Modelling raw water quality: development of a drinking water management tool.

PubMed

Kübeck, Ch; van Berk, W; Bergmann, A

2009-01-01

Ensuring future drinking water supply requires a tough management of groundwater resources. However, recent practices of economic resource control often does not involve aspects of the hydrogeochemical and geohydraulical groundwater system. In respect of analysing the available quantity and quality of future raw water, an effective resource management requires a full understanding of the hydrogeochemical and geohydraulical processes within the aquifer. For example, the knowledge of raw water quality development within the time helps to work out strategies of water treatment as well as planning finance resources. On the other hand, the effectiveness of planed measurements reducing the infiltration of harmful substances such as nitrate can be checked and optimized by using hydrogeochemical modelling. Thus, within the framework of the InnoNet program funded by Federal Ministry of Economics and Technology, a network of research institutes and water suppliers work in close cooperation developing a planning and management tool particularly oriented on water management problems. The tool involves an innovative material flux model that calculates the hydrogeochemical processes under consideration of the dynamics in agricultural land use. The program integrated graphical data evaluation is aligned on the needs of water suppliers.

Influences of specific ions in groundwater on concrete degradation in subsurface engineered barrier system.

PubMed

Lin, Wen-Sheng; Liu, Chen-Wuing; Li, Ming-Hsu

2016-01-01

Many disposal concepts currently show that concrete is an effective confinement material used in engineered barrier systems (EBS) at a number of low-level radioactive waste (LLW) disposal sites. Cement-based materials have properties for the encapsulation, isolation, or retardation of a variety of hazardous contaminants. The reactive chemical transport model of HYDROGEOCHEM 5.0 was applied to simulate the effect of hydrogeochemical processes on concrete barrier degradation in an EBS which has been proposed to use in the LLW disposal site in Taiwan. The simulated results indicated that the main processes that are responsible for concrete degradation are the species induced from hydrogen ion, sulfate, and chloride. The EBS with the side ditch drainage system effectively discharges the infiltrated water and lowers the solute concentrations that may induce concrete degradation. The redox processes markedly influence the formations of the degradation materials. The reductive environment in the EBS reduces the formation of ettringite in concrete degradation processes. Moreover, the chemical conditions in the concrete barriers maintain an alkaline condition after 300 years in the proposed LLW repository. This study provides a detailed picture of the long-term evolution of the hydrogeochemical environment in the proposed LLW disposal site in Taiwan.

Hydrogeochemical processes and geochemical modeling in a coastal aquifer: Case study of the Marathon coastal plain, Greece

NASA Astrophysics Data System (ADS)

Papazotos, Panagiotis; Koumantakis, Ioannis; Kallioras, Andreas; Vasileiou, Eleni; Perraki, Maria

2017-04-01

Determining the hydrogeochemical processes has always been a challenge for scientists. The aim of this work is the study of the principal hydrogeochemical processes controlling groundwater quality in the Marathon coastal plain, Greece, with emphasis on the origin of the solutes. Various physicochemical parameters and major ions of twenty-five groundwater samples were analyzed. The hydrogeochemical data of groundwater were studied in order to determine the major factors controlling the chemical composition and hydrogeochemical evolution. In the Marathon coastal plain, three different zones of the alluvial granular aquifer system have been detected, considering the geochemical processes and recharge, which affect its hydrochemical characteristics. The alluvial granular aquifer system is divided eastwards into three zones: a) the natural recharge zone, b) the reverse ion exchange zone and c) the diffusion sea water zone. Cl-is the dominant anion and Na+and Ca2+ are the dominant cations, as determined by plotting the analyses on the respective Piper diagram. Near the coastline high concentrations of Na+ and Cl- were observed indicating a zone of seawater intrusion. On the other hand, westward there is increasing concentration of HCO3- with simultaneous decrease of Na+is indication of a recharge zone from karstic aquifers of the study area. Between the aforementioned zones there is an intermediate one, where reverse ion exchange takes place due to high concentrations of dissolved Na+ and Ca2+ adsorption. The saturation indices (SI) were calculated using the geochemical modeling software PHREEQC. Mineral phases of halite, sylvite, gypsum and anhydrite were estimated to be undersaturated in the water samples, suggesting these phases are minor or absent in the host rock. On the other hand, calcite, aragonite and dolomite are close to equilibrium; these minerals are present in the host rocks or in the unsaturated zone, possibly increasing the Ca2+, Mg2+ and HCO3- concentrations when carbonates are dissolved. The analyses of the bivariate scatter plots, the ionic ratios, the Indices of Base Exchange (IBE), the Gibbs diagram and the dissolution/precipitation reactions show that evaporation and water-rock interaction mechanisms such as dissolution of carbonates, followed by reverse ion exchange, have affected the groundwater chemistry in the study area. The results revealed that groundwater chemistry and therefore the origin of the solutes in the coastal alluvial granular aquifer system of the Marathon coastal plain is primarily affected by a number of factors such as groundwater and mineral equilibrium, seawater intrusion, reverse ion exchange and nitrate concentration. A possible future research could focus on the interaction among hydrogeochemistry, mineral phases and chemical thermodynamic modeling.

Assessment of processes controlling the regional distribution of fluoride and arsenic in groundwater of the Pampeano Aquifer in the Del Azul Creek basin (Argentina)

NASA Astrophysics Data System (ADS)

Zabala, M. E.; Manzano, M.; Vives, L.

2016-10-01

Groundwater in the upper 50 m of the Pampeano Aquifer in the Del Azul Creek basin (Argentina) has F and As contents above the WHO safe drinking levels. This basin is situated to the SE of the Chaco-Pampean plain, in Buenos Aires Province. The Pampeano Aquifer is a major water source for all uses. The aim of the study is to assess the primary processes controlling the regional distribution of F and As in the most exploited part of the aquifer. The study involved sampling for chemical and isotopic analyses, interpretation of data with different methods (diagrams, bivariate analyses, mineral saturation states, Principal Component Analysis) and deduction of leading processes. Information about aquifer mineralogy and hydrogeochemical processes involved in F and As solubilization in the aquifer has been taken from previous works of the same and other authors. Groundwater salinity increases to the NE, in the direction of the regional groundwater flow. Chemical types evolve from Ca/Mg-HCO3 in the upper part of the basin, to Na-HCO3 in the middle part and to Na-ClSO4 and Na-Cl in the lower part. The regional distribution of F is controlled by hydrogeochemical processes. The distribution of As is controlled by two types of processes dominating in different areas: hydrogeochemical controls prevail in the low to moderately mineralized groundwater of the middle and lower parts of the basin; hydrogeological controls lead to the NE of the lower basin and beyond it. In the last zone there are abundant lagoons and seasonal flooding is frequent, making evapoconcentration an important process for groundwater mineralization. The main hydrogeochemical processes involved in both F and As distribution are cation exchange, with Na release and Ca uptake, carbonate dissolution and pH increase. Arsenic release induced by redox processes may play to the NE, but its results would be masked by the effect of evaporation.

Assessment of groundwater quality using geographical information system (GIS), at north-east Cairo, Egypt.

PubMed

El-Shahat, M F; Sadek, M A; Mostafa, W M; Hagagg, K H

2016-04-01

The present investigation has been conducted to delineate the hydrogeochemical and environmental factors that control the water quality of the groundwater resources in the north-east of Cairo. A complementary approach based on hydrogeochemistry and a geographical information system (GIS) based protectability index has been employed for conducting this work. The results from the chemical analysis revealed that the groundwater of the Quaternary aquifer is less saline than that of the Miocene aquifer and the main factors that control the groundwater salinity in the studied area are primarily related to the genesis of the original recharging water modified after by leaching, dissolution, cation exchange, and fertilizer leachate. The computed groundwater quality index (WQI) falls into two categories: fair for almost all the Miocene groundwater samples, while the Quaternary groundwater samples are all have a good quality. The retarded flow and non-replenishment of the Miocene aquifer compared to the renewable active recharge of the Quaternary aquifer can explain this variation of WQI. The index and overlay approach exemplified by the DUPIT index has been used to investigate the protectability of the study aquifers against diffuse pollutants. Three categories (highly protectable less vulnerable, moderately protectable moderately vulnerable and less protectable highly vulnerable) have been determined and areally mapped.

Hydrochemical assessment of freshening saline groundwater using multiple end-members mixing modeling: A study of Red River delta aquifer, Vietnam

NASA Astrophysics Data System (ADS)

Kim, Ji-Hyun; Kim, Kyoung-Ho; Thao, Nguyen Thi; Batsaikhan, Bayartungalag; Yun, Seong-Taek

2017-06-01

In this study, we evaluated the water quality status (especially, salinity problems) and hydrogeochemical processes of an alluvial aquifer in a floodplain of the Red River delta, Vietnam, based on the hydrochemical and isotopic data of groundwater samples (n = 23) from the Kien Xuong district of the Thai Binh province. Following the historical inundation by paleo-seawater during coastal progradation, the aquifer has been undergone progressive freshening and land reclamation to enable settlements and farming. The hydrochemical data of water samples showed a broad hydrochemical change, from Na-Cl through Na-HCO3 to Ca-HCO3 types, suggesting that groundwater was overall evolved through the freshening process accompanying cation exchange. The principal component analysis (PCA) of the hydrochemical data indicates the occurrence of three major hydrogeochemical processes occurring in an aquifer, namely: 1) progressive freshening of remaining paleo-seawater, 2) water-rock interaction (i.e., dissolution of silicates), and 3) redox process including sulfate reduction, as indicated by heavy sulfur and oxygen isotope compositions of sulfate. To quantitatively assess the hydrogeochemical processes, the end-member mixing analysis (EMMA) and the forward mixing modeling using PHREEQC code were conducted. The EMMA results show that the hydrochemical model with the two-dimensional mixing space composed of PC 1 and PC 2 best explains the mixing in the study area; therefore, we consider that the groundwater chemistry mainly evolved by mixing among three end-members (i.e., paleo-seawater, infiltrating rain, and the K-rich groundwater). The distinct depletion of sulfate in groundwater, likely due to bacterial sulfate reduction, can also be explained by EMMA. The evaluation of mass balances using geochemical modeling supports the explanation that the freshening process accompanying direct cation exchange occurs through mixing among three end-members involving the K-rich groundwater. This study shows that the multiple end-members mixing model is useful to more successfully assess complex hydrogeochemical processes occurring in a salinized aquifer under freshening, as compared to the conventional interpretation using the theoretical mixing line based on only two end-members (i.e., seawater and rainwater).

Detecting biotic and hydrogeochemical processes in large peat basins with Landsat TM imagery

NASA Technical Reports Server (NTRS)

Glaser, Paul H.

1989-01-01

A survey was made of three large peat basins in boreal North America with Landsat TM imagery and field sampling. False-color composites composed of Bands 2, 3, and 4 are particularly effective in discriminating the major vegetation types and the important hydrogeochemical processes in these peatlands. This imagery indicates that the discharge of alkaline groundwater provides one of the most important regional and local controls on peatland development.

Assessment and hydro-geochemical characterization for evaluation of corrosion and scaling potential of groundwater in South West Delhi, India.

PubMed

Acharya, Sanigdha; Sharma, S K; Khandegar, Vinita

2018-06-01

In the present study, hydro-geochemical characteristics of groundwater samples collected from South West Delhi, India, have been assessed. 50 sampling locations were recorded with the help of global positioning system, to assess the groundwater quality and evaluate the corrosion and scaling potential. Hydro-geochemical characterization for different parameters such as pH, temperature (T), electrical conductivity (EC), total dissolved solids (TDS), salinity (SA), total hardness (TH), total alkalinity ( H C O 3 - ), levels of anions such as calcium (Ca +2 ), magnesium (Mg +2 ), sodium (Na + ), potassium (K + ) and cations which include chloride (Cl - ), Flouride (F - ), sulfates ( S O 4 - 2 ), Nitrates ( N O 3 - ) was done using standard APHA methods. The corrosion and scaling potential of groundwater was evaluated by five stability indices: Langelier saturation index (LSI), Ryznar stability index (RSI), Aggressive index (AI), Learson-Skold index (Ls) and Puckorius scaling index (PSI). The dataset classified groundwater as polluted and this indicates that the water is not safe for domestic, agricultural and industrial usage and will need further treatment. This dataset is beneficial for policymakers, and researchers in the field of water purification, quality management and in preventing the economic and safety concerns related to corrosion and scaling of groundwater.

Hydrogeochemical prospecting for porphyry copper deposits in the tropical-marine climate of Puerto Rico

USGS Publications Warehouse

Miller, W.R.; Ficklin, W.H.; Learned, R.E.

1982-01-01

A hydrogeochemical survey utilizing waters from streams and springs was conducted in the area of two known porphyry copper deposits in the tropical-marine climate of westcentral Puerto Rico. The most important pathfinder for regional hydrogeochemical surveys is sulfate which reflects the associated pyrite mineralization. Because of increased mobility due to intense chemical weathering and the low pH environment, dissolved copper can also be used as a pathfinder for regional surveys and has the advantage of distinguishing barren pyrite from pyrite associated with copper mineralization. For follow-up surveys, the most important pathfinders are copper, sulfate, pH, zinc, and fluoride. High concentrations of dissolved copper and moderate concentrations of sulfate is a diagnostic indication of nearby sources of copper minerals. An understanding of the geochemical processes taking place in the streambeds and the weathering environment, such as the precipitation of secondary copper minerals, contributes to the interpretation of the geochemical data and the selection of the most favorable areas for further exploration. ?? 1982.

Factors controlling groundwater salinization and hydrogeochemical processes in coastal aquifers from southern Spain.

PubMed

Argamasilla, M; Barberá, J A; Andreo, B

2017-02-15

In detrital coastal aquifers, seawater and surface water may interact with groundwater in multiple ways. Understanding the interference of water fluxes in this type of environment is essential to effectively manage the groundwater resources in water-stressed regions, such as the Mediterranean coastal fringe. In this research, the characterization of the main hydrogeochemical processes and the interaction between surface water and groundwater in the Marbella-Estepona coastal aquifers (southern Spain) have been carried out by means of the combined use of different hydrogeochemical indicators along with isotope data. The results show that the diversity of source lithologies (peridotite, carbonate and/or metapelitic) substantially conditions the groundwater geochemistry. The analysis of ionic deltas made it possible a preliminary screening of the geochemical reactions that occur in the Marbella-Estepona aquifers, while the Discriminant Analysis allowed for a consistent classification of sampled groundwater types. The dissolution of calcite and dolomite determines the chemical composition of the groundwater from the eastern sector that are more conditioned by the rainwater infiltration. The dissolution of magnesium-bearing minerals (predominantly forming peridotite rocks) is observed in groundwater samples from the western and central sectors, whose chemical composition showed a greater influence of surface water. The spatial analysis of rCl - /Br - in groundwater has permitted to corroborate that saline intrusion is negligible, hardly affecting to its original water quality. The irregularly distributed recharge by precipitation (seasonal effect) and the atmospheric circulation of cloud fronts (coastal/continental effect) explains why most of groundwater sampled is isotopically impoverished with respect to the rainfall signature. The isotope approach also suggests the hydraulic relationship between surface water and groundwater in the study site. A deeper knowledge of spatial hydrogeochemical variations in coastal groundwater and the influence of water sources over them are crucial for a sustainable groundwater management and global change adaptation in equivalent Mediterranean water-stressed regions. Copyright © 2016 Elsevier B.V. All rights reserved.

Hydrogeochemical signatures of thermal springs compared to deep formation water of North Germany

NASA Astrophysics Data System (ADS)

Bozau, Elke; van Berk, Wolfgang

2014-05-01

Thermal springs and hot deep formation waters can be used for geothermal energy production. Depending on the chemical composition of the used waters, geothermal power plants have to deal with scaling and corrosion effects. Therefore, the understanding of the hydrogeochemical behaviour of such waters can be helpful to enhance the efficiency of the energy production. This study is comparing hydrogeochemical characteristics of thermal springs in the Harz Mountains (North Germany) and deep formation water of the North German Basin. The Harz Mountains consist of uplifted Palaeozoic rocks, whereas the North German Basin consists of sedimentary layers of Permian, Mesozoic and Cenozoic age. Volcanic rocks are included in the Permian layers. The thickness of the sedimentary basin varies between 2 km and more than 8 km. The deep aquifers of the North German Basin are mostly not involved in the recent meteoric water cycle. Their waters have contents of Total Dissolved Solids (TDS) up to about 400 g/L. Thermal springs of the Harz Mountains are situated close to the main fracture system of the region. These springs are connected to the meteoric water cycle and display lower contents of TDS (< 25 g/L). In both geological systems the TDS content is increasing with depth and temperature. The elemental ratios of the waters (e.g., Na/Cl, Cl/Br, Na/Ca) indicate similar hydrogeochemical formation processes in the Harz Mountains and the North German Basin. The concentrations of calcium, sodium, and chloride differ due to salt dissolution and feldspar transformation (albitisation) in the thermal springs as well as in the deep formation waters. Based on today's knowledge hydrochemical and stratigraphical data from the North German Basin can be used to elucidate the geological origin of the thermal springs in the Harz Mountains. Acknowledgements. The presented data are results of the collaborative research program "gebo" (Geothermal energy and high performance drilling), financed by the Ministry of Science and Culture of the State of Lower Saxony and the company Baker Hughes.

Hydrogeochemical and lake level changes in the Ethiopian Rift

NASA Astrophysics Data System (ADS)

Alemayehu, Tamiru; Ayenew, Tenalem; Kebede, Seifu

2006-01-01

The Ethiopian Rift is characterized by a chain of lakes varying in size, hydrological and hydrogeological settings. The rift lakes and feeder rivers are used for irrigation, soda extraction, commercial fish farming and recreation, and support a wide variety of endemic birds and wild animals. The level of some lakes shows dramatic changes in the last few decades. Lakes Abiyata and Beseka, both heavily impacted by human activities, show contrasting lake level trends: the level of Abiyata has dropped by about 5 m over three decades while Beseka has expanded from an area of 2.5-40 km 2 over the same span of time. Changes in lake levels are accompanied by dilution in ionic concentration of lake Beseka and increase in salinity of lake Abiyata. Although the principal hydrogeochemical process in the rift lakes is controlled by the input and output conditions and carbonate precipitation, anthropogenic factors such as water diversion for irrigation and soda ash extraction played important role. The recent changes appear to have grave environmental consequences on the fragile rift ecosystem, which demands an integrated basin-wide water management practice. This paper demonstrates the drastic changes of lake levels and associated changes in lake chemistry of the two studied lakes. It also gives the regional hydrogeochemical picture of the other rift lakes that do not show significant response due to climate change and human impact.

Factors affecting the distribution of hydrocarbon contaminants and hydrogeochemical parameters in a shallow sand aquifer

NASA Astrophysics Data System (ADS)

Lee, Jin-Yong; Cheon, Jeong-Yong; Lee, Kang-Kun; Lee, Seok-Young; Lee, Min-Hyo

2001-07-01

The distributions of hydrocarbon contaminants and hydrogeochemical parameters were investigated in a shallow sand aquifer highly contaminated with petroleum hydrocarbons leaked from solvent storage tanks. For these purposes, a variety of field investigations and studies were performed, which included installation of over 100 groundwater monitoring wells and piezometers at various depths, soil logging and analyses during well and piezometer installation, chemical analysis of groundwater, pump tests, and slug tests. Continuous water level monitoring at three selected wells using automatic data-logger and manual measuring at other wells were also conducted. Based on analyses of the various investigations and tests, a number of factors were identified to explain the distribution of the hydrocarbon contaminants and hydrogeochemical parameters. These factors include indigenous biodegradation, hydrostratigraphy, preliminary pump-and-treat remedy, recharge by rainfall, and subsequent water level fluctuation. The permeable sandy layer, in which the mean water table elevation is maintained, provided a dominant pathway for contaminant transport. The preliminary pump-and-treat action accelerated the movement of the hydrocarbon contaminants and affected the redox evolution pattern. Seasonal recharge by rain, together with indigenous biodegradation, played an important role in the natural attenuation of the petroleum hydrocarbons via mixing/dilution and biodegradation. The water level fluctuations redistributed the hydrocarbon contaminants by partitioning them into the soil and groundwater. The identified factors are not independent but closely inter-correlated.

The evaluation of arsenic contamination potential, speciation and hydrogeochemical behaviour in aquifers of Punjab, Pakistan.

PubMed

Shakoor, Muhammad Bilal; Bibi, Irshad; Niazi, Nabeel Khan; Shahid, Muhammad; Nawaz, Muhammad Farrakh; Farooqi, Abida; Naidu, Ravi; Rahman, Mohammad Mahmudur; Murtaza, Ghulam; Lüttge, Andreas

2018-05-01

In this study, we tested 123 groundwater wells from five different areas of Punjab, Pakistan for arsenic (As) contamination level and species, as well as delineated hydrogeochemical behaviour of As in aquifers. Results revealed that 75% and 41% of the groundwater wells exceeded the safe As limit of World Health Organisation (WHO, 10 μg L -1 ) and Pakistan-EPA (50 μg L -1 ), respectively. Arsenite (As(III)) and arsenate (As(V)) spanned 0-80% and 20-100% of total As (1.2-206 μg L -1 ), respectively. The mean As content (5.2 μg L -1 ) of shallow wells at 9-40 m depth did not exceed the WHO safe limit, representing a safe aquifer zone for pumping of groundwater compared to deeper wells at 41-90 m (51 μg L -1 ) and >90 m (23 μg L -1 ) depths. Piper-plot elucidated that the aqueous chemistry was dominated with Na-SO 4 , Na-Ca-SO 4 , Na-Mg-SO 4 type saline water. Principal component analysis grouped As concentration with well depth, pH, salinity, Fe and CO 3 , exhibiting that these hydrogeochemical factors could have potential role in controlling As release/sequestration into the aquifers of study area. Geochemical modeling showed positive saturation indices only for iron (Fe) oxide-phases, indicating Fe oxides as the major carriers of As. Overall, this study provides insights to tackle emerging As threat to the communities in Punjab, Pakistan, as well as help develop suitable management/mitigation strategies - based on the baseline knowledge of As levels/species and factors governing As contamination in the study area. Copyright © 2018 Elsevier Ltd. All rights reserved.

Assessing anthropogenic impact on boreal lakes with historical fish species distribution data and hydrogeochemical modeling.

PubMed

Valinia, Salar; Englund, Göran; Moldan, Filip; Futter, Martyn N; Köhler, Stephan J; Bishop, Kevin; Fölster, Jens

2014-09-01

Quantifying the effects of human activity on the natural environment is dependent on credible estimates of reference conditions to define the state of the environment before the onset of adverse human impacts. In Europe, emission controls that aimed at restoring ecological status were based on hindcasts from process-based models or paleolimnological reconstructions. For instance, 1860 is used in Europe as the target for restoration from acidification concerning biological and chemical parameters. A more practical problem is that the historical states of ecosystems and their function cannot be observed directly. Therefore, we (i) compare estimates of acidification based on long-term observations of roach (Rutilus rutilus) populations with hindcast pH from the hydrogeochemical model MAGIC; (ii) discuss policy implications and possible scope for use of long-term archival data for assessing human impacts on the natural environment and (iii) present a novel conceptual model for interpreting the importance of physico-chemical and ecological deviations from reference conditions. Of the 85 lakes studied, 78 were coherently classified by both methods. In 1980, 28 lakes were classified as acidified with the MAGIC model, however, roach was present in 14 of these. In 2010, MAGIC predicted chemical recovery in 50% of the lakes, however roach only recolonized in five lakes after 1990, showing a lag between chemical and biological recovery. Our study is the first study of its kind to use long-term archival biological data in concert with hydrogeochemical modeling for regional assessments of anthropogenic acidification. Based on our results, we show how the conceptual model can be used to understand and prioritize management of physico-chemical and ecological effects of anthropogenic stressors on surface water quality. © 2014 The Authors Global Change Biology Published by John Wiley & Sons Ltd.

Assessing anthropogenic impact on boreal lakes with historical fish species distribution data and hydrogeochemical modeling

PubMed Central

Valinia, Salar; Englund, Göran; Moldan, Filip; Futter, Martyn N; Köhler, Stephan J; Bishop, Kevin; Fölster, Jens

2014-01-01

Quantifying the effects of human activity on the natural environment is dependent on credible estimates of reference conditions to define the state of the environment before the onset of adverse human impacts. In Europe, emission controls that aimed at restoring ecological status were based on hindcasts from process-based models or paleolimnological reconstructions. For instance, 1860 is used in Europe as the target for restoration from acidification concerning biological and chemical parameters. A more practical problem is that the historical states of ecosystems and their function cannot be observed directly. Therefore, we (i) compare estimates of acidification based on long-term observations of roach (Rutilus rutilus) populations with hindcast pH from the hydrogeochemical model MAGIC; (ii) discuss policy implications and possible scope for use of long-term archival data for assessing human impacts on the natural environment and (iii) present a novel conceptual model for interpreting the importance of physico-chemical and ecological deviations from reference conditions. Of the 85 lakes studied, 78 were coherently classified by both methods. In 1980, 28 lakes were classified as acidified with the MAGIC model, however, roach was present in 14 of these. In 2010, MAGIC predicted chemical recovery in 50% of the lakes, however roach only recolonized in five lakes after 1990, showing a lag between chemical and biological recovery. Our study is the first study of its kind to use long-term archival biological data in concert with hydrogeochemical modeling for regional assessments of anthropogenic acidification. Based on our results, we show how the conceptual model can be used to understand and prioritize management of physico-chemical and ecological effects of anthropogenic stressors on surface water quality. PMID:24535943

The Lincolnshire Limestone — Hydrogeochemical evolution over a ten-year period

NASA Astrophysics Data System (ADS)

Edmunds, W. M.; Walton, N. R. G.

1983-02-01

In the Lincolnshire (Jurassic) Limestone of Britain, a sequence of hydrogeochemical processes along a 28-km flow line was defined in 1969. These processes include solution, redox and ion-exchange reactions, sulphate reduction and mixing with saline formation water. Resampling of the aquifer profile after 10 years has confirmed the overall sequence, although downgradient increases in both sulphate and calcium, together with changes in redox system, can be recognised. These changes are related to the migration of agrichemical pollutants and the results demonstrate that the aquifer must have a significant capacity for in situ nitrate reduction.

Hydrogeochemistry of the Overland Flow in Soil at Agroecosystems in Eastern Amazon

NASA Astrophysics Data System (ADS)

Costa, C. F. G. D.; Figueiredo, R. O.; Oliveira, F. D. A.

2014-12-01

In the watershed of the Timboteua and Buiuna streams, northeast of Pará state, Amazon, it was characterized the overland flow dissolved material by some hydrogeochemical variables: electrical conductivity (EC), pH, chloride (Cl-), nitrate (NO3-), phosphate (PO43-), and sulfate (SO42-). In two small holder properties three overland flow experimental plots (1m2) were placed in each of the six evaluated ecosystems under similar biophysical conditions, totaling 18 plots. There was also installed three rainwater collectors and two rain gauges in a nearby area. In the rainy season were collected 234 samples of rainwater and overland flow. The evaluation of the measured variables promote the hydrogeochemical characterization of the overland flow at soil under chop-and-mulch and slash-and-burn practices in the different ecosystems found in the familiar agriculture of this watershed, in which it was identified some distinct hydrogeochemical characteristics of the overland flow. The lowest losses of NO3- (variation range = 0.07 to 2.57 μM) was found in agroecosystem - chop-and-mulch, this nutrient obtained higher values in agroecosystem - slash-and-burn (RQ). In agroecosystem (RQ) initially, there was a high value of PO43- (8.87 μM); EC (121 μS cm-1) and a subsequent sharp decline. Secondary successional forest (CP) of 20 years presented in overland flow pH 4.8 and EC 25 μS cm-1 (average 6 months), low loss of NO3- (0.2 μM) and PO43- (0.05 μM), and large range of variation of SO42- (0.7 to 21.5 μM). While Cl- and SO42- overland flow concentrations were affect by the rainfall variation, the increase of NO3- and PO43-concentrations were more related to the ecosystem management, with the first element responding to the presence of nitrogen-fixing species and the second responding to the burning practices. In summary: This study was efficient to characterize the hydrogeochemical of the overland flow and its relation to the altered ecosystems by Amazonian family farming.

Hydrogeochemical characterisation of groundwater in a small watershed in a discontinuous permafrost zone.

NASA Astrophysics Data System (ADS)

Cochand, Marion; Molson, John; Barth, Johannes A. C.; van Geldern, Robert; Lemieux, Jean-Michel; Fortier, Richard; Therrien, René

2017-04-01

Impacts of climate change can already be seen in northern regions. However, the influence of increasing temperature and permafrost degradation on groundwater dynamics is still poorly understood. This study aims to improve knowledge on hydrogeological interactions in degrading permafrost environments using hydrogeochemical characterisation of groundwater. This study is being conducted in a small 2-km2 watershed, in a discontinuous permafrost zone located close to the Inuit community of Umiujaq, on the eastern shore of Hudson Bay in northern Québec, Canada. Two aquifers are being investigated, an unconfined shallow sandy aquifer located in the upper part of the watershed, and a deeper confined aquifer in sands and gravels located below the permafrost mounds. Precipitation, stream and surface water as well as ice-rich permafrost lenses were also sampled during field investigations. Various hydrogeochemical tracers including major ions, water stable isotopes (δ18OH2O and δ2HH2O), carbon phases (DIC, DOC, POC), their stable carbon isotopes (δ13C) and dating tracers (radiocarbon, tritium-helium and CFC/SF6) were analyzed. This characterisation has contributed to further understanding groundwater origin, evolution and residence time in the watershed. Preliminary results show that groundwater has a mainly Ca-HCO3 geochemical signature, typical for young and poorly evolved water. Furthermore, sample mineralisation is low, and is likely linked to limited bedrock weathering caused by short residence times, slow reaction rates as well as low levels of dissolved CO2 due to suppressed biological activity in the catchment. Inter-annual variation of major ions in the deeper aquifer is low. All groundwater samples have significant tritium concentrations, around 8.5 TU, reflecting modern recharge. Ice-rich permafrost lenses within the top four meters of permafrost have a water stable isotope signature close to modern precipitation and groundwater. This indicates that either recharge conditions of permafrost ice were similar to current conditions, or freeze-thaw cycles have drawn modern water into the permafrost mounds. The stream appears to be fed by groundwater exfiltrating at the base of permafrost mounds in the lower part of the watershed. Linking this hydrogeochemical characterisation to groundwater and thermal modelling at the watershed and permafrost mound scales will improve our knowledge on hydrogeological interactions in degrading permafrost environments.

Hydrogeochemical analysis and evaluation of surface water quality of Pratapgarh district, Uttar Pradesh, India

NASA Astrophysics Data System (ADS)

Tiwari, Ashwani Kumar; Singh, Abhay Kumar; Singh, Amit Kumar; Singh, M. P.

2017-07-01

The hydrogeochemical study of surface water in Pratapgarh district has been carried out to assess the major ion chemistry and water quality for drinking and domestic purposes. For this purpose, twenty-five surface water samples were collected from river, ponds and canals and analysed for pH, electrical conductivity, total dissolved solids (TDS), turbidity, hardness, major cations (Ca2+, Mg2+, Na+ and K+), major anions (HCO3 -, F-, Cl-, NO3 -, SO4 2-) and dissolved silica concentration. The analytical results show mildly acidic to alkaline nature of surface water resources of Pratapgarh district. HCO3 - and Cl- are the dominant anions, while cation chemistry is dominated by Na+ and Ca2+. The statistical analysis and data plotted on the Piper diagram reveals that the surface water chemistry is mainly controlled by rock weathering with secondary contributions from agriculture and anthropogenic sources. Ca2+-Mg2+-HCO3 -, Ca2+-Mg2+-Cl- and Na+-HCO3 --Cl- are the dominant hydrogeochemical facies in the surface water of the area. For quality assessment, values of analysed parameters were compared with Indian and WHO water quality standards, which shows that the concentrations of TDS, F-, NO3 -, Na+, Mg2+ and total hardness are exceeding the desirable limits in some water samples. Water Quality Index (WQI) is one of the most effective tools to communicate information on the quality of any water body. The computed WQI values of Pratapgarh district surface water range from 28 to 198 with an average value of 82, and more than half of the study area is under excellent to good category.

Hydrogeochemical assessment of groundwater in Kashmir Valley, India

NASA Astrophysics Data System (ADS)

Jeelani, G. H.; Shah, Rouf Ahmad; Hussain, Aadil

2014-06-01

Groundwater samples ( n = 163) were collected across Kashmir Valley in 2010 to assess the hydrogeochemistry of the groundwater in shallow and deep aquifers and its suitability for domestic, agriculture, horticulture, and livestock purposes. The groundwater is generally alkaline in nature. The electrical conductivity (EC) which is an index to represent the total concentration of soluble salts in water was used to measure the salinity hazard to crops as it reflects the TDS in groundwater ranging from 97 to 1385 μS/cm, except one well in Sopore. The average concentration of major ions was higher in shallow aquifers than in deeper aquifers. In general, Ca2+ is the dominant cation and HCO the dominant anion. Ca-HCO3, Mg-HCO3, Ca-Mg-HCO3, Na-HCO3 were the dominant hydrogeochemical facies. High concentration of HCO3 and pH less than 8.8 clearly indicated that intense chemical weathering processes have taken place in the study area. The groundwater flow pattern in the area follows the local surface topography which not only modifies the hydrogeochemical facies but also controls their distribution. The groundwater in valley flows into four directions, i.e., SW-NE, NE-W, SE-NW and SE-NE directions. The results suggest that carbonate dissolution is the dominant source of major ions followed by silicate weathering and ion-exchange processes. The concentrations of all the major ions determined in the present study are within the permissible limits of WHO and BIS standards. The results of Total Hardness, SAR, Na%, Kelly Index, USDA classification, Magnesium absorption ratio, residual sodium carbonate, and PI suggested that groundwater is good for drinking, livestock, and irrigation purposes.

Water quality modeling based on landscape analysis: Importance of riparian hydrology

Treesearch

Thomas Grabs

2010-01-01

Several studies in high-latitude catchments have demonstrated the importance of near-stream riparian zones as hydrogeochemical hotspots with a substantial influence on stream chemistry. An adequate representation of the spatial variability of riparian-zone processes and characteristics is the key for modeling spatiotemporal variations of stream-water quality. This...

Modeling Radionuclide Decay Chain Migration Using HYDROGEOCHEM

NASA Astrophysics Data System (ADS)

Lin, T. C.; Tsai, C. H.; Lai, K. H.; Chen, J. S.

2014-12-01

Nuclear technology has been employed for energy production for several decades. Although people receive many benefits from nuclear energy, there are inevitably environmental pollutions as well as human health threats posed by the radioactive materials releases from nuclear waste disposed in geological repositories or accidental releases of radionuclides from nuclear facilities. Theoretical studies have been undertaken to understand the transport of radionuclides in subsurface environments because that the radionuclide transport in groundwater is one of the main pathway in exposure scenarios for the intake of radionuclides. The radionuclide transport in groundwater can be predicted using analytical solution as well as numerical models. In this study, we simulate the transport of the radionuclide decay chain using HYDROGEOCHEM. The simulated results are verified against the analytical solution available in the literature. Excellent agreements between the numerical simulation and the analytical are observed for a wide spectrum of concentration. HYDROGECHEM is a useful tool assessing the ecological and environmental impact of the accidental radionuclide releases such as the Fukushima nuclear disaster where multiple radionuclides leaked through the reactor, subsequently contaminating the local groundwater and ocean seawater in the vicinity of the nuclear plant.

Assessment of hydrogeochemical status of groundwater in a coastal region of Southeast coast of India

NASA Astrophysics Data System (ADS)

Chidambaram, S.; Sarathidasan, J.; Srinivasamoorthy, K.; Thivya, C.; Thilagavathi, R.; Prasanna, M. V.; Singaraja, C.; Nepolian, M.

2018-03-01

A study was conducted in a coastal region of Cuddalore district of Tamil Nadu, India, to identify the hydrogeochemical processes controlling the groundwater chemistry. The major geological units of the study area are sandstone, clay, alluvium, and laterite soils of Tertiary and Quaternary age. A total of 64 groundwater samples were measured for major ions and stable isotopes. Higher electrical conductivity values indicate the poor quality groundwater along the coastal region. Saline water intrusion mainly affects the hydrochemical composition of the aquifer water reflected by Na-Cl-type waters. Cl-/(Cl- + HCO3 -) ratio also indicates the mixing of fresh groundwater with saline water. The results of δD and δ18O analyses show that isotopic compositions of groundwater ranges from - 7.7 to - 2.1‰ for δ18O and from - 55.6 to - 18.5‰ for δD. Correlation and factor analysis were carried out to find the association of ions and to determine the major factors controlling the groundwater chemistry of the region. The study indicates that ion exchange, weathering, salt water intrusion along the coast, and anthropogenic impacts are the major controlling factors for the groundwater chemistry of the region.

Hydrogeochemical Analysis of an Overexploited Aquifer In Bangladesh Toward Managed Aquifer Recharge Project Implementation

NASA Astrophysics Data System (ADS)

Rahman, M. A.; Wiegand, B. A.; Pervin, M.; Sauter, M.

2012-12-01

In most parts of the upper Dupitila aquifer (Dhaka City, Bangladesh) the average groundwater depletion reaches 2-3 m/year due to increasing water demands of the growing population. To counteract overexploitation of the aquifer, a more sustainable water management is required. The analysis of the local water resources system suggests that Managed Aquifer Recharge (MAR) would help to restore groundwater resources to strengthen water supply of Dhaka City, e.g., by using collected urban monsoon runoff and excess surface water from rivers. To assess possible effects of surface water or rainwater injection on groundwater quality, a comprehensive hydrogeochemical survey of the Dupitila aquifer is required. This paper presents hydrogeochemical data to document the current status of groundwater quality and to evaluate potential groundwater pollution by mobilization of hazardous chemicals as a result of changes in the hydrochemical equilibria. We performed a comprehensive review of available secondary data sources and will present new results from hydrochemical and Sr isotope investigations of water samples that were conducted within this study. Currently, groundwater quality in the upper Dupitila aquifer is characterized by variations in the electrical conductivity in the range of 200 to 1100 μS/cm, which may indicate some anthropogenic contamination by leakage from waste disposal including the sewage network and from surface water infiltration into the groundwater aquifer. Dissolved oxygen concentrations range from 1.0 to 4.9 mg/L (average 2.5 mg/L) in the upper Dupitila aquifer, while the lower Dupilita aquifer shows dissolved oxygen concentrations in the range 0 to 0.7 mg/L. Concentrations of major ions show some variation primarily due to a sedimentologically/mineralogically heterogeneous aquifer composition (sand, gravel, clay horizons), but may also be affected by anthropogenic processes. The groundwater composition is predominated by Ca-Mg-HCO3 and saturation values with respect to calcite are between -0.1 and -2.0. Trace elements are generally below WHO and Bangladesh standard values, except for higher iron and manganese concentrations in some wells. Groundwater from the Dupitila aquifer is not contaminated by arsenic, but mobilisation of arsenic from the aquifer sediments may occur when iron (III) oxides are dissolved in the storage zone. Based on the evaluation of hydrogeochemical data the major challenges and uncertainties of a MAR project implementation in Dhaka City will be discussed.

Modeling the Hydrogeochemical Transport of Radionuclides through Engineered Barriers System in the Proposed LLW Disposal Site of Taiwan - 12082

DOE Office of Scientific and Technical Information (OSTI.GOV)

Lin, Wen-Sheng; Liu, Chen-Wuing; Tsao, Jui-Hsuan

2012-07-01

A proposed site for final disposal of low-level radioactive waste located in Daren Township of Taitung County along the southeastern coast has been on the selected list in Taiwan. The geology of the Daren site consists of argillite and meta-sedimentary rocks. A mined cavern design with a tunnel system of 500 m below the surface is proposed. Concrete is used as the main confinement material for the engineered barrier. To investigate the hydrogeochemical transport of radionuclides through engineered barriers system, HYDROGEOCHEM5.0 model was applied to simulate the complex chemical interactions among radionuclides, the cement minerals of the concrete, groundwater flow,more » and transport in the proposed site. The simulation results showed that the engineered barriers system with the side ditch efficiently drained the ground water and lowered the concentration of the concrete degradation induced species (e.g., hydrogen ion, sulfate, and chloride). The velocity of groundwater observed at side ditch gradually decreased with time due to the fouling of pore space by the mineral formation of ettringite and thaumasite. The short half-life of Co-60, Sr-90 and Cs-137 significantly reduced the concentrations, whereas the long half-life of I-129(1.57x10{sup 7} years) and Am-241(432 years) remain stable concentrations at the interface of waste canister and concrete barrier after 300 years. The mineral saturation index (SI) was much less than zero due to the low aqueous concentration of radionuclide, so that the precipitation formation of Co-60, Sr-90, I-129, Cs-137 and Am-241 related minerals were not found. The effect of adsorption/desorption (i.e., surface complexation model) could be a crucial geochemical mechanism for the modeling of liquid-solid phase behavior of radionuclide in geochemically dynamic environments. Moreover, the development of advanced numerical models that are coupled with hydrogeochemical transport and dose assessment of radionuclide is required in the future. (authors)« less

Performance of a Zerovalent Iron Reactive Barrier for the Treatment of Arsenic in Groundwater: Part 1. Hydrogeochemical Studies

EPA Science Inventory

Developments and improvements of remedial technologies are needed to effectively manage arsenic contamination in groundwater at hazardous waste sites. In June 2005, a 9.1 m long, 14 m deep, and 1.8 to 2.4 m wide (in the direction of groundwater flow) pilot-scale permeable reacti...

Hydrogeochemical signatures of catchment evolution - the role of calcium and sulphate release in the constructed Hühnerwasser ("Chicken Creek") catchment

NASA Astrophysics Data System (ADS)

Pohle, Ina; Hu, Yuzhu; Schaaf, Wolfgang; Gerwin, Werner; Hinz, Christoph

2016-04-01

The constructed Hühnerwasser ("Chicken Creek") catchment is an ecohydrological system in an initial state of development. The catchment with an area of 6 ha was built up from quaternary sediments in the post-mining landscape of Lusatia in Eastern Germany and serves as a critical zone observatory for detecting ecosystem transition. The soil substrate is characterized as sands to loamy sands with low carbonate contents but significant amounts of gypsum in the sediments of the catchment. The catchment undergoes a strong transition from an abiotic system in the initial years to a system with growing influence of biota. Concerning the hydrology, a regime shift from surface runoff to groundwater flow dominated processes is significant. It is of interest, whether the catchment transition is also reflected by hydrogeochemical indicators. We assume gypsum dissolution as dominant process at the catchment scale. In order to investigate the hydrogeochemical evolution of the catchment we analysed electric conductivity, calcium and sulphate concentrations and pH-values of biweekly composite samples from 2007-2013 of the atmospheric deposition, of runoff and soil water. The two observation points in the flowing water represent surface runoff and groundwater discharge respectively. Soil water has been analysed at four soil pits in three depths. The monitoring data were provided by the Research Platform Chicken Creek (https://www.tu-cottbus.de/projekte/en/oekosysteme/startseite.html). From the macroscopic data analysis we found an exponential decay of the electric conductivity, calcium and sulphate concentrations in the flowing waters and some of the soil pits. In the flowing water, the decrease slope of the electric conductivity and the calcium and sulphate concentrations is almost identical. The calcium / sulphate molar ratio as an indicator of gypsum dissolution is almost equal to one up to 2010, afterwards more calcium than sulphate is released. The pH-values in the flowing and soil water are generally higher than in the atmospheric deposition, they do show variabilites but no trend behaviour. The time series analyses showed that the interannual variability of the hydrogeochemical properties is less pronounced in the first years of ecosystem development than in the later years. This leads to the conclusion, that in the first years, gypsum dissolution is the major source for calcium and sulphate in the soil and the flowing waters. The increasing interannual variability and changes in the calcium / sulphate ratio in the later years might be interpreted as hydrogeochemical response to the development of vegetation and acidification due to the development of the rhizosphere.

Hydrogeochemical and Isotopic Indicators of Hydraulic Fracturing Flowback Fluids in Shallow Groundwater and Stream Water, derived from Dameigou Shale Gas Extraction in the Northern Qaidam Basin.

PubMed

Zheng, Zhaoxian; Zhang, Hongda; Chen, Zongyu; Li, Xufeng; Zhu, Pucheng; Cui, Xiaoshun

2017-06-06

Most of the shale gas production in northwest China is from continental shale. Identifying hydrogeochemical and isotopic indicators of toxic hydraulic fracturing flowback fluids (HFFF) has great significance in assessing the safety of drinking water from shallow groundwater and streamwater. Hydrogeochemical and isotopic data for HFFF from the Dameigou shale formations (Cl/Br ratio (1.81 × 10 -4 -6.52 × 10 -4 ), Ba/Sr (>0.2), δ 11 B (-10-1‰), and ε SW Sr (56-65, where ε SW Sr is the deviation of the 87 Sr/ 86 Sr ratio from that of seawater in parts per 10 4 )) were distinct from data for the background saline shallow groundwater and streamwater before fracturing. Mixing models indicated that inorganic elemental signatures (Br/Cl, Ba/Sr) and isotopic fingerprints (δ 11 B, ε SW Sr ) can be used to distinguish between HFFF and conventional oil-field brine in shallow groundwater and streamwater. These diagnostic indicators were applied to identify potential releases of HFFF into shallow groundwater and streamwater during fracturing, flowback and storage. The monitored time series data for shallow groundwater and streamwater exhibit no clear trends along mixing curves toward the HFFF end member, indicating that there is no detectable release occurring at present.

Hydrogeochemical assessment of mine-impacted water and sediment of iron ore mining

NASA Astrophysics Data System (ADS)

Nur Atirah Affandi, Fatin; Kusin, Faradiella Mohd; Aqilah Sulong, Nur; Madzin, Zafira

2018-04-01

This study was carried out to evaluate the hydrogeochemical behaviour of mine-impacted water and sediment of a former iron ore mining area. Sampling of mine water and sediment were carried out at selected locations within the mine including the former mining ponds, mine tailings and the nearby stream. The water samples were analysed for their hydrochemical facies, major and trace elements including heavy metals. The water in the mining ponds and the mine tailings was characterised as highly acidic (pH 2.54-3.07), but has near-neutral pH in the nearby stream. Results indicated that Fe and Mn in water have exceeded the recommended guidelines values and was also supported by the results of geochemical modelling. The results also indicated that sediments in the mining area were contaminated with Cd and As as shown by the potential ecological risk index values. The total risk index of heavy metals in the sediment were ranked in the order of Cd>As>Pb>Cu>Zn>Cr. Overall, the extent of potential ecological risks of the mining area were categorised as having low to moderate ecological risk.

Introduction to the hydrogeochemical investigations within the International Stripa Project

USGS Publications Warehouse

Nordstrom, D. Kirk; Olsson, T.; Carlsson, L.; Fritz, P.

1989-01-01

The International Stripa Project (1980-1990) has sponsored hydrogeochemical investigations at several subsurface drillholes in the granitic portion of an abandoned iron ore mine, central Sweden. The purpose has been to advance our understanding of geochemical processes in crystalline bedrock that may affect the safety assessment of high-level radioactive waste repositories. More than a dozen investigators have collected close to a thousand water and gas samples for chemical and isotopic analyses to develop concepts for the behavior of solutes in a granitic repository environment. The Stripa granite is highly radioactive and has provided an exceptional opportunity to study the behavior of natural radionuclides, especially subsurface production. Extensive microfracturing, low permeability with isolated fracture zones of high permeability, unusual water chemistry, and a typical granitic mineral assemblage with thin veins and fracture coatings of calcite, chlorite, seriate, epidote and quartz characterize the site. Preliminary groundwater flow modeling indicates that the mine has perturbed the flow environment to a depth of about 3 km and may have induced deep groundwaters to flow into the mine. ?? 1989.

Deep formation waters of Western Europe, Russia and North America characterised by sodium, calcium, magnesium and chloride concentrations

NASA Astrophysics Data System (ADS)

Bozau, Elke; Hemme, Christina; Sattler, Carl-Diedrich; van Berk, Wolfgang

2015-04-01

Deep formation water can be classified according to depth, temperature, and salinity (e.g., Graf et al. 1966, Kharaka & Hanor 2007). Most of the deep formation waters contain dissolved solids in excess of sea water. The hydrogeochemical development of formation water has been discussed for a long time. It is widely accepted that deep aquifers are influenced by the meteoric cycle and geochemical processes within the crust (e.g., Hebig et al. 2012). Similar hydrogeochemical signatures are found in deep formation waters of all continents and can be explained by general geochemical processes within the deep reservoirs (e.g., Land 1995). Therefore, data of deep formation waters from Western Europe, Russia, and North America are collected and classified by the major water components. The data are used to identify important hydrogeochemical processes (e.g., halite dissolution and albitisation) leading to different compositions of formation water. Two significant water types are identified: Na-Cl water and Na-Ca-Cl water. Based on the collected hydrogeochemical data, development trends are stated for the formation waters, and albitisation is favoured as the main process for calcium enrichment. Furthermore, differences of formation water according to stratigraphical units are shown for deep reservoirs of the North German Basin and the North Sea. References: Graf, D.L., 1982. Chemical osmosis, reverse chemical osmosis, and the origin of subsurface brines. Geochimica Cosmochimica Acta 46, 1431-1448. Hebig, K.H., Ito, N., Scheytt, T., Marui, A., 2012. Review: Deep groundwater research with focus on Germany. Hydrogeology Journal 20, 227-243. Kharaka, Y.K., Hanor, J.S., 2007. Deep fluids in continents: I. Sedimentary Basins. Treatise on Geochemistry 5, 1-48. Land, L.S., 1995. The role of saline formation water in the crustal cycling. Aquatic Geochemistry 1, 137-145. Acknowledgements: The presented data are results of the collaborative research program "gebo" (Geothermal energy and high performance drilling), financed by the Ministry of Science and Culture of the Federal State of Lower Saxony and industry partner Baker Hughes Celle.

Hydrogeochemical Investigations of Historic Mining Districts, Central Western Slope of Colorado, Including Influence on Surface-Water Quality

USGS Publications Warehouse

Nash, J. Thomas

2002-01-01

This report describes reconnaissance hydrogeochemical investigations of 22 mining districts on the Western Slope of Colorado in the Gunnison and Uncompahgre National Forests and adjacent public lands administered by the Bureau of Land Management. Sources and fates of contaminants from historic mines, mine waste, and mill tailings are interpreted from chemical analyses for 190 samples of surface waters; 185 samples of mined rocks, mill tailings, and altered rocks; and passive leach analyses of 116 samples of those mineralized materials. Short reaches of several headwater streams show relatively low level effects of historic mining; the headwaters of the Uncompahgre River are highly contaminated by mines and unmined altered rocks in the Red Mountain district. There is encouraging evidence that natural processes attenuate mine-related contamination in most districts.

Spring water quality and usability in the Mount Cameroon area revealed by hydrogeochemistry.

PubMed

Ako, Andrew Ako; Shimada, Jun; Hosono, Takahiro; Kagabu, Makoto; Ayuk, Akoachere Richard; Nkeng, George Elambo; Eyong, Gloria Eneke Takem; Fouepe Takounjou, Alain L

2012-10-01

Groundwater is the only reliable water resource for drinking, domestic, and agricultural purposes for the people living in the Mount Cameroon area. Hydrogeochemical and R-mode factor analysis were used to identify hydrogeochemical processes controlling spring water quality and assess its usability for the above uses. Main water types in the study area are Ca-Mg-HCO(3) and Na-HCO(3). This study reveals that three processes are controlling the spring water quality. CO(2)-driven silicate weathering and reverse cation exchange are the most important processes affecting the hydrochemistry of the spring waters. While tropical oceanic monsoon chloride-rich/sulfate-rich rainwater seems to affect spring water chemistry at low-altitude areas, strong correlations exist between major ions, dissolved silica and the altitude of springs. In general, the spring waters are suitable for drinking and domestic uses. Total hardness (TH) values indicate a general softness of the waters, which is linked to the development of cardiovascular diseases. Based on Na %, residual sodium carbonate, sodium adsorption ratio, and the USSL classification, the spring waters are considered suitable for irrigation. Though there is wide spread use of chemical fertilizers and intense urban settlements at the lower flanks of the volcano, anthropogenic activities for now seem to have little impact on the spring water quality.

Mobilisation processes responsible for iron and manganese contamination of groundwater in Central Adriatic Italy.

PubMed

Palmucci, William; Rusi, Sergio; Di Curzio, Diego

2016-06-01

Iron and manganese are two of the most common contaminants that exceed the threshold imposed by international and national legislation. When these contamination occurs in groundwater, the use of the water resource is forbidden for any purposes. Several studies investigated these two metals in groundwater, but research focused in the Central Adriatic area are still lacking. Thus, the objective of this study is to identify the origin of Fe and Mn contamination in groundwater and the hydrogeochemical processes that can enrich aquifers with these metals. This work is based on hydrogeochemical and multivariate statistical analysis of analytical results undertaken on soils and groundwater. Fe and Mn contamination are widespread in the alluvial aquifers, and their distribution is regulated by local conditions (i.e. long residence time, presence of peat or organic-rich fine sediments or anthropic pollution) that control redox processes in the aquifers and favour the mobilisation of these two metals in groundwater. The concentration of iron and manganese identified within soil indicates that the latter are a concrete source of the two metals. Anthropic impact on Fe and Mn contamination of groundwater is not related to agricultural activities, but on the contrary, the contribution of hydrocarbons (e.g. spills) is evident.

Hydrologic functioning of the deep Critical Zone and contributions to streamflow in a high elevation catchment: testing of multiple conceptual models

NASA Astrophysics Data System (ADS)

Dwivedi, R.; Meixner, T.; McIntosh, J. C.; Ferre, T. P. A.; Eastoe, C. J.; Minor, R. L.; Barron-Gafford, G.; Chorover, J.

2017-12-01

The composition of natural mountainous waters maintains important control over the water quality available to downstream users. Furthermore, the geochemical constituents of stream water in the mountainous catchments represent the result of the spatial and temporal evolution of critical zone structure and processes. A key problem is that high elevation catchments involve rugged terrain and are subject to extreme climate and landscape gradients; therefore, high density or high spatial resolution hydro-geochemical observations are rare. Despite such difficulties, the Santa Catalina Mountains Critical Zone Observatory (SCM-CZO), Tucson, AZ, generates long-term hydrogeochemical data for understanding not only hydrological processes and their seasonal characters, but also the geochemical impacts of such processes on streamflow chemical composition. Using existing instrumentation and hydrogeochemical observations from the last 9+ years (2009 through 2016 and an initial part of 2017), we employed a multi-tracer approach along with principal component analysis to identify water sources and their seasonal character. We used our results to inform hydrological process understanding (flow paths, residence times, and water sources) for our study site. Our results indicate that soil water is the largest contributor to streamflow, which is ephemeral in nature. Although a 3-dimensional mixing space involving precipitation, soil water, interflow, and deep groundwater end-members could explain most of the streamflow chemistry, geochemical complexity was observed to grow with catchment storage. In terms of processes and their seasonal character, we found soil water and interflow were the primary end-member contributors to streamflow in all seasons. Deep groundwater only contributes to streamflow at high catchment storage conditions, but it provides major ions such as Na, Mg, and Ca that are lacking in other water types. In this way, our results indicate that any future efforts aimed at explaining concentration-discharge behavior of our field site should consider at least three-dimensional mixing space or 4 end-members.

Geochemical evolution of groundwater salinity at basin scale: a case study from Datong basin, Northern China.

PubMed

Wu, Ya; Wang, Yanxin

2014-05-01

A hydrogeochemical investigation using integrated methods of stable isotopes ((18)O, (2)H), (87)Sr/(86)Sr ratios, Cl/Br ratios, chloride-mass balance, mass balance and hydrogeochemical modeling was conducted to interpret the geochemical evolution of groundwater salinity in Datong basin, northern China. The δ(2)H, δ(18)O ratios in precipitation exhibited a local meteoric water line of δ(2)H = 6.4 δ(18)O -5 (R(2) = 0.94), while those in groundwater suggested their meteoric origin in a historically colder climatic regime with a speculated recharge rate of less than 20.5 mm overall per year, in addition to recharge from a component of deep residual ancient lake water enriched with Br. According to the Sr isotope binary mixing model, the mixing of recharges from the Shentou karst springs (24%), the western margins (11%) and the eastern margins (65%) accounts for the groundwater from the deep aquifers of the down-gradient parts in the central basin is a possible mixing mechanism. In Datong, hydrolysis of silicate minerals is the most important hydrogeochemical process responsible for groundwater chemistry, in addition to dissolution of carbonate and evaporites. In the recharge areas, silicate chemical weathering is typically at the bisiallitization stage, while that in the central basin is mostly at the monosiallitization stage with limited evidence of being in equilibrium with gibbsite. Na exchange with bound Ca, Mg prevails at basin scale, and intensifies with groundwater salinity, while Ca, Mg exchange with bound Na locally occurs in the east pluvial and alluvial plains. Although groundwater salinity increases with the progress of water-rock/sediment interactions along the flow path, as a result of carbonate solubility control and continuous evapotranspiration, Na-HCO3 and Na-Cl-SO4 types of water are usually characterized respectively in the deep and the shallow aquifers of an inland basin with a silicate terrain in an arid climatic regime.

River-spring connectivity and hydrogeochemical interactions in a shallow fractured rock formation. The case study of Fuensanta river valley (Southern Spain)

NASA Astrophysics Data System (ADS)

Barberá, J. A.; Andreo, B.

2017-04-01

In upland catchments, the hydrology and hydrochemistry of streams are largely influenced by groundwater inflows, at both regional and local scale. However, reverse conditions (groundwater dynamics conditioned by surface water interferences), although less described, may also occur. In this research, the local river-spring connectivity and induced hydrogeochemical interactions in intensely folded, fractured and layered Cretaceous marls and marly-limestones (Fuensanta river valley, S Spain) are discussed based on field observations, tracer tests and hydrodynamic and hydrochemical data. The differential flow measurements and tracing experiments performed in the Fuensanta river permitted us to quantify the surface water losses and to verify its direct hydraulic connection with the Fuensanta spring. The numerical simulations of tracer breakthrough curves suggest the existence of a groundwater flow system through well-connected master and tributary fractures, with fast and multi-source flow components. Furthermore, the multivariate statistical analysis conducted using chemical data from the sampled waters, the geochemical study of water-rock interactions and the proposed water mixing approach allowed the spatial characterization of the chemistry of the springs and river/stream waters draining low permeable Cretaceous formations. Results corroborated that the mixing of surface waters, as well as calcite dissolution and CO2 dissolution/exsolution, are the main geochemical processes constraining Fuensanta spring hydrochemistry. The estimated contribution of the tributary surface waters to the spring flow during the research period was approximately 26-53% (Fuensanta river) and 47-74% (Convento stream), being predominant the first component during high flow and the second one during the dry season. The identification of secondary geochemical processes (dolomite and gypsum dissolution and dedolomitization) in Fuensanta spring waters evidences the induced hydrogeochemical changes resulting from the allogenic recharge. This research highlights the usefulness of an integrated approach based on river and spring flow examination, dye tracing interpretation and regression and multivariate statistical analysis using hydrochemical data for surface water-groundwater interaction assessment in fractured complex environments worldwide, whose implementation becomes critical for an appropriate groundwater policy.

Surface-ground water interactions and hydrogeochemical evolution in a fluvio-deltaic setting: The case study of the Pinios River delta

NASA Astrophysics Data System (ADS)

Matiatos, Ioannis; Paraskevopoulou, Vasiliki; Lazogiannis, Konstantinos; Botsou, Fotini; Dassenakis, Manos; Ghionis, George; Alexopoulos, John D.; Poulos, Serafim E.

2018-06-01

River deltas sustain important ecosystems with rich biodiversity and large biomass, as well as human populations via the availability of water and food sources. Anthropogenic activities, such as urbanization, tourism and agriculture, may pose threats to river deltas. The knowledge of the factors controlling the regional water quality regime in these areas is important for planning sustainable use and management of the water resources. Here, hydrochemical methods and multivariate statistical techniques were combined to investigate the shallow aquifer of the Pinios River (Thessaly) deltaic plain with respect to water quality, hydrogeochemical evolution and interactions between groundwater and surface water bodies. Water quality assessment indicated that most of the river and groundwater samples fully comply with the criteria set by the Drinking Water Directive (98/83/EC). The river is recharged mainly from springs of the Tempi valley and the shallow aquifer, and to a lesser degree from precipitation, throughout the year. The hydrogeochemical characteristics indicated a cation (Ca, Mg, and Na) bicarbonate water type, which evolves to calcium-chloride, sodium-bicarbonate and sodium-chloride water type, in the northern part of the delta. Calcite and dolomite dissolution determined the major ion chemistry, but other processes, such as silicate weathering and cation exchange reactions, also contributed. In the northern part of the plain, the interaction with the deeper aquifer enriched the shallow aquifer with Na and Cl ions. Principal Component Analysis showed that five components (PCs) explain 77% of the total variance of water quality parameters; these are: (1) salinity; (2) water-silicate rocks interaction; (3) hardness due to calcite dissolution, and cation exchange processes; (4) nitrogen pollution; and (5) non-N-related artificial fertilizers. This study demonstrated that the variation of water hydrochemistry in the deltaic plain could be attributed to natural and anthropogenic processes. The interpretation of the PCA results dictated the parameters used for the development of a modified Water Quality Index (WQI), to provide a more comprehensive spatial representation of the water quality of the river delta.

