Statistical analysis of the hydrogeochemical evolution of groundwater in hard rock coastal aquifers of Thoothukudi district in Tamil Nadu, India

The study of groundwater hydrogeochemistry of a hard rock aquifer system in Thoothukudi district has resulted in a large geochemical data set. A total of 100 water samples representing various lithologies like Hornblende Biotite Gneiss, Alluvium Marine, alluvium Fluvial, Quartzite, Charnockite, Granite and Sandstone were collected for two different seasons and analyzed for major ions like Ca2+, Mg2+, Na+, K+, HCO3 -, Cl-, SO4 2-, NO3 -, PO4 -, F- and H4SiO4. Statistical analysis of the data has been attempted to unravel the hidden relationship between ions. Correlation analyses and factor analyses were applied to classify the groundwater samples and to identify the geochemical processes controlling groundwater geochemistry. Factor analysis indicates that sea water intrusion followed by leaching of secondary salts, weathering and anthropogenic impacts are the dominant factors controlling hydrogeochemistry of groundwater in the study area. Factor score overlay indicate major active hydrogeochemical regimes are spread throughout the Eastern, Northwestern and Southeastern parts of the study area. The dominant ions controlling the groundwater chemistry irrespective of season are Cl-, Na+, Mg2+, Ca2+, SO4 2-, K+ and NO3 -. An attempt has also been made to note the seasonal variation of the factor representations in the study area. This study also illustrates the usefulness of statistical analysis to improve the understanding of groundwater systems and estimates of the extent of salinity/salt water intrusion

Body mass index and complications following major gastrointestinal surgery: a prospective, international cohort study and meta-analysis.

AIM: Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a meta-analysis of all available prospective data. METHODS: This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien-Dindo Grades III-V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. RESULTS: This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery for malignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49-2.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46-0.75, P < 0.001) compared to normal weight patients. CONCLUSIONS: In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease

Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis

Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien\u2013Dindo Grades III\u2013V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49\u20132.96, P &lt; 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46\u20130.75, P &lt; 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease