Do observation wells in fractured porous aquifers measure water head in the fracture network, water head in the matrix, or some combination of both? This question necessarily arises when calibrating ...dual‐continuum hydrogeological models against on‐field data. One can assume that observation wells measure fracture water head, because matrix permeability is negligible compared to fracture permeability. Nevertheless, this reasoning is invalid for wells poorly‐connected to the fractures. Yet, the possibility of such a poor connection at given depths has never been implemented in a physics‐based manner when comparing matrix and fracture water heads simulated by dual‐continuum models to on‐field data. To fill this knowledge gap, a physically based, easy to calibrate, open‐source postprocessing tool, POWeR‐FADS (Program for Observation Well Representation in Fractured Aquifer Dual‐continuum Simulations), available at https://github.com/BJeannot1/POWeR-FADS, has been developed. It introduces as parameters well geometry and the altitude of lowest interception of the fractures by the well. From these, POWeR‐FADS nonintrusively postprocesses time series of matrix and fracture water heads at the well, as simulated by any planar, bidimensional dual‐continuum hydrogeological model, to calculate water exchanges involving the observation well and thus the evolution of water level in the well. Synthetic test cases show that POWeR‐FADS makes it possible to simulate peculiar behaviors that are similar to patterns actually observed by the authors in on‐site observation wells of a fractured porous aquifer, like “floors” in observed water levels, delayed but sharp rises at the beginning of recharge events, or inflexion points accelerating the drawdown velocity during the recession phase.
Key Points
A program is made to simulate the water level in observation wells from matrix and fracture water heads computed by dual‐continuum models
For wells poorly connected to the fractures, the code simulates patterns that could not be modeled by a dual‐continuum model alone
This postprocessing tool is easy to use, as its most sensitive parameter can be deduced from drill cores or observation well data
The hyporheic zone (HZ) is often considered to efficiently remove polar trace organic compounds (TrOCs) from lotic systems, mitigating potential adverse effects of TrOCs on ecosystem functioning and ...drinking water production. Predicting the fate of TrOCs in the hyporheic zone (HZ) is difficult as the in-situ removal rate constants are not known and the biogeochemical factors as well as hydrological conditions controlling the removal efficiency are not fully understood. To determine the in-situ removal efficiency of the HZ for a variety of TrOCs as a function of the biogeochemical milieu, we conducted a field study in an urban river near Berlin, Germany. Subsurface flow was studied by time series of temperature depth profiles and the biogeochemical milieu of the HZ by concentration depth profiles. These results, in conjunction with a 1D advection-dispersion transport model, were used to calculate first-order removal rate constants of several polar TrOCs in the HZ. For the majority of TrOCs investigated, removal rate constants were strongly dependent on redox conditions, with significantly higher removal rates observed under predominantly suboxic (i.e. denitrifying) compared to anoxic (i.e. Fe and Mn reducing) conditions. Compared to previous studies on the fate of TrOCs in saturated sediments, half-lives within oxic/suboxic sections of the HZ were relatively low, attributable to the site-specific characteristics of the HZ in a stream dominated by wastewater treatment plant effluent. For nine out of thirteen investigated TrOCs, concentrations decreased significantly in the HZ with relative removal percentages ranging from 32% for primidone to 77% for gabapentin. For many TrOCs, removal efficiency decreased drastically as redox conditions became anoxic. For the majority of compounds investigated here, the HZ indeed acts as an efficient bioreactor that is capable of removing TrOCs along relatively short flow paths. Depending on the TrOC, removal capacity may be enhanced by either increasing the magnitude of groundwater-surface exchange fluxes, by increasing the total residence time in the HZ or the exposure time to suboxic zones, respectively.
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•The hyporheic zone is efficient in removing trace organics along cm flow paths.•In-situ reactivity of trace organics in the hyporheic zone is comparatively high.•In-situ removal efficiency strongly decreased when redox conditions became anoxic.
