Hydrodynamic behavior of freshwater-saltwater mixing zone in the context of subsurface physical barriers.

The seawater intrusion (SWI) process lasts for decades in real world, thus the research on dynamic process of SWI is essential. The freshwater-saltwater mixing zone plays a crucial role in governing the groundwater movement and the solute transport in coastal aquifers. To date, there has been a lack of research on the hydrodynamic behavior of the mixing zone in the presence of subsurface physical barriers. In this work, we employed laboratory experiments and numerical simulations to investigate the dynamics of the mixing zone, comparing scenarios with and without subsurface physical barriers. The findings indicate that the construction of a subsurface physical barrier will not immediately slow down the seawater intrusion velocity and change the salinity distribution of mixing zone. The block effect of subsurface physical barriers with different heights or bottom opening sizes became apparent only when the wedge toe approached the physical barriers. The widening effect of increasing longitudinal dispersivity on the mixing zone width was more pronounced during the dynamic process compared to the steady state. Furthermore, the widening effect of increasing longitudinal dispersivity on the mixing zone was more significant compared to transverse dispersivity in both the SWI and subsurface dam scenarios throughout the intrusion process. However, in the cutoff wall scenarios, the widening effect of increasing transverse dispersivity became more obvious during the later intrusion period. Our conclusions provide a reference for the groundwater management in coastal aquifers. According to the current seawater intrusion situation, the local water bureau can predict the seawater intrusion velocity and the temporal changes of mixing zone after the construction of physical barriers.

Ultrasound vector flow imaging during veno-arterial extracorporeal membrane oxygenation in a thoracic aorta model.

In veno-arterial extracorporeal membrane oxygenation (VA-ECMO) treatment, the mixing zone is a key hemodynamic factor that determines the efficacy of the treatment. This study aimed to evaluate the applicability of a novel ultrasound technique called vector flow imaging (VFI) for visualizing complex flow patterns in an aorta phantom under VA-ECMO settings. VFI experiments were performed to image aortic hemodynamics under VA-ECMO treatment simulated in an anthropomorphic thoracic aorta phantom using a pulsatile pump (cardiac output: 2.7 L/min) and an ECMO pump with two different flow rates, 0.35 L/min and 1.0 L/min. The cardiac cycle of hemodynamics in the ascending aorta, aortic arch, and descending aorta was visualized, and the spatio-temporal dynamics of flow vectors were analyzed. VFI successfully visualized dynamic flow patterns in the aorta phantom. When the flow rate of the ECMO pump increased, ECMO flow was more dominant than cardiac output in the diastole phase, and the speed of cardiac output was suppressed in the systole phase. Vortex flow patterns were also detected in the ascending aorta and the arch under both ECMO flow rate conditions. The VFI technique may provide new insights into aortic hemodynamics and facilitates effective and safe VA-ECMO treatment.

Modeling the effect of patient size on cerebral perfusion during veno-arterial extracorporeal membrane oxygenation.

INTRODUCTION: A well-known complication of veno-arterial extracorporeal membrane oxygenation (VA ECMO) is differential hypoxia, in which poorly-oxygenated blood ejected from the left ventricle mixes with and displaces well-oxygenated blood from the circuit, thereby causing cerebral hypoxia and ischemia. We sought to characterize the impact of patient size and anatomy on cerebral perfusion under a range of different VA ECMO flow conditions. METHODS: We use one-dimensional (1D) flow simulations to investigate mixing zone location and cerebral perfusion across 10 different levels of VA ECMO support in eight semi-idealized patient geometries, for a total of 80 scenarios. Measured outcomes included mixing zone location and cerebral blood flow (CBF). RESULTS: Depending on patient anatomy, we found that a VA ECMO support ranging between 67-97% of a patient's ideal cardiac output was needed to perfuse the brain. In some cases, VA ECMO flows exceeding 90% of the patient's ideal cardiac output are needed for adequate cerebral perfusion. CONCLUSIONS: Individual patient anatomy markedly affects mixing zone location and cerebral perfusion in VA ECMO. Future fluid simulations of VA ECMO physiology should incorporate varied patient sizes and geometries in order to best provide insights toward reducing neurologic injury and improved outcomes in this patient population.

High spatial heterogeneity and low connectivity of bacterial communities along a Mediterranean subterranean estuary.

Subterranean estuaries are biogeochemically active coastal sites resulting from the underground mixing of fresh aquifer groundwater and seawater. In these systems, microbial activity can largely transform the chemical elements that may reach the sea through submarine groundwater discharge (SGD), but little is known about the microorganisms thriving in these land-sea transition zones. We present the first spatially-resolved characterization of the bacterial assemblages along a coastal aquifer in the NW Mediterranean, considering the entire subsurface salinity gradient. Combining bulk heterotrophic activity measurements, flow cytometry, microscopy and 16S rRNA gene sequencing we find large variations in prokaryotic abundances, cell size, activity and diversity at both the horizontal and vertical scales that reflect the pronounced physicochemical gradients. The parts of the transect most influenced by freshwater were characterized by smaller cells and lower prokaryotic abundances and heterotrophic production, but some activity hotspots were found at deep low-oxygen saline groundwater sites enriched in nitrite and ammonium. Diverse, heterogeneous and highly endemic communities dominated by Proteobacteria, Patescibacteria, Desulfobacterota and Bacteroidota were observed throughout the aquifer, pointing to clearly differentiated prokaryotic niches across these transition zones and little microbial connectivity between groundwater and Mediterranean seawater habitats. Finally, experimental manipulations unveiled large increases in community heterotrophic activity driven by fast growth of some rare and site-specific groundwater Proteobacteria. Our results indicate that prokaryotic communities within subterranean estuaries are highly heterogeneous in terms of biomass, activity and diversity, suggesting that their role in transforming nutrients will also vary spatially within these terrestrial-marine transition zones.

Optimizing PO2 during peripheral veno-arterial ECMO: a narrative review.

During refractory cardiogenic shock and cardiac arrest, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is used to restore a circulatory output. However, it also impacts significantly arterial oxygenation. Recent guidelines of the Extracorporeal Life Support Organization (ELSO) recommend targeting postoxygenator partial pressure of oxygen (PPOSTO2) around 150 mmHg. In this narrative review, we intend to summarize the rationale and evidence for this PPOSTO2 target recommendation. Because this is the most used configuration, we focus on peripheral VA-ECMO. To date, clinicians do not know how to set the sweep gas oxygen fraction (FSO2). Because of the oxygenator's performance, arterial hyperoxemia is common during VA-ECMO support. Interpretation of oxygenation is complex in this setting because of the dual circulation phenomenon, depending on both the native cardiac output and the VA-ECMO blood flow. Such dual circulation results in dual oxygenation, with heterogeneous oxygen partial pressure (PO2) along the aorta, and heterogeneous oxygenation between organs, depending on the mixing zone location. Data regarding oxygenation during VA-ECMO are scarce, but several observational studies have reported an association between hyperoxemia and mortality, especially after refractory cardiac arrest. While hyperoxemia should be avoided, there are also more and more studies in non-ECMO patients suggesting the harm of a too restrictive oxygenation strategy. Finally, setting FSO2 to target strict normoxemia is challenging because continuous monitoring of postoxygenator oxygen saturation is not widely available. The threshold of PPOSTO2 around 150 mmHg is supported by limited evidence but aims at respecting a safe margin, avoiding both hypoxemia and severe hyperoxemia.

A mock circulation loop to evaluate differential hypoxemia during peripheral venoarterial extracorporeal membrane oxygenation.

INTRODUCTION: Peripheral veno-arterial extracorporeal membrane oxygenation (VA ECMO) creates a retrograde flow along the aorta competing with the left ventricle (LV) in the so-called 'mixing zone' (MZ). Detecting it is essential to understand which of the LV or the ECMO flow perfuses the upper body - particularly the brain and the coronary arteries - in case of differential hypoxemia (DH). METHODS: We described a mock circulation loop (MCL) that enabled experimental research on DH. We recreated the three clinical situations relevant to clinicians: where the brain is either totally perfused by the ECMO or the LV or both. In a second step, we used this model to investigate two scenarios to diagnose DH: (i) pulse pressure and (ii) thermodilution via injection of cold saline in the ECMO circuit. RESULTS: The presented MCL was able to reproduce the three relevant mixing zones within the aortic arch, thus allowing to study DH. Pulse pressure was unable to detect location of the MZ. However, the thermodilution method was able to detect whether the brain was totally perfused by the ECMO or not. CONCLUSION: We validated an in-vitro differential hypoxemia model of cardiogenic shock supported by VA ECMO. This MCL could be used as an alternative to animal studies for research scenarios.

Long venous cannula on the arterial position for VA-ECMO.

Differential hypoxia and the arterial mixing zone are two important factors in managing peripheral veno-arterial extracorporeal membrane oxygenation (VA-ECMO). With the aim of improving perfusion to the aortic arch branches and coronaries, we describe our approach for VA-ECMO cannulation: bicaval drainage through the femoral vein and proximal retrograde ECMO flow using a multi-stage venous cannula inserted in the femoral artery and the tip placed at the proximal descending thoracic aorta. We report the use of this VA-ECMO approach on a 15-year-old female with combined cardiorespiratory failure and on a 12-year-old male with acute cardiac failure.