Factors controlling groundwater quality in the Yeonjegu District of Busan City, Korea, using the hydrogeochemical processes and fuzzy GIS.

PubMed

Venkatramanan, Senapathi; Chung, Sang Yong; Selvam, Sekar; Lee, Seung Yeop; Elzain, Hussam Eldin

2017-10-01

The hydrogeochemical processes and fuzzy GIS techniques were used to evaluate the groundwater quality in the Yeonjegu district of Busan Metropolitan City, Korea. The highest concentrations of major ions were mainly related to the local geology. The seawater intrusion into the river water and municipal contaminants were secondary contamination sources of groundwater in the study area. Factor analysis represented the contamination sources of the mineral dissolution of the host rocks and domestic influences. The Gibbs plot exhibited that the major ions were derived from the rock weathering condition. Piper's trilinear diagram showed that the groundwater quality was classified into five types of CaHCO 3 , NaHCO 3 , NaCl, CaCl 2 , and CaSO 4 types in that order. The ionic relationship and the saturation mineral index of the ions indicated that the evaporation, dissolution, and precipitation processes controlled the groundwater chemistry. The fuzzy GIS map showed that highly contaminated groundwater occurred in the northeastern and the central parts and that the groundwater of medium quality appeared in most parts of the study area. It suggested that the groundwater quality of the study area was influenced by local geology, seawater intrusion, and municipal contaminants. This research clearly demonstrated that the geochemical analyses and fuzzy GIS method were very useful to identify the contaminant sources and the location of good groundwater quality.

Hydrogeochemical and isotopic studies of groundwater in the middle voltaian aquifers of the Gushegu district of the Northern region

NASA Astrophysics Data System (ADS)

Salifu, Musah; Yidana, Sandow Mark; Anim-Gyampo, Maxwell; Appenteng, Michael; Saka, David; Aidoo, Felix; Gampson, Enoch; Sarfo, Mark

2017-06-01

This work is to establish the hydrochemistry and origin of groundwater in some parts of the Gushegu district of the Northern Region of Ghana. Hydrochemical data from 19 groundwater and 7 rock samples have been used to evaluate water quality, water types, and sources of various ions as well as origin of the groundwater. The study results show that the quality of groundwater from the area is generally not good due to their fluoride (F-), bicarbonate (HCO3 -) and electrical conductivity (EC) concentrations. The F- contents of the groundwater have values as high as 1.97 mg/L, with 53 % of the groundwater having concentrations of F- exceeding the WHO recommended allowable limits. These high F- values have the potential of causing serious health problems such as kidney failure, dental and skeletal fluorosis, reproductive problem and reduction in intelligent quotient of consumers. A plot of Gibbs diagram reveals that rock weathering and precipitation are the major hydrogeochemical processes regulating the water chemistry of the study area. Petrographic thin-section analyses of rock samples identify minerals present to be muscovite, plagioclase feldspars, quartz, sericite and iron oxide. Stable isotope (18O and 2H) composition of the waters reveals that most of the groundwater is likely to be recharged from local precipitation, indicating their meteoric origin. Some samples, however, showed considerable evaporation.

Hydrogeochemical characterization and groundwater quality assessment in intruded coastal brine aquifers (Laizhou Bay, China).

PubMed

Zhang, Xiaoying; Miao, Jinjie; Hu, Bill X; Liu, Hongwei; Zhang, Hanxiong; Ma, Zhen

2017-09-01

The aquifer in the coastal area of the Laizhou Bay is affected by salinization processes related to intense groundwater exploitation for brine resource and for agriculture irrigation during the last three decades. As a result, the dynamic balances among freshwater, brine, and seawater have been disturbed and the quality of groundwater has deteriorated. To fully understand the groundwater chemical distribution and evolution in the regional aquifers, hydrogeochemical and isotopic studies have been conducted based on the water samples from 102 observation wells. Groundwater levels and salinities in four monitoring wells are as well measured to inspect the general groundwater flow and chemical patterns and seasonal variations. Chemical components such as Na + , K + , Ca 2+ , Mg 2+ , Sr 2+ , Cl - , SO 4 2- , HCO 3 - , NO 3 - , F - , and TDS during the same period are analyzed to explore geochemical evolution, water-rock interactions, sources of salt, nitrate, and fluoride pollution in fresh, brackish, saline, and brine waters. The decreased water levels without typical seasonal variation in the southeast of the study area confirm an over-exploitation of groundwater. The hydrogeochemical characteristics indicate fresh-saline-brine-saline transition pattern from inland to coast where evaporation is a vital factor to control the chemical evolution. The cation exchange processes are occurred at fresh-saline interfaces of mixtures along the hydraulic gradient. Meanwhile, isotopic data indicate that the brine in aquifers was either originated from older meteoric water with mineral dissolution and evaporation or repeatedly evaporation of retained seawater with fresher water recharge and mixing in geological time. Groundwater suitability for drinking is further evaluated according to water quality standard of China. Results reveal high risks of nitrate and fluoride contamination. The elevated nitrate concentration of 560 mg/L, which as high as 28 times of the standard content in drinking water is identified in the south region. In addition, the nitrate and ammonia data of the Wei River suggests decreasing nitrification rate in the study area from inland to estuary. High fluoride concentration, larger than 1 mg/L, is also detected in an area of about 50% of the study region. The saltwater intrusion is analyzed to be responsible for part of dissolution of minerals containing fluoride. Therefore, water treatment before drinking is needed in urgent to reduce the health expose risk.

Hydrogeochemical survey of groundwater for selected areas in the Arabian Shield and in cover rocks, Kingdom of Saudi Arabia

USGS Publications Warehouse

McHugh, John B.; Miller, W. Roger

1989-01-01

In the spring of 1984, a hydrogeochemical survey was conducted in the Kingdom of Saudi Arabia to test ground water as a sampling medium in exploration for mineral deposits. Eighty-one water samples (mostly from wells) were collected. The samples were analysed for the presence and concentration of major cations and anions, as well as a suite of trace elements. Most of the water samples contained high concentrations of dissolved salts. The majority of the samples showed no significant amounts of the trace elements. A few well-water samples contained moderately anomalous concentrations of zinc, molybdenum, and uranium. These anomalies could be due to salinity effects, contamination, or the proximity of mineral sources. This survey has established some baseline water-chemistry data, especially for the trace metals, which to date have not been reported in ground water in the Kingdom of Saudi Arabia.

Importance of hydrogeochemical processes in the coastal wetlands: A case study from Edremit-Dalyan coastal wetland, Balıkesir-Turkey

NASA Astrophysics Data System (ADS)

Somay, Melis A.

2016-11-01

Investigating the hydrogeochemical properties of wetlands allow us to protect them in a sustainable fashion in global scale. Edremit-Dalyan coastal wetland (EDCW) is located in southern part of Biga Peninsula (Mount Ida) which is the most important eco-tourism center in Turkey. Water sampling was done from the hydrologic basin of coastal wetland that consists of a geothermal site, ore deposits area, treatment facility area and olive tree breeding area. EC values of wetland vary between 440 and 2190 μS/cm and water type shows a shift from CaHCO3 to NaClSO4. Al, As, Cd, Cu, Fe, Pb and Zn concentrations exceed the tolerance limits in wetland area probably due to ore deposits around the Edremit Plain. Concentrations of As are high in wetland area exceeding both aquatic life and drinking water As standards of 10 μg/L by as much as 3 times are observed. The dominant As species is As (III). For the living organisms, this situation can be dangerous. Oxygen-18 and deuterium composition of the samples between -7.18 and -6.13‰, and between -42.6 and -34.4‰, respectively in the study area and all the waters are of meteoric origin. Oxygen-18 enrichment can be observed around Derman and coastal zone due to the geothermal activity and evaporation, respectively.

Hydrogeochemical investigation of groundwater in shallow coastal aquifer of Khulna District, Bangladesh

NASA Astrophysics Data System (ADS)

Islam, S. M. Didar-Ul; Bhuiyan, Mohammad Amir Hossain; Rume, Tanjena; Azam, Gausul

2017-12-01

Groundwater acts as a lifeline in the coastal regions to meet out the domestic, drinking, irrigational and industrial needs. To investigate the hydrogeochemical characteristics of groundwater and its suitability, twenty samples were collected from the shallow tubewells of study area having screen depth 21-54 m. The water quality assessment has been carried out by evaluating the physicochemical parameters such as temperature, pH, EC, TDS and major ions i.e., Na+, K+, Ca2+, Mg2+, Cl-, SO4 2-, NO3 -, HCO3 -. Results found that, the water is slightly alkaline and brackish in nature. The trends of cations and anions are Na+ > Ca2+ > Mg2+ > K+ and Cl- > HCO3 - > SO4 2- > NO3 -, respectively and Na-Cl-HCO3 is the dominant groundwater type. The analyzed samples were also characterized with different indices, diagram and permissible limit i.e., electric conductivity (EC), total dissolved solids (TDS), chloride content (Cl), soluble sodium percentage (SSP), sodium adsorption ratio (SAR), residual sodium carbonate (RSC), magnesium adsorption ratio (MAR), Kelley's ratio (KR), Wilcox diagram and USSL diagram, and results showed that groundwater are not suitable for drinking and irrigational use. The factors responsible for the geochemical characterization were also attempted by using standard plot and it was found that mixing of seawater with entrapped water plays a significant role in the study area.

Hydrogeochemical processes and impact of tanning industries on groundwater quality in Ambur, Vellore district, Tamil Nadu, India.

PubMed

Kanagaraj, G; Elango, L

2016-12-01

The present study was carried out to determine the hydrogeochemical processes and the impact of tanning industries on groundwater in Ambur, Vellore district, Tamil Nadu, India. Thirty groundwater samples were collected during pre monsoon (July 2015) and post monsoon (January 2016) from the open and shallow wells around this region and were analyzed for major ions and chromium. The major ion concentration follows the order of Na + > Ca 2+ > Mg 2+ > K + (cations) and Cl - > HCO 3 - > SO 4 2- > NO 3 - (anions) for both seasons. The high concentrations of Na + , Cl - , and Cr around the tannery regions indicate the impact of effluent discharged from tannery units. In general, the groundwater of this study area is of Na + -Cl - type, which is due to the mixing of tannery effluent and cation exchange process. Ionic ratio indicates that the silicate weathering influences the groundwater chemistry. The permissible limit of chromium in the groundwater exceeds in over 50 % of the sampling wells. The factor analysis reveals that the dominant source for ionic contents is due to tannery effluents and cation exchange processes. To overcome this situation, it is essential to improve the performance of the effluent treatment plants so as to remove the salinity of wastewater and to plan for rainfall recharge structures for improving the groundwater recharge.

Rainfall Control of Karst Solution and the Inter/Intra Annual Hydrogeochemical Evolution of Cave Dripwater: A Long-term, Site-specific Study, Soreq Cave, Israel

NASA Astrophysics Data System (ADS)

Burstyn, Yuval; Bar-Matthews, Miryam; Ayalon, Avner; Matthews, Alan

2016-04-01

Speleothem laminae preserve climate information transferred to the cave via dripwater. High spatial resolution methods allow in situ measurement of geochemical and isotopic proxies at seasonal resolution. Existing hydrogeochemical calibration models suggest that high rainfall inhibits karst water chemical evolution, resulting in low δ 18O values, and low Mg/Ca and Sr/Ca ratios that are not necessarily correlated. Drought periods display opposite chemical behaviour owing to lower infiltration rates and increased Prior Calcite Precipitation (PCP). This study aims to provide a site-specific, high-resolution hydrogeochemical calibration for the Soreq Cave. We examine four sites that were continuously sampled since 1990. Four main rainfall conditions are characterized: very wet years, average, drought and very dry years. Two sites are fed by 'fast drips', which only become active after ˜ 250mm rainfall has accumulated since the beginning of the winter season. Two sites, located deeper in the cave, are fed by 'slow drips' that are active all year round. Drip rate measurements identify two main reservoirs - fissure and matrix - that mainly differ in residence time. The δ 18O of fissure water is closer to that of mean annual rainfall (˜ -6 ‰VSMOW), while matrix values are higher (˜ -3.5 ‰VSMOW). Two main Sr and Mg sources are identified - dolomitic bedrock (Mg/Ca ˜ 700 mM/M, Sr/Ca ˜ 0.4 mM/M) and soil leachate (Mg/Ca ˜ 300 mM/M, Sr/Ca ˜ 1.1 mM/M). Most cave dripwater evolves from ˜ 1:1 soil-bedrock solution. PCP effect on dripwater solution at each site is estimated by comparing the ln(Mg/Ca) vs ln(Sr/Ca) linear slope to the PCP slope calculated using cave specific D(Mg) and D(Sr). Soreq Cave PCP slope is similar to the global slope of 0.88± 0.13. The composition and chemical evolution of each reservoir and its contribution to water influx at each site is primarily governed by annual effective infiltration. Higher seasonal amplitude in δ 18O, Mg/Ca and Sr/Ca in all sites is positively correlated to increase in rainfall. For the deeper site, with rock cover of >40 m, the `classic' wet-dry model can be applied - more soil input and less PCP in the wetter years and vice-versa. Conversely, in the shallower sites, high PCP is observed in wetter years. Results from this study are compared with high-resolution δ 18O and trace element records of modern speleothems (age ˜ 20y). The speleothem from the deeper site shows a good match with the hydrogeochemical data, thus supporting the applicability of the model to palaeoclimate studies. However, the speleothem from the shallow site shows a strong winter bias, which may be due to complete secession of summer drip during dry years (micro-hiatuses), or during wetter years, considerable winter calcite precipitation resulting in minimal summer imprint on each seasonal lamina. We plan to analyse a fast growing modern sample from the shallow site to resolve this seasonal bias. Therefore, contemporaneous speleothem records from different sites can be utilized to estimate past changes in annual and decadal effective infiltration, allowing evaluation of water availability in the region during periods of rapid climate change. [1] Orland, I.J. et al. 2014. Chemical Geology, v. 363, p. 322-333.

Geochemical features of the ore-bearing medium in uranium deposits in the Khiagda ore field

NASA Astrophysics Data System (ADS)

Kochkin, B. T.; Solodov, I. N.; Ganina, N. I.; Rekun, M. L.; Tarasov, N. N.; Shugina, G. A.; Shulik, L. S.

2017-09-01

The Neogene uranium deposits of the Khiagda ore field (KOF) belong to the paleovalley variety of the hydrogene type and differ from other deposits of this genetic type in the geological and geochemical localization conditions. The contemporary hydrogeochemical setting and microbiological composition of ore-bearing medium are discussed. The redox potential of the medium (Eh is as low as-400 mV) is much lower than those established at other hydrogenic deposits, both ancient Late Mesozoic and young Late Alpine, studied with the same methods in Russia, Uzbekistan, and southern Kazakhstan. The pH of subsurface water (6.86-8.13) differs in significant fluctuations both between neighboring deposits and within individual ore lodes. Hydrogen-forming and denitrifying bacteria are predominant in microbiological populations, whereas sulfate-reducing bacteria are low-active. The consideration of these factors allowed us to describe the mechanism of uranium ore conservation as resulting from the development of the cryolithic zone, which isolates ore lodes from the effect of the external medium. Carbonated water supplied from the basement along fault zones also participates in the formation of the present-day hydrogeochemical setting. Based on the features of the ore-bearing medium, we propose a method of borehole in situ acid leaching to increase the efficiency of mining in the Khiagda ore field.

Chemical and isotopic evidence for hydrogeochemical processes occurring in the Lincolnshire Limestone

NASA Astrophysics Data System (ADS)

Bishop, Philip K.; Lloyd, John W.

1990-12-01

Over 150 groundwater samples from the Lincolnshire Limestone have been analysed for pH, major ions and δ 13C ratios. Where possible, field E h and iodide concentrations were measured and methane concentrations were determined for 12 samples. Stable isotope ratios were determined for soil and rock carbonate samples. A system of zonation allows the division of hydrogeochemical processes occurring in the aquifer. The use of hydrochemical and isotope data in modelling exercises enables the re-evaluation and possible enhancement of the understanding of hydrogeochemical processes. The carbonate chemistry of outcrop groundwaters is explained by calcite saturation being achieved under open-system conditions in the soil zone. δ 13C ratios in the range - 15.99 to - 10.57‰ may be generated from a stoichiometric reaction with possible additional partial and/or simultaneous exchange with soil CO 2 or carbonate. The isotopic composition of soil carbonate shows the effects of precipitation from soil waters. The incongruent dissolution of primary depositional limestone carbonate results in increasing magnesium and strontium concentrations and increasing δ 13C ratios for the groundwaters with flow down the hydraulic gradient. As a result of incongruent dissolution, secondary calcite may be precipitated onto fissure surfaces. Significant nitrate and sulphate reduction in non-saline groundwaters is not supported by the results of hydrochemical and isotope modelling exercises. However, sulphate reduction and methane fermentation may be affecting the isotopic and chemical compositions of saline groundwaters. Sodium-calcium ion exchange leads to limited calcite dissolution deep in the aquifer, but the evolution of these groundwaters is confused by the uncertain effects of oxidation of organic carbon and mixing with a saline end-member solution.

Uranium hydrogeochemical and stream sediment reconnaissance of the Philip Smith Mountains NTMS quadrangle, Alaska

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1981-09-01

Results of a hydrogeochemical and stream sediment reconnaissance of the Philip Smith Mountains NTMS quadrangle, Alaska are presented. In addition to this abbreviated data release, more complete data are available to the public in machine-readable form. In this data release are location data, field analyses, and laboratory analyses of several different sample media. For the sake of brevity, many field site observations have not been included in this volume. These data are, however, available on the magnetic tape. Appendices A and B describe the sample media and summarize the analytical results for each medium. The data were subsetted by onemore » of the Los Alamos National Laboratory (LANL) sorting programs into groups of stream sediment and lake sediment samples. For each group which contains a sufficient number of observations, statistical tables, tables of raw data, and 1:1000000 scale maps of pertinent elements have been included in this report.« less

Provenance and fate of arsenic and other solutes in the Chaco-Pampean Plain of the Andean foreland, Argentina: From perspectives of hydrogeochemical modeling and regional tectonic setting

NASA Astrophysics Data System (ADS)

Raychowdhury, Nilasree; Mukherjee, Abhijit; Bhattacharya, Prosun; Johannesson, Karen; Bundschuh, Jochen; Sifuentes, Gabriela Bejarano; Nordberg, Erika; Martin, Raúl A.; Storniolo, Angel del Rosario

2014-10-01

Extensive arsenic (As) enriched groundwater is known to occur in the aquifers of the Chaco-Pampean Plain of Argentina. Previous studies speculated that the As mobilization in these groundwaters was a direct result of their elevated pH and oxidative conditions. The volcanic glass layers present in the aquifer matrix were hypothesized as one of the possible sources of As to the groundwaters. Here, we examine the groundwater chemistry of the Santiago del Estero province of Chaco-Pampean Plains of Argentina, and test these hypotheses by using hydrogeochemical modeling within the framework of the regional geologic-tectonic setting. The study area is located in the active foreland of the Andean orogenic belt, which forms a continental arc setting, and is dotted with several hot springs. Rhyolitic volcanic glass fragments derived from arc volcanism are abundant within the aeolian-fluvial aquifer sediments, and are related to the paleo-igneous extrusion in the vicinity. Hydrogeochemical analyses show that the groundwater is in predominantly oxidative condition. In addition, some of the groundwaters exhibit very high Na, Cl- and SO42- concentrations. It is hypothesized in this study that the groundwater chemistry has largely evolved by dissolution of rhyolitic volcanic glass fragments contained within the aquifer sediments along with mixing with saline surface waters from, adjoining salinas, which are thought to be partially evaporated remnants of a paleo inland sea. Flow path modeling, stability diagrams, and thermodynamic analyses undertaken in this study indicate that the dominant evolutionary processes include ion exchange reactions, chemical weathering of silicate and evaporites, in monosialitization-dominated weathering. Geochemical modeling predicts that plagioclase feldspar and volcanic glass are the major solids phases that contribute metal cations and dissolved silica to the local groundwaters. Co-influxed oxyanions, with similar ionic radii and structure (e.g. Mo, Si, V, PO43-), compete with As for mineral surface site, leading to As mobilization to the groundwaters (without considering the influence of microbial activities). Further, the transition of the Ca-rich groundwater to Na-rich groundwater, by mixing with water from the salinas and/or evaporative concentration, might also have led to counter-ion effects (a type of ion exchange reactions), and hence, further enrichment of groundwater by As. Some of the As may also have been contributed from mixing of meteoric water with magmatic-sourced water in the geothermal springs.

Hydrogeochemical characterization and Natural Background Levels in urbanized areas: Milan Metropolitan area (Northern Italy)

NASA Astrophysics Data System (ADS)

De Caro, Mattia; Crosta, Giovanni B.; Frattini, Paolo

2017-04-01

Although aquifers in densely populated and industrialized areas are extremely valuable and sensitive to contamination, an estimate of the groundwater quality status relative to baseline conditions is lacking for many of them. This paper provides a hydrogeochemical characterization of the groundwater in the Milan metropolitan area, one of the most densely populated areas in Europe. First, a conceptual model of the study area based on the analysis of the spatial distribution of natural chemical species and indicator contaminants is presented. The hydrochemical facies of the study area depend on the lithology of catchments drained by the main contributing rivers and on the aquifer settings. The anthropogenic influence on the groundwater quality of superficial aquifers is studied by means of probability plots, concentration versus depth plots and spatial-temporal plots for nitrate, sulfate and chloride. These allow differentiation of contaminated superficial aquifers from deep confined aquifers with baseline water quality. Natural Background Levels (NBL) of selected species (Cl, Na, NH4, SO4, NO3, As, Fe, Mn and Zn) are estimated by means of the pre-selection (PS) and the component separation (CS) statistical approaches. The NBLs depend on hydrogeological settings of the study area; sodium, chloride, sulfate and zinc NBL values never exceed the environmental water quality standards. NBL values of ammonium, iron, arsenic and manganese exceed the environmental water quality standards in the anaerobic portion of the aquifers. On the basis of observations, a set of criteria and precautions are suggested for adoption with both PS and CS methods in the aquifer characterization of highly urbanized areas.

Hydrogeochemical and stream sediment reconnaissance basic data for Roswell quadrangle, New Mexico

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

Field and laboratory data are presented for 842 water samples and 1270 sediment samples from the Roswell Quadrangle, New Mexico. The samples were collected by Los Alamos National Laboratory; laboratory analysis and data reporting were performed by the Uranium Resource Evaluation Project at Oak Ridge, Tennessee.

Hydrogeochemical and stream sediment reconnaissance basic data for Philip Smith Mountains Quadrangle, Alaska

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1981-05-29

Field and laboratory data are presented for 1128 water samples from the Philip Smith Mountains Quadrangle, Alaska. The samples were collected by Los Alamos Scientific Laboratory; laboratory analysis and data reporting were performed by the Uranium Resource Evaluation Project at Oak Ridge, Tennessee.

3DHYDROGEOCHEM: A 3-DIMENSIONAL MODEL OF DENSITY-DEPENDENT SUBSURFACE FLOW AND THERMAL MULTISPECIES-MULTICOMPONENT HYDROGEOCHEMICAL TRANSPORT

EPA Science Inventory

This report presents a three-dimensional finite-element numerical model designed to simulate chemical transport in subsurface systems with temperature effect taken into account. The three-dimensional model is developed to provide (1) a tool of application, with which one is able...

Hydrogeochemical and isotopic evidences of groundwater salinization in coastal aquifers: A case study in Jeju volcanic island, Korea

NASA Astrophysics Data System (ADS)

Kim, Y.; Lee, D.; Lee, K.; Koh, D.; Lee, S.; Park, W.; Koh, G.; Woo, N.

2001-12-01

In order to clearly identify the origin of saline groundwaters in the eastern part of Jeju volcanic island, Korea the hydrogeochemical and isotopic studies have been carried out for 18 observation wells located in east and southeast coastal regions. The total dissolved solid (TDS) contents of groundwater samples are highly variable (77 to 21,782 mg/L). Most of the groundwaters in the study area are classified into Na-Cl type except a few samples showing Ca-Cl type. Hydrochemical characteristics based on bivariate and triangular diagrams of major ions show that the changes of chemical compositions of groundwaters were mainly controlled by the salinization process linked to cation-exchange reactions. The oxygen, hydrogen, sulfur, and strontium isotopic data explicitly show a simple mixing trend of groundwater and seawater. Using two-components fractional mixing model on the basis of 18O contents as well as Br and Cl contents, the proportion of seawater in fresh groundwater was quantitatively determined as high as 60 %. Sr isotopic compositions and Br/Cl ratios strongly suggest that the source of groundwater salinization is present-day seawater intrusion rather than paleoseawater or formation water, which can also be supported by the I/Cl ratios. The highly permeable aquifers in the east coastal region characterized by low hydraulic gradient and recharge rate and high hydraulic conductivity comparing with other regions are advantageous to the groundwater salinization. Based on the Cl, ¥ä18O, and 87Sr/86Sr it was determined that seawater has intruded into inland 2.5 km from coastline.

Uranium hydrogeochemical and stream sediment reconnaissance of the Durango NTMS quadrangle, Colorado, including concentrations of forty-two additional elements

DOE Office of Scientific and Technical Information (OSTI.GOV)

Shannon, S.S. Jr.

1980-05-01

Uranium and other elemental data resulting from the Hydrogeochemical and Stream Sediment Reconnaissance (HSSR) of the Durango National Topographic Map Series (NTMS) quadrangle, Colorado, by the Los Alamos Scientific Laboratory (LASL) are reported herein. The LASL is responsible for conducting the HSSR primarily in the states of New Mexico, Colorado, Wyoming, Montana, and Alaska. This study was conducted as part of the United States Department of Energy's National Uranium Resource Evaluation (NURE), which is designed to provide improved estimates of the availability and economics of nuclear fuel resources and to make available to industry information for use in exploration andmore » development of uranium resources. The HSSR data will ultimately be integrated with other NURE data (e.g., airborne radiometric surveys and geological investigations) to complete the entire NURE program. This report is a supplement to the HSSR uranium evaluation report for the Durango quadrangle which presented the field and uranium data for the 1518 water and 1604 sediment samples collected from 1804 locations in the quadrangle. The earlier report contains an evaluation of the uranium concentrations of the samples as well as descriptions of the geology, hydrology, climate, and uranium occurrences of the quadrangle. This supplement presents the sediment field and uranium data again and the analyses of 42 other elements in the sediments.« less

Hydrogeology and hydrogeochemistry at a site of strategic importance: the Pareja Limno-reservoir drainage basin (Guadalajara, central Spain)

NASA Astrophysics Data System (ADS)

Molina-Navarro, Eugenio; Sastre-Merlín, Antonio; Vicente, Rosa; Martínez-Pérez, Silvia

2014-08-01

A small calcareous basin in central Spain was studied to establish the role of groundwater in the Pareja Limno-reservoir. Limno-reservoirs aim to preserve a constant water level in the riverine zone of large reservoirs to mitigate the impacts arising from their construction. Groundwater flow contribution (mean 60 %) was derived by recharge estimation. In situ measurements (spring discharge, electrical conductivity and sulfate) were undertaken and spring discharge was compared with a drought index. Twenty-eight springs were monitored and three hydrogeological units (HGUs) were defined: a carbonate plateau (HGU1), the underlying aquitard (HGU2), and the gypsum-enriched HGU3. HGU1 is the main aquifer and may play a role in the preservation of the limno-reservoir water level. Hydrogeochemical sampling was conducted and the code PHREEQC used to describe the main geochemical processes. Weathering and dissolution of calcite and gypsum seem to control the hydrogeochemical processes in the basin. Water progresses from Ca2+-HCO3 - in the upper basin to Ca2+-SO4 2- in the lower basin, where HGU3 outcrops. A clear temporal pattern was observed in the limno-reservoir, with salinity decreasing in winter and increasing in summer. This variation was wider at the river outlet, but the mixing of the river discharge with limno-reservoir water buffered it.

Chemistry and quality of groundwater in a coastal region of Andhra Pradesh, India

NASA Astrophysics Data System (ADS)

Rao, N. Subba; Vidyasagar, G.; Surya Rao, P.; Bhanumurthy, P.

2017-03-01

The chemistry of groundwater in the coastal region between Chirala and Ongole of Andhra Pradesh, India shows pollution to varying extent. The relative contribution of ions in six zones divided based on TDS indicates unsuitability of groundwater here for drinking, irrigation and industrial use. The water is brackish except in first zone and further alkaline. TDS is less than 1,000 mg/L in first zone, while it is more in other zones. This classification of groundwater into zones is also investigated by hydrogeochemical facies, genetic classification, mechanisms of groundwater chemistry and geochemical signatures. Hydrogeochemical facies of Na+>Mg2+>Ca2+: {{HCO}}3^{ - } > Cl- > SO 4^{2 - } is observed from zone I, while that of Na+>Mg2+>Ca2+:Cl- > HCO 3^{ - } > SO 4^{2 - } from second to sixth zones. The genetic classification of groundwater in first and second zones is HCO 3^{ - } type and supported by good drainage conditions, while zones III to VI belong to Cl- category evident from poor drainage scenario. The location of six zones on mechanisms of groundwater chemistry supports sluggish drainage conditions of second to six zones, while predominate rock-water interaction in first zone. The geochemical signatures (HCO 3^{ - } :Cl- > 1 and Na+:Cl- < 1) also endorse the pollution. The quantities of chemical species (Mg2+, Na+, K+, HCO 3^{ - } , Cl ^{ - } , SO 4^{2 - } , NO 3^{ - } and F ^{ - } ) and TDS in all zones are far greater than the stipulated limits for drinking. The United States Salinity Laboratory plots discriminated the suitability of groundwater in second to sixth zones for irrigation after only special soil treatment. Higher concentrations of TDS, HCO 3^{ - } , Cl- and SO 4^{2 - } in all zones render it unsuitable for industry too. This information is crucial for public and civic authorities for taking up strategic management plan for preventing further deterioration of hydrogeochemical environmental conditions of this part of the coastal region.

Impact of excessive groundwater pumping on rejuvenation processes in the Bandung basin (Indonesia) as determined by hydrogeochemistry and modeling

NASA Astrophysics Data System (ADS)

Taufiq, Ahmad; Hosono, Takahiro; Ide, Kiyoshi; Kagabu, Makoto; Iskandar, Irwan; Effendi, Agus J.; Hutasoit, Lambok M.; Shimada, Jun

2017-12-01

In the Bandung basin, Indonesia, excessive groundwater pumping caused by rapid increases in industrialization and population growth has caused subsurface environmental problems, such as excessive groundwater drawdown and land subsidence. In this study, multiple hydrogeochemical techniques and numerical modeling have been applied to evaluate the recharge processes and groundwater age (rejuvenation). Although all the groundwater in the Bandung basin is recharged at the same elevation at the periphery of the basin, the water type and residence time of the shallow and deep groundwater could be clearly differentiated. However, there was significant groundwater drawdown in all the depression areas and there is evidence of groundwater mixing between the shallow and deep groundwater. The groundwater mixing was traced from the high dichlorodifluoromethane (CFC-12) concentrations in some deep groundwater samples and by estimating the rejuvenation ratio (R) in some representative observation wells. The magnitude of CFC-12 concentration, as an indicator of young groundwater, showed a good correlation with R, determined using 14C activity in samples taken between 2008 and 2012. These correlations were confirmed with the estimation of vertical downward flux from shallower to deeper aquifers using numerical modeling. Furthermore, the change in vertical flux is affected by the change in groundwater pumping. Since the 1970s, the vertical flux increased significantly and reached approximately 15% of the total pumping amount during the 2000s, as it compensated the groundwater pumping. This study clearly revealed the processes of groundwater impact caused by excessive groundwater pumping using a combination of hydrogeochemical methods and modeling.

Impact of excessive groundwater pumping on rejuvenation processes in the Bandung basin (Indonesia) as determined by hydrogeochemistry and modeling

NASA Astrophysics Data System (ADS)

Taufiq, Ahmad; Hosono, Takahiro; Ide, Kiyoshi; Kagabu, Makoto; Iskandar, Irwan; Effendi, Agus J.; Hutasoit, Lambok M.; Shimada, Jun

2018-06-01

In the Bandung basin, Indonesia, excessive groundwater pumping caused by rapid increases in industrialization and population growth has caused subsurface environmental problems, such as excessive groundwater drawdown and land subsidence. In this study, multiple hydrogeochemical techniques and numerical modeling have been applied to evaluate the recharge processes and groundwater age (rejuvenation). Although all the groundwater in the Bandung basin is recharged at the same elevation at the periphery of the basin, the water type and residence time of the shallow and deep groundwater could be clearly differentiated. However, there was significant groundwater drawdown in all the depression areas and there is evidence of groundwater mixing between the shallow and deep groundwater. The groundwater mixing was traced from the high dichlorodifluoromethane (CFC-12) concentrations in some deep groundwater samples and by estimating the rejuvenation ratio ( R) in some representative observation wells. The magnitude of CFC-12 concentration, as an indicator of young groundwater, showed a good correlation with R, determined using 14C activity in samples taken between 2008 and 2012. These correlations were confirmed with the estimation of vertical downward flux from shallower to deeper aquifers using numerical modeling. Furthermore, the change in vertical flux is affected by the change in groundwater pumping. Since the 1970s, the vertical flux increased significantly and reached approximately 15% of the total pumping amount during the 2000s, as it compensated the groundwater pumping. This study clearly revealed the processes of groundwater impact caused by excessive groundwater pumping using a combination of hydrogeochemical methods and modeling.

Evaluation of the fate and transport of chlorinated ethenes in a complex groundwater system discharging to a stream in Wonju, Korea

NASA Astrophysics Data System (ADS)

Lee, Seong-Sun; Kaown, Dugin; Lee, Kang-Kun

2015-11-01

Chlorinated ethenes such as trichloroethylene (TCE) are common and persistent groundwater contaminants. If contaminated groundwater discharges to a stream, then stream water pollution near the contamination site also becomes a problem. In this respect, the fate and transport of chlorinated ethenes around a stream in an industrial complex were evaluated using the concentration of each component, and hydrogeochemical, microbial, and compound-specific carbon isotope data. Temporal and spatial monitoring reveal that a TCE plume originating from main and local source zones continues to be discharged to a stream. Groundwater geochemical data indicate that aerobic conditions prevail in the upgradient area of the studied aquifer, whereas conditions become anaerobic in the downgradient. The TCE molar fraction is high at the main and local source zones, ranging from 87.4 to 99.2% of the total volatile organic compounds (VOCs). An increasing trend in the molar fraction of cis-1, 2-Dichloroethene (cis-DCE) and vinyl chloride (VC) was observed in the downgradient zone of the study area. The enriched δ13C values of TCE and depleted values of cis-DCE in the stream zone, compared to those of the source zone, also suggest biodegradation of VOCs. Microbial community structures in monitoring wells adjacent to the stream zone in the downgradient area were analyzed using 16S rRNA gene-based pyrosequencing to identify the microorganisms responsible for biodegradation. This was attributed to the high relative abundance of dechlorinating bacteria in monitoring wells under anaerobic conditions farthest from the stream in the downgradient area. The multilateral approaches adopted in this study, combining hydrogeochemical and biomolecular methods with compound-specific analyses, indicate that contaminants around the stream were naturally attenuated by active anaerobic biotransformation processes.

Acid rock drainage passive remediation using alkaline clay: Hydro-geochemical study and impacts of vegetation and sand on remediation.

PubMed

Plaza, Fernando; Wen, Yipei; Liang, Xu

2018-10-01

Acid rock drainage (ARD) is one of the most adverse environmental problems of the mine industry, especially in regions with an abundance of coal refuse (CR) deposits (e.g. the Northern Appalachian Coalfield in the USA) where surface and ground waters are affected by this pollution due to the acidity and high content of sulfates and heavy metals. This study explores the effectiveness of the ARD passive remediation method using alkaline clay (AC) through a series of static and long-term kinetic laboratory experiments (over three years) complemented with field measurements and geochemical modeling. Two important issues associated with this passive and auto-sustainable ARD remediation method were investigated: 1) the hydrogeochemical study of the mixture in terms of the percentages of AC and CR, and, 2) impacts of vegetation cover and a saturated sand barrier on the remediation. Both the field measurements and the samples used for the experiments came from a local coal waste site. Through the analysis of the field measurements and the outcome of the laboratory experiments and the geochemical modeling, alkaline clay proved to be an effective remediation material for ARD, in terms of achieving a neutral pH in the leachate and immobilization of sulfate and metals such as Fe, Mn, Cu, Zn, Ni, Pb, Cd, Co. Moreover, it has been demonstrated that the use of vegetation and a saturated sand barrier are beneficial. Vegetation acted as a phytoaccumulation/phytoextraction agent, causing an additional immobilization of metals. The saturated sand barrier blocked downward the oxygen and water diffusion, reducing pyrite oxidation rates. The proposed remediation approach ensures that the acidity consumption will likely occur before all the alkalinity is exhausted. Copyright © 2018 Elsevier B.V. All rights reserved.

3DHYDROGEOCHEM: A 3-DIMENSIONAL MODEL OF DENSITY-DEPENDENT SUBSURFACE FLOW AND THERMAL MULTISPECIES-MULTICOMPONENT HYDROGEOCHEMICAL TRANSPORT (EPA/600/SR-98/159)

EPA Science Inventory

This report presents a three-dimensional finite-element numerical model designed to simulate chemical transport in subsurface systems with temperature effect taken into account. The three-dimensional model is developed to provide (1) a tool of application, with which one is able ...

Hydrogeochemical and stream sediment reconnaissance basic data for Las Cruces quadrangle, New Mexico

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1981-08-31

Field and laboratory data are presented for 501 water samples and 1817 sediment samples from the Las Cruces Quadrangle, New Mexico. The samples were collected and uranium analysis performed by Los Alamos National Laboratory; multielement analysis and data reporting were performed by the Uranium Resource Evaluation Project at Oak Ridge, Tennessee.

The long-term impacts of anthropogenic and natural processes on groundwater deterioration in a multilayered aquifer.

PubMed

Sheikhy Narany, Tahoora; Sefie, Anuar; Aris, Ahmad Zaharin

2018-07-15

In many regions around the world, there are issues associated with groundwater resources due to human and natural factors. However, the relation between these factors is difficult to determine due to the large number of parameters and complex processes required. In order to understand the relation between land use allocations, the intrinsic factors of the aquifer, climate change data and groundwater chemistry in the multilayered aquifer system in Malaysia's Northern Kelantan Basin, twenty-two years hydrogeochemical data set was used in this research. The groundwater salinisation in the intermediate aquifer, which mainly extends along the coastal line, was revealed through the hydrogeochemical investigation. Even so, there had been no significant trend detected on groundwater salinity from 1989 to 2011. In contrast to salinity, as seen from the nitrate contaminations there had been significantly increasing trends in the shallow aquifer, particularly in the central part of the study area. Additionally, a strong association between high nitrate values and the areas covered with palm oil cultivations and mixed agricultural have been detected by a multiple correspondence analysis (MCA), which implies that the increasing nitrate concentrations are associated with nitrate loading from the application of N-fertilisers. From the process of groundwater salinisation in the intermediate aquifer, could be seen that it has a strong correlation the aquifer lithology, specifically marine sediments which are influenced by the ancient seawater trapped within the sediments. Copyright © 2018 Elsevier B.V. All rights reserved.

Characterization of mechanisms and processes of groundwater salinization in irrigated coastal area using statistics, GIS, and hydrogeochemical investigations.

PubMed

Bouzourra, Hazar; Bouhlila, Rachida; Elango, L; Slama, Fairouz; Ouslati, Naceur

2015-02-01

Coastal aquifers are at threat of salinization in most parts of the world. This study was carried out in coastal shallow aquifers of Aousja-Ghar El Melh and Kalâat el Andalous, northeastern of Tunisia with an objective to identify sources and processes of groundwater salinization. Groundwater samples were collected from 42 shallow dug wells during July and September 2007. Chemical parameters such as Na(+), Ca(2+), Mg(2+), K(+), Cl(-), SO4 (2-), HCO3 (-), NO3 (-), Br(-), and F(-) were analyzed. The combination of hydrogeochemical, statistical, and GIS approaches was used to understand and to identify the main sources of salinization and contamination of these shallow coastal aquifers as follows: (i) water-rock interaction, (ii) evapotranspiration, (iii) saltwater is started to intrude before 1972 and it is still intruding continuously, (iv) irrigation return flow, (v) sea aerosol spray, and finally, (vi) agricultural fertilizers. During 2005/2006, the overexploitation of the renewable water resources of aquifers caused saline water intrusion. In 2007, the freshening of a brackish-saline groundwater occurred under natural recharge conditions by Ca-HCO3 meteoric freshwater. The cationic exchange processes are occurred at fresh-saline interfaces of mixtures along the hydraulic gradient. The sulfate reduction process and the neo-formation of clays minerals characterize the hypersaline coastal Sebkha environments. Evaporation tends to increase the concentrations of solutes in groundwater from the recharge areas to the discharge areas and leads to precipitate carbonate and sulfate minerals.

Hydrogeochemical and stream sediment reconnaissance basic data for Cheyenne Quadrangle, Wyoming

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1981-07-31

Field and laboratory data are presented for 884 water samples and 598 sediment samples from the Cheyenne Quadrangle, Wyoming. Uranium values have been reported by Los Alamos National Laboratory in Report GJBX-106(78). The samples were collected by Los Alamos National Laboratory; laboratory analysis and data reporting were performed by the Uranium Resource Evaluation Project at Oak Ridge, Tennessee.

Organic-inorganic interactions at oil-water contacts: quantitative retracing of processes controlling the CO2 occurrence in Norwegian oil reservoirs

NASA Astrophysics Data System (ADS)

van Berk, Wolfgang; Schulz, Hans-Martin

2010-05-01

Crude oil quality in reservoirs can be modified by degradation processes at oil-water contacts (OWC). Mineral phase assemblages, composition of coexisting pore water, and type and amount of hydrocarbon degradation products (HDP) are controlling factors in complex hydrogeochemical processes in hydrocarbon-bearing siliciclastic reservoirs, which have undergone different degrees of biodegradation. Moreover, the composition of coexisting gas (particularly CO2 partial pressure) results from different pathways of hydrogeochemical equilibration. In a first step we analysed recent and palaeo-OWCs in the Heidrun field. Anaerobic decomposition of oil components at the OWC resulted in the release of methane and carbon dioxide and subsequent dissolution of feldspars (anorthite and adularia) leading to the formation of secondary kaolinite and carbonate phases. Less intensively degraded hydrocarbons co-occur with calcite, whereas strongly degraded hydrocarbons co-occur with solid solution carbonate phase (siderite, magnesite, calcite) enriched in δ13C. To test such processes quantitatively in a second step, CO2 equilibria and mass transfers induced by organic-inorganic interactions have been hydrogeochemically modelled in different semi-generic scenarios with data from the Norwegian continental shelf (acc. Smith & Ehrenberg 1989). The model is based on chemical thermodynamics and includes irreversible reactions representing hydrolytic disproportionation of hydrocarbons according to Seewald's (2006) overall reaction (1a) which is additionally applied in our modelling work in an extended form including acetic acid (1b): (1) R-CH2-CH2-CH3 + 4H2O -> R + 2CO2 + CH4 + 5H2, (2) R-CH2-CH2-CH3 + 4H2O -> R + 1.9CO2 + 0.1CH3COOH + 0.9CH4 + 5H2. Equilibrating mineral assemblages (different feldspar types, quartz, kaolinite, calcite) are based on the observed primary reservoir composition at 72 °C. Modelled equilibration and coupled mass transfer were triggered by the addition and reaction of different amounts of HDP. Modelled CO2 partial pressure values in a multicomponent gas phase equilibrated with K-feldspar, quartz, kaolinite, and calcite resemble measured data. Similar CO2 contents result from acetic acid addition (eq. 1b). Equilibration with albite or anorthite reduces the release of CO2 into the multicomponent gas phase dramatically, by 1 or 4 orders of magnitude compared with the equilibration with K-feldspar (van Berk et al., 2009). Third and based on data by Ehrenberg & Jakobsen (2001), the effects of organic-inorganic interactions at OWCs in Brent Group reservoir sandstones from the Gullfaks Oilfield (offshore Norway) have been hydrogeochemically modelled. Observed local changes in mineral phase assemblage compositions (content of different feldspar types, kaolinite, carbonate) and CO2 partial pressures are attributed to varying degrees of oil-biodegradation (up to more than 10 %; Horstadt et al. 1992). Modelling results are congruent with observations and indicate that (i) intense dissolution of anorthite, (ii) less intense dissolution of albite, (iii) minor dissolution of K-feldspar, (iv) intense precipitation of kaolinite and quartz, (v) less intense precipitation of carbonate, and (vi) formation of CO2 partial pressures are driven by the release of HDP. References Ehrenberg SN & Jakobsen KG (2001) Plagioclase dissolution related to biodegradation of oil in Brent Group sandstones (Middle Jurassic) of Gullfaks Field, northern North Sea. Sedimentology, 48, 703-721. Smith JT & Ehrenberg SN (1989) Correlation of carbon dioxide abundance with temperature in clastic hydrocarbon reservoirs: relationship to inorganic chemical equilibrium. Marine and Petroleum Geology, 6, 129-135. Seewald JS (2003) Organic-inorganic interactions in petroleum-producing sedimentary basins. Nature, 426, 327-333. van Berk, W, Schulz, H-M & Fu, Y (2009) Hydrogeochemical modelling of CO2 equilibria and mass transfer induced by organic-inorganic interactions in siliciclastic petroleum reservoirs. Geofluids, 9, 253-262.

Tracing environmental aetiological factors of chronic kidney diseases in the dry zone of Sri Lanka-A hydrogeochemical and isotope approach.

PubMed

Wickramarathna, Sudeera; Balasooriya, Shyamalie; Diyabalanage, Saranga; Chandrajith, Rohana

2017-12-01

Chronic kidney disease of unknown aetiologies (CKDu) is increasingly recognized in tropical regions and is now considered a global health problem. A detailed hydrogeochemical investigation has been performed in three CKDu hotspots in Sri Lanka to assess the geo-environmental aetiological factors influencing this disease. A total of 71 ground- and 26 surface water samples were collected from Girandurukotte, Wilgamuwa and Nikawewa regions and analysed for major constituents and trace elements. The affected regions are dominated by Ca-Mg-HCO 3 facies groundwater that is mainly controlled by silicate weathering. Higher levels of fluoride associated with higher hardness is the main feature of groundwater from CKDu regions compared to non-CKDu regions. Results showed that 65% of the wells in the affected regions exceeded the fluoride concentration of 0.5mg/L. Environmental isotopes of groundwater in the CKDu regions are represented by the regression line of δ 2 H=5.42δ 18 O-3.59 (r 2 =0.916) with a clear isotopic differentiation between local precipitation and groundwater. None of the trace elements exceeded the recommended scales and in most cases levels are negligible in both surface and groundwater in study areas. Therefore, the involvement of trace elements such as Cd, As and Pb can be ignored as causative factors for CKDu. This study highlights the synergistic influence of fluoride and hardness that could enhance the disease, and thereby refute earlier theories that attribute trace elements as causative factors for CKDu. Higher hardness in drinking water also restricts sufficient water uptake, particularly by farmers and which affects the physiological, biochemical and nutritional requirements. Copyright © 2017 Elsevier GmbH. All rights reserved.

Hydrogeochemical contrast between brown and grey sand aquifers in shallow depth of Bengal Basin: consequences for sustainable drinking water supply.

PubMed

Biswas, Ashis; Nath, Bibhash; Bhattacharya, Prosun; Halder, Dipti; Kundu, Amit K; Mandal, Ujjal; Mukherjee, Abhijit; Chatterjee, Debashis; Mörth, Carl-Magnus; Jacks, Gunnar

2012-08-01

Delineation of safe aquifer(s) that can be targeted by cheap drilling technology for tubewell (TW) installation becomes highly imperative to ensure access to safe and sustainable drinking water sources for the arsenic (As) affected population in Bengal Basin. This study investigates the potentiality of brown sand aquifers (BSA) as a safe drinking water source by characterizing its hydrogeochemical contrast to grey sand aquifers (GSA) within shallow depth (<70 m) over an area of 100 km(2) in Chakdaha Block of Nadia district, West Bengal, India. The results indicate that despite close similarity in major ion composition, the redox condition is markedly different in groundwater of the two studied aquifers. The redox condition in the BSA is delineated to be Mn oxy-hydroxide reducing, not sufficiently lowered for As mobilization into groundwater. In contrast, the enrichments of NH(4)(+), PO(4)(3-), Fe and As along with lower Eh in groundwater of GSA reflect reductive dissolution of Fe oxy-hydroxide coupled to microbially mediated oxidation of organic matter as the prevailing redox process causing As mobilization into groundwater of this aquifer type. In some portions of GSA the redox status even has reached to the stage of SO(4)(2-) reduction, which to some extent might sequester dissolved As from groundwater by co-precipitation with authigenic pyrite. Despite having low concentration of As in groundwater of the BSA the concentration of Mn often exceeds the drinking water guidelines, which warrants rigorous assessment of attendant health risk for Mn prior to considering mass scale exploitation of the BSA for possible sustainable drinking water supply. Copyright © 2012 Elsevier B.V. All rights reserved.

Attitudes toward and education about complementary and alternative medicine among adult patients with depression in Taiwan.

PubMed

Hsu, Mei-Chi; Moyle, Wendy; Creedy, Debra; Venturato, Lorraine; Ouyang, Wen-Chen; Sun, Gwo-Ching

2010-04-01

To investigate patients' attitudes toward complementary and alternative medicine, the education nurses provided about complementary and alternative medicine for treating depression and to test whether such education mediates the effect of complementary and alternative medicine use and attitudes toward complementary and alternative medicine. Although we know that attitudes influence behaviour, very few studies simultaneously explore the relationship between attitudes, education and complementary and alternative medicine use. Survey. This study was conducted as part of a larger survey, using face-to-face survey interviews with 206 adult patients aged 50 years or over and hospitalised in conventional hospitals in Taiwan for treatment of depression. The attitudes toward complementary and alternative medicine and patient education about complementary and alternative medicine instruments were specially developed for the study. Participants expressed slightly favourable attitudes toward complementary and alternative medicine. Many participants (50%) expressed that they were willing to try any potential treatment for depression. They believed that complementary and alternative medicine helped them to feel better and to live a happier life. However, 66.5% of participants reported that they had inadequate knowledge of complementary and alternative medicine. Participants with a higher monthly income, longer depression duration and religious beliefs hold more positive attitudes toward complementary and alternative medicine. Most participants were not satisfied with the education they received about complementary and alternative medicine. Patient education about complementary and alternative medicine was found to be a mediator for the use of complementary and alternative medicine. Patient education from nurses may predict patients' attitudes toward complementary and alternative medicine. Continuing nursing education is needed to enable nurses to respond knowledgeably to concerns patients may have about complementary and alternative medicine and treatment options. This study highlights the potential role of patient education about complementary and alternative medicine as an effective way of adjusting patients' attitudes toward complementary and alternative medicine and to link both patients' preferences for complementary and alternative medicine and health professionals' concerns about the proper use of complementary and alternative medicine for depression management and adverse drug interactions.

Hydrogeochemical and stream sediment reconnaissance basic data for Aztec Quadrangle, New Mexico

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1981-07-31

Field and laboratory data are presented for 331 water samples and 1693 sediment samples from the Aztec Quadrangle, New Mexico. Uranium values have been reported by Los Alamos National Laboratory in Report GJBX-129(78). The samples were collected by Los Alamos National Laboratory; laboratory analysis and data reporting were performed by the Uranium Resource Evaluation Project at Oak Ridge, Tennessee.

Methylmercury dynamics at the upland-peatland interface: Topographic and hydrogeochemical controls

Treesearch

Carl P. J. Mitchell; Brian A. Branfireun; Randall K. Kolka

2009-01-01

Peatlands are important environments for the transformation of atmospherically deposited inorganic mercury into the bioaccumulative form, methylmercury (MeHg), which may accumulate in downstream aquatic biota, particularly in fish. In recent research, it was suggested that MeHg production and/or accumulation ‘‘hot spots’’ at the upland-peatland interface were the...

Species Profiles: Life Histories and Environmental Requirements of Coastal Fishes and Invertebrates (Pacific Southwest). Chinook Salmon.

DTIC Science & Technology

1986-04-01

LAS UN SFED M AALLE NET A 6 F iS-82- 49 F/G /3 U INLA E NEhhIhLson1hsohhIN I flflflfl.... 1.0 ~2𔃻’l lim MICROCOPY RESOLUTION TESI CHART NATIONAL...22 II it released from Coleman National Fish Nordstrom, D. 1977. Hydrogeochemical Hatchery, on naturally produced and microbiological factors affect

Environmental Assessment for Nellis Air Force Range Complex Fiber Optic Line Route from Indian Springs AFAF, Clark County to Cedar Pass Facility, NAFR North Range Nye County, Nevada

DTIC Science & Technology

1998-01-01

Nevada and Southeastern California, 1985-88. US Geological Survey Open-File Report 89-422. Thordarson , W., R.A. Young, and I.J. Winograd. 1967. Records...California. Winograd, I.J. and W. Thordarson . 1975. Hydrogeologic and Hydrogeochemical Framework, South-Central Great Basin, Nevada-California, with

A combined hydrochemical - isotopic approach for assessing the regional pollution of an alluvial aquifer in a urbanized environment

NASA Astrophysics Data System (ADS)

Gesels, Julie; Orban, Philippe; Popescu, Cristina; Knöller, Kay; Brouyère, Serge

2014-05-01

The alluvial aquifer of the Meuse River is contaminated at regional scale in the urbanized and industrialized area of Liège in Belgium with different types of contaminants, in particular inorganics such as sulfate, nitrate and ammonium. The sources of those contaminants are numerous: brownfields, urban waste water, subsurface acid mine drainage from former coal mines, atmospheric deposits related to pollutants emissions in the atmosphere... Sulfate, nitrate and ammonium are both typical pollutants of the aquifer and tracers of the possible pollution sources. According to the European legislation on water, groundwater resources should reach a good quality status before 2015. However, an exemption can be obtained if it may be unfeasible or unreasonably expensive to achieve good status. In this case, groundwater quality objectives and management plans can be adapted to these specific conditions. To obtain such an exemption for the Meuse alluvial aquifer, it is required to demonstrate that the poor qualitative status is caused by acid mine drainage, or by widespread historical atmospheric deposition from industries, and not by recent anthropogenic contamination from the urban and industrial context. In this context, a detailed hydrogeochemical characterization of groundwater has been performed, with the aim of determining the origin of the inorganic contaminations and the main processes contributing to poor groundwater quality. A large hydrochemical sampling campaign was performed, based on 71 selected representative sampling locations, to better characterize the different vectors (end-members) of contamination of the alluvial aquifer and their respective contribution to groundwater contamination in the area. Groundwater samples were collected and analyzed for major and minor compounds and metallic trace elements. The analyses also include stable isotopes in water, sulfate, nitrate, ammonium, boron and strontium. Different hydrogeochemical approaches are combined to obtain a global understanding of the hydrogeochemical processes at regional scale. Hydrochemical interpretations are based on classical diagrams (e.g. Piper), spatial distribution maps, geochemical equations, multivariate statistics and isotopic analyses. With this combined approach, the location of the contaminant sources and most contaminated sectors of the alluvial aquifer together with a better understanding of geochemical processes involved are obtained.

An analytical method for hydrogeochemical surveys: Inductively coupled plasma-atomic emission spectrometry after using enrichment coprecipitation with cobalt and ammonium pyrrolidine dithiocarbamate

USGS Publications Warehouse

Hopkins, D.M.

1991-01-01

Trace metals that are commonly associated with mineralization were concentrated and separated from natural water by coprecipitation with ammonium pyrollidine dithiocarbamate (APDC) and cobalt and determined by inductively coupled plasma-atomic emission spectroscopy (ICP-AES). The method is useful in hydrogeochemical surveys because it permits preconcentration near the sample sites, and selected metals are preserved shortly after the samples are collected. The procedure is relatively simple: (1) a liter of water is filtered; (2) the pH is adjusted; (3) Co chloride and APDC are added to coprecipitate the trace metals; and (4) later, the precipitate is filtered, dissolved, and diluted to 10 ml for a 100-fold concentration enrichment of the separated metals. Sb(III), As(III), Cd, Cr, Cu, Fe, Pb, Mo, Ni, Ag, V, and Zn can then be determined simultaneously by ICP-AES. In an experiment designed to measure the coprecipitation efficiency, Sb(III), Cd and Ag were recovered at 70 to 75% of their original concentration. The remaining metals were recovered at 85 to 100% of their original concentrations, however. The range for the lower limits of determination for the metals after preconcentration is 0.1 to 3.0 ??g/l. The precision of the method was evaluated by replicate analyses of a Colorado creek water and two simulated water samples. The accuracy of the method was estimated using a water reference standard (SRM 1643a) certified by the U.S. National Bureau of Standards. In addition, the method was evaluated by analyzing groundwater samples collected near a porphyry copper deposit in Arizona and by analyzing meltwater from glacier-covered areas favorable for mineralization in south-central Alaska. The results for the ICP-AES analyses compared favorably with those obtained using the sequential technique of GFAAS on the acidified but unconcentrated water samples. ICP-AES analysis of trace-metal preconcentrates for hydrogeochemical surveys is more efficient than GFAAS because a large suite of metals is simultaneously determined with acceptable analytical accuracy and precision. The proposed analytical technique can provide direct evidence of mineralization and is useful in the exploration for unknown ore deposits. ?? 1991.

Water quality assessment of the Asata River catchment area in Enugu Metropolis, Southeast Nigeria

NASA Astrophysics Data System (ADS)

Osinowo, Olawale Olakunle

2016-09-01

Hydrogeochemical mapping of the Asata River Catchment area in the Enugu metropolis, southeast Nigeria was carried out in order to assess the quality of the surface and groundwater and based on the analyses of the hydrogeochemical data, establish the level of chemical contaminations which inhibit the availability of potable water in the area. Forty (40) water samples comprising five (5) springs, nineteen (19) surface (streams/rivers) and sixteen (16) groundwater (well/borehole) samples were collected and analysed for the presence and degree of contamination of nine (9) major chemical contaminants. Hydrochemical analyses indicate that Electrical Conductivity (EC) which has a linear relationship with Total Dissolved Solid (TDS) ranges between 015 and 887 μS/cm, pH between 4.4 and 8.3, nitrate (NO3-) ranges between 40 and 130 mg/l and chloride (Cl-) between 7 and 130 mg/l. The concentrations of the dissolved chemical constituents defined the pollution trend and the rate of dispersion of contaminants. The degree of contaminants followed a simple trend, where the level of contamination of the dissolved chemical constituents is least in sampled spring water, with measured chemical constituents of EC, pH, NO3- and Cl- range from 15 to 354 μS/cm; 6.4-6.5; 4.0-70 mg/l and 8-36 mg/l, respectively. However, the value of the measured chemical constituent of EC, pH, NO3- and Cl- gradually increases down the stream in both the surface (63-354 μS/cm; 4.5-7.7; 7.1-110 mg/l; 8-41 mg/l) and groundwater (56-531 μS/cm; 4.5-7.5; 40-130 mg/l; 7-130 mg/l), respectively. Noticeable peaks in contamination levels characterised sections of the study area where human population or their activities is highest. The result of the hydrogeochemical mapping indicate that Enugu coal mine operation, the industrial activities, fertilizer applied to plants cultivated on river banks and domestic human wastes which are indiscriminately dumped along river channels are the major sources of chemical contamination in the Asata River catchment area. An adequate water resource management scheme is urgently needed to rescue the shallow regolith aquifer from being permanently damaged. Acts such as construction of uncased toilet pits and septic tanks into the thin shallow regolith aquifer, application of inorganic fertilizers along river bank farms and indiscriminate dumping of untreated industrial and human wastes should also be discouraged.

