26 research outputs found

    Studies of Lagrangian modeling techniques with applications to deep ocean carbon sequestration

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    Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Civil and Environmental Engineering, 2008.This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections.Includes bibliographical references.This thesis consists of four separate studies which explore the use of random walk particle tracking (RWPT) in simulating environmental mass transport. Two of the studies also consider the efficacy and marine impact of ocean CO2 sequestration by direct injection. The first study compares RWPT to two other simple Lagrangian techniques (forward and backward Gaussian puff tracking) to simulate mixing beyond the near field of a pollutant discharge. RWPT is found to be more accurate, but also more computationally expensive, thus motivating hybrid approaches where Lagrangian calculations transition to Eulerian schemes in the far field. The second study considers 1D RWPT when strong gradients in ambient diffusivity exist. For step profiles, the work of past investigators is unified and extended, and the Thomson et al. (1997) particle reflection approach is recommended. For piecewise linear profiles, a novel and efficient particle reflection with probability translation approach is proposed. The third study implements RWPT to emulate the tracer transport of an ocean general circulation model (OGCM) using the OGCM's flow and diffusivity fields. A high level of agreement between RWPT and OGCM results is achieved. Particle reflection with probability translation successfully handled sharply varying vertical diffusivities. However, precisely mimicking OGCM calculations proved difficult due to complications in specifying the subgrid scale variation of isopycnal slope and diffusivity in steeply sloped or convectively unstable regions, and in accurately implementing the Gent-McWilliams eddy-induced transport.(cont.) Further development is recommended to resolve spurious upwelling occurring mainly in the Southern Ocean. The utility of RWPT is demonstrated by calculating domain-wide CO2 sequestration efficiencies using a novel book-keeping method. Additional RWPT benefits to oceanographic investigation are also proposed. The fourth study updates the Auerbach et al. (1997) and Caulfield et al. (1997) joint assessment of acute environmental impact to zooplankton resulting from ocean CO2 discharges. Acute toxicity data are used to estimate the cumulative harm accrued by passive organisms drifting through idealized CO2 plumes generated by three promising discharge methods. Results suggest that discharges can be engineered to largely avoid acute impacts, and that ocean carbon sequestration should not be dismissed on the basis of environmental impact alone.by Peter Hampus Israelsson.Ph.D

    Evaluation of the environmental viability of direct injection schemes for ocean carbon sequestration

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    Thesis (S.M. in Technology and Policy)--Massachusetts Institute of Technology, Engineering Systems Division, Technology and Policy Program, 2008.Includes bibliographical references (p. 143-159).This thesis evaluates the expected impact of several promising schemes for ocean carbon sequestration by direct injection of CO2, and serves as an update to the assessment by Auerbach et al. (1997) and Caulfield et al. (1997) of water quality impacts and the induced mortality to zooplankton. The present work extends the methodology used in the earlier studies, incorporates recent acute CO2 toxicity data on marine organisms, and considers three revised discharge approaches: a point release of negatively buoyant CO2 hydrate particles from a moving ship; a long, bottom-mounted diffuser discharging buoyant liquid CO2 droplets; and a stationary point release of hydrate particles forming a sinking plume. Results suggest that it is possible with present technology to engineer discharge configurations which achieve sufficient dilution to largely avoid acute impacts. Sub-lethal and ecosystem effects are discussed qualitatively, but not analyzed quantitatively. The analysis suggests that, as a temporary climate change mitigation strategy, ocean carbon sequestration by direct injection should not be dismissed on the basis of environmental impact alone. With minor modification, this thesis will also serve as the final chapter of the author's Ph.D. thesis to be submitted in 2008 to the MIT Department of Civil and Environmental Engineering.by Peter Hampus Israelsson.S.M

    Mass balance and 3D model of PAHs in Boston's inner harbor

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    Thesis (M. Eng.)--Massachusetts Institute of Technology, Dept. of Civil and Environmental Engineering, 1998.Includes bibliographical references (leaves 192-199).by Ricardo N. Petroni, Peter H. Israelsson.M.Eng

    A multicenter randomized controlled trial evaluating the effect of small stitches on the incidence of incisional hernia in midline incisions