Distribution of dissolved trace elements in the Laptev Sea affected by the Lena River discharge.

This study presents new data on concentration of dissolved trace elements (DTE) in the Lena River-Laptev Sea mixing zone. Mean concentrations of some dissolved heavy metals in the mixing zone of fresh waters of the Lena River and sea waters of the Laptev Sea on the middle shelf and on the outer shelves are: 0.7± 0.05 µÐœ and 0.5 ± 0.04 µÐœ for Fe, 0.06 ± 0.01 µÐœ and 0.07 ± 0.01 µÐœ for Ni, 0.01 ± 0.003 µÐœ and 0.003 ± 0.002 µÐœ for Zn, 59.2 ± 7.4 nМ and 73.4 ± 12.8 nМ for Cu, respectively. Two major groups of DTE distribution were revealed according to their spatial behavior. The Li, V, As, Rb, Sr, Mo, U concentrations increase towards the outer shelf with increasing salinity. In contrast, mean concentrations of Al, Ti, Mn, Fe, Co decrease with increasing distance from the coast. The identified transport of freshwaters to a distance of 400 km is reflected in the distribution of DTE, which suggests that these elements are able to reach to the Central Arctic Ocean.

Comprehensive assessment of dissolved organic matter processing in the Amazon River and its major tributaries revealed by positive and negative electrospray mass spectrometry and NMR spectroscopy.

Rivers are natural biogeochemical systems shaping the fates of dissolved organic matter (DOM) from leaving soils to reaching the oceans. This study focuses on Amazon basin DOM processing employing negative and positive electrospray ionization Fourier transform ion cyclotron resonance mass spectrometry (ESI[±] FT-ICR MS) and nuclear magnetic resonance spectroscopy (NMR) to reveal effects of major processes on the compositional space and structural characteristics of black, white and clear water systems. These include non-conservative mixing at the confluences of (1) Solimões and the Negro River, (2) the Amazon River and the Madeira River, and (3) in-stream processing of Amazon River DOM between the Madeira River and the Tapajós River. The Negro River (black water) supplies more highly oxygenated and high molecular weight compounds, whereas the Solimões and Madeira Rivers (white water) contribute more CHNO and CHOS molecules to the Amazon River main stem. Aliphatic CHO and abundant CHNO compounds prevail in Tapajos River DOM (clear water), likely originating from primary production. Sorption onto particles and heterotrophic microbial degradation are probably the principal mechanisms for the observed changes in DOM composition in the Amazon River and its tributaries.

The effect of arterial cannula tip position on differential hypoxemia during venoarterial extracorporeal membrane oxygenation.

Interaction between native ventricular output and venoarterial extracorporeal membrane oxygenation (VA ECMO) flow may hinder oxygenated blood flow to the aortic arch branches, resulting in differential hypoxemia. Typically, the arterial cannula tip is placed in the iliac artery or abdominal aorta. However, the hemodynamics of a more proximal arterial cannula tip have not been studied before. This study investigated the effect of arterial cannula tip position on VA ECMO blood flow to the upper extremities using computational fluid dynamics simulations. Four arterial cannula tip positions (P1. common iliac, P2. abdominal aorta, P3. descending aorta and P4. aortic arch) were compared with different degrees of cardiac dysfunction and VA ECMO support (50%, 80% and 90% support). P4 was able to supply oxygenated blood to the arch vessels at all support levels, while P1 to P3 only supplied the arch vessels during the highest level (90%) of VA ECMO support. Even during the highest level of support, P1 to P3 could only provide oxygenated VA-ECMO flow at 0.11 L/min to the brachiocephalic artery, compared with 0.5 L/min at P4. This study suggests that cerebral perfusion of VA ECMO flow can be increased by advancing the arterial cannula tip towards the aortic arch.

Numerical modeling of an abiotic hyporheic mixing-dependent reaction: Chemical evolution of mixing and reactant production zones.