Hydrogeochemical characteristics and sources of salinity of the springs near Wenquanzhen in the eastern Sichuan Basin, China

NASA Astrophysics Data System (ADS)

Guo, Juan; Zhou, Xun; Wang, Lidong; Zhang, Yuqi; Shen, Xiaowei; Zhou, Haiyan; Ye, Shen; Fang, Bin

2018-06-01

Natural springs have the potential to provide important information on hydrogeochemical processes within aquifers. This study used traditional and classic technical methods and procedures to determine the characteristics and evolution of springs to gain further knowledge on the differences between hot saline springs and cold fresh springs. In a short river segment near Wenquanzhen in the eastern Sichuan Basin, southwest China, several natural springs coexist with total dissolved solids (TDS) ranging from less than 1 to 15 g/L and temperatures from 15 to 40 °C. The springs emanate from the outcropping Lower and Middle Triassic carbonates in the river valley cutting the core of an anticline. The cold springs are of Cl·HCO3-Na·Ca and Cl·SO4-Na types, and the hot saline springs are mainly of Cl-Na type. The chemistry of the springs has undergone some changes with time. The stable hydrogen and oxygen isotopes indicate that the spring waters are of a meteoric origin. The salinity of the springs originates from dissolution of minerals, including halite, gypsum, calcite and dolomite. The evolution of the springs involves the following mechanisms: the groundwater receives recharge from infiltration of precipitation, then undergoes deep circulation in the core of the anticline (incongruent dissolution of the salt-bearing strata occurs), and emerges in the river valley in the form of hot springs with high TDS. Groundwater also undergoes shallow circulation in the northern and southern flanks of the anticline and appears in the river valley in the form of cold springs with low TDS.

Hydrogeochemical characteristics and sources of salinity of the springs near Wenquanzhen in the eastern Sichuan Basin, China

NASA Astrophysics Data System (ADS)

Guo, Juan; Zhou, Xun; Wang, Lidong; Zhang, Yuqi; Shen, Xiaowei; Zhou, Haiyan; Ye, Shen; Fang, Bin

2017-12-01

Natural springs have the potential to provide important information on hydrogeochemical processes within aquifers. This study used traditional and classic technical methods and procedures to determine the characteristics and evolution of springs to gain further knowledge on the differences between hot saline springs and cold fresh springs. In a short river segment near Wenquanzhen in the eastern Sichuan Basin, southwest China, several natural springs coexist with total dissolved solids (TDS) ranging from less than 1 to 15 g/L and temperatures from 15 to 40 °C. The springs emanate from the outcropping Lower and Middle Triassic carbonates in the river valley cutting the core of an anticline. The cold springs are of Cl·HCO3-Na·Ca and Cl·SO4-Na types, and the hot saline springs are mainly of Cl-Na type. The chemistry of the springs has undergone some changes with time. The stable hydrogen and oxygen isotopes indicate that the spring waters are of a meteoric origin. The salinity of the springs originates from dissolution of minerals, including halite, gypsum, calcite and dolomite. The evolution of the springs involves the following mechanisms: the groundwater receives recharge from infiltration of precipitation, then undergoes deep circulation in the core of the anticline (incongruent dissolution of the salt-bearing strata occurs), and emerges in the river valley in the form of hot springs with high TDS. Groundwater also undergoes shallow circulation in the northern and southern flanks of the anticline and appears in the river valley in the form of cold springs with low TDS.

Geochemical characterisation of pyrite oxidation and environmental problems related to release and transport of metals from a coal washing low-grade waste dump, Shahrood, northeast Iran.

PubMed

Doulati Ardejani, Faramarz; Jodieri Shokri, Behshad; Moradzadeh, Ali; Shafaei, Seyed Ziadin; Kakaei, Reza

2011-12-01

Pyrite oxidation and release of the oxidation products from a low-grade coal waste dump to stream, groundwater and soil was investigated by geochemical and hydrogeochemical techniques at Alborz Sharghi coal washing plant, Shahrood, northeast Iran. Hydrogeochemical analysis of water samples indicates that the metal concentrations in the stream waters were low. Moreover, the pH of the water showed no considerable change. The analysis of the stream water samples shows that except the physical changes, pyrite oxidation process within the coal washing waste dump has not affected the quality of the stream water. Water type was determined to be calcium sulphate. The results of the analysis of groundwater samples indicate that the pH varies from 7.41 to 7.51. The concentrations of the toxic metals were low. The concentration of SO4 is slightly above than its standard concentration in potable water. It seems that the groundwater less affected by the coal washing operation in the study area. Geochemical analysis of the sediment samples shows that Fe concentration decreases gradually downstream the waste dump with pH rising. SO(4) decreases rapidly downstream direction. Copper, Zn and Co concentrations decrease with distance from the waste dump due to a dilution effect by the mixing of uncontaminated sediments. These elements, in particular, Zn are considerably elevated in sediment sample collected at the nearest distance to the waste dump. There is no doubt that such investigations can help to develop an appropriate water remediation plan.

A synthesis of hydrochemistry with an integrated conceptual model for groundwater in the Hexi Corridor, northwestern China

NASA Astrophysics Data System (ADS)

Wang, Liheng; Dong, Yanhui; Xu, Zhifang

2017-09-01

Although many studies have investigated the recharge and evolution of groundwater in the Hexi Corridor, northwestern (NW) China, they describe individual sites such as Jinchang, Jiuquan, Dunhuang, and others. Considering the similarity of these sites, a systematic review of the entire Hexi Corridor is lacking. This paper compares and summarizes previous studies in the Hexi Corridor to provide a regional perspective of the isotopic characteristics and hydrochemical composition of groundwater. In unconfined aquifers, groundwater is recharged by snow and ice melt water from the Qilian Mountains; local precipitation can be neglected. Therefore, the groundwater belongs to a unique hydrological cycle model in the Hexi Corridor, referred to as snow and ice melt water-groundwater system. The dominant anion species changes from HCO3- in front of the mountains to SO42- in the middle basin and Cl- at the basin boundary along the groundwater flow direction, and TDS increases gradually owing to evaporation. A major hydrogeochemical process is the dissolution of minerals from the aquifer in the recharge area changing to cation exchange reactions in the discharge area. Confined groundwater was recharged mainly in the late Pleistocene and middle Holocene at colder temperatures than those of modern times; thus, it is non-renewable. In addition to dissolution, the hydrochemical composition of confined groundwater is also affected by cation exchange reactions. The hydrogeochemical categories of the confined groundwater are simple and stable. In the present study, a conceptual model is established on the basis of the analyses presented, which has important implications for water resource management in the Hexi Corridor. The inter-basin water allocation program should continue in order to achieve optimal utilization of water resources, but groundwater exploitation should be limited as much as possible. Additionally, on the basis of the review and integration of previous research, the regional groundwater cycle patterns in the Hexi Corridor are illustrated in the present study, and new research questions are identified for future work.

Environmental monitoring of Micro Prespa Lake basin (Western Macedonia, Greece): hydrogeochemical characteristics of water resources and quality trends.

PubMed

Tziritis, Evangelos P

2014-07-01

The Micro Prespa basin is a trilateral catchment area of significant importance with a unique ecosystem closely related to the homonymous lake. In this frame, a fully operational monitoring project was carried out including continuous real-time measurements in Micro Prespa Lake with the use of a multi-sensor probe, as well as periodical sampling and analyses of all available water systems for an extended set of 85 parameters. Four main interacting water systems were identified, including alluvial and karstic aquifers, Micro Prespa Lake and adjacent drainage network. The results outlined that general environmental conditions are satisfying in respect to the relative legislation and the hydrogeochemical signatures. However, trends of environmental pressures were ascertained as a result of natural (geogenic) factors, embracing seasonal peaks for Ni, Pb, and NH4 mainly in groundwater systems. Based on chlorophyll a records, Micro Prespa is classified as oligotrophic to slightly mesotrophic, subjected to seasonal variations. Heavy metal concentrations are low, except Ni which appears to have elevated values during the dry hydrological period. Finally, the hydrogeochemistry of drainage network is primarily influenced by surface runoff of the surrounding mountainous areas, hence elevated phosphorus values of the Aghios Germanos stream are possibly linked with the leaching of the granitic formations on the east.

Hydrogeochemical investigations in a drained lake area: the case of Xynias basin (Central Greece).

PubMed

Charizopoulos, Nikos; Zagana, Eleni; Stamatis, Georgios

2016-08-01

In Xynias drained Lake Basin's area, central Greece, a hydrogeochemical research took place including groundwater sampling from 30 sampling sites, chemical analysis, and statistical analysis. Groundwaters present Ca-Mg-HCO3 as the dominant hydrochemical type, while their majority is mixed waters with non-dominant ion. They are classified as moderately hard to hard and are characterized by oxidizing conditions. They are undersaturated with respect to gypsum, anhydrite, fluorite, siderite, and magnesite and oversaturated in respect to calcite, aragonite, and dolomite. Nitrate concentration ranges from 4.4 to 107.4 mg/L, meanwhile 13.3 % of the samples exceed the European Community (E.C.) drinking water permissible limit. The trace elements Fe, Ni, Cr, and Cd present values of 30, 80, 57, and 50 %, respectively, above the maximum permissible limit set by E.C. Accordingly, the majority of the groundwaters are considered unsuitable for drinking water needs. Sodium adsorption ratio values (0.04-3.98) and the electrical conductivity (227-1200 μS/cm) classify groundwaters as suitable for irrigation uses, presenting low risk and medium soil alkalization risk. Factor analysis shows that geogenic processes associated with the former lacustrine environment and anthropogenic influences with the use of fertilizers are the major factors that characterized the chemical composition of the groundwaters.

Hydrogeochemical processes in the Plio-Quaternary Remila aquifer (Khenchela, Algeria)

NASA Astrophysics Data System (ADS)

Aouidane, Laiche; Belhamra, Mohamed

2017-06-01

The Remila Plain is a synclinal structure in northeast Algeria, situated within a semi-arid climate zone and composed of Mio-Pliocene-Quaternary deposits. Within the syncline, the Plio-Quaternary aquifer is the main source of drinking water for cattle and for agricultural irrigation water. This work aims to investigate the origin of groundwater mineralization and to identify the primary hydrogeochemical processes controlling groundwater evolution in the Remila aquifer. A total of 86 water samples from boreholes were analyzed for major, minor and stable isotopes (18O, 2H) over three seasons: first during low water levels in 2013, second during high water levels in 2014 and third for stable isotopes during low water levels in 2015. The analysis showed that the aquifer is controlled by five principal geochemical processes: (I) the dissolution of evaporite rocks, (II) cation exchange and reverse exchange reactions, (III) congruent dissolution of carbonates (calcite, dolomite) coupled with the dissolution of gypsum and calcite precipitation, (IV) sulfate reduction under anaerobic conditions, and (V) saltwater intrusion in the northeastern Sabkha plains. The 18O and deuterium concentrations in groundwater are very low, indicating that the aquifer is recharged by evaporated rainfall originating from the north slope of the Aurès Mountains which confirms that the aquifer is recharged in the southern part of the plain.

Ethical responsibilities of pharmacists when selling complementary medicines: a systematic review.

PubMed

Salman Popattia, Amber; Winch, Sarah; La Caze, Adam

2018-04-01

The widespread sale of complementary medicines in community pharmacy raises important questions regarding the responsibilities of pharmacists when selling complementary medicines. This study reviews the academic literature that explores a pharmacist's responsibilities when selling complementary medicines. International Pharmaceutical Abstracts, Embase, PubMed, Cinahl, PsycINFO and Philosopher's index databases were searched for articles written in English and published between 1995 and 2017. Empirical studies discussing pharmacists' practices or perceptions, consumers' expectations and normative studies discussing ethical perspectives or proposing ethical frameworks related to pharmacists' responsibilities in selling complementary medicines were included in the review. Fifty-eight studies met the inclusion criteria. The majority of the studies discussing the responsibilities of pharmacists selling complementary medicines had an empirical focus. Pharmacists and consumers identified counselling and ensuring safe use of complementary medicines as the primary responsibilities of pharmacists. No formal ethical framework is explicitly employed to describe the responsibilities of pharmacists selling complementary medicines. To the degree any ethical framework is employed, a number of papers implicitly rely on principlism. The studies discussing the ethical perspectives of selling complementary medicines mainly describe the ethical conflict between a pharmacist's business and health professional role. No attempt is made to provide guidance on appropriate ways to resolve the conflict. There is a lack of explicit normative advice in the existing literature regarding the responsibilities of pharmacists selling complementary medicines. This review identifies the need to develop a detailed practice-specific ethical framework to guide pharmacists regarding their responsibilities when selling complementary medicines. © 2018 Royal Pharmaceutical Society.

Hydro-geochemical characterization of Treated Domestic Waste Water for possible use in homestead irrigation and managed aquifer recharge in the coastal city of Khulna, Bangladesh

NASA Astrophysics Data System (ADS)

Hamid, T.; Ahmed, K. M.

2016-12-01

Bangladesh is among the most densely populated countries in the world. Rapid and unplanned urbanization in Bangladesh has resulted in heterogeneous land use pattern and larger demands for municipal water. To meet the ever-increasing demand of water for such population, the usage of treated domestic waste water (DWW) has become a viable option that can serve specific purposes, i.e. homestead irrigation, managed aquifer recharge (MAR) in major cities like Khulna, the largest city in the southwest coastal region. It is an attractive solution to minimize the deficit between the demand and supply of water in the study area where, in specific parts, city-dwellers suffer year round shortage of potable water due to high salinity in shallow depths. However, certain degree of treatment is mandatory for DWW in order to ensure the compliance of the output water with a set of standards and regulations for the DWW reuse. At present, the DWW is being treated through Constructed Wetlands but the treated water is not used and discharged into the sewer system. Wastewater that has been treated through a constructed wetland is a resource that can be used for productive uses in homestead garden irrigation, artificial aquifer recharge, and other non-potable uses. The study addresses the effectiveness of constructed wetlands in improving the quality of wastewater through on the hydro-geochemical characterization of both raw and treated DWW as well as baseline water quality analysis of surface and ground water in and around the treatment plant with consideration of seasonal variations. The study aims at sustainable development through conservation of water, satisfaction of demands, reliability of water supply, contribution to urban food supply, sustenance of livelihood and replenishment of the depleting aquifer by assessing the suitability of the treated DWW for various non-potable uses and also to provide guidelines for possible uses of treated DWW without adverse impact on environment and ecology.

Evaluation of the fate and transport of chlorinated ethenes in a complex groundwater system discharging to a stream in Wonju, Korea.

PubMed

Lee, Seong-Sun; Kaown, Dugin; Lee, Kang-Kun

2015-11-01

Chlorinated ethenes such as trichloroethylene (TCE) are common and persistent groundwater contaminants. If contaminated groundwater discharges to a stream, then stream water pollution near the contamination site also becomes a problem. In this respect, the fate and transport of chlorinated ethenes around a stream in an industrial complex were evaluated using the concentration of each component, and hydrogeochemical, microbial, and compound-specific carbon isotope data. Temporal and spatial monitoring reveal that a TCE plume originating from main and local source zones continues to be discharged to a stream. Groundwater geochemical data indicate that aerobic conditions prevail in the upgradient area of the studied aquifer, whereas conditions become anaerobic in the downgradient. The TCE molar fraction is high at the main and local source zones, ranging from 87.4 to 99.2% of the total volatile organic compounds (VOCs). An increasing trend in the molar fraction of cis-1, 2-Dichloroethene (cis-DCE) and vinyl chloride (VC) was observed in the downgradient zone of the study area. The enriched δ(13)C values of TCE and depleted values of cis-DCE in the stream zone, compared to those of the source zone, also suggest biodegradation of VOCs. Microbial community structures in monitoring wells adjacent to the stream zone in the downgradient area were analyzed using 16S rRNA gene-based pyrosequencing to identify the microorganisms responsible for biodegradation. This was attributed to the high relative abundance of dechlorinating bacteria in monitoring wells under anaerobic conditions farthest from the stream in the downgradient area. The multilateral approaches adopted in this study, combining hydrogeochemical and biomolecular methods with compound-specific analyses, indicate that contaminants around the stream were naturally attenuated by active anaerobic biotransformation processes. Copyright © 2015 Elsevier B.V. All rights reserved.

Use of complementary and alternative medicine in children and adolescents with autism spectrum disorder: A systematic review.

PubMed

Höfer, Juliana; Hoffmann, Falk; Bachmann, Christian

2017-05-01

Despite limited evidence, complementary and alternative medicine treatments are popular in autism spectrum disorder. The aim of this review was to summarize the available evidence on complementary and alternative medicine use frequency in autism spectrum disorder. A systematic search of three electronic databases was performed. All research studies in English or German reporting data on the frequency of complementary and alternative medicine use in individuals with autism spectrum disorder were included. Two independent reviewers searched the literature, extracted information on study design and results, and assessed study quality using an established quality assessment tool. Twenty studies with a total of 9540 participants were included. The prevalence of any complementary and alternative medicine use ranged from 28% to 95% (median: 54%). Special diets or dietary supplements (including vitamins) were the most frequent complementary and alternative medicine treatments, ranking first in 75% of studies. There was some evidence for a higher prevalence of complementary and alternative medicine use in autism spectrum disorder compared to other psychiatric disorders and the general population. Approximately half of children and adolescents with autism spectrum disorder use complementary and alternative medicine. Doctors should be aware of this and should discuss complementary and alternative medicine use with patients and their carers, especially as the evidence is mixed and some complementary and alternative medicine treatments are potentially harmful.

Installation-restoration program. Phase 2. Confirmation/quantification. Stage 1 for Shaw Air Force Base, South Carolina. Final report, January 1984-October 1986

DOE Office of Scientific and Technical Information (OSTI.GOV)

Alexander, W.J.; Liddle, S.K.

1986-09-01

The primary objectives of this project were to collect and analyze groundwater, surface water, and sediment samples and to perform an initial characterization of the hydrogeochemical regime at potential contamination sites on Shaw Air Force Base near Sumter, South Carolina. This study constituted Phase II of the U.S. Air Force Installation Restoration Program (IRP). Five potential sources of groundwater pollution were studied. The evaluation primarily included the drilling of soil test borings, the installation, development, and sampling of groundwater monitoring wells, and the analyses of soil, surface water, and groundwater samples. Also used in the study were field measurements ofmore » water quality, water-level measurements site observations, published hydrogeologic data and Shaw AFB documents.« less

Use of complementary and alternative medicine by patients with cancer in northern Turkey: analysis of cost and satisfaction.

PubMed

Aydin Avci, Ilknur; Koç, Zeliha; Sağlam, Zeynep

2012-03-01

The aims of this study were to determine (1) the prevalence of complementary and alternative medicine use among patients with cancer, (2) the method of use of the particular therapy, (3) the reasons for using complementary and alternative medicine therapies, (4) the benefits experienced by the use of complementary and alternative medicine, (5) the source of information about complementary and alternative medicine therapies and, (6) the satisfaction and cost of complementary and alternative medicine. Complementary and alternative medicine consists of diverse medical and healthcare systems, practices and products that are not considered at present to be a part of conventional medicine. The majority of patients who use complementary and alternative medicine use more than one method. Complementary and alternative medicine use is more common in cases of advanced disease or poor prognosis. This is a descriptive study of complementary and alternative medicine. This study was conducted in the Chemotherapy Unit at Ondokuz Mayıs University, Faculty of Medicine, Samsun, Turkey, between 18 March 2008-30 June 2008. Two hundred fifty-three patients with cancer, among 281 patients who applied to the chemotherapy clinic between these dates, agreed to take part in the study with whom contact could be made were included. A questionnaire including descriptive characteristics in collecting data, characteristics about diseases and their treatments, complementary and alternative medicine information and implementation situations and a control list about complementary and alternative medicine implementations were given. The collected data were evaluated by computer using descriptive statistics, the chi-square test and Student's t-test. In this study, 94·1% of the patients were content with medical treatment, 58·9% of them used complementary and alternative medicine treatments, 41·1% did not use any complementary and alternative medicine treatments. The satisfaction level of the patients with complementary and alternative medicine methods was slightly above mediocre (2·33 SD 0·64, on a scale of 1-3). The average cost per capita spent by the patients using complementary and alternative medicine for all the different methods was US$288·26. It was determined that although patients did not have enough knowledge about complementary and alternative medicine methods, the prevalence of complementary and alternative medicine and satisfaction levels are high that complementary and alternative medicine users spend substantial sums of money for these methods. To sustain medical treatment and prognosis of cancer, it is important for nurses to consult with their patients regarding the use and potential risks of some complementary and alternative medicine. © 2011 Blackwell Publishing Ltd.

Use of complementary and alternative medicine by pediatric patients with functional and organic gastrointestinal diseases: results from a multicenter survey.

PubMed

Vlieger, Arine M; Blink, Marjolein; Tromp, Ellen; Benninga, Marc A

2008-08-01

Many pediatric patients use complementary and alternative medicine, especially when facing a chronic illness for which treatment options are limited. So far, research on the use of complementary and alternative medicine in patients with functional gastrointestinal disease has been scarce. This study was designed to assess complementary and alternative medicine use in children with different gastrointestinal diseases, including functional disorders, to determine which factors predicted complementary and alternative medicine use and to assess the willingness of parents to participate in future studies on complementary and alternative medicine efficacy and safety. The prevalence of complementary and alternative medicine use was assessed by using a questionnaire for 749 children visiting pediatric gastroenterology clinics of 9 hospitals in the Netherlands. The questionnaire consisted of 35 questions on the child's gastrointestinal disease, medication use, health status, past and future complementary and alternative medicine use, reasons for its use, and the necessity of complementary and alternative medicine research. In this study population, the frequency of complementary and alternative medicine use was 37.6%. A total of 60.3% of this group had used complementary and alternative medicine specifically for their gastrointestinal disease. This specific complementary and alternative medicine use was higher in patients with functional disorders than organic disorders (25.3% vs 17.2%). Adverse effects of allopathic medication, school absenteeism, age

Complementary and Alternative Medicine for Patients

MedlinePlus

... Ask about Your Treatment Research Complementary and Alternative Medicine for Patients Complementary and alternative medicine (CAM) is ... based on scientific evidence from research studies. Complementary medicine refers to treatments that are used with standard ...

Stable sulfur isotope hydrogeochemical studies using desert shrubs and tree rings, Death Valley, California, USA

DOE Office of Scientific and Technical Information (OSTI.GOV)

Yang, Wenbo; Spencer, R.J.; Krouse, H.R.

1996-08-01

The {delta}{sup 34}S values of two dominant xerophytes, Atriplex hymenehytra and Larrea tridentata, in Death Valley, California, vary similarly from +7 to +18{per_thousand}, corresponding isotopically to sulfate in the water supplies at a given location. Going radially outwards, tree ring data from a phreatophyte tree, Tamarix aphylla, show a distinct time dependence, with {delta}{sup 34}S values increasing from +13.5 to +18{per_thousand} for soluble sulfate and from +12 to +17% for total sulfur. These data are interpreted in terms of sulfur sources, water sources and flow paths, and tree root growth. 32 refs., 3 figs., 3 tabs.

Complementary and Alternative Medicine: A Cross-Sectional Observational Study in Pediatric Inpatients

PubMed Central

Dhankar, Mukesh

2018-01-01

The aim was to study the prevalence of complementary and alternative medicine use in acutely sick hospitalized children and factors associated with it. This is a cross-sectional, hospital-based study in a tertiary care center of Delhi, India. Children admitted to a pediatric unit during the study period were assessed using a specially designed questionnaire. Out of the total 887 admitted children, 161 (18.1%) were using complementary and alternate medicine in one form or another. Of these, 113 (70.2%) were using complementary and alternate medicine for the current illness directly leading to admission and the remaining 48 (29.8%) had used complementary and alternate medicine in past. The common complementary and alternate medicine use observed in our study was combined ayurveda and spiritual approach (25.5%), ayurveda (24.8%), spiritual (21.7%), homeopathic (13%), and 47.2% of children were using spiritual approach in form of Jhada (tying piece of cloth on arm or leg or keeping a knife by the side of child). The significant factors associated with complementary and alternate medicine use were younger age, female gender, and father being employed. Complementary and alternate medicine is commonly used even in acutely sick children. PMID:29616560

The fate of ammonium-nitrogen in leachate contaminated groundwater system

NASA Astrophysics Data System (ADS)

M, Atta; W, Yaacob W. Z.

2015-09-01

Hydrogeochemical conditions influences strongly on ammonium attenuation and ultimately its long-term fate in the subsurface. The purpose of this work was to identify the conditions influencing the persistence of ammonium-nitrogen in the contaminated groundwater system of Taman Beringin ex-landfill site in Malaysia. This study applies hydrogeochemical data extractions techniques of redox sensitive groundwater species from previously installed monitoring wells between February to August 2014. Electrochemical measurements of Oxidation Reduction Potential (ORP) were collected successively with several other physicochemical parameters including pH, Temperature, and DO in the landfill site. The result show that the mean concentration of NH4-N, NO2-N, and NO3-N are: (47.98±81.83 mg/L), (0.17±0.22 mg/L) and (6.11± 8.74 mg/L) respectively. The mean range of redox potentials (-10.25±128.28 mV) delineated areas of strongly reducing conditions. Based on the evaluation of the data, NH4-N, NO2-N and NO3-N accounts for 89.98%, 0.28% and 9.7% respectively of the groundwater concentration of total nitrogen, while a miniature proportion of oxidisable nitrogen concentrations (10.02%) are attributed t o biological process of nitrification. Relationship exist between data set NH4-N and ORP (r = -0.65009). It was concluded that although biological attenuation processes are effectively decreasing the ammonia concentrations in some of the wells, the processes are inhibited by chemical conditions that were attributed to Fe reducing conditions as observed in some of the wells. NH4-N will remain persistent and at elevated levels as much as the conditions persist and contributes in determining the fate of NH4-N in the Taman Beringin ground water system.

Hydrogeochemistry of arsenic pollution in watersheds influenced by gold mining activities in Paracatu (Minas Gerais State, Brazil).

PubMed

Bidone, Edison; Castilhos, Zuleica; Cesar, Ricardo; Santos, Maria Carla; Sierpe, Ricardo; Ferreira, Marcos

2016-05-01

The aim of this study is to evaluate total arsenic (As) concentrations in drinking water (main pathway of human exposure) and its hydrogeochemical controls in the "Morro do Ouro" gold mine region, which is the largest gold mine in Brazil, characterized by gold-arsenopyrite association. Arsenic concentration was generally below the detection limit (LOD < 0.5 μg L(-1)). Thus, water ingestion may not be a significant exposure pathway to local population. Low groundwater As concentrations (<1 μg L(-1)) are likely due to ore body structural setting, which plunges from 10° to >20°, being readily covered by thick phyllites that are poor in As some hundreds of meters away from the mine. Thirty-five percent of As levels in superficial waters (<0.5 to 40 μg L(-1)) were >10 μg L(-1), which is the maximum permissible value for human ingestion. The highest concentrations were found nearby mine facilities and old artisanal mining areas surrounding the mine, decreasing downstream. Undisturbed watersheds showed As concentrations close to LOD. Hydrogeochemical data stress the sorption (adsorption and co-precipitation) of As role, mainly by Fe oxyhydroxides, as a geochemical filter that retains As, attenuating its concentration in both superficial and groundwater. Such minerals are abundant in the region oxisols, sediments, and phyllites and may form stable mineral complexes with As under the pH (mostly neutral) and Eh (reduced environment) conditions found in the field. It has been demonstrated that As(III) (more toxic) and As(V) co-exist in the analyzed waters and that As(V) predominates in superficial water.

Hydrogeochemical processes and isotopes analysis. Study case: "La Línea Tunnel", Colombia

NASA Astrophysics Data System (ADS)

Piña, Adriana; Donado, Leonardo; Cramer, Thomas

2017-04-01

Hydrogeochemical and stable isotopes analyses have been widely used to identify recharge and discharge zones, flowpaths, type, origin and age of water, chemical processes between minerals and groundwater as well as effects caused by anthropogenic or natural pollution. In this paper we analyze the interactions between groundwater and surface water using as laboratory the tunnels located at the La Línea Massif in the Cordillera Central of the Colombian Andes. The massif is formed by two igneous-metamorphic fractured complexes (Cajamarca and Quebradagrande group) plus andesithic porphyry rocks from the tertiary period. There, eight main fault zones related to surface creeks were identified and main inflows inside the tunnels were reported. 60 water samples were collected in surface and inside the tunnel in fault zones in two different years, 2010 and 2015. To classify water samples, a multivariate statistical analysis combining Factor Analysis (FA) with Hierarchical Cluster Analysis (HCA) was performed. Then, analyses of the major chemical elements and water isotopes (18O, 2H and 3H) were used to define the origin of dissolved components and to analyse the evolution in time. Most samples were classified as bicarbonate calcite water or bicarbonate magnesium water type. Isotopic analyses show a characteristic behavior for east and west watershed and each geologic group. According to the FA and HCA, obtained factors and clusters are first related to the location of the samples (surface or tunnel samples) followed by the geology. Surface samples behave according to the Colombian meteoric line as inflows related to permeable faults while less permeable faults show hydrothermal processes. Finally, water evolution in time shows a decrease of pH, conductivity and Mg2+ related to silicate weathering or precipitation/dissolution processes that affect the spacing in fractures and consequently, the hydraulic properties.

Hydro-geochemical modeling of the spatial and the temporal geochemical variations of the granitic Strengbach catchment springs (Vosges massif, France)

NASA Astrophysics Data System (ADS)

Ackerer, Julien; Chabaux, François; Lucas, Yann; Pierret, Marie Claire; Viville, Daniel; Fritz, Bertrand; Clement, Alain; Beaulieu, Emilie; Negrel, Philippe

2017-04-01

Regular analysis of the major element concentrations in waters from springs emerging on the Strengbach catchment is made for more than 20 years (OHGE, Observatoire Hydro-Géochimique de l'Environnement). These data confirm the spatial variability of geochemical characteristics of the Strengbach springs linked, at least partly, to the lithological variability of the substratum (Pierret et al., 2014). The data also indicate that at the first order, the geochemical fluxes exported from each spring are mainly linked to the spring discharges, without significant variations of the relationships linking these two parameters between 1990 and 2010. There is also no observation of significant variations for the dissolved silica and for most of the cationic concentrations with time. Only a significant decrease of the Ca concentrations is observed for the Strengbach springs from 1990 to 2010. Numerical simulations, performed with the KIRMAT hydro-geochemical code, show that such a decrease can be considered as the response in the "bedrock" of the water-rock interactions to the variations of the soil solution chemical compositions recorded over the last 20 years, marked by a significant increase of pH and decrease of Ca concentrations. In particular, the modeling results show that the Ca concentration decrease is controlled by the couple apatite/clays, and that significant modifications of the apatite dissolution rate and clay compositions occurred between 1990 and 2010. This study shows that the temporal evolution of the Strengbach spring chemistry cannot be explained by the only variations of the clay mineral compositions, i.e. a modification of the chemical composition of the precipitated clays or a modification of the ionic exchange capacity of the clay minerals, but that it is definitely the interrelations between the apatite and the clay minerals that are involved.

Hydrogeochemical and isotopic evaluation of groundwater with elevated arsenic in alkaline aquifers in Eastern Punjab, Pakistan.

PubMed

Mushtaq, Nisbah; Younas, Ayesha; Mashiatullah, Azhar; Javed, Tariq; Ahmad, Arslan; Farooqi, Abida

2018-06-01

Geochemical investigation was carried out for delineating factors responsible for the mobilization of arsenic (As) from aquifer material into the groundwater. Four sites along Ravi River, (Samada, Sarai Chimba, Kot Maiga and Chah Fatehwala), were selected based on the blanket survey. Groundwater-rock interaction and evaporation were the key phenomena controlling groundwater chemistry, as shown by the hydrogeochemical data. Groundwater was predominantly Na-Cl type, with other principle facies being Na-HCO 3 , Na-Ca-HCO 3 and Ca-Mg-Cl. The groundwater As concentration ranged between below detection level (2 μg/L) to 548 μg/L with 59% samples exceeding the World Health Organization (WHO) guidelines for As in drinking water (10 μg/L) and 31% having higher concentrations than the National Environmental Quality Standard (NEQS, 50 μg/L). Moderate to high concentrations of SO 4 -2 averaged at 244 mg/L and moderate NO 3 - concentrations averaged at 8 mg/L, together with alkaline pH (7.3-8.8) and high Eh values (113-402 mV) suggest partial oxidizing nature of the aquifers. The values for δ 18 O and δ 2 H in groundwater varied between -9.14 and -5.51‰, and -56.57 to -39.5‰ respectively, and suggests meteoric origin of the groundwater with some evaporative loss. This effect could be partly responsible for elevated levels of pH and salinity in groundwater. Based on geochemical and isotopic composition of groundwater, desorption of As from metal surfaces under alkaline environment might be the factor causing As enrichment in study area. Copyright © 2018 Elsevier Ltd. All rights reserved.

Complementary and conventional providers in cancer care: experience of communication with patients and steps to improve communication with other providers.

PubMed

Stub, Trine; Quandt, Sara A; Arcury, Thomas A; Sandberg, Joanne C; Kristoffersen, Agnete E

2017-06-08

Effective interdisciplinary communication is important to achieve better quality in health care. The aims of this study were to compare conventional and complementary providers' experience of communication about complementary therapies and conventional medicine with their cancer patients, and to investigate how they experience interdisciplinary communication and cooperation. This study analyzed data from a self-administrated questionnaire. A total of 606 different health care providers, from four counties in Norway, completed the questionnaire. The survey was developed to describe aspects of the communication pattern among oncology doctors, nurses, family physicians and complementary therapists (acupuncturists, massage therapists and reflexologists/zone-therapists). Between-group differences were analyzed using chi-square, ANOVA and Fisher's exact tests. Significance level was defined as p < 0.05 without adjustment for multiple comparisons. Conventional providers and complementary therapists had different patterns of communication with their cancer patients regarding complementary therapies. While complementary therapists advised their patients to apply both complementary and conventional modalities, medical doctors were less supportive of their patients' use of complementary therapies. Of conventional providers, nurses expressed more positive attitudes toward complementary therapies. Opportunities to improve communication between conventional and complementary providers were most strongly supported by complementary providers and nurses; medical doctors were less supportive of such attempts. A number of doctors showed lack of respect for complementary therapists, but asked for more research, guidelines for complementary modalities and training in conventional medicine for complementary therapists. For better quality of care, greater communication about complementary therapy use is needed between cancer patients and their conventional and complementary providers. In addition, more communication between conventional and complementary providers is needed. Nurses may have a crucial role in facilitating communication, as they are positive toward complementary therapies and they have more direct communication with patients about their treatment preferences.

Discovering complementary colors from the perspective of steam education

NASA Astrophysics Data System (ADS)

Karabey, Burak; Yigit Koyunkaya, Melike; Enginoglu, Turan; Yurumezoglu, Kemal

2018-05-01

This study explored the theory and applications of complementary colors using a technology-based activity designed from the perspective of STEAM education. Complementary colors and their areas of use were examined from the perspective of physics, mathematics and art, respectively. The study, which benefits from technology, makes the theory of complementary colors accessible to all through practical applications and provides a multidisciplinary, integrated and innovative technique of teaching the subject of colors, which could be used to teach complementary colors.

Knowledge, Attitude, and Practice of Complementary and Alternative Medicine Among Residents of Wayu Town, Western Ethiopia.

PubMed

Belachew, Negash; Tadesse, Tarekegne; Gube, Addisu Alemayehu

2017-10-01

Complementary and alternative medicine covers a wide variety of therapies and practices, which vary from country to country and region to region. The study was conducted to assess the knowledge, attitude, and practice of complementary and alternative medicine among the residents of Wayu town, Western Ethiopia. A descriptive cross-sectional study was carried out on 302 residents. A systematic sampling was used to select households. Data were entered in SPSS (version 20; IBM Corp) and descriptive statistics was carried out. Of 302 participants, 51.65% have a good knowledge, 78.6% were aware of complementary and alternative medicine, and 74.22% used it in the past 2 years. A total of 23.83% believe that complementary and alternative medicine is more effective than modern medicine and 28.8% preferred complementary and alternative medicine to modern medicine. This study revealed that in Wayu town, there is relatively high public interest in complementary and alternative medicine practices and a significant number has a good knowledge but generally the attitude toward complementary and alternative medicine is relatively low.

Knowledge, Attitude, and Practice of Complementary and Alternative Medicine Among Residents of Wayu Town, Western Ethiopia

PubMed Central

Belachew, Negash; Tadesse, Tarekegne

2017-01-01

Complementary and alternative medicine covers a wide variety of therapies and practices, which vary from country to country and region to region. The study was conducted to assess the knowledge, attitude, and practice of complementary and alternative medicine among the residents of Wayu town, Western Ethiopia. A descriptive cross-sectional study was carried out on 302 residents. A systematic sampling was used to select households. Data were entered in SPSS (version 20; IBM Corp) and descriptive statistics was carried out. Of 302 participants, 51.65% have a good knowledge, 78.6% were aware of complementary and alternative medicine, and 74.22% used it in the past 2 years. A total of 23.83% believe that complementary and alternative medicine is more effective than modern medicine and 28.8% preferred complementary and alternative medicine to modern medicine. This study revealed that in Wayu town, there is relatively high public interest in complementary and alternative medicine practices and a significant number has a good knowledge but generally the attitude toward complementary and alternative medicine is relatively low. PMID:29250965

Hydrogeochemical exploration: a reconnaissance study on northeastern Seward Peninsula, Alaska: Chapter A in Studies by the U.S. Geological Survey in Alaska, vol. 15

USGS Publications Warehouse

Graham, Garth E.; Taylor, Ryan D.; Buckley, Steve

2015-01-01

A reconnaissance hydrogeochemical study employing high-resolution/high-sensitivity inductively coupled plasma mass spectrometry analysis of stream and seep water samples (n= 171) was conducted in an area of limited bedrock exposure on the northeastern Seward Peninsula, Alaska. Sampling was focused in drainages around four main areas—at the Anugi Pb-Zn-Ag occurrence and in streams upstream of historically and currently mined placer gold deposits in the Candle Creek, Utica, and Monument Mountain areas. The objective of the study was to determine whether distribution of elevated metal concentrations in water samples could “see” through sediment cover and provide evidence of bedrock sources for base metals and gold. Some observations include (1) elevated Ag, As, Pb, and Zn concentrations relative to the study area as a whole in stream and seep samples from over and downstream of part of the Anugi Pb-Zn-Ag prospect; (2) abrupt downstream increases in Tl and Sb ± Au concentrations coincident with the upstream termination of productive placer deposits in the Inmachuk and Old Glory Creek drainages near Utica; (3) high K, Mo, Sb, and F throughout much of the Inmachuk River drainage near Utica; and (4) elevated As ± base metals and Au at two sites along Patterson Creek near the town of Candle and three additional contiguous sites identified when an 85th percentile cut-off was employed. Molybdenum ± gold concentrations (>90th percentile) were also measured in samples from three sites on Glacier Creek near Monument Mountain. The hydrogeochemistry in some areas is consistent with limited stream-sediment data from the region, including high Pb-Zn-Ag-As concentrations associated with Anugi, as well as historical reports of arsenopyrite-bearing veins upstream of placer operations in Patterson Creek. Chemistry of samples in the Inmachuk River-Old Glory Creek area also suggest more laterally extensive stibnite- (and gold-?) bearing veining than is currently known in the Old Glory Creek drainage. Our results indicate that hydrogeochemistry can be a useful method of geochemical exploration and offer targets for follow-up rock, soil, and subsurface sampling to ascertain the presence of mineralized bedrock.

An integrated hydrogeochemical and isotopic approach to study groundwater Salinization in the overexploited aquifers of Indo-Gangetic Plain, a part of NCR Delhi

NASA Astrophysics Data System (ADS)

Kumari, R.

2017-12-01

roundwater resources in arid and semi-arid areas are highly vulnerable to salinity problems. Inadequate availability of surface water supply, vagaries of mansoonal rainfall and overexploitation due to population pressure and rapid landuse change induced decline in groundwater levels and salinization has been observed in many Asian cities. After green revolution, large part of Indo-Gangetic plain groundwater salinization has been reported. One such region is National Capital Region, Delhi- India's largest and the world's second largest agglomeration of people and economic hub of Northern India. The present study includes National capital territory, Delhi, Gurgaon and Faridabad. In the present study, different graphical plots, Piper plot, saturation index values (using PHREEQC), stable isotopes (δ18O and δD) and GIS is used to create the database for analysis of spatial variation in respective water quality parameters as well as to decipher the hydrogeochemical process occurring in the area. Major ions are analysed to describe the composition and distribution of salinization and dissolution/precipitation dynamics. It was observed that groundwater weathering is governed by carbonate and silicate weathering and reverse ion-exchange, however due to semi-arid climate evaporation is also playing a major role in groundwater chemistry and salinity of the area. δ18O and δD regression line of groundwater samples of the study area is below the LMWL also suggest from non-equilibrium fractionation during evaporation. Large lateral variation in chloride concentration indicates impact of evapotranspiration rate during recharge. Most of water facies are of Na-Cl. Stable isotope (δ18O and δD) analysis helps to identify evaporation and to better understand recharge processes and mixing dynamics in the study region. Limited availability of surface water supply, no pricing exists for groundwater extraction has resulted in a widespread decline in the water table and intermixing of fresh and contaminated water. The freshwater crisis in this area can be managed by the strict enforcement of regulatory measures restricting unplanned and indiscriminate water abstraction and fertilizer application as well as waste disposal from industries. Corresponding Author: Kumari Rina, E-mail: rina.sesd@cug.ac.in

DOE Office of Scientific and Technical Information (OSTI.GOV)

Morgan, T.L.; George, W.E.; Hensley, W.K.

As part of the Hydrogeochemical and Stream Sediment Reconnaissance (HSSR) of the National Uranium Resource Evaluation (NURE) sponsored by the US Department of Energy (DOE), the Los Alamos Scientific Laboratory (LASL) conducted a detailed hydrogeochemical survey of well waters in a 4250-km/sup 2/ area near Pie Town in west-central New Mexico. A total of 300 well samples was collected and analyzed for uranium and 23 other elements. The results of these analyses and carbonate and bicarbonate ion concentrations are presented in the Appendixes of this report. Uranium concentrations range from below the detection limit of 0.02 parts per billion (ppB)more » to 293.18 ppB and average 8.71 ppB. Samples containing high levels of uranium were collected from the Largo Creek valley west of Quemado, from a small area about 6 km east of Quemado, from a small area surrounding Pie Town, and from scattered locations in the area surrounding Adams Diggings north of Pie Town. Most of the samples containing high uranium concentrations were collected from wells associated with the volcanic sedimentary facies of the Datil formation. This formation is a likely source of mobile uranium that may be precipitating in the underlying Baca formation, a known uranium host unit. Bicarbonate ion concentration, while proportional to uranium concentration in some cases, is not a strong controlling factor in the uranium concentrations in samples from this area.« less

Groundwater salinization processes and reversibility of seawater intrusion in coastal carbonate aquifers

NASA Astrophysics Data System (ADS)

Han, Dongmei; Post, Vincent E. A.; Song, Xianfang

2015-12-01

Seawater intrusion (SWI) has led to salinization of fresh groundwater reserves in coastal areas worldwide and has forced the closure of water supply wells. There is a paucity of well-documented studies that report on the reversal of SWI after the closure of a well field. This study presents data from the coastal carbonate aquifer in northeast China, where large-scale extraction has ceased since 2001 after salinization of the main well field. The physical flow and concomitant hydrogeochemical processes were investigated by analyzing water level and geochemical data, including major ion chemistry and stable water isotope data. Seasonal water table and salinity fluctuations, as well as changes of δ2H-δ18O values of groundwater between the wet and dry season, suggest local meteoric recharge with a pronounced seasonal regime. Historical monitoring testifies of the reversibility of SWI in the carbonate aquifer, as evidenced by a decrease of the Cl- concentrations in groundwater following restrictions on groundwater abstraction. This is attributed to the rapid flushing in this system where flow occurs preferentially along karst conduits, fractures and fault zones. The partially positive correlation between δ18O values and TDS concentrations of groundwater, as well as high NO3- concentrations (>39 mg/L), suggest that irrigation return flow is a significant recharge component. Therefore, the present-day elevated salinities are more likely due to agricultural activities rather than SWI. Nevertheless, seawater mixing with fresh groundwater cannot be ruled out in particular where formerly intruded seawater may still reside in immobile zones of the carbonate aquifer. The massive expansion of fish farming in seawater ponds in the coastal zone poses a new risk of salinization. Cation exchange, carbonate dissolution, and fertilizer application are the dominant processes further modifying the groundwater composition, which is investigated quantitatively using hydrogeochemical models.

The origin of groundwater composition in the Pampeano Aquifer underlying the Del Azul Creek basin, Argentina.

PubMed

Zabala, M E; Manzano, M; Vives, L

2015-06-15

The Pampean plain is the most productive region in Argentina. The Pampeano Aquifer beneath the Pampean plain is used mostly for drinking water. The study area is the sector of the Pampeano Aquifer underlying the Del Azul Creek basin, in Buenos Aires province. The main objective is to characterize the chemical and isotopic compositions of groundwater and their origin on a regional scale. The methodology used involved the identification and characterization of potential sources of solutes, the study of rain water and groundwater chemical and isotopic characteristics to deduce processes, the development of a hydrogeochemical conceptual model, and its validation by hydrogeochemical modelling with PHREEQC. Groundwater samples come mostly from a two-depth monitoring network of the "Dr. Eduardo J. Usunoff" Large Plains Hydrology Institute (IHLLA). Groundwater salinity increases from SW to NE, where groundwater is saline. In the upper basin groundwater is of the HCO3-Ca type, in the middle basin it is HCO3-Na, and in the lower basin it is ClSO4-NaCa and Cl-Na. The main processes incorporating solutes to groundwater during recharge in the upper basin are rain water evaporation, dissolution of CO2, calcite, dolomite, silica, and anorthite; cationic exchange with Na release and Ca and Mg uptake, and clay precipitation. The main processes modifying groundwater chemistry along horizontal flow at 30 m depth from the upper to the lower basin are cationic exchange, dissolution of silica and anorthite, and clay precipitation. The origin of salinity in the middle and lower basin is secular evaporation in a naturally endorheic area. In the upper and middle basins there is agricultural pollution. In the lower basin the main pollution source is human liquid and solid wastes. Vertical infiltration through the boreholes annular space during the yearly flooding stages is probably the pollution mechanism of the samples at 30 m depth. Copyright © 2015 Elsevier B.V. All rights reserved.

Hydrogeochemistry and water quality of the Kordkandi-Duzduzan plain, NW Iran: application of multivariate statistical analysis and PoS index.

PubMed

Soltani, Shahla; Asghari Moghaddam, Asghar; Barzegar, Rahim; Kazemian, Naeimeh; Tziritis, Evangelos

2017-08-18

Kordkandi-Duzduzan plain is one of the fertile plains of East Azarbaijan Province, NW of Iran. Groundwater is an important resource for drinking and agricultural purposes due to the lack of surface water resources in the region. The main objectives of the present study are to identify the hydrogeochemical processes and the potential sources of major, minor, and trace metals and metalloids such as Cr, Mn, Cd, Fe, Al, and As by using joint hydrogeochemical techniques and multivariate statistical analysis and to evaluate groundwater quality deterioration with the use of PoS environmental index. To achieve these objectives, 23 groundwater samples were collected in September 2015. Piper diagram shows that the mixed Ca-Mg-Cl is the dominant groundwater type, and some of the samples have Ca-HCO 3 , Ca-Cl, and Na-Cl types. Multivariate statistical analyses indicate that weathering and dissolution of different rocks and minerals, e.g., silicates, gypsum, and halite, ion exchange, and agricultural activities influence the hydrogeochemistry of the study area. The cluster analysis divides the samples into two distinct clusters which are completely different in EC (and its dependent variables such as Na + , K + , Ca 2+ , Mg 2+ , SO 4 2- , and Cl - ), Cd, and Cr variables according to the ANOVA statistical test. Based on the median values, the concentrations of pH, NO 3 - , SiO 2 , and As in cluster 1 are elevated compared with those of cluster 2, while their maximum values occur in cluster 2. According to the PoS index, the dominant parameter that controls quality deterioration is As, with 60% of contribution. Samples of lowest PoS values are located in the southern and northern parts (recharge area) while samples of the highest values are located in the discharge area and the eastern part.

Identifying and quantifying geochemical and mixing processes in the Matanza-Riachuelo Aquifer System, Argentina.

PubMed

Armengol, S; Manzano, M; Bea, S A; Martínez, S

2017-12-01

The Matanza-Riachuelo River Basin, in the Northeast of the Buenos Aires Province, is one of the most industrialized and populated region in Argentina and it is worldwide known for its alarming environmental degradation. In order to prevent further damages, the aquifer system, which consists of two overlaid aquifers, is being monitored from 2008 by the river basin authority, Autoridad de la Cuenca Matanza-Riachuelo. The groundwater chemical baseline has been established in a previous paper (Zabala et al., 2016), and this one is devoted to the identification of the main physical and hydrogeochemical processes that control groundwater chemistry and its areal distribution. Thirty five representative groundwater samples from the Upper Aquifer and thirty four from the deep Puelche Aquifer have been studied with a multi-tool approach to understand the origin of their chemical and isotopic values. The resulting conceptual model has been validated though hydrogeochemical modeling. Most of the aquifer system has fresh groundwater, but some areas have brackish and salt groundwater. Water recharging the Upper Aquifer is of the Ca-HCO 3 type as a result of soil CO 2 and carbonate dissolution. Evapotranspiration plays a great role concentrating recharge water. After recharge, groundwater becomes Na-HCO 3 , mostly due to cation exchange with Na release and Ca uptake, which induces calcite dissolution. Saline groundwaters exist in the lower and upper sectors of the basin as a result of Na-HCO 3 water mixing with marine water of different origins. In the upper reaches, besides mixing with connate sea water other sources of SO 4 exist, most probably gypsum and/or sulfides. This work highlights the relevance of performing detailed studies to understand the processes controlling groundwater chemistry at regional scale. Moreover, it is a step forward in the knowledge of the aquifer system, and provides a sound scientific basis to design effective management programs and recovery plans. Copyright © 2017 Elsevier B.V. All rights reserved.

A review of nurses' knowledge, attitudes, and ability to communicate the risks and benefits of complementary and alternative medicine.

PubMed

Chang, Hsiao-Yun; Chang, Huai-Lu

2015-06-01

This study reviewed existing literature to investigate how frequently nurses include complementary and alternative forms of medicine in their clinical practice. In so doing, we investigated nurses' knowledge of and attitudes towards complementary and alternative medicine as well as their ability to communicate the risks and benefits of these therapies with patients. Little information is available concerning nurses' knowledge and attitudes towards complementary and alternative medicine or how they incorporate these therapies into their practice. In addition, little is known about the ability of nurses to communicate the risks and benefits of complementary and alternative medicine to their patients. This study used a scoping review method to map and synthesise existing literature. Both electronic and manual searches were used to identify relevant studies published between January 2007 and January 2014. The review was conducted in five stages: (1) identification of research question(s), (2) locate studies, (3) selection of studies, (4) charting of data, and (5) collating, summarising, and reporting of results. Fifteen papers met the inclusion criteria for this review, among which 53·7% referenced how frequently nurses include complementary and alternative medicine in their practice. We found that 66·4% of nurses had positive attitudes towards complementary and alternative medicine; however, 77·4% did not possess a comprehensive understanding of the associated risks and benefits. In addition, nearly half of the respondents (47·3-67·7%) reported feeling uncomfortable discussing complementary and alternative medicine therapies with their patients. The lack of knowledge about complementary and alternative medicine among nurses is a cause for concern, particularly in light of its widespread application. Findings from this study suggest that health care professionals need to promote evidence informed decision-making in complementary and alternative medicine practice and be knowledgeable enough to discuss complementary and alternative medicine therapies. Without involvement of complementary and alternative medicine communication on the part of our profession, we may put our patients at risk of uninformed and without medical guidance. © 2015 John Wiley & Sons Ltd.

Use of complementary and alternative medicine by patients with arthritis.

PubMed

Unsal, Ayla; Gözüm, Sebahat

2010-04-01

The aims of this study were to determine the prevalence of complementary and alternative medicine use in patients with arthritis, the types of complementary and alternative medicine used, pertinent socio-demographic factors associated with complementary and alternative medicine use and its perceived efficacy. Arthritis is a major health issue, and the use of complementary and alternative medicine among patients with arthritis is common. This is a descriptive cross-sectional study. Data were obtained from 250 patients with arthritis at the physiotherapy and immunology clinics Atatürk University Hospital in eastern Turkey between May-July 2005 using a questionnaire developed specifically for this study. The instrument included questions on socio-demographic information, disease specifics and complementary and alternative medicine usage. Seventy-six per cent of participants reported use of at least one form of complementary and alternative medicine in the previous year. Complementary and alternative medicine users and non-users were not significantly different in most socio-demographic characteristics including age, gender, marital status and education level with the exception of economic status. We categorised treatment into six complementary and alternative medicine categories: 62.6% of patients used thermal therapies; 41.5% used oral herbal therapies; 40.5% used hot therapies; 32.6% used externally applied (skin) therapies; 28.4% used massage and 12.6% used cold therapies. All forms of complementary and alternative medicine except thermal and oral herbal therapies were perceived as very effective by more than half of study participants. Complementary and alternative medicine therapy is widely used by patients with arthritis and has perceived beneficial effects. It is important for nurses and other health care professionals to be knowledgeable about the use of complementary and alternative medicine therapies when providing care to patients with arthritis because of possible interactions with other treatments, delays in seeking care and the potential for poor quality products. It is also essential for health professionals to discuss treatment options with patients and to monitor treatment efficacy.

76 FR 59707 - National Center for Complementary & Alternative Medicine; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-27

... Complementary & Alternative Medicine; Notice of Closed Meetings Pursuant to section 10(d) of the Federal... for Complementary and Alternative Medicine Special Emphasis Panel, Training and Education. Date... Complementary and Alternative Medicine Special Emphasis Panel, Clinical Studies of CAM Therapies. Date: November...

DNA Repair Mechanism Gene, XRCC1A ( Arg194Trp) but not XRCC3 ( Thr241Met) Polymorphism Increased the Risk of Breast Cancer in Premenopausal Females: A Case-Control Study in Northeastern Region of India.

PubMed

Devi, K Rekha; Ahmed, Jishan; Narain, Kanwar; Mukherjee, Kaustab; Majumdar, Gautam; Chenkual, Saia; Zonunmawia, Jason C

2017-12-01

X-ray repair cross complementary group gene is one of the most studied candidate gene involved in different types of cancers. Studies have shown that X-ray repair cross complementary genes are significantly associated with increased risk of breast cancer in females. Moreover, studies have revealed that X-ray repair cross complementary gene polymorphism significantly varies between and within different ethnic groups globally. The present case-control study was aimed to investigate the association of X-ray repair cross complementary 1A (Arg194Trp) and X-ray repair cross complementary 3 (Thr241Met) polymorphism with the risk of breast cancer in females from northeastern region of India. The present case-control study includes histopathologically confirmed and newly diagnosed 464 cases with breast cancer and 534 apparently healthy neighborhood community controls. Information on sociodemographic factors and putative risk factors were collected from each study participant by conducting face-to-face interviews. Genotyping of X-ray repair cross complementary 1A (Arg194Trp) and X-ray repair cross complementary 3 (Thr241Met) was carried out by polymerase chain reaction-restriction fragment length polymorphism. For statistical analysis, both univariate and multivariate logistic regression analyses were performed. We also performed stratified analysis to find out the association of X-ray repair cross complementary genes with the risk of breast cancer stratified based on menstrual status. This study revealed that tryptophan allele (R/W-W/W genotype) in X-ray repair cross complementary 1A (Arg194Trp) gene significantly increased the risk of breast cancer (adjusted odds ratio = 1.44, 95% confidence interval = 1.06-1.97, P < .05 for R/W-W/W genotype). Moreover, it was found that tryptophan allele (W/W genotype) at codon 194 of X-ray repair cross complementary 1A (Arg194Trp) gene significantly increased the risk of breast cancer in premenopausal females (crude odds ratio = 1.66, 95% confidence interval = 1.11-2.46, P < .05 for R/W-W/W genotype). The present study did not reveal any significant association of X-ray repair cross complementary 3 (Thr241Met) polymorphism with the risk of breast cancer. The present study has explored that X-ray repair cross complementary 1A (Arg194Trp) gene polymorphism is significantly associated with the increased risk of breast cancer in premenopausal females from northeastern region of India which may be beneficial for prognostic purposes.

DNA Repair Mechanism Gene, XRCC1A (Arg194Trp) but not XRCC3 (Thr241Met) Polymorphism Increased the Risk of Breast Cancer in Premenopausal Females: A Case–Control Study in Northeastern Region of India

PubMed Central

Ahmed, Jishan; Narain, Kanwar; Mukherjee, Kaustab; Majumdar, Gautam; Chenkual, Saia; Zonunmawia, Jason C.

2017-01-01

X-ray repair cross complementary group gene is one of the most studied candidate gene involved in different types of cancers. Studies have shown that X-ray repair cross complementary genes are significantly associated with increased risk of breast cancer in females. Moreover, studies have revealed that X-ray repair cross complementary gene polymorphism significantly varies between and within different ethnic groups globally. The present case–control study was aimed to investigate the association of X-ray repair cross complementary 1A (Arg194Trp) and X-ray repair cross complementary 3 (Thr241Met) polymorphism with the risk of breast cancer in females from northeastern region of India. The present case–control study includes histopathologically confirmed and newly diagnosed 464 cases with breast cancer and 534 apparently healthy neighborhood community controls. Information on sociodemographic factors and putative risk factors were collected from each study participant by conducting face-to-face interviews. Genotyping of X-ray repair cross complementary 1A (Arg194Trp) and X-ray repair cross complementary 3 (Thr241Met) was carried out by polymerase chain reaction-restriction fragment length polymorphism. For statistical analysis, both univariate and multivariate logistic regression analyses were performed. We also performed stratified analysis to find out the association of X-ray repair cross complementary genes with the risk of breast cancer stratified based on menstrual status. This study revealed that tryptophan allele (R/W-W/W genotype) in X-ray repair cross complementary 1A (Arg194Trp) gene significantly increased the risk of breast cancer (adjusted odds ratio = 1.44, 95% confidence interval = 1.06-1.97, P < .05 for R/W-W/W genotype). Moreover, it was found that tryptophan allele (W/W genotype) at codon 194 of X-ray repair cross complementary 1A (Arg194Trp) gene significantly increased the risk of breast cancer in premenopausal females (crude odds ratio = 1.66, 95% confidence interval = 1.11-2.46, P < .05 for R/W-W/W genotype). The present study did not reveal any significant association of X-ray repair cross complementary 3 (Thr241Met) polymorphism with the risk of breast cancer. The present study has explored that X-ray repair cross complementary 1A (Arg194Trp) gene polymorphism is significantly associated with the increased risk of breast cancer in premenopausal females from northeastern region of India which may be beneficial for prognostic purposes. PMID:29332455

Educational interventions for improving primary caregiver complementary feeding practices for children aged 24 months and under.

