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1.
Magn Reson Med ; 87(4): 1923-1937, 2022 04.
Article in English | MEDLINE | ID: mdl-34783383

ABSTRACT

PURPOSE: The purpose of this study was to evaluate the accuracy of four-dimensional (4D) flow MRI for direct assessment of peak velocity, flow volume, and momentum of a mitral regurgitation (MR) flow jets using an in vitro pulsatile jet flow phantom. We systematically investigated the impact of spatial resolution and quantification location along the jet on flow quantities with Doppler ultrasound as a reference for peak velocity. METHODS: Four-dimensional flow MRI data of a pulsatile jet through a circular, elliptical, and 3D-printed patient-specific MR orifice model was acquired with varying spatial resolution (1.5-5 mm isotropic voxel). Flow rate and momentum of the jet were quantified at various axial distances (x = 0-50 mm) and integrated over time to calculate Voljet and MTIjet . In vivo assessment of Voljet and MTIjet was performed on 3 MR patients. RESULTS: Peak velocities were comparable to Doppler ultrasound (3% error, 1.5 mm voxel), but underestimated with decreasing spatial resolution (-40% error, 5 mm voxel). Voljet was similar to regurgitant volume (RVol) within 5 mm, and then increased linearly with the axial distance (19%/cm) because of flow entrainment. MTIjet remained steady throughout the jet (2%/cm) as theoretically predicted. Four and 9 voxels across the jet were required to measure flow volume and momentum-time-integral within 10% error, respectively. CONCLUSION: Four-dimensional flow MRI detected accurate peak velocity, flow rate, and momentum for in vitro MR-mimicking flow jets. Spatial resolution significantly impacted flow quantitation, which otherwise followed predictions of flow entrainment and momentum conservation. This study provides important preliminary information for accurate in vivo MR assessment using 4D flow MRI.


Subject(s)
Heart Valve Diseases , Mitral Valve Insufficiency , Blood Flow Velocity , Humans , Magnetic Resonance Imaging , Mitral Valve Insufficiency/diagnostic imaging , Pulsatile Flow , Ultrasonography
2.
Environ Sci Technol ; 56(2): 928-937, 2022 01 18.
Article in English | MEDLINE | ID: mdl-34951307

ABSTRACT

Chronic exposure to groundwater contaminated with geogenic arsenic (As) poses a significant threat to human health worldwide, especially for those living on floodplains in South and Southeast (S-SE) Asia. In the alluvial and deltaic aquifers of S-SE Asia, aqueous As concentrations vary sharply over small spatial scales (10-100 m), making it challenging to identify where As contamination is present and mitigate exposure. Improved mechanistic understanding of the factors that control groundwater As levels is essential to develop models that accurately predict spatially variable groundwater As concentrations. Here we demonstrate that surface flooding duration and interannual frequency are master variables that integrate key hydrologic and biogeochemical processes that affect groundwater As levels in S-SE Asia. A machine-learning model based on high-resolution, satellite-derived, long-term measures of surface flooding duration and frequency effectively predicts heterogeneous groundwater As concentrations at fine spatial scales in Cambodia, Vietnam, and Bangladesh. Our approach can be reliably applied to identify locations of safe and unsafe groundwater sources with sufficient accuracy for making management decisions by solely using remotely sensed information. This work is important to evaluate levels of As exposure, impacts to public health, and to shed light on the underlying hydrogeochemical processes that drive As mobilization into groundwater.


Subject(s)
Arsenic , Groundwater , Water Pollutants, Chemical , Arsenic/analysis , Asia, Southeastern , Environmental Monitoring , Humans , Water Pollutants, Chemical/analysis
3.
Nature ; 501(7466): 204-7, 2013 Sep 12.
Article in English | MEDLINE | ID: mdl-24025840