Mixing-dependent reactions occur where groundwater and surface water mix in shallow sediments (hyporheic zone) and can attenuate contaminants along upwelling flowpaths, thus reducing transport to surface water. Here we used MODFLOW/SEAM3D to numerically simulate prior laboratory observations of a mixing-dependent reaction between sodium sulfite (Na2SO3) and dissolved oxygen (DO) to produce sodium sulfate (Na2SO4). This reaction is not common in nature but is used as a surrogate for mixing-dependent DO consuming reactions of environmental significance. We evaluated how location and thickness of mixing zones and reaction product production zones dynamically respond to variations in hydraulic and chemical boundary conditions and reaction kinetic rate. Sensitivity analysis showed that location and thickness of mixing zones and reactant production zones were most sensitive to changes in the balance of hydrologic inflow from groundwater and surface water (inflow ratio). Mixing zone thickness for reactive DO calibrated to experimental data was thinner than that for the "DO tracer" (identical source location and concentration as DO but conservative tracer), indicating that as DO is consumed its mixing zone narrows. The SO4 production zone was consistently thicker than the DO mixing zone. Small changes in mixing/production zone thicknesses were linked to large changes in mass consumed and produced, indicating the potential for simpler field metrics like thickness to act as surrogates for more challenging measurements such as contaminant flux or consumption in monitoring natural attenuation. This study improves understanding of the evolution of hyporheic mixing-dependent reaction zones that occur even under steady state hydraulics, emphasizing their complex controls.

A practical approach for the determination of environmental quality standards-based discharge limits: the case of Tersakan sub-basin of Yesilirmak River in Turkey.

The control of point source discharges to rivers has become more significant since the establishment of environmental quality standards (EQSs). Many countries, including Turkey, have set EQS values for various contaminants. One important challenge regarding these EQSs is to reconcile the effluent limits that are technically and economically achievable with the ones that are required to accomplish the EQSs. The Tersakan sub-basin of Yesilirmak River acquires good examples of this challenge due to the industrial and agricultural discharge activities present. In this study, a new, simplistic, and less data-driven approach is developed to facilitate this compromise and implemented for all suitable discharge points within the sub-basin. The foundation of this approach is that effluent discharges may mix and become diluted within negligibly short distances from the point of discharge where exceedance of EQSs can be permissible. The approach modularly combines different analytical solutions of the advective-dispersive mass transport equation that are applicable under different mixing conditions and estimates maximum allowable discharge concentrations of contaminants. The results of the case study in the Tersakan sub-basinindicate that none of the studied discharges need load reduction to achieve EQSs. However, in various points, tridecane, nickel, bis(2-ethylhexyl) terephthalate, NH4-N, total phosphorus, and free cyanide have consumed more than 10% of their discharge quotas estimated by the mentioned approach. Therefore, for the sub-basin, these six contaminants and their corresponding two discharge points may require more attention in the future.

Determining the impacts of venoarterial extracorporeal membrane oxygenation on cerebral oxygenation using a one-dimensional blood flow simulator.

Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is a mechanical system that provides rapid and short-term support for patients with cardiac failure. In many patients, pulmonary function is also impaired, resulting in poorly-oxygenated cardiac outflow competing against well-oxygenated VA-ECMO outflow, a condition known as North-South syndrome. North-South syndrome is a primary concern because of its potential to cause cerebral hypoxia, which has a critical influence on neurological complications often seen in this patient population. In order to reduce ischemic neurological complications, it is important to understand how clinical decisions regarding VA-ECMO parameters influence blood oxygenation. Here, we studied the impacts of flow rate and cannulation site on oxygenation using a one-dimensional (1D) model to simulate blood flow. Our model was initially tested by comparing blood flow results to those observed from experimental work in VA-ECMO patients. The 1D model was combined with a two-phase flow model to simulate oxygenation. Additionally, the influence of various other clinician-tunable parameters on oxygenation in the common carotid arteries (CCAs) were tested, including, blood viscosity, cannula position within the insertion artery, heart rate, and systemic vascular resistance (SVR), as well as geometrical changes such as arterial radius and length. Our results indicated that blood oxygenation to the brain strongly depended on the cannula insertion site and the VA-ECMO flow rate with a weaker but potentially significant dependence on arterial radius. During femoral cannulation, VA-ECMO flow rates greater than ~4.9L/min were needed to perfuse the CCAs. However, axillary and central cannulation began to perfuse the CCAs at significantly lower flow (~1L/min). These results may help explain the incidence of cerebral hypoxia in this patient population and the common need to change cannulation strategies during treatment to address this clinical problem. While this work describes patient-averaged results, determining these relationships between VA-ECMO parameters and cerebral hypoxia is an important step towards future work to develop patient-specific models that clinicians can use to improve outcomes.

Theoretical analysis of pollutant mixing zone considering lateral distribution of flow velocity and diffusion coefficient.

