Innovative Strategy For Long Term Monitoring Of Metal And Radionuclide Plumes

Many government and private industry sites that were once contaminated with radioactive and chemical wastes cannot be cleaned up enough to permit unrestricted human access. The sites will require long term management, in some cases indefinitely, leaving site owners with the challenge of protecting human health and environmental quality at these "legacy" sites. Long-term monitoring of groundwater contamination is one of the largest projected costs in the life cycle of environmental management at the Savannah River Site, the larger DOE complex, and many large federal and private sites. There is a need to optimize the performance and manage the cost of long term surveillance and monitoring at their sites. Currently, SRNL is initiating a pilot field test using alternative protocols for long term monitoring of metals and radionuclides. A key component of the approach is that monitoring efforts are focused on measurement of low cost metrics related to hydrologic and chemical conditions that control contaminant migration. The strategy combines careful monitoring of hydrologic boundary conditions with measurement of master variables such as chemical surrogates along with a smaller number of standard well analyses. In plumes contaminated with metals, master variables control the chemistry of the groundwater system, and include redox variables (ORP, DO, chemicals), pH, specific conductivity, biological community (breakdown/decay products), and temperature. Significant changes in these variables will result in conditions whereby the plume may not be stable and therefore can be used to predict possible plume migration. Conversely, concentration measurements for all types of contaminants in groundwater are a lagging indicator plume movement - major changes contaminant concentrations indicate that contamination has migrated. An approach based on measurement of master variables and explicit monitoring of hydrologic boundary conditions combined with traditional metrics should lead to improved monitoring while simultaneously reducing costs. This paradigm is being tested at the SRS F-Area where an innovative passive remedial system is being monitored and evaluated over the long term prior to traditional regulatory closure. Contaminants being addressed at this site are uranium, strontium-90, iodine-129, and tritium. We believe that the proposed strategies will be more effective in early identification of potential risks; these strategies will also be cost effective because controlling variables are relatively simple to measure. These variables also directly reflect the evolution of the plume through time, so that the monitoring strategy can be modified as the plume 'ages'. This transformational long-term monitoring paradigm will generate large cost savings to DOE, other federal agencies and industry and will provide improved performance and leading indicators of environmental management performance

Evapotranspiration And Geochemical Controls On Groundwater Plumes At Arid Sites: Toward Innovative Alternate End-States For Uranium Processing And Tailings Facilities

Management of legacy tailings/waste and groundwater contamination are ongoing at the former uranium milling site in Tuba City AZ. The tailings have been consolidated and effectively isolated using an engineered cover system. For the existing groundwater plume, a system of recovery wells extracts contaminated groundwater for treatment using an advanced distillation process. The ten years of pump and treat (P&T) operations have had minimal impact on the contaminant plume – primarily due to geochemical and hydrological limits. A flow net analysis demonstrates that groundwater contamination beneath the former processing site flows in the uppermost portion of the aquifer and exits the groundwater as the plume transits into and beneath a lower terrace in the landscape. The evaluation indicates that contaminated water will not reach Moenkopi Wash, a locally important stream. Instead, shallow groundwater in arid settings such as Tuba City is transferred into the vadose zone and atmosphere via evaporation, transpiration and diffuse seepage. The dissolved constituents are projected to precipitate and accumulate as minerals such as calcite and gypsum in the deep vadose zone (near the capillary fringe), around the roots of phreatophyte plants, and near seeps. The natural hydrologic and geochemical controls common in arid environments such as Tuba City work together to limit the size of the groundwater plume, to naturally attenuate and detoxify groundwater contaminants, and to reduce risks to humans, livestock and the environment. The technical evaluation supports an alternative beneficial reuse (“brownfield”) scenario for Tuba City. This alternative approach would have low risks, similar to the current P&T scenario, but would eliminate the energy and expense associated with the active treatment and convert the former uranium processing site into a resource for future employment of local citizens and ongoing benefit to the Native American Nations