ABSTRACT

Groundwater drawn daily from shallow alluvial sands by millions of wells over large areas of south and southeast Asia exposes an estimated population of over a hundred million people to toxic levels of arsenic. Holocene aquifers are the source of widespread arsenic poisoning across the region. In contrast, Pleistocene sands deposited in this region more than 12,000 years ago mostly do not host groundwater with high levels of arsenic. Pleistocene aquifers are increasingly used as a safe source of drinking water and it is therefore important to understand under what conditions low levels of arsenic can be maintained. Here we reconstruct the initial phase of contamination of a Pleistocene aquifer near Hanoi, Vietnam. We demonstrate that changes in groundwater flow conditions and the redox state of the aquifer sands induced by groundwater pumping caused the lateral intrusion of arsenic contamination more than 120 metres from a Holocene aquifer into a previously uncontaminated Pleistocene aquifer. We also find that arsenic adsorbs onto the aquifer sands and that there is a 16-20-fold retardation in the extent of the contamination relative to the reconstructed lateral movement of groundwater over the same period. Our findings suggest that arsenic contamination of Pleistocene aquifers in south and southeast Asia as a consequence of increasing levels of groundwater pumping may have been delayed by the retardation of arsenic transport.


Subject(s)
Arsenic/analysis , Groundwater/chemistry , Arsenic Poisoning , Carbon/analysis , Drinking Water/chemistry , Food Contamination/analysis , Geologic Sediments/chemistry , Groundwater/analysis , Humans , Oxidation-Reduction , Rivers/chemistry , Silicon Dioxide/analysis , Silicon Dioxide/chemistry , Vietnam , Water Movements , Water Wells/chemistry
4.
Water Resour Res ; 55(8): 6712-6728, 2019 Aug.
Article in English | MEDLINE | ID: mdl-34079149

ABSTRACT

Widespread contamination of groundwater with geogenic arsenic is attributed to microbial dissolution of arsenic-bearing iron (oxyhydr)oxides minerals coupled to the oxidation of organic carbon. The recharge sources to an aquifer can influence groundwater arsenic concentrations by transport of dissolved arsenic or reactive constituents that affect arsenic mobilization. To understand how different recharge sources affect arsenic contamination-in particular through their influence on organic carbon and sulfate cycling-we delineated and quantified recharge sources in the arsenic affected region around Hanoi, Vietnam. We constrained potential end-member compositions and employed a novel end-member mixing model using an ensemble approach to apportion recharge sources. Groundwater arsenic and dissolved organic carbon concentrations are controlled by the dominant source of recharge. High arsenic concentrations are prevalent regardless of high dissolved organic carbon or ammonium levels, indicative of organic matter decomposition, where the dominant recharge source is riverine. In contrast, high dissolved organic carbon and significant organic matter decomposition are required to generate elevated groundwater arsenic where recharge is largely nonriverine. These findings suggest that in areas of riverine recharge, arsenic may be efficiently mobilized from reactive surficial environments and carried from river-aquifer interfaces into groundwater. In groundwaters derived from nonriverine recharge areas, significantly more organic carbon mineralization is required to obtain equivalent levels of arsenic mobilization within inland sediments. This method can be broadly applied to examine the connection between hydrology, geochemistry and groundwater quality.

5.
J Physiol ; 593(23): 5183-200, 2015 Dec 01.
Article in English | MEDLINE | ID: mdl-26437761

ABSTRACT

Becker muscular dystrophy (BMD) is a progressive X-linked muscle wasting disease for which there is no treatment. BMD is caused by in-frame mutations in the gene encoding dystrophin, a structural cytoskeletal protein that also targets other proteins to the sarcolemma. Among these is neuronal nitric oxide synthase mu (nNOSµ), which requires specific spectrin-like repeats (SR16/17) in dystrophin's rod domain and the adaptor protein α-syntrophin for sarcolemmal targeting. When healthy skeletal muscle is exercised, sarcolemmal nNOSµ-derived nitric oxide (NO) attenuates α-adrenergic vasoconstriction, thus optimizing perfusion. In the mdx mouse model of dystrophinopathy, this protective mechanism (functional sympatholysis) is defective, resulting in functional muscle ischaemia. Treatment with a NO-donating non-steroidal anti-inflammatory drug (NSAID) alleviates this ischaemia and improves the murine dystrophic phenotype. In the present study, we report that, in 13 men with BMD, sympatholysis is defective mainly in patients whose mutations disrupt sarcolemmal targeting of nNOSµ, with the vasoconstrictor response measured as a decrease in muscle oxygenation (near infrared spectroscopy) to reflex sympathetic activation. Then, in a single-arm, open-label trial in 11 BMD patients and a double-blind, placebo-controlled cross-over trial in six patients, we show that acute treatment with oral sodium nitrate, an inorganic NO donor without a NSIAD moiety, restores sympatholysis and improves post-exercise hyperaemia (Doppler ultrasound). By contrast, sodium nitrate improves neither sympatholysis, nor hyperaemia in healthy controls. Thus, a simple NO donor recapitulates the vasoregulatory actions of sarcolemmal nNOS in BMD patients, and constitutes a putative novel therapy for this disease.


