36 research outputs found
Recommended from our members
Solution-borne colloids from drip tests using actinide-doped and fully-radioactive waste glasses
Drip tests designed to replicate the synergistic interactions between waste glass, repository groundwater, water vapor, and sensitized 304L stainless steel in the potential Yucca Mountain Repository have been ongoing in our laboratory for over ten years. Results will be presented from three sets of these drip tests: two with actinide-doped glasses, and one with a fully-radioactive glass. Periodic sampling of these tests have revealed trends in actinide release behavior that are consistent with their entrainment in colloidal material when as-cast glass is reacted. Results from vapor hydrated glass show that initially the actinides are completely dissolved in solution, but as the reaction proceeds, the actinides become suspended in solution. Sequential filtering and alpha spectroscopy of colloid-bearing leachate solutions indicate that more than 80 percent of the plutonium and americium are bound to particles that are captured by a 0. 1 gm filter, while less than 10 percent of the neptunium is stopped by a 0. 1 gm filter. Analytical transmission electron microscopy has been used to examine particles from leachate solutions and to identify several actinide-bearing phases which are responsible for the majority of actinide release during glass corrosion
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
Extraction of long-lived radionuclides from caustic Hanford tank waste supernatants
A series of polymer-based extraction systems, based on the use of polyethylene glycols (PEGs) or polypropylene glycols (PPGs), was demonstrated to be capable of selective extraction and recovery of long-lived radionuclides, such as {sup 99}Tc and {sup 129}I, from Hanford SY-101 tank waste, neutralized current acid waste, and single-shell tank waste simulants. During the extraction process, anionic species like TcO{sub 4}{sup {minus}} and I{sup {minus}} are selectively transferred to the less dense PEG-rich aqueous phase. The partition coefficients for a wide range of inorganic cations and anions, such as sodium, potassium, aluminum, nitrate, nitrite, and carbonate, are all less than one. The partition coefficients for pertechnetate ranged from 12 to 50, depending on the choice of waste simulant and temperature. The partition coefficient for iodide was about 5, while that of iodate was about 0.25. Irradiation of the PEG phase with gamma-ray doses up to 20 Mrad had no detectable effect on the partition coefficients. The most selective extraction systems examined were those based on PPGs, which exhibited separation factors in excess of 3000 between TcO{sub 4}{sup {minus}} and NO{sub 3}{sup {minus}}/NO{sub 2}{sub {minus}}. An advantage of the PPG-based system is minimization of secondary waste production. These studies also highlighted the need for exercising great care in extrapolating the partitioning behavior with tank waste simulants to actual tank waste
Recommended from our members
Colloid formation during waste glass corrosion
The long-term behavior of nuclear waste glass in a geologic repository may require a technical consideration of the role of colloids in the release and transport of radionuclides. The neglect of colloidal properties in assessing the near- and far-field migration behavior of actinides may lead to significant underestimates and poor predictions of biosphere exposure from high-level waste (HLW) disposal. Existing data on colloid-facilitated transport suggests that radionuclide migration may be enhanced, but the importance of colloids is not adequately assessed. Indeed, the occurrence of radionuclide transport, attributed to colloidal species, has been reported at Mortandad Canyon, Los Alamos and at the Nevada Test Site; both unsaturated regions are similar to the proposed HLW repository at Yucca Mountain. Although some developments have been made on understanding the transport characteristics of colloids, the characterization of colloids generated from the corrosion of the waste form has been limited. Colloids are known to incorporate radionuclides either from hydrolysis of dissolved species (real colloids) or from adsorption of dissolved species onto existing groundwater colloids (pseudocolloids); however, these colloids may be considered secondary and solubility limited when compared to the colloids generated during glass alteration
Recommended from our members
Plutonium alteration phases from lanthanide borosilicate glass
A prototype lanthanide borosilicate (LaBS) glass containing 10 mass % plutonium was reacted with water vapor at 200 C for periods of 14 to 56 days. These tests, while not designed to replicate specific conditions that may be found in a potential geologic repository (e.g., Yucca Mountain), have been shown to accelerate alteration phase formation. The surfaces of the glass samples, along with alteration phases, were examined with a transmission electron microscope (TEM). Tests of 14 days produced macroscopic ({approximately} 20 {micro}m) crystallites of a plutonium-lanthanide silicate. An extensive alteration layer was found on the glass surface containing amorphous aluminosilicate layered with bands of a cryptocrystalline plutonium silicate. After 56 days of testing, additional alteration phases were formed, including a strontium lanthanide oxide phase. One of the options for disposal of surplus plutonium, particularly for impure residues that may be unfit for production of MOX fuel, is vitrification followed by geologic disposal. Since geologic disposal requires a passive system to isolate the radiotoxic elements from the biosphere, it is important to understand the possible corrosion mechanisms of the waste form