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

Gas: A Neglected Phase in Remediation of Metals and Radionuclides

The gas phase is generally ignored in remediation of metals and radionuclides because it is assumed that there is no efficient way to exploit it. In the literal sense, all remediations involve the gas phase because this phase is linked to the liquid and solid phases by vapor pressure and thermodynamic relationships. Remediation methods that specifically use the gas phase as a central feature have primarily targeted volatile organic contaminants, not metals and radionuclides. Unlike many organic contaminants, the vapor pressure and Henry's Law constants of metals and radionuclides are not generally conducive to direct air stripping of dissolved contaminants. Nevertheless, the gas phase can play an important role in remediation of inorganic contaminants and provide opportunities for efficient, cost effective remediation. The objective here is to explore ways in which manipulation of the gas phase can be used to facilitate remediation of metals and radionuclides

DOE-EMSP Final Report: Characterization of Changes in Colloid and DNAPL Affecting Surface Chemistry and Remediation

The waste disposal to the M-area basin and A-14 outfall at the Savannah River Department of Energy facility in Aiken SC (USA) included a wide variety of inorganic aqueous flows and organic solvents in the form of dense non-aqueous phase liquids (DNAPL). The DNAPL has migrated through the subsurface resulting in widespread groundwater contamination. The goal of this research was to identify and quantify processes that could have affected the migration and remediation of the DNAPL in the subsurface. It was hypothesized that the variety of waste disposed at this site could have altered the mineral, microbial and DNAPL properties at this site relative to other DNAPL sites. The DNAPL was determined to have a very low interfacial tension and is suspected to be distributed in fine grained media, thereby reducing the effectiveness of soil vapor extraction remediation efforts. Although the DNAPL is primarily comprised of tetrachloroethene and trichloroethane, it also contains organic acids and several heavy metals. Experimental results suggest that iron from the aqueous and DNAPL phases undergoes precipitation and dechlorination reactions at the DNAPL-water interface, contributing to the low interfacial tension and acidity of the DNAPL. Biological activity in the contaminated region can also contribute to the low interfacial tension. PCE degrading bacteria produce biosurfactants and adhere to the DNAPL-water interface when stressed by high tetrachloroethene or low dissolved oxygen concentrations. The presence of iron can reduce the interfacial tension by nearly an order of magnitude, while the PCE degraders reduced the interfacial tension by nearly 50%. Abiotic changes in the mineral characteristics were not found to be substantially different between contaminated and background samples. The research completed here begins to shed some insight into the complexities of DNAPL fate and migration at sites where co-disposal of many different waste products occurred. Quantifying the low interfacial tension of the SRS DNAPL helps to formulate a new conceptual picture of the subsurface DNAPL migration and provides an explanation of the limited effectiveness of remediation efforts. Alternative designs for remediation that are more effective for sites with DNAPL in fine grained media are required

DNAPL Surface Chemistry: Its Impact on DNAPL Distribution in the Vadose Zone and its Manipulation to Enhance Remediation

The primary hypothesis of this work is that surface-active chemicals and/or microorganisms present in the unsaturated zone can significantly alter interfacial phenomena governing the migration of DNAPLs, thereby affecting the accessibility of a DNAPL during remediation efforts. The surface-active materials are present in complex NAPL mixtures and are produced through microbial metabolic processes. The overall goal of this proposed research is to understand the role of and changes in interfacial phenomena on the accessibility of DNAPL in the vadose zone

Identifying key controls on the behaviour of an acidic-U(VI) plume in the Savannah River Site using reactive transport modeling