Subject(s)
Ischemia/drug therapy , Muscle, Skeletal/blood supply , Muscular Dystrophy, Duchenne/drug therapy , Nitrates/therapeutic use , Sympatholytics/therapeutic use , Administration, Oral , Adolescent , Adult , Humans , Male , Middle Aged , Muscular Dystrophy, Duchenne/metabolism , Nitrates/administration & dosage , Nitric Oxide/metabolism , Nitric Oxide Synthase Type I/genetics , Nitric Oxide Synthase Type I/metabolism , Oxygen/metabolism , Sympatholytics/administration & dosage , Vasoconstriction
6.
Psychol Med ; 45(5): 947-63, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25273151

ABSTRACT

BACKGROUND: Schizotypy is a complex concept, commonly defined as a genetic vulnerability to schizophrenia that falls on a continuum between healthy variation and severe mental illness. There is a growing body of evidence supporting an association between childhood trauma and increased psychotic experiences and disorders. However, the evidence as to whether there is a similar association with schizotypy has yet to be systematically synthesized and assessed. METHOD: We conducted a systematic search of published articles on the association between childhood trauma and schizotypy in four major databases. The search covered articles from 1806 to 1 March 2013 and resulted in 17,003 articles in total. Twenty-five original research studies met the eligibility criteria and were included in this review. RESULTS: All 25 studies supported the association between at least one type of trauma and schizotypy, with odds ratios (ORs) ranging between 2.01 and 4.15. There was evidence supporting the association for all types of trauma, with no differential effects. However, there was some variability in the quality of the studies, with most using cross-sectional designs. Individuals who reported adverse experiences in childhood scored significantly higher on positive and negative/disorganized schizotypy compared to those who did not report such experiences. CONCLUSIONS: All forms of childhood trauma and other stressful events (e.g. bullying) were found to be associated with schizotypy, with especially strong associations with positive schizotypy. However, because of the methodological limitations of several studies and a lack of further exploration of different possible mechanistic pathways underlying this association, more research is required.


Subject(s)
Adult Survivors of Child Abuse/statistics & numerical data , Psychotic Disorders/epidemiology , Schizophrenia/epidemiology , Schizophrenic Psychology , Schizotypal Personality Disorder/epidemiology , Adult Survivors of Child Abuse/psychology , Adult Survivors of Child Adverse Events/psychology , Adult Survivors of Child Adverse Events/statistics & numerical data , Humans , Psychotic Disorders/psychology , Schizotypal Personality Disorder/psychology
7.
J Therm Biol ; 49-50: 119-26, 2015.
Article in English | MEDLINE | ID: mdl-25774035

ABSTRACT

Understanding the relationships between environmental variables and wildlife activity is an important part of effective management. The desert tortoise (Gopherus agassizii), an imperiled species of arid environments in the southwest US, may have increasingly restricted windows for activity due to current warming trends. In summer 2013, we deployed 48 motion sensor cameras at the entrances of tortoise burrows to investigate the effects of temperature, sex, and day of the year on the activity of desert tortoises. Using generalized estimating equations, we found that the relative probability of activity was associated with temperature (linear and quadratic), sex, and day of the year. Sex effects showed that male tortoises are generally more active than female tortoises. Temperature had a quadratic effect, indicating that tortoise activity was heightened at a range of temperatures. In addition, we found significant support for interactions between sex and day of the year, and sex and temperature as predictors of the probability of activity. Using our models, we were able to estimate air temperatures and times (days and hours) that were associated with maximum activity during the study. Because tortoise activity is constrained by environmental conditions such as temperature, it is increasingly vital to conduct studies on how tortoises vary their activity throughout the Sonoran Desert to better understand the effects of a changing climate.