PubMed

Arikpo, Dachi; Edet, Ededet Sewanu; Chibuzor, Moriam T; Odey, Friday; Caldwell, Deborah M

2018-05-18

Although complementary feeding is a universal practice, the methods and manner in which it is practiced vary between cultures, individuals and socioeconomic classes. The period of complementary feeding is a critical time of transition in the life of an infant, and inappropriate complementary feeding practices, with their associated adverse health consequences, remain a significant global public health problem. Educational interventions are widely acknowledged as effective in promoting public health strategy, and those aimed at improving complementary feeding practices provide information about proper complementary feeding practices to caregivers of infants/children. It is therefore important to summarise evidence on the effectiveness of educational interventions to improve the complementary feeding practices of caregivers of infants. To assess the effectiveness of educational interventions for improving the complementary feeding (weaning) practices of primary caregivers of children of complementary feeding age, and related health and growth outcomes in infants. In November 2017, we searched CENTRAL, MEDLINE, Embase, 10 other databases and two trials registers. We also searched the reference lists of relevant studies and reviews to identify any additional studies. We did not limit the searches by date, language or publication status. Randomised controlled trials (RCTs), comparing educational interventions to no intervention, usual practice, or educational interventions provided in conjunction with another intervention, so long as the educational intervention was only available in the experimental group and the adjunctive intervention was available to the control group. Study participants included caregivers of infants aged 4 to 24 months undergoing complementary feeding. Pregnant women who were expected to give birth and commence complementary feeding during the period of the study were also included. Two review authors independently extracted data on participants, settings, interventions, methodology and outcomes using a specifically-developed and piloted data extraction form. We calculated risk ratios (RR) and 95% confidence intervals (CIs) for dichotomous data, and mean differences (MD) and 95% CIs for continuous data. Where data permitted, we conducted a meta-analysis using a random-effects model. We assessed the included studies for risk of bias and also assessed the quality of evidence using the GRADE approach. We included 23 studies (from 35 reports) with a total of 11,170 caregiver-infant pairs who were randomly assigned to receive an educational intervention delivered to the caregiver or usual care. Nineteen of the included studies were community-based studies while four were facility-based studies. In addition, 13 of the included studies were cluster-randomised while the others were individually randomised. Generally, the interventions were focused on the introduction of complementary feeding at the appropriate time, the types and amount of complementary foods to be fed to infants, and hygiene. Using the GRADE criteria, we assessed the quality of the evidence as moderate, mostly due to inadequate allocation concealment and insufficient blinding.Educational interventions led to improvements in complementary feeding practices for age at introduction of complementary foods (average RR 0.88, 95% CI 0.83 to 0.94; 4 studies, 1738 children; moderate-quality evidence) and hygiene practices (average RR 1.38, 95% CI 1.23 to 1.55; 4 studies, 2029 participants; moderate-quality evidence). For duration of exclusive breastfeeding, pooled results were compatible with both a reduction and an increase in the outcome (average RR 1.58, 95% CI 0.77 to 3.22; 3 studies, 1544 children; very low-quality evidence). There was limited (low to very low-quality) evidence of an effect for all growth outcomes.Quality of evidenceThere is moderate to very low-quality evidence that educational interventions can improve complementary feeding practices but insufficient evidence to conclude that it impacts growth outcomes. Overall, we found evidence that education improves complementary feeding practices.

Use of Complementary Health Practices in a Church-Based African American Cohort.

PubMed

Escoto, Kamisha Hamilton; Milbury, Kathrin; Nguyen, Nga; Cho, Dalnim; Roberson, Crystal; Wetter, David; McNeill, Lorna H

2018-06-08

Few studies have examined the use of complementary health practices (e.g., mind/body practices and dietary supplements) among African Americans, particularly those who identify as being spiritual and/or religious. Furthermore, research on the health and health behavior profiles of such complementary health users is scant. The purpose of this study was to explore the use of complementary health practices and their lifestyle and health indicator correlates in a large, church-based African American population. Cross-sectional analysis of 1467 African American adults drawn from a church-based cohort study. Participants reported use of complementary health practices, lifestyle behaviors (e.g., diet and smoking status), and health indicators (e.g., physical health and medical problems). Multiple logistic regressions were conducted to examine associations between lifestyle variables, health indicators, and use of complementary health practices. Outcomes included prevalence of mind/body practices (e.g., meditation and Reiki) and dietary supplements (multivitamins) along with health indicator and lifestyle correlates of use. Use of complementary health practices was high; 40% reported using any mind/body practice and 50% reported using dietary supplements. Poorer physical health was associated with use of mind/body practices, while likelihood of meeting fruit and vegetable recommendations was significantly associated with dietary supplement use. Complementary health practices were used heavily in a church-based sample of African American adults. Poorer physical health was associated with use of complementary health practices, yet users also displayed health conscious behaviors. Given the high engagement in complementary health practices, it may be prudent to consider adapting complementary health approaches for use in wellness interventions targeting African Americans in faith-based settings.

Using Complementary Learning Clusters in Studying Literature to Enhance Students' Medical Humanities Literacy, Critical Thinking, and English Proficiency.

PubMed

Liao, Hung-Chang; Wang, Ya-Huei

2016-04-01

This study examined whether students studying literature in complementary learning clusters would show more improvement in medical humanities literacy, critical thinking skills, and English proficiency compared to those in conventional learning clusters. Ninety-three students participated in the study (M age = 18.2 years, SD = 0.4; 36 men, 57 women). A quasi-experimental design was used over 16 weeks, with the control group (n = 47) working in conventional learning clusters and the experimental group (n = 46) working in complementary learning clusters. Complementary learning clusters were those in which individuals had complementary strengths enabling them to learn from and offer assistance to other cluster members, hypothetically facilitating the learning process. Measures included the Medical Humanities Literacy Scale, Critical Thinking Disposition Assessment, English proficiency tests, and Analytic Critical Thinking Scoring Rubric. The results showed that complementary learning clusters have the potential to improve students' medical humanities literacy, critical thinking skills, and English proficiency. © The Author(s) 2016.

Length and weight of very low birth weight infants in Germany at 2 years of age: does it matter at what age they start complementary food?

PubMed

Spiegler, J; Eisemann, N; Ehlers, S; Orlikowsky, T; Kannt, O; Herting, E; Göpel, W

2015-06-01

We analysed at what age parents start complementary food in very low birth weight infants, determined risk factors for early introduction of complementary food (post-term age) and analysed whether the age at introduction of complementary food influences height or weight at 2 years of age. Parents of premature infants born in 2009-2011 answered questionnaires regarding introduction of complementary food in the first year of life (N=2262) and were followed up at a post-term age of 2 years (N=981). Length and weight were compared with full-term infants from the KiGGs study. Logistic and linear regression analyses were conducted to study predictors for early introduction of complementary food and the influence of age at introduction of complementary food on later height and weight. Average age at introduction of complementary food was 3.5 months post-term age. The lower the gestational age at birth, the earlier (post-term age) vegetables and meat were introduced. Age at introduction of complementary food was influenced by intrauterine growth restriction, gestational age at birth, maternal education and a developmental delay perceived by the parents. Length and weight at a post-term age of 2 years was not negatively influenced by early introduction of complementary food. VLBW infants are introduced to complementary food on average before a post-term age of 4 months. There was no negative effect of early introduction of complementary food on height and weight at 2 years of age.

Predictors of College Students' Use of Complementary and Alternative Medicine

ERIC Educational Resources Information Center

Chng, Chwee Lye; Neill, Kweethai; Fogle, Peggy

2003-01-01

This study assessed the use of complementary and alternative medicine among college students (N=913), the relationships between health locus of control with use of complementary and alternative medicine, and health local of control with attitudes toward complementary and alternative medicine and what predicts their use. A majority (66%, n-913) of…

The Prevalence of Complementary and Alternative Medicine Use Among Dermatology Outpatients in Shiraz, Iran

PubMed Central

Dastgheib, Ladan; Farahangiz, Saman; Adelpour, Zeinab; Salehi, Alireza

2017-01-01

The objective of this study was to assess complementary and alternative medicine use and its related factors among Iranian dermatology outpatients. In this cross-sectional study, a self-structured questionnaire was administered to 600 dermatology outpatients. Mann-Whitney U test, chi-square test, and binary logistic regression test were used. A total of 188 (31.3%) patients had used one of complementary and alternative medicine methods. The most frequent method used was herbal medicine (89.9%). The mean years of duration of the skin condition were significantly higher in complementary and alternative medicine users compared with nonusers (P = .037). Patients with acne and alopecia significantly used more complementary and alternative medicine (odds ratio: 2.48 and 3.19, respectively). There was a significant relationship between education and using complementary and alternative medicine (P < .001). Complementary and alternative medicine use is prevalent among our patients and we should think of ways of educating general population about complementary and alternative medicine methods and their potential risks and benefits and encourage our health care workers to communicate these materials with their patients. PMID:28446027

The Prevalence of Complementary and Alternative Medicine Use Among Dermatology Outpatients in Shiraz, Iran.

PubMed

Dastgheib, Ladan; Farahangiz, Saman; Adelpour, Zeinab; Salehi, Alireza

2017-10-01

The objective of this study was to assess complementary and alternative medicine use and its related factors among Iranian dermatology outpatients. In this cross-sectional study, a self-structured questionnaire was administered to 600 dermatology outpatients. Mann-Whitney U test, chi-square test, and binary logistic regression test were used. A total of 188 (31.3%) patients had used one of complementary and alternative medicine methods. The most frequent method used was herbal medicine (89.9%). The mean years of duration of the skin condition were significantly higher in complementary and alternative medicine users compared with nonusers ( P = .037). Patients with acne and alopecia significantly used more complementary and alternative medicine (odds ratio: 2.48 and 3.19, respectively). There was a significant relationship between education and using complementary and alternative medicine ( P < .001). Complementary and alternative medicine use is prevalent among our patients and we should think of ways of educating general population about complementary and alternative medicine methods and their potential risks and benefits and encourage our health care workers to communicate these materials with their patients.

[Traditional and Complementary Medicine in Brazil: inclusion in the Brazilian Unified National Health System and integration with primary care].

PubMed

Sousa, Islandia Maria Carvalho de; Tesser, Charles Dalcanale

2017-01-23

This study aimed to analyze the inclusion of Traditional and Complementary Medicine in Brazilian Unified National Health System (SUS) and its integration with primary healthcare (PHC). A qualitative study drew on institutional data, indexed articles, and case studies in selected Brazilian cities: Campinas (São Paulo State), Florianópolis (Santa Catarina State), Recife (Pernambuco State), Rio de Janeiro, and São Paulo. The analysis adopted the perspective of inclusion of Traditional and Complementary Medicine in the healthcare network and its integration with primary healthcare, based on the following dimensions: presence of Traditional and Complementary Medicine on the municipal agenda; position in the services; mode of access to Traditional and Complementary Medicine; Traditional and Complementary Medicine practitioners; types of practices; demand profile; and potential for expansion in the SUS. The authors identified and characterized four types of inclusion and integration of Traditional and Complementary Medicine, whether in association or not: Type 1 - in primary healthcare via professionals from the family health teams - Integrated; Type 2 - in primary healthcare via professionals with full-time employment - Juxtaposed; Type 3 - in primary healthcare via matrix-organized teams - Matrix Organization; Type 4 - in specialized services - Without Integration. The combination of types 1 and 3 was considered a potential guideline for the expansion of Traditional and Complementary Medicine in the SUS and can orient the growth and integration of Traditional and Complementary Medicine with primary healthcare. The growing presence of Traditional and Complementary Medicine in the SUS requires conceiving its strategic expansion, while existing experiences should not be wasted.

Studies of the mobility of uranium and thorium in Nevada Test Site tuff

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wollenberg, H.A.; Flexser, S.; Smith, A.R.

1991-06-01

Hydro-geochemical processes must be understood if the movement of radionuclides away from a breached radioactive waste canister is to be modeled and predicted. In this respect, occurrences of uranium and thorium in hydrothermal systems are under investigation in tuff and in rhyolitic tuff that was heated to simulate the effects of introduction of radioactive waste. In these studies, high-resolution gamma spectrometry and fission-track radiography are coupled with observations of alteration mineralogy and thermal history to deduce the evidence of, or potential for movement of, U and Th in response to the thermal environment. Observations to date suggest that U wasmore » mobile in the vicinity of the heater but that localized reducing environments provided by Fe-Ti-Mn-oxide minerals concentrated U and thus attenuated its migration.« less

Nurses' beliefs, experiences and practice regarding complementary and alternative medicine in Taiwan.

PubMed

Smith, Graeme D; Wu, Shu-Chen

2012-09-01

To gain an insight into this issue, this study used a qualitative approach and aims to explore and describe nurses' beliefs, experiences and practice regarding complementary and alternative medicine in Taiwan. The integration of complementary and alternative medicine with conventional medicine has become more common worldwide in recent years. An increase in patient use and an expansion of nurses using complementary and alternative medicine has spawned further investigation. Most published studies have concentrated on the usage of complementary and alternative medicine in western societies and have focused principally on physicians' attitudes and practice patterns in this regard. Despite the large amount of time and the unique relationship that nurses share with their patients, little research has investigated the nurse's attitudes and practice regarding complementary and alternative medicine. Moreover, there has been no previous research into understanding this issue from the Taiwanese nursing perspective. A qualitative research design. By using an exploratory, descriptive, qualitative approach, data were collected from 11 registered nurses. The methods of the data collection were in-depth, semi-structured interviews, field notes and memos and the data were analysed using the constant comparative method. Three major categories emerged from the data; namely, a 'lack of clear definition', 'limited experience' and 'high interest' towards complementary and alternative medicine. These results suggest that the definition of complementary and alternative medicine is often unclear for nurses in Taiwan. Due to the organisational policies and personal knowledge base, very few nurses integrate complementary and alternative medicine into their daily practice. However, the nurses in Taiwan show a great desire to participate in complementary and alternative medicine continuing education programmes. This study is not only significant in filling the gap in the existing literature, but is also important in understanding this issue from the nurses' perspective, to offer a series of recommendations for policy, nursing education, nursing practice and suggestions for further research. This study highlights the importance of nursing attitude in the use of complementary and alternative medicine. Clinical nurses have the potential to provide appropriate information to their patients to ensure safe complementary and alternative medicine use. © 2012 Blackwell Publishing Ltd.

Discovering Complementary Colors from the Perspective of STEAM Education

ERIC Educational Resources Information Center

Karabey, Burak; Koyunkaya, Melike Yigit; Enginoglu, Turan; Yurumezoglu, Kemal

2018-01-01

This study explored the theory and applications of complementary colors using a technology-based activity designed from the perspective of STEAM education. Complementary colors and their areas of use were examined from the perspective of physics, mathematics and art, respectively. The study, which benefits from technology, makes the theory of…

Timing of the introduction of complementary feeding and risk of childhood obesity: a systematic review.

PubMed

Pearce, J; Taylor, M A; Langley-Evans, S C

2013-10-01

The World Health Organisation recommends exclusive breastfeeding until 6 months of age and continued breastfeeding until 2 years of age or beyond. Appropriate complementary foods should be introduced in a timely fashion, beginning when the infant is 6 months old. In developing countries, early or inappropriate complementary feeding may lead to malnutrition and poor growth, but in countries such as the United Kingdom and United States of America, where obesity is a greater public health concern than malnutrition, the relationship to growth is unclear. We conducted a systematic review of the literature that investigated the relationship between the timing of the introduction of complementary feeding and overweight or obesity during childhood. Electronic databases were searched from inception until 30 September 2012 using specified keywords. Following the application of strict inclusion/exclusion criteria, 23 studies were identified and reviewed by two independent reviewers. Data were extracted and aspects of quality were assessed using an adapted Newcastle-Ottawa scale. Twenty-one of the studies considered the relationship between the time at which complementary foods were introduced and childhood body mass index (BMI), of which five found that introducing complementary foods at <3 months (two studies), 4 months (2 studies) or 20 weeks (one study) was associated with a higher BMI in childhood. Seven of the studies considered the association between complementary feeding and body composition but only one study reported an increase in the percentage of body fat among children given complementary foods before 15 weeks of age. We conclude that there is no clear association between the timing of the introduction of complementary foods and childhood overweight or obesity, but some evidence suggests that very early introduction (at or before 4 months), rather than at 4-6 months or >6 months, may increase the risk of childhood overweight.

A combined methodology using electrical resistivity tomography, ordinary kriging and porosimetry for quantifying total C trapped in carbonate formations associated with natural analogues for CO2 leakage

NASA Astrophysics Data System (ADS)

Prado-Pérez, A. J.; Aracil, E.; Pérez del Villar, L.

2014-06-01

Currently, carbon deep geological storage is one of the most accepted methods for CO2 sequestration, being the long-term behaviour assessment of these artificial systems absolutely essential to guarantee the safety of the CO2 storage. In this sense, hydrogeochemical modelling is being used for evaluating any artificial CO2 deep geological storage as a potential CO2 sinkhole and to assess the leakage processes that are usually associated with these engineered systems. Carbonate precipitation, as travertines or speleothems, is a common feature in the CO2 leakage scenarios and, therefore, is of the utmost importance to quantify the total C content trapped as a stable mineral phase in these carbonate formations. A methodology combining three classical techniques such as: electrical resistivity tomography, geostatistical analysis and mercury porosimetry is described in this work, which was developed for calculating the total amount of C trapped as CaCO3 associated with the CO2 leakages in Alicún de las Torres natural analogue (Granada, Spain). The proposed methodology has allowed estimating the amount of C trapped as calcite, as more than 1.7 Mt. This last parameter, focussed on an artificial CO2 deep geological storage, is essential for hydrogeochemical modellers when evaluating whether CO2 storages constitute or not CO2 sinkholes. This finding is extremely important when assessing the long-term behaviour and safety of any artificial CO2 deep geological storage.

Complementary and alternative medicine usage and its determinant factors among Iranian infertile couples.

PubMed

Dehghan, Mahlagha; Mokhtarabadi, Sima; Heidari, Fatemeh Ghaedi

2018-04-04

Background The aim of this study was to determine the status of utilizing some complementary and alternative medicine techniques in infertile couples. Methods This was a cross-sectional study conducted on 250 infertile couples referred to a hospital in Kerman using convenience sampling. A researcher-made questionnaire was used to study the prevalence and user satisfaction of complementary and alternative medicines. Results Results indicated that 49.6% of the infertile couples used at least one of the complementary and alternative medicines during the past year. Most individuals used spiritual techniques (71.8% used praying and 70.2% used Nazr) and medicinal plants (54.8%). Safety is the most important factor affecting the satisfaction of infertile couples with complementary treatments (couples think that such treatments are safe (54.8%)). Discussion Concerning high prevalence of complementary and alternative treatments in infertile couples, incorporating such treatments into the healthcare education and promoting the awareness of infertile individuals seem crucial.

Ground Characterization Studies in Canakkale Pilot Site of LIQUEFACT Project

NASA Astrophysics Data System (ADS)

Ozcep, F.; Oztoprak, S.; Aysal, N.; Bozbey, I.; Tezel, O.; Ozer, C.; Sargin, S.; Bekin, E.; Almasraf, M.; Cengiz Cinku, M.; Ozdemir, K.

2017-12-01

The our aim is to outline the ground characterisation studies in Canakkale test site. Study is based on the EU H2020 LIQUEFACT project entitled "Liquefact: Assessment and mitigation of liquefaction potential across Europe: a holistic approach to protect structures / infrastructures for improved resilience to earthquake-induced liquefaction disasters". Objectives and extent of ground characterization for Canakkale test site includes pre-existing soil investigation studies and complementary field studies. There were several SPT and geophysical tests carried out in the study area. Within the context of the complementary tests, six (6) study areas in the test site were chosen and complementary tests were carried out in these areas. In these areas, additional boreholes were opened and SPT tests were performed. It was decided that additional CPT (CPTU and SCPT) and Marchetti Dilatometer (DMT) tests should be carried out within the scope of the complementary testing. Seismic refraction, MASW and micro tremor measurements had been carried out in pre-existing studies. Shear wave velocities obtained from MASW measurements were evaluated to the most rigorous level. These tests were downhole seismic, PS-logging, seismic refraction, 2D-ReMi, MASW, micro tremor (H/V Nakamura method), 2D resistivity and resonance acoustic profiling (RAP). RAP is a new technique which will be explained briefly in the relevant section. Dynamic soil properties had not been measured in pre-existing studies, therefore these properties were investigated within the scope of the complementary tests. Selection of specific experimental tests of the complementary campaign was based on cost-benefit considerations Within the context of complementary field studies, dynamic soil properties were measured using resonant column and cyclic direct shear tests. Several sieve analyses and Atterberg Limits tests which were documented in the pre-existing studies were evaluated. In the complementary study carried out, additional sieve analyses and Atterberg Limit tests were carried out. It was aimed to make some correlations between geophysical measurements and other field measurements; such as SPT, blow count values.

Racial and Ethnic Profiles of Complementary and Alternative Medicine Use Among Young Adults in the United States: Findings From the National Longitudinal Study of Adolescent Health.

PubMed

Upchurch, Dawn M; Wexler Rainisch, Bethany K

2012-10-01

This study describes complementary and alternative medicine use among a national sample of young adults, with an emphasis on characterizing racial and ethnic differences, highlighting variation across subgroups of Hispanics. The authors examined young adults ages 18 to 27 years (n = 14 128) from wave III (2001-2002) of the National Longitudinal Study of Adolescent Health. Prevalence estimates and logistic regression results were weighted and adjusted for complex sample design. The study examined recent complementary and alternative medicine use in the past 12 months, recent use for each of 15 specific complementary and alternative medicine modalities, and the 5 most commonly used modalities (herbs, massage, chiropractic, relaxation, and vitamins). Results showed that 29% of young adults aged 18 to 27 years recently used complementary and alternative medicine. Prevalence was highest among Cuban Americans (42%) and lowest among blacks (22%). Young adults used a diversity of complementary and alternative medicine modalities and there were substantial differences in use across racial and ethnic groups.

Racial and Ethnic Profiles of Complementary and Alternative Medicine Use Among Young Adults in the United States: Findings From the National Longitudinal Study of Adolescent Health

PubMed Central

Upchurch, Dawn M.; Wexler Rainisch, Bethany K.

2013-01-01

This study describes complementary and alternative medicine use among a national sample of young adults, with an emphasis on characterizing racial and ethnic differences, highlighting variation across subgroups of Hispanics. The authors examined young adults ages 18 to 27 years (n = 14 128) from wave III (2001–2002) of the National Longitudinal Study of Adolescent Health. Prevalence estimates and logistic regression results were weighted and adjusted for complex sample design. The study examined recent complementary and alternative medicine use in the past 12 months, recent use for each of 15 specific complementary and alternative medicine modalities, and the 5 most commonly used modalities (herbs, massage, chiropractic, relaxation, and vitamins). Results showed that 29% of young adults aged 18 to 27 years recently used complementary and alternative medicine. Prevalence was highest among Cuban Americans (42%) and lowest among blacks (22%). Young adults used a diversity of complementary and alternative medicine modalities and there were substantial differences in use across racial and ethnic groups. PMID:23869288

Attitudes towards and personal use of complementary and alternative medicine amongst clinicians working in audiovestibular disciplines.

PubMed

Crundwell, G; Baguley, D M

2016-08-01

Literature indicates that complementary and alternative medicine is used by patients with auditory and vestibular symptoms. This study sought to determine the prevalence of complementary and alternative medicine uptake, and examine attitudes towards complementary and alternative medicine in clinicians working with audiovestibular disorder patients. The Holistic Complementary and Alternative Medicine Questionnaire and a devised questionnaire about recent and lifetime use of complementary and alternative medicine were used. Fifty-four individuals, including audiologists, ENT surgeons, nurses and rehabilitationists, completed the questionnaires (67 per cent response rate). Lifetime prevalence of complementary and alternative medicine uptake was 44 per cent, and 12-month prevalence was 22 per cent. Uptake was more common in females, but there was no significant difference in use when comparing age, seniority or profession. Attitudes towards complementary and alternative medicine were mildly adverse, but sizeable standard deviation indicates wide-ranging attitudes. Clinicians working with patients with audiovestibular disorders have a range of attitudes towards complementary and alternative medicine. Personal uptake of complementary and alternative medicine was lower than that of the general UK population, but remains sizeable.

Resourcing the clinical complementary medicine information needs of Australian medical students: Results of a grounded theory study.

PubMed

Templeman, Kate; Robinson, Anske; McKenna, Lisa

2016-09-01

The aim of this study was to identify Australian medical students' complementary medicine information needs. Thirty medical students from 10 medical education faculties across Australian universities were recruited. Data were generated using in-depth semi-structured interviews and constructivist grounded theory method was used to analyze and construct data. Students sought complementary medicine information from a range of inadequate sources, such as pharmacological texts, Internet searches, peer-reviewed medical journals, and drug databases. The students identified that many complementary medicine resources may not be regarded as objective, reliable, differentiated, or comprehensive, leaving much that medical education needs to address. Most students sought succinct, easily accessible, evidence-based information to inform safe and appropriate clinical decisions about complementary medicines. A number of preferred resources were identified that can be recommended and actively promoted to medical students. Therefore, specific, evidence-based complementary medicine databases and secondary resources should be subscribed and recommended to medical schools and students, to assist meeting professional responsibilities regarding complementary medicines. These findings may help inform the development of appropriate medical information resources regarding complementary medicines. © 2016 John Wiley & Sons Australia, Ltd.

Groundwater pollution by nitrates from livestock wastes.

PubMed Central

Goldberg, V M

1989-01-01

Utilization of wastes from livestock complexes for irrigation involves the danger of groundwater pollution by nitrates. In order to prevent and minimize pollution, it is necessary to apply geological-hydrogeological evidence and concepts to the situation of wastewater irrigation for the purposes of studying natural groundwater protectiveness and predicting changes in groundwater quality as a result of infiltrating wastes. The procedure of protectiveness evaluation and quality prediction is described. With groundwater pollution by nitrate nitrogen, the concentration of ammonium nitrogen noticeably increases. One of the reasons for this change is the process of denitrification due to changes in the hydrogeochemical conditions in a layer. At representative field sites, it is necessary to collect systematic stationary observations of the concentrations of nitrogenous compounds in groundwater and changes in redox conditions and temperature. PMID:2620669

Timing and Determinants of the Introduction of Complementary Foods in Kuwait: Results of a Prospective Cohort Study.

PubMed

Scott, Jane A; Dashti, Manal; Al-Sughayer, Mona; Edwards, Christine A

2015-08-01

The early introduction of complementary foods is common in Middle Eastern countries but little is known about the determinants of this practice in this region. This prospective cohort study conducted from October 2007 to October 2008 investigated the determinants of the very early (before 17 weeks) introduction of complementary foods in Kuwait and compared rates of this practice against rates reported in the mid-1990s. A total of 373 women were recruited from maternity hospitals in Kuwait City and followed to 26 weeks postpartum. Data on complementary feeding practices were available from 303 women. Multivariate logistic regression was used to estimate the association of very early introduction of complementary foods with infant sex and maternal characteristics including age, years of education, employment intentions at 6 months postpartum, parity, prepregnancy body mass index, and prepregnancy smoking status. All infants had received complementary foods by 26 weeks of age, with 30.4% receiving complementary foods before 17 weeks of age. Women born in other Arabic countries were less likely to introduce complementary foods before 17 weeks (adjusted odds ratio [adj OR] = 0.40; 95% confidence interval [CI], 0.22-0.73) than women born in Kuwait. Women who were exclusively formula feeding at 6 weeks postpartum were less likely to introduce complementary foods before 17 weeks (adj OR = 0.40; 95% CI, 0.23-0.71) than women who were still breastfeeding. Compared to the mid-1990s, fewer infants in Kuwait were receiving complementary foods before 17 weeks. Nevertheless, all infants had received complementary foods by 6 months of age. © The Author(s) 2015.

The assessment of processes controlling the spatial distribution of hydrogeochemical groundwater types in Mali using multivariate statistics

NASA Astrophysics Data System (ADS)

Keita, Souleymane; Zhonghua, Tang

2017-10-01

Sustainable management of groundwater resources is a major issue for developing countries, especially in Mali. The multiple uses of groundwater led countries to promote sound management policies for sustainable use of the groundwater resources. For this reason, each country needs data enabling it to monitor and predict the changes of the resources. Also given the importance of groundwater quality changes often marked by the recurrence of droughts; the potential impacts of regional and geological setting of groundwater resources requires careful study. Unfortunately, recent decades have seen a considerable reduction of national capacities to ensure the hydrogeological monitoring and production of qualit data for decision making. The purpose of this work is to use the groundwater data and translate into useful information that can improve water resources management capacity in Mali. In this paper, we used groundwater analytical data from accredited, laboratories in Mali to carry out a national scale assessment of the groundwater types and their distribution. We, adapted multivariate statistical methods to classify 2035 groundwater samples into seven main groundwater types and built a national scale map from the results. We used a two-level K-mean clustering technique to examine the hydro-geochemical records as percentages of the total concentrations of major ions, namely sodium (Na), magnesium (Mg), calcium (Ca), chloride (Cl), bicarbonate (HCO3), and sulphate (SO4). The first step of clustering formed 20 groups, and these groups were then re-clustered to produce the final seven groundwater types. The results were verified and confirmed using Principal Component Analysis (PCA) and RockWare (Aq.QA) software. We found that HCO3 was the most dominant anion throughout the country and that Cl and SO4 were only important in some local zones. The dominant cations were Na and Mg. Also, major ion ratios changed with geographical location and geological, and climatic conditions.

Nonstationary porosity evolution in mixing zone in coastal carbonate aquifer using an alternative modeling approach.

PubMed

Laabidi, Ezzeddine; Bouhlila, Rachida

2015-07-01

In the last few decades, hydrogeochemical problems have benefited from the strong interest in numerical modeling. One of the most recognized hydrogeochemical problems is the dissolution of the calcite in the mixing zone below limestone coastal aquifer. In many works, this problem has been modeled using a coupling algorithm between a density-dependent flow model and a geochemical model. A related difficulty is that, because of the high nonlinearity of the coupled set of equations, high computational effort is needed. During calcite dissolution, an increase in permeability can be identified, which can induce an increase in the penetration of the seawater into the aquifer. The majority of the previous studies used a fully coupled reactive transport model in order to model such problem. Romanov and Dreybrodt (J Hydrol 329:661-673, 2006) have used an alternative approach to quantify the porosity evolution in mixing zone below coastal carbonate aquifer at steady state. This approach is based on the analytic solution presented by Phillips (1991) in his book Flow and Reactions in Permeable Rock, which shows that it is possible to decouple the complex set of equation. This equation is proportional to the square of the salinity gradient, which can be calculated using a density driven flow code and to the reaction rate that can be calculated using a geochemical code. In this work, this equation is used in nonstationary step-by-step regime. At each time step, the quantity of the dissolved calcite is quantified, the change of porosity is calculated, and the permeability is updated. The reaction rate, which is the second derivate of the calcium equilibrium concentration in the equation, is calculated using the PHREEQC code (Parkhurst and Apello 1999). This result is used in GEODENS (Bouhlila 1999; Bouhlila and Laabidi 2008) to calculate change of the porosity after calculating the salinity gradient. For the next time step, the same protocol is used but using the updated porosity and permeability distributions.

Hydrogeochemical investigation of Küçük Menderes River coastal wetland, Selçuk-Izmir, Turkey

NASA Astrophysics Data System (ADS)

Somay, A. Melis; Gemici, Ünsal; Filiz, Sevki

2008-07-01

Küçük Menderes River forms a rich coastal wetland inside in the Selçuk plain. Three saline/brackish lakes, one swamp and Küçük Menderes River are these wetlands’ components. Alkaline-slightly alkaline type lakes are recharged from precipitation and karstic springs that discharge from marble-schist and marble-alluvium contacts in the northern and southern parts of the study area. Water types of the wetland are Na-Cl and Na-Ca-Mg-HCO3-Cl in both rainy and dry seasons. Both seawater intrusion and evaporation, as being the sources of the ions, justify the presence of Na-Cl, Na-SO4 and Cl-SO4, in the wetland water. Environmental isotopes were used to identify the relationship between wetland and groundwater in the Selçuk plain. The δ18O and δD composition of wetland area samples have changed between -6.42 to -4.56‰, and -36.40 to -23.80‰, respectively. The lakes and rivers are plotted on the mixing line by slope of 5.2 and these data indicate that wetland is affected from seawater intrusion. The recharge area that was sampled in order to compare the wetland has Ca-HCO3 water type with a neutral-slightly alkaline pH values and the main hydrogeochemical process is weathering the different types of silicates. Iron, manganese and selenium are the dominant minor ions due to the high biological activities and organic matters in the lakes. There are two contamination risks for this wetland: (1) waste disposal site and (2) water treatment plant where the purified waters are released into the river. EC, Al, As, Cd, Cu, Fe and Zn values exceed those of aquatic life standards. In the near future these sites will pose a danger for wetland wild life and surrounding irrigation water suppliers.

Chemical modeling of groundwater in the Banat Plain, southwestern Romania, with elevated As content and co-occurring species by combining diagrams and unsupervised multivariate statistical approaches.

PubMed

Butaciu, Sinziana; Senila, Marin; Sarbu, Costel; Ponta, Michaela; Tanaselia, Claudiu; Cadar, Oana; Roman, Marius; Radu, Emil; Sima, Mihaela; Frentiu, Tiberiu

2017-04-01

The study proposes a combined model based on diagrams (Gibbs, Piper, Stuyfzand Hydrogeochemical Classification System) and unsupervised statistical approaches (Cluster Analysis, Principal Component Analysis, Fuzzy Principal Component Analysis, Fuzzy Hierarchical Cross-Clustering) to describe natural enrichment of inorganic arsenic and co-occurring species in groundwater in the Banat Plain, southwestern Romania. Speciation of inorganic As (arsenite, arsenate), ion concentrations (Na + , K + , Ca 2+ , Mg 2+ , HCO 3 - , Cl - , F - , SO 4 2- , PO 4 3- , NO 3 - ), pH, redox potential, conductivity and total dissolved substances were performed. Classical diagrams provided the hydrochemical characterization, while statistical approaches were helpful to establish (i) the mechanism of naturally occurring of As and F - species and the anthropogenic one for NO 3 - , SO 4 2- , PO 4 3- and K + and (ii) classification of groundwater based on content of arsenic species. The HCO 3 - type of local groundwater and alkaline pH (8.31-8.49) were found to be responsible for the enrichment of arsenic species and occurrence of F - but by different paths. The PO 4 3- -AsO 4 3- ion exchange, water-rock interaction (silicates hydrolysis and desorption from clay) were associated to arsenate enrichment in the oxidizing aquifer. Fuzzy Hierarchical Cross-Clustering was the strongest tool for the rapid simultaneous classification of groundwaters as a function of arsenic content and hydrogeochemical characteristics. The approach indicated the Na + -F - -pH cluster as marker for groundwater with naturally elevated As and highlighted which parameters need to be monitored. A chemical conceptual model illustrating the natural and anthropogenic paths and enrichment of As and co-occurring species in the local groundwater supported by mineralogical analysis of rocks was established. Copyright © 2016 Elsevier Ltd. All rights reserved.

Reactive transport modeling of subsurface arsenic removal systems in rural Bangladesh.

PubMed

Rahman, M M; Bakker, M; Patty, C H L; Hassan, Z; Röling, W F M; Ahmed, K M; van Breukelen, B M

2015-12-15

Subsurface Arsenic Removal (SAR) is a technique for in-situ removal of arsenic from groundwater. Extracted groundwater is aerated and re-injected into an anoxic aquifer, where the oxygen in the injected water reacts with ferrous iron in the aquifer to form hydrous ferric oxide (HFO). Subsequent extraction of groundwater contains temporarily lower As concentrations, because As sorbs onto the HFO. Injection, storage, and extraction together is called a cycle. A reactive transport model (RTM) was developed in PHREEQC to determine the hydrogeochemical processes responsible for As (im)mobilization during experimental SAR operation performed in Bangladesh. Oxidation of Fe(II) and As(III) were modeled using kinetic-rate expressions. Cation exchange, precipitation of HFO, and surface complexation, were modeled as equilibrium processes. A best set of surface complexation reactions and corresponding equilibrium constants was adopted from previous studies to simulate all 20 cycles of a SAR experiment. The model gives a reasonable match with observed concentrations of different elements in the extracted water (e.g., the r(2) value of As was 0.59 or higher). As concentrations in the extracted water are governed by four major processes. First, As concentration decreases in response to the elevated pH of injection water and likewise increases when native neutral pH groundwater flows in. Second, the sorption capacity for As increases due to the gradual buildup of HFO. Third, As sorption is enhanced by preferential removal of As(V). Fourth, competitive sorption of Si limits the capacity of freshly precipitated HFO for As sorption. Transferability of the developed reactive transport model was demonstrated through successful application of the model, without further calibration, to two additional SAR sites in Bangladesh. This gives confidence that the model could be useful to assess potential SAR performance at locations in Bangladesh based on local hydrogeochemical conditions. Copyright © 2015 Elsevier B.V. All rights reserved.

Multivariate statistical analysis of the hydrogeochemical and isotopic composition of the groundwater resources in northeastern Peloponnesus (Greece).

PubMed

Matiatos, Ioannis; Alexopoulos, Apostolos; Godelitsas, Athanasios

2014-04-01

The present study involves an integration of the hydrogeological, hydrochemical and isotopic (both stable and radiogenic) data of the groundwater samples taken from aquifers occurring in the region of northeastern Peloponnesus. Special emphasis has been given to health-related ions and isotopes in relation to the WHO and USEPA guidelines, to highlight the concentrations of compounds (e.g., As and Ba) exceeding the drinking water thresholds. Multivariate statistical analyses, i.e. two principal component analyses (PCA) and one discriminant analysis (DA), combined with conventional hydrochemical methodologies, were applied, with the aim to interpret the spatial variations in the groundwater quality and to identify the main hydrogeochemical factors and human activities responsible for the high ion concentrations and isotopic content in the groundwater analysed. The first PCA resulted in a three component model, which explained approximately 82% of the total variance of the data sets and enabled the identification of the hydrogeological processes responsible for the isotopic content i.e., δ(18)Ο, tritium and (222)Rn. The second PCA, involving the trace element presence in the water samples, revealed a four component model, which explained approximately 89% of the total variance of the data sets, giving more insight into the geochemical and anthropogenic controls on the groundwater composition (e.g., water-rock interaction, hydrothermal activity and agricultural activities). Using discriminant analysis, a four parameter (δ(18)O, (Ca+Mg)/(HCO3+SO4), EC and Cl) discriminant function concerning the (222)Rn content was derived, which favoured a classification of the samples according to the concentration of (222)Rn as (222)Rn-safe (<11 Bq·L(-1)) and (222)Rn-contaminated (>11 Bq·L(-1)). The selection of radon builds on the fact that this radiogenic isotope has been generally related to increased health risk when consumed. Copyright © 2014 Elsevier B.V. All rights reserved.

The hydrogeochemical and isotopic investigations of the two-layered Shiraz aquifer in the northwest of Maharlou saline lake, south of Iran

NASA Astrophysics Data System (ADS)

Tajabadi, Mehdi; Zare, Mohammad; Chitsazan, Manouchehr

2018-03-01

Maharlou saline lake is the outlet of Shiraz closed basin in southern Iran, surrounded by several disconnected alluvial fresh water aquifers. These aquifers in the west and northwest of the lake are recharged by karstic anticlines such as Kaftarak in the north and Barmshour in the south. Here groundwater salinity varies along the depth so that better quality water is located below brackish or saline waters. The aim of this study is to investigate the reason for the salinity anomaly and the origin of the fresher groundwater in lower depth. Hence, the change in groundwater salinity along depth has been investigated by means of a set of geoelectrical, hydrogeological, hydrogeochemical, and environmental isotopes data. The interpretation of geoelectrical profiles and hydrogeological data indicates that the aquifer in the southeast of Shiraz plain is a two-layer aquifer separated by a fine-grained (silt and clay) layer with an approximate thickness of 40 m at the depth of about 100-120 m. Hydrgeochemistry showed that the shallow aquifer is recharged by Kaftarak karstic anticline and is affected by the saline lake water. The lake water fraction varies in different parts from zero for shallow aquifer close to the karstic anticlines to ∼70 percent in the margin of the lake. The deep aquifer is protected from the intrusion of saline lake water due to the presence of the above-mentioned confining layer with lake water fraction of zero. The stable isotopes signatures also indicate that the 'fresh' groundwater belonging to the deep aquifer is not subject to severe evaporation or mixing which is typical of the karstic water of the area. It is concluded that the characteristics of the deep aquifer are similar to those of the karstic carbonate aquifer. This karstic aquifer is most probably the Barmshour carbonated anticline buried under the shallow aquifer in the southern part. It may also be the extension of the Kaftarak anticline in the northern part.

Major hydrogeochemical processes in the two reservoirs of the Yangbajing geothermal field, Tibet, China

NASA Astrophysics Data System (ADS)

Guo, Qinghai; Wang, Yanxin; Liu, Wei

2007-10-01

The Yangbajing geothermal field with the highest reservoir temperature in China is located about 90 km northwest to Lhasa City, capital of Tibet, where high temperature geothermal fluids occur both in shallow and deep reservoirs. The geophysical survey by the INDEPTH (International Deep Profiling of Tibet and the Himalayas) project group proved the existence of magmatic heat source at Yangbajing. In the study area, the hydrochemistry of cold surface waters and groundwaters and that of thermal groundwaters from both reservoirs are distinctively different. However, analysis of the relationship between enthalpy values and Cl concentrations of cold groundwaters and geothermal fluids indicates that the geothermal fluids from the shallow reservoir were formed as a result of mixing of cold groundwaters with geothermal fluids from the deep reservoir. In other words, the geothermal fluids from the deep reservoir flowed upwards into the shallow reservoir where it was diluted by the shallow cold groundwaters to form the shallow geothermal fluids with much lower temperature. A binary mixing model with two endmembers (the cold groundwaters and the deep geothermal fluids) was proposed and the mixing ratios for the geothermal fluid from each shallow well were estimated. Using the mixing ratios, the concentrations of some constituents in shallow geothermal fluids, such as As, B, SiO 2, SO 42- and F, were calculated and their differences with the actual concentrations were estimated. The results show that the differences between estimated and actual concentrations of As and B are small (the average absolute values being only 1.9% and 7.9%, respectively), whereas those of SiO 2, SO 42- and F are much bigger, indicating that other hydrogeochemical processes are responsible for the concentrations of these constituents. It is postulated that SiO 2 precipitation due to water temperature decrease, H 2S oxidation and ion exchange between OH - in geothermal waters and exchangeable F - in fluoride bearing silicate minerals during the geothermal fluid upflow might be the causes for the observed concentration differences.

The Complementary Therapies for Labour and Birth Study making sense of labour and birth - Experiences of women, partners and midwives of a complementary medicine antenatal education course.

PubMed

Levett, K M; Smith, C A; Bensoussan, A; Dahlen, H G

2016-09-01

to gain insight into the experiences of women, partners and midwives who participated in the Complementary Therapies for Labour and Birth Study, an evidence based complementary medicine (CM) antenatal education course. qualitative in-depth interviews and a focus group as part of the Complementary Therapies for Labour and Birth Study. thirteen low risk primiparous women and seven partners who had participated in the study group of a randomised controlled trial of the complementary therapies for labour and birth study, and 12 midwives caring for these women. The trial was conducted at two public hospitals, and through the Western Sydney University in Sydney, Australia. the Complementary Therapies for Labour and Birth (CTLB) protocol, based on the She Births® course and the Acupressure for labour and birth protocol, incorporated six evidence-based complementary medicine (CM) techniques; acupressure, relaxation, visualisation, breathing, massage, yoga techniques and incorporated facilitated partner support. Randomisation to the trial occurred at 24-36 weeks' gestation, and participants attended a two-day antenatal education programme, plus standard care, or standard care alone. the overarching theme identified in the qualitative data was making sense of labour and birth. Women used information about normal birth physiology from the course to make sense of labour, and to utilise the CM techniques to support normal birth and reduce interventions in labour. Women's, partners' and midwives' experience of the course and its use during birth gave rise to supporting themes such as: working for normal; having a toolkit; and finding what works. the Complementary Therapies for Labour and Birth Study provided women and their partners with knowledge to understand the physiology of normal labour and birth and enabled them to use evidence-based CM tools to support birth and reduce interventions. the Complementary Therapies for Labour and Birth Study introduces concepts of what constitutes normal birth and provides skills to support women, partners and midwives. It appears to be an effective form of antenatal education that supports normal birth, and maternity services need to consider how they can reform current antenatal education in line with this evidence. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

Complementary and Alternative Therapies

PubMed Central

Moore, Mary Lou

2002-01-01

Complementary and alternative therapies are increasingly used by many pregnant women in the United States; however, limited research is available on many therapies. The number of studies should increase with the establishment of the National Center for Complementary and Alternative Medicine by the National Institutes of Health. This column reviews recent studies of both herbal medicines and alternative therapies used in pregnancy. PMID:17273285

Factors associated with the timing of introduction of complementary feeding: the Generation R Study.

PubMed

Tromp, I I M; Briedé, S; Kiefte-de Jong, J C; Renders, C M; Jaddoe, V W V; Franco, O H; Hofman, A; Raat, H; Moll, H A

2013-06-01

Many parents do not follow recommendations for the timing of introduction of complementary feeding. The aim of this study was to identify determinants associated with the timing of introduction of complementary feeding in a multiethnic birth cohort. Subjects were 3561 mothers and infants participating in a prospective cohort study. The timing of introduction of complementary feeding and maternal and infant characteristics were obtained by parent-derived questionnaires. Regression analyses were performed to identify determinants for the timing of introduction of complementary feeding (<3, 3-6 and ≥ 6 months). In total, 62% of infants were introduced to complementary feeding before the age of 6 months. Determinants for very early (<3 months) introduction were being a single parent and infant day care attendance. Determinants for early (3-6 months) introduction were young maternal age, multiple parities, no infant family history of asthma, atopy and no infant history of allergy to cow's milk. Determinants for both very early and early introduction were low educational level and not fully breastfeeding for 4 months. Maternal educational level was only significantly associated with the timing of introduction in mothers of Western origin. This study confirmed determinants for the timing of introduction of complementary feeding that have been identified by previous studies, which may be appropriate targets for education and guidance. Moreover, mothers whose infants attend day care and have a family history of asthma, atopy or allergy to cow's milk may need guidance to follow infant feeding recommendations.

Factors Associated with the Early Introduction of Complementary Feeding in Saudi Arabia.

PubMed

Alzaheb, Riyadh A

2016-07-12

Mothers' instigation of complementary feeding before their infant reaches 6 months old risks shortening their breastfeeding duration, and high morbidity and mortality for their child. Complementary feeding practices require further investigation in Saudi Arabia. The present study aims to evaluate complementary feeding practices, and to establish which factors are associated with the early introduction of complementary feeding in the Saudi Arabian context. Cross-sectional research was conducted with 632 mothers of infants aged between 4 and 24 months attending five primary health care centers (PHCCs) between July and December 2015 in Saudi Arabia. Data on participants' socio-demographic characteristics and complementary feeding practices were collected via structured questionnaires. A regression analysis identified the factors associated with the early introduction of solid foods, defined as before 17 weeks. 62.5% of the study's infants received solid foods before reaching 17 weeks old. The maternal factors at higher risk of early introduction of solids were: younger age; Saudi nationality; shorter education; employment within 6 months post-birth; caesareans; not breastfeeding fully for six weeks post-birth, and living in low-income households. Complementary feeding prior to 6 months postpartum was common in Saudi Arabia. Public health interventions are needed to reduce early complementary feeding, focusing on mothers at highest risk of giving solids too early.

Complementary and alternative medicine use in dermatology in the United States.

PubMed

Landis, Erin T; Davis, Scott A; Feldman, Steven R; Taylor, Sarah

2014-05-01

Complementary and alternative medicine (CAM) has an increasing presence in dermatology. Complementary therapies have been studied in many skin diseases, including atopic dermatitis and psoriasis. This study sought to assess oral CAM use in dermatology relative to medicine as a whole in the United States, using the National Ambulatory Medical Care Survey. Variables studied include patient demographic characteristics, diagnoses, and CAM documented at the visits. A brief literature review of the top 5 CAM treatments unique to dermatology visits was performed. Most CAM users in both dermatology and medicine as a whole were female and white and were insured with private insurance or Medicare. Fish oil, glucosamine, glucosamine chondroitin, and omega-3 were the most common complementary supplements used in both samples. CAM use in dermatology appears to be part of a larger trend in medicine. Knowledge of common complementary therapies can help dermatologists navigate this expanding field.

Complementary and Alternative Medicine Use in Dermatology in the United States

PubMed Central

Landis, Erin T.; Davis, Scott A.; Taylor, Sarah

2014-01-01

Abstract Background: Complementary and alternative medicine (CAM) has an increasing presence in dermatology. Complementary therapies have been studied in many skin diseases, including atopic dermatitis and psoriasis. Objectives: This study sought to assess oral CAM use in dermatology relative to medicine as a whole in the United States, using the National Ambulatory Medical Care Survey. Design: Variables studied include patient demographic characteristics, diagnoses, and CAM documented at the visits. A brief literature review of the top 5 CAM treatments unique to dermatology visits was performed. Results: Most CAM users in both dermatology and medicine as a whole were female and white and were insured with private insurance or Medicare. Fish oil, glucosamine, glucosamine chondroitin, and omega-3 were the most common complementary supplements used in both samples. Conclusions: CAM use in dermatology appears to be part of a larger trend in medicine. Knowledge of common complementary therapies can help dermatologists navigate this expanding field. PMID:24517329

Perception of risk and communication among conventional and complementary health care providers involving cancer patients' use of complementary therapies: a literature review.

PubMed

Stub, Trine; Quandt, Sara A; Arcury, Thomas A; Sandberg, Joanne C; Kristoffersen, Agnete E; Musial, Frauke; Salamonsen, Anita

2016-09-08

Communication between different health care providers (conventional and complementary) and cancer patients about their use of complementary therapies affects the health and safety of the patients. The aim of this study was to examine the qualitative research literature on the perception of and communication about the risk of complementary therapies between different health care providers and cancer patients. Systematic searches in six medical databases covering literature from 2000 to 2015 were performed. The studies were accessed according to the level of evidence and summarized into different risk situations. Qualitative content analysis was used to analyze the text data, and the codes were defined before and during the data analysis. Twenty-nine papers were included in the primary analysis and five main themes were identified and discussed. The main risk situations identified were 1. Differences in treatment concepts and philosophical values among complementary and conventional health care providers. 2. Adverse effects from complementary products and herbs due to their contamination/toxicity and interactions with conventional cancer treatment. 3. Health care physicians and oncologists find it difficult to recommend many complementary modalities due to the lack of scientific evidence for their effect. 4. Lack of knowledge and information about complementary and conventional cancer treatments among different health care providers. The risk of consuming herbs and products containing high level of toxins is a considerable threat to patient safety (direct risk). At the same time, the lack of scientific evidence of effect for many complementary therapies and differences in treatment philosophy among complementary and conventional health care providers potentially hinder effective communication about these threats with mutual patients (indirect risk). As such, indirect risk may pose an additional risk to patients who want to combine complementary therapies with conventional treatment in cancer care. Health care providers who care for cancer patients should be aware of these risks.

Complementary Feeding Knowledge, Practices, and Dietary Diversity among Mothers of Under-Five Children in an Urban Community in Lagos State, Nigeria

PubMed Central

Olatona, Foluke Adenike; Adenihun, Jesupelumi Oreoluwa; Aderibigbe, Sunday Adedeji; Adeniyi, Oluwafunmilayo Funke

2017-01-01

Background and Objectives: Inappropriate complementary feeding is a major cause of child malnutrition and death. This study determined the complementary feeding knowledge, practices, minimum dietary diversity, and acceptable diet among mothers of under-five children in an urban Local Government Area of Lagos State, Southwest Nigeria. Methods: This descriptive cross-sectional study was conducted in Eti-Osa area of Lagos State, Nigeria. Multi-stage sampling technique was employed to select 355 mothers and infants. Data was collected using a pre-tested interviewer administered questionnaire and 24-hour diet recall was used to assess dietary diversity. Data was analyzed using Epi-Info. Results: Knowledge of complementary feeding was low (14.9%) and was associated with older mothers’ age, being married, and higher level of education. The prevalence of timely initiation of complementary feeding (47.9%), dietary diversity (16.0%) and minimum acceptable diet for children between 6 and 9 months (16%) were low. Overall, appropriate complementary feeding practice was low (47.0%) and associated with higher level of mothers’ education and occupation. Conclusions and Global Health Implications: Complementary feeding knowledge and practices were poor among mothers of under-5 especially the non-literate. Reduction of child malnutrition through appropriate complementary feeding remains an important global health goal. Complementary feeding education targeting behavioral change especially among young, single and uneducated mothers in developing countries is important to reduce child morbidity and mortality. PMID:28798893

Impacts of hydrogeochemical processes and anthropogenic activities on groundwater quality in the Upper Precambrian sedimentary aquifer of northwestern Burkina Faso

NASA Astrophysics Data System (ADS)

Sako, A.; Yaro, J. M.; Bamba, O.

2018-06-01

This study investigates the hydrogeochemical and anthropogenic factors that control groundwater quality in an Upper Precambrian sedimentary aquifer in the northwestern Burkina Faso. The raw data and statistical and geochemical modeling results were used to identify the sources of major ions in dug well, private borewell and tap water samples. Tap waters were classified as Ca-HCO3 and Ca-Mg-HCO3 types, reflecting the weathering of the local dolomitic limestones and silicate minerals. Dug well waters, with a direct contact with various sources of contamination, were classified as Ca-Na-K-HCO3 type. Two factors that explain 94% of the total variance suggested that water-rock interaction was the most important factor controlling the groundwater chemistry. Factor 1 had high loadings on pH, Ca2+, Mg2+, HCO3 -, SO4 2- and TDS. These variables were also strongly correlated indicating their common geogenic sources. Based on the HCO3 -/(HCO3 - + SO4 2-) ratios (0.8-0.99), carbonic acid weathering appeared to control Ca2+, Mg2+, HCO3 - and SO4 2- acquisition in the groundwater. With relatively lower Ca2+ and Mg2+ concentrations, the majority of dug well and borewell waters were soft to moderately hard, whereas tap waters were considered very hard. Thus, the dug well and, to a lesser extent, borewell waters are likely to have a low buffering capacity. Factor 2 had high loadings on Na+, NO3 - and Cl-. The strong correlation between Na+ and NO3 - and Cl- implied that factor 2 represented the anthropogenic contribution to the groundwater chemistry. In contrast, K+ had moderate loadings on factors 1 and 2, consistent with its geogenic and anthropogenic sources. The study demonstrated that waters from dug wells and borewells were bacteriologically unsafe for human consumption, and their low buffering capacity may favor mobility of potentially toxic heavy metals in the aquifer. Not only very hard tap waters have aesthetic inconvenient, but their consumption may also pose health problems.

Groundwater dynamics in a hydrologically-modified alpine watershed from an ancient managed recharge system (Sierra Nevada National Park, Southern Spain): Insights from hydrogeochemical and isotopic information.

PubMed

Barberá, J A; Jódar, J; Custodio, E; González-Ramón, A; Jiménez-Gavilán, P; Vadillo, I; Pedrera, A; Martos-Rosillo, S

2018-06-04

In many of the alpine watersheds of Sierra Nevada (Southern Spain) exists an ancient network of dug canals that collect, transport and facilitate the recharge the snowmelt in the underlying aquifer during the spring season. This practice, known as careos, in the lower part of the watersheds supply drinking water as spring discharge during the dry season. To study how this managed recharge technique modifies the natural response of these basins this work focuses on characterizing the hydrological behavior of one of the sites, the Berchules watershed. The mechanisms for mineralization of groundwater are based on geochemical processes such as evapo-concentration in the soil layer and silicate mineral weathering due to dissolved CO 2 originated from both soil biogenic processes and the atmosphere. Groundwater presents a main hydrogeochemical calcium‑magnesium-bicarbonate type facies, which is associated to groundwater flowing through the upper weathered silicates and quickly drained through springs located in the uplands and in the intermediate altitude catchment zone. Additionally, in the lower part of the basin some springs discharge mineralized groundwater with a sodium-calcium-bicarbonate composition associated to regional groundwater flow. In natural conditions, this hydrogeological system behaves as a sloping aquifer, occurring recharge between 1400 and 2500 m a.s.l. The springs discharge groundwater with an isotopic content and temperature in coherence with the local rainfall isotopic and thermal atmospheric altitudinal lines. Nevertheless, once the careo recharge begins the affected springs reveal the fingerprint of the concentrated recharge system by blurring the fingerprint of both the isotopic and thermal altitudinal dependence in the springs discharge. This validates the previous conceptual model and supports average recharge values of 141 ± 140 mm/yr and total average water resources of 181 ± 111 mm/yr which include a 40% increase in the study period due to the effect of the acequias de careo. Copyright © 2018 Elsevier B.V. All rights reserved.

Hydrogeochemical Processes Causing Persistent Low pH in Lakes within a Reclaimed Lignite Mine, East Texas

NASA Astrophysics Data System (ADS)

Paul, J. C.; Schwab, P.; Knappett, P.; Deng, Y.

2017-12-01

Surface water pH values ranging from 2.5 to 2.6 have been reported in three lakes at a reclaimed lignite mine located in the Wilcox Formation of East Texas (the site). Traditional neutralization processes using alkaline chemicals to neutralize the surface water were found to be temporary solutions at the site. Low pH conditions usually are caused by oxidation of pyritic materials in the original tailings, but that was not always apparent based on previous studies at this site. The objective of this study is to determine factors contributing to acid seepage to aid in developing pre- and post-mining strategies to mitigate persistent acidity in surface waters at this and other sites. Mineralogy, hydrogeology, and hydrogeochemical reactions were evaluated. A network of 30 wells was used to monitor the water table and chemistry of the shallow, unconfined aquifer surrounding the lakes. Pressure transducers were deployed in 18 of these wells and each of the lakes to measure high frequency water levels over approximately one year. These water levels were contoured to visualize changing hydraulic head over time and determine the correlation in time between ground water flow directions and local rainfall events. Boreholes at 15 of the monitoring wells were continuously cored, and samples were taken at selected depth intervals based on pH measurements. XRD, SEM, and TEM were used to determine the mineralogy of select soil samples. Ion chromatography was used to determine sulfate concentration, and ICP-MS was used to determine solute concentrations from water and digested soil samples. Framboidal and microcrystalline pyrite were identified in the vadose zone in silt and clay-sized fractions; these minerals have high surface area that is conducive to rapid oxidation and acidification as ground water permeates from the vadose into the saturated zone. Morphology in addition to quantity of weatherable pyrite plays a significant role in acidification. Computer models were used to evaluate the effect of dissolving and precipitating solid phases on water chemistry along identified subsurface flow pathways with a focus on metal sulfides and iron oxides as influential to acid mine seepage into the affected lakes.

Complementary and alternative medicine use in children with thalassaemia.

PubMed

Efe, Emine; Işler, Ayşegül; Sarvan, Süreyya; Başer, Hayriye; Yeşilipek, Akif

2013-03-01

The aims of this study were to: (1) determine the types of complementary and alternative medicine use among children with thalassaemia as reported by parents and (2) describe sociodemographic and medical factors associated with the use of such treatments in families residing in southern Turkey. Thalassaemia is one of the most common human genetic diseases. Despite the therapeutic efforts, patients will encounter a variety of physical and psychological problems. Therefore, the use of complementary and alternative medicines among children thalassaemia is becoming increasingly popular. This is a descriptive study of complementary and alternative medicine. This study was conducted in the Hematology Outpatient Clinic at Akdeniz University Hospital and in the Thalassemia Centre at Ministry of Health Antalya Education and Research Hospital, Antalya, Turkey, between January 2010-December 2010. Parents of 97 paediatric patients, among 125 parents who applied to the haematology outpatient clinic and thalassaemia centre between these dates, agreed to take part in the study with whom contact could be made were included. Data were collected by using a questionnaire. The proportion of parents who reported using one or more of the complementary and alternative medicine methods was 82·5%. Of these parents, 61·8% were using prayer/spiritual practice, 47·4% were using nutritional supplements and 35·1% were using animal materials. It was determined that a significant portion of the parents using complementary and alternative medicine use it to treat their children's health problems, they were informed about complementary and alternative medicine by their paediatricians and family elders, and they have discussed the use of complementary and alternative medicine with healthcare professionals. To sustain medical treatment and prognosis of thalassaemia, it is important for nurses to consult with their patients and parents regarding the use and potential risks of some complementary and alternative medicine. © 2012 Blackwell Publishing Ltd.

Homeostasis of Complementary Pair Theory: Ecological Comparisons in Diverse Universal Design for Learning Environments

ERIC Educational Resources Information Center

Ianneo, Brittany

2014-01-01

Accommodation~assimilation relations were theorized by Kelso and Engstrom (2006) as independent and dependent complementary pairs. This study defined relationships between organisms that experienced complementary interactions of accommodation~assimilation in diverse ecologies designed with universal design for learning environments (UDLE) compared…

Hydrogeochemical analysis and evaluation of groundwater in the reclaimed small basin of Abu Mina, Egypt

NASA Astrophysics Data System (ADS)

Salem, Zenhom E.; Atwia, Mohamed G.; El-Horiny, Mohamed M.

2015-12-01

Agricultural reclamation activities during the last few decades in the Western Nile Delta have led to great changes in the groundwater levels and quality. In Egypt, changing the desert land into agricultural land has been done using transferred Nile water (through irrigation canal systems) or/and groundwater. This research investigates the hydrogeochemical changes accompanying the reclamation processes in the small basin of Abu Mina, which is part of the Western Nile Delta region. In summer 2008, 23 groundwater samples were collected and groundwater levels were measured in 40 observation wells. Comparing the groundwater data of the pre-reclamation (1974) and the post-reclamation (2008) periods, groundwater seems to have been subjected to many changes: rise in water level, modification of the flow system, improvement of water quality, and addition of new salts through dissolution processes. Generally, Abu Mina basin is subdivided into two areas, recharge and discharge. The dissolution and mixing were recognized in the recharge areas, while the groundwater of the discharge region carries the signature of the diluted pre-reclamation groundwater. The salts of soil and aquifer deposits play an important role in the salt content of the post and pre-reclamation groundwater. NaCl was the predominant water type in the pre-reclamation groundwater, while CaSO4, NaCl and MgSO4 are the common chemical facies in the post-reclamation groundwater. The post-reclamation groundwater mostly indicates mixing between the pre-reclamation groundwater and the infiltrated freshwater with addition of some ions due to interaction with soil and sediments.