First-order half-lives for 26 trace organic compounds (TrOCs) were determined in the hyporheic zone (HZ) and along a 3 km reach of a first-order stream in South Australia during both dry and wet ...seasons. Two salt tracer experiments were conducted and evaluated using a transient storage model to characterize seasonal differences in stream residence time and transient storage. Lagrangian and time-integrated surface water sampling were conducted to calculate half-lives in the surface water. Half-lives in the HZ were calculated using porewater samples obtained from a modified mini-point sampler and hyporheic residence times measured via active heat-pulse sensing. Half of the investigated TrOCs (e.g., oxazepam, olmesartan, candesartan) were not significantly removed along both the investigated river stretch and the sampled hyporheic flow paths. The remaining TrOCs (e.g., metformin, guanylurea, valsartan) were found to be significantly removed in the HZ and along the river stretch with relative removals in the HZ correlating to reach-scale relative removals. Using the modeled transport parameters, it was estimated that wet season reach-scale removal of TrOCs was predominately caused by removal in the HZ when the intensity of hyporheic exchange was also higher. Factors that increase HZ exchange are thus likely to promote in-stream reactivity of TrOCs.
Despite the use of first-choice anti-epileptic drugs and satisfactory seizure outcome rates after resective epilepsy surgery, a considerable percentage of patients do not become seizure free. ANT-DBS ...may provide for an alternative treatment option in these patients. This literature review discusses the rationale, mechanism of action, clinical efficacy, safety, and tolerability of ANT-DBS in drug-resistant epilepsy patients. A review using systematic methods of the available literature was performed using relevant databases including Medline, Embase, and the Cochrane Library pertaining to the different aspects ANT-DBS. ANT-DBS for drug-resistant epilepsy is a safe, effective and well-tolerated therapy, where a special emphasis must be given to monitoring and neuropsychological assessment of both depression and memory function. Three patterns of seizure control by ANT-DBS are recognized, of which a delayed stimulation effect may account for an improved long-term response rate. ANT-DBS remotely modulates neuronal network excitability through overriding pathological electrical activity, decrease neuronal cell loss, through immune response inhibition or modulation of neuronal energy metabolism. ANT-DBS is an efficacious treatment modality, even when curative procedures or lesser invasive neuromodulative techniques failed. When compared to VNS, ANT-DBS shows slightly superior treatment response, which urges for direct comparative trials. Based on the available evidence ANT-DBS and VNS therapies are currently both superior compared to non-invasive neuromodulation techniques such as t-VNS and rTMS. Additional in-vivo research is necessary in order to gain more insight into the mechanism of action of ANT-DBS in localization-related epilepsy which will allow for treatment optimization. Randomized clinical studies in search of the optimal target in well-defined epilepsy patient populations, will ultimately allow for optimal patient stratification when applying DBS for drug-resistant patients with epilepsy.
Active plasma lensing is a compact technology for strong focusing of charged particle beams, which has gained considerable interest for use in novel accelerator schemes. While providing kT/m focusing ...gradients, active plasma lenses can have aberrations caused by a radially nonuniform plasma temperature profile, leading to degradation of the beam quality. We present the first direct measurement of this aberration, consistent with theory, and show that it can be fully suppressed by changing from a light gas species (helium) to a heavier gas species (argon). Based on this result, we demonstrate emittance preservation for an electron beam focused by an argon-filled active plasma lens.
Abstract
BACKGROUND
Deep brain stimulation of the anterior nucleus of the thalamus (ANT-DBS) can improve seizure control for patients with drug-resistant epilepsy (DRE). Yet, one cannot overlook the ...high discrepancy in efficacy among patients, possibly resulting from differences in stimulation site.
OBJECTIVE
To test the hypothesis that stimulation at the junction of the ANT and mammillothalamic tract (ANT-MTT junction) increases seizure control.
METHODS
The relationship between seizure control and the location of the active contacts to the ANT-MTT junction was investigated in 20 patients treated with ANT-DBS for DRE. Coordinates and Euclidean distance of the active contacts relative to the ANT-MTT junction were calculated and related to seizure control. Stimulation sites were mapped by modelling the volume of tissue activation (VTA) and generating stimulation heat maps.