Subject(s)
Behavior, Animal , Desert Climate , Turtles/physiology , Animals , Female , Male , Motor Activity , Seasons , Temperature
8.
Environ Manage ; 56(2): 332-41, 2015 Aug.
Article in English | MEDLINE | ID: mdl-25894273

ABSTRACT

With the recent increase in utility-scale wind energy development, researchers have become increasingly concerned how this activity will affect wildlife and their habitat. To understand the potential impacts of wind energy facilities (WEF) post-construction (i.e., operation and maintenance) on wildlife, we compared differences in activity centers and survivorship of Agassiz's desert tortoises (Gopherus agassizii) inside or near a WEF to neighboring tortoises living near a wilderness area (NWA) and farther from the WEF. We found that the size of tortoise activity centers varied, but not significantly so, between the WEF (6.25 ± 2.13 ha) and adjacent NWA (4.13 ± 1.23 ha). However, apparent survival did differ significantly between the habitat types: over the 18-year study period apparent annual survival estimates were 0.96 ± 0.01 for WEF tortoises and 0.92 ± 0.02 for tortoises in the NWA. High annual survival suggests that operation and maintenance of the WEF has not caused considerable declines in the adult population over the past two decades. Low traffic volume, enhanced resource availability, and decreased predator populations may influence annual survivorship at this WEF. Further research on these proximate mechanisms and population recruitment would be useful for mitigating and managing post-development impacts of utility-scale wind energy on long-lived terrestrial vertebrates.


Subject(s)
Animals, Wild/physiology , Ecosystem , Facility Design and Construction , Turtles/physiology , Wind , Animals , Animals, Wild/growth & development , Desert Climate , Environmental Monitoring , Population Dynamics , Renewable Energy , Southwestern United States , Survival Rate
9.
Ground Water ; 2024 Jun 10.
Article in English | MEDLINE | ID: mdl-38855911

ABSTRACT

Groundwater hydrographs contain a rich set of information on the dynamics of aquifer systems and the processes and properties that influence them. While the importance of seasonal cycles in hydrologic and environmental state variables is widely recognized there has yet to be a comprehensive analysis of the seasonal dynamics of groundwater across the United States. Here we use time series of groundwater level measurements from 997 wells from the National Groundwater Monitoring Network to identify and describe groundwater seasonal cycles in unconfined aquifers across the United States. We use functional data analysis to obtain a functional form fit for each site and apply an unsupervised clustering algorithm to identify a set of five distinct seasonal cycles regimes. Each seasonal cycle regime has a distinctive shape and distinct timing of its annual minimum and maximum water level. There are clear spatial patterns in the occurrence of each seasonal cycle regime, with the relative occurrence of each regime strongly influenced by the geologic setting (aquifer system), climate, and topography. Our findings provide a comprehensive characterization of groundwater seasonal cycles across much of the United States and present both a methodology and results useful for assessing and understanding unconfined groundwater systems.

10.
Pharmacopsychiatry ; 45(7): 269-74, 2012 Nov.
Article in English | MEDLINE | ID: mdl-22511328

ABSTRACT

BACKGROUND: Ketamine, psychostimulants and cannabis have all been associated with psychotic phenomena but no study has directly compared users of these drugs. AIMS: The aim of this study was to assess schizophrenia proneness and neurocognitive function in individuals dependent upon ketamine, cannabis and cocaine. METHOD: 130 volunteers - 29 'skunk' users, 22 cocaine users, 21 ketamine users, along with 28 'recreational' poly-drug users and 30 drug-naïve controls - were assessed on the Schizophrenia Proneness Instrument, Adult version (SPI-A). They were specifically asked to rate symptoms when not under the acute influence of a psychoactive drug. RESULTS: Ketamine and skunk users manifested the greatest attentional and cognitive disturbances. The symptom profile of the dependent ketamine users was very similar to that of prodromal individuals who transitioned to psychosis. CONCLUSIONS: Given the recent rapid rise in use of high potency cannabis and of ketamine, these findings are important and clinicians should be careful to rule out the effects of persistent drug use, especially in users of ketamine or skunk, when assessing an individual's risk of psychosis. A longitudinal study is needed to differentiate which basic symptoms persist following abstention from ketamine and skunk.