Uranium hydrogeochemical and stream sediment reconnaissance of the Solomon NTMS quadrangle, Alaska

DOE Office of Scientific and Technical Information (OSTI.GOV)

Langfeldt, S.L.; Youngquist, C.A.; D'Andrea, R.F. Jr.

This report presents results of a Hydrogeochemical and Stream Sediment Reconnaissance (HSSR) of the Solomon NTMS quadrangle, Alaska. In addition to this abbreviated data release, more complete data are available to the public in machine-readable form through the Grand Junction Office Information System at Oak Ridge National Laboratory. Presented in this data release are location data, field analyses, and laboratory analyses of several different sample media. For the sake of brevity, many field site observations have not been included in this volume. These data are, however, available on the magnetic tape. Appendices A and B describe the sample media andmore » summarize the analytical results for each medium. The data were subdivided by one of the Los Alamos National Laboratory (LANL) sorting programs of Zinkl and others into groups of stream sediment and stream water samples. For each group which contains a sufficient number of observations, statistical tables, tables of raw data, and 1:1000000 scale maps of pertinent elements have been included in this report. In addition, maps showing results of multivariate statistical analyses have been included. Further information about the HSSR program in general, or about the LANL portion of the program in particular, can be obtained in quarterly or semiannual program progress reports on open-file at DOE's Technical Library in Grand Junction. Information about the field and analytical procedures used by LANL during sample collection and analysis may be found in any HSSR data release prepared by the LANL and will not be included in this report.« less

Hydrogeochemical features of groundwater of semi-confined coastal aquifer in Amol-Ghaemshahr plain, Mazandaran Province, Northern Iran.

PubMed

Khairy, Houshang; Janardhana, M R

2013-11-01

Hydrogeochemical data of groundwater from the semi-confined aquifer of a coastal two-tier aquifer in Amol-Ghaemshahr plain, Mazandaran Province, Northern Iran reveal salinization of the fresh groundwater (FGW). The saline groundwater zone is oriented at an angle to both Caspian Sea coastline and groundwater flow direction and extends inland from the coastline for more than 40 km. Spearman's rank correlation coefficient matrices, factor analysis data, and values of C ratio, chloro-alkaline indices, and Na(+)/Cl(-) molar ratio indicate that the ionic load in the FGW is derived essentially from carbonic acid-aided weathering of carbonates and aluminosilicate minerals, relict connate saline water, and ion exchange reactions. Saline groundwater samples (SGWS) (n = 20) can be classified into two groups. SGWS of group 1 (n = 17) represent the saline groundwater zone below the Caspian Sea level, and salinization is attributed essentially to (1) lateral intrusion of Caspian seawater as a consequence of (a) excessive withdrawal of groundwater from closely spaced bore wells located in the eastern part of the coastal zone and (b) imbalance between recharge and discharge of the two-tier aquifer and (2) upconing of paleobrine (interfaced with FGW) along deep wells. SGWS of this group contain, on average, 7.9% of saltwater, the composition of which is similar to that of Caspian seawater. SGWS of group 2 (n = 3) belong to the saline groundwater zone encountered above the Caspian Sea level, and salinization of the groundwater representing these samples is attributed to irrigation return flow (n = 2) and inflow of saline river water (n = 1).

Evaluation of a complementary cyber education program for a pathophysiology class.

PubMed

Yoo, Ji-Soo; Ryue, Sook-Hee; Lee, Jung Eun; Ahn, Jeong-Ah

2009-12-01

The goal of this study was to develop and evaluate a complementary cyber education program for a required pathophysiology class for nursing students. The cyber education program comprised electronic bulletin boards, correspondence material storage, an announcement section, a report submission section, reference sites, and statistics on learning rates. Twelve online lectures complemented five lectures in the classroom. To evaluate the course's educational effectiveness, we performed an online objective questionnaire and an open questionnaire survey anonymously, and compared the complementary cyber education program with traditional classroom education. The complementary cyber education program effected significant improvements in scores for importance with regard to major, clarity of goals and education plans for courses, professor readiness, preciseness and description of lectures, amount and efficiency of assignments, and fairness in appraisal standards compared with the traditional classroom education group. This study indicates that a complementary cyber education program provides nursing students with the flexibility of time and space, the newest information through updated lectures, efficient motivational aids through intimacy between the lecturer and students, and concrete and meaningful tasks. The complementary cyber education course also increased student effort toward studying and student satisfaction with the class.

Complementary Role of Herbal Medicine and Exercise in Cardiovascular Disease Prevention and Management: A Review of Evidence.

PubMed

Veluswamy, Sundar Kumar; Babu, Abraham Samuel; Sundar, Lakshmi Manickavasagam

2017-01-01

Cardiovascular disease (CVD) is the leading cause of death worldwide. Herbal medicine and exercise interventions have individually been shown to be effective in the prevention and management of CVD. However, the complementary roles of herbal medicine and exercise interventions for CVD prevention and management have not been adequately reported. 1. Identify studies analysing complementary roles of herbal medicine and exercise intervention in CVD prevention and management, 2. Identify herbs and exercise strategies that have been reported to exhibit complementary roles in CVD prevention and management, and 3. Summarize evidence of complementary roles of herbal medicine and exercise interventions for CVD prevention and management. PubMed, CINAHL and Web of Science were searched with a customised search strategy in May 2015. Two reviewers screened the search results for inclusion using pre-specified criteria. Data were extracted from full text of selected abstracts in a predetermined template by two reviewers and verified by the third reviewer when needed. A total of 35 titles were identified for full texts review after screening 827 abstracts. Data were extracted from 23 titles, representing 12 human studies and six animal studies. This review identified effects of 14 different herbs and 10 exercise strategies on over 18 CVD risk factors and markers. Complementary roles of herbal medicine and exercise were reported from five studies. Evidence of complementary role of herbal medicine and exercise is emerging from animal studies. More robust clinical studies on proven risk factors are needed before they can be recommended for clinical practice. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Inclusion of Alternative and Complementary Therapies in CACREP Training Programs: A Survey

ERIC Educational Resources Information Center

Lumadue, Christine A.; Munk, Melanie; Wooten, H. Ray

2005-01-01

Given a heightened focus within the mental health profession on creative, complementary, and alternative practices, the authors surveyed CACREP programs with respect to their inclusion of such approaches in counselor training. For the purpose of this study, these approaches were designated as complementary and alternative methods (CAM) and defined…

Complementary acupuncture in Parkinson's disease: a spect study.

PubMed

Huang, Yong; Jiang, Xuemei; Zhuo, Ying; Wik, Gustav

2010-02-01

We studied cerebral effects of complementary acupuncture in Parkinson's disease using single photon emission computed tomography (SPECT) measures of 99mTc-ECD and 99mTc-TRODAT-4, before and after five weeks of treatment. Ten patients were randomly assigned to receive levodopa alone (controls) or levodopa and complementary scalp electro-acupuncture. Before treatment, no hemispheric regional cerebral blood flow (rCBF) differences were found, whereas striatal dopamine transporter (DAT) activity was lower in the most affected hemisphere. Treatment with levodopa alone did not change rCBF, whereas it increased basal ganglion DAT activity in the most affected hemisphere. Patients who received levodopa and complementary acupuncture had increased rCBF in the frontal lobe, the occipital lobe, the basal ganglion, and the cerebellum in the most affected hemisphere as compared to baseline, but there were no changes in basal ganglia DAT levels. Thus, complementary acupuncture treatment in Parkinson's disease may affect rCBF but not basal ganglion DAT.

Complementary and Alternative Therapies for Chronic Constipation

PubMed Central

2015-01-01

Chronic constipation, an ancient disease, is prevalent, and costly in the general population. Complementary and alternative therapies are frequently used for constipation. This review introduces various methods of complementary and alternative therapies, including acupuncture, moxibustion, massage, and herbal medicine. Efficacy, safety, influence factors, sham control design, and mechanisms of these therapies are discussed and evaluated. Acupuncture or electroacupuncture was found to be most commonly used for constipation among these complementary and alternative therapies, followed by herbal medicine. Although only a small number of clinical studies are flawless, our review of the literature seems to suggest that acupuncture or electroacupuncture and herbal medicine are effective in treating constipation, whereas findings on massage and moxibustion are inconclusive. More well-designed clinical trials are needed to improve and prove the efficacy of the complementary and alternative therapies for constipation; mechanistic studies that would lead to wide spread use and improvement of the methods are also discussed in this review. PMID:26064163

Linear Optical and SERS Study on Metallic Membranes with Subwavelength Complementary Patterns

NASA Astrophysics Data System (ADS)

Hao, Qingzhen; Zeng, Yong; Jensen, Lasse; Werner, Douglas; Crespi, Vincent; Huang, Tony Jun; Interdepartmental Collaboration

2011-03-01

An efficient technique is developed to fabricate optically thin metallic films with subwavelength patterns and their complements simultaneously. By comparing the spectra of the complementary films, we show that Babinet's principle nearly holds in the optical domain. A discrete-dipole approximation can qualitatively describe their spectral dependence on the geometry of the constituent particles and the illuminating polarization. Using pyridine as probe molecules, we studied surface-enhanced Raman spectroscopy (SERS) from the complementary structure. Although the complementary structure posses closely related linear spectra, they have quite different near-field behaviors. For hole arrays, their averaged local field gains as well as the SERS enhancements are strongly correlated to their transmission spectra. We therefore can use cos 4 θ to approximately describe the dependence of the Raman intensity on the excitation polarization angle θ , while the complementary particle arrays present maximal local field gains at wavelengths generally much bigger than their localized surface plasmonic resonant wavelengths.

Effect of sequencing of complementary feeding in relation to breast-feeding on total intake in infants.

PubMed

Shah, Dheeraj; Singh, Meenakshi; Gupta, Piyush; Faridi, M M A

2014-03-01

The aim of the present study was to evaluate whether the order of complementary feeding in relation to breast-feeding affects breast milk, semisolid, or total energy intake in infants. The present study was designed as a randomized crossover trial. The study was conducted in a tertiary care hospital. The study participants were 25 healthy infants between the ages of 7 and 11 months who were exclusively breast-fed for at least 6 months and were now receiving complementary foods for at least 1 month in addition to breast-feeding. Infants were randomized to follow a sequence of either complementary feeding before breast-feeding (sequence A) or complementary feeding after breast-feeding (sequence B) for the first day (24 hours) of the study period using simple randomization. For the next day, the sequence was reversed for each child. All babies received 3 actively fed complementary food meals per day (morning, afternoon, and evening). A semisolid study diet was prepared in the hospital by cooking rice and pulse with oil using a standard method, ensuring the energy density of at least 0.6 kcal/g. The infants were allowed ad libitum breast-feeding during the observation period. Semisolid intake was directly measured and breast milk intake was quantified by test weighing method. Energy intake from complementary foods was calculated from the product of energy density of the diet served on that day and the total amount consumed. The total energy intake and energy intake from breast milk and complementary foods between the 2 sequences were compared. The mean (standard deviation) energy intake from breast milk during 12 hours of daytime by following sequence A (complementary feeding before breast-feeding) was 132.0 (67.4) kcal in comparison with 135.9 (56.2) kcal in sequence B, which was not statistically different (P = 0.83). The mean (standard deviation) energy consumed from semisolids in sequences A and B was also comparable (88.6 [75.5] kcal vs. 85.5 [89.7] kcal; P = 0.58). The total energy intake during daytime in sequence A was 220.6 (96.2) kcal in comparison with 221.5 (94.0) kcal in sequence B, which was also comparable (P = 0.97). The results related to energy intake through breast milk and total energy intake were not different when insensible losses during feeding were adjusted in both groups. Altering the sequence of complementary feeding in relation to breast-feeding does not affect total energy intake.

Hydrogeochemical investigations of some historic mining areas in the western Humboldt River basin, Nevada

USGS Publications Warehouse

Nash, J.T.

2001-01-01

Productive historic mines in 13 mining districts, of many geochemical types, were investigated in May of 1998. Reconnaissance field observations were made and samples of mine dumps, mine drainage waters, and mill tailings have been collected to characterize the geochemical signature of these materials and to determine their actual or potential contamination of surface or ground waters. Field observations suggest that visible indicators of acidic mine drainage are rare, and field measurements of pH and chemical analyses of several kinds of materials indicate that only a few sites release acid or significant concentrations of metals.

Complementary and alternative medicine used by persons with functional gastrointestinal disorders to alleviate symptom distress.

PubMed

Stake-Nilsson, Kerstin; Hultcrantz, Rolf; Unge, Peter; Wengström, Yvonne

2012-03-01

The aim of this study was to describe the complementary and alternative medicine methods most commonly used to alleviate symptom distress in persons with functional gastrointestinal disorders. People with functional gastrointestinal disorders face many challenges in their everyday lives, and each individual has his/her own way of dealing with this illness. The experience of illness often leads persons with functional gastrointestinal disorders to complementary and alternative medicine as a viable healthcare choice. Quantitative and describing design. A study-specific complementary and alternative medicine questionnaire was used, including questions about complementary and alternative medicine methods used and the perceived effects of each method. Efficacy assessments for each method were preventive effect, partial symptom relief, total symptom relief or no effect. A total of 137 persons with functional gastrointestinal disorders answered the questionnaire, 62% (n = 85) women and 38% (n = 52) men. A total of 28 different complementary and alternative medicine methods were identified and grouped into four categories: nutritional, drug/biological, psychological activity and physical activity. All persons had tried at least one method, and most methods provided partial symptom relief. Persons with functional gastrointestinal disorders commonly use complementary and alternative medicine methods to alleviate symptoms. Nurses have a unique opportunity to expand their roles in this group of patients. Increased knowledge of complementary and alternative medicine practices would enable a more comprehensive patient assessment and a better plan for meaningful interventions that meet the needs of individual patients. © 2011 Blackwell Publishing Ltd.

Factors related to complementary/alternative medicine use among cancer patients in central Anatolia.

PubMed

Er, Ozlem; Mistik, Selcuk; Ozkan, Metin; Ozturk, Ahmet; Altinbas, Mustafa

2008-01-01

We aimed to evaluate the prevalence of and factors related to the use of complementary/alternative medicine among cancer patients undergoing or following conventional treatment at the Erciyes University Oncology Hospital in Central Anatolia. Face-to-face interview and a questionnaire were carried out with cancer patients attending the outpatient clinic of Medical Oncology. Questionnaire items included patients' demographic data, treatment, use of complementary/alternative medicine and possible related factors. Multivariate analysis was performed to compare the factors related to use of complementary/alternative medicine. A total of 268 consecutive cancer patients were enrolled in the study. Overall, 43% of the patients were using or had used complementary/alternative medicine. Totally, 90% of the patients using complementary/alternative medicine utilized herbs, and most of the herbs used were stinging nettle. Nearly half of the patients using complementary/alternative medicine (46.1%) were aiming to fight the disease. Among users, nearly half of them regarded the method used as effective and 54 (50.5%) suggested the use of complementary/alternative medicine to other patients. Only 23.1% of the patients discussed the use of complementary/alternative medicine with their physician. In logistic regression analysis, younger age, higher educational status, advanced stage of the disease, longer duration of the disease and current treatment status were significantly associated with the use of complementary/alternative medicine. In our regression model, the predictivity rate of these variables was 72.2% for use of complementary/alternative medicine according to the backward Wald test. Use of complementary/alternative medicine among cancer patients in our center is modestly high, and the most common method is herbal therapy. Communication between the patient and the physician should be improved on this subject.

The relation of Complementary-Alternative Medicine use with glomerular filtration rate and depression in patients with chronic kidney disease at predialysis stage.

PubMed

Esen, Bennur; Atay, Ahmet Engin; Gokmen, Emel Saglam; Karakoc, Ayten; Sari, Hakan; Sarisakal, Samprie; Kahvecioglu, Serdar; Kayabasi, Hasan; Sit, Dede

2015-05-08

Complementary and alternative medicine is a broad field of health including all health care practices and methods; and their accompanying theories and beliefs. In the present study, we aimed to examine the frequency of complementary-alternative medicine use, and its relation with glomerular filtration rate and depression in patients with chronic kidney disease at predialysis stage. A total of 1053 predialysis patients; 518 female and 535 male, that were followed up with chronic kidney disease for at least 3 months were enrolled into the study. Demographic features, biochemical parameters and findings of physical examination were recorded. Their compliance to diet, and knowledge about disease were questioned. Beck depression inventory and questionnaire regarding to complementary-alternative medicine use were performed. The overall frequency of complementary-alternative medicine use was 40.3% . Total ratio of herbal products was 46%. Complementary-alternative medicine use was significantly more frequent in female or single patients, and patients that informed about chronic kidney disease or under strict diet (p:0.007, p:0.016, p:0.02, p:0.016; respectively). When glomerular filtration rate of participants were considered, complementary-alternative medicine use was similar in different stages of kidney disease. Depression was observed in 41.9% of patients and significantly frequent in patients with alternative method use (p:0.002). Depression score was higher as creatinine increases and glomerular filtration rate decreases (p:0.002; r: 0,093). We determined that complementary-alternative medicine use gradually increases at predialysis stage as glomerular filtration rate decreases and there is a strict relation between complementary-alternative medicine use and depression or female gender. Disorder related stressors may lead to seeking of alternative methods. This article is protected by copyright. All rights reserved.

Timing of Introduction of Complementary Foods to US Infants, National Health and Nutrition Examination Survey 2009-2014.

PubMed

Barrera, Chloe M; Hamner, Heather C; Perrine, Cria G; Scanlon, Kelley S

2018-03-01

Although there has been inconsistency in recommendations regarding the optimal time for introducing complementary foods, most experts agree that introduction should not occur before 4 months. Despite recommendations, studies suggest that 20% to 40% of US infants are introduced to foods at younger than 4 months. Previous studies focused on the introduction of solid foods and are not nationally representative. Our aims were to provide a nationally representative estimate of the timing of introduction of complementary foods and to describe predictors of early (<4 months) introduction. We conducted a cross-sectional analysis of 2009-2014 National Health and Nutrition Examination Survey data. The study included 1,482 children aged 6 to 36 months. Timing of first introduction to complementary foods (anything other than breast milk or formula) was analyzed. Prevalence estimates of first introduction to complementary foods are presented by month. Logistic regression was used to assess characteristics associated with early (<4 months) introduction. In this sample, 16.3% of US infants were introduced to complementary foods at <4 months, 38.3% between 4 and <6 months, 32.5% between 6 and <7 months, and 12.9% at ≥7 months of age. In unadjusted analyses, early introduction varied by breastfeeding status; race/Hispanic origin; Special Supplemental Nutrition Program for Women, Infants, and Children participation; and maternal age. In adjusted analyses, only breastfeeding status remained significant; infants who never breastfed or stopped at <4 months were more likely (odds ratio 2.27; 95% CI 1.62 to 3.18) to be introduced to complementary foods early than infants who breastfed ≥4 months. Despite using a broader definition of complementary foods, this analysis found a lower prevalence of early introduction in this nationally representative sample than previous studies that included only solids. However, many young children were still introduced to complementary foods earlier than recommended. Strategies to support caregivers to adhere to infant feeding guidelines may be needed. Copyright © 2018 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

Timely initiation of complementary feeding and associated factors among children aged 6 to 12 months in Northern Ethiopia: an institution-based cross-sectional study

PubMed Central

2013-01-01

Background Exclusive breastfeeding (EBF) for the first six months of life is critical for the wellbeing of the child. In the mean while, timely initiation and starting nutritionally-adequate, safe, age-appropriate complementary feeding at six months is recommended for the better health and development of infants. According to the Ethiopian Demographic and Health Survey 2011, timely initiation of complementary feeding in Ethiopia at the 6th month was only 51%. The purpose of this study is to determine the magnitude of timely initiation of complementary feeding and associated factors in Mekelle town, Northern Ethiopia. Methods An institutional based cross-sectional study design was conducted among 422 mothers of infants aged from six months to one year selected from six public health facilities. Sample size proportional to the patient flow rate of each institution was allocated and systematic random sampling method was used to get the study participant. An exit interview using structured questionnaire was conducted about their experience on complementary feeding and related experience. The questionnaire was pretested among 21 mothers. Data were entered with EPI info version 3.5.1 and cleaning and analysis was done by using SPSS version 16. Frequencies distribution, binary and multiple logistic regressions were done. OR and 95% confidence interval was computed. Result The prevalence of timely initiation of complementary feeding at sixth month was 62.8% (265/422, 95% C.I: 58.1, 67.31%). Educational level, occupation of mother, parity, having ANC follow up, and birth preparedness were found to be independent predictor of timely initiation of complementary feeding. Conclusions Almost two-third of mothers initiated complementary feeding at six month of child’ age as recommended. This was relatively higher prevalence than most developing countries. However, significant proportion of mothers still did not initiate complementary feeding timely. Mothers who are illiterate and completed only primary school need more attention. All mothers must be encouraged to make antenatal care follow up. PMID:24195592

Knowledge, Attitude and Practice of General Practitioners toward Complementary and Alternative Medicine: a Cross-Sectional Study.

PubMed

Barikani, Ameneh; Beheshti, Akram; Javadi, Maryam; Yasi, Marzieh

2015-08-01

Orientation of public and physicians to the complementary and alternative medicine (CAM) is one of the most prominent symbols of structural changes in the health service system. The aim of his study was a determination of knowledge, attitude, and practice of general practitioners in complementary and alternative medicine. This cross- sectional study was conducted in Qazvin, Iran in 2013. A self-administered questionnaire was used for collecting data including four information parts: population information, physicians' attitude and knowledge, methods of getting information and their function. A total of 228 physicians in Qazvin comprised the population of study according to the deputy of treatment's report of Qazvin University of Medical Sciences. A total of 150 physicians were selected randomly, and SPSS Statistical program was used to enter questionnaires' data. Results were analyzed as descriptive statistics and statistical analysis. Sixty percent of all responders were male. About sixty (59.4) percent of participating practitioners had worked less than 10 years.96.4 percent had a positive attitude towards complementary and alternative medicine. Knowledge of practitioners about traditional medicine in 11 percent was good, 36.3% and 52.7% had average and little information, respectively. 17.9% of practitioners offered their patients complementary and alternative medicine for treatment. Although there was little knowledge among practitioners about traditional medicine and complementary approaches, a significant percentage of them had attitude higher than the lower limit.

Meeting EFA: How Do Complementary Models Meet the Education Needs of Underserved Populations in Developing Countries? Issues Brief

ERIC Educational Resources Information Center

DeStefano, Joseph; Moore, Audrey-Marie Schuh; Balwanz, David; Hartwell, Ash

2006-01-01

This issues brief describes how complementary education approaches that rely on community, nongovernmental, and ministry collaboration present a promising response to the challenge to the limitations of conventional primary schooling. The brief is based on nine case studies of successful complementary education programs in Afghanistan, Bangladesh,…

Use of Complementary and Alternative Medicine among Children Diagnosed with Autism Spectrum Disorder

ERIC Educational Resources Information Center

Hanson, Ellen; Kalish, Leslie A.; Bunce, Emily; Curtis, Christine; McDaniel, Samuel; Ware, Janice; Petry, Judith

2007-01-01

This study examined the prevalence of the use of different types of conventional, complementary and alternative therapies by children diagnosed with an autism spectrum disorder (ASD). Of 112 families surveyed, 74% were using complementary and alternative medicine (CAM) for their child with ASD. CAM use was most strongly associated with parent…

Identity Projects in Complementary and Mainstream Schools: The Views of Albanian and Bulgarian Students in England

ERIC Educational Resources Information Center

Tereshchenko, Antonina; Archer, Louise

2015-01-01

This paper contributes to the literature on complementary schools as sites of learning and social and cultural identification. We draw on a small-scale multi-method qualitative study conducted in Albanian and Bulgarian community schools in London to explore the agendas of "new" Eastern European complementary schools with respect to…

Use of complementary and alternative medicines during the third trimester.

PubMed

Pallivalapila, Abdul Rouf; Stewart, Derek; Shetty, Ashalatha; Pande, Binita; Singh, Rajvir; McLay, James S

2015-01-01

To estimate the prevalence, indications, and associated factors for complementary and alternative medicine use during the last trimester of pregnancy. A questionnaire survey was conducted of women with a live birth (N=700) admitted to the postnatal unit at the Royal Aberdeen Maternity Hospital, northeast Scotland. Outcome measures included: complementary and alternative medicine used; vitamins and minerals used; reasons for complementary and alternative medicine use; independent associated factors for use; views; and experiences. Descriptive and inferential statistical analysis was performed. The response rate was 79.6% of eligible women. Two thirds of respondents (61.4%) reported using complementary and alternative medicine, excluding vitamins and minerals, during the third trimester. Respondents reported using a total of 30 different complementary and alternative medicine modalities, of which oral herbal products were the most common (38% of respondents, 40 different products). The independent associated factors for complementary and alternative medicine use identified were: complementary and alternative medicine use before pregnancy (odds ratio [OR] 4.36, 95% confidence interval [CI] 2.39-7.95, P<.001); a university education (OR 2.41, 95% CI 1.46-4.0, P=.001), and complementary and alternative medicine use by family or friends (OR 2.36, 95% CI 1.61-3.47, P<.001). There was no association with health care professional recommendations. Users were significantly more likely than nonusers to agree that complementary and alternative medicines were safer than prescribed medicines (P=.006), less likely to be associated with side effects (P≤.001), and could interfere with conventional medicines (P≤.001). Despite the majority of respondents, and notably users, being uncertain about their safety and effectiveness, complementary and alternative medicine modalities and complementary and alternative medicine products are widely used during the third trimester of pregnancy in this study population. Although prior use was the most significant independent associated factor, the role of family and friends, rather than health professionals, in the decision to use complementary and alternative medicine may be of concern. III.

The initiation of complementary feeding among Qom indigenous people.

PubMed

Olmedo, Sofia Irene; Valeggia, Claudia

2014-06-01

As of six months of life, breastfeeding no longer covers an infant's energy or micronutrient needs, so appropriate complementary feeding should be provided. The objective of this study was to assess the time and adequacy for introducing complementary feeding in a Qom/Toba population and analyze the sociocultural concepts of families regarding complementary feeding. Quantitative and qualitative data were collected by participant observation and semistructured surveys administered to mothers of 0-2 year old infants. Qom breastfeed their infants long term and on demand. Most infants have an adequate nutritional status and start complementary feeding at around 6 months old as per the local health center and international standards. However, mostly due to socioeconomic factors, foods chosen to complement breastfeeding have a relatively scarce nutritional value.

Investigation into the use of complementary and alternative medicine and affecting factors in Turkish asthmatic patients.

PubMed

Tokem, Yasemin; Aytemur, Zeynep Ayfer; Yildirim, Yasemin; Fadiloglu, Cicek

2012-03-01

The purpose of this study was to examine the frequency of complementary and alternative medicine usage in asthmatic patients living in the west of Turkey, the most frequently used complementary and alternative medicine methods and socio-demographic factors affecting this and factors related to the disease. While the rate of complementary and alternative medicine usage in asthmatic patients and the reasons for using it vary, practices specific to different countries and regions are of interest. Differing cultural and social factors even in geographically similar regions can affect the type of complementary and alternative medicine used. Two hundred asthmatic patients registered in the asthma outpatient clinic of a large hospital in Turkey and who had undergone pulmonary function tests within the previous six months were included in this study, which was planned according to a descriptive design. The patients filled out a questionnaire on their demographic characteristics and complementary and alternative medicine usage. The proportion of patients who reported using one or more of the complementary and alternative medicine methods was 63·0%. Of these patients, 61·9% were using plants and herbal treatments, 53·2% were doing exercises and 36·5% said that they prayed. The objectives of their use of complementary and alternative medicine were to reduce asthma-related complaints (58%) and to feel better (37·8%). The proportion of people experiencing adverse effects was 3·3% (n = 4). Factors motivating asthmatic patients to use complementary and alternative medicine were the existence of comorbid diseases and a long period since diagnosis (p < 0·05). No statistically significant difference was found between the use of complementary and alternative medicine and the severity of the disease, pulmonary function test parameters, the number of asthma attacks or hospitalisations because of asthma within the last year (p > 0·05). Understanding by nurses of the causes and patterns of the use of complementary and alternative medicine in asthmatic patients helps them in directing patient care and patient safety. Nurses should conduct comprehensive diagnostics in the light of complementary and alternative medicine use, and they should be aware of the potential risks. © 2011 Blackwell Publishing Ltd.

[Obesity and complementary feeding time: a period at risk].

PubMed

Vidailhet, M

2010-12-01

Relation between rapid growth during the first months of life and secondary risk of excessive adiposity is well demonstrated. Many works have indicated a birth feeding effect on weight gain during the first year of life and a protective effect towards later childhood and adult obesity. However all these studies are observational and several works denied this protective effect. Concerning complementary feeding, 3 interventional, randomized, studies achieved between 4 and 6 months of age, showed a good regulation of caloric intake and no weight gain modification due to complementary foods. Most of others studies are observational and don't show any relation between time of introduction of complementary foods and later fat mass. However 3 recent studies indicate, respectively at 7, 10 and 42 years of age, an increased adiposity, suggesting the possibility of a programmed excessive fat gain induced by an early complementary foods introduction. Very few studies have evaluated, besides the time of weaning, the kind, quantity and caloric density of foods used as complements, whereas other recent studies show the importance of appetite differences since the first months of life and the importance of genetic influence on these variations. Others works have emphasized the possible role of an excessive protein intake during the first 2 years of life. So, it appears that it may be necessary to pay attention not only on the date, but also on the kind and quantity of complementary foods, particularly in infants at risk for obesity, because of parental obesity, rapid weight growth or an excessive appetite. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

Complementary and Alternative Medicine in Cardiac Surgery: Prevalence and Modality of use.

PubMed

Dalmayrac, Emilie; Quignon, Anne; Baufreton, Christophe

2016-07-01

Complementary and alternative medicines are developing at a growing rate but their use in the hospital setting is little known, ignoring risk or benefit in practice. The objectives of the study were to quantify the prevalence of complementary and alternative medicines used by patients admitted to a cardiac surgery department. Patients and staff at the Cardiac Surgery unit of Angers University Hospital (France) were surveyed regarding their modality of complementary and alternative medicines use, between April 01, 2013, and April 18, 2014, by means of an anonymous questionnaire. Of 154 patients included in the study, 58% used a complementary and alternative medicine at least once in their lifetime, 38% during the preceding year, and 14% between the consultation and surgery. In all, 71% used them as a complement to their conventional medical treatment. Of those who used a complementary and alternative medicine during the year of their surgery procedure, only 29% informed their physicians and paramedical staff about it. Complementary and alternative medicines use among patients admitted to cardiac surgery units is common. Yet there is a real lack of knowledge regarding these health practices among physicians and paramedical staff. Copyright © 2016 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.

An Investigation of the Use of Traditional Chinese Medicine and Complementary and Alternative Medicine in Stroke Patients.

PubMed

Yeh, Mei-Ling; Chiu, Wei-Ling; Wang, Yu-Jen; Lo, Chyi

This study aimed to investigate the use of traditional Chinese medicine and complementary and alternative medicine in stroke patients in Taiwan. Chinese herbal medicine, massage, acupuncture, natural products, and exercise were widely used among stroke patients. Integrating safe and effective traditional Chinese medicine and complementary and alternative medicine into conventional therapies is suggested.

Percutaneous transendocardial delivery of self-complementary adeno-associated virus 6 achieves global cardiac gene transfer in canines

PubMed Central

Bish, Lawrence T.; Sleeper, Meg M.; Brainard, Benjamin; Cole, Stephen; Russell, Nicholas; Withnall, Elanor; Arndt, Jason; Reynolds, Caryn; Davison, Ellen; Sanmiguel, Julio; Wu, Di; Gao, Guangping; Wilson, James M.; Sweeney, H. Lee

2011-01-01

Achieving efficient cardiac gene transfer in a large animal model has proven to be technically challenging. Prior strategies have employed cardio-pulmonary bypass or dual catheterization with the aid of vasodilators to deliver vectors, such as adenovirus, adeno-associated virus or plasmid DNA. While single stranded adeno-associated virus vectors have shown the greatest promise, they suffer from delayed expression, which might be circumvented by using self-complementary vectors. We sought to optimize cardiac gene transfer using a percutaneous transendocardial injection catheter to deliver adeno-associated virus vectors to the canine myocardium. Four vectors were evaluated—single stranded adeno-associated virus 9, self-complementary adeno-associated virus 9, self-complementary adeno-associated virus 8, self-complementary adeno-associated virus 6—so that comparison could be made between single stranded and self complementary vectors as well as among serotypes 9, 8, and 6. We demonstrate that self-complementary adeno-associated virus is superior to single stranded adeno-associated virus and that adeno-associated virus 6 is superior to other serotypes evaluated. Biodistribution studies revealed that vector genome copies were 15 to 4000 times more abundant in the heart than in any other organ for self-complementary adeno-associated virus 6. Percutaneous transendocardial injection of self-complementary adeno-associated virus 6 is a safe, effective method for achieving efficient cardiac gene transfer. PMID:18813281

Tírez lake as a terrestrial analog of Europa.

PubMed

Prieto-Ballesteros, Olga; Rodríguez, Nuria; Kargel, Jeffrey S; Kessler, Carola González; Amils, Ricardo; Remolar, David Fernández

2003-01-01

Tírez Lake (La Mancha, central Spain) is proposed as a terrestrial analogue of Europa's ocean. The proposal is based on the comparison of the hydrogeochemistry of Tírez Lake with the geochemical features of the alteration mineralogy of meteoritic precursors and with Galileo's Near Infrared Mapping Spectrometer data on Europa's surface. To validate the astrobiological potential of Tírez Lake as an analog of Europa, different hydrogeochemical, mineral, and microbial analyses were performed. Experimental and theoretical modeling helped to understand the crystallization pathways that may occur in Europa's crust. Calculations about the oxidation state of the hypothetical Europan ocean were estimated to support the sulfate-rich neutral liquid model as the origin of Europa's observed hydrated minerals and to facilitate their comparison with Tírez's hydrogeochemistry. Hydrogeochemical and mineralogical analyses showed that Tírez waters corresponded to Mg-Na-SO(4)-Cl brines with epsomite, hexahydrite, and halite as end members. A preliminary microbial ecology characterization identified two different microbial domains: a photosynthetically sustained community represented by planktonic/benthonic forms and microbial mat communities, and a subsurficial anaerobic realm in which chemolithotrophy predominates. Fluorescence in situ hybridization has been used to characterize the prokaryotic diversity of the system. The subsurficial community seemed to be dominated by sulfate-reducing bacteria and methanogens. Frozen Tírez brines were analyzed by Fourier-transform infrared techniques providing spectra similar to those reported previously using pure components and to the Galileo spectral data. Calorimetric measurements of Tírez brines showed pathways and phase metastability for magnesium sulfate and sodium chloride crystallization that may aid in understanding the processes involved in the formation of Europa's icy crust. The use of fluorescence hybridization techniques for microbial detection and characterization in hypersaline environments makes this methodology strongly advisable for future Europa astrobiological missions.

Semi-supervised Machine Learning for Analysis of Hydrogeochemical Data and Models

NASA Astrophysics Data System (ADS)

Vesselinov, Velimir; O'Malley, Daniel; Alexandrov, Boian; Moore, Bryan

2017-04-01

Data- and model-based analyses such as uncertainty quantification, sensitivity analysis, and decision support using complex physics models with numerous model parameters and typically require a huge number of model evaluations (on order of 10^6). Furthermore, model simulations of complex physics may require substantial computational time. For example, accounting for simultaneously occurring physical processes such as fluid flow and biogeochemical reactions in heterogeneous porous medium may require several hours of wall-clock computational time. To address these issues, we have developed a novel methodology for semi-supervised machine learning based on Non-negative Matrix Factorization (NMF) coupled with customized k-means clustering. The algorithm allows for automated, robust Blind Source Separation (BSS) of groundwater types (contamination sources) based on model-free analyses of observed hydrogeochemical data. We have also developed reduced order modeling tools, which coupling support vector regression (SVR), genetic algorithms (GA) and artificial and convolutional neural network (ANN/CNN). SVR is applied to predict the model behavior within prior uncertainty ranges associated with the model parameters. ANN and CNN procedures are applied to upscale heterogeneity of the porous medium. In the upscaling process, fine-scale high-resolution models of heterogeneity are applied to inform coarse-resolution models which have improved computational efficiency while capturing the impact of fine-scale effects at the course scale of interest. These techniques are tested independently on a series of synthetic problems. We also present a decision analysis related to contaminant remediation where the developed reduced order models are applied to reproduce groundwater flow and contaminant transport in a synthetic heterogeneous aquifer. The tools are coded in Julia and are a part of the MADS high-performance computational framework (https://github.com/madsjulia/Mads.jl).

Groundwater nitrate reduction versus dissolved gas production: A tale of two catchments.

PubMed

McAleer, E B; Coxon, C E; Richards, K G; Jahangir, M M R; Grant, J; Mellander, Per E

2017-05-15

At the catchment scale, a complex mosaic of environmental, hydrogeological and physicochemical characteristics combine to regulate the distribution of groundwater and stream nitrate (NO 3 - ). The efficiency of NO 3 - removal (via denitrification) versus the ratio of accumulated reaction products, dinitrogen (excess N 2 ) & nitrous oxide (N 2 O), remains poorly understood. Groundwater was investigated in two well drained agricultural catchments (10km 2 ) in Ireland with contrasting subsurface lithologies (sandstone vs. slate) and landuse. Denitrification capacity was assessed by measuring concentration and distribution patterns of nitrogen (N) species, aquifer hydrogeochemistry, stable isotope signatures and aquifer hydraulic properties. A hierarchy of scale whereby physical factors including agronomy, water table elevation and permeability determined the hydrogeochemical signature of the aquifers was observed. This hydrogeochemical signature acted as the dominant control on denitrification reaction progress. High permeability, aerobic conditions and a lack of bacterial energy sources in the slate catchment resulted in low denitrification reaction progress (0-32%), high NO 3 - and comparatively low N 2 O emission factors (EF 5g 1). In the sandstone catchment denitrification progress ranged from 4 to 94% and was highly dependent on permeability, water table elevation, dissolved oxygen concentration solid phase bacterial energy sources. Denitrification of NO 3 - to N 2 occurred in anaerobic conditions, while at intermediate dissolved oxygen; N 2 O was the dominant reaction product. EF 5g 1 (mean: 0.0018) in the denitrifying sandstone catchment was 32% less than the IPCC default. The denitrification observations across catchments were supported by stable isotope signatures. Stream NO 3 - occurrence was 32% lower in the sandstone catchment even though N loading was substantially higher than the slate catchment. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

Potential impacts to perennial springs from tar sand mining, processing, and disposal on the Tavaputs Plateau, Utah, USA.

PubMed

Johnson, William P; Frederick, Logan E; Millington, Mallory R; Vala, David; Reese, Barbara K; Freedman, Dina R; Stenten, Christina J; Trauscht, Jacob S; Tingey, Christopher E; Kip Solomon, D; Fernandez, Diego P; Bowen, Gabriel J

2015-11-01

Similar to fracking, the development of tar sand mining in the U.S. has moved faster than understanding of potential water quality impacts. Potential water quality impacts of tar sand mining, processing, and disposal to springs in canyons incised approximately 200 m into the Tavaputs Plateau, at the Uinta Basin southern rim, Utah, USA, were evaluated by hydrogeochemical sampling to determine potential sources of recharge, and chemical thermodynamic estimations to determine potential changes in transfer of bitumen compounds to water. Because the ridgetops in an area of the Tavaputs Plateau named PR Spring are starting to be developed for their tar sand resource, there is concern for potential hydrologic connection between these ridgetops and perennial springs in adjacent canyons on which depend ranching families, livestock, wildlife and recreationalists. Samples were collected from perennial springs to examine possible progression with elevation of parameters such as temperature, specific conductance, pH, dissolved oxygen, isotopic tracers of phase change, water-rock interaction, and age since recharge. The groundwater age dates indicate that the springs are recharged locally. The progression of hydrogeochemical parameters with elevation, in combination with the relatively short groundwater residence times, indicate that the recharge zone for these springs includes the surrounding ridges, and thereby suggests a hydrologic connection between the mining, processing, disposal area and the springs. Estimations based on chemical thermodynamic approaches indicate that bitumen compounds will have greatly enhanced solubility in water that comes into contact with the residual bitumen-solvent mixture in disposed tailings relative to water that currently comes into contact with natural tar. Copyright © 2015 Elsevier B.V. All rights reserved.

Exclusive Breastfeeding Rate and Complementary Feeding Indicators in China: A National Representative Survey in 2013.

PubMed

Duan, Yifan; Yang, Zhenyu; Lai, Jianqiang; Yu, Dongmei; Chang, Suying; Pang, Xuehong; Jiang, Shan; Zhang, Huanmei; Bi, Ye; Wang, Jie; Scherpbier, Robert W; Zhao, Liyun; Yin, Shian

2018-02-22

Appropriate infant and young child feeding could reduce morbidity and mortality and could improve cognitive development of children. However, nationwide data on exclusive breastfeeding and complementary feeding status in China are scarce. The aim of this study was to assess current exclusive breastfeeding and complementary feeding status in China. A national representative survey (Chinese National Nutrition and Health Survey) of children aged under 6 years was done in 2013. Stratified multistage cluster sampling was used to select study participants. World Health Organization (WHO) infant and young child feeding indicators were firstly used to assess exclusive breastfeeding and complementary feeding practice nationwide. In total, 14,458 children aged under two years (0 to <730 days) were studied from 55 counties in 30 provinces in China. The crude exclusive breastfeeding rate under 6 months was 20.7% (908/4381) and the weighted exclusive breastfeeding rate was 18.6%. The crude prevalence of minimum dietary diversity, minimum meal frequency and minimum acceptable diet were 52.5% (5286/10,071), 69.8% (7027/10,071), and 27.4% (2764/10,071) among children aged 6-23 months, respectively. The weighted rate was 53.7%, 69.1%, and 25.1%, respectively. Residential area, household income and maternal education were positively associated with the three complementary feeding indicators. The exclusive breastfeeding rate under 6 months was low and complementary feeding practice was not optimal in China. Residential area, household income and maternal education might be used to target infants and young children to improve complementary feeding practice.

Exclusive Breastfeeding Rate and Complementary Feeding Indicators in China: A National Representative Survey in 2013

PubMed Central

Duan, Yifan; Yang, Zhenyu; Lai, Jianqiang; Yu, Dongmei; Chang, Suying; Pang, Xuehong; Jiang, Shan; Zhang, Huanmei; Bi, Ye; Wang, Jie; Scherpbier, Robert W.; Zhao, Liyun; Yin, Shian

2018-01-01

Appropriate infant and young child feeding could reduce morbidity and mortality and could improve cognitive development of children. However, nationwide data on exclusive breastfeeding and complementary feeding status in China are scarce. The aim of this study was to assess current exclusive breastfeeding and complementary feeding status in China. A national representative survey (Chinese National Nutrition and Health Survey) of children aged under 6 years was done in 2013. Stratified multistage cluster sampling was used to select study participants. World Health Organization (WHO) infant and young child feeding indicators were firstly used to assess exclusive breastfeeding and complementary feeding practice nationwide. In total, 14,458 children aged under two years (0 to <730 days) were studied from 55 counties in 30 provinces in China. The crude exclusive breastfeeding rate under 6 months was 20.7% (908/4381) and the weighted exclusive breastfeeding rate was 18.6%. The crude prevalence of minimum dietary diversity, minimum meal frequency and minimum acceptable diet were 52.5% (5286/10,071), 69.8% (7027/10,071), and 27.4% (2764/10,071) among children aged 6–23 months, respectively. The weighted rate was 53.7%, 69.1%, and 25.1%, respectively. Residential area, household income and maternal education were positively associated with the three complementary feeding indicators. The exclusive breastfeeding rate under 6 months was low and complementary feeding practice was not optimal in China. Residential area, household income and maternal education might be used to target infants and young children to improve complementary feeding practice. PMID:29470415

Use of complementary and alternative medicine in children with autism and other developmental disabilities: associations with ethnicity, child comorbid symptoms, and parental stress.

PubMed

Valicenti-McDermott, Maria; Burrows, Bethany; Bernstein, Leora; Hottinger, Kathryn; Lawson, Katharine; Seijo, Rosa; Schechtman, Merryl; Shulman, Lisa; Shinnar, Shlomo

2014-03-01

The use of complementary and alternative medicine by children with autism and the association of its use with child comorbid symptoms and parental stress was studied in an ethnically diverse population, in a cross-sectional study with structured interviews. The sample included 50 families of children with autism and 50 families of children with other developmental disabilities, matched by age/gender. Interview included the Complementary and Alternative Medicine Questionnaire, Gastrointestinal Questionnaire, Children's Sleep Habits Questionnaire, Aberrant Behavior Checklist, and Parenting Stress Index. In this ethnically diverse sample, the use of complementary and alternative medicine was significantly higher for the autism group. In the autism group, use was significantly related to child's irritability, hyperactivity, food allergies, and parental stress; in the developmental disabilities group, there was no association with child comorbid symptoms or parental stress. The results contribute information to health care providers about families of children with autism who are more likely to use complementary and alternative medicine.

Exposure to benevolent sexism and complementary gender stereotypes: consequences for specific and diffuse forms of system justification.

PubMed

Jost, John T; Kay, Aaron C

2005-03-01

Many have suggested that complementary gender stereotypes of men as agentic (but not communal) and women as communal (but not agentic) serve to increase system justification, but direct experimental support has been lacking. The authors exposed people to specific types of gender-related beliefs and subsequently asked them to complete measures of gender-specific or diffuse system justification. In Studies 1 and 2, activating (a) communal or complementary (communal + agentic) gender stereotypes or (b) benevolent or complementary (benevolent + hostile) sexist items increased support for the status quo among women. In Study 3, activating stereotypes of men as agentic also increased system justification among men and women, but only when women's characteristics were associated with higher status. Results suggest that complementary stereotypes psychologically offset the one-sided advantage of any single group and contribute to an image of society in which everyone benefits through a balanced dispersion of benefits. ((c) 2005 APA, all rights reserved).

On the existence of stationary reaction fronts in precipitation-dissolution systems

NASA Astrophysics Data System (ADS)

Kondratiuk, Paweł; Nizinkiewicz, Hanna; Ladd, Anthony JC; Szymczak, Piotr

2014-05-01

Coupled precipitation-dissolution processes are ubiquitous in hydrogeochemical systems which are out of chemical equilibrium. However, as already remarked by Ortoleva et al. [1], the precipitation front will in general move with a velocity different form that of a dissolution front; thus the distance between them will increase in time. However, there are a number of systems where the both fronts appear to move with the same velocity. One example is the terra rossa formation process [2], in which kaolinite precipitation produces hydrogen ions that dissolve the underlying calcite. In this case the velocities of the dissolution and precipitation front agree to within 1%, which does not seem accidental. In this communication, we propose a possible mechanism of such a front synchronization, and study its further implications for the dynamics of the system. [1] P. Ortoleva et al., Physica D: 19, 334 (1986) [2] E. Merino and A. Banjerjee, J. Geol., 116, 62 (2008)

Hydrogeochemical and stream sediment special reconnaissance report for the Deep Creek Mountains, Nevada and Utah

DOE Office of Scientific and Technical Information (OSTI.GOV)

Qualheim, B.

1979-04-01

This report represents the results of the reconnaissance sampling of the Deep Creek Mountains of western Utah. The Deep Creek range is located in the northwest corner of the Delta NTMS 1:250,000 and the southwestern corner of the Tooele NTMS 1:250,000 sheets and covers an area of 1750 km/sup 2/. Samples collected in this study include dry and wet stream sediments and water from available streams, wells, and springs. The samples were analyzed for uranium, as well as 15 to 20 trace elements, using neutron activation techniques. In addition, field and laboratory measurements were made on the water samples. Analyticalmore » data and field measurements are presented in tabular hard copy and fiche format. Water-sample site locations, water-sample uranium concentrations, sediment-sample site locations, and sediment-sample uranium concentrations are shown on separate overlays.« less

Measuring What Medical Students Think about Complementary and Alternative Medicine (CAM): A Pilot Study of the "Complementary and Alternative Medicine Survey"

ERIC Educational Resources Information Center

Frye, Ann W.; Sierpina, Victor S.; Boisaubin, Eugene V.; Bulik, Robert J.

2006-01-01

With increasing national and international support for the development of Complementary and Alternative Medicine (CAM) curricula in American medical schools, it is essential to measure what learners know and believe about CAM in order to assess outcomes of new teaching efforts. This paper describes the development and initial results of a survey…

National Uranium Resource Evaluation, Tularosa Quadrangle, New Mexico

DOE Office of Scientific and Technical Information (OSTI.GOV)

Berry, V.P.; Nagy, P.A.; Spreng, W.C.

1981-12-01

Uranium favorability of the Tularosa Quadrangle, New Mexico, was evaluated to a depth of 1500 m using National Uranium Resource Evaluation criteria. Uranium occurrences reported in the literature were located, sampled, and described in detail. Areas of anomalous radioactivity, interpreted from an aerial radiometric survey, and geochemical anomalies, interpreted from hydrogeochemical and stream-sediment reconnaissance, were also investigated. Additionally, several hundred rock samples were studied in thin section, and supplemental geochemical analyses of rock and water samples were completed. Fluorometric analyses were completed for samples from the Black Range Primitive Area to augment previously available geochemical data. Subsurface favorability was evaluatedmore » using gamma-ray logs and descriptive logs of sample cuttings. One area of uranium favorability was delineated, based on the data made available from this study. This area is the Nogal Canyon cauldron margin zone. Within the zone, characterized by concentric and radial fractures, resurgent doming, ring-dike volcanism, and intracauldron sedimentation, uranium conentration is confined to magmatic-hydrothermal and volcanogenic uranium deposits.« less

Geological-hydrogeochemical characteristics of a “silver spring” water source (the Lozovy ridge)

NASA Astrophysics Data System (ADS)

Ivanova, I. S.; Bragin, I. V.; Chelnokov, G. A.; Bushkareva, K. Yu; Shvagrukova, E. V.

2016-03-01

Geological and hydrogeological characteristics of the Lozovy ridge (Southern Primorye) are studied, as far as karst phenomena are widely distributed within its boundaries. Water-bearing rocks of the karst water source “Silver Spring” (“Serebryany Klyuch”), which is located near the bottom of the “Bear’s fang” (“Medvezhiy klyk”) cave, are investigated. It is found that karst rocks are presented by calcite (CaCO3), and an accessory mineral is barite (BaSO4). It is determined that among the trace elements forming the composition of carbonate water-bearing rocks the maximum concentrations are typical for Sr, Ba, Fe, Al, Za, Mn, Cu, and Ni. Also, the chemical composition of the waters taken from the “Silver Spring” water source is studied. These waters are fresh, hydrocarbonate, calcium, and weakly alkaline. Among the elements of the spring, such elements as Sr, Ba, Fe, Al, Zn, Mn, Cu, and Ni have the maximum concentration. The other elements have concentrations less than 1 µg/l.

The initiation of complementary feeding among Qom indigenous people

PubMed Central

Irene Olmedo, Sofía; Valeggia, Claudia

2015-01-01

As of six months of life, breastfeeding no longer covers an infant’s energy or micronutrient needs, so appropriate complementary feeding should be provided. The objective of this study was to assess the time and adequacy for introducing complementary feeding in a Qom/Toba population and analyze the sociocultural concepts of families regarding complementary feeding. Quantitative and qualitative data were collected by participant observation and semistructured surveys administered to mothers of 0–2 year old infants. Qom breastfeed their infants long term and on demand. Most infants have an adequate nutritional status and start complementary feeding at around 6 months old as per the local health center and international standards. However, mostly due to socioeconomic factors, foods chosen to complement breastfeeding have a relatively scarce nutritional value. PMID:24862808

Complementary and alternative medicine for allergic rhinitis.

PubMed

Man, Li-Xing

2009-06-01

Otolaryngologists and other physicians who diagnose and treat allergic rhinitis encounter patients who use complementary medicine and alternative remedies. This article reviews the recent literature regarding complementary and alternative therapies for the treatment of allergic rhinitis. There are a myriad of modalities for treating allergic rhinitis. Few are studied with rigorous randomized, double-blind, placebo-controlled trials for clinical efficacy. Often, the biological mechanisms and adverse effects are even less well understood. A few therapies, including spirulina, butterbur, and phototherapy hold some promise. Thus far, complementary and alternative therapies have not been integrated into the general treatment armamentarium of allergic rhinitis. Several studies report beneficial effects of certain alternative treatments for allergic rhinitis. Additional insight into the mechanisms of action, short-term and long-term effects, and adverse events is needed.

The role of complementary and alternative medicine in the treatment of eating disorders: A systematic review.

PubMed

Fogarty, Sarah; Smith, Caroline A; Hay, Phillipa

2016-04-01

This systematic review critically appraises the role of complementary and alternative medicine in the treatment of those with an eating disorder. Sixteen studies were included in the review. The results of this review show that the role of complementary and alternative medicine in the treatment of those with an eating disorder is unclear and further studies should be conducted. A potential role was found for massage and bright light therapy for depression in those with Bulimia Nervosa and a potential role for acupuncture and relaxation therapy, in the treatment of State Anxiety, for those with an eating disorder. The role of these complementary therapies in treating eating disorders should only be provided as an adjunctive treatment only. Copyright © 2016 Elsevier Ltd. All rights reserved.

Optimal advertising and pricing decisions for complementary products

NASA Astrophysics Data System (ADS)

Taleizadeh, Ata Allah; Charmchi, Masoud

2015-03-01

Cooperative advertising is an agreement between a manufacturer and a retailer to share advertising cost at the local level. Previous studies have not investigated cooperative advertising for complementary products and their main focus was only on one good. In this paper, we study a two-echelon supply chain consisting of one manufacturer and one retailer with two complementary goods. The demand of each good is influenced not only by its price but also by the price of the other product. We use two game theory approaches to model this problem; Stackelberg manufacturer and Stackelberg retailer.

Complementary treatment with oral Pidotimod plus vitamin C after laser vaporization for female genital warts: a prospective study

PubMed Central

Iatrakis, G; Peitsidou, A; Papandonopolos, L; Nikolopoulou, MK; Papadopoulos, L; Vladareanu, R

2010-01-01

This is a prospective study to assess a complementary treatment for genital warts after laser vaporization. 62 patients were enrolled in two randomized groups: A1: laser vaporization alone. A2: laser vaporization, followed with Pidotimod plus vitamin C for 2 and 1/2 months. The latter treatment shortened the time of warts remission and marginally decreased the rate of the warts' recurrence: 81% versus 67% (N.S.). Despite the non–significant difference, this complementary treatment seems to have some efficiency. PMID:20945819

Hydrogeochemical characterization of groundwater of peninsular Indian region using multivariate statistical techniques

NASA Astrophysics Data System (ADS)

Jacintha, T. German Amali; Rawat, Kishan Singh; Mishra, Anoop; Singh, Sudhir Kumar

2017-10-01

Groundwater quality of Chennai, Tamil Nadu (India) has been assessed during different seasons of year 2012. Three physical (pH, EC, and TDS) and four chemical parameters (Ca2+, Cl-, TH, Mg2+ and SO4 2-) from 18 bore wells were assessed. The results showed that pH of majority of groundwater samples indicates a slightly basic condition (7.99post-monsoon and 8.35pre-monsoon). TH was slightly hard [322.11 mg/lpre-monsoon, 299.37 mg/lpost-monsoon but lies under World Health Organization (WHO) upper limit]. EC, TDS, Ca2+ and Mg2+ concentrations were under WHO permissible limit during post-monsoon (1503.42 μS/cm, 1009.37, 66.58 and 32.42 mg/l respectively) and pre-monsoon (1371.58 μS/cm, 946.84, 71.79 and 34.79 mg/l, respectively). EC shows a good correlation with SO4 2- ( R 2 = 0.59pre-monsoon, 0.77post-monsoon) which indicates that SO4 2- plays a major role in EC of ground water of bore wells. SO4 2- has also showed positive correlations with TDS ( R 2 = 0.84pre-monsoon, 0.95post-monsoon) and TH ( R 2 = 0.70pre-monsoon, 0.75post-monsoon). The principal component analysis (PCA)/factor analysis (FA) was carried out; Factor1 explains 59.154 and 69.278 % of the total variance during pre- and post-monsoon, respectively, with a strong positive loading on Ca2+, Mg2+, SO4 2-, TDS and a negative loading on pH. Factor2 accounts for 13.94 and 14.22 % of the total variance during pre- and post-monsoon, respectively, and was characterized by strong positive loading of only pH and poor/negative loading of EC, Ca2+, Mg2+, SO4 2-, TDS and TH during pre- and post-monsoon. We recommend routine monitoring and thorough treatment before consumption. Further, this study has demonstrated the effectiveness of PCA/FA to assess the hydrogeochemical processes governing the groundwater chemistry in the area.

Hydrogeochemical and stable isotopic investigations on CO2-rich mineral waters from Harghita Mts. (Eastern Carpathians, Romania)

NASA Astrophysics Data System (ADS)

Kis, Boglárka-Mercedesz; Baciu, Călin; Kármán, Krisztina; Kékedy-Nagy, Ladislau; Francesco, Italiano

2013-04-01

There is a worldwide interest on geothermal, mineral and groundwater as a resource for energy, drinking water supply and therapeutic needs. The increasing trend in replacing tap water with commercial bottled mineral water for drinking purposes has become an economic, hydrogeologic and medical concern in the last decades. Several investigations have been carried out worldwide on different topics related to geothermal and mineral waters, dealing with mineral water quality assessment, origin of geothermal and mineral waters, geochemical processes that influence water chemistry and water-rock interaction In Romania, the Călimani-Gurghiu-Harghita Neogene to Quaternary volcanic chain (Eastern Carpathians) is one of the most important areas from the point of view of CO2-rich mineral waters. These mineral water springs occur within other post-volcanic phenomena like dry CO2 emissions, moffettes, bubbling pools, H2S gas emissions etc. Mineral waters from this area are used for bottling, local spas and drinking purposes for local people. The number of springs, around 2000 according to literature data, shows that there is still a significant unexploited potential for good quality drinking water in this area. Within the youngest segment of the volcanic chain, the Harghita Mts., its volcaniclastic aprons and its boundary with the Transylvanian Basin, we have carried out an investigation on 23 CO2-rich mineral water springs from a hydrogeochemical and stable isotopic point of view. The mineral waters are Ca-Mg-HCO3 to Na-Cl type. Sometimes mixing between the two types can be observed. We have detected a great influence of water-rock interaction on the stable isotopic composition of the mineral waters, shown by isotopic shifts to the heavier oxygen isotope, mixing processes between shallow and deeper aquifers and local thermal anomalies. Acknowledgements: The present work was financially supported by the Romanian National Research Council, Project PN-II-ID-PCE-2011-3-0537 and by the European Social Fund and the Romanian Government through the POSDRU project "DOCTORAL STUDIES FOR EUROPEAN PERFORMANCES IN RESEARCH AND INOVATION - CUANTUMDOC" ID79407

Microbial and geochemical quality of shallow well water in high-density areas in Mzuzu City in Malawi

NASA Astrophysics Data System (ADS)

Msilimba, Golden; Wanda, Elijah M. M.

In Malawi, shallow wells constitute the most important water sources for domestic purposes. However, increasing human population coupled with poor sanitation and infrastructure is undermining the quality of shallow well water. An assessment of microbial and geochemical quality of shallow well water in high-density areas of Zolozolo, Ching’ambo and Chiputula in Mzuzu City, Northern Malawi, has been carried out. The study aimed at characterising domestic water sources, identifying possible sources of water contamination and determining levels of microbial and chemical contamination. Arc-view GIS was used to map the water sources. A questionnaire survey was carried out to elicit information on characteristics of drinking water sources. Water samples were collected from quasi-randomly selected shallow wells and analysed for microbial and chemical parameters using standard methods. HCA, performed using R-programme, was used to group sampled sites according to their bio-physicochemical characteristics. Compliance of the water with MBS/WHO water quality guidelines was determined. The WQI was computed to turn multifaceted data obtained from laboratory analyses into simple information that is comprehensible and useable by the public to assess overall quality of water at a specific water points. The GW-chart was used to show hydrogeochemical water types from each sampled site. Microbial analysis revealed that water from 96.3% of shallow wells recorded faecal coliforms ranging from 129 to 920 cfu per 100 ml which were significantly higher than the Malawi Standards and WHO thresholds. In general, shallow well water is of low mineralisation (EC range 80-500 μS cm-1), with hydrogeochemical facies dominated by Ca-HCO3, which evolves to Ca-Cl water type. The shallow well water registered a WQI range of 50.16-66.04%, with a medium WQ rating. This suggested that the water obtained from the shallow wells is unsuitable for direct human consumption. It was observed that 100% of the shallow wells were at risk of pollution from onsite sanitation because of their proximity to sanitary facilities. It was strongly recommended that onsite treatment interventions have to be mobilised and initiated to protect the households from further possible consequences of using the water.