Recommended from our members
Actinide recovery using aqueous biphasic extraction: Initial developmental studies
Aqueous biphasic extraction systems are being developed to treat radioactive wastes. The separation technique involves the selective partitioning of either solutes or colloid-size particles between two scible aqueous phases. Wet grinding of plutonium residues to an average particle size of one micron will be used to liberate the plutonium from the bulk of the particle matrix. The goal is to produce a plutonium concentrate that will integrate with existing and developing chemical recovery processes. Ideally, the process would produce a nonTRU waste stream. Coupling physical beneficiation with chemical processing will result in a substantial reduction in the volume of mixed wastes generated from dissolution recovery processes. As part of this program, we will also explore applications of aqueous biphasic extraction that include the separation and recovery of dissolved species such as metal ions and water-soluble organics. The expertise and data generated in this work will form the basis for developing more cost-effective processes for handling waste streams from environmental restoration and waste management activities within the DOE community. This report summarizes the experimental results obtained during the first year of this effort. Experimental efforts were focused on elucidating the surface and solution chemistry variables which govern partitioning behavior of plutonium and silica in aqueous biphasic extraction systems. Additional efforts were directed toward the development of wet grinding methods for producing ultrafine particles with diameters of one micron or less
Recommended from our members
Aqueous biphasic extraction of uranium and thorium from contaminated soils. Final report
The aqueous biphasic extraction (ABE) process for soil decontamination involves the selective partitioning of solutes and fine particulates between two immiscible aqueous phases. The biphase system is generated by the appropriate combination of a water-soluble polymer (e.g., polyethlene glycol) with an inorganic salt (e.g., sodium carbonate). Selective partitioning results in 99 to 99.5% of the soil being recovered in the cleaned-soil fraction, while only 0.5 to 1% is recovered in the contaminant concentrate. The ABE process is best suited to the recovery of ultrafine, refractory material from the silt and clay fractions of soils. During continuous countercurrent extraction tests with soil samples from the Fernald Environmental Management Project site (Fernald, OH), particulate thorium was extracted and concentrated between 6- and 16-fold, while the uranium concentration was reduced from about 500 mg/kg to about 77 mg/kg. Carbonate leaching alone was able to reduce the uranium concentration only to 146 mg/kg. Preliminary estimates for treatment costs are approximately $160 per ton of dry soil. A detailed flowsheet of the ABE process is provided
Tumor infiltrating lymphocytes in lymph node metastases of stage III melanoma correspond to response and survival in nine patients treated with ipilimumab at the time of stage IV disease.
Prognosis of metastatic melanoma improved with the development of checkpoint inhibitors. The role of tumor infiltrating lymphocytes (TILs) in lymph node metastases of stage III melanoma remains unclear. We retrospectively characterized TILs in primary melanomas and matched lymph node metastases (stage III melanoma) of patients treated with the checkpoint inhibitor ipilimumab. Tumor infiltrating lymphocytes were characterized for CD3, CD4, and CD8 expressions by immunohistochemistry. 4/9 patients (44%) responded to treatment with ipilimumab (1 complete and 2 partial remissions, 1 stable disease). All responders exhibited CD4 and CD8 T-cell infiltration in their lymph node metastases, whereas all non-responders did not show an infiltration of the lymph node metastasis with TILs. The correlation between the presence and absence of TILs in responders vs. non-responders was statistically significant (p = 0.008). Median distant metastases free survival, i.e., progression from stage III to stage IV melanoma, was similar in responders and non-responders (22.1 vs. 19.3 months; p = 0.462). Median progression free and overall survival show a trend in favor of the patients having TIL rich lymph node metastases (6.8 vs. 3.3 months, p = 0.09; and all alive at last follow-up vs. 8.2 months, respectively, p = 0.08). Our data suggest a correlation between the T-cell infiltration of the lymph node metastases in stage III melanoma and the response to ipilimumab once these patients progress to stage IV disease