Ultraviolet imaging of volcanic plumes: A new paradigm in volcanology

Ultraviolet imaging has been applied in volcanology over the last ten years or so. This provides considerably higher temporal and spatial resolution volcanic gas emission rate data than available previously, enabling the volcanology community to investigate a range of far faster plume degassing processes than achievable hitherto. To date, this has covered rapid oscillations in passive degassing through conduits and lava lakes, as well as puffing and explosions, facilitating exciting connections to be made for the first time between previously rather separate sub-disciplines of volcanology. Firstly, there has been corroboration between geophysical and degassing datasets at ≈1 Hz, expediting more holistic investigations of volcanic source-process behaviour. Secondly, there has been the combination of surface observations of gas release with fluid dynamic models (numerical, mathematical, and laboratory) for gas flow in conduits, in attempts to link subterranean driving flow processes to surface activity types. There has also been considerable research and development concerning the technique itself, covering error analysis and most recently the adaptation of smartphone sensors for this application, to deliver gas fluxes at a significantly lower instrumental price point than possible previously. At this decadal juncture in the application of UV imaging in volcanology, this article provides an overview of what has been achieved to date as well as a forward look to possible future research directions

Practical and clinical utility of non-invasive vagus nerve stimulation (nVNS) for the acute treatment of migraine. A post hoc analysis of the randomized, sham-controlled, double-blind PRESTO trial

Background: The PRESTO study of non-invasive vagus nerve stimulation (nVNS; gammaCore®) featured key primary and secondary end points recommended by the International Headache Society to provide Class I evidence that for patients with an episodic migraine, nVNS significantly increases the probability of having mild pain or being pain-free 2 h post stimulation. Here, we examined additional data from PRESTO to provide further insights into the practical utility of nVNS by evaluating its ability to consistently deliver clinically meaningful improvements in pain intensity while reducing the need for rescue medication. Methods: Patients recorded pain intensity for treated migraine attacks on a 4-point scale. Data were examined to compare nVNS and sham with regard to the percentage of patients who benefited by at least 1 point in pain intensity. We also assessed the percentage of attacks that required rescue medication and pain-free rates stratified by pain intensity at treatment initiation. Results: A significantly higher percentage of patients who used acute nVNS treatment (n = 120) vs sham (n = 123) reported a ≥ 1-point decrease in pain intensity at 30 min (nVNS, 32.2%; sham, 18.5%; P = 0.020), 60 min (nVNS, 38.8%; sham, 24.0%; P = 0.017), and 120 min (nVNS, 46.8%; sham, 26.2%; P = 0.002) after the first attack. Similar significant results were seen when assessing the benefit in all attacks. The proportion of patients who did not require rescue medication was significantly higher with nVNS than with sham for the first attack (nVNS, 59.3%; sham, 41.9%; P = 0.013) and all attacks (nVNS, 52.3%; sham, 37.3%; P = 0.008). When initial pain intensity was mild, the percentage of patients with no pain after treatment was significantly higher with nVNS than with sham at 60 min (all attacks: nVNS, 37.0%; sham, 21.2%; P = 0.025) and 120 min (first attack: nVNS, 50.0%; sham, 25.0%; P = 0.018; all attacks: nVNS, 46.7%; sham, 30.1%; P = 0.037). Conclusions: This post hoc analysis demonstrated that acute nVNS treatment quickly and consistently reduced pain intensity while decreasing rescue medication use. These clinical benefits provide guidance in the optimal use of nVNS in everyday practice, which can potentially reduce use of acute pharmacologic medications and their associated adverse events. Trial registration: ClinicalTrials.gov identifier: NCT02686034

Elevated CO2 emissions during magmatic-hydrothermal degassing at Awu Volcano, Sangihe Arc, Indonesia

Awu is a remote and little known active volcano of Indonesia located in the northern part of Molucca Sea. It is the northernmost active volcano of the Sangihe arc with 18 eruptions in less than 4 centuries, causing a cumulative death toll of 11,048. Two of these eruptions were classified with a Volcanic Explosivity Index (VEI) of 4. Since 2004, a lava dome has occupied the centre of Awu crater, channelling the fumarolic gas output along the crater wall. A combined Differential Optical Absorption Spectroscopy (DOAS) and Multi-component Gas Analyzer System (Multi-GAS) study highlight a relatively small SO2 flux (13 t/d) sustained by mixed magmatic–hydrothermal emissions made-up of 82 mol.% H2O, 15 mol.% CO2, 2.55 mol.% total S (ST) and 0.02 mol.% H2. The CO2 emission budget, as observed during a short observation period in 2015, corresponds to a daily contribution to the atmosphere of 2600 t/d, representing 1% of the global CO2 emission budget from volcanoes. The gas CO2/ST ratio of 3.7 to 7.9 is at the upper limit of the Indonesian gas range, which is ascribed to (i) some extent of S loss during hydrothermal processing, and perhaps (ii) a C-rich signature of the feeding magmatic gas phase. The source of this high CO2 signature and flux is yet to be fully understood; however, given the peculiar geodynamic context of the region, dominated by the arc-to-arc collision, this may result from either the prolonged heating of the slab and consequent production of carbon-rich fluids, or the recycling of crustal carbon