Timing of introduction of complementary food: short- and long-term health consequences.

PubMed

Przyrembel, Hildegard

2012-01-01

Complementary food is needed when breast milk (or infant formula) alone is no longer sufficient for both nutritional and developmental reasons. The timing of its introduction, therefore, is an individual decision, although 6 months of exclusive breastfeeding can be recommended for most healthy term infants. The new foods are intended to 'complement' ongoing breastfeeding with those dietary items whose intake has become marginal or insufficient. Both breastfeeding and complementary feeding can have direct or later consequences on health. The evaluation of consequences of both early and late introduction of complementary food can neither disregard the effect of breastfeeding compared to formula feeding nor the composition or quality of the complementary food. Possible short-term health effects concern growth velocity and infections, and possible long-term effects may relate to atopic diseases, type 1 and 2 diabetes, obesity and neuromuscular development. On the basis of the currently available evidence, it is impossible to exactly determine the age when risks related to the start of complementary feeding are lowest or highest for most of these effects, with the possible exception of infections and early growth velocity. The present knowledge on undesirable health effects, however, is mainly based on observational studies, and although some mechanisms have been proposed, further prospective studies have to clarify these unsolved issues. Even less evidence on the consequences of the timing of complementary food introduction is available for formula-fed infants. Copyright © 2012 S. Karger AG, Basel.

Complementary Hand Responses Occur in Both Peri- and Extrapersonal Space.

PubMed

Faber, Tim W; van Elk, Michiel; Jonas, Kai J

2016-01-01

Human beings have a strong tendency to imitate. Evidence from motor priming paradigms suggests that people automatically tend to imitate observed actions such as hand gestures by performing mirror-congruent movements (e.g., lifting one's right finger upon observing a left finger movement; from a mirror perspective). Many observed actions however, do not require mirror-congruent responses but afford complementary (fitting) responses instead (e.g., handing over a cup; shaking hands). Crucially, whereas mirror-congruent responses don't require physical interaction with another person, complementary actions often do. Given that most experiments studying motor priming have used stimuli devoid of contextual information, this space or interaction-dependency of complementary responses has not yet been assessed. To address this issue, we let participants perform a task in which they had to mirror or complement a hand gesture (fist or open hand) performed by an actor depicted either within or outside of reach. In three studies, we observed faster reaction times and less response errors for complementary relative to mirrored hand movements in response to open hand gestures (i.e., 'hand-shaking') irrespective of the perceived interpersonal distance of the actor. This complementary effect could not be accounted for by a low-level spatial cueing effect. These results demonstrate that humans have a strong and automatic tendency to respond by performing complementary actions. In addition, our findings underline the limitations of manipulations of space in modulating effects of motor priming and the perception of affordances.

Comparative Evaluation of the Complementary and Alternative Medicine Therapy and Conventional Therapy Use for Musculoskeletal Disorders Management and Its Association with Job Satisfaction among Dentists of West India.

PubMed

Gupta, Devanand; Batra, Renu; Mahajan, Shveta; Bhaskar, Dara John; Jain, Ankita; Shiju, Mohammed; Yadav, Ankit; Chaturvedi, Mudita; Gill, Shruti; Verma, Renuka; Dalai, Deepak Ranjan; Gupta, Rajendra Kumar

2014-10-01

Musculoskeletal problems have become a significant issue in the profession of dentistry. There are currently no recommended effective disease-preventing and modifying remedies. High prevalence rates for musculoskeletal disorders (MSDs) among dentists have been reported in the literature. Complementary and alternative medicine can be helpful in managing and preventing the MSDs. The purpose of this study was to determine if dentists in the western part of India are using complementary and alternative medicine therapies for MSDs, and also to find if those who use complementary and alternative medicine therapies have greater job/career satisfaction compared to conventional therapy (CT) users. Dentists of western India registered under the Dental Council of India (N = 2166) were recruited for the study. Data were analyzed using univariate and bivariate analyses and logistic regression. A response rate of 73% (n = 1581) was obtained, of which 79% (n = 1249) was suffering from MSDs. The use of complementary and alternative medicine or CT was reported by 90% (n = 1124) of dentists with MSDs. Dentists using complementary and alternative medicine reported greater health (P < 0.001) and carrier satisfaction (P < 0.001) and were able to work as many hours they wanted (P < 0.001) compared to CT users. Complementary and alternative medicine therapies may improve the quality of life and enhance job satisfaction for a dentist who suffers from MSDs.

Women's motivation, perception and experience of complementary and alternative medicine in pregnancy: A meta-synthesis.

PubMed

Bowman, Rebekah L; Davis, Deborah L; Ferguson, Sally; Taylor, Jan

2018-04-01

complementary and Alternative Medicine use during pregnancy is popular in many countries, including Australia. There is currently little evidence to support this practice, which raises the question of women's motivation for use of these therapies and the experiences they encounter. this study aims to explore the perceptions, motivations and experiences of pregnant women with regard to their use of Complementary and Alternative Medicine during pregnancy. a systemic review and meta-synthesis of the available research was conducted. Five databases were explored - CINAHL Plus, Medline, PubMed, AMED and Web of Science using the search terms complementary and alternative medicine; pregnancy; and pregnant. Articles included in this meta-synthesis were screened using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses tool. ten initial themes were drawn from the six studies. These ten themes were summarised by three cluster themes. The results suggest that women are using Complementary and Alternative Medicine in their pregnancy as a means of supporting their sense of self-determination, to pursue a natural and safe childbirth, and because they experience a close affiliation with the philosophical underpinnings of Complementary and Alternative Medicine as an alternative to the biomedical model. these findings are important to practitioners, policy makers, governing bodies and researchers, providing insight into the motivations for Complementary and Alternative Medicine use by women in pregnancy. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

Comparative Evaluation of the Complementary and Alternative Medicine Therapy and Conventional Therapy Use for Musculoskeletal Disorders Management and Its Association with Job Satisfaction among Dentists of West India

PubMed Central

Gupta, Devanand; Batra, Renu; Mahajan, Shveta; Bhaskar, Dara John; Jain, Ankita; Shiju, Mohammed; Yadav, Ankit; Chaturvedi, Mudita; Gill, Shruti; Verma, Renuka; Dalai, Deepak Ranjan; Gupta, Rajendra Kumar

2014-01-01

Musculoskeletal problems have become a significant issue in the profession of dentistry. There are currently no recommended effective disease-preventing and modifying remedies. High prevalence rates for musculoskeletal disorders (MSDs) among dentists have been reported in the literature. Complementary and alternative medicine can be helpful in managing and preventing the MSDs. The purpose of this study was to determine if dentists in the western part of India are using complementary and alternative medicine therapies for MSDs, and also to find if those who use complementary and alternative medicine therapies have greater job/career satisfaction compared to conventional therapy (CT) users. Dentists of western India registered under the Dental Council of India (N = 2166) were recruited for the study. Data were analyzed using univariate and bivariate analyses and logistic regression. A response rate of 73% (n = 1581) was obtained, of which 79% (n = 1249) was suffering from MSDs. The use of complementary and alternative medicine or CT was reported by 90% (n = 1124) of dentists with MSDs. Dentists using complementary and alternative medicine reported greater health (P < 0.001) and carrier satisfaction (P < 0.001) and were able to work as many hours they wanted (P < 0.001) compared to CT users. Complementary and alternative medicine therapies may improve the quality of life and enhance job satisfaction for a dentist who suffers from MSDs. PMID:25379469

Use of complementary approaches in pregnant women with a history of miscarriage.

PubMed

Huberty, Jennifer; Matthews, Jeni; Leiferman, Jenn A; Lee, Chong

2018-02-01

To describe the use of complementary approaches in pregnant women with a history of miscarriage and to investigate whether a miscarriage is associated with the use of complementary approaches during their pregnancy. A cross-sectional survey was distributed to pregnant women residing in the United States (N=890). Women who had a history of miscarriage, were Caucasian, were college educated, reported a high income, had low depression scores, and had low anxiety scores (all P<0.001) were more likely to use complementary approaches. In pregnant women with a history of miscarriage (N=193), the most frequently reported complementary approaches used were prayer (22.3%), yoga (15%), massage (14.5%), chiropractic (13%), and meditation (11.4%). Finally, after adjustment for age, race, education, and income, the odds of using a complementary approach in women with a history of miscarriage was 1.8 (95% CI: 1.3, 2.5, P<0.001) as compared with women without a history of miscarriage (model 1). Associations persisted after additional adjustment for depression, anxiety, and stress; the odds of using a complementary approach in women with a history of miscarriage was 1.7 (95% CI: 1.2, 2.4, P<0.001) (model 2), compared with women without a history of miscarriage. Findings from this study may help inform future studies for pregnant women with a history of miscarriage and may also provide information about appropriate strategies in which health care providers can refer their patients. Copyright © 2017 Elsevier Ltd. All rights reserved.

Complementary alternative medicine use in children with type 1 diabetes mellitus in Erzurum, Turkey.

PubMed

Arýkan, Duygu; Sívríkaya, Sibel Karaca; Olgun, Nermin

2009-08-01

The aims of this study were: (i) to determine the types of complementary and alternative medicine use among children with type I diabetes mellitus as reported by parents and (ii) to describe sociodemographic and medical factors associated with the use of such treatments in families residing in Eastern Turkey. Type 1 diabetes mellitus is a tremendously challenging and complex disease for children and families to manage. Therefore, the use of complementary and alternative medicines among children with type 1 diabetes is becoming increasingly popular. Survey. Parents of 100 paediatric patients (who were diagnosed with type 1 diabetes at least 6 months prior to the study) who visited the participating paediatric endocrinology multidisciplinary centres and clinics for diabetes management were included in the study. Data were collected by using a semi-structured questionnaire. Results. Fifty-two per cent of the parents reported the use of one or more complementary alternative medicine therapies. Most such users (59.6%) were using oral herbal preparations; including morus alba (leaves) aloe vera and stinging nettle. Since we found that 78.6% of those using herbals were satisfied with their results and 69.2% were planning to continue use, it is important for healthcare providers to have relevant knowledge about complementary alternative medicine use and learn about its efficacy and effects (positive and adverse) of these treatments. Relevance to clinical practice. Botanical substitute for insulin seems unlikely, but complementary alternative treatments may provide valuable clues for the development of new oral hypoglycaemic agents and simple dietary agents. It is important for healthcare providers to have up-to-date knowledge about the use and effects of complementary alternative medicines in the outpatient clinical care setting.

Complementary health insurance in France. Who pays? Why? Who will suffer from public disengagement?

PubMed

Saliba, Bérengère; Ventelou, Bruno

2007-05-01

The study is based on a rare database with information about health status, socioeconomic characteristics and the complementary health insurance choices of the French population. We intend to characterise a two-stage decision process: first, the decision to purchase complementary health insurance, and then the factors related to choice of policy quality. Our econometric study indicates that (i) income level has a strong and significant effect on the decision to purchase complementary insurance, whilst there is no evidence that health risk considerations affect this decision at all; (ii) the individual decision about quality is associated barely if at all with any rational explanatory variables. The population's concrete behaviour, revealed by the study, is consistent with an allocation of low-risk people to private insurance and high-risk people to public insurance. Complementary insurance is not especially relevant to patients with serious diseases, who depend much more on the public system. If the public insurance system were to disengage significantly from coverage of serious illness, a vacuum would be created that would leave people at high risk without full coverage. These results have broad implications for numerous national systems of social protection seeking a new mix between private and public insurance.

High prevalence of complementary and alternative medicine use in patients with genetically proven mitochondrial disorders.

PubMed

Franik, Sebastian; Huidekoper, Hidde H; Visser, Gepke; de Vries, Maaike; de Boer, Lonneke; Hermans-Peters, Marion; Rodenburg, Richard; Verhaak, Chris; Vlieger, Arine M; Smeitink, Jan A M; Janssen, Mirian C H; Wortmann, Saskia B

2015-05-01

Despite major advances in understanding the pathophysiology of mitochondrial diseases, clinical management of these conditions remains largely supportive, and no effective treatment is available. We therefore assumed that the burden of disease combined with the lack of adequate treatment leaves open a big market for complementary and alternative medicine use. The objective of this study was to evaluate the use and perceived effectiveness of complementary and alternative medicine in children and adults with genetically proven mitochondrial disease. The reported use was surprisingly high, with 88% of children and 91% of adults having used some kind of complementary and alternative medicine in the last 2 years. Also, the mean cost of these treatments was impressive, being 489/year for children and 359/year for adult patients. Over-the-counter remedies (e.g., food supplements, homeopathy) and self-help techniques (e.g., Reiki, yoga) were the most frequently used complementary and alternative therapies in our cohort: 54% of children and 60% of adults reported the various complementary and alternative medicine therapies to be effective. Given the fact that currently no effective treatment exists, further research toward the different therapies is needed, as our study clearly demonstrates that such therapies are highly sought after by affected patients.

Groundwater chemistry and radon-222 distribution in Jerba Island, Tunisia.

PubMed

Telahigue, Faten; Agoubi, Belgacem; Souid, Fayza; Kharroubi, Adel

2018-02-01

The present study integrates hydrogeological, hydrochemical and radiogenic data of groundwater samples taken from the Plio-Quaternary unconfined aquifer of Jerba Island, southeastern Tunisia, in order to interpret the spatial variations of the groundwater quality and identify the main hydrogeochemical factors responsible for the high ion concentrations and radon-222 content in the groundwater analysed. Thirty-nine groundwater samples were collected from open wells widespread on the island. Physical parameters (EC, pH, TDS and T °) were measured, major ions (Ca 2+ , Mg 2+ , Na + , K + , Cl - , SO 4 2- , NO 3 - and HCO 3 - ) were analysed and 222 Rn concentrations were determined using a RAD7-H 2 O. Hydrogeochemical characterisation revealed that groundwater from the Jerba aquifer has several origins. Basically, two water types exist in the island. The first one, characterized by a low to moderate salinity with a chemical facies CaMgClSO 4 , characterizes the central part of Jerba (a recharge area) due to carbonate and gypsum dissolution. The second water type with high salinities, dominated by NaKCl type, was observed in coastal areas and some parts having low topographic and piezometric levels. These areas seem to be affected by the seawater intrusion process. The 222 Rn concentrations in groundwater samples in Jerba varied from 0 Bq.L -1 to 2860 Bq.L -1 with an average of 867 Bq.L -1 . The highest values were registered in the western coastal wells and near the fault of Guellala. However, the central and eastern wells showed low radon levels. Compared to 222 Rn activity in some countries with the same lithology, radon concentrations in the Jerba unconfined aquifer have higher values influenced by the structure of the aquifer and by seawater inflow enriched with 222 Rn resulting from the decay of uranium derived from phosphogypsum deposits in the gulf of Gabes. The EC and 222 Rn spatial variability in the study area were mapped using ARC Map 10.3 software. Hydrochemical results in addition to geological data and radon activities confirm the existence of vertical communication between the Miocene aquifer and the unconfined Plio-Quaternary aquifer through fault system and a lateral communication with the sea via seawater intrusion. Copyright © 2017 Elsevier Ltd. All rights reserved.

Reactive transport modeling in fractured rock: A state-of-the-science review

NASA Astrophysics Data System (ADS)

MacQuarrie, Kerry T. B.; Mayer, K. Ulrich

2005-10-01

The field of reactive transport modeling has expanded significantly in the past two decades and has assisted in resolving many issues in Earth Sciences. Numerical models allow for detailed examination of coupled transport and reactions, or more general investigation of controlling processes over geologic time scales. Reactive transport models serve to provide guidance in field data collection and, in particular, enable researchers to link modeling and hydrogeochemical studies. In this state-of-science review, the key objectives were to examine the applicability of reactive transport codes for exploring issues of redox stability to depths of several hundreds of meters in sparsely fractured crystalline rock, with a focus on the Canadian Shield setting. A conceptual model of oxygen ingress and redox buffering, within a Shield environment at time and space scales relevant to nuclear waste repository performance, is developed through a review of previous research. This conceptual model describes geochemical and biological processes and mechanisms materially important to understanding redox buffering capacity and radionuclide mobility in the far-field. Consistent with this model, reactive transport codes should ideally be capable of simulating the effects of changing recharge water compositions as a result of long-term climate change, and fracture-matrix interactions that may govern water-rock interaction. Other aspects influencing the suitability of reactive transport codes include the treatment of various reaction and transport time scales, the ability to apply equilibrium or kinetic formulations simultaneously, the need to capture feedback between water-rock interactions and porosity-permeability changes, and the representation of fractured crystalline rock environments as discrete fracture or dual continuum media. A review of modern multicomponent reactive transport codes indicates a relatively high-level of maturity. Within the Yucca Mountain nuclear waste disposal program, reactive transport codes of varying complexity have been applied to investigate the migration of radionuclides and the geochemical evolution of host rock around the planned disposal facility. Through appropriate near- and far-field application of dual continuum codes, this example demonstrates how reactive transport models have been applied to assist in constraining historic water infiltration rates, interpreting the sealing of flow paths due to mineral precipitation, and investigating post-closure geochemical monitoring strategies. Natural analogue modeling studies, although few in number, are also of key importance as they allow the comparison of model results with hydrogeochemical and paleohydrogeological data over geologic time scales.

U-isotopes and (226)Ra as tracers of hydrogeochemical processes in carbonated karst aquifers from arid areas.

PubMed

Guerrero, José Luis; Vallejos, Ángela; Cerón, Juan Carlos; Sánchez-Martos, Francisco; Pulido-Bosch, Antonio; Bolívar, Juan Pedro

2016-07-01

Sierra de Gádor is a karst macrosystem with a highly complex geometry, located in southeastern Spain. In this arid environment, the main economic activities, agriculture and tourism, are supported by water resources from the Sierra de Gádor aquifer system. The aim of this work was to study the levels and behaviour of some of the most significant natural radionuclides in order to improve the knowledge of the hydrogeochemical processes involved in this groundwater system. For this study, 28 groundwater and 7 surface water samples were collected, and the activity concentrations of the natural U-isotopes ((238)U, (235)U and (234)U) and (226)Ra by alpha spectrometry were determined. The activity concentration of (238)U presented a large variation from around 1.1 to 65 mBq L(-1). Elevated groundwater U concentrations were the result of oxidising conditions that likely promoted U dissolution. The PHREEQC modelling code showed that dissolved U mainly existed as uranyl carbonate complexes. The (234)U/(238)U activity ratios were higher than unity for all samples (1.1-3.8). Additionally, these ratios were in greater disequilibrium in groundwater than surface water samples, the likely result of greater water-rock contact time. (226)Ra presented a wide range of activity concentrations, (0.8 up to about 4 × 10(2) mBq L(-1)); greatest concentrations were detected in the thermal area of Alhama. Most of the samples showed (226)Ra/(234)U activity ratios lower than unity (median = 0.3), likely the result of the greater mobility of U than Ra in the aquifer system. The natural U-isotopes concentrations were strongly correlated with dissolution of sulphate evaporites (mainly gypsum). (226)Ra had a more complex behaviour, showing a strong correlation with water salinity, which was particularly evident in locations where thermal anomalies were detected. The most saline samples showed the lowest (234)U/(238)U activity ratios, probably due to fast uniform bulk mineral dissolution, which would minimize the impact of solubility-controlled fractionation processes. Furthermore, the high bulk dissolution rates promoted greater groundwater (226)Ra/(234)U ratios because the Ra has a comparatively much greater mobility than U in saline conditions. Copyright © 2016 Elsevier Ltd. All rights reserved.

Implicit and explicit attitudes towards conventional and complementary and alternative medicine treatments: Introduction of an Implicit Association Test.

PubMed

Green, James A; Hohmann, Cynthia; Lister, Kelsi; Albertyn, Riani; Bradshaw, Renee; Johnson, Christine

2016-06-01

This study examined associations between anticipated future health behaviour and participants' attitudes. Three Implicit Association Tests were developed to assess safety, efficacy and overall attitude. They were used to examine preference associations between conventional versus complementary and alternative medicine among 186 participants. A structural equation model suggested only a single implicit association, rather than three separate domains. However, this single implicit association predicted additional variance in anticipated future use of complementary and alternative medicine beyond explicit. Implicit measures should give further insight into motivation for complementary and alternative medicine use. © The Author(s) 2014.

Hydrogeochemical investigation of groundwater in Jericho area in the Jordan Valley, West Bank, Palestine

NASA Astrophysics Data System (ADS)

Da'as, Ammar; Walraevens, Kristine

2013-06-01

Water resources in the Middle East, particularly in Palestine, are extremely scarce and costly. The Jordan Valley is a fertile productive region, described as the food basket of Palestine. Groundwater originating from the Quaternary Aquifer System forms the main water resource in the Jordan Valley. However, the quality of this groundwater is threatened mainly by the high chloride concentration. The most representative area of the Jordan Valley is Jericho area, which was chosen to be the study area. The study area (65 km2) is almost a flat area with a gentle decline towards the east. It is the lowest land on earth with ground levels reaching 400 meters below sea level (mbsl) near the Dead Sea shores. The Quaternary Aquifer System in the study area could be divided into an upper alluvial layer with thickness varying from 40 to 150 m and a lower low-permeable Lisan layer, which crops out in the eastern part of the study area with thickness over 200 m. Hydrogeochemical investigation reveals that the water is generally earth alkaline with higher content of earth alkalis and prevailing chloride. According to Stuyfzand (1986) and Piper's (1944) classification systems, water type in the Alluvial Aquifer varies from fresh hard CaMgHCO3 or MgCaHCO3 water in the west and northwest to brackish very-hard MgNaCl or NaMgCl in the middle. In the east, the water becomes brackish-salt extremely-hard MgNaCl or NaCl. Groundwater quality is deteriorating (increase in salinity) spatially towards the east and vertically with increasing depth (when nearing the Lisan Formation). As an indication of groundwater salinity, total dissolved solids show some variability with time over the last 21 years (1983-2004). In short-time scale, there are high seasonal and yearly fluctuations with regard to salinity, specifically in Cl- and SO42- contents. Spring water from the Upper Cenomanian Aquifer (CaHCO3) represents the fresh end member, while Rift Valley Brines (RVB-CaNaCl) and Dead Sea Brines (DSB-MgNaCl) represent the saline end members. Existing water types are mixtures of the 3 end members. There is a consistency in results and analysis of geological, hydrogeological, hydrochemical and geophysical data. There are three probable sources of increase in groundwater salinity: mixing with saline end members (RVB/DSB); dissolution of minerals of the Lisan Formation (calcite, dolomite, gypsum and halite); and to some extent, agricultural effluent pollution.

A Note on Complementary Medicines

MedlinePlus

... Photo: iStock Herbal supplements, meditation, chiropractic manipulation, and acupuncture are types of complementary and alternative medicine (CAM) ... effective. For example, NCCAM studies have shown that: Acupuncture can provide pain relief and improve function for ...

Introduction of inappropriate complementary feeding in the first year of life and associated factors in children with low socioeconomic status.

PubMed

Dallazen, Camila; Silva, Sara Araújo da; Gonçalves, Vivian Siqueira Santos; Nilson, Eduardo Augusto Fernandes; Crispim, Sandra Patricia; Lang, Regina Maria Ferreira; Moreira, Júlia Dubois; Tietzmann, Daniela Cardoso; Vítolo, Márcia Regina

2018-02-19

The study aimed to identify factors associated with the introduction of inappropriate complementary feeding in the first year of life in children living in municipalities (counties) with low socioeconomic statusl. This was a cross-sectional multicenter study in 1,567 children 12 to 59 months of age in 48 municipalities participating in the Brazil Without Poverty plan in the South of Brazil. A structured questionnaire was applied to the children's parents to obtain socio-demographic information and the age at which inappropriate complementary foods were introduced for the first time in complementary feeding. Prevalence of introduction of sugar before four months of age was 35.5% (n = 497; 95%CI: 33.1-38.0). The prevalence rates for the introduction of cookies/crackers, creamy yogurt, and jelly before six months of age were 20.4% (n = 287; 95%CI: 18.3-22.3), 24.8% (n = 349; 95%CI: 22.4-27.1), and 13.8% (n = 192; 95%CI: 12.0-15.7), respectively. Associations were identified between low maternal schooling (PR = 1.25; 95%CI: 1.03-1.51) and low monthly family income (PR = 1.22; CI95%: 1.01-1.48) and the introduction of inappropriate complementary feeding. The study identified the introduction of inappropriate complementary feeding in the first year of life among children in municipalities with high socioeconomic vulnerability in the South of Brazil, associated with low maternal schooling and low monthly family income.

Improving the complementary methods to estimate evapotranspiration under diverse climatic and physical conditions

NASA Astrophysics Data System (ADS)

Anayah, F. M.; Kaluarachchi, J. J.

2014-06-01

Reliable estimation of evapotranspiration (ET) is important for the purpose of water resources planning and management. Complementary methods, including complementary relationship areal evapotranspiration (CRAE), advection aridity (AA) and Granger and Gray (GG), have been used to estimate ET because these methods are simple and practical in estimating regional ET using meteorological data only. However, prior studies have found limitations in these methods especially in contrasting climates. This study aims to develop a calibration-free universal method using the complementary relationships to compute regional ET in contrasting climatic and physical conditions with meteorological data only. The proposed methodology consists of a systematic sensitivity analysis using the existing complementary methods. This work used 34 global FLUXNET sites where eddy covariance (EC) fluxes of ET are available for validation. A total of 33 alternative model variations from the original complementary methods were proposed. Further analysis using statistical methods and simplified climatic class definitions produced one distinctly improved GG-model-based alternative. The proposed model produced a single-step ET formulation with results equal to or better than the recent studies using data-intensive, classical methods. Average root mean square error (RMSE), mean absolute bias (BIAS) and R2 (coefficient of determination) across 34 global sites were 20.57 mm month-1, 10.55 mm month-1 and 0.64, respectively. The proposed model showed a step forward toward predicting ET in large river basins with limited data and requiring no calibration.

Proposal of indicators to evaluate complementary feeding based on World Health Organization indicators.

PubMed

Saldan, Paula Chuproski; Venancio, Sonia Isoyama; Saldiva, Silvia Regina Dias Medici; de Mello, Débora Falleiros

2016-09-01

This study compares complementary feeding World Health Organization (WHO) indicators with those built in accordance with Brazilian recommendations (Ten Steps to Healthy Feeding). A cross-sectional study was carried out during the National Immunization Campaign against Poliomyelitis in Guarapuava-Paraná, Brazil, in 2012. Feeding data from 1,355 children aged 6-23 months were obtained through the 24 h diet recall. Based on five indicators, the proportion of adequacy was evaluated: introduction of solid, semi-solid, or soft foods; minimum dietary diversity; meal frequency; acceptable diet; and consumption of iron-rich foods. Complementary feeding showed adequacy higher than 85% in most WHO indicators, while review by the Ten Steps assessment method showed a less favorable circumstance and a high intake of unhealthy foods. WHO indicators may not reflect the complementary feeding conditions of children in countries with low malnutrition rates and an increased prevalence of overweight/obesity. The use of indicators according to the Ten Steps can be useful to identify problems and redirect actions aimed at promoting complementary feeding. © 2016 John Wiley & Sons Australia, Ltd.

A little island with significant groundwater resources: hydrogeological and hydrogeochemical features of the Pianosa aquifer (Tuscan Archipelago, Italy)

NASA Astrophysics Data System (ADS)

Giannecchini, R.; Doveri, M.; Mussi, M.; Nicotra, I.; Puccinelli, A.

2012-12-01

The Pianosa Island is one of the seven islands of the Tuscan Archipelago, particularly known for its typical flat morphological structure. It is formed by Neogenic-Quaternary sedimentary rocks, mainly represented by superficial calcarenite and underlying marl and clayey marl. Despite the small extension of the island (just 10,2 km2 wide, coastal perimeter of approximately 18 km, maximum altitude of 29 m a.s.l.) and poor rainfall amount (the annual average is 480,7 mm in 1951-2002 period), the Pianosa aquifer is characterized by significant groundwater resources, which supported the presence of approximately 2,000 people at the end of Eighties. Nevertheless, the groundwater overexploitation and the land use (agricultural activity and cattle-breeding, associated to the local penal settlement activity) caused important sea-water intrusion and pollution phenomena. An improvement of such situation occurs since 1998, owing to the closing of the penal settlement and its activities. This pilot research intends to describe the hydrogeological and hydrogeochemical features of the Pianosa Island aquifer system and the groundwater quality several years after the penal settlement closing. The results of a multidisciplinary approach (hydrogeological, geochemical, isotopic) show that the groundwater recharge and circulation are substantially controlled by the hydro-structural conditions. The flat and permeable superficial calcarenite allows a high infiltration rate. The water table flow direction is generally W-E, in accordance with the dip direction of the stratigraphic contact between the calcarenite and the underlying impermeable marly-clayey rocks. However, the latter present conglomerate and sandstone intercalations, sometimes in contact (by angular unconformity) with the calcarenite, determining a general continuity in groundwater circulation, which is phreatic in the calcarenite, and confined in the conglomerate and sandstone horizons. A piezometric depression with values below the sea level has been identified in the eastern part of the island. The electric conductivity (EC) map confirms this hydrogeological structure. EC values above 1.000 μS/cm are common in almost all the groundwater analyzed. An increase in groundwater salinity is observable in the eastern part of Pianosa, where the water table depression has been recognized. In agreement with the hydro-structural and water table conditions, the hydrogeochemical analyses confirm the recharge of the confined horizons (conglomerate and sandstone) by the superficial calcarenite. The isotopic data indicate that the aquifer system is recharged by the rainfall direct infiltration and there are not connections with the close Elba Island. Finally, the chemical analyses of most groundwater samples suggest an intermediate facies Na-Cl/Ca-HCO3, produced by the combination of the sea spray and the circulation in a prevalently carbonate aquifer (calcarenite). Clearly Na-Cl groundwater prevails in the eastern portion of the island, evidencing the seawater intrusion in the calcarenite, also confirmed by water table conditions and isotopic data.

Complementary and alternative medicine use in Iranian patients with diabetes mellitus.

PubMed

Hashempur, Mohammad Hashem; Heydari, Mojtaba; Mosavat, Seyed Hamdollah; Heydari, Seyyed Taghi; Shams, Mesbah

2015-09-01

There is increasing interest in complementary and alternative medicine generally, and especially by those affected by chronic diseases, such as diabetes mellitus. We aimed to determine the prevalence and pattern of complementary and alternative medicine use among patients suffering from diabetes mellitus in Shiraz, southern Iran. Another objective was to explore associated factors for use of complementary and alternative medicine among patients with diabetes mellitus. A 19-item semi-structured questionnaire (open- and close-ended) was administered to 239 patients with diabetes mellitus in this cross-sectional study. It was carried out in two outpatient diabetes clinics affiliated with the Shiraz University of Medical Sciences, Shiraz, Iran. One hundred and eighty patients (75.3%) used at least one type of complementary and alternative medicine in the last year prior to the interview. Patients with diabetes mellitus who were living in a large family (≥5 members), not taking insulin, and believed that complementary and alternative medicine have synergistic effects with conventional medicine, were independently and significantly (P values: 0.02, 0.04, and 0.01, respectively) more likely to use complementary and alternative medicine. Most of the users (97.7%) reported use of herbal preparations, and 89.4% of users did not change their medication, neither in medication schedule nor its dosage. The use of complementary and alternative medicine, especially herbal remedies, is popular among diabetes patients in Shiraz, Iran. This use is associated with patients' family size, type of conventional medications and their view about concomitant use of complementary and conventional medicine.

Massage Acupuncture, Moxibustion, and Other Forms of Complementary and Alternative Medicine in Inflammatory Bowel Disease.

PubMed

Stein, Daniel J

2017-12-01

Complementary and alternative medicine is frequently used by inflammatory bowel disease (IBD) patients; most common are massage, acupuncture, and moxibustion therapy. Massage therapy is poorly studied in IBD patients; therefore, its benefits remain unknown. Acupuncture and moxibustion therapy have been shown to improve inflammation and symptoms in animal and human studies. However, current clinical trials of acupuncture and moxibustion are of insufficient quality to recommend them as alternative therapy. Nonetheless, because these therapies seem generally to be safe, they may have a role as complementary to conventional therapy. Copyright © 2017 Elsevier Inc. All rights reserved.

The role of complementary and alternative therapies in pediatric diabetes.

PubMed

Shapiro, Sofia; Rapaport, Robert

2009-12-01

Complementary and alternative medicine (CAM), also referred to as holistic, or integrative, medicine, are terms that describe a heterogeneous collection of nontraditional therapies, from chemical substances, to biofeedback, to prayer. This review focuses on CAM in pediatric patients with type 1 and type 2 diabetes. CAM prevalence in this population and the specific modalities that have been studied in children are described. Randomized, placebo-controlled, prospective studies in young adults are evaluated for their applicability to pediatric patients. CAM's "complementary" role is emphasized, as there is evidence of significant morbidity when CAM replaces standard-of-care therapy.

Oligonucleotides complementary to a promoter over the region -8...+2 as transcription primers for E. coli RNA polymerase.

PubMed Central

Grachev, M A; Zaychikov, E F; Ivanova, E M; Komarova, N I; Kutyavin, I V; Sidelnikova, N P; Frolova, I P

1984-01-01

Primer-dependent transcription by E. coli RNA polymerase on T7 promoter A2 has been studied. Synthetic deoxyribonucleotides complementary to the promoter over the region -8...+2 were taken as primers. A ribonucleoside residue was present at the 3'-end of some of these oligonucleotides. The octanucleotide complementary to the region -8...-1 appeared to be an active primer. Oligonucleotides having lengths from 3 to 6 nucleotide residues complementary to the promoter over the region -4...+2 also exhibited primer activity. The latter was some 5-10 times greater in the case of oligonucleotides having a ribonucleoside residue at the 3'-end. Oligonucleotides which on complementary binding do not reach the center of phosphodiester bond synthesis, as well as the decanucleotides (-8...+2) and octanucleotides (-6...+2) of both the ribo- and deoxyribo-series were inactive as primers. Images PMID:6390344

[Complementary and alternative medicine in oncology].

PubMed

Hübner, J

2013-06-01

Complementary and alternative medicine are frequently used by cancer patients. The main benefit of complementary medicine is that it gives patients the chance to become active. Complementary therapy can reduce the side effects of conventional therapy. However, we have to give due consideration to side effects and interactions: the latter being able to reduce the effectiveness of cancer therapy and so to jeopardise the success of therapy. Therefore, complementary therapy should be managed by the oncologist. It is based on a common concept of cancerogenesis with conventional therapy. Complement therapy can be assessed in studies. Alternative medicine in contrast rejects common rules of evidence-based medicine. It starts from its own concepts of cancerogenesis, which is often in line with the thinking of lay persons. Alternative medicine is offered as either "alternative" to recommended cancer treatment or is used at the same time but without due regard for the interactions. Alternative medicine is a high risk to patients. In the following two parts of the article, the most important complementary and alternative therapies cancer patients use nowadays are presented and assessed according to published evidence.

Detraditionalisation, gender and alternative and complementary medicines.

PubMed

Sointu, Eeva

2011-03-01

This article is premised on the importance of locating the appeal and meaning of alternative and complementary medicines in the context of gendered identities. I argue that the discourse of wellbeing--captured in many alternative and complementary health practices--is congruent with culturally prevalent ideals of self-fulfilling, authentic, unique and self-responsible subjectivity. The discourse of wellbeing places the self at the centre, thus providing a contrast with traditional ideas of other-directed and caring femininity. As such, involvement in alternative and complementary medicines is entwined with a negotiation of shifting femininities in detraditionalising societies. Simultaneously, many alternative and complementary health practices readily tap into and reproduce traditional representations of caring femininity. It is through an emphasis on emotional honesty and intimacy that the discourse of wellbeing also captures a challenge to traditional ideas of masculinity. Expectations and experiences relating to gender add a further level of complexity to the meaningfulness and therapeutic value of alternative and complementary medicines and underlie the gender difference in the utilisation of holistic health practices. I draw on data from a qualitative study with 44, primarily white, middle-class users and practitioners of varied alternative and complementary medicines in the UK. © 2010 The Author. Sociology of Health & Illness © 2010 Foundation for the Sociology of Health & Illness/Blackwell Publishing Ltd.

Qualitative content analysis of complementary topical therapies used to manage diabetic foot in Jordan.

PubMed

Abu-Qamar, Ma'en Zaid; Wilson, Anne

2012-01-01

In order to alleviate diabetic foot problems, patients sometimes seek complementary therapies outside the professional context. This paper describes the use of complementary remedies as a topical treatment for diabetic foot ulcers among Jordanians. Qualitative content analysis was used to analyse written responses of 68 patients with diabetes who have used complementary therapies to treat diabetic foot problems. These 68 persons represented a subgroup of the study population surveyed using a questionnaire, to the effect of investigating diabetic foot treatments provided in Jordan. Informants were recruited from eight healthcare facilities established in the southern part of Jordan plus from one hospital established in the Jordanian capital. The study was approved by the Boards of Ethics of the participating healthcare facilities. Content analysis yielded the category "Complementary Therapies Used", which included a range of household items (olive oil, sesame oil, honey, and vinegar), and also some indigenous Jordanian herbs (Wormwood, Myrrh, Caper, and Henna among others). The remedies were used either as a monotherapy or as mixtures, to the common goal of treating diabetic foot problems. Other interventions like Al-cowy were also sought from traditional healers. Educational campaigns are required to increase the awareness of patients and their families on possible hazards of unwise complementary therapy use. The decisions on the use of such therapies should be made in agreement with the attending healthcare professionals.

Association of Frontline Worker-Provided Services with Change in Block-Level Complementary Feeding Indicators: An Ecological Analysis from Bihar, India

PubMed Central

Das, Aritra; Mahapatra, Sanchita; Sai Mala, Guntur; Chaudhuri, Indrajit; Mahapatra, Tanmay

2016-01-01

Background Insufficiencies in complementary feeding put infants and young children at increased risk of undernutrition. Till now, most Indian studies have looked at the individual level determinants of complementary feeding practices. We aimed to evaluate the association of frontline worker (FLW) provided nutritional counselling services, with change in community level indicators of complementary feeding practices among 9–11 month old children over time. Methods The study data was obtained from five rounds of ‘Lot Quality Assurance Sampling’ survey in eight districts of Bihar, an impoverished Indian state. The surveys were conducted as evaluation exercises for the ‘Integrated Family Health Initiative (IFHI)’–a multi-faceted program aimed at improving the maternal and child health outcomes in Bihar. The main outcome indicators were—current breastfeeding, age-appropriate minimum frequency of semi-solid food, age-appropriate minimum quantity of semi-solid food, initiation of complementary feeding at the right age, and dietary diversity. Repeated measures analysis was performed to determine the association of changes in the outcome indicators with coverage of FLW-provided counselling services. Results Visits by FLW, advices on age-appropriate frequency and handwashing were significant predictors of receiving age-appropriate frequency of feeding. The determinants of receiving age-appropriate quantity were—advices on age appropriate frequency and advices on handwashing. Receiving food support from AWC and FLW visits were significantly associated with initiating complementary feeding at the right age. Conclusions The present study identified the critical elements among the different types of FLW-provided services. The study findings, from an economically and socially underdeveloped region of India, would inform the relevant programs about the nutritional counselling services that need to be emphasized upon for reducing the burden of childhood malnutrition. PMID:27832211

"Placebo effect is probably what we refer to as patient healing power": A qualitative pilot study examining how Norwegian complementary therapists reflect on their practice.

PubMed

Stub, Trine; Foss, Nina; Liodden, Ingrid

2017-05-12

Complementary therapists spend considerable time with their patients, especially in the first consultation. The communication between patients and their therapists is important for raising consciousness and activation of the patient's self-healing power. Thus, the aims in this study were to delineate what complementary therapists regard as essential in patient consultations, their view of the healing process, and how the therapists understand the placebo effect and its position in the healing process. Semi-structured individual interviews (n = 4), focus group interview (n = 1) and participant observation were conducted among four different complementary therapists in a Norwegian community. The text data was transcribed verbatim and the analysis of the material was conducted according to conventional and direct content analysis. Some codes were predefined and others were defined during the analysis. The pilot study showed that the implemented methods seems feasible and fit well with the aims of this study. Complementary therapists (chiropractor, naprapath (musculoskeletal therapist), acupuncturist and acupuncturist/homeopath) representing four different complementary modalities participated. A combination of the conversation and examination during the first consultation formed the basis for the therapist's choice of treatment. A successful consultation was characterized by a fruitful relationship between the therapist and the patient. Moreover, the therapist needs to be humble and show the patient respect. Patients' positive beliefs and expectations about the treatment play a significant role in the healing process. The more hope the therapist can bring about, the more easily the patient can start believing that it is possible to get well. This was a pilot study. Therefore the findings should be appreciated as limited and preliminary. Therapists' and patients' mutual understanding and treatment goals were essential for a successful consultation. The therapists emphasized their professional skills and therapeutic competence as important when building fruitful relationships with their patients. Exerting authority and making the patient feel confident were essential factors for a successful healing process. The complementary therapists understood the placebo effect as the patient's self-healing power, resulting from establishing trust and belief in the treatment process.

Complementary Alternative Medicine for Children with Autism: A Physician Survey

ERIC Educational Resources Information Center

Golnik, Allison E.; Ireland, Marjorie

2009-01-01

Previous studies suggest over half of children with autism are using complementary alternative medicine (CAM). In this study, physicians responded (n = 539, 19% response rate) to a survey regarding CAM use in children with autism. Physicians encouraged multi-vitamins (49%), essential fatty acids (25%), melatonin (25%) and probiotics (19%) and…

Integrating Yoga with Psychotherapy: A Complementary Treatment for Anxiety and Depression

ERIC Educational Resources Information Center

Forfylow, Andrea L.

2011-01-01

This article addresses the empirical research on yoga as an effective, complementary, clinical intervention for anxiety and depression based on an examination of studies published from 2003 to 2010. There is a discussion of study findings and research limitations and suggestions for researchers and future research. Yoga appears to be an effective…

A new view for nanoparticle assemblies: from crystalline to binary cooperative complementarity.

PubMed

Yan, Cong; Wang, Tie

2017-03-06

Studies on nanoparticle assemblies and their applications have been research frontiers in nanoscience in the past few decades and remarkable progress has been made in the synthetic strategies and techniques. Recently, the design and fabrication of the nanoparticle-based nanomaterials or nanodevices with integrated and enhanced properties compared to those of the individual components have gradually become the mainstream. However, a systematic solution to provide a big picture for future development and guide the investigation of different aspects of the study of nanoparticle assemblies remains a challenge. The binary cooperative complementary principle could be an answer. The binary cooperative complementary principle is a universal discipline and can describe the fundamental properties of matter from the subatomic particles to the universe. According to its definition, a variety of nanoparticle assemblies, which represent the cutting-edge work in the nanoparticle studies, are naturally binary cooperative complementary materials. Therefore, the introduction of the binary cooperative complementary principle in the studies of nanoparticle assemblies could provide a unique perspective for reviewing this field and help in the design and fabrication of novel functional nanoparticle assemblies.

Socio-demographic predictors of person-organization fit.

PubMed

Merecz-Kot, Dorota; Andysz, Aleksandra

2017-02-21

The aim of this study was to explore the relationship between socio-demographic characteristics and the level of complementary and supplementary person-organization fit (P-O fit). The study sample was a group of 600 Polish workers, urban residents aged 19-65. Level of P-O fit was measured using the Subjective Person-Organization Fit Questionnaire by Czarnota-Bojarska. The binomial multivariate logistic regression was applied. The analyzes were performed separately for the men and women. Socio-demographic variables explained small percentage of the outcome variability. Gender differences were found. In the case of men shift work decreased complementary and supplementary fit, while long working hours decreased complementary fit. In the women, age was a stimulant of a complementary fit, involuntary job losses predicted both complementary and supplementary misfit. Additionally, relational responsibilities increased probability of supplementary P-O fit in the men. Going beyond personality and competences as the factors affecting P-O fit will allow development of a more accurate prediction of P-O fit. Int J Occup Med Environ Health 2017;30(1):133-139. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

Uniform and Complementary Social Interaction: Distinct Pathways to Solidarity

PubMed Central

Koudenburg, Namkje; Postmes, Tom; Gordijn, Ernestine H.; van Mourik Broekman, Aafke

2015-01-01

We examine how different forms of co-action give rise to feelings of solidarity. We propose that (a) coordinated action elicits a sense of solidarity, and (b) the process through which such solidarity emerges differs for different forms of co-action. We suggest that whether solidarity within groups emerges from uniform action (e.g. synchronizing, as when people speak in unison) or from more complementary forms of action (e.g. alternating, when speaking in turns) has important consequences for the emergent position of individuals within the group. Uniform action relies on commonality, leaving little scope for individuality. In complementary action each individual makes a distinctive contribution to the group, thereby increasing a sense of personal value to the group, which should contribute to the emergence of solidarity. The predictions receive support from five studies, in which we study groups in laboratory and field settings. Results show that both complementary and uniform co-action increase a sense of solidarity compared to control conditions. However, in the complementary action condition, but not in the uniform action (or synchrony) condition, the effect on feelings of solidarity is mediated by a sense of personal value to the group. PMID:26047131

Uniform and Complementary Social Interaction: Distinct Pathways to Solidarity.

PubMed

Koudenburg, Namkje; Postmes, Tom; Gordijn, Ernestine H; van Mourik Broekman, Aafke

2015-01-01

We examine how different forms of co-action give rise to feelings of solidarity. We propose that (a) coordinated action elicits a sense of solidarity, and (b) the process through which such solidarity emerges differs for different forms of co-action. We suggest that whether solidarity within groups emerges from uniform action (e.g. synchronizing, as when people speak in unison) or from more complementary forms of action (e.g. alternating, when speaking in turns) has important consequences for the emergent position of individuals within the group. Uniform action relies on commonality, leaving little scope for individuality. In complementary action each individual makes a distinctive contribution to the group, thereby increasing a sense of personal value to the group, which should contribute to the emergence of solidarity. The predictions receive support from five studies, in which we study groups in laboratory and field settings. Results show that both complementary and uniform co-action increase a sense of solidarity compared to control conditions. However, in the complementary action condition, but not in the uniform action (or synchrony) condition, the effect on feelings of solidarity is mediated by a sense of personal value to the group.

Prevalence and determinants of use of complementary and alternative medicine by hypertensive patients attending primary health care facilities in Kinshasa, Democratic Republic of the Congo: a cross-sectional study.

PubMed

Lulebo, Aimée M; Mapatano, Mala A; Mutombo, Paulin B; Mafuta, Eric M; Samba, Gédéon; Coppieters, Yves

2017-04-08

In the Democratic Republic of the Congo the control of hypertension is poor, characterized by an increasing number of reported cases of hypertension related complications. Poor control of hypertension is associated with non-adherence to antihypertensive medication. It is well established that the use of complementary and alternative medicine is one of the main factors of non-adherence to antihypertensive medication. The aim of this study is to determine the prevalence and factors associated with the use of complementary and alternative medicine. A cross-sectional study was carried out at the Kinshasa Primary Health-care (KPHC) facilities network in November 2014. A structured interview questionnaire was administrated to a total of 280hypertensive patients. Complementary and alternative medicine were defined according to the National Institute of Health classification as a group of diverse medical and healthcare systems, practices, and products that are not presently considered to be part of conventional medicine. Data were summarized using proportion and mean (with standard deviation). The student's t test and χ 2 test were used respectively for mean and proportion comparison. Logistic regression analysis identified determinants of the use of complementary and alternative medicine. The prevalence of use of complementary and alternative medicine was 26.1% (95% CI: 20.7% - 31.8%).Determinants of use of complementary and alternative medicine included misperception about hypertension curability (OR = 2.1; 95%CI: 1.1-3.7) and experience of medication side effects (OR = 2.9; 95%CI: 1.7-5.1). The use of CAM for hypertensive patients is a major problem; antihypertensives with fewer side effects must be emphasized. Religious leaders must become involved in the communication for behavioral change activities to improve the quality of life for hypertensive patients.

Worldwide occurrences of arsenic in ground water

USGS Publications Warehouse

Nordstrom, D. Kirk

2002-01-01

Numerous aquifers worldwide carry soluble arsenic at concentrations greater than the World Health Organization--and U.S. Environmental Protection Agency--recommended drinking water standard of 10 mg per liter. Sources include both natural (black shales, young sediments with low flushing rates, gold mineralization, and geothermal environments) and anthropogenic (mining activities, livestock feed additives, pesticides, and arsenic trioxide wastes and stockpiles). Increased solubility and mobility of arsenic is promoted by high pH (>8.5), competing oxyanions, and reducing conditions. In this Policy Forum, Nordstrom argues that human health risks from arsenic in ground water can be minimized by incorporating hydrogeochemical knowledge into water management decisions and by more careful monitoring for arsenic in geologically high-risk areas.

Complementary therapies in long-stay neurology in-patient settings.

PubMed

Walsh, E; Wilson, C

Complementary therapies have been embraced by many nurses, but the effectiveness of such regimes on the wellbeing of patients has never been researched successfully. This article describes a pilot study which evaluated their effects on long-stay neurology patients.

Use of Complementary Medicine in Older Americans: Results from the Health and Retirement Study

ERIC Educational Resources Information Center

Ness, Jose; Cirillo, Dominic J.; Weir, David R.; Nisly, Nicole L.; Wallace, Robert B.

2005-01-01

Purpose: The correlates of complementary and alternative medicine (CAM) utilization among elders have not been fully investigated. This study was designed to identify such correlates in a large sample of older adults, thus generating new data relevant to consumer education, medical training, and health practice and policy. Design and Methods: A…

Hydrogeochemical studies of historical mining areas in the Humboldt River basin and adjacent areas, northern Nevada

USGS Publications Warehouse

Nash, J. Thomas

2005-01-01

The study area comprises the Humboldt River Basin and adjacent areas, with emphasis on mining areas relatively close to the Humboldt River. The basin comprises about 16,840 mi2 or 10,800,000 acres. The mineral resources of the Humboldt Basin have been investigated by many scientists over the past 100 years, but only recently has our knowledge of regional geology and mine geology been applied to the understanding and evaluation of mining effects on water and environmental quality. The investigations reported here apply some of the techniques and perspectives developed in the Abandoned Mine Lands Initiative (AMLI) of the U.S. Geological Survey (USGS), a program of integrated geological-hydrological-biological-chemical studies underway in the Upper Animas River watershed in Colorado and the Boulder River watershed in, Montana. The goal of my studies of sites and districts is to determine the character of mining-related contamination that is actively or potentially a threat to water quality and to estimate the potential for natural attenuation of that contamination. These geology-based studies and recommendations differ in matters of emphasis and data collection from the biology-based assessments that are the cornerstone of environmental regulations.

[Alternative and complementary medicine from the primary care physician's viewpoint].

PubMed

Soós, Sándor Árpád; Eőry, Ajándék; Eőry, Ajándok; Harsányi, László; Kalabay, László

2015-07-12

The patients initiate the use of complementary and alternative medicine and this often remains hidden from their primary care physician. To explore general practitioners' knowledge and attitude towards complementary and alternative medicine, and study the need and appropriate forms of education, as well as ask their opinion on integration of alternative medicine into mainstream medicine. A voluntary anonymous questionnaire was used on two conferences for general practitioners organized by the Family Medicine Department of Semmelweis University. Complementary and alternative medicine was defined by the definition of the Hungarian Academy of Sciences and certified modalities were all listed. 194 general practitioners answered the questionnaire (39.8% response rate). 14% of the responders had licence in at least one of the complementary and alternative therapies, 45% used complementary and alternative therapy in their family in case of illness. It was the opinion of the majority (91.8%) that it was necessary to be familiar with every method used by their patients, however, 82.5% claimed not to have enough knowledge in complementary medicine. Graduate and postgraduate education in the field was thought to be necessary by 86% of the responders; increased odds for commitment in personal education was found among female general practitioners, less than 20 years professional experience and personal experience of alternative medicine. These data suggest that general practitioners would like to know more about complementary and alternative medicine modalities used by their patients. They consider education of medical professionals necessary and a special group is willing to undergo further education in the field.

Introduction of new food textures during complementary feeding: Observations in France.

PubMed

Marduel Boulanger, A; Vernet, M

2018-01-01

Complementary feeding plays a crucial role in the development of infants and toddlers and studies suggest benefits specific to the introduction of food textures. Evaluate the recommendations given to parents, their practices, and their attitudes towards the introduction of food textures during complementary feeding in France. This was a cross-sectional pilot study conducted in 2013. One hundred and eighty-one parents with at least one child aged 6-36 months living in France completed an ad hoc questionnaire. Eighty-eight percent of the parents surveyed received oral information on complementary feeding, but only 46% received such information on the introduction of food textures. Pediatricians were the most frequently listed source of oral information on complementary feeding. More than half the parents also looked for additional information in books and on the internet. While oral recommendations matched parents' practices, they seemed to occur at a later age compared to infants' physiological ability to handle new textures. The quality of information on food texture advice available in paper and electronic formats evaluated using a 4-point scale was found to be limited. Introducing new food texture was spontaneously reported as the most common difficulty in complementary feeding (16%). Fear of choking when first introducing food pieces was reported by 54% of the parents. The parents' lack of information on the introduction of food textures, as well as their fear that their child may choke, should encourage providing new recommendations in France. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Evaluation of employees in public day care centers knowledge about breastfeeding and complementary feeding.

PubMed

Souza, Joelânia Pires de O; Prudente, Amanda Moura; Silva, Dyene Aparecida; Pereira, Leandro Alves; Rinaldi, Ana Elisa M

2013-12-01

To evaluate the knowledge of public day care centers employees about breastfeeding and complementary feeding. A cross-sectional study was conducted in 15 public day care centers randomly selected in the city of Uberlandia, Southeast Brazil. A questionnaire applied to school principals, teachers, educators and general services assistants (GSA) included demographic and socioeconomic variables and questions about knowledge on breastfeeding, complementary feeding besides employees' perceptions about these subjects. Kruskal-Wallis with multiple comparison and chi-square tests were used to compare variables by professional category. 304 employees participated in the study. The highest percentages of correct answers were noted for questions about exclusive breastfeeding: definition - 97% (n=296) and duration - 65% (n=199). Regarding complementary feeding, 61% (n=187) correctly answered about the appropriate age to introduce it, with a lower percentage for meat (56%; n=170) and sugar (16%; n=50). Concerning employees' perceptions, 9% (n=29) believed that there is weak breast milk, 79% (n=241) and 51% (n=157) reported the negative influence of bottle feeding and pacifier use on breastfeeding. Among the interviewed subjects, 77% (n=234) answered that they had a positive influence on the quality of the food given to the children. There were no differences in the answers according to professional category, except for the negative influence of pacifiers on breastfeeding. Employees of public day care centers knew more about breastfeeding than about complementary feeding. Educational activities about breastfeeding and complementary feeding are necessary for day care centers employees.

[Motivation for the choice of complementary and mainstream medicine. Patients' behavior in a pluralistic medical system].

PubMed

Schär, A; Messerli-Rohrbach, V

1999-02-01

The reasons for choosing between various therapeutic possibilities depend in part on rational and in part on emotional factors. This project dealt with the systematic verification of some decision factors most of which were known already. The project was divided in a qualitative and a quantitative part. The qualitative segment was based on semistructured interviews with patients of general practitioners or of naturopaths. This procedure is often used in ethnological research. It identified and evaluated the main motives for the individual choices of therapies by the patients. The quantitative part of the study was carried out by a procedure often used in social sciences, namely by strictly structured telephone interviews of several thousand policyholders of the health insurance fund Helvetia. The aim of this part of the study was to verify the findings of the qualitative study and to investigate the possible significance of additional sociological factors for the choice between different therapies. The conclusions drawn from the abundance of data show that a widespread use of complementary medicine is a reality. Both parts of the project came to the same conclusions. The patients use complementary medicine in a very pragmatic way, be it alternately, be it in parallel but not necessarily in addition to mainstream medicine. The behavior of the patients is very complex, depends on many factors, and can neither be predicted nor easily influenced, not even by an additional free insurance for complementary medicine which was offered to one of the subgroups of the study (in conjunction with J. Sommer's project 'A Randomized Experiment Studying the Effect of Including Complementary Medicine in the Mandatory Benefit Package of Health Insurance Funds in Switzerland'). The interpretation of the telephone interviews concerning the significance of some of the registered sociological factors turned out to be difficult. The project aimed primarily at illustrating the use of complementary medicine and at characterizing its users.

Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries

PubMed Central

2011-01-01

Background Childhood undernutrition is prevalent in low and middle income countries. It is an important indirect cause of child mortality in these countries. According to an estimate, stunting (height for age Z score < -2) and wasting (weight for height Z score < -2) along with intrauterine growth restriction are responsible for about 2.1 million deaths worldwide in children < 5 years of age. This comprises 21 % of all deaths in this age group worldwide. The incidence of stunting is the highest in the first two years of life especially after six months of life when exclusive breastfeeding alone cannot fulfill the energy needs of a rapidly growing child. Complementary feeding for an infant refers to timely introduction of safe and nutritional foods in addition to breast-feeding (BF) i.e. clean and nutritionally rich additional foods introduced at about six months of infant age. Complementary feeding strategies encompass a wide variety of interventions designed to improve not only the quality and quantity of these foods but also improve the feeding behaviors. In this review, we evaluated the effectiveness of two most commonly applied strategies of complementary feeding i.e. timely provision of appropriate complementary foods (± nutritional counseling) and education to mothers about practices of complementary feeding on growth. Recommendations have been made for input to the Lives Saved Tool (LiST) model by following standardized guidelines developed by Child Health Epidemiology Reference Group (CHERG). Methods We conducted a systematic review of published randomized and quasi-randomized trials on PubMed, Cochrane Library and WHO regional databases. The included studies were abstracted and graded according to study design, limitations, intervention details and outcome effects. The primary outcomes were change in weight and height during the study period among children 6-24 months of age. We hypothesized that provision of complementary food and education of mother about complementary food would significantly improve the nutritional status of the children in the intervention group compared to control. Meta-analyses were generated for change in weight and height by two methods. In the first instance, we pooled the results to get weighted mean difference (WMD) which helps to pool studies with different units of measurement and that of different duration. A second meta-analysis was conducted to get a pooled estimate in terms of actual increase in weight (kg) and length (cm) in relation to the intervention, for input into the LiST model. Results After screening 3795 titles, we selected 17 studies for inclusion in the review. The included studies evaluated the impact of provision of complementary foods (±nutritional counseling) and of nutritional counseling alone. Both these interventions were found to result in a significant increase in weight [WMD 0.34 SD, 95% CI 0.11 – 0.56 and 0.30 SD, 95 % CI 0.05-0.54 respectively) and linear growth [WMD 0.26 SD, 95 % CI 0.08-0.43 and 0.21 SD, 95 % CI 0.01-0.41 respectively]. Pooled results for actual increase in weight in kilograms and length in centimeters showed that provision of appropriate complementary foods (±nutritional counseling) resulted in an extra gain of 0.25kg (±0.18) in weight and 0.54 cm (±0.38) in height in children aged 6-24 months. The overall quality grades for these estimates were that of ‘moderate’ level. These estimates have been recommended for inclusion in the Lives Saved Tool (LiST) model. Education of mother about complementary feeding led to an extra weight gain of 0.30 kg (±0.26) and a gain of 0.49 cm (±0.50) in height in the intervention group compared to control. These estimates had been recommended for inclusion in the LiST model with an overall quality grade assessment of ‘moderate’ level. Conclusion Provision of appropriate complementary food, with or without nutritional education, and maternal nutritional counseling alone lead to significant increase in weight and height in children 6-24 months of age. These interventions can significantly reduce the risk of stunting in developing countries and are recommended for inclusion in the LiST tool. PMID:21501443

Home-made and commercial complementary meals in German infants: results of the DONALD study.