Subject(s)
Cocaine-Related Disorders/psychology , Cognition Disorders/psychology , Ketamine/adverse effects , Marijuana Abuse/psychology , Schizophrenia/chemically induced , Substance-Related Disorders/psychology , Adolescent , Adult , Attention , Case-Control Studies , Cocaine-Related Disorders/complications , Cognition Disorders/complications , Female , Humans , Male , Marijuana Abuse/complications , Middle Aged , Neuropsychological Tests/statistics & numerical data , Psychiatric Status Rating Scales/statistics & numerical data , Risk Factors , Self Report , Substance-Related Disorders/complications
11.
Ultrasound Med Biol ; 47(1): 131-138, 2021 01.
Article in English | MEDLINE | ID: mdl-33092899

ABSTRACT

High-intensity ultrasound (US) ablation produces deeper myocardial lesions than radiofrequency ablation. The presence of intravascular microbubble (MB) contrast agents enhances pulsed-wave US ablation via cavitation-related histotripsy, potentially facilitating ablation in persistently perfused/conducting myocardium. US ablation catheters were developed and tested in the presence of MBs using ex vivo and in vivo models. High-frame-rate videomicroscopy and US imaging of gel phantom models confirmed MB destruction by inertial cavitation. MB-facilitated US ablation in an ex vivo perfused myocardium model generated shallow (2 mm) lesions and, in an in vivo murine hindlimb model, reduced perfusion by 42% with perivascular hemorrhage and inflammation, but no myonecrosis.


Subject(s)
Catheter Ablation/adverse effects , Fibrosis/etiology , Microbubbles/adverse effects , Microvessels/injuries , Ultrasonic Therapy/adverse effects , Animals , Catheter Ablation/methods , Mice , Phantoms, Imaging , Ultrasonic Therapy/methods
13.
JACC Cardiovasc Imaging ; 13(3): 641-651, 2020 03.
Article in English | MEDLINE | ID: mdl-31422129

ABSTRACT

OBJECTIVES: The authors investigated ideal acoustic conditions on a clinical scanner custom-programmed for ultrasound (US) cavitation-mediated flow augmentation in preclinical models. We then applied these conditions in a first-in-human study to test the hypothesis that contrast US can increase limb perfusion in normal subjects and patients with peripheral artery disease (PAD). BACKGROUND: US-induced cavitation of microbubble contrast agents augments tissue perfusion by convective shear and secondary purinergic signaling that mediates release of endogenous vasodilators. METHODS: In mice, unilateral exposure of the proximal hindlimb to therapeutic US (1.3 MHz, mechanical index 1.3) was performed for 10 min after intravenous injection of lipid microbubbles. US varied according to line density (17, 37, 65 lines) and pulse duration. Microvascular perfusion was evaluated by US perfusion imaging, and in vivo adenosine triphosphate (ATP) release was assessed using in vivo optical imaging. Optimal parameters were then used in healthy volunteers and patients with PAD where calf US alone or in combination with intravenous microbubble contrast infusion was performed for 10 min. RESULTS: In mice, flow was augmented in the US-exposed limb for all acoustic conditions. Only at the lowest line density was there a stepwise increase in perfusion for longer (40-cycle) versus shorter (5-cycle) pulse duration. For higher line densities, blood flow consistently increased by 3-fold to 4-fold in the US-exposed limb irrespective of pulse duration. High line density and long pulse duration resulted in the greatest release of ATP in the cavitation zone. Application of these optimized conditions in humans together with intravenous contrast increased calf muscle blood flow by >2-fold in both healthy subjects and patients with PAD, whereas US alone had no effect. CONCLUSIONS: US of microbubbles when using optimized acoustic environments can increase perfusion in limb skeletal muscle, raising the possibility of a therapy for patients with PAD. (Augmentation of Limb Perfusion With Contrast Ultrasound; NCT03195556).


Subject(s)
Contrast Media/administration & dosage , Muscle, Skeletal/blood supply , Peripheral Arterial Disease/therapy , Ultrasonic Therapy , Aged , Animals , Blood Flow Velocity , Disease Models, Animal , Female , Hindlimb , Humans , Injections, Intravenous , Leg , Male , Mice , Mice, Inbred C57BL , Microbubbles , Middle Aged , Peripheral Arterial Disease/diagnostic imaging , Peripheral Arterial Disease/physiopathology , Regional Blood Flow , Treatment Outcome
14.
Geochim Cosmochim Acta ; 288: 262-281, 2020 Nov 01.
Article in English | MEDLINE | ID: mdl-36062200

