Characterization of Aquifer Hydraulic Parameters: from Theis to Hydraulic Tomography

Groundwater is in many parts of the world an important source of fresh water for several purpose such as domestic and industrial use and irrigation. Pollution and bad management of groundwater are only two of the problems that affect the aquifers around the world. Detailed information about the spatial distribution of hydraulic properties in subsurface are of crucial importance for a proper management of groundwater and for the prediction of the solutes transport in aquifer and therefore for the design of effective remediation systems. Different methods have been used for characterizing aquifer hydraulic parameters but the most used are the interpretation of the pumping tests. They consist of measuring the drawdowns in an observation well due to the extraction of a constant rate of water from a different well. The data collected in this way are then fitted with analytical solutions that assume aquifer homogeneity so providing average values of the hydraulic parameters without considering any spatial distribution. In the last 15 years, to remove the homogeneity hypothesis and to investigate the spatial distribution of aquifer hydraulic properties, a technique called Hydraulic Tomography has been developed. It consists of sequential aquifer tests in which the stress location is sequentially moved and the hydraulic responses are monitored in other locations. The data collected are then used to solve an inverse problem and to obtain information about the spatial variability of the aquifer hydraulic parameters. In this work after a discussion of the traditional aquifer tests and an overview of the inverse methods applied to the hydraulic tomography, a Bayesian Geostatistical approach (conditioned on direct head data) is considered and tested with tomographic data in transient flow conditions and with both constant and non-stationary boundary conditions. Traditional analyses and the hydraulic tomography approach are then applied to a real case of the well field of the AIPO Boretto Research Site (Northern Italy) to test the methodologies on a field application. To date, the application of the Bayesian Geostatistical approach to inverse problems (in particular on real problems) is limited by the lack of tools available for the scientific and technical community. For this reason the USGS (United States Geological Survey) is sponsoring a project to incorporate the Bayesian approach as a module of the industry standard software package PEST for the parameters estimation. In this work the kernel of the Bayesian PEST developed by the Writer is described. This module is doubtless a good way to spread the Bayesian Geostatistical inverse procedure to the modelers community

Climate Change over the Mediterranean Region: Local Temperature and Precipitation Variations at Five Pilot Sites

[EN] The Mediterranean region is one of the most responsive areas to climate change and was identified as a major "hot-spot" based on global climate change analyses. This study provides insight into local climate changes in the Mediterranean region under the scope of the InTheMED project, which is part of the PRIMA programme. Precipitation and temperature were analyzed in an historical period and until the end of this century for five pilot sites, located between the two shores of the Mediterranean region. We used an ensemble of 17 Regional Climate Models, developed in the framework of the EURO-CORDEX initiative, under two Representative Concentration Pathways (RCP4.5 and RCP8.5). Over the historical period, the temperature presents upward trends, which are statistically significant for some sites, while precipitation does not show significant tendencies. These trends will be maintained in the future as predicted by the climate models projections: all models indicate a progressive and robust warming in all study areas and moderate change in total annual precipitation, but some seasonal variations are identified. Future changes in droughts events over the Mediterranean region were studied considering the maximum duration of the heat waves, their peak temperature, and the number of consecutive dry days. All pilot sites are expected to increase the maximum duration of heat waves and their peak temperature. Furthermore, the maximum number of consecutive dry days is expected to increase for most of the study areas.This paper is supported by the PRIMA programme under grant agreement No. 1923, project Innovative and Sustainable Groundwater Management in the Mediterranean (InTheMED). The PRIMA programme is supported by the European Union.Todaro, V.; D'oria, M.; Secci, D.; Zanini, A.; Tanda, MG. (2022). Climate Change over the Mediterranean Region: Local Temperature and Precipitation Variations at Five Pilot Sites. Water. 14(16). https://doi.org/10.3390/w14162499141

Discharge hydrograph estimation at upstream-ungauged sections by coupling a Bayesian methodology and a 2-D GPU shallow water model

Abstract. This paper presents a novel methodology for estimating the unknown discharge hydrograph at the entrance of a river reach when no information is available. The methodology couples an optimization procedure based on the Bayesian geostatistical approach (BGA) with a forward self-developed 2-D hydraulic model. In order to accurately describe the flow propagation in real rivers characterized by large floodable areas, the forward model solves the 2-D shallow water equations (SWEs) by means of a finite volume explicit shock-capturing algorithm. The two-dimensional SWE code exploits the computational power of graphics processing units (GPUs), achieving a ratio of physical to computational time of up to 1000. With the aim of enhancing the computational efficiency of the inverse estimation, the Bayesian technique is parallelized, developing a procedure based on the Secure Shell (SSH) protocol that allows one to take advantage of remote high-performance computing clusters (including those available on the Cloud) equipped with GPUs. The capability of the methodology is assessed by estimating irregular and synthetic inflow hydrographs in real river reaches, also taking into account the presence of downstream corrupted observations. Finally, the procedure is applied to reconstruct a real flood wave in a river reach located in northern Italy