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    Contains fulltext : 95575.pdf (publisher's version ) (Open Access)BACKGROUND: The median laparotomy is frequently used by abdominal surgeons to gain rapid and wide access to the abdominal cavity with minimal damage to nerves, vascular structures and muscles of the abdominal wall. However, incisional hernia remains the most common complication after median laparotomy, with reported incidences varying between 2-20%. Recent clinical and experimental data showed a continuous suture technique with many small tissue bites in the aponeurosis only, is possibly more effective in the prevention of incisional hernia when compared to the common used large bite technique or mass closure. METHODS/DESIGN: The STITCH trial is a double-blinded multicenter randomized controlled trial designed to compare a standardized large bite technique with a standardized small bites technique. The main objective is to compare both suture techniques for incidence of incisional hernia after one year. Secondary outcomes will include postoperative complications, direct costs, indirect costs and quality of life. A total of 576 patients will be randomized between a standardized small bites or large bites technique. At least 10 departments of general surgery and two departments of oncological gynaecology will participate in this trial. Both techniques have a standardized amount of stitches per cm wound length and suture length wound length ratio's are calculated in each patient. Follow up will be at 1 month for wound infection and 1 year for incisional hernia. Ultrasound examinations will be performed at both time points to measure the distance between the rectus muscles (at 3 points) and to objectify presence or absence of incisional hernia. Patients, investigators and radiologists will be blinded during follow up, although the surgeon can not be blinded during the surgical procedure. CONCLUSION: The STITCH trial will provide level 1b evidence to support the preference for either a continuous suture technique with many small tissue bites in the aponeurosis only or for the commonly used large bites technique

    A randomised, multi-centre, prospective, double blind pilot-study to evaluate safety and efficacy of the non-absorbable Optilene® Mesh Elastic versus the partly absorbable Ultrapro® Mesh for incisional hernia repair

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    <p>Abstract</p> <p>Background</p> <p>Randomised controlled trials with a long term follow-up (3 to 10 years) have demonstrated that mesh repair is superior to suture closure of incisional hernia with lower recurrence rates (5 to 20% versus 20 to 63%). Yet, the ideal size and material of the mesh are not defined. So far, there are few prospective studies that evaluate the influence of the mesh texture on patient's satisfaction, recurrence and complication rate. The aim of this study is to evaluate, if a non-absorbable mesh (Optilene<sup>® </sup>Mesh Elastic) will result in better health outcomes compared to a partly absorbable mesh (Ultrapro<sup>® </sup>Mesh).</p> <p>Methods/Design</p> <p>In this prospective, randomised, double blind study, eighty patients with incisional hernia after a midline laparotomy will be included. Primary objective of this study is to investigate differences in the physical functioning score from the SF-36 questionnaire 21 days after mesh insertion. Secondary objectives include the evaluation of the patients' daily activity, pain, wound complication and other surgical complications (hematomas, seromas), and safety within six months after intervention.</p> <p>Discussion</p> <p>This study investigates mainly from the patient perspective differences between meshes for treatment of incisional hernias. Whether partly absorbable meshes improve quality of life better than non-absorbable meshes is unclear and therefore, this trial will generate further evidence for a better treatment of patients.</p> <p>Trial registration</p> <p>NCT00646334</p

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

    Epithelial IL-6 trans-signaling defines a new asthma phenotype with increased airway inflammation

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    Background: Although several studies link high levels of IL-6 and soluble IL-6 receptor (sIL-6R) to asthma severity and decreased lung function, the role of IL-6 trans-signaling (IL-6TS) in asthmatic patients is unclear. Objective: We sought to explore the association between epithelial IL-6TS pathway activation and molecular and clinical phenotypes in asthmatic patients. Methods: An IL-6TS gene signature obtained from air-liquid interface cultures of human bronchial epithelial cells stimulated with IL-6 and sIL-6R was used to stratify lung epithelial transcriptomic data (Unbiased Biomarkers in Prediction of Respiratory Disease Outcomes [U-BIOPRED] cohorts) by means of hierarchical clustering. IL-6TS-specific protein markers were used to stratify sputum biomarker data (Wessex cohort). Molecular phenotyping was based on transcriptional profiling of epithelial brushings, pathway analysis, and immunohistochemical analysis of bronchial biopsy specimens. Results: Activation of IL-6TS in air-liquid interface cultures reduced epithelial integrity and induced a specific gene signature enriched in genes associated with airway remodeling. The IL-6TS signature identified a subset of patients with IL-6TS-high asthma with increased epithelial expression of IL-6TS-inducible genes in the absence of systemic inflammation. The IL-6TS-high subset had an overrepresentation of frequent exacerbators, blood eosinophilia, and submucosal infiltration of T cells and macrophages. In bronchial brushings Toll-like receptor pathway genes were upregulated, whereas expression of cell junction genes was reduced. Sputum sIL-6R and IL-6 levels correlated with sputum markers of remodeling and innate immune activation, in particular YKL-40, matrix metalloproteinase 3, macrophage inflammatory protein 1 beta, IL-8, and IL-1 beta. Conclusions: Local lung epithelial IL-6TS activation in the absence of type 2 airway inflammation defines a novel subset of asthmatic patients and might drive airway inflammation and epithelial dysfunction in these patients.Peer reviewe
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