ABSTRACT

The role of man-made ponds on arsenic mobilization was examined in Bangladesh. Here, we describe a field experiment that shows how recharge from a newly constructed pond creates a reactive front that moves downward into the underlying aquifer, but only advances slowly, less than 8 cm/year. We found that pond recharge introduces organic carbon that likely drives the reduction of sulfate and solid-phase iron. However, over the six-year period of the study the pond did not drive arsenic contamination of the underlying groundwater. An electron balance indicates that significant precipitation of ferrous iron and sulfide minerals may immobilize arsenic despite the shift towards more reducing conditions, explaining the very low observed aqueous arsenic concentrations. We additionally found that the amount of solid-phase electron acceptors available in the shallow sediments strongly retards the advance of a reduced sediment front. Our results suggest that labile organic carbon introduced by man-made ponds is efficiently mineralized in the sediments immediately below the pond bottom and thus is unlikely to drive arsenic mobilization deeper within the aquifer. We suggest that the excavation of man-made ponds removes young surficial sediments, leaving aged and less reactive sediments beneath the pond, so that recharge through excavated ponds does not mobilize arsenic at the high rates observed in recharge through natural wetlands and river banks.

15.
Psychol Med ; 39(6): 951-6, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19017430

ABSTRACT

BACKGROUND: Epidemiological evidence suggests a link between cannabis use and psychosis. A variety of factors have been proposed to mediate an individual's vulnerability to the harmful effects of the drug, one of which is their psychosis proneness. We hypothesized that highly psychosis-prone individuals would report more marked psychotic experiences under the acute influence of cannabis. METHOD: A group of cannabis users (n=140) completed the Psychotomimetic States Inventory (PSI) once while acutely intoxicated and again when free of cannabis. A control group (n=144) completed the PSI on two parallel test days. All participants also completed a drug history and the Schizotypal Personality Questionnaire (SPQ). Highly psychosis-prone individuals from both groups were then compared with individuals scoring low on psychosis proneness by taking those in each group scoring above and below the upper and lower quartiles using norms for the SPQ. RESULTS: Smoking cannabis in a naturalistic setting reliably induced marked increases in psychotomimetic symptoms. Consistent with predictions, highly psychosis-prone individuals experienced enhanced psychotomimetic states following acute cannabis use. CONCLUSIONS: These findings suggest that an individual's response to acute cannabis and their psychosis-proneness scores are related and both may be markers of vulnerability to the harmful effects of this drug.


Subject(s)
Cannabis/adverse effects , Hallucinations/epidemiology , Hallucinations/etiology , Marijuana Abuse/complications , Psychotic Disorders/epidemiology , Psychotic Disorders/etiology , Adolescent , Adult , Analysis of Variance , Case-Control Studies , Female , Hallucinogens , Humans , Male , Middle Aged , Psychiatric Status Rating Scales , United Kingdom/epidemiology , Young Adult
16.
Ground Water ; 57(3): 455-464, 2019 05.
Article in English | MEDLINE | ID: mdl-30073646

ABSTRACT

Quantifying anthropogenic contributions to elemental cycles provides useful information regarding the flow of elements important to industrial and agricultural development and is key to understanding the environmental impacts of human activity. In particular, when anthropogenic fluxes reach levels large enough to influence an element's overall cycle the risk of adverse environmental impacts rises. While intensive groundwater pumping has been observed to affect a wide-range of environmental processes, the role of intensive groundwater extraction on global anthropogenic element cycles has not yet been characterized. Relying on comprehensive datasets of groundwater and produced water (groundwater pumped during oil/gas extraction) chemistry from the U.S. Geological Survey along with estimates of global groundwater usage, I estimate elemental fluxes from global pumping, consumptive use, and depletion of groundwater. I find that groundwater fluxes appreciably contribute to a number of elements overall cycles and thus these cycles were underestimated in prior studies, which did not recognize groundwater pumping's role. I also estimate elemental loadings to agricultural soils in the United States and find that in some regions, groundwater may provide a significant portion (more than 10%) of crop requirements of key nutrients (K, N). With nearly 40% of globally irrigated land under groundwater irrigation, characterizing nutrient and toxic element fluxes to these soils, which ultimately influence crop yields, is important to our understanding of agricultural production. Thus, this study improves our basic understanding of anthropogenic elemental cycles and demonstrates that quantification of groundwater pumping elemental fluxes provides valuable information about the potential for environmental impacts from groundwater pumping.