A SO2 flux study of the Etna volcano 2020–2021 paroxysmal sequences

The persistent open-vent degassing of Mt. Etna is often punctuated by months-long paroxysmal sequences characterized by episodes of violent Strombolian to lava fountaining activity. Understanding these gas-fueled transitions from quiescence to eruption requires routine measurement of gas fluxes. Here, we report SO2 flux measurements, obtained from a permanent UV camera system, collected over a two-year-long period spanning two paroxysmal sequences of Etna’s New South East Crater (NSEC) in December 2020/April 2021 and May/October 2021. In both cases, SO2 flux increased from ≤ 3250 Mg/day during “ordinary” activity to ≥ 4200 Mg/day. We interpret these distinct SO2 degassing regimes in light of seismic and thermal observations and drawing on numerical simulations of sulfur degassing constrained by parental melt sulfur contents in Etna’s hawaiites. We find that initiation of a paroxysmal sequence results from an approximate doubling of the time-averaged rate of magma supply (and degassing) above the sulfur exsolution level (∼150 MPa pressure), to >4 m3/s. This corroborates recent models that argue for the triggering of paroxysmal sequences by escalating supply of volatile-rich magma to a reservoir ∼3–4 km below the summit region. The non-stationary nature of magma flow and volcanic degassing we identify highlights the need for sustained surveillance to characterize long-term atmospheric budgets of volcanic volatiles

Mycophenolate Interruption Restores Anti-SARS-CoV-2 Vaccine Immunogenicity in Unresponsive Liver Transplant Recipients

Background & aims: The fourth dose of anti-SARS-CoV-2 vaccine slightly improved the humoral response among previously seronegative liver transplant (LT) recipients. Mycophenolate (MMF) treatment worsens the vaccination response. This study aimed to evaluate whether temporary MMF interruption might improve the immunogenicity of the fourth anti-SARS-CoV-2 BNT16b2 vaccine dose in nonresponsive LT recipients. Methods: LT recipients negative for anti-spike glycoprotein-specific immunoglobulin G receptor-binding domain (s-RBD) antibodies after the third vaccine dose were enrolled. Anti-SARS-CoV-2 spike-specific T-cell responses were measured before and 2 months following the fourth vaccine dose, and anti-SARS-CoV-2 s-RBD antibodies also 6 months thereafter. MMF was suspended two weeks before and after vaccination. Results: Five LT recipients were enrolled. After a mean of 78 days after vaccination, all patients tested positive for anti-SARS-CoV-2 s-RBD antibodies. The mean antibody titer was 8944 UI/mL. The positive antibody response was maintained during a mean of 193 days of follow-up. Three patients developed a positive T-cell response. Two patients (one positive for T-cell response) developed a self-limited SARS-CoV-2 infection. Conclusions: Suspending MMF prior to the fourth dose of the anti-SARS-CoV-2 mRNA vaccine seems feasible and safe. This procedure could restore vaccine-induced immunogenicity in a large portion of previously nonresponsive LT recipients

Baseline Predictors of the Long-Term Insufficient Biochemical Response in Patients with Autoimmune Hepatitis: A Single Center Experience

The treatment response criteria in autoimmune hepatitis (AIH) have been recently updated. This study aimed to assess treatment responses in 39 (16 males) patients with AIH confirmed by histology. Prednisone added to azathioprine or mycophenolate was the most frequent first-line treatment. Serum alanine aminotransferase (ALT) levels were periodically checked for a median of 45 months. Eight (20.5%) patients presented 4 weeks non-response (NR). Baseline lower multiples of ALT above the upper normal limit (UNL) (p = 0.005), Ishak liver fibrosis score > 3 (p = 0.029), and less frequent confluent necrosis > 2 (p 100 strongly predicted CBR failure (p = 0.003) at a follow-up greater than 12 months. In conclusion, the absence of cirrhosis and a ≥50% UNL decrease in serum ALT levels were independent predictors for CBR. A baseline GLUCRE score may help identify patients maintaining longer CBR

Combined ground and aerial measurements resolve vent-specific gas fluxes from a multi-vent volcano