PubMed

Hilbig, A; Foterek, K; Kersting, M; Alexy, U

2015-12-01

Infant complementary food can be home-made or bought as ready-to-eat commercial products. The nutrient composition of commercial products is regularised in a European Commission guideline, whereas the preparation of home-made complementary meals is the responsibility of caregivers. In the present study, the composition of commercial and home-made complementary meals as eaten by healthy German infants was compared. Of 8226 complementary meals (74% commercial and 26% home-made) recorded in 1083, 3-day weighed dietary records from 396 participants (6-12 months old) of the German DONALD (DOrtmund Nutritional and Anthropometric Longitudinally Designed) study were analysed. Median energy density (kcal 100 g(-1)) was highest in commercial and home-made cereal-milk meals (89 kcal 100 g(-1)). In home-made savoury and cereal-fruit meals, the energy density was significantly higher compared to their commercial counterparts. Median protein contents were highest in savoury and cereal-milk meals (>2.5 g 100 g(-1)) and dairy-fruit meals (2-4 g 100 g(-1)). Added sugars were found in less than a quarter of meals. Highest median sodium contents were found not only in commercial savoury meals (median 38 mg 100 g(-1)) and vegetable meals (32 mg 100 g(-1)), but also in home-made cereal-milk meals (36 mg 100 g(-1)). Both median fat and iron contents were higher in home-made meals compared to commercial savoury and cereal-fruit meals. With the exception of the higher sodium content in commercial savoury meals for older infants, the lower fat content in commercial savoury and cereal-fruit meals, and the added sugar content in some commercial dairy-fruit meals, a comparison of commercial and home-made complementary meals did not reveal any serious inadequacy. © 2015 The British Dietetic Association Ltd.

Complementary and Alternative Approaches to Pain Relief During Labor

PubMed Central

Theau-Yonneau, Anne

2007-01-01

This review evaluated the effect of complementary and alternative medicine on pain during labor with conventional scientific methods using electronic data bases through 2006 were used. Only randomized controlled trials with outcome measures for labor pain were kept for the conclusions. Many studies did not meet the scientific inclusion criteria. According to the randomized control trials, we conclude that for the decrease of labor pain and/or reduction of the need for conventional analgesic methods: (i) There is an efficacy found for acupressure and sterile water blocks. (ii) Most results favored some efficacy for acupuncture and hydrotherapy. (iii) Studies for other complementary or alternative therapies for labor pain control have not shown their effectiveness. PMID:18227907

A Survey of Medical Students' Knowledge and Attitudes Toward Complementary and Alternative Medicine in Urmia, Iran.

PubMed

Sadeghi, Mahshid; Rabiepoor, Soheila; Forough, Aida Sefidani; Jabbari, Shiva; Shahabi, Shahram

2016-10-01

Personal beliefs of medical students may interfere with their tendency for learning Complementary and Alternative Medicine concepts. This study aimed to investigate the knowledge and attitudes of medical students toward complementary and alternative medicine in Urmia, Iran. A structured questionnaire was used as data collection instrument. One hundred questionnaires were returned. Thirty-one percent of students reported use of alternative medicine for at least once. Iranian Traditional Medicine was the main type of alternative medicine used by medical students (93.5%). Neuromuscular disorders were the main indication of alternative medicine use among students (34.4%). Ninety percent of participants demonstrated competent knowledge about acupuncture while the lowest scores belonged to homeopathy (12%). Study results showed that 49% of medical students had positive attitudes and demonstrated a willingness to receive training on the subject. Thus, there appears a necessity to integrate complementary and alternative medicine into the medical curriculum, by taking expectations and feedbacks of medical students into consideration. © The Author(s) 2015.

Perceptions of complementary therapies among Swedish registered professions in surgical care.

PubMed

Bjerså, Kristofer; Forsberg, Anna; Fagevik Olsén, Monika

2011-02-01

There is increasing interest in complementary and alternative medicine (CAM) among healthcare professions. However, no studies have been conducted in Sweden or in a surgical context. The aim of this study is to describe different perceptions of complementary therapies among registered healthcare professions in Swedish surgical care. Sixteen interviews were conducted with registered physicians, nurses, physiotherapists and clinical dieticians at a Swedish university hospital. Analysis was made with a phenomenographic research approach. The findings showed variations in perceptions of the definition of complementary therapies. A constructive approach toward use was observed, but there was a conflict in matters of indications and contraindications, and also criticism over a lack of knowledge. There was seen to be a need for education to be able to act professionally. Scepticism over high costs of treatment was highlighted. In conclusion, a need for policies on management, education and research in the field of CAM should be addressed. Copyright © 2010 Elsevier Ltd. All rights reserved.

Groundwater quality and hydrogeochemical properties of Torbali Region, Izmir, Turkey.

PubMed

Tayfur, Gokmen; Kirer, Tugba; Baba, Alper

2008-11-01

The large demand for drinking, irrigation and industrial water in the region of Torbali (Izmir, Turkey) is supplied from groundwater sources. Almost every factory and farm has private wells that are drilled without permission. These cause the depletion of groundwater and limiting the usage of groundwater. This study investigates spatial and temporal change in groundwater quality, relationships between quality parameters, and sources of contamination in Torbali region. For this purpose, samples were collected from 10 different sampling points chosen according to their geological and hydrogeological properties and location relative to factories, between October 2001 and July 2002. Various physical (pH, temperature, EC), chemical (calcium, magnesium, potassium, sodium, chloride, alkalinity, copper, chromium, cadmium, lead, zinc) and organic (nitrate, nitrite, ammonia, COD and cyanide) parameters were monitored. It was observed that the groundwater has bicarbonate alkalinity. Agricultural contamination was determined in the region, especially during the summer. Nitrite and ammonia concentrations were found to be above drinking water standard. Organic matter contamination was also investigated in the study area. COD concentrations were higher than the permissible limits during the summer months of the monitoring period.

Major hydrogeochemical processes in an acid mine drainage affected estuary.

PubMed

Asta, Maria P; Calleja, Maria Ll; Pérez-López, Rafael; Auqué, Luis F

2015-02-15

This study provides geochemical data with the aim of identifying and quantifying the main processes occurring in an Acid Mine Drainage (AMD) affected estuary. With that purpose, water samples of the Huelva estuary were collected during a tidal half-cycle and ion-ion plots and geochemical modeling were performed to obtain a general conceptual model. Modeling results indicated that the main processes responsible for the hydrochemical evolution of the waters are: (i) the mixing of acid fluvial water with alkaline ocean water; (ii) precipitation of Fe oxyhydroxysulfates (schwertmannite) and hydroxides (ferrihydrite); (iii) precipitation of Al hydroxysulfates (jurbanite) and hydroxides (amorphous Al(OH)3); (iv) dissolution of calcite; and (v) dissolution of gypsum. All these processes, thermodynamically feasible in the light of their calculated saturation states, were quantified by mass-balance calculations and validated by reaction-path calculations. In addition, sorption processes were deduced by the non-conservative behavior of some elements (e.g., Cu and Zn). Copyright © 2014 Elsevier Ltd. All rights reserved.

Hydrogeochemical analyses of groundwater from Ameca, Jalisco Mexico.

NASA Astrophysics Data System (ADS)

Tostado, M.; Rosas-Elguera, J.; Gomez Hermosillo, C.

2008-05-01

The accelerated demographic and industrial growth of settlements in mid cities and surrounding urbane areas, requires larger water volumes for its support, including public use. Usually, these requirements are not met by superficial waters consequently underground water is required to fulfill the general necessities. TheAmeca region in Jalisco, Mexico, is located around 80km west of Guadalajara. This region has been sustained by Agriculture and mining for several decades. This last activity has been mainly developed to the north of the city, precisely on the recharge zone. The infiltrated water, eventually form the aquifers. While it travels, and due to its intrinsic dilution capacity, the water may become polluted. Eventually, if he pollutants are toxic, the water from wells used in cities like Ameca, may result in serious health problems. In this study, the Ameca aquifer is evaluated through chemical analyses of the water from wells serving the city. Thus the natural pollution caused by mineral deposit zones and mines located on the recharge zone can be evaluated.

Predicting the risk of groundwater arsenic contamination in drinking water wells

NASA Astrophysics Data System (ADS)

Cao, Hailong; Xie, Xianjun; Wang, Yanxin; Pi, Kunfu; Li, Junxia; Zhan, Hongbin; Liu, Peng

2018-05-01

Arsenic (As)-contaminated groundwater is a global concern with potential detrimental effects on the health of hundreds of millions of people worldwide. However, the extent of this problem may be more severe than anticipated, as many wells have not been tested and may contain unsafe-level of As. An optimized statistical regression model was developed to predict the probability of geogenic high As groundwater (As > 10 μg/L) in this study. Easily obtained hydrogeochemical and geological parameters that are significantly related to As geochemical behaviors were selected as explanatory variables in the model. The results indicate that pH, Cl-, HCO3-, SO42-, and NO3- concentrations, stratigraphic information, and well depth are excellent predictors of As exposure in the Datong Basin, China. Predicted unsafe wells correspond well with the known distribution of high As groundwater in the Datong Basin. The successful application of a data set from Bangladesh also demonstrated the applicability and credibility of this proposed method.

Religiosity and Utilization of Complementary and Alternative Medicine among Foreign-Born Hispanics in the United States

ERIC Educational Resources Information Center

Heathcote, John D.; West, Joshua H.; Hall, P. Cougar; Trinidad, Dennis R.

2011-01-01

The purpose of this study was to test the association between religiosity and utilization of complementary and alternative medicine (CAM) in a sample of foreign-born Hispanic adults, even when excluding prayer as a form of CAM. Data were collected using a self-report Spanish-language survey. Study participants consisted of 306 respondents between…

Impacts and Preferences Study for e-HO as a Holistic Learning Environment Complementary to E-Learning

ERIC Educational Resources Information Center

Lee, Ching-Yieh; Der Pan, Peter Jen; Liao, Ching-Jung

2011-01-01

We present in this study the significance and impacts of an innovative e-HO as a holistic and horizontal platform complementary to e-Learning to help realize transdisciplinary learning and foster integration of knowledge in higher education. A comprehensive investigation of a survey conducted among 647 university students for e-HO is presented…

Learning Experiences of Nurses as Part of a European Union Project on Complementary Therapies: A Multinational Qualitative Study.

PubMed

Boz, İlkay; Özer, Zeynep; Teskereci, Gamze; Kavradim, Selma Turan

The objectives of this study were to investigate learning experiences of the nurses who participated in transnational and multinational occupational training. A qualitative descriptive methodology was used. Data are clustered into 3 categories "occupational training," "complementary care," and "intercultural interaction." This research has revealed many insights into the transnational training of nurses.

Psychosocial Care in Complementary Feeding of Children: A Comparative Study of the Urban and Rural Communities of Osun State, Nigeria

ERIC Educational Resources Information Center

Ogunba, Beatrice Olubukola

2010-01-01

This study investigated psychosocial care in complementary feeding of children under two years of age. The cross-sectional study was carried out in Osun State of Nigeria within Sub-Saharan Africa, and 450 mothers were interviewed of which 337 were from the urban and 113 from the rural communities. Results revealed that 37.4% of the respondents…

Cognitive Adaptability: The Role of Metacognition and Feedback in Entrepreneural Decision Policies

DTIC Science & Technology

2005-01-01

their environments in such a way as to facilitate effective and dynamic cognitive functioning. In this dissertation, I present three complementary studies ...the study of metacognition (Jost, Kruglanski, and Nelson, 1998; Mischel, 1998; Schwarz, 1998b). This research has three goals, specifically to...environments in such a way as to facilitate effective and dynamic cognitive functioning. In this dissertation, I present three complementary studies that

Use of algal fluorescence for determination of phytotoxicity of heavy metals and pesticides as environmental pollutants.

PubMed

Samson, G; Popovic, R

1988-12-01

The phytotoxicity of heavy metals and pesticides was studied by using the fluorescence induction from the alga Dunaliella tertiolecta. The complementary area calculated from the variable fluorescence induction was used as a direct parameter to estimate phytotoxicity. The value of this parameter was affected when algae were treated with different concentrations of mercury, copper, atrazine, DCMU, Dutox, and Soilgard. The toxic effect of these pollutants was estimated by monitoring the decrease in the complementary area, which reflects photosystem II photochemistry. Further, the authors have demonstrated the advantage of using the complementary area as a parameter of phytotoxicity over using variable fluorescence yield. The complementary area of algal fluorescence can be used as a simple and sensitive parameter in the estimation of the phytotoxicity of polluted water.

Uranium hydrogeochemical and stream sediment reconnaissance of the Albuquerque NTMS Quadrangle, New Mexico, including concentrations of forty-three additional elements

DOE Office of Scientific and Technical Information (OSTI.GOV)

Maassen, L.W.; Bolivar, S.L.

1979-06-01

The Los Alamos Scientific Laboratory conducted a hydrogeochemical and stream sediment reconnaissance for uranium. Totals of 408 water and 1538 sediment samples were collected from 1802 locations over a 20 100-km/sup 2/ area at an average density of one location per 11 km/sup 2/. Water samples were collected from springs, wells, and streams; sediments samples were collected predominantly from streams, but also from springs. All water samples were analyzed for uranium and 12 other elements. Sediment samples were analyzed for uranium and 42 additional elements. The uranium concentrations in water samples range from below the detection limit of 0.02 ppBmore » to 194.06 ppB. The mean uranium concentration for all water types containing < 40 ppB uranium is 1.98 ppB. Six samples contained uranium concentrations > 40.00 ppB. Well waters have the highest mean uranium concentration; spring waters have the lowest. Clusters of water samples that contain anomalous uranium concentrations are delineated in nine areas. Sediments collected from the quadrangle have uranium concentrations that range between 0.63 ppM and 28.52 ppM, with a mean for all sediments of 3.53 ppM. Eight areas containing clusters of sediments with anomalous uranium concentrations are delineated. One cluster contains sample locations within the Ambrosia Lake uranium district. Five clusters of sediment samples with anomalous uranium concentrations were collected from streams that drain the Jemez volcanic field. Another cluster defines an area just northeast of Albuquerque where streams drain Precambrian rocks, predominantly granites, of the Sandia Mountains. The last cluster, consisting of spring sediments from Mesa Portales, was collected near the contact of the Tertiary Ojo Alamo sandstone with underlying Cretaceous sediments. Sediments from these springs exhibit some of the highest uranium values reported and are associated with high uranium/thorium ratios.« less

Reproducing early Martian atmospheric carbon dioxide partial pressure by modeling the formation of Mg-Fe-Ca carbonate identified in the Comanche rock outcrops on Mars

NASA Astrophysics Data System (ADS)

Berk, Wolfgang; Fu, Yunjiao; Ilger, Jan-Michael

2012-10-01

The well defined composition of the Comanche rock's carbonate (Magnesite0.62Siderite0.25Calcite0.11Rhodochrosite0.02) and its host rock's composition, dominated by Mg-rich olivine, enable us to reproduce the atmospheric CO2partial pressure that may have triggered the formation of these carbonates. Hydrogeochemical one-dimensional transport modeling reveals that similar aqueous rock alteration conditions (including CO2partial pressure) may have led to the formation of Mg-Fe-Ca carbonate identified in the Comanche rock outcrops (Gusev Crater) and also in the ultramafic rocks exposed in the Nili Fossae region. Hydrogeochemical conditions enabling the formation of Mg-rich solid solution carbonate result from equilibrium species distributions involving (1) ultramafic rocks (ca. 32 wt% olivine; Fo0.72Fa0.28), (2) pure water, and (3) CO2partial pressures of ca. 0.5 to 2.0 bar at water-to-rock ratios of ca. 500 molH2O mol-1rock and ca. 5°C (278 K). Our modeled carbonate composition (Magnesite0.64Siderite0.28Calcite0.08) matches the measured composition of carbonates preserved in the Comanche rocks. Considerably different carbonate compositions are achieved at (1) higher temperature (85°C), (2) water-to-rock ratios considerably higher and lower than 500 mol mol-1 and (3) CO2partial pressures differing from 1.0 bar in the model set up. The Comanche rocks, hosting the carbonate, may have been subjected to long-lasting (>104 to 105 years) aqueous alteration processes triggered by atmospheric CO2partial pressures of ca. 1.0 bar at low temperature. Their outcrop may represent a fragment of the upper layers of an altered olivine-rich rock column, which is characterized by newly formed Mg-Fe-Ca solid solution carbonate, and phyllosilicate-rich alteration assemblages within deeper (unexposed) units.

Inter-annual variability of urolithiasis epidemic from semi-arid part of Deccan Volcanic Province, India: climatic and hydrogeochemical perspectives.

PubMed

Kale, Sanjay S; Ghole, Vikram Shantaram; Pawar, N J; Jagtap, Deepak V

2014-01-01

Semi-arid Karha basin from Deccan Volcanic Province, India was investigated for inter-annual variability of urolithiasis epidemic. The number of reported urolith patient, weather station data and groundwater quality results was used to assess impact of geoenvironment on urolithiasis. Data of 7081 urolith patient were processed for epidemiological study. Gender class, age group, year-wise cases and urolith type were studied in epidemiology. Rainfall, temperature, pan evaporation and sunshine hours were used to correlate urolithiasis. Further, average values of groundwater parameters were correlated with the number of urolith episodes. A total of 52 urolith samples were collected from hospitals and analysed using FTIR technique to identify dominant urolith type in study area. Result shows that male population is more prone, age group of 20-40 is more susceptible and calcium oxalate uroliths are dominant in study area. Year-wise distribution revealed that there is steady increase in urolithiasis with inflation in drought years. In climatic parameters, hot days are significantly correlated with urolithiasis. In groundwater quality, EC, Na and F are convincingly correlated with urolith patients, which concludes the strong relation between geo-environment and urolithiasis.

'A necessary evil that does not "really" cure disease': The domestication of biomedicine by Dutch holistic general practitioners.

PubMed

Raaphorst, Nadine; Houtman, Dick

2016-05-01

Against the background of studies about the domestication of complementary and alternative medicine into biomedical settings, this article studies how biomedicine is integrated into holistic settings. Data from 19 in-depth interviews with Dutch holistic general practitioners who combine complementary and alternative medicine with conventional treatments demonstrate that they do not believe that conventional biomedicine 'really' cures patients. They feel that it merely suppresses the physical symptoms of a disease, leaving the more fundamental and non-physical causes intact. As a consequence, they use conventional biomedicine for strictly practical and instrumental reasons. This is the case in life-threatening or acute situations, understood as non-physical causes of disease having been left untreated with complementary and alternative medicine for too long. More mundane reasons for its use are the need to take patients' demands for biomedical treatment seriously or to obey authoritative rules, regulations and protocols. The integration of biomedicine into complementary and alternative medicine, then, follows the same logic of domestication of complementary and alternative medicine into biomedicine: it is made subordinate to the prevailing model of health and illness and treated as a practical add-on that does not 'really' cure people. © The Author(s) 2015.

Complementary Feeding Practices of Mothers and Their Perceived Impacts on Young Children: Findings from KEEA District of Ghana.

PubMed

Egyir, Bridget K; Ramsay, Samantha A; Bilderback, Barry; Safaii, SeAnne

2016-09-01

Objective Appropriate and timely complementary feeding practices are fundamental to a child's growth, health, and development during the first 2 years of life. This study aimed to understand (1) Ghanaian mother's complementary feeding practices, and (2) their perceived and observed impacts of complementary feeding on their children. Methods Ghanaian mothers with children 4-24 months of age were recruited from four communities in the Komenda Edina Eguafo Abrem district in the Central Region of Ghana (n = 99). A qualitative methodological approach with focus group interview discussions was used. Eleven focus group interviews were conducted, and were audio recorded and transcribed. The audio transcriptions were coded and analyzed into pertinent themes, meta-themes, and theoretical concepts. Results Over 80 % (85) of mothers reported poor knowledge about the effects of complementary feeding on their children and 45 % (45) of the children were undernourished, indicating inappropriate complementary feeding practices. Some mothers held misconceptions about the effect of food on children's health. Four overarching themes were identified: (1) mothers' background knowledge about food, child health and growth outcomes, (2) mothers' motivation in feeding their children, (3) barriers to feeding, (4) foods mothers offered their children. Conclusion for Practice Nutrition education on complementary feeding is needed for Ghanaian mothers. Health facilities and community outreach programs could be a venue to provide education to mothers regarding infant and young child feeding practices in Ghana.

Deciphering groundwater quality for irrigation and domestic purposes - a case study in Suri I and II blocks, Birbhum District, West Bengal, India

NASA Astrophysics Data System (ADS)

Das, Shreya; Nag, S. K.

2015-07-01

Assessment of the hydrochemical characteristics of water and aquifer hydraulic properties is important for groundwater planning and management in the study area. It is not only the basic need for human existence but also a vital input for all development activities. The present hydro-geochemical study of groundwater samples from the Suri I and II blocks of Birbhum district, West Bengal (23.76 ∘-23.99 ∘N; 87.42 ∘-87.64 ∘E) was carried out to assess their suitability for agricultural, domestic and drinking purposes. For this study, samples were collected from 26 locations during the post-monsoon and pre-monsoon sessions spanning over 2012 and 2013. Groundwater samples were analyzed for their physical and chemical properties using standard laboratory methods. Physical and chemical parameters of groundwater such as pH, electrical conductivity, total dissolved solids, Na, K, Ca, Mg, Fe, Cl, HCO3, SO4 and F were determined. Various water quality indices like SAR, SSP, PI, RSC, MAR and KR have been calculated for each water sample to identify the irrigational suitability standard. According to most of these parameters, the groundwater has been found to be well to moderately suitable for irrigation. In the post-monsoon session exceptionally high RSC values for around 80% samples indicate an alkaline hazard to the soil. The ion balance histogram for post-monsoon indicates undesirable ion balance values according to fresh water standards whereas in pre-monsoon, the samples show good ion balance in water. For determination of the drinking suitability standard of groundwater, three parameters have been considered - total hardness (TH), Piper's trilinear diagram and water quality index study. Groundwater of the present study area has been found to be moderately-hard to hard during both sampling sessions and hence poses no health risk which could arise due to excess consumption of calcium or magnesium. Hydrogeochemical facies in the form of Piper's trilinear diagram plot which helps in identification of the water `type' which can render a particular taste or odour to water, indicates that groundwater in the study area is majorly of CaMgHCO 3 and NaHCO 3 type (fresh type) during both post-monsoon and pre-monsoon sessions barring a couple of samples which are of CaMgSO 4/CaMgClSO 4 type in pre-monsoon. Water quality index study reveals that close to 90% of the water samples are suitable for drinking during post-monsoon compared to pre-monsoon during which period only 60% of water samples fall under the suitable drinking water category. Gibbs' diagrams, which help in identification of natural processes controlling hydrogeochemistry of groundwater indicates that for both post-monsoon and pre-monsoon sessions, the overall hydrogeochemistry of the study area is dominated by rock-water interaction processes.

Use of complementary and alternative medicine by patients with hematological diseases experience at a university hospital in northeast Mexico.

PubMed

Jaime-Pérez, José Carlos; Chapa-Rodríguez, Adrián; Rodríguez-Martínez, Marisol; Colunga-Pedraza, Perla Rocío; Marfil-Rivera, Luis Javier; Gómez-Almaguer, David

2012-01-01

Complementary and alternative medicine includes a diverse group of medical and healthcare systems, practices and products not considered part of conventional medicine. Although there is information on unconventional practices in oncological diseases, specific data regarding the use of complementary and alternative medicine by hematology patients is scarce. The aim of this study is to document the prevalence of this modality of unconventional therapy in patients with malignant and benign hematological diseases, particularly children with acute lymphoblastic leukemia. An observational study of adult patients and guardians of children with malignant or benign hematological diseases was carried out by applying a structured questionnaire detailing the use and results of the most prevalent complementary and alternative medicine practices. One hundred and twenty patients were included; 104 had malignant and 16 had benign hematological diseases. The use of complementary and alternative medicine was greater in benign diseases but the difference was not statistically significant (64.7% versus 41.7%; p-value = 0.08). Patients and guardians with high school or college educations used these alternative practices more than patients with less schooling (60.7% versus 54.7%; p-value = 0.032). The use of folk remedies was most prevalent followed by herbal preparations and spiritual healing. Sixty-four percent of patients that used these unconventional practices reported improvement in their symptoms and increased capacity to perform daily activities. No significant difference was documented between patients with malignant or benign hematological diseases using these alternative practices. The majority of complementary and alternative medicine users reported improvement of the disease or chemotherapy-related symptoms.

Evaluation of employees in public day care centers knowledge about breastfeeding and complementary feeding

PubMed Central

Souza, Joelânia Pires de O.; Prudente, Amanda Moura; Silva, Dyene Aparecida; Pereira, Leandro Alves; Rinaldi, Ana Elisa M.

2013-01-01

OBJECTIVE: To evaluate the knowledge of public day care centers employees about breastfeeding and complementary feeding. METHODS: A cross-sectional study was conducted in 15 public day care centers randomly selected in the city of Uberlandia, Southeast Brazil. A questionnaire applied to school principals, teachers, educators and general services assistants (GSA) included demographic and socioeconomic variables and questions about knowledge on breastfeeding, complementary feeding besides employees' perceptions about these subjects. Kruskal-Wallis with multiple comparison and chi-square tests were used to compare variables by professional category. RESULTS: 304 employees participated in the study. The highest percentages of correct answers were noted for questions about exclusive breastfeeding: definition - 97% (n=296) and duration - 65% (n=199). Regarding complementary feeding, 61% (n=187) correctly answered about the appropriate age to introduce it, with a lower percentage for meat (56%; n=170) and sugar (16%; n=50). Concerning employees' perceptions, 9% (n=29) believed that there is weak breast milk, 79% (n=241) and 51% (n=157) reported the negative influence of bottle feeding and pacifier use on breastfeeding. Among the interviewed subjects, 77% (n=234) answered that they had a positive influence on the quality of the food given to the children. There were no differences in the answers according to professional category, except for the negative influence of pacifiers on breastfeeding. CONCLUSIONS: Employees of public day care centers knew more about breastfeeding than about complementary feeding. Educational activities about breastfeeding and complementary feeding are necessary for day care centers employees. PMID:24473953

Complementary therapies in rehabilitation: stroke patients' narratives. Part 2.

PubMed

van der Riet, Pamela; Dedkhard, Saowapa; Srithong, Kannapatch

2012-03-01

To document the narratives of nursing staff and patients in a Thailand Rehabilitation Centre where complementary therapies are used and to discuss perceived progress of these stroke patients. Specific complementary therapies used at this Rehabilitation Centre include Thai massage and herbal therapies. Whilst there has been a small amount of quantitative research on stroke patients and complementary therapies there has been no qualitative research on the experience of stroke patients and the use of complementary therapies. Qualitative pilot study using narrative inquiry and discourse analysis framed by poststructural theory. Six stroke patients were interviewed about their involvement in complementary therapy practice and treatments and their experiences of these therapies in rehabilitation. This study represents a reflective mining of patients' stories and captures the main theme of changes in stroke patients' embodiment and a main discourse of attending to and enabling progress. Throughout the storylines there are many other discourses such as hope, desire, helplessness, despair, fear, motivation, gratefulness, gladness and fragility. Threaded throughout the stroke patients' stories of their rehabilitation there is a layering of discourses involving tensions and a longing to overcome their disability. There are twists and detours in their stories that show the complexity of the illness experience. Progress is not straightforward with a quick recovery. Many contexts or variables influence progress such as spatiality, temporality and people. What is offered here is the reality of the rehabilitation process for stroke patients. Through the use of narrative inquiry the contexts of people, spatiality (environment) and temporality (time) are an important part of rehabilitation process. © 2011 Blackwell Publishing Ltd.

The role of mineral heterogeneity on the hydrogeochemical response of two fractured reservoir rocks in contact with dissolved CO2

NASA Astrophysics Data System (ADS)

Garcia Rios, Maria; Luquot, Linda; Soler, Josep M.; Cama, Jordi

2017-04-01

In this study we compare the hydrogeochemical response of two fractured reservoir rocks (limestone composed of 100 wt.% calcite and sandstone composed of 66 wt.% calcite, 28 wt.% quartz and 6 wt.% microcline) in contact with CO2-rich sulfate solutions. Flow-through percolation experiments were performed using artificially fractured limestone and sandstone cores and injecting a CO2-rich sulfate solution under a constant volumetric flow rate (from 0.2 to 60 mL/h) at P = 150 bar and T = 60 °C. Measurements of the pressure difference between the inlet and the outlet of the samples and of the aqueous chemistry enabled the determination of fracture permeability changes and net reaction rates. Additionally, X-ray computed microtomography (XCMT) was used to characterize and localized changes in fracture volume induced by dissolution and precipitation reactions. In all reacted cores an increase in fracture permeability and in fracture volume was always produced even when gypsum precipitation happened. The presence of inert silicate grains in sandstone samples favored the occurrence of largely distributed dissolution structures in contrast to localized dissolution in limestone samples. This phenomenon promoted greater dissolution and smaller precipitation in sandstone than in limestone experiments. As a result, in sandstone reservoirs, the larger increase in fracture volume as well as the more extended distribution of the created volume would favor the CO2 storage capacity. The different distribution of created volume between limestone and sandstone experiments led to a different variation in fracture permeability. The progressive stepped permeability increase for sandstone would be preferred to the sharp permeability increase for limestone to minimize risks related to CO2 injection, favor capillary trapping and reduce energetic storage costs. 2D reactive transport simulations that reproduce the variation in aqueous chemistry and the fracture geometry (dissolution pattern) were performed using CrunchFlow. The calcite reactive surface area had to be diminished with respect to the geometric surface area in order to account for the transport control of the calcite dissolution reaction at pH < 5. The fitted reactive surface area was higher under faster flow conditions, reflecting a decrease in transport control and a more distributed reaction in sandstone compared to limestone.

Hydrogeochemical effects of a bulkhead in the Dinero mine tunnel, Sugar Loaf mining district, near Leadville, Colorado

USGS Publications Warehouse

Walton-Day, Katherine; Mills, Taylor J.

2015-01-01

The Dinero mine drainage tunnel is an abandoned, draining mine adit near Leadville, Colorado, that has an adverse effect on downstream water quality and aquatic life. In 2009, a bulkhead was constructed (creating a mine pool and increasing water-table elevations behind the tunnel) to limit drainage from the tunnel and improve downstream water quality. The goal of this study was to document changes to hydrology and water quality resulting from bulkhead emplacement, and to understand post-bulkhead changes in source water and geochemical processes that control mine-tunnel discharge and water quality. Comparison of pre-and post-bulkhead hydrology and water quality indicated that tunnel discharge and zinc and manganese loads decreased by up to 97 percent at the portal of Dinero tunnel and at two downstream sites (LF-537 and LF-580). However, some water-quality problems persisted at LF-537 and LF-580 during high-flow events and years, indicating the effects of the remaining mine waste in the area. In contrast, post-bulkhead water quality degraded at three upstream stream sites and a draining mine tunnel (Nelson tunnel). Water-quality degradation in the streams likely occurred from increased contributions of mine-pool groundwater to the streams. In contrast, water-quality degradation in the Nelson tunnel was likely from flow of mine-pool water along a vein that connects the Nelson tunnel to mine workings behind the Dinero tunnel bulkhead. Principal components analysis, mixing analysis, and inverse geochemical modeling using PHREEQC indicated that mixing and geochemical reactions (carbonate dissolution during acid weathering, precipitation of goethite and birnessite, and sorption of zinc) between three end-member water types generally explain the pre-and post-bulkhead water composition at the Dinero and Nelson tunnels. The three end members were (1) a relatively dilute groundwater having low sulfate and trace element concentrations; (2) mine pool water, and (3) water that flowed from a structure in front of the bulkhead after bulkhead emplacement. Both (2) and (3) had high sulfate and trace element concentrations. These results indicate how analysis of monitoring information can be used to understand hydrogeochemical changes resulting from bulkhead emplacement. This understanding, in turn, can help inform future decisions on the disposition of the remaining mine waste and water-quality problems in the area.

Hydrogeochemical and mineralogical investigations of arsenic- and humic substance-enriched aquifers

NASA Astrophysics Data System (ADS)

Liu, Chen-Wuing; Lai, Chih-Chieh; Chen, Yen-Yu; Lu, Kuang-Liang

2013-08-01

This study investigated the hydrogeochemical and mineralogical characteristics of arsenic-contaminated and humic-substance-enriched aquifers in the Chianan Plain, Taiwan, which is an endemic area for blackfoot disease (BFD). Factorial analysis (FA) was used to evaluate the hydrochemical characteristics of 83 groundwater samples in the Chianan Plain, and 462 geological core samples obtained from 9 drilling wells were collected to analyze their arsenic and iron contents. The major mineral phases and chemical components were determined using X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), and scanning electron microscopy and energy dispersive spectrometry (SEM-EDS). Partition of arsenic among various hosting solids in sediments was determined by sequential extraction. The results of FA showed that the hydrochemical characteristics of the groundwater samples could be grouped by 4 factors: salinization, arsenic, sulfide, and iron. Arsenic was positively correlated with alkalinity, dissolved organic/inorganic carbon, and fluorescence intensity [humic acids, (HAs)]. As(V) has a higher chelating affinity with HAs than does As(III), resulting in higher As(V) concentrations distributed throughout the reducing environment. High levels and correlations of As and HAs may cause BFD in the Chianan Plain. No correlation was found between the measured and calculated redox potentials of the various redox couples. The As(III)/As(V) was under a chemical non-equilibrium condition. The vertical distribution of the sedimentary As (solid phase) typically increased with depth, but the aqueous As concentrations were higher in the second aquifer (depth of 80-120 m). Arsenic content (solid phase) was higher in the clay/silt sediments and marine formations. The major minerals identified by XPS and SEM-EDS were goethite, hematite, magnetite, pyrite, and siderite, agreeing with the SI values calculated by PHREEQC. Arsenic content was strongly correlated with sulfur (weight%; R2 = 0.76, p < 0.05), but was weakly correlated with iron (weight%). However, a moderate correlation (R2 = 0.44-0.75; p < 0.001) between As(s) and Fe(s) in the sediments was found in the transitions in the marine and non-marine formations, especially in the fine grains. The chelation of humic complex, competition for sorption sites of organic carbon, reduction dissolution of Fe oxides are mainly responsible for the groundwater As mobility in the Chianan Plain, especially for the marine sequence.

Exploring Predictors of Health Sciences Students' Attitudes towards Complementary-Alternative Medicine

ERIC Educational Resources Information Center

Pettersen, Sverre; Olsen, Rolf V.

2007-01-01

This study demonstrated that a "less scientific worldview" predicted health science (HS) students' positive attitude towards "complementary-alternative medicine" (CAM), independently of important background characteristics as gender, pre-college science immersion, age, and type of HS education of the students. A total of 473 students in their…

Mutually Exclusive, Complementary, or . . .

ERIC Educational Resources Information Center

Schloemer, Cathy G.

2016-01-01

Whether students are beginning their study of probability or are well into it, distinctions between complementary sets and mutually exclusive sets can be confusing. Cathy Schloemer writes in this article that for years she used typical classroom examples but was not happy with the student engagement or the level of understanding they produced.…

Recruiting Faculty: Complementary Tales from Two Campuses.

ERIC Educational Resources Information Center

Matier, Michael W.

1991-01-01

Factors influencing individuals with firm job offers to join the faculty at two research universities, urban and rural, are examined, focusing on the relative importance of tangible, intangible, and non-work-related benefits in the decision-making process. Comparisons are drawn to previous faculty recruitment studies and a complementary retention…

Development of an Attitudes towards Complementary Therapies Scale for Psychologists

ERIC Educational Resources Information Center

Wilson, Lee-Ann; White, Katherine M.

2007-01-01

This study designed and tested a scale to measure psychologists' attitudes towards complementary and alternative therapies. The scale, derived from existing measures for medical professionals, was tested on a sample of psychology students (N = 163) using an online survey. The data were factor analysed and three correlated subscales were…

The Complementary Effects of Empathy and Nonverbal Communication Training on Persuasion Capabilities

ERIC Educational Resources Information Center

Peterson, Robin T.; Leonhardt, James M.

2015-01-01

This paper investigates the possible complementary effects that training in empathy and nonverbal communication may have on persuasion capabilities. The narrative considers implications from the literature and describes an exploratory study in which students, in a managerial setting, were trained in empathy and nonverbal communication. Subsequent…

76 FR 38404 - National Center for Complementary & Alternative Medicine; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-30

... Complementary & Alternative Medicine; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Alternative Medicine Special Emphasis Panel, Preliminary Clinical Studies of CAM Therapies. Date: July 25... and Alternative Medicine, National Institutes of Health, 6707 Democracy Boulevard, Suite 401, Bethesda...

Geochemical and microbiological assessment of groundwater status: a case study

NASA Astrophysics Data System (ADS)

Preziosi, E.; Del Bon, A.; Amalfitano, S.; Fazi, S.; Zoppini, A.; Parrone, D.; Ghergo, S.

2012-04-01

The qualitative status of the groundwater resources is drawing increasingly attention in relation to the requirements of the European legislative framework. The monitoring strategies are developed by considering the chemical processes affecting groundwater quality. However, despite the use of biological indicators is a common practice for the qualitative assessment of surface waters, a similar approach is hardly being taken into account by policy makers for ground waters. Aquifers are key environments due to the ecosystem capability to ameliorate water quality, e.g. through the natural biodegradation of chemical contaminants. The objective of this research was to characterize a porous water table aquifer from a geochemical and microbiological point of view, aiming to link the hydrogeochemical properties to distribution patterns of the free-living microbial communities. The broader perspective is to integrate the role of microorganisms in the groundwater evolution processes, with new insights in the knowledge of the different microbial communities inhabiting different aquifer typologies. Moreover, microbiological parameters that could be used as a valuable indicator of groundwater quality are sought. A field-scale analysis was performed along the southern Sabatini Mounts aquifer (Central Italy, 50 sampling sites), in an area of about 340 square km, where Pleistocene volcanic products overlay Pleistocene gravel and silt-clay layers, the latter being much more widespread in the downgradient part of the study area. The selected aquifer is contaminated by natural origin elements such as arsenic and fluoride, as well as by human activities, both diffuse (agriculture) and localized, especially in the downgradient part of the aquifer (e.g. landfills, quarries, oil deposits). The main physicochemical parameters of ground waters were determined in situ (redox status, pH, conductivity, T, DO, alkalinity) and in laboratory by ionic chromatography and mass spectrometry (major and trace elements, including arsenic). Total bacterial abundance and vitality (live/dead cell ratio) was determined by combining Flow Cytometry with a double staining fluorescence assay, while the microbial community composition was analyzed through hybridization techniques (CARD-FISH). The hydrogeochemical characterization defined an arsenic rich, mainly alkaline-earth bicarbonate type, which evolves downgradiently towards a more calcium rich water. The variability of bacterial abundance was nonetheless high and the percentage of dead bacterial cells shows a significant correlation with the arsenic concentration. In addition, differences of the taxa along the flow path were detected with an increasing abundance of Delta-Proteobacteria in the more anoxic sites. Overall, our results highlighted that a multidisciplinary approach, which combines geochemical and microbiological surveys, can describe more appropriately ground water status and the evolution processes in the aquifer.

Investigating Western Dead Sea spring systems and their origin by application of hydrogeochemical patterns

NASA Astrophysics Data System (ADS)

Wilske, Cornelia; Siebert, Christian; Geyer, Stefan; Rödiger, Tino; Merkel, Broder

2013-04-01

One of the ecologic and touristic hot spots along the western Dead Sea shore is the spring system of Ein Feshkha (Enot Zukim), which suffers from a changing environment. Its feeding Cretaceous aquifers are hosted in the western Graben flank of the Jordan-Dead Sea Rift. However, the origin of water and the ratio of influence of the unconsolidated Quaternary Graben fill is a controversial issue. The aim of the study is to combine hydrogeochemical information of the spring waters and the potential source aquifers to characterize and differentiate the groundwater origins, groundwater flow paths and eventually groundwater mixtures. Within this case study, which is embedded in the SMART II project (Sustainable Management of Available Water Resources of the Lower Jordan Valley), the investigation area extends in the Judean Mountains from the vicinity of Ramallah down to Hebron and ends along the north-western shoreline of the Dead Sea. The Cretaceous limestone aquifers of Turonian/Upper Cenomanian and Albian age are widely separated by a clayey aquiclude. That so called Judea Group is underlaid by the Kurnub sandstone aquifer. Mainly due to the development of the Rift, the entire area is intensely folded and crossed by faults. Groundwater recharge takes place in the uplands and the groundwater flow gradient is oriented towards the Valley, where it transgresses into the Quaternary Graben fill. Our hypothesis is that Ein Feshkha springs are fed by groundwater originating in general in the mountain range, which also takes a detour through the Graben fill in the north of the Dead Sea. Groundwater from these aquifers emerges along the coast of the Dead Sea through springs. The methodological approach is to use geogenic and anthropogenic hydrochemical parameters like major- and trace elements, stable isotopes like δ2H, δ18O or δ87Sr and heavy metals. Sampling campaigns were and will be carried out quarterly within one hydrological year to uncover possible seasonal variations. Samples are taken from the different aquifers over the whole investigation area. The first results represent the variability of the groundwater chemistry in terms of their TDS contents and their stable isotope signatures. The measured stable isotope ratios of Strontium, which refer to the geological background, show a differentiation between the groundwater of the main Judean aquifers. In combination with stable isotopes the composition of major- and trace elements including heavy metals improve the aquifer differentiation against the background of changes in geological formations.

Traditional, complementary, and alternative medical cures for HIV: rationale and implications for HIV cure research.

PubMed

Pan, Xin; Zhang, Alice; Henderson, Gail E; Rennie, Stuart; Liu, Chuncheng; Cai, Weiping; Wu, Feng; Tucker, Joseph D

2017-12-13

Traditional, complementary, and alternative medicine (TCAM) has been used by some people living with HIV (PLHIV) in an attempt to cure HIV. This article reviews the main factors influencing their decision to choose TCAM to cure HIV and discusses implications for HIV cure research. Those who decide to pursue traditional, complementary, and alternative medical cures may be influenced by the health system, cultural, and social dynamics, and their own individual beliefs and preferences. These same factors may impact participation in HIV cure research. People who search for traditional, complementary, and alternative medical cures may face special challenges as they are recruited, consented, and retained within HIV cure research studies. To address these potential challenges, we have suggested solutions focusing on culturally tailored communication and education, formative social science research, and community partnerships with key stakeholders. The social conditions that have promoted traditional, complementary and alternative medical cures will likely impact how PLHIV participate and experience HIV remission trials. Despite the potential challenges, it will be crucial to involve those who have previously sought out traditional cures for HIV in HIV cure research.

Perceiving integration of a complementary medicine service within a general surgery department through documentation of consultations: a thematic analysis.

PubMed

Schiff, Elad; Ben-Arye, Eran; Attias, Samuel; Sroka, Gideon; Matter, Ibrahim; Keshet, Yael

2012-12-01

This study aims to examine the meaning and practical implications of integration of a complementary medicine-based surgery service in a hospital setting (CISS--Complementary/Integrative Surgery Service) through analysis of consultation reports associated with this service. Thematic analysis was used to evaluate CISS consultation reports in a hospital electronic consultant charting system during the first half year of the service's activity. 304 consultation reports were analyzed. Nurses initiated significantly more consultations than physicians (55% vs 7%). Consultation requests were gradually more focused on specific symptoms, possibly manifesting a better understanding of the scope of complementary medicine in the surgery setting. CISS practitioners responded in more biomedical language over time, albeit offering a more holistic perspective regarding patients' needs as well as clarifications regarding the nature of the treatment they provided. Diverse communication patterns in consultations evolved over time representing dynamics in multiple levels of integration of the CISS. Documented communication through consultations can provide a window to the process of integration of complementary medicine-based services in health systems. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Oxidation of dissolved iron under warmer, wetter conditions on Mars: Transitions to present-day arid environments

NASA Technical Reports Server (NTRS)

Burns, R. G.

1993-01-01

The copious deposits of ferric-iron assemblages littering the surface of bright regions of Mars indicate that efficient oxidative weathering reactions have taken place during the evolution of the planet. Because the kinetics of atmosphere-surface (gas-solid) reactions are considerably slower than chemical weathering reactions involving an aqueous medium, most of the oxidation products now present in the martian regolith probably formed when groundwater flowed near the surface. This paper examines how chemical weathering reactions were effected by climatic variations when warm, wet environments became arid on Mars. Analogies are drawn with hydrogeochemical and weathering environments on the Australian continent where present-day oxidation of iron is occurring in acidic ground water under arid conditions.

Complementary and Alternative Medicine for Posttraumatic Stress Disorder Symptoms: A Systematic Review.

PubMed

Wahbeh, Helané; Senders, Angela; Neuendorf, Rachel; Cayton, Julien

2014-07-01

To (1) characterize complementary and alternative medicine studies for posttraumatic stress disorder symptoms, (2) evaluate the quality of these studies, and (3) systematically grade the scientific evidence for individual CAM modalities for posttraumatic stress disorder. Systematic review. Eight data sources were searched. Selection criteria included any study design assessing posttraumatic stress disorder outcomes and any complementary and alternative medicine intervention. The body of evidence for each modality was assessed with the Natural Standard evidence-based, validated grading rationale. Thirty-three studies (n = 1329) were reviewed. Scientific evidence of benefit for posttraumatic stress disorder was strong for repetitive transcranial magnetic stimulation and good for acupuncture, hypnotherapy, meditation, and visualization. Evidence was unclear or conflicting for biofeedback, relaxation, Emotional Freedom and Thought Field therapies, yoga, and natural products. Considerations for clinical applications and future research recommendations are discussed. © The Author(s) 2014.

Factors influencing first-time mothers' introduction of complementary foods: a qualitative exploration.

PubMed

Walsh, Anne; Kearney, Lauren; Dennis, Nicole

2015-09-22

Optimal infant nutrition comprises exclusive breastfeeding, with complementary foods introduced from six months of age. How parents make decisions regarding this is poorly studied. This study begins to address the dearth of research into the decision-making processes used by first-time mothers relating to the introduction of complementary foods. This qualitative explorative study was conducted using interviews (13) and focus groups (3). A semi-structured interview guide based on the Theory of Planned Behaviour (TPB). The TPB, a well-validated decision-making model, identifies the key determinants of a behaviour through behavioural beliefs, subjective norms, and perceived behavioural control over the behaviour. It is purported that these beliefs predict behavioural intention to perform the behaviour, and performing the behaviour. A purposive, convenience, sample of 21 metropolitan parents recruited through advertising at local playgroups and childcare centres, and electronically through the University community email list self-selected to participate. Data were analysed thematically within the theoretical constructs: behavioural beliefs, subjective norms and perceived behavioural control. Data relating to sources of information about the introduction of complementary foods were also collected. Overall, first-time mothers found that waiting until six months was challenging despite knowledge of the WHO recommendations and an initial desire to comply with this guideline. Beliefs that complementary foods would assist the infants' weight gain, sleeping patterns and enjoyment at meal times were identified. Barriers preventing parents complying with the recommendations included subjective and group norms, peer influences, infant cues indicating early readiness and food labelling inconsistencies. The most valued information source was from peers who had recently introduced complementary foods. First-time mothers in this study did not demonstrate a good understanding of the rationale behind the WHO recommendations, nor did they understand fully the signs of readiness of infants to commence solid foods. Factors that assisted waiting until six months were a trusting relationship with a health professional whose practice and advice was consistent with the recommendations and/or when their infant was developmentally ready for complementary foods at six months and accepted them with ease and enthusiasm. Barriers preventing parents complying with the recommendations included subjective and group norms, peer influences, infant cues indicating early readiness and food labelling inconsistencies.

Hydrogeochemical investigations in the Osgood mountains, north-central Nevada. Chapter B.

USGS Publications Warehouse

Wanty, Richard B.; Berger, Byron R.; Tuttle, Michele L.W.; Briggs, Paul H.; Meier, Allen L.; Crock, James G.; Stillings, Lisa L.

2006-01-01

Field investigations performed in the Osgood Mountains during the summers of 1999 and 2000 were designed to test methods of combining geologic, hydrologic, and geochemical investigations. The goals were to develop a more thorough understanding of the movement of water through the study area and to understand the water-rock reactions that may occur along flow paths. The Osgood Mountains were chosen for study because they represent a well-defined geologic system, based on existing and new field data. New work in the area focused on gathering more data about fractures, faults, and joints and on collecting water samples to evaluate the role of geologic structures on hydrologic and geochemical properties of the ground-water/surface-water system. Chemical methods employed in the study included measuring traditional field parameters (e.g., pH, temperature, conductivity, dissolved oxygen) as well as Fe2+ and collecting a variety of samples that were preserved for later laboratory analysis. Hydrologic methods included closely spaced evaluations of substream hydraulic head to define ground-water discharge and recharge zones as well as some measurements of stream discharge. Geologic investigations focused on the locations and orientations of fractures and kinematic indicators of slip observable in outcrops.

Use of complementary and alternative medicine for work related musculoskeletal disorders associated with job contentment in dental professionals: Indian outlook.

PubMed

Gupta, Devanand; Bhaskar, Dara John; Gupta, Kumar Rajendra; Karim, Bushra; Kanwar, Alpana; Jain, Ankita; Yadav, Ankit; Saini, Priya; Arya, Satya; Sachdeva, Neha

2014-04-01

High prevalence rates of work-related musculoskeletal disorders (WRMSD) among dentists have been reported. Complementary and alternative medicine (CAM) therapies can be helpful in managing and preventing work-related musculoskeletal disorders. The purpose of this study was to determine if dental professionals are using CAM for work-related musculoskeletal disorders. Who have greater job satisfaction: dentist who uses Complementary and alternative medicine (CAM) or conventional therapy (CT) as a treatment modality for WRMSD. Dentists who registered in Uttar Pradesh state, India under Indian Dental Council, Uttar Pradesh branch (n=1134) were surveyed. Data were analyzed using univariate and bivariate analyses and logistic regression. A response rate of 53% (n=601) was obtained, revealing that 82% (n=487) of the respondents suffered from work-related musculoskeletal disorders. The use of complementary and alternative medicine or conventional therapy was reported among 80% (n=390) of the dentists with work-related musculoskeletal disorders. Complementary and alternative medicine users reported greater overall health compared to conventional therapy users (P<0.001). Of those with work-related musculoskeletal disorders, 35.5% (n=172) considered a career change for once, and 4.0% (n=19) reported having left dentistry. Complementary and alternative medicine therapies may improve quality of life, reduce work disruptions and enhance job satisfaction for dentists who suffer from work-related musculoskeletal disorders. It is important that dentists incorporate complementary and alternative medicine strategies into practice to facilitate musculoskeletal health that will enable longer and healthier careers, increase productivity, provide safer workplace and prevent musculoskeletal disorders.

Use of Complementary and Alternative Medicine for Work Related Musculoskeletal Disorders Associated With Job Contentment in Dental Professionals: Indian Outlook

PubMed Central

Gupta, Devanand; Bhaskar, Dara John; Gupta, Kumar Rajendra; Karim, Bushra; Kanwar, Alpana; Jain, Ankita; Yadav, Ankit; Saini, Priya; Arya, Satya; Sachdeva, Neha

2014-01-01

Background High prevalence rates of work-related musculoskeletal disorders (WRMSD) among dentists have been reported. Complementary and alternative medicine (CAM) therapies can be helpful in managing and preventing work-related musculoskeletal disorders. The purpose of this study was to determine if dental professionals are using CAM for work-related musculoskeletal disorders. Who have greater job satisfaction: dentist who uses Complementary and alternative medicine (CAM) or conventional therapy (CT) as a treatment modality for WRMSD Method Dentists who registered in Uttar Pradesh state, India under Indian Dental Council, Uttar Pradesh branch (n=1134) were surveyed. Data were analyzed using univariate and bivariate analyses and logistic regression. Result A response rate of 53% (n=601) was obtained, revealing that 82% (n=487) of the respondents suffered from work-related musculoskeletal disorders. The use of complementary and alternative medicine or conventional therapy was reported among 80% (n=390) of the dentists with work-related musculoskeletal disorders. Complementary and alternative medicine users reported greater overall health compared to conventional therapy users (P<0.001). Of those with work-related musculoskeletal disorders, 35.5% (n=172) considered a career change for once, and 4.0% (n=19) reported having left dentistry. Conclusion Complementary and alternative medicine therapies may improve quality of life, reduce work disruptions and enhance job satisfaction for dentists who suffer from work-related musculoskeletal disorders. It is important that dentists incorporate complementary and alternative medicine strategies into practice to facilitate musculoskeletal health that will enable longer and healthier careers, increase productivity, provide safer workplace and prevent musculoskeletal disorders. PMID:24795512

Sources, distribution, bioavailability, toxicity, and risk assessment of heavy metal(loid)s in complementary medicines.

PubMed

Bolan, Shiv; Kunhikrishnan, Anitha; Seshadri, Balaji; Choppala, Girish; Naidu, Ravi; Bolan, Nanthi S; Ok, Yong Sik; Zhang, Ming; Li, Chun-Guang; Li, Feng; Noller, Barry; Kirkham, Mary Beth

2017-11-01

The last few decades have seen the rise of alternative medical approaches including the use of herbal supplements, natural products, and traditional medicines, which are collectively known as 'Complementary medicines'. However, there are increasing concerns on the safety and health benefits of these medicines. One of the main hazards with the use of complementary medicines is the presence of heavy metal(loid)s such as arsenic (As), cadmium (Cd), lead (Pb), and mercury (Hg). This review deals with the characteristics of complementary medicines in terms of heavy metal(loid)s sources, distribution, bioavailability, toxicity, and human risk assessment. The heavy metal(loid)s in these medicines are derived from uptake by medicinal plants, cross-contamination during processing, and therapeutic input of metal(loid)s. This paper discusses the distribution of heavy metal(loid)s in these medicines, in terms of their nature, concentration, and speciation. The importance of determining bioavailability towards human health risk assessment was emphasized by the need to estimate daily intake of heavy metal(loid)s in complementary medicines. The review ends with selected case studies of heavy metal(loid) toxicity from complementary medicines with specific reference to As, Cd, Pb, and Hg. The future research opportunities mentioned in the conclusion of review will help researchers to explore new avenues, methodologies, and approaches to the issue of heavy metal(loid)s in complementary medicines, thereby generating new regulations and proposing fresh approach towards safe use of these medicines. Copyright © 2017 Elsevier Ltd. All rights reserved.

University Efficiency: Complementariness versus Trade-Off between Teaching, Research and Administrative Activities

ERIC Educational Resources Information Center

Sellers-Rubio, Ricardo; Mas-Ruiz, Francisco J.; Casado-Diaz, Ana B.

2010-01-01

University managers should be aware of the importance that efficiency has for their own universities, orientating their actions towards research and teaching excellence. This study estimates teaching and research efficiency of the different departments of a university and tests the complementariness versus trade-off between them. The results…

Disciplinary Regimes of "Care" and Complementary Alternative Education

ERIC Educational Resources Information Center

Thomson, Pat; Pennacchia, Jodie

2016-01-01

In schools, the notion of "care" is often synonymous with welfare and disciplinary regimes. Drawing on Foucault, and a study of alternative education (AE) across the UK, and looking in depth at two cases of complementary AE, we identify three types of disciplinary regimes at work in schools: (1) dominant performative reward and…

Prevalence, Types and Determinants of Complementary and Alternative Medications among Health Clinic Clients

ERIC Educational Resources Information Center

Almousa, H.; Rabie, Faten M.; Alsamghan, Awad S.; Alsaluli, Mobarak; Albqami, Sultan; Almusa, Mona; Al-shahrani, Areej

2015-01-01

Complementary and Alternative Medicine (CAM) covers a wide range of over 100 healing approaches, philosophies and therapeutic modalities that are not provided by conventional medicine. Objectives: The study was aimed at identifying the prevalence, types and determinants of CAM use, sources of information about CAM that patients usually depend upon…

Social-Cognitive Predictors of College Student Use of Complementary and Alternative Medicine

ERIC Educational Resources Information Center

Versnik Nowak, Amy L.; Dorman, Steve M.

2008-01-01

Background: Little research has addressed the prevalence and predictors of complementary and alternative medicine (CAM) use among undergraduate students. Purpose: The purpose of this study was to: (1) measure the prevalence and type of CAM use among a sample of college undergraduates, and (2) test the significance of select social-cognitive…

75 FR 12769 - National Center for Complementary and Alternative Medicine Announcement of Workshop on Control...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-17

... Complementary and Alternative Medicine Announcement of Workshop on Control/Comparison Groups for Trials of Non... the strengths and weaknesses of the various control/comparison groups used in studies of NPI and the most appropriate use of these control/ comparison groups. This workshop will be divided into six...

Complementary Hemispheric Asymmetries in Object Naming and Recognition: A Voxel-Based Correlational Study

ERIC Educational Resources Information Center

Acres, K.; Taylor, K. I.; Moss, H. E.; Stamatakis, E. A.; Tyler, L. K.

2009-01-01

Cognitive neuroscientific research proposes complementary hemispheric asymmetries in naming and recognising visual objects, with a left temporal lobe advantage for object naming and a right temporal lobe advantage for object recognition. Specifically, it has been proposed that the left inferior temporal lobe plays a mediational role linking…

Theory-Driven Process Evaluation of a Complementary Feeding Trial in Four Countries

ERIC Educational Resources Information Center

Newman, Jamie E.; Garces, Ana; Mazariegos, Manolo; Hambidge, K. Michael; Manasyan, Albert; Tshefu, Antoinette; Lokangaka, Adrien; Sami, Neelofar; Carlo, Waldemar A.; Bose, Carl L.; Pasha, Omrana; Goco, Norman; Chomba, Elwyn; Goldenberg, Robert L.; Wright, Linda L.; Koso-Thomas, Marion; Krebs, Nancy F.

2014-01-01

We conducted a theory-driven process evaluation of a cluster randomized controlled trial comparing two types of complementary feeding (meat versus fortified cereal) on infant growth in Guatemala, Pakistan, Zambia and the Democratic Republic of Congo. We examined process evaluation indicators for the entire study cohort (N = 1236) using chi-square…

Translanguaging Knowledge and Identity in Complementary Classrooms for Multilingual Minority Ethnic Children

ERIC Educational Resources Information Center

Wei, Li

2014-01-01

This article examines multilingual interactions in the complementary school classroom for ethnic Chinese children in the UK. Through a detailed analysis of classroom exchanges amongst the children and their teachers, the study aims to demonstrate how they alternate between different varieties of Chinese and English and different modes of…

Reinforced self-assembly of donor-acceptor π-conjugated molecules to DNA templates by dipole-dipole interactions together with complementary hydrogen bonding interactions for biomimetics.

PubMed

Yang, Wanggui; Chen, Yali; Wong, Man Shing; Lo, Pik Kwan

2012-10-08

One of the most important criteria for the successful DNA-templated polymerization to generate fully synthetic biomimetic polymers is to design the complementary structural monomers, which assemble to the templates strongly and precisely before carrying polymerization. In this study, water-soluble, laterally thymine-substituted donor-acceptor π-conjugated molecules were designed and synthesized to self-assemble with complementary oligoadenines templates, dA(20) and dA(40), into stable and tubular assemblies through noncovalent interactions including π-π stacking, dipole-dipole interactions, and the complementary adenine-thymine (A-T) hydrogen-bonding. UV-vis, fluorescence, circular dichroism (CD), atomic force microscopy (AFM), and transmission electron microscopy (TEM) techniques were used to investigate the formation of highly robust nanofibrous structures. Our results have demonstrated for the first time that the dipole-dipole interactions are stronger and useful to reinforce the assembly of donor-acceptor π-conjugated molecules to DNA templates and the formation of the stable and robust supramolecular nanofibrous complexes together with the complementary hydrogen bonding interactions. This provides an initial step toward DNA-templated polymerization to create fully synthetic DNA-mimetic polymers for biotechnological applications. This study also presents an opportunity to precisely position donor-acceptor type molecules in a controlled manner and tailor-make advanced materials for various biotechnological applications.

The illusion of specific capture: surface and solution studies of suboptimal oligonucleotide hybridization

PubMed Central

2013-01-01

Background Hybridization based assays and capture systems depend on the specificity of hybridization between a probe and its intended target. A common guideline in the construction of DNA microarrays, for instance, is that avoiding complementary stretches of more than 15 nucleic acids in a 50 or 60-mer probe will eliminate sequence specific cross-hybridization reactions. Here we present a study of the behavior of partially matched oligonucleotide pairs with complementary stretches starting well below this threshold complementarity length – in silico, in solution, and at the microarray surface. The modeled behavior of pairs of oligonucleotide probes and their targets suggests that even a complementary stretch of sequence 12 nt in length would give rise to specific cross-hybridization. We designed a set of binding partners to a 50-mer oligonucleotide containing complementary stretches from 6 nt to 21 nt in length. Results Solution melting experiments demonstrate that stable partial duplexes can form when only 12 bp of complementary sequence are present; surface hybridization experiments confirm that a signal close in magnitude to full-strength signal can be obtained from hybridization of a 12 bp duplex within a 50mer oligonucleotide. Conclusions Microarray and other molecular capture strategies that rely on a 15 nt lower complementarity bound for eliminating specific cross-hybridization may not be sufficiently conservative. PMID:23445545

Complementary and alternative medicine: Interaction and communication between midwives and women.

