of drinking water in the region which not only makes situation alarming but also calls for the immediate attention.
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| 41. |
- Kumar, M., et al.
(author)
-
Evaluation of arsenic and its controlling factors in aquifer sands of district Samastipur, Bihar, India
- 2014
-
In: One Century of the Discovery of Arsenicosis in Latin America (1914-2014). - : CRC Press. - 9781138001411 ; , s. 108-109
-
Conference paper (peer-reviewed)abstract
- A set of 96 water samples from shallow tubewells and 14 sediment samples from Samastipur district to know the level of arsenic (As) and its controlling factors were analyzed. Groundwater samples were collected from tubewells of different depths, and a wide range of concentrations in the range 0.19-135 μg L-1 was found. Scanning electron micrograph study of the sediments shows intense chemical weathering. Present study also support reductive dissolution of FeOOH triggered by organic matter oxidation as an As mobility factor in the aquifer sands.
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| 42. |
- Kumar, Manish, et al.
(author)
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Hydrogeochemical zonation for groundwater management in the area with diversified geological and land-use setup
- 2013
-
In: Chemie der Erde. - : Elsevier BV. - 0009-2819 .- 1611-5864. ; 73:3, s. 267-274
-
Journal article (peer-reviewed)abstract
- Despite its limited aerial extent, the National Capital Territory (NCT) Delhi, India, has diversified geological and topographical setup. A geochemical assessment of prevailing conditions of aquifer underlying the NCT was attempted and further classified into different hydrogeochemical zones on the basis of statistical and analyses and its correlation with land use, geological and climatic setting. Mineral phase study and isotopic analyses were used for the verification of performed clustering. Saturation indices (SI) calculated using the geochemical modelling code PHREEQC were used to distinguish the characteristics of four zones, as saturation states of the water does not change abruptly. Four different hydrogeochemical zones were statistically identified in the area: (1) intermediate (land-use-change-impacted) recharge zone, (2) discharge (agriculture-impacted) zone, (3) recharge (ridge) zone, and (4) recharge floodplain (untreated-discharge-impacted) zone. The distinctiveness of hydro-geochemical zones was further verified using stable isotopic (H-2 and O-18) signature of these waters. GIS-based flow regime in association with long-term geochemical evidences implied that these zones are being affected by different problems; thus, it necessitates separate environmental measures for their management and conservation. The study suggested that in a diversified urban setup where the complex interactions between anthropogenic activities and normal geochemical processes are functioning, hydrogeochmical zoning based on the integration of various techniques could be the first step towards sketching out the groundwater management plan.
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| 43. |
- Kumar, Manish, et al.
(author)
-
Understanding the Seasonal Dynamics of the Groundwater Hydrogeochemistry in National Capital Territory (NCT) of India Through Geochemical Modelling
- 2016
-
In: Aquatic geochemistry. - : Springer Science and Business Media LLC. - 1380-6165 .- 1573-1421. ; 22:3, s. 211-224
-
Journal article (peer-reviewed)abstract
- A geochemical assessment of seasonal dynamics in the groundwater chemistry of the National Capital Territory (NCT), Delhi, was attempted through geochemical modelling, mineral precipitation sequences with rainfall and water evaporation cycle. Saturation indices calculated using PHREEQC indicated that the degree of water-rock equilibrium changes significantly from pre-monsoon to post-monsoon. The schematic model of SI change with water table fluctuation showed that during monsoon, as rainwater percolates through the soil, partial pressure of CO2 becomes higher than that of the atmospheric value and led to the formation of more carbonic acid that react with the carbonate minerals to produce , Mg2+ and Ca2+. The thermodynamic stability relationships of water chemistry in the Na, K, Ca and Mg silicate systems showed that for the samples with higher EC equilibrium between clay and primary minerals is not likely to be the main processes controlling variation in the groundwater chemistry. Chloro-alkaline indices (CAI) are positive when the groundwater level is high and become negative with the lowering of water level, i.e. when water level is high, reverse ion exchange is dominant. In case of pre-monsoon season, lower and negative value of CAI-1 and CAI-2 indicates dominance of ion exchange process and increases dissolved solid concentration in groundwater. The conceptual geochemical model depicted that water table fluctuation resulting from heavy pumping/withdrawal and recharge in association with the variation in DO, and Fe regulates the water-mineral equilibrium. The conceptual geochemical model explained the hydrogeochemical processes and their variations with water table fluctuation and, thus, highlighted the descriptive capabilities of PHREEQC. The study suggested that in the subsurface environment, complex interactions are simultaneously functioning, and hence, significant seasonal variations are likely to be very influential due to monsoonal recharge and subsequent changes in the saturation states of the water.
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| 44. |
- Lin, Jian-Bin, et al.
(author)
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A scalable metal-organic framework as a durable physisorbent for carbon dioxide capture
- 2021
-
In: Science. - : American Association for the Advancement of Science. - 0036-8075 .- 1095-9203. ; 374:6574, s. 1464-1469
-
Journal article (peer-reviewed)abstract
- Metal-organic frameworks (MOFs) as solid sorbents for carbon dioxide (CO2) capture face the challenge of merging efficient capture with economical regeneration in a durable, scalable material. Zinc-based Calgary Framework 20 (CALF-20) physisorbs CO2 with high capacity but is also selective over water. Competitive separations on structured CALF-20 show not just preferential CO2 physisorption below 40% relative humidity but also suppression of water sorption by CO2, which was corroborated by computational modeling. CALF-20 has a low enthalpic regeneration penalty and shows durability to steam (>450,000 cycles) and wet acid gases. It can be prepared in one step, formed as composite materials, and its synthesis can be scaled to multikilogram batches.
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| 45. |
-
Management and Sustainable Development of Coastal Zone Environments
- 2010
-
Editorial collection (peer-reviewed)abstract
- Coastal areas face increasing pressures from land use change, developmental activities, shoreline erosion, biodiversity losses and natural calamities. This volume addresses these issues facilitating the integrated analysis of the sustainability of coastal zones. The contributors have tried to focus their respective works on the problems that need urgent attention relevant to present day issues. Coastal Zone Management and its sustainability strategy should safeguard ecological security of the coastal areas, avoid pollution as well as exploitation of living and non living aquatic resources, protecting also the agrarian community and avian population and other floral and faunal breeding grounds. Articles have been selected on the basis of sound scientific findings hoping that it will help in developing meaningful regulations for future sustainable coastal management zone.
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| 46. |
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| 47. |
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| 48. |
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| 49. |
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| 50. |
- Ramanathan, A. L., et al.
(author)
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Arsenic in groundwaters of the central Gangetic plain regions of India
- 2012
-
In: Understanding the Geological and Medical Interface of Arsenic, As 2012 - 4th International Congress: Arsenic in the Environment. - : Taylor & Francis Group. - 9780415637633 ; , s. 63-64
-
Conference paper (peer-reviewed)abstract
- Groundwater from central Gangetic plain regions contains arsenic (As) concentrations few tens of time higher than the drinking water guideline value (10 μg/L) prescribed by the World Health Organization. The concentration of As near an inland lake was high where as it was moderate to low in the interior flood plains. The intermediate and deeper aquifers have higher As concentrations compared to shallow aquifers. These aquifers seem to be particularly at risk, due to the prevailing geochemical conditions in which oxidized and reduced waters mix, and where the amount of sulfate available for microbial reduction seem to be limited. The severity of As contamination necessitates restricted use of groundwater or look for alternative water sources like rivers. The rain water harvesting could be another alternative option along with a community based management and maintenance in this rural region.
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