Theoretical formulae have shown significant advantages in describing the characteristic geometric scales of the pollutant mixing zone (PMZ) formed by offshore pollutant discharged by a single general form. They, however, fail to predict the influence of the lateral inhomogeneity of the river flow because constant flow velocity and the lateral diffusion coefficient are assumed during the derivation. The realistic flow velocity in a river is fitted by an exponential law in this study and the lateral diffusion coefficient is proposed to have the same form. Similar idea has been used in previous studies on the vertical dispersion of scalar in the lower atmosphere. Pollutant discharged from a steady onshore point source into a wide straight open channel is examined to characterize the concentration taking into consideration of these lateral variations. Theoretical formulae describing the maximum length, maximum width and its corresponding longitudinal position, as well as the area of the PMZ are derived. A non-dimensional standard curve equation for the isoconcentration boundary of PMZ is also obtained. The results show that the shape of the dimensionless standard curve of PMZ depends only on the exponential constants in the exponential laws. The exponential profiles that fit the near-shore velocity give good prediction, while the ones that match the entire lateral range up to the center of the river underpredict the PMZ significantly. These findings are of great importance for practitioners to characterize the geometry of the PMZ in rivers and for water quality modeling.

In situ and laboratory toxicity of coalbed natural gas produced waters with elevated sodium bicarbonate.

Some tributaries in the Powder River Structural Basin, USA, were historically ephemeral, but now contain water year round as a result of discharge of coalbed natural gas (CBNG)-produced waters. This presented the opportunity to study field sites with 100% effluent water with elevated concentrations of sodium bicarbonate. In situ experiments, static renewal experiments performed simultaneously with in situ experiments, and static renewal experiments performed with site water in the laboratory demonstrated that CBNG-produced water reduces survival of fathead minnow (Pimephales promelas) and pallid sturgeon (Scaphirhynchus albus). Age affected survival of fathead minnow, where fish 2 d posthatch (dph) were more sensitive than 6 dph fish, but pallid sturgeon survival was adversely affected at both 4 and 6 dph. This may have implications for acute assays that allow for the use of fish up to 14 dph. The survival of early lifestage fish is reduced significantly in the field when concentrations of NaHCO(3) rise to more than 1500 mg/L (also expressed as >1245 mg HCO(3) (-) /L). Treatment with the Higgin's Loop technology and dilution of untreated water increased survival in the laboratory. The mixing zones of the 3 outfalls studied ranged from approximately 800 m to 1200 m below the confluence. These experiments addressed the acute toxicity of effluent waters but did not address issues related to the volumes of water that may be added to the watershed.

Influence of calcite on uranium(VI) reactive transport in the groundwater-river mixing zone.

Calcite is an important, relatively soluble mineral phase that can affect uranium reactive transport in subsurface sediments. This study was conducted to investigate the distribution of calcite and its influence on uranium adsorption and reactive transport in the groundwater-river mixing zone of the Hanford 300A site, Washington State. Simulations using a two-dimensional (2D) reactive transport model under field-relevant hydrological and hydrogeochemical conditions revealed the development of a calcite reaction front through the mixing zone as a result of dynamic groundwater-river interactions. The calcite concentration distribution, in turn, affected the concentrations of aqueous carbonate and calcium, and pH through dissolution, as river waters intruded and receded from the site at different velocities in response to stage changes. The composition variations in groundwater subsequently influenced uranium mobility and discharge rates into the river in a complex fashion. The results implied that calcite distribution and concentration are important variables that need to be quantified for accurate reactive transport predictions of uranium, especially in dynamic groundwater-river mixing zones.

Diversity and geochemical structuring of bacterial communities along a salinity gradient in a carbonate aquifer subject to seawater intrusion.

In aquifers subject to saline water intrusion, the mixing zone between freshwater and saltwater displays strong physico-chemical gradients. Although the microbial component of these specific environments has been largely disregarded, the contribution of micro-organisms to biogeochemical reactions impacting water geochemistry has previously been conjectured. The objective of this study was to characterize and compare bacterial community diversity and composition along a vertical saline gradient in a carbonate coastal aquifer using high throughput sequencing of 16S rRNA genes. At different depths of the mixing zone, stable geochemical and hydrological conditions were associated with autochthonous bacterial communities harboring clearly distinct structures. Diversity pattern did not follow the salinity gradient, although multivariate analysis indicated that salinity was one of the major drivers of bacterial community composition, with organic carbon, pH and CO2 partial pressure. Correlation analyses between the relative abundance of bacterial taxa and geochemical parameters suggested that rare taxa may contribute to biogeochemical processes taking place at the interface between freshwater and saltwater. Bacterial respiration or alternative metabolisms such as sulfide oxidation or organic acids production may be responsible for the acidification and the resulting induced calcite dissolution observed at a specific depth of the mixing zone.