RESULTS
After 1 yr of stimulation, patients had a median 46% reduction in total seizure frequency, 50% were responders, and 20% of patients were seizure-free. The Euclidean distance of the active contacts to the ANT-MTT junction correlates to change in seizure frequency (r2 = 0.24, P = .01) and is ∼30% smaller (P = .015) in responders than in non-responders. VTA models and stimulation heat maps indicate a hot-spot at the ANT-MTT junction for responders, whereas non-responders had no evident hot-spot.
CONCLUSION
Stimulation at the ANT-MTT junction correlates to increased seizure control. Our findings suggest a relationship between the stimulation site and therapy response in ANT-DBS for epilepsy with a potential role for the MTT. DBS directed at white matter merits further exploration for the treatment of epilepsy.
Graphical Abstract
Graphical Abstract
Structural brain lesions are the most common cause of adult‐onset epilepsy. The lesion location may contribute to the risk for epileptogenesis, but whether specific lesion locations are associated ...with a risk for secondary seizure generalization from focal to bilateral tonic–clonic seizures, is unknown. We identified patients with a diagnosis of adult‐onset epilepsy caused by an ischemic stroke or a tumor diagnosed at the Turku University Hospital in 2004–2017. Lesion locations were segmented on patient‐specific MR imaging and transformed to a common brain atlas (MNI space). Both region‐of‐interest analyses (intersection with the cortex, hemisphere, and lobes) and voxel‐wise analyses were conducted to identify the lesion locations associated with focal to bilateral tonic–clonic compared to focal seizures. We included 170 patients with lesion‐induced epilepsy (94 tumors, 76 strokes). Lesions predominantly localized in the cerebral cortex (OR 2.50, 95% C.I. 1.21–5.15, p = .01) and right hemisphere (OR 2.22, 95% C.I. 1.17–4.20, p = .01) were independently associated with focal to bilateral tonic–clonic seizures. At the lobar‐level, focal to bilateral tonic–clonic seizures were associated with lesions in the right frontal cortex (OR 4.41, 95% C.I. 1.44–13.5, p = .009). No single voxels were significantly associated with seizure type. These effects were independent of lesion etiology. Our results demonstrate that lesion location is associated with the risk for secondary generalization of epileptic seizures. These findings may contribute to identifying patients at risk for focal to bilateral tonic–clonic seizures.
Structural brain lesions are the most common cause of adult‐onset epilepsy. The lesion location may contribute to the risk for epileptogenesis, but whether specific lesion locations are associated with a risk for secondary seizure generalization from focal to bilateral tonic‐clonic seizures, is unknown. Our results demonstrate that lesion location is associated with the risk for secondary generalization of epileptic seizures independent of lesion etiology.
Energy-efficient plasma-wakefield acceleration of particle bunches with low energy spread is a promising path to realizing compact free-electron lasers and particle colliders. High efficiency and low ...energy spread can be achieved simultaneously by strong beam loading of plasma wakefields when accelerating bunches with carefully tailored current profiles M. Tzoufras et al., Phys. Rev. Lett. 101, 145002 (2008)PRLTAO0031-900710.1103/PhysRevLett.101.145002. We experimentally demonstrate such optimal beam loading in a nonlinear electron-driven plasma accelerator. Bunches with an initial energy of 1 GeV were accelerated by 45 MeV with an energy-transfer efficiency of (42±4)% at a gradient of 1.3 GV/m while preserving per-mille energy spreads with full charge coupling, demonstrating wakefield flattening at the few-percent level.
A tunable plasma-based energy dechirper has been developed at FLASHForward to remove the correlated energy spread of a 681 MeV electron bunch. Through the interaction of the bunch with wakefields ...excited in plasma the projected energy spread was reduced from a FWHM of 1.31% to 0.33% without reducing the stability of the incoming beam. The experimental results for variable plasma density are in good agreement with analytic predictions and three-dimensional simulations. The proof-of-principle dechirping strength of 1.8 GeV/mm/m significantly exceeds those demonstrated for competing state-of-the-art techniques and may be key to future plasma wakefield-based free-electron lasers and high energy physics facilities, where large intrinsic chirps need to be removed.
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