Subject(s)
Groundwater , Water Pollutants, Chemical , Agriculture , Human Activities , Humans , Soil
17.
J Am Soc Echocardiogr ; 32(9): 1086-1094.e3, 2019 09.
Article in English | MEDLINE | ID: mdl-31235422

ABSTRACT

BACKGROUND: In patients with peripheral artery disease (PAD), the severity of symptoms correlates poorly with ankle-brachial index (ABI). The aim of this study was to test the hypothesis that limb perfusion assessed using contrast-enhanced ultrasound (CEU) during contractile exercise varies according to functional class in patients with PAD, particularly those with ABIs in the 0.4 to 0.6 range whose symptoms vary widely. METHODS: Bilateral quantitative CEU perfusion imaging of the calf was performed in normal control subjects (n = 10) and patients with PAD who had at least one limb with a moderately reduced ABI (0.4-0.6; n = 17). Imaging was performed at rest and immediately after 30 sec of modest periodic (0.3-Hz) plantar flexion (10 W). RESULTS: In patients with PAD, Rutherford symptom classification for each limb varied widely, including in limbs with ABIs of 0.4 to 0.6 (n = 6 with mild or no symptoms, n = 14 with moderate to severe symptoms). CEU perfusion imaging parameters at rest were similar between control subjects and patients with PAD irrespective of ABI. In normal control subjects, limb flow increased on average by > 20-fold after only 30 sec of moderate exercise. In patients with PAD, muscle exercise perfusion for all limbs was reduced compared with control subjects and decreased according to the severity of ABI reduction, primarily from reduced microvascular flux rate. Even limbs with ABIs > 0.9 in patients with PAD had lower exercise perfusion than in control subjects (P = .03). In subjects with PAD, exercise perfusion was lower in those with moderate to severe versus mild symptoms when analyzed for all limbs (median, 30 IU/sec [interquartile range (IQR), 21-52 IU/sec] vs 84 IU/sec [IQR, 36-177 IU/sec]; P = .01) and limbs with ABIs of 0.4 to 0.6 (median, 26 IU/sec [IQR, 14-41 IU/sec] vs 54 IU/sec [IQR, 31-105 IU/sec]; P = .05). CONCLUSIONS: In patients with PAD, CEU exercise perfusion imaging detects differences in limb muscle perfusion that are likely to be responsible for differences in symptom severity and can detect the flow abnormalities from microvascular dysfunction even in limbs with normal ABIs.


Subject(s)
Ankle Brachial Index/methods , Exercise/physiology , Leg/blood supply , Perfusion Imaging/methods , Peripheral Arterial Disease/diagnosis , Regional Blood Flow/physiology , Ultrasonography/methods , Aged , Exercise Test/methods , Female , Humans , Male , Middle Aged , Peripheral Arterial Disease/physiopathology , Severity of Illness Index
18.
J Am Heart Assoc ; 8(5): e010794, 2019 03 05.
Article in English | MEDLINE | ID: mdl-30827133

ABSTRACT

Background Hypertension is assumed to be asymptomatic. Yet, clinically significant nocturia (≥2 nightly voids) constitutes a putative symptom of uncontrolled hypertension. Black men with hypertension may be prone to nocturia because of blunted nocturnal blood pressure ( BP ) dipping, diuretic drug use for hypertension, and comorbidity that predisposes to nocturia. Here, we test the hypothesis that nocturia is a common and potentially reversible symptom of uncontrolled hypertension in black men. Methods and Results We determined the strength of association between nocturia (≥2 nightly voids) and high BP (≥135/85 mm Hg) by conducting in-person health interviews and measuring BP with an automated monitor in a large community-based sample of black men in their barbershops. Because nocturia is prevalent and steeply age-dependent after age 50 years, we studied men aged 35 to 49 years. Among 1673 black men (mean age, 43±4 years [ SD ]), those with hypertension were 56% more likely than men with normotension to have nocturia after adjustment for diabetes mellitus and sleep apnea (adjusted odds ratio, 1.56; 95% CI , 1.25-1.94 [ P<0.0001]). Nocturia prevalence varied by hypertension status, ranging from 24% in men with normotension to 49% in men whose hypertension was medically treated but uncontrolled. Men with untreated hypertension were 39% more likely than men with normotension to report nocturia ( P=0.02), whereas men whose hypertension was treated and controlled were no more likely than men with normotension to report nocturia ( P=0.69). Conclusions Uncontrolled hypertension was an independent determinant of clinically important nocturia in a large cross-sectional community-based study of non-Hispanic black men aged 35 to 49 years. Clinical Trial Registration URL : http://www.clinicaltrials.gov . Unqiue identifier: NCT 02321618.


