307 research outputs found
Salinization of groundwater in the Nefzawa oases region, Tunisia: results of a regional-scale hydrogeologic approach
Groundwater pumped from the semi-confined Complexe Terminal (CT) aquifer is an important production factor in irrigated oases agriculture in southern Tunisia. A rise in the groundwater salinity has been observed as a consequence of increasing abstraction from the aquifer during the last few decades. All sources of contamination were investigated using hydrochemical data available from the 1980s. Water samples were taken from drains and observation wells tapping both the CT and the phreatic aquifers and analyzed with regard to chemistry, temperature, isotopes and other environmental tracers. Local salinization mechanisms are suggested, i.e. the upwelling of saline water from the underlying, confined Continental Intercalaire (CI) aquifer, as well as backflow of agricultural drainage water. At this stage, the main salt pan, the Chott el Djerid, is not a contamination source. A finite difference model was also developed to simulate groundwater flow and contaminant transport in the oases. Calibration for the period 1950-2000 was carried out in order to adjust geological and chemical system parameters. The simulation of planned extraction projects predicts a worsening of the present situation. Maintenance of the present abstraction regime will not reduce or stop the salinity increas
Staphylococcus Aureus Bacteriuria as a Predictor of In-Hospital Mortality in Patients with Staphylococcus Aureus Bacteremia. Results of a Retrospective Cohort Study
Staphylococcus aureus bloodstream infection (SA-BSI) is an infection with increasing morbidity and mortality. Concomitant Staphylococcus aureus bacteriuria (SABU) frequently occurs in patients with SA-BSI. It is considered as either a sign of exacerbation of SA-BSI or a primary source in terms of urosepsis. The clinical implications are still under investigation. In this study, we investigated the role of SABU in patients with SA-BSI and its effect on the patients' mortality. We performed a retrospective cohort study that included all patients in our university hospital (Charité Universitätsmedizin Berlin) between 1 January 2014 and 31 March 2017. We included all patients with positive blood cultures for Staphylococcus aureus who had a urine culture 48 h before or after the first positive blood culture. We identified cases while using the microbiology database and collected additional demographic and clinical parameters, retrospectively, from patient files and charts. We conducted univariate analyses and multivariable Cox regression analysis to evaluate the risk factors for in-hospital mortality. 202 patients met the eligibility criteria. Overall, 55 patients (27.5%) died during their hospital stay. Cox regression showed SABU (OR 2.3), Pitt Bacteremia Score (OR 1.2), as well as moderate to severe liver disease (OR 2.1) to be independent risk factors for in-hospital mortality. Our data indicates that SABU in patients with concurrent SA-BSI is a prognostic marker for in-hospital death. Further studies are needed for evaluating implications for therapeutic optimization
Moisture expansion as a deterioration factor for sandstone used in buildings
The expansion processes that develop in building stones upon changes of moisture content may be an important contributing factor for their deteriorations. Until recently, few data could be found in the literature concerning this parameter and weathering processes. Moreover, the processes that may be responsible for the moisture related expansion of natural building stones are not yet completely understood. To further elucidate this process, extensive mineralogical, petrophysical and fabric investigations were performed on eight German sandstones in order to obtain more information regarding the weathering process and its dependence on the rock fabric. The analysed sandstones show a wide range of pore size distributions and porosities. A positive correlation with the fabric and the pore space can be found for all studied petrophysical parameters. The intensity of the expansion and related swelling pressure cannot be attributed only to the swelling of clay minerals. The investigations suggest that the micropores and the resulting disjoining pressure during wet/dry cycles also play an important role. The results obtained suggest that the mechanism is related to the presence of liquid water within the porous material
Recommended from our members
Passively controlled variable-speed generator system
This thesis presents both an analysis and simulations of a passively controlled variable-speed generator system, which can be applied for renewable energy sources such as wind turbines. Parallel connected passive/external resistors and inductors are connected to the slip rings of a wound rotor induction machine to provide an acceptable speed operation range, while maintaining high efficiency of the generator system. Two generators, of 80 kW and 186 kW ratings, have been tested and compared to their simulations and good correlation has been obtained.
It is shown by both modelling and by laboratory tests that the steady-state power characteristic is well suited to the application and the efficiency compares well with similar rated machines in which either a fixed speed is required or power electronic converters provide the adjustable speed control. Thus, the tested systems are comparable in energy capture while being lower in costs and being both more robust and more reliable. In consequence, it is a more practical solution than power electronics for remote locations.
The dynamic results indicate that the generator is dynamically stable following three types of transient conditions: connections to the grid at non-synchronous speed; sudden decreases and increases in applied torque to simulate wind gusts; cyclic torque changes to demonstrate tower shadow effects. Unreasonable transients and undamped conditions have been neither predicted nor observed.
Finally, it is proposed that the external elements could be developed to be linked to the rotor circuit without slip rings enabling a complete passive and brushless system
Das Bewusstsein steigt
Das Konzept der Nachhaltigkeit zieht zumindest als Leitbild in die Informationsund Kommunikationsindustrie ein. Eine Unternehmensbefragung zeigt den aktuellen Stand der Verbreitung auf und skizziert weitere Schritte, um die Entwicklung voran zu treiben
Bortezomib in antibody-mediated autoimmune diseases (TAVAB): study protocol for a unicentric, non-randomised, non-placebo controlled trial
Introduction: The clinical characteristics of autoantibodymediated autoimmune diseases are diverse. Yet, medical treatment and the associated complications are similar, that is, the occurrence of long-term side effects and the problem that a significant proportion of patients are non-responders. Therefore, new therapeutic options are needed. Bortezomib, a proteasome inhibitor, is effective in the treatment of multiple myeloma and data from experimental models and case reports suggest an effect in the treatment of autoantibody-mediated autoimmunity. In our study, we will determine the effect of bortezomib treatment on a shared surrogate parameter for clinical efficacy, namely change in autoantibody levels, which we chose as primary parameter.
Methods and analysis: We designed a phase IIa trial with altogether n=18 treatment-refractory patients suffering from myasthenia gravis, systemic lupus erythematosus and rheumatoid arthritis that will be treated with bortezomib add-on to pre-existing therapy. Primary endpoint is the change in autoantibody levels 6 months after therapy. Secondary endpoints include concomitant medication, disease-specific clinical scores and measures of quality of life and activities of daily living.
Ethics and dissemination: Safety parameters include neurophysiological and clinical signs of peripheral neuropathy as well as potential central nervous system side effects determined by olfactory and neuropsychological testing. The study has been approved by the local ethical committee and first participants have already been enrolled. This proof of concept study will contribute to improve our understanding of plasma cellspecific treatment approaches by assessing its safety and efficacy in reducing serum levels of antibodies known to mediate autoimmune disorders. We plan to publish the final results of our study in a peer reviewed journal and to present our findings at international conferences. Trial registration number: NCT02102594
Evaluation of the dynamic core of the PALM model system 6.0 in a neutrally stratified urban environment: Comparison between les and wind-tunnel experiments
We demonstrate the capability of the PALM model system version 6.0 to simulate neutrally stratified urban boundary layers. Our simulation uses the real-world building configuration of the HafenCity area in Hamburg, Germany. Using PALM's virtual measurement module, we compare simulation results to wind-tunnel measurements of a downscaled replica of the study area. Wind-tunnel measurements of mean wind speed agree within 5% on average while the wind direction deviates by approximately 4 °. Turbulence statistics similarly agree. However, larger differences between measurements and simulation arise in the vicinity of surfaces where building geometry is insufficiently resolved. We discuss how to minimize these differences by improving the grid layout and give tips for setup preparation. Also, we discuss how existing and upcoming features of PALM like the grid nesting and immersed boundary condition help improve the simulation results. © 2021 Tobias Gronemeier et al
- …