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Status of understanding of the saturated-zone ground-water flow system at Yucca Mountain, Nevada, as of 1995
Yucca Mountain, which is being studied extensively because it is a potential site for a high-level radioactive-waste repository, consists of a thick sequence of volcanic rocks of Tertiary age that are underlain, at least to the southeast, by carbonate rocks of Paleozoic age. Stratigraphic units important to the hydrology of the area include the alluvium, pyroclastic rocks of Miocene age (the Timber Mountain Group; the Paintbrush Group; the Calico Hills Formation; the Crater Flat Group; the Lithic Ridge Tuff; and older tuffs, flows, and lavas beneath the Lithic Ridge Tuff), and sedimentary rocks of Paleozoic age. The saturated zone generally occurs in the Calico Hills Formation and stratigraphically lower units. The saturated zone is divided into three aquifers and two confining units. The flow system at Yucca Mountain is part of the Alkali Flat-Furnace Creek subbasin of the Death Valley groundwater basin. Variations in the gradients of the potentiometric surface provided the basis for subdividing the Yucca Mountain area into zones of: (1) large hydraulic gradient where potentiometric levels change at least 300 meters in a few kilometers; (2) moderate hydraulic gradient where potentiometric levels change about 45 meters in a few kilometers; and (3) small hydraulic gradient where potentiometric levels change only about 2 meters in several kilometers. Vertical hydraulic gradients were measured in only a few boreholes around Yucca Mountain; most boreholes had little change in potentiometric levels with depth. Limited hydraulic testing of boreholes in the Yucca Mountain area indicated that the range in transmissivity was more than 2 to 3 orders of magnitude in a particular hydrogeologic unit, and that the average values for the individual hydrogeologic units generally differed by about 1 order of magnitude. The upper volcanic aquifer seems to be the most permeable hydrogeologic unit, but this conclusion was based on exceedingly limited data
Clomiphene, Metformin, or Both for Infertility in the Polycystic Ovary Syndrome
Background
The polycystic ovary syndrome is a common cause of infertility. Clomiphene and insulin sensitizers are used alone and in combination to induce ovulation, but it is unknown whether one approach is superior. Methods We randomly assigned 626 infertile women with the polycystic ovary syndrome to receive clomiphene citrate plus placebo, extended-release metformin plus placebo, or a combination of metformin and clomiphene for up to 6 months. Medication was discontinued when pregnancy was confirmed, and subjects were followed until delivery.
Results
The live-birth rate was 22.5% (47 of 209 subjects) in the clomiphene group, 7.2% (15 of 208) in the metformin group, and 26.8% (56 of 209) in the combinationtherapy group (P\u3c0.001 for metformin vs. both clomiphene and combination therapy; P=0.31 for clomiphene vs. combination therapy). Among pregnancies, the rate of multiple pregnancy was 6.0% in the clomiphene group, 0% in the metformin group, and 3.1% in the combination-therapy group. The rates of first-trimester pregnancy loss did not differ significantly among the groups. However, the conception rate among subjects who ovulated was significantly lower in the metformin group (21.7%) than in either the clomiphene group (39.5%, P=0.002) or the combinationtherapy group (46.0%, P\u3c0.001). With the exception of pregnancy complications, adverse-event rates were similar in all groups, though gastrointestinal side effects were more frequent, and vasomotor and ovulatory symptoms less frequent, in the metformin group than in the clomiphene group.
Conclusions
Clomiphene is superior to metformin in achieving live birth in infertile women with the polycystic ovary syndrome, although multiple birth is a complication. (ClinicalTrials.gov number, NCT00068861.
Ground-water flow to Death Valley, as inferred from the chemistry and geohydrology of selected springs in Death Valley National Park, California and Nevada /
Shipping list no.: 2002-0101-P.Includes bibliographical references (p. 34-37).Mode of access: Internet