6 research outputs found
Recommended from our members
On the development of a three-dimensional finite-element groundwater flow model of the saturated zone, Yucca Mountain, Nevada
Development of a preliminary three-dimensional model of the saturated zone at Yucca Mountain, the potential location for a high-level nuclear waste repository, is presented. The development of the model advances the technology of interfacing: (1)complex three-dimensional hydrogeologic framework modeling; (2) fully three-dimensional, unstructured, finite-element mesh generation; and (3) groundwater flow, heat, and transport simulation. The three-dimensional hydrogeologic framework model is developed using maps, cross sections, and well data. The framework model data are used to feed an automated mesh generator, designed to discretize irregular three-dimensional solids,a nd to assign materials properties from the hydrogeologic framework model to the tetrahedral elements. The mesh generator facilitated the addition of nodes to the finite-element mesh which correspond to the exact three-dimensional position of the potentiometric surface based on water-levels from wells. A ground water flow and heat simulator is run with the resulting finite- element mesh, within a parameter-estimation program. The application of the parameter-estimation program is designed to provide optimal values of permeability and specified fluxes over the model domain to minimize the residual between observed and simulated water levels
Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.
BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362
Recommended from our members
Effect of faulting on ground-water movement in the Death Valley region, Nevada and California
This study characterizes the hydrogeologic system of the Death Valley region, an area covering approximately 100,000 square kilometers. The study also characterizes the effects of faults on ground-water movement in the Death Valley region by synthesizing crustal stress, fracture mechanics,a nd structural geologic data. The geologic conditions are typical of the Basin and Range Province; a variety of sedimentary and igneous intrusive and extrusive rocks have been subjected to both compressional and extensional deformation. Faulting and associated fracturing is pervasive and greatly affects ground-water flow patterns. Faults may become preferred conduits or barriers to flow depending on whether they are in relative tension, compression, or shear and other factors such as the degree of dislocations of geologic units caused by faulting, the rock types involved, the fault zone materials, and the depth below the surface. The current crustal stress field was combined with fault orientations to predict potential effects of faults on the regional ground-water flow regime. Numerous examples of fault-controlled ground-water flow exist within the study area. Hydrologic data provided an independent method for checking some of the assumptions concerning preferential flow paths. 97 refs., 20 figs., 5 tabs
Recommended from our members
Hydrochemical data base for the Death Valley Region, California and Nevada
Ground-water chemistry data derived from samples collected within an approximately 100,000-square-kilometer area in the Southern Great Basin have been compiled into a digital data base. The data were compiled from published reports, the U.S. Geological Survey (USGS) National Water Information System (NWIS), and previously unpublished USGS files. The data are contained in two compressed files which self-expand into Lotus (.WK1) files. The first file contains 4,738 records (4.84 megabytes) and represents the basic compilation of all identified analyses. The second file is an edited version of the first and contains 3,733 records (3.84 megabytes). Editing included the removal of duplicate records and the combining of records, when appropriate. The analyses presented are of variable quality and comprehensiveness and include no isotopic data. Of the 3,733 analyses in the edited data base, 58 percent of the major ion concentrations balance to within {+-}10 percent. Most of the remaining records are not sufficiently complete for a balance to be calculated