Contrast Enhanced Ultrasound (CEUS) Is Not Able to Identify Vulnerable Plaques in Asymptomatic Carotid Atherosclerotic Disease

OBJECTIVES: Contrast enhanced ultrasound (CEUS) has been suggested as an imaging tool for detection of asymptomatic carotid atherosclerotic disease (ACAD) at high risk of cerebral embolisation. The objective of this study was to evaluate CEUS and immunohistochemical (IHC) patterns in ACAD (i.e., without any neurologic symptoms in the last 6 months) and their correlations with histology. METHODS: CEUS analysis was classified on a semiquantitative basis using a three-point classification scale. Plaque morphology was assessed using the American Heart Association (AHA) classification of atherosclerotic plaques, then accordingly assigned as non-vulnerable (AHA Type IV/V) or vulnerable (AHA Type VI). IHC analysis for intra-plaque neo-angiogenesis (IPN) was identified by CD34/VEGF immunostaining and classified on a semiquantitative basis using a four-point classification scale. Both CEUS and IHC analyses were performed and scored by single observers. RESULTS: Fifty-eight consecutive asymptomatic patients (mean age 73 years, 33 males) undergoing carotid endarterectomy were included in the final analysis. Nineteen had AHA Class IV/V plaques, and the remaining 39 had AHA Class VI plaques. There were two main findings of the study: (a) histologically proven vulnerable plaques compared with histologically proven non-vulnerable plaques had denser IPN (p = .004), but did not show more pronounced contrast enhancement; (b) the correlation between IHC analysis and CEUS analysis was significant for both vulnerable and non-vulnerable plaques (p = .04 and p = .01, respectively), but it was direct for AHA Type IV/V plaques and inverse for AHA Type VI plaques. CONCLUSIONS: The main findings of the study were that histologically proven vulnerable plaques (i.e., AHA Class VI) as compared with histologically proven non-vulnerable plaques (i.e., AHA Class IV/V) had denser neo-vascularisation, but not more pronounced contrast enhancement

Somatic mosaicism represents an underestimated event underlying collagen 6-related disorders

Background: Collagen VI-related disorders (COL6-RD) are a group of heterogenous muscular diseases due to mutations in the COL6A1, COL6A2 and COL6A3 genes, encoding for collagen VI, a critical component of the extracellular matrix. Ullrich congenital muscle disorder and Bethlem myopathy represent the ends of a clinical spectrum that includes intermediate phenotypes of variable severity. UCMD are caused by recessive loss of function mutations or de-novo dominant-negative mutations. The intermediate phenotype and BM are more commonly caused by dominantly acting mutations, and less commonly by recessive mutations. Recently parental mosaicism for dominant mutations in COL6 have been reported in four COL6-RD families and germinal mosaicism has been also identified in a family with recurrence of UCMD in two half-sibs. Methods and results: Here we report three unrelated patients affected by a COL6-RD who carried de novo mosaic mutations in COL6A genes. These mutations, missed by Sanger sequencing, were identified by next generation sequencing. Conclusions: This report highlights the importance of a complete diagnostic workup when clinical and histological finding are consistent with a COL6-RD and strengthen the impression that mosaicisms are underestimated events underlying COL6-RD. (C) 2017 The Authors. Published by Elsevier Ltd on behalf of European Paediatric Neurology Society.Peer reviewe

Dysregulated miR-155 and miR-125b Are Related to Impaired B-cell Responses in Down Syndrome

Children with Down Syndrome (DS) suffer from immune deficiency with a severe reduction in switched memory B cells (MBCs) and poor response to vaccination. Chromosome 21 (HSA21) encodes two microRNAs (miRs), miR-125b, and miR-155, that regulate B-cell responses. We studied B- and T- cell subpopulations in tonsils of DS and age-matched healthy donors (HD) and found that the germinal center (GC) reaction was impaired in DS. GC size, numbers of GC B cells and Follicular Helper T cells (TFH) expressing BCL6 cells were severely reduced. The expression of miR-155 and miR-125b was increased in tonsillar memory B cells and miR-125b was also higher than expected in plasma cells (PCs). Activation-induced cytidine deaminase (AID) protein, a miR-155 target, was significantly reduced in MBCs of DS patients. Increased expression of miR-155 was also observed in vitro. MiR-155 was significantly overexpressed in PBMCs activated with CpG, whereas miR-125b was constitutively higher than normal. The increase of miR-155 and its functional consequences were blocked by antagomiRs in vitro. Our data show that the expression of HSA21-encoded miR-155 and miR-125b is altered in B cells of DS individuals both in vivo and in vitro. Because of HSA21-encoded miRs may play a role also in DS-associated dementia and leukemia, our study suggests that antagomiRs may represent pharmacological tools useful for the treatment of DS

Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members

Background: In contrast to adults, the situation for pediatric trauma care from an international point of view and the global management of severely injured children remain rather unclear. The current study investigates structural management of pediatric trauma in centers of different trauma levels as well as experiences with pediatric trauma management around the world. Methods: A web-survey had been distributed to the global mailing list of the World Society of Emergency Surgery from 10/2021-03/2022, investigating characteristics of respondents and affiliated hospitals, case-load of pediatric trauma patients, capacities and infrastructure for critical care in children, trauma team composition, clinical work-up and individual experiences with pediatric trauma management in response to patients´ age. The collaboration group was subdivided regarding sizes of affiliated hospitals to allow comparisons concerning hospital volumes. Comparable results were conducted to statistical analysis. Results: A total of 133 participants from 34 countries, i.e. 5 continents responded to the survey. They were most commonly affiliated with larger hospitals (> 500 beds in 72.9%) and with level I or II trauma centers (82.0%), respectively. 74.4% of hospitals offer unrestricted pediatric medical care, but only 63.2% and 42.9% of the participants had sufficient experiences with trauma care in children ≤ 10 and ≤ 5 years of age (p = 0.0014). This situation is aggravated in participants from smaller hospitals (p < 0.01). With regard to hospital size (≤ 500 versus > 500 in-hospital beds), larger hospitals were more likely affiliated with advanced trauma centers, more elaborated pediatric intensive care infrastructure (p < 0.0001), treated children at all ages more frequently (p = 0.0938) and have higher case-loads of severely injured children < 12 years of age (p = 0.0009). Therefore, the majority of larger hospitals reserve either pediatric surgery departments or board-certified pediatric surgeons (p < 0.0001) and in-hospital trauma management is conducted more multi-disciplinarily. However, the majority of respondents does not feel prepared for treatment of severe pediatric trauma and call for special educational and practical training courses (overall: 80.2% and 64.3%, respectively). Conclusions: Multi-professional management of pediatric trauma and individual experiences with severely injured children depend on volumes, level of trauma centers and infrastructure of the hospital. However, respondents from hospitals at all levels of trauma care complain about an alarming lack of knowledge on pediatric trauma management

Role of prenatal magnetic resonance imaging in fetuses with isolated mild or moderate ventriculomegaly in the era of neurosonography: international multicenter study

Objectives To assess the role of fetal magnetic resonance imaging (MRI) in detecting associated anomalies in fetuses presenting with mild or moderate isolated ventriculomegaly (VM) undergoing multiplanar ultrasound evaluation of the fetal brain. Methods This was a multicenter, retrospective, cohort study involving 15 referral fetal medicine centers in Italy, the UK and Spain. Inclusion criteria were fetuses affected by isolated mild (ventricular atrial diameter, 10.0–11.9 mm) or moderate (ventricular atrial diameter, 12.0–14.9 mm) VM on ultrasound, defined as VM with normal karyotype and no other additional central nervous system (CNS) or extra‐CNS anomalies on ultrasound, undergoing detailed assessment of the fetal brain using a multiplanar approach as suggested by the International Society of Ultrasound in Obstetrics and Gynecology guidelines for the fetal neurosonogram, followed by fetal MRI. The primary outcome of the study was to report the incidence of additional CNS anomalies detected exclusively on prenatal MRI and missed on ultrasound, while the secondary aim was to estimate the incidence of additional anomalies detected exclusively after birth and missed on prenatal imaging (ultrasound and MRI). Subgroup analysis according to gestational age at MRI (< 24 vs ≥ 24 weeks), laterality of VM (unilateral vs bilateral) and severity of dilatation (mild vs moderate VM) were also performed. Results Five hundred and fifty‐six fetuses with a prenatal diagnosis of isolated mild or moderate VM on ultrasound were included in the analysis. Additional structural anomalies were detected on prenatal MRI and missed on ultrasound in 5.4% (95% CI, 3.8–7.6%) of cases. When considering the type of anomaly, supratentorial intracranial hemorrhage was detected on MRI in 26.7% of fetuses, while polymicrogyria and lissencephaly were detected in 20.0% and 13.3% of cases, respectively. Hypoplasia of the corpus callosum was detected on MRI in 6.7% of cases, while dysgenesis was detected in 3.3%. Fetuses with an associated anomaly detected only on MRI were more likely to have moderate than mild VM (60.0% vs 17.7%; P < 0.001), while there was no significant difference in the proportion of cases with bilateral VM between the two groups (P = 0.2). Logistic regression analysis showed that lower maternal body mass index (adjusted odds ratio (aOR), 0.85 (95% CI, 0.7–0.99); P = 0.030), the presence of moderate VM (aOR, 5.8 (95% CI, 2.6–13.4); P < 0.001) and gestational age at MRI ≥ 24 weeks (aOR, 4.1 (95% CI, 1.1–15.3); P = 0.038) were associated independently with the probability of detecting an associated anomaly on MRI. Associated anomalies were detected exclusively at birth and missed on prenatal imaging in 3.8% of cases. Conclusions The incidence of an associated fetal anomaly missed on ultrasound and detected only on fetal MRI in fetuses with isolated mild or moderate VM undergoing neurosonography is lower than that reported previously. The large majority of these anomalies are difficult to detect on ultrasound. The findings from this study support the practice of MRI assessment in every fetus with a prenatal diagnosis of VM, although parents can be reassured of the low risk of an associated anomaly when VM is isolated on neurosonography