Volcanoes with multiple summit vents present a methodological challenge for determining vent-specific gas emissions. Here, using a novel approach combining multiple ultraviolet cameras with synchronous aerial measurements, we calculate vent-specific gas compositions and fluxes for Stromboli volcano. Emissions from vent areas are spatially heterogeneous in composition and emission rate, with the central vent area dominating passive emissions, despite exhibiting the least explosive behaviour. Vents exhibiting Strombolian explosions emit low to negligible passive fluxes and are CO2-dominated, even during passive degassing. We propose a model for the conduit system based on contrasting rheological properties between vent areas. Our methodology has advantages for resolving contrasting outgassing dynamics given that measured bulk plume compositions are often intermediate between those of the distinct vent areas. We therefore emphasise the need for a vent-specific approach at multi-vent volcanoes and suggest that our approach could provide a transformative advance in volcano monitoring applications

The crater lake of Ilamatepec (Santa Ana) volcano, El Salvador: insights into lake gas composition and implications for monitoring

We here present the first chemical characterization of the volcanic gas plume issuing from the Santa Ana crater lake, a hyper-acidic crater lake (pH of − 0.2 to 2.5) in north-western El Salvador. Our results, obtained during regular surveys in 2017 and 2018 using a Multi-GAS instrument, demonstrate a hydrous gas composition (H2O/SO2 ratios from 32 to 205) and SO2 as the main sulfur species (H2S/SO2 = 0.03–0.1). We also find that gas composition evolved during our investigated period, with the CO2/SO2 ratio decreasing by one order of magnitude from March 2017 (37.2 ± 9.7) to November 2018 (< 3). This compositional evolution toward more magmatic (SO2-rich) compositions is interpreted in the context of the long-term evolution of the volcano following its 2005 and 2007 eruptions. We find that, in spite of reduced (background-level) seismicity, the magmatic gas supply into the lake was one order of magnitude higher in March 2017 (total volatile flux: 20,200–30,200 t/day) than in the following periods (total volatile flux: 900–10,167 t/day). We propose that the elevated magmatic/hydrothermal transport in March 2017, combined with a 15% reduction in precipitation, caused the volume of the lake to decrease, ultimately reducing its sulfur absorbing and scrubbing capacity, and hence causing the gas plume CO2/SO2 ratio to decrease. The recently observed increases in temperature, acidity, and salinity of the lake are consistent with this hypothesis. We conclude that the installation of a continuous, fully-automated Multi-GAS is highly desirable to monitor any future change in lake plume chemistry, and hence the level of degassing activity

Thermal Emissions of Active Craters at Stromboli Volcano: Spatio‐Temporal Insights From 10 Years of Satellite Observations

Open-vent volcanoes continuously emit magmatic products and frequently feature multiple adjacent craters. Temporal shifts of thermal emissions between craters are especially detectable by InfraRed satellites. Here, SENTINEL-2 and LANDSAT-8/9 Short Wave InfraRed (SWIR) high-spatial resolution satellite data, are combined to investigate 10 years (2013–2023) of thermal activity at Stromboli volcano (Italy). The correlation between Volcanic Radiative Power (VRP, in Watts) and Volcanic Radiative Energy (VRE, in Joules), retrieved by moderate MODIS and VIIRS Middle InfraRed (MIR) data, with the Thermal Index SWIR (TISWIR) data, allows us to quantify long-term series of heat fluxes (VRPSWIR) and energy (VRESWIR). Combining moderate and higher spatial resolution data and fitting cumulative trends of TISWIR with VREMIR allows to measure thermal activity sourced by single craters during Strombolian activity. Long-term results highlight that thermal emissions are clustered in the northern and southern parts of the crater terrace, with total energy emitted (∼12 × 1014 J) equally distributed. The thermal increase since April 2017 marked a reactivation of shallow magma transportation and an intensification of the activity after the 2014 eruption. Distinct thermal behaviors are shown by the NE, C, and SW craters, related to mechanisms of explosions. We found that short-term thermal variations match well those resolved by ground-based signals, and the NE crater as the most sensitive to the transition to higher-intensity activity. Our multispatial/multisensory investigation allows, for the first time, the long-term quantification of heat flux from Stromboli's craters, with an improved understanding of open-vent dynamics and a new approach to monitor multiple active craters

Volcanic CO2 tracks the incubation period of basaltic paroxysms

The ordinarily benign activity of basaltic volcanoes is periodically interrupted by violent paroxysmal explosions ranging in size from Hawaiian to Plinian in the most extreme examples. These paroxysms often occur suddenly and with limited or no precursors, leaving their causal mechanisms still incompletely understood. Two such events took place in summer 2019 at Stromboli, a volcano otherwise known for its persistent mild open-vent activity, resulting in one fatality and damage to infrastructure. Here, we use a post hoc analysis and reinterpretation of volcanic gas compositions and fluxes acquired at Stromboli to show that the two paroxysms were preceded by detectable escalations in volcanic plume CO2 degassing weeks to months beforehand. Our results demonstrate that volcanic gas CO2 is a key driver of explosions and that the preparatory periods ahead of explosions in basaltic systems can be captured by precursory CO2 leakage from deeply stored mafic magma