Acidic low-level waste radioactive waste solutions were discharged to three unlined seepage basins at the F-Area of the Department of Energy (DOE) Savannah River Site (SRS), South Carolina, USA, from 1955 through 1989. Despite of many years of active remediation, the groundwater remains acidic and contaminated with significant levels of U(VI) and other radionuclides. Monitored Natural Attenuation (MNA) is a desired closure strategy for the site, based on the premise that regional flow of clean background groundwater will eventually neutralize the groundwater acidity, immobilizing U(VI) through adsorption. An in situ treatment system is currently in place to accelerate this in the downgradient portion of the plume and similar measures could be taken upgradient if necessary. Understanding the long-term pH and U(VI) adsorption behavior at the site is critical to assess feasibility of MNA along with the in-situ remediation treatments. This paper presents a reactive transport (RT) model and uncertainty quantification (UQ) analyses to explore key controls on the U(VI)-plume evolution and long-term mobility at this site. Two-dimensional numerical RT simulations are run including the saturated and unsaturated (vadose) zones, U(VI) and H+ adsorption (surface complexation) onto sediments, dissolution and precipitation of Al and Fe minerals, and key hydrodynamic processes are considered. UQ techniques are applied using a new open-source tool that is part of the developing ASCEM reactive transport modeling and analysis framework to: (1) identify the complex physical and geochemical processes that control the U(VI) plume migration in the pH range where the plume is highly mobile, (2) evaluate those physical and geochemical parameters that are most controlling, and (3) predict the future plume evolution constrained by historical chemical and hydrological data. The RT simulation results show a good agreement with the observed historical pH and concentrations of U(VI), nitrates and Al concentrations at multiple locations. Mineral dissolution and precipitation combined with adsorption reactions on goethite and kaolinite (the main minerals present with quartz) could buffer pH at the site for long periods of time. UQ analyses using the Morris one-at-a-time (OAT) method indicates that the model/parameter are most sensitive to the pH of the waste solution, discharge rates, and the reactive surface area available for adsorption. However, as a key finding, UQ analysis also indicates that this model (and parameters) sensitivity evolves in space and time, and its understanding could be crucial to assess the temporal efficiency of a remediation strategy in contaminated sites. Results also indicate that residual U(VI) and H+ adsorbed in the vadose zone, as well as aquifer permeability, could have a significant impact on the acidic plume long-term mobility.Fil: Bea, Sergio Andrés. Universidad Nacional del Centro de la Provincia de Buenos Aires. Rectorado. Instituto de Hidrología de Llanuras - Sede Azul; Argentina; Lawrence Berkeley National Laboratory. Earth Sciences Division; Estados Unidos de América; Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Tandil; Argentina;Fil: Wainwright, Haruko. Lawrence Berkeley National Laboratory. Earth Sciences Division; Estados Unidos de América;Fil: Spycher, Nicolas. Lawrence Berkeley National Laboratory. Earth Sciences Division; Estados Unidos de América;Fil: Faybishenko, Boris. Lawrence Berkeley National Laboratory. Earth Sciences Division; Estados Unidos de América;Fil: Hubbard, Susan S.. Lawrence Berkeley National Laboratory. Earth Sciences Division; Estados Unidos de América;Fil: Denham, Miles E.. Savannah River National Laboratory; Estados Unidos de América

Persistent Source Influences on the Trailing Edge of a Groundwater Plume, and Natural Attenuation Timeframes: The F-Area Savannah River Site

At the Savannah River Site’s F-Area, wastewaters containing radionuclides were disposed into seepage basins for decades. After closure and capping in 1991, the U.S. Department of Energy (DOE) has being monitoring and remediating the groundwater plume. Despite numerous studies of the plume, its persistence for over 20 years has not been well understood. To better understand the plume dynamics, a limited number of deep boreholes were drilled to determine the current plume characteristics. A mixing model was developed to predict plume tritium and nitrate concentrations. We found that the plume trailing edges have emerged for some contaminants, and that contaminant recharge from the basin’s vadose zone is still important. The model’s estimated time-dependent basin drainage rates combined with dilution from natural recharge successfully predicted plume tritium and nitrate concentrations. This new understanding of source zone influences can help guide science-based remediation, and improve predictions of the natural attenuation timeframes