Subject(s)
Barbering , Black or African American , Blood Pressure , Community Health Services , Hypertension/ethnology , Nocturia/ethnology , Urodynamics , Adult , Aged , California/epidemiology , Comorbidity , Cross-Sectional Studies , Health Status , Humans , Hypertension/diagnosis , Hypertension/physiopathology , Male , Middle Aged , Nocturia/diagnosis , Nocturia/physiopathology , Prevalence , Randomized Controlled Trials as Topic , Risk Factors
19.
ISME J ; 11(11): 2569-2583, 2017 11.
Article in English | MEDLINE | ID: mdl-28777379

ABSTRACT

The release of 700 million liters of oil into the Gulf of Mexico over a few months in 2010 produced dramatic changes in the microbial ecology of the water and sediment. Here, we reconstructed the genomes of 57 widespread uncultivated bacteria from post-spill deep-sea sediments, and recovered their gene expression pattern across the seafloor. These genomes comprised a common collection of bacteria that were enriched in heavily affected sediments around the wellhead. Although rare in distal sediments, some members were still detectable at sites up to 60 km away. Many of these genomes exhibited phylogenetic clustering indicative of common trait selection by the environment, and within half we identified 264 genes associated with hydrocarbon degradation. Alkane degradation ability was near ubiquitous among candidate hydrocarbon degraders, whereas just three harbored elaborate gene inventories for the degradation of alkanes and aromatic and polycyclic aromatic hydrocarbons (PAHs). Differential gene expression profiles revealed a spill-promoted microbial sulfur cycle alongside gene upregulation associated with PAH degradation. Gene expression associated with alkane degradation was widespread, although active alkane degrader identities changed along the pollution gradient. Analyses suggest that a broad metabolic capacity to respond to oil inputs exists across a large array of usually rare indigenous deep-sea bacteria.


Subject(s)
Bacteria/classification , Bacteria/metabolism , Geologic Sediments/microbiology , Seawater/microbiology , Water Pollutants, Chemical/metabolism , Alkanes/analysis , Alkanes/metabolism , Bacteria/genetics , Bacteria/isolation & purification , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Biodegradation, Environmental , Geologic Sediments/analysis , Gulf of Mexico , Petroleum/metabolism , Petroleum Pollution/analysis , Phylogeny , Polycyclic Aromatic Hydrocarbons/analysis , Polycyclic Aromatic Hydrocarbons/metabolism , Seawater/analysis , Water Pollutants, Chemical/analysis
20.
Astrobiology ; 6(1): 48-68, 2006 Feb.
Article in English | MEDLINE | ID: mdl-16551226

ABSTRACT

We examined the common, iron-magnesium silicate minerals olivine and pyroxene in basalt and in mantle rocks to determine if they exhibit textures similar to bioweathering textures found in glass. Our results show that weathering in olivine may occur as long, narrow tunnels (1-3 microm in diameter and up to 100 microm long) and as larger irregular galleries, both of which have distinctive characteristics consistent with biological activity. These weathering textures are associated with clay mineral by-products and nucleic acids. We also examined olivine and pyroxene in martian meteorites, some of which experienced preterrestrial aqueous alteration. Some olivines and pyroxenes in the martian meteorite Nakhla were found to contain tunnels that are similar in size and shape to tunnels in terrestrial iron-magnesium silicates that contain nucleic acids. Though the tunnels found in Nakhla are similar to the biosignatures found in terrestrial minerals, their presence cannot be used to prove that the martian alteration features had a biogenic origin. The abundance and wide distribution of olivine and pyroxene on Earth and in the Solar System make bioweathering features in these minerals potentially important new biosignatures that may play a significant role in evaluating whether life ever existed on Mars.


Subject(s)
Earth, Planet , Iron Compounds , Magnesium Compounds , Mars , Minerals , Silicates , Exobiology , Geological Phenomena , Geology , Microbiology , Models, Biological , Surface Properties
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