PubMed

Hall, Helen G; Griffiths, Debra; McKenna, Lisa G

2015-06-01

Many pregnant women use complementary and alternative medicine. Although midwives are often supportive, how they communicate with women about the safe use of these therapies has received limited research attention. The aim of this study was to explore how midwives interact with women regarding use of complementary and alternative medicine during pregnancy. We utilised grounded theory methodology to collect and analyse data. Twenty-five midwives who worked in metropolitan hospitals situated in Melbourne, Australia, participated in the study. Data were collected from semi structured interviews and non-participant observations, over an 18-month period. How midwives communicate about complementary and alternative medicine is closely associated with the meaning they construct around the woman's role in decisionmaking. Most aim to work in a manner consistent with the midwifery partnership model and share the responsibility for decisions regarding complementary and alternative medicine. However, although various therapies were commonly discussed, usually the pregnant woman initiated the dialogue. A number of contextual conditions such as the biomedical discourse, lack of knowledge, language barriers and workplace constraints, limited communication in some situations. Midwives often interact with women interested in using CAM. Most value the woman's autonomy and aim to work in partnership. However, various contextual conditions restrain overt CAM communication in clinical practice. Copyright © 2014 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Willingness to Pay for Complementary Health Care Insurance in Iran.

PubMed

Nosratnejad, Shirin; Rashidian, Arash; Akbari Sari, Ali; Moradi, Najme

2017-09-01

Complementary health insurance is increasingly used to remedy the limitations and shortcomings of the basic health insurance benefit packages. Hence, it is essential to gather reliable information about the amount of Willingness to Pay (WTP) for health insurance. We assessed the WTP for health insurance in Iran in order to suggest an affordable complementary health insurance. The study sample consisted of 300 household heads all over provinces of Iran in 2013. The method applied was double bounded dichotomous choice and open-ended question approach of contingent valuation. The average WTP for complementary health insurance per person per month by double bounded dichotomous choice and open-ended question method respectively was 199000 and 115300 Rials (8 and 4.6 USD, respectively). Household's heads with higher levels of income and those who worked had more WTP for the health insurance. Besides, the WTP increased in direct proportion to the number of insured members of each household and in inverse proportion to the family size. The WTP value can be used as a premium in a society. As an important finding, the study indicated that the households were willing to pay higher premiums than currently collected for the complementary health insurance coverage in Iran. This offers the policy makers the opportunity to increase the premium and provide good benefits package for insured people of country then better risk pooling.

American Academy of Pediatrics. The use of complementary and alternative medicine in pediatrics.

PubMed

Kemper, Kathi J; Vohra, Sunita; Walls, Richard

2008-12-01

The American Academy of Pediatrics is dedicated to optimizing the well-being of children and advancing family-centered health care. Related to these goals, the American Academy of Pediatrics recognizes the increasing use of complementary and alternative medicine in children and, as a result, the need to provide information and support for pediatricians. From 2000 to 2002, the American Academy of Pediatrics convened and charged the Task Force on Complementary and Alternative Medicine to address issues related to the use of complementary and alternative medicine in children and to develop resources to educate physicians, patients, and families. One of these resources is this report describing complementary and alternative medicine services, current levels of utilization and financial expenditures, and associated legal and ethical considerations. The subject of complementary and alternative medicine is large and diverse, and consequently, an in-depth discussion of each method of complementary and alternative medicine is beyond the scope of this report. Instead, this report will define terms; describe epidemiology; outline common types of complementary and alternative medicine therapies; review medicolegal, ethical, and research implications; review education and training for complementary and alternative medicine providers; provide resources for learning more about complementary and alternative medicine; and suggest communication strategies to use when discussing complementary and alternative medicine with patients and families.

Use of complementary and alternative medicine by patients with hematological diseases experience at a university hospital in northeast Mexico

PubMed Central

Jaime-Pérez, José Carlos; Chapa-Rodríguez, Adrián; Rodríguez-Martínez, Marisol; Colunga-Pedraza, Perla Rocío; Marfil-Rivera, Luis Javier; Gómez-Almaguer, David

2012-01-01

Background Complementary and alternative medicine includes a diverse group of medical and healthcare systems, practices and products not considered part of conventional medicine. Although there is information on unconventional practices in oncological diseases, specific data regarding the use of complementary and alternative medicine by hematology patients is scarce. Objective The aim of this study is to document the prevalence of this modality of unconventional therapy in patients with malignant and benign hematological diseases, particularly children with acute lymphoblastic leukemia. Methods An observational study of adult patients and guardians of children with malignant or benign hematological diseases was carried out by applying a structured questionnaire detailing the use and results of the most prevalent complementary and alternative medicine practices. Results One hundred and twenty patients were included; 104 had malignant and 16 had benign hematological diseases. The use of complementary and alternative medicine was greater in benign diseases but the difference was not statistically significant (64.7% versus 41.7%; p-value = 0.08). Patients and guardians with high school or college educations used these alternative practices more than patients with less schooling (60.7% versus 54.7%; p-value = 0.032). The use of folk remedies was most prevalent followed by herbal preparations and spiritual healing. Sixty-four percent of patients that used these unconventional practices reported improvement in their symptoms and increased capacity to perform daily activities. Conclusion No significant difference was documented between patients with malignant or benign hematological diseases using these alternative practices. The majority of complementary and alternative medicine users reported improvement of the disease or chemotherapy-related symptoms. PMID:23049401

Cancer and Complementary Health Approaches

MedlinePlus

... Cancer Institute's activities in research on complementary health approaches. Toll-free in the U.S.: 1-800-4-CANCER (1-800-422-6237) Web ... complementary health approaches. Information on complementary health approaches in cancer treatment: ...

Non-pharmacologic labour pain relief.

PubMed

Prasertcharoensuk, Witoon; Thinkhamrop, Jadsada

2004-10-01

Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the use of alternative and complementary therapies for pain management in labour. To examine the effectiveness of complementary and alternative therapies for pain management in labour on maternal and perinatal morbidity. The trials included three trials of hypnosis (n = 189), one involving audio-analgesia (n = 25), one involving (n = 22), and one trial of music (n = 30). Women receiving hypnosis were more satisfied with their pain management in labour compared with controls (RR 2.33, 95% CI 1.55 to 4.71). No differences were seen for women recieving, music or audio analgesia. Hypnosis may be beneficial for the management of pain during labour. However, few complementary therapies have been subjected to proper scientific study.

The timing of introduction of complementary foods and later health.

PubMed

Agostoni, Carlo; Przyrembel, Hildegard

2013-01-01

Complementary food is needed when human milk (or infant formula) alone is no longer sufficient for nutritional reasons. The timing of introduction needs to be determined on an individual basis although 6 months of exclusive breastfeeding can be recommended for most healthy term infants. Solid foods are intended to 'complement' ongoing breastfeeding with those dietary items whose intake has become marginal or insufficient. Both breastfeeding and complementary feeding can have direct or later consequences on health. Possible short-term health effects concern growth velocity and infections while possible long-term effects may relate to obesity, cardiovascular disease, autoimmunity (celiac disease and type 1 diabetes) and atopic disorders. For most of these it is impossible on the basis of the available evidence to conclude on the age when risks related to the start of complementary feeding are lowest or highest, with the possible exception of infections and early growth velocity. For undesirable health consequences, whilst potential mechanisms are recognized, the evidence from mostly observational studies is insufficient and requires more and prospective research. While the 6-month goal is desirable, introduction of suitable complementary food after 4 completed months with ongoing breastfeeding can be considered without adverse health consequences for infants living in affluent countries. Even less evidence on the consequences of the timing of complementary food introduction is available for formula-fed infants. Copyright © 2013 S. Karger AG, Basel.

Complementary medicine for cancer patients in general practice: qualitative interviews with german general practitioners.

PubMed

Dahlhaus, Anne; Siebenhofer, Andrea; Guethlin, Corina

2015-01-01

The aim of this study was to investigate how general practitioners react when their cancer patients show interest in complementary medicine, and how their reaction is related to their knowledge in the field. We conducted semi-structured interviews with 10 German general practitioners. Interviewees came from 5 different federal states and varied in terms of urban/rural setting, single/joint practice, additional certifications, gender and length of professional experience. Interviews were electronically recorded, transcribed and then analysed using qualitative content analysis according to Mayring. General practitioners feel largely responsible for providing information on complementary medicine to their cancer patients. However, uncertainty and a lack of knowledge concerning CAM lead mainly to reactive responses to patients' needs, and the general practitioners base their recommendations on personal experiences and attitudes. They wish to support their cancer patients and thus, in order to keep their patients' hopes up and maintain a trusting relationship, sometimes support complementary medicine, regardless of their own convictions. Although general practitioners see themselves as an important source of information on complementary medicine for their cancer patients, they also speak of their uncertainties and lack of knowledge. General practitioners would profit from training in complementary medicine enabling them to discuss this topic with their cancer patients in a proactive, open and honest manner. © 2015 S. Karger GmbH, Freiburg

Legislation should support optimal breastfeeding practices and access to low-cost, high-quality complementary foods: Indonesia provides a case study.

PubMed

Soekarjo, Damayanti; Zehner, Elizabeth

2011-10-01

It is important to support women to exclusively breastfeed for 6 months and continue breastfeeding for 24 months and beyond. It is also necessary to provide the poor with access to affordable ways to improve the quality of complementary foods. Currently, many countries do not have the legal and policy environment necessary to support exclusive and continued breastfeeding. Legislative and policy changes are also necessary for introducing complementary food supplements, allowing them to be marketed to those who need them, and ensuring that marketing remains appropriate and in full compliance with the International Code of Marketing of Breastmilk Substitutes. This paper aims to illustrate the above with examples from Indonesia and to identify legislative requirements for supporting breastfeeding and enabling appropriate access to high-quality complementary food supplements for children 6-24 months of age. Requirements include improved information, training, monitoring and enforcement systems for the International Code of Marketing of Breastmilk Substitutes; implementation and monitoring of the Baby-Friendly Hospital Initiative; establishment of a registration category for complementary food supplements to enhance availability of high-quality, low-cost fortified products to help improve young child feeding; clear identification and marketing of these products as complementary food supplements for 6-24-month-olds so as to promote proper use and not interfere with breastfeeding. © 2011 Blackwell Publishing Ltd.

Adherence with early infant feeding and complementary feeding guidelines in the Cork BASELINE Birth Cohort Study.

PubMed

O'Donovan, Sinéad M; Murray, Deirdre M; Hourihane, Jonathan O'B; Kenny, Louise C; Irvine, Alan D; Kiely, Mairead

2015-10-01

To describe adherence with infant feeding and complementary feeding guidelines. Prospective study of infant feeding and complementary feeding practices were collected as part of the Cork BASELINE Birth Cohort Study. Cork, Ireland. Data are described for the 823 infants for whom a diary was completed. Breast-feeding was initiated in 81 % of infants, and 34 %, 14 % and 1 % of infants were exclusively breast-fed at hospital discharge, 2 and 6 months, respectively. Stage one infant formula decreased from 71 % at 2 months to 13 % at 12 months. The majority of infants (79 %) were introduced to solids between 17 and 26 weeks and 18 % were given solid foods before 17 weeks. Mothers of infants who commenced complementary feeding prior to 17 weeks were younger (29·8 v. 31·5 years; P<0·001) and more likely to smoke (18 v. 8 %; P=0·004). The first food was usually baby rice (69 %), infant breakfast cereals (14 %) or fruit/vegetables (14 %). Meals were generally home-made (49 %), cereal-based (35 %), manufactured (10 %), dairy (3 %) and dessert-based (3 %). The median gap between the first-second, second-third, third-fourth and fourth-fifth new foods was 4, 2, 2 and 2 d, respectively. We present the largest prospective cohort study to date on early infant feeding in Ireland. The rate of breast-feeding is low by international norms. Most mothers introduce complementary foods between 4 and 6 months with lengthy gaps between each new food/food product. There is a high prevalence of exposure to infant breakfast cereals, which are composite foods, among the first foods introduced.

An exploratory study of complementary and alternative medicine in hospital midwifery: models of care and professional struggle.

PubMed

Adams, Jon

2006-02-01

Complementary and alternative medicine (CAM) is increasingly popular amongst midwives in Australia. A growing number of hospital midwives are personally integrating one or a range of CAM within their midwifery practice. Despite this trend we still know little about CAM in midwifery, particularly at a grass-roots level. This paper reports findings from one section of a larger exploratory study examining grass-root practitioners' understandings and experiences of complementary therapies in nursing and midwifery. Thirteen in-depth interviews were conducted with midwives working in New South Wales public hospitals and currently integrating CAM within their general midwifery practice. Analysis illustrates how midwives' explanations of, and affinity claims regarding, CAM feed into wider ongoing issues relating to professional autonomy and the relationship between midwifery and obstetrics.

Dual embedded agency: physicians implement integrative medicine in health-care organizations.

PubMed

Keshet, Yael

2013-11-01

The paradox of embedded agency addresses the question of how embedded agents are able to conceive of new ideas and practices and then implement them in institutionalized organizations if social structures exert so powerful an influence on behavior, and agents operate within a framework of institutional constraints. This article proposes that dual embedded agency may provide an explanation of the paradox. The article draws from an ethnographic study that examined the ways in which dual-trained physicians, namely medical doctors trained also in some modality of complementary and alternative medicine, integrate complementary and alternative medicine into the biomedical fortress of mainstream health-care organizations. Participant observations were conducted during the years 2006-2011. The observed physicians were found to be embedded in two diverse medical cultures and to have a hybrid professional identity that comprised two sets of health-care values. Seeking to introduce new ideas and practices associated with complementary and alternative medicine to medical institutions, they maneuvered among the constraints of institutional structures while using these very structures, in an isomorphic mode of action, as a platform for launching complementary and alternative medicine practices and values. They drew on the complementary and alternative medicine philosophical principle of interconnectedness and interdependency of seemingly polar opposites or contrary forces and acted to achieve change by means of nonadversarial strategies. By addressing the structure-agency dichotomy, this study contributes to the literature on change in institutionalized health-care organizations. It likewise contributes both theoretically and empirically to the study of integrative medicine and to the further development of this relatively new area of inquiry within the sociology of medicine.

Patient Use of Complementary and Alternative Medicines in an Outpatient Pediatric Neurology Clinic.

PubMed

Kenney, Daniel; Jenkins, Sarah; Youssef, Paul; Kotagal, Suresh

2016-05-01

This article describes the use of complementary and alternative medicines in an outpatient pediatric neurology clinic, and assesses family attitudes toward the efficacy of complementary and alternative medicines versus prescription medications. Complementary and alternative medicine is an important element of the modern health care landscape. There is limited information about whether, and to what extent, families perceive its utility in childhood neurological disorders. Surveys were distributed to 500 consecutive patients at a child neurology clinic in Rochester, Minnesota. Questions pertained to the child's diagnoses, use of complementary and alternative medicines, and the specific complementary and alternative medicine modalities that were used. Opinions were also gathered on the perceived efficacy of complementary and alternative medicines and prescription medications. Data were compared using χ(2) or Fisher exact tests as indicated. A total of 484 surveys were returned, of which 327 were usable. Only 17.4% admitted to use of complementary and alternative medicine to treat neurological problems. However, in follow-up questioning, actually 41.6% of patients recognized that they were using one or more types of complementary and alternative medicines. Disorders associated with a statistically significant increased prevalence of complementary and alternative medicine use were headache (50.8% with headache used complementary and alternative medicine versus 35.7% without headache; P = 0.008, Fisher exact test), chronic fatigue (63.2% vs 38.8%; P = 0.005, Fisher exact test), and sleep disorders (77.1% vs 37.3%; P < 0.0001, Fisher exact test). A large proportion of pediatric neurology patients in our clinic are also using complementary and alternative medicine. Only 38.5% of these recognize themselves as using complementary and alternative medicine, underlining the need to inquire in-depth about its use. Patients who are less satisfied with their prescription medications are more likely to use complementary and alternative medicine, perhaps reflecting the less tractable nature of their disorders. Copyright © 2016 Elsevier Inc. All rights reserved.

Complementary aspects of diffusion imaging and fMRI; I: structure and function.

PubMed

Mulkern, Robert V; Davis, Peter E; Haker, Steven J; Estepar, Raul San Jose; Panych, Lawrence P; Maier, Stephan E; Rivkin, Michael J

2006-05-01

Studying the intersection of brain structure and function is an important aspect of modern neuroscience. The development of magnetic resonance imaging (MRI) over the last 25 years has provided new and powerful tools for the study of brain structure and function. Two tools in particular, diffusion imaging and functional MRI (fMRI), are playing increasingly important roles in elucidating the complementary aspects of brain structure and function. In this work, we review basic technical features of diffusion imaging and fMRI for studying the integrity of white matter structural components and for determining the location and extent of cortical activation in gray matter, respectively. We then review a growing body of literature in which the complementary aspects of diffusion imaging and fMRI, applied as separate examinations but analyzed in tandem, have been exploited to enhance our knowledge of brain structure and function.

Psycho-socioeconomic factors affecting complementary and alternative medicine use among selected rural communities in Malaysia: a cross-sectional study.

PubMed

Ganasegeran, Kurubaran; Rajendran, Anantha Kumar; Al-Dubai, Sami Abdo Radman

2014-01-01

The use of complementary and alternative medicine (CAM) as a source of cure has gained much spectrum worldwide, despite skeptics and advocates of evidence-based practice conceptualized such therapies as human nostrum. This study aimed to explore the factors affecting CAM use among rural communities in Malaysia. A cross-sectional study was carried out on 288 occupants across four rural villages within the District of Selama, Perak, Malaysia. A survey that consisted of socio-economic characteristics, history of CAM use and the validated Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ) were used. The prevalence of self-reported CAM use over the past one year was 53.1%. Multiple logistic regression analyses yielded three significant predictors of CAM use: monthly household income of less than MYR 2500, higher education level, and positive attitude towards CAM. Psycho-socioeconomic factors were significantly associated with CAM use among rural communities in Malaysia.

Complementary Feeding Interventions Have a Small but Significant Impact on Linear and Ponderal Growth of Children in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.

PubMed

Panjwani, Anita; Heidkamp, Rebecca

2017-11-01

Background: World Health Assembly member states have committed to ambitious global targets for reductions in stunting and wasting by 2025. Improving complementary diets of children aged 6-23 mo is a recommended approach for reducing stunting in children <5 y old. Less is known about the potential of these interventions to prevent wasting. Objective: The aim of this article was to review and synthesize the current literature for the impact of complementary feeding interventions on linear [length-for-age z score (LAZ)] and ponderal [weight-for-length z score (WLZ)] growth of children aged 6-23 mo, with the specific goal of updating intervention-outcome linkages in the Lives Saved Tool (LiST). Methods: We started our review with studies included in the previous LiST review and searched for articles published since January 2012. We identified longitudinal trials that compared children aged 6-23 mo who received 1 of 2 types of complementary feeding interventions (nutrition education or counseling alone or complementary food supplementation with or without nutrition education or counseling) with a no-intervention control. We assessed study quality and generated pooled estimates of LAZ and WLZ change, as well as length and weight gain, for each category of intervention. Results: Interventions that provided nutrition education or counseling had a small but significant impact on linear growth in food-secure populations [LAZ standardized mean difference (SMD): 0.11; 95% CI: 0.01, 0.22] but not on ponderal growth. Complementary food supplementation interventions with or without nutrition education also had a small, significant effect in food-insecure settings on both LAZ (SMD: 0.08; 95% CI: 0.04, 0.13) and WLZ (SMD: 0.05; 95% CI: 0.01, 0.08). Conclusions: Nutrition education and complementary feeding interventions both had a small but significant impact on linear growth, and complementary feeding interventions also had an impact on ponderal growth of children aged 6-23 mo in low- and middle-income countries. The updated LiST model will support nutrition program planning and evaluation efforts by allowing users to model changes in intervention coverage on both stunting and wasting. © 2017 American Society for Nutrition.

Assessment of seawater intrusion and nitrate contamination on the groundwater quality in the Korba coastal plain of Cap-Bon (North-east of Tunisia)

NASA Astrophysics Data System (ADS)

Zghibi, Adel; Tarhouni, Jamila; Zouhri, Lahcen

2013-11-01

In recent years, seawater intrusion and nitrate contamination of groundwater have become a growing concern for people in rural areas in Tunisia where groundwater is always used as drinking water. The coastal plain of Korba (north-east of Tunisia) is a typical area where the contamination of the aquifer in the form of saltwater intrusion and high nitrate concentrations is very developed and represents the major consequence of human activities. The objective of this study is to evaluate groundwater resource level, to determine groundwater quality and to assess the risk of NO3- pollution in groundwater using hydrogeochemical tools. Groundwater were sampled and analyzed for physic-chemical parameters: Ca2+, Mg2+, Na+, K+, Cl-, SO42-, HCO3-, NO3-, Total Dissolved Solid and of the physical parameters (pH, electrical conductivity and the temperature). The interpretation of the analytical results is shown numerically and graphically through the ionic deviations, Piper Diagram, seawater fractions and binary diagrams. Moreover, electrical conductivity investigations have been used to identify the location of the major intrusion plumes in this coastal area and to obtain new information on the spatial scales and dynamics of the fresh water-seawater interface. Those processes can be used as indicators of seawater intrusion progression. First, the hydrogeochemical investigation of this aquifer reveals the major sources of contamination, represented by seawater intrusion. Thus, the intensive extraction of groundwater from aquifer reduces freshwater outflow to the sea, creates several drawdown cones and lowering of the water table to as much as 12 m below mean sea level in the center part of the study area especially between Diarr El Hojjej and Tafelloun villages, causing seawater migration inland and rising toward the wells. Moreover, the results of this study revealed the presence of direct cation exchange linked to seawater intrusion and dissolution processes associated with cations exchange. Second, a common contaminant identified in groundwater is dissolved nitrogen in the form of nitrate. The average nitrate concentration of the aquifer is about 30.44 mg/l, but contents as great as about 50 mg/l occur in the central region where seawater has been identified. Nitrate survey reveals that nitrate concentration above the drinking water standard (50 mg/l) covered an area of 122.64 km2, which accounts for 28% of the whole area. Irrigation with the nitrogen fertilizers, domestic sewage, industrial wastewater and movement of contaminants in areas of high hydraulic gradients within the drawdown cones probably are responsible for localized peaks of the nitrate concentration. It is suggested that risk assessment of nitrate pollution is useful for a better management of groundwater resources, preventing soil salinisation and minimizing nitrate pollution in groundwater.

Hydrochemical assessment of groundwater used for irrigation in Rumphi and Karonga districts, Northern Malawi

NASA Astrophysics Data System (ADS)

Wanda, Elijah M. M.; Gulula, Lewis C.; Phiri, Ambrose

Irrigation water quality is an essential component of sustainable agriculture. Irrigation water quality concerns have often been neglected over concerns of quantity in most irrigation projects in Malawi. In this study, a hydrochemical assessment of groundwater was carried out to characterize, classify groundwater and evaluate its suitability for irrigation use in Karonga and Rumphi districts, Northern Malawi. Groundwater samples were collected during wet (January-April 2011) and dry (July-September 2011) seasons from 107 shallow wells and boreholes drilled for rural water supply using standard sampling procedures. The water samples were analysed for pH, major ions, total dissolved solids and electrical conductivity (EC), using standard methods. Multivariate chemometric (such as Kruskal Wallis test), hydrographical methods (i.e. Piper diagram) and PHREEQC geochemical modelling program were used to characterise the groundwater quality. Electrical conductivity, percentage sodium ion (% Na+), residual sodium carbonate (RSC), total dissolved solids (TDS), sodium adsorption ratio (SAR), Kelly’s ratio (KR) and permeability index (PI) were used to evaluate the suitability of water for irrigation. It was established that groundwater is neutral to alkaline and mostly freshwater (TDS < 1000 mg/l) of Ca-HCO3- type. Groundwater is of low mineralisation which did not show statistically significant variations with respect to depth of shallow wells and boreholes, location and seasonality at 5% significance level. Groundwater from Karonga District was largely oversaturated with respect to both calcite and dolomite, where as that from Rumphi District was undersaturated with respect to both calcite and dolomite. However, the calculated PCO2 values suggested that the groundwater system was open to soil CO2 and that there was possibility of degassing of CO2 during flow, which could increase the pH and subsequently result in the oversaturation of calcite in both districts. Groundwater water samples were stable towards calcite and kaolinite stability field. This suggested that equilibrium of the groundwater with silicates is an important indicator of the hydrogeochemical processes behind groundwater quality in the study area. The calculated values of SAR, KR and % Na+ indicated good and permissible quality of water for irrigation uses. However, samples with doubtful RSC (6% from Karonga district), unsuitable PI (5% and 3% from Karonga and Rumphi, respectively) and a high salinity hazard (56.2% and 20.3% from Karonga and Rumphi, respectively) values restrict the suitability of the groundwater for agricultural purposes, and plants with good salt tolerance should be selected for such groundwaters. A detailed hydro-geochemical investigation and integrated water management is suggested for sustainable development of the water resources for better plant growth, long-term as well as maintaining human health in the study area.

Parents' Views and Experiences about Complementary and Alternative Medicine Treatments for Their Children with Autistic Spectrum Disorder

ERIC Educational Resources Information Center

Senel, Hatice Gunayer

2010-01-01

Use of complementary and alternative medicine (CAM) treatments have been increasing for children with autistic spectrum disorder (ASD). In this study, 38 Turkish parents of children with ASD were surveyed related with their use of CAM treatments, experiences, and views for each treatment. They mentioned "Vitamins and minerals",…

Prevalence and Predictors of Complementary and Alternative Medicine Use among Lebanese College Students

ERIC Educational Resources Information Center

Jizi, Lama

2016-01-01

In Lebanon, estimates of Complementary and Alternative Medicine (CAM) use among college students are not available. CAM practices are not well regulated and some products contain unsafe substances. The purpose of this study was to estimate the prevalence and predictors of CAM use among Lebanese college students using the health belief model. A…

Use of Complementary and Alternative Medicine (CAM) Treatments by Parents of Children with Autism Spectrum Disorders

ERIC Educational Resources Information Center

Christon, Lillian M.; Mackintosh, Virginia H.; Myers, Barbara J.

2010-01-01

Parents of children with autism spectrum disorders (ASDs) may elect to use complementary and alternative medicine (CAM) treatments with their children in place of, or in addition to, conventional treatments. CAM treatments are controversial and understudied and, for most, the efficacy has not been established. The current study (n = 248) examined…

Hydrogeological characteristics of aquifer near Arctowski Polish Antarctic Station on King George Island (South Shetland Islands), Antarctica

NASA Astrophysics Data System (ADS)

Krogulec, Ewa; Krogulec, Tomasz; Małecki, Jerzy; Pietrzykowski, Paweł; Dobak, Paweł

2018-06-01

During the Antarctic summer season of 2015/2016, the groundwater studies were performed in the area of Henryk Arctowski Polish Antarctic Station on King George Island (South Shetland Islands) in Admiralty Bay of Antarctica. Rock and groundwater samples were collected from 14 research excavations down to a depth of 0.8-2.5 m b.g.l. Analyses of surface waters were performed on water samples from streams, mossland, and a drinking water reservoir. The scope of hydrochemical studies comprised analyses of temperature, pH, mineralization, phosphates, nitrates, macroelements and selected microelements. Using empirical formulas, granulometric analysis of rock samples from various depths, measurements of sample moisture, and calculations of the hydraulic conductivity were performed. The groundwater is poorly mineralized, representing chloride-sulfate-bicarbonate-sodium and chloride-bicarbonate-sodium-calcium types. Studies on hydrochemical indicators show a small range of the effect of animal ecosystems on the waters; no effects of organic matter have been identified in the study area. Results of hydrogeochemical studies of waters and observations of groundwater levels in the summer season indicate groundwater recharge in a shallow groundwater circulation system, lateral inflow direction from land toward the seashore, and a low rate of rainwater infiltration. Groundwater drainage occurs through evapotranspiration and water runoff to the sea.

Special Section: Complementary and Alternative Medicine (CAM):Quiz on Complementary and Alternative Medicine

MedlinePlus

... Special Section CAM Quiz on Complementary and Alternative Medicine Past Issues / Winter 2009 Table of Contents For ... low back pain. True False Complementary and alternative medicine (CAM) includes: Meditation Chiropractic Use of natural products, ...

Tracing back the nascence of a new sex-determination pathway to the ancestor of bees and ants

PubMed Central

Schmieder, Sandra; Colinet, Dominique; Poirié, Marylène

2012-01-01

In several Hymenoptera, sexual fate is determined by the allelic composition at the complementary sex-determiner locus, a sex-determination mechanism that can strongly affect population dynamics. To date, the molecular identification of complementary sex determiner has only been achieved in the honeybee, where the complementary sex-determiner gene was reported to have arisen from duplication of the feminizer gene. Strikingly, the complementary sex-determiner gene was also proposed to be unique to the honeybee lineage. Here we identify feminizer and complementary sex-determiner orthologues in bumble bees and ants. We further demonstrate that the duplication of feminizer that produced complementary sex determiner occurred before the divergence of Aculeata species (~120 Myr ago). Finally, we provide evidence that the two genes evolved concertedly through gene conversion, complementary sex-determiner evolution being additionally shaped by mosaic patterns of selection. Thus, the complementary sex-determiner gene likely represents the molecular basis for single locus-complementary sex determination in the Aculeata infra-order, and possibly, in the entire Hymenoptera order. PMID:22692538

Alternative and complementary reinforcers as mechanisms linking adolescent conduct problems and substance use.

PubMed

Khoddam, Rubin; Leventhal, Adam M

2016-10-01

The present study tested the hypothesis that teens who engage in conduct problems are more likely to use substances because they engage in fewer alternative reinforcing (i.e., pleasurable) substance-free activities and more complementary reinforcing substance-associated activities. In a cross-sectional, correlational design, 9th grade students (N = 3,383; mean age = 14.6 years) in Los Angeles, California, U.S.A. completed surveys in 2013 measuring conduct problems (e.g., stealing, lying, getting in fights); alternative and complementary reinforcement; use of a number of licit, illicit, and prescription drugs; and other cofactors. Conduct problems were positively associated with past 6-month use of any substance (yes/no) among the overall sample and past 30-day use frequency on a composite index that included 6 substances among past 6-month users. These associations were statistically mediated by diminished alternative reinforcement and increased complementary reinforcement when adjusting for relevant covariates. Conduct problems were associated with lower engagement in alternative reinforcers and increased engagement in complementary reinforcers, which, in turn, were associated with greater likelihood and frequency of substance use. Most mediational relations persisted adjusting for demographic, environmental, and intrapersonal cofactors and generalized to alcohol, cigarette, and marijuana use, although, complementary reinforcers did not significantly mediate the relation of conduct problems with alcohol use frequency. These results point to diminished alternative reinforcement and increased complementary reinforcement as mechanisms linking conduct problems and adolescent substance use. Interventions that increase access to and engagement in a diverse set of alternative substance-free activities and deter activities that complement use may prevent substance use in adolescents who engage in conduct problems. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Alternative and Complementary Reinforcers as Mechanisms Linking Adolescent Conduct Problems and Substance Use

PubMed Central

Khoddam, Rubin; Leventhal, Adam M.

2016-01-01

The present study tested the hypothesis that teens who engage in conduct problems are more likely to use substances because they engage in fewer alternative reinforcing (i.e., pleasurable) substance-free activities and more complementary reinforcing substance-associated activities. In a cross-sectional, correlational design, ninth grade students (N=3,396; mean age=14.6 years) in Los Angeles, California, USA completed surveys in 2013 measuring conduct problems (e.g., stealing, lying, getting in fights), alternative and complementary reinforcement, use of a number of licit, illicit, and prescription drugs, and other co-factors. Conduct problems were positively associated with past six-month use of any substance (yes/no) among the overall sample and past 30-day use frequency on a composite index that included six substances among past six-month users. These associations were statistically mediated by diminished alternative reinforcement and increased complementary reinforcement when adjusting for relevant covariates. Conduct problems were associated with lower engagement in alternative reinforcers and increased engagement in complementary reinforcers, which, in turn, was associated with greater likelihood and frequency of substance use. Most mediational relations persisted adjusting for demographic, environmental, and intrapersonal co-factors and generalized to alcohol, cigarette, and marijuana use; though, complementary reinforcers did not significantly mediate the relation of CPs with alcohol use frequency. These results point to diminished alternative reinforcement and increased complementary reinforcement as mechanisms linking conduct problems and adolescent substance use. Interventions that increase access to and engagement in a diverse set of alternative substance-free activities and deter activities that complement use may prevent substance use in adolescents who engage in conduct problems. PMID:27690501

Views and experiences of healthcare professionals towards the use of African traditional, complementary and alternative medicines among patients with HIV infection: the case of eThekwini health district, South Africa.

PubMed

Nlooto, Manimbulu

2015-06-06

Many patients with human immunodeficiency virus infection use traditional, complementary, and alternative medicines and other practices to combat the disease, with some also using prescribed antiretroviral therapy provided by the public health sector. This study aimed to establish the awareness of public sector biomedical health care providers on the use of traditional, complementary and alternative medicines by HIV-infected patients who also used highly active antiretroviral therapy, and to determine whether this was based on patients seen or cases being reported to them. Potential risks of interactions between the prescribed antiretroviral and non-prescribed medication therapies may pose safety and effectiveness issues in patients using both types of treatment. A descriptive cross-sectional study, using a researcher administered semi-structured questionnaire, was conducted from June to August 2013 at ten public sector antiretroviral clinics in five regional, three specialised and two district hospitals in eThekwini Health District, South Africa. Questionnaires were administered through face-to face interview to 120 eligible participants consisting of doctors, nurses, pharmacists and post-basic pharmacist assistants in HIV clinical practice. The results are presented as percent or proportion with standard error (SE), or as frequency. Ninety-four respondents completed the questionnaire, yielding a response rate of 78.3 %. Almost half (48/94) were aware of patients using African traditional herbal medicines, over-the-counter supplements, unnamed complementary Ayurveda medicines and acupuncture. Twenty-three of the 94 respondents (24.4 %) said they had consulted patients who were using both antiretroviral therapy and certain types of non-prescribed medication in the previous three months. Awareness among healthcare providers on patient use of traditional, complementary and alternative medicines was relatively high. Few respondents had seen patients who used mostly African traditional medicines, over-the counter supplements, and negligible complementary Ayurveda medicines and acupuncture, with caution being advised in the interpretation of the former. Further research is needed to investigate communication between healthcare providers and patients in this regard, and levels of acceptance of traditional, complementary and alternative medicines by biomedical health care workers in HIV public sector practice.

Radioactive occurrences in veins and igneous and metamorphic rocks of New Mexico with annotated bibliography. [Over 600 citations

DOE Office of Scientific and Technical Information (OSTI.GOV)

McLemore, V. T.

1982-01-01

From an extensive literature search and field examination of 96 nonsandstone radioactive occurrences, the author compiled an annotated bibliography of over 600 citations and a list of 327 radioactive occurrences in veins and igneous and metamorphic rocks of New Mexico. The citations are indexed by individual radioactive occurrence, geographic area, county, fluorspar deposits and occurrences, geochemical analyses, and geologic maps. In addition, the geology, mineralization, and uranium and thorium potential of 41 geographic areas in New Mexico containing known radioactive occurrences in veins and igneous and metamorphic rocks or that contain host rocks considered favorable for uranium or thorium mineralizationmore » are summarized. A list of aerial-radiometric, magnetic, hydrogeochemical, and stream-sediment survey reports is included.« less

Fitting a three-parameter lognormal distribution with applications to hydrogeochemical data from the National Uranium Resource Evaluation Program

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kane, V.E.

1979-10-01

The standard maximum likelihood and moment estimation procedures are shown to have some undesirable characteristics for estimating the parameters in a three-parameter lognormal distribution. A class of goodness-of-fit estimators is found which provides a useful alternative to the standard methods. The class of goodness-of-fit tests considered include the Shapiro-Wilk and Shapiro-Francia tests which reduce to a weighted linear combination of the order statistics that can be maximized in estimation problems. The weighted-order statistic estimators are compared to the standard procedures in Monte Carlo simulations. Bias and robustness of the procedures are examined and example data sets analyzed including geochemical datamore » from the National Uranium Resource Evaluation Program.« less

Reactive transport codes for subsurface environmental simulation

DOE PAGES

Steefel, C. I.; Appelo, C. A. J.; Arora, B.; ...

2014-09-26

A general description of the mathematical and numerical formulations used in modern numerical reactive transport codes relevant for subsurface environmental simulations is presented. The formulations are followed by short descriptions of commonly used and available subsurface simulators that consider continuum representations of flow, transport, and reactions in porous media. These formulations are applicable to most of the subsurface environmental benchmark problems included in this special issue. The list of codes described briefly here includes PHREEQC, HPx, PHT3D, OpenGeoSys (OGS), HYTEC, ORCHESTRA, TOUGHREACT, eSTOMP, HYDROGEOCHEM, CrunchFlow, MIN3P, and PFLOTRAN. The descriptions include a high-level list of capabilities for each of themore » codes, along with a selective list of applications that highlight their capabilities and historical development.« less

Growth and HIV-free survival of HIV-exposed infants in Malawi: A randomized trial of two complementary feeding interventions in the context of maternal antiretroviral therapy

USDA-ARS?s Scientific Manuscript database

The objective of this study was to compare the growth of HIV-exposed children receiving 1 of 2 complementary foods after prevention of mother-to-child HIV transmission through maternal lifelong antiretroviral therapy (ART). In rural Malawi, 280 HIV-infected pregnant women were consecutively identifi...

Focusing and Expressive Arts Therapy as a Complementary Treatment for Women with Breast Cancer

ERIC Educational Resources Information Center

Klagsbrun, Joan; Rappaport, Laury; Speiser, Vivien Marcow; Post, Pamela; Byers, Julia; Stepakoff, Shanee; Karman, Shira

2005-01-01

This pilot study (N = 18) explored the effectiveness of focusing and expressive arts therapies intervention on the quality of life of women with breast cancer. The format was a 2-day (7 hours per day) retreat/support group in which complementary treatments (focusing, writing, art, and movement) were provided in an intensive format. Our hypothesis…

Complementary and Alternative Medicine: Attitudes and Use among Health Educators in the United States

ERIC Educational Resources Information Center

Johnson, Ping; Priestley, Jennifer; Porter, Kandice Johnson; Petrillo, Jane

2010-01-01

Background: Interest in and use of complementary and alternative medicine (CAM) in the United States is increasing. However, CAM remains an area of nascency for researchers and western practitioners. Purpose: The purpose of this study was to examine U.S. health educators' attitudes toward CAM and their use of common CAM therapies. Methods: A…

Parents' Use of Complementary Health Approaches for Young Children with Autism Spectrum Disorder

ERIC Educational Resources Information Center

Lindly, Olivia J.; Thorburn, Sheryl; Heisler, Karen; Reyes, Nuri M.; Zuckerman, Katharine E.

2018-01-01

Knowledge of why parents use complementary health approaches (CHA) for children with autism spectrum disorder (ASD) is limited. We conducted a mixed methods study to better understand factors influencing parents' decision to use CHA for ASD. Parent-reported data about CHA use were collected on a probability sample of 352 young children with ASD in…

A Survey of Complementary and Alternative Medicine Knowledge among Health Educators in the United States

ERIC Educational Resources Information Center

Johnson, Ping; Priestley, Jennifer Lewis; Johnson, Roy D.

2008-01-01

Background: Complementary and alternative medicine (CAM) is popular among U.S. health care consumers, but no study has examined how much health educators know about CAM. Purpose: To examine the knowledge of basic CAM concepts and common CAM therapies among health educators in the U.S. Methods: An online survey was conducted among 1,299 health…

Maternal Knowledge of Nutrition, Problem-Solving Abilities and the Introduction of Complementary Foods into Infants' Diets

ERIC Educational Resources Information Center

Hart, Chantelle Nobile; Drotar, Dennis

2006-01-01

The purpose of the present study was to identify variables (maternal knowledge and problem-solving ability) associated with the early introduction of complementary foods (i.e. foods other than breastmilk or formula) into infants diets. Ninety-eight primarily African-American mothers who presented to an urban, ambulatory care clinic in the Midwest…

Complementary Alternation Discourse Constructions in English: A Preliminary Study

ERIC Educational Resources Information Center

Iza Erviti, Aneider

2015-01-01

This paper examines the essential features of a group of constructions that belong to the family of complementary alternation discourse constructions in English. In this group of constructions, X and Y are two situations such that Y is less likely (or more likely) to happen than X. Each member of this group (X Let Alone Y, X Much Less Y, X Never…

[Leeches, phytotherapy and physiotherapy in osteo-arthrosis of the knee--a geriatric case study].

PubMed

Teut, Michael; Warning, Albrecht

2008-10-01

Chronic pain is a serious problem for geriatric patients. Conventional pharmacotherapy with nonsteroidal anti-inflammatory drugs or opiates is often accompanied by serious side effects. An 87-year-old woman with severe joint pain due to osteoarthritis of the knee presented with side effects from fentanyl therapy. She was subsequently treated in an inpatient setting with leeches, phytotherapy, physiotherapy and three single doses of metamizol. Prospective single-case study. Pain reduction was assessed with a numeric rating scale (0-10; 0 = minimum; 10 = maximum), mobility by walking distance, and activities of daily living by Barthel index. The association between complementary therapy and the changes observed in the patient under treatment were evaluated using cognition-based medicine. Under complementary therapy, the patient experienced a clear reduction in pain (from 8 to 3 points on the numeric rating scale); regained the ability to walk (increase in walking distance from 0 to 70 m); and showed improvements in activities of daily living (increase in Barthel index from 45 to 65). An association between pain reduction and the complementary treatment setting seems likely. The role of complementary pain therapy in geriatric patients should be evaluated systematically. 2008 S. Karger AG, Basel

Age of Complementary Foods Introduction and Risk of Anemia in Children Aged 4-6 years: A Prospective Birth Cohort in China.

PubMed

Wang, Fenglei; Liu, Huijuan; Wan, Yi; Li, Jing; Chen, Yu; Zheng, Jusheng; Huang, Tao; Li, Duo

2017-03-23

Age of complementary foods introduction is associated with childhood anemia, but the ideal age for the introduction of complementary foods to infants is a continuing topic of debate. We examined the longitudinal association between complementary foods introduction age and risk of anemia in 18,446 children from the Jiaxing Birth Cohort, who had detailed complementary feeding records at 3 and 6 months of age and had hemoglobin concentrations measured at 4-6 years. Early introduction of complementary foods at 3-6 months of age was significantly associated with a higher risk of anemia (odds ratio = 1.14; 95% confidence interval: 1.01-1.28) and a lower hemoglobin concentration of -0.84 g/L (95% confidence interval: -1.33 to -0.35) in children aged 4-6 years, compared with those fed complementary foods starting at 6 months of age. When it comes to the specific type of complementary foods, early introduction of all plant-based foods was associated with increased anemia risks and lower hemoglobin concentrations, while early introduction of most animal-based foods was not. These findings may be informative regarding the appropriate time to introduce complementary foods in infants.

Assessment the impact of samplers change on the uncertainty related to geothermalwater sampling

NASA Astrophysics Data System (ADS)

Wątor, Katarzyna; Mika, Anna; Sekuła, Klaudia; Kmiecik, Ewa

2018-02-01

The aim of this study is to assess the impact of samplers change on the uncertainty associated with the process of the geothermal water sampling. The study was carried out on geothermal water exploited in Podhale region, southern Poland (Małopolska province). To estimate the uncertainty associated with sampling the results of determinations of metasilicic acid (H2SiO3) in normal and duplicate samples collected in two series were used (in each series the samples were collected by qualified sampler). Chemical analyses were performed using ICP-OES method in the certified Hydrogeochemical Laboratory of the Hydrogeology and Engineering Geology Department at the AGH University of Science and Technology in Krakow (Certificate of Polish Centre for Accreditation No. AB 1050). To evaluate the uncertainty arising from sampling the empirical approach was implemented, based on double analysis of normal and duplicate samples taken from the same well in the series of testing. The analyses of the results were done using ROBAN software based on technique of robust statistics analysis of variance (rANOVA). Conducted research proved that in the case of qualified and experienced samplers uncertainty connected with the sampling can be reduced what results in small measurement uncertainty.

Hydrogeochemical data from an acidic deposition study at McDonalds Branch basin in the New Jersey Pinelands, 1983-86

USGS Publications Warehouse

Lord, D.G.; Barringer, J.L.; Johnsson, P.A.; Schuster, P.F.; Walker, R.L.; Fairchild, J.E.; Sroka, B.N.; Jacobsen, Eric

1990-01-01

Data from a 1983-86 acidic-deposition study at McDonalds Branch basin, a small (2.35-sq-mi) forested watershed in Lebanon State Forest, New Jersey include mineralogy of soil and depositional clays; physical and chemical analyses of soils; hydrologic measurements (precipitation and throughfall amounts, stream stage and discharge, and water-table altitudes); and water quality data from precipitation, throughfall, soil water, surface water, and groundwater. Site locations, collector designs, and well- construction data also are presented. The pH of bulk precipitation to McDonalds Branch basin over the sampling period (January 1985 to March 1986) ranged from 4.0 to 4.7, with a mean of approximately 4.3. Stream pH ranged from 3.2 to 4.8 and generally increased in a downstream direction. In general sulfate was the dominant anion throughout the basin. Aluminum concentrations commonly were elevated in surface and groundwaters, and were as high as 10,000 micrograms/L at one upstream site on McDonalds Branch. Dissolved organic carbon was an important component of stream waters in some locations and ranged in concentration from 1/1 to 37 mg/L. (USGS)

Complementary feeding adequacy in relation to nutritional status among early weaned breastfed children who are born to HIV-infected mothers: ANRS 1201/1202 Ditrame Plus, Abidjan, Cote d'Ivoire.

PubMed

Becquet, Renaud; Leroy, Valériane; Ekouevi, Didier K; Viho, Ida; Castetbon, Katia; Fassinou, Patricia; Dabis, François; Timite-Konan, Marguerite

2006-04-01

In high HIV prevalence resource-constrained settings, exclusive breastfeeding with early cessation is one of the conceivable interventions aimed at the prevention of HIV through breast milk. Nevertheless, this intervention has potential adverse effects, such as the inappropriateness of complementary feeding to take over breast milk. The purpose of our study first was to describe the nature and the ages of introduction of complementary feeding among early weaned breastfed infants up to their first birthday and second was to assess the nutritional adequacy of these complementary foods by creating a child feeding index and to investigate its association with child nutritional status. A prospective cohort study in Abidjan, Côte d'Ivoire, was conducted in HIV-infected pregnant women who were willing to breastfeed and had received a perinatal antiretroviral prophylaxis. They were requested to practice exclusive breastfeeding and initiate early cessation of breastfeeding from the fourth month to reduce breast milk HIV transmission. Nature and ages of introductory complementary feeding were described in infants up to their first birthday by longitudinal compilation of 24-hour and 7-day recall histories. These recalls were done weekly until 6 weeks of age, monthly until 9 months of age, and then quarterly. We created an index to synthesize the nutritional adequacy of infant feeding practices (in terms of quality of the source of milk, dietary diversity, food, and meal frequencies) ranging from 0 to 12. The association of this feeding index with growth outcomes in children was investigated. Among the 262 breastfed children included, complete cessation of breastfeeding occurred in 77% by their first birthday, with a median duration of 4 months. Most of the complementary foods were introduced within the seventh month of life, except for infant food and infant formula that were introduced at age 4 months. The feeding index was relatively low (5 of 12) at age 6 months, mainly as a result of insufficient dietary diversity, but was improved in the next 6 months (8.5 of 12 at 12 months of age). Inadequate complementary feeding at age 6 months was associated with impaired growth during the next 12 months, with a 37% increased probability of stunting. Adequate feeding practices around the weaning period are crucial to achieving optimal child growth. HIV-infected women should turn to early cessation of breastfeeding only when they are counseled properly to provide adequate complementary feeding to take over breast milk. Our child feeding index could contribute to the assessment of the nutritional adequacy of complementary feeding around the weaning period and therefore help to detect children who are at risk for malnutrition.

Is complementary and alternative therapy effective for women in the climacteric period?

PubMed

Kim, Mi Young; Choi, Seung Do; Ryu, Aeli

2015-04-01

Vasomotor symptoms start about 2 years prior to menopause in women who are approaching menopause, and early menopause symptoms appear including emotional disturbance and anxiety, followed by physical changes such as vaginal dryness, urinary incontinence and skin wrinkles. As time progresses, osteoporosis, cardiovascular diseases, and dementia occur consecutively. Hormone therapy is primarily considered for the relief of menopause symptoms in postmenopausal women. However, as hormone replacement has emerged as a therapy that increases the potential risk of thrombosis, cerebral infarction and breast cancer, complementary and alternative medicine has drawn much attention. This study aimed to examine the types and effects of evidence-based complementary and alternative therapies that are currently used.

Spermine moiety attached to the C-5 position of deoxyuridine enhances the duplex stability of the phosphorothioate DNA/complementary DNA and shows the susceptibility of the substrate to RNase H.

PubMed

Moriguchi, Tomohisa; Sakai, Hideaki; Suzuki, Hideo; Shinozuka, Kazuo

2008-09-01

Novel phosphorothioate-modified oligodeoxynucleotides (S-ODNs) containing a deoxyuridine derivative bearing a spermine moiety at the C-5 position were synthesized. The study of the thermal stability and the thermodynamic stability showed that the modified S-ODNs have been able to form the stable duplexes with the complementary DNA. It was also found that the duplex composed of the modified S-ODN and its complementary RNA strand is the substrate for Escherichia coli RNase H, and the cleavage of the RNA strand by the enzyme was almost similar as in the case of the unmodified one.

Expectations and responsibilities regarding the sale of complementary medicines in pharmacies: perspectives of consumers and pharmacy support staff.

PubMed

Iyer, Priya; McFarland, Reanna; La Caze, Adam

2017-08-01

Most sales of complementary medicines within pharmacies are conducted by pharmacy support staff. The absence of rigorous evidence for the effectiveness of many complementary medicines raises a number of ethical questions regarding the sale of complementary medicines in pharmacies. Explore (1) what consumers expect from pharmacists/pharmacies with regard to the sale of complementary medicines, and (2) how pharmacy support staff perceive their responsibilities when selling complementary medicines. One-on-one semi-structured interviews were conducted with a convenience sample of pharmacy support staff and consumers in pharmacies in Brisbane. Consumers were asked to describe their expectations when purchasing complementary medicines. Pharmacy support staff were asked to describe their responsibilities when selling complementary medicines. Interviews were conducted and analysed using the techniques developed within Grounded Theory. Thirty-three consumers were recruited from three pharmacies. Consumers described complementary medicine use as a personal health choice. Consumer expectations on the pharmacist included: select the right product for the right person, expert product knowledge and maintaining a wide range of good quality stock. Twenty pharmacy support staff were recruited from four pharmacies. Pharmacy support staff employed processes to ensure consumers receive the right product for the right person. Pharmacy support staff expressed a commitment to aiding consumers, but few evaluated the reliability of effectiveness claims regarding complementary medicines. Pharmacists need to respect the personal health choices of consumers while also putting procedures in place to ensure safe and appropriate use of complementary medicines. This includes providing appropriate support to pharmacy support staff. © 2016 Royal Pharmaceutical Society.

75 FR 11186 - National Center for Complementary and Alternative Medicine Announcement of Workshop on Natural...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-10

... Complementary and Alternative Medicine Announcement of Workshop on Natural Products ACTION: Notice. SUMMARY: As part of its strategic planning process, the National Center for Complementary and Alternative Medicine... attend. Seating is limited. Background: The National Center for Complementary and Alternative Medicine...

75 FR 19979 - National Center for Complementary and Alternative Medicine Announcement of Workshop on the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-16

... Complementary and Alternative Medicine Announcement of Workshop on the Deconstruction of Back Pain ACTION: Notice. SUMMARY: The National Center for Complementary and Alternative Medicine (NCCAM) invites the... Alternative Medicine (NCCAM) was established in 1999 with the mission of exploring complementary and...

75 FR 30039 - National Center for Complementary and Alternative Medicine; Notice of Closed Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-28

... Complementary and Alternative Medicine; Notice of Closed Meetings Pursuant to section 10(d) of the Federal... Complementary and Alternative Medicine Special Emphasis Panel; Education Panel. Date: June 24-25, 2010. Time: 5... of Committee: National Center for Complementary and Alternative Medicine Special Emphasis Panel; RFA...

75 FR 57970 - National Center for Complementary & Alternative Medicine; Notice of Closed Meeting

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2010-09-23

... Complementary & Alternative Medicine; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Complementary and Alternative Medicine Special Emphasis Panel, Centers of Excellence for Research on CAM (CERC... Complementary, & Alternative Medicine, NIH, 6707 Democracy Blvd., Suite 401, Bethesda, MD 20892, 301-594-3456...

77 FR 73036 - National Center for Complementary & Alternative Medicine; Notice of Meeting

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2012-12-07

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77 FR 52750 - National Center for Complementary & Alternative Medicine; Notice of Meeting

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2012-08-30

... Complementary & Alternative Medicine; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory... Council for Complementary and Alternative Medicine. The meeting will be open to the public as indicated... privacy. Name of Committee: National Advisory Council for Complementary and Alternative Medicine. Date...

78 FR 76635 - National Center for Complementary and Alternative Medicine; Notice of Meeting

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2013-12-18

... Complementary and Alternative Medicine; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory... Council for Complementary and Alternative Medicine. The meeting will be open to the public as indicated... privacy. Name of Committee: National Advisory Council for Complementary and Alternative Medicine; NCCAM...

75 FR 43994 - National Center for Complementary and Alternative Medicine; Notice of Meeting

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2010-07-27

... Complementary and Alternative Medicine; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory... Complementary and Alternative Medicine (NACCAM) meeting. The meeting will be open to the public as indicated... privacy. Name of Committee: National Advisory Council for Complementary and Alternative Medicine. Date...

77 FR 25185 - National Center for Complementary and Alternative Medicine; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-27

... Complementary and Alternative Medicine; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory... Council for Complementary and Alternative Medicine. The meeting will be open to the public as indicated... privacy. Name of Committee: National Advisory Council for Complementary and Alternative Medicine. Date...

Complementary and alternative medicine for autism spectrum disorders: rationale, safety and efficacy.

PubMed

Whitehouse, Andrew J O

2013-09-01

Complementary and alternative medicine is widely used for children with autism spectrum disorder, despite uncertainty regarding efficacy. This review describes complementary and alternative practices commonly used among this population, the rationale for the use of each practice, as well as the side-effect profile and evidence for efficacy. The existing evidence base indicates that melatonin can be recommended as a treatment for sleeping disturbances associated with autism spectrum disorder, while secretin can be rejected as an efficacious treatment for broader autistic symptoms. There is insufficient evidence to draw conclusions on the efficacy of modified diets, hyperbaric oxygen therapy, immune therapy, and vitamin and fatty acid supplementation. There is a clear need for methodologically rigorous studies to provide evidence-based guidance to families and clinicians regarding complementary and alternative practices for individuals with autism spectrum disorders. © 2013 The Author. Journal of Paediatrics and Child Health © 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

Complementary filter implementation in the dynamic language Lua

NASA Astrophysics Data System (ADS)

Sadowski, Damian; Sawicki, Aleksander; Lukšys, Donatas; Slanina, Zdenek

2017-08-01

The article presents the complementary filter implementation, that is used for the estimation of the pitch angle, in Lua script language. Inertial sensors as accelerometer and gyroscope were used in the study. Methods of angles estimation using acceleration and angular velocity sensors were presented in the theoretical part of the article. The operating principle of complementary filter has been presented. The prototype of Butterworth's analogue filter and its digital equivalent have been designed. Practical implementation of the issue was performed with the use of PC and DISCOVERY evaluation board equipped with STM32F01 processor, L3GD20 gyroscope and LS303DLHC accelerometer. Measurement data was transmitted by UART serial interface, then processed with the use of Lua software and luaRS232 programming library. Practical implementation was divided into two stages. In the first part, measurement data has been recorded and then processed with help of a complementary filter. In the second step, coroutines mechanism was used to filter data in real time.

Hydrogeochemical tracing of mineral water in Jingyu County, Northeast China.

PubMed

Yan, Baizhong; Xiao, Changlai; Liang, Xiujuan; Wu, Shili

2016-02-01

The east Jilin Province in China, Jingyu County has been explored as a potential for enriching mineral water. In order to assess the water quality and quantity, it is of crucial importance to investigate the origin of the mineral water and its flow paths. In this study, eighteen mineral springs were sampled in May and September of 2012, May and September of 2013, and May 2014 and the environment, evolvement, and reaction mechanism of mineral water formation were analysed by hydrochemical data analysis, geochemical modelling and multivariate statistical analysis. The results showed that the investigated mineral water was rich in calcium, magnesium, potassium, sodium, bicarbonate, chloride, sulphate, fluoride, nitrate, total iron, silicate, and strontium, and mineral water ages ranged from 11.0 to more than 61.0 years. The U-shape contours of the mineral ages indicate a local and discrete recharge. The mineral compositions of the rocks were olivine, potassium feldspar, pyroxene, albite, and anorthite and were under-saturated in the mineral water. The origin of mineral water was from the hydrolysis of basalt minerals under a neutral to slightly alkaline and CO2-rich environment.

Origins of water and solutes in and north of the Norris-Mammoth Corridor, Yellowstone National Park

USGS Publications Warehouse

Kharaka, Yousif; Mariner, Robert; Ambats, Gil; Evans, William; White, Lloyd; Bullen, Thomas; Kennedy, B. Mack

1990-01-01

This study was initiated to investigate the impacts of geothermal development in the Corwin Springs Known Geothermal Resources Area (KGRA) on the hydrothermal features of Yellowstone National Park. To determine possible hydrogeochemical connections, we used the diagnostic stable and radioactive isotopes of several elements, and the chemical and gas compositions of thermal and cold waters from the Norris-Mammoth Corridor and areas north of the Park. The investigations were particularly comprehensive in the Mammoth Hot Springs area, Corwin Springs KGRA, and Chico Hot Springs. The geochemical tools used are still subject to uncertainties of 1 - 5%. Preliminary interpretation of the data, especially the ??D and ??18O values of water, 87Sr/86Sr ratios, ??11B values, composition and isotopes of noble gases and several conservative chemical species would indicate that the waters from Mammoth Hot Springs and La Duke Spring area have evolved chemically and isotopically by reactions with different rock types, and are probably not directly connected. These data indicate that a component (<20%) of water in Bear Creek Springs may be derived from the Mammoth system.

Insights and participatory actions driven by a socio-hydrogeological approach for groundwater management: the Grombalia Basin case study (Tunisia)

NASA Astrophysics Data System (ADS)

Tringali, C.; Re, V.; Siciliano, G.; Chkir, N.; Tuci, C.; Zouari, K.

2017-08-01

Sustainable groundwater management strategies in water-scarce countries need to guide future decision-making processes pragmatically, by simultaneously considering local needs, environmental problems and economic development. The socio-hydrogeological approach named `Bir Al-Nas' has been tested in the Grombalia region (Cap Bon Peninsula, Tunisia), to evaluate the effectiveness of complementing hydrogeochemical and hydrogeological investigations with the social dimension of the issue at stake (which, in this case, is the identification of groundwater pollution sources). Within this approach, the social appraisal, performed through social network analysis and public engagement of water end-users, allowed hydrogeologists to get acquainted with the institutional dimension of local groundwater management, identifying issues, potential gaps (such as weak knowledge transfer among concerned stakeholders), and the key actors likely to support the implementation of the new science-based management practices resulting from the ongoing hydrogeological investigation. Results, hence, go beyond the specific relevance for the Grombaila basin, showing the effectiveness of the proposed approach and the importance of including social assessment in any given hydrogeological research aimed at supporting local development through groundwater protection measures.

Hydrochemical constraints between the karst Tabular Middle Atlas Causses and the Saïs basin (Morocco): implications of groundwater circulation

NASA Astrophysics Data System (ADS)

Miche, Hélène; Saracco, Ginette; Mayer, Adriano; Qarqori, Khaoula; Rouai, Mohamed; Dekayir, Abdelilah; Chalikakis, Konstantinos; Emblanch, Christophe

2018-02-01

The karst Tabular Middle Atlas Causses reservoir is the main drinking-water supply of Fez-Meknes region (Saïs Basin) in Morocco. Recent analyses showed a decline in associated groundwater chemical quality and increased turbidity. To understand this hydrosystem, four surveys were undertaken during fall and spring, 2009-2011. Hydrogeochemical studies coupled with isotopic analyses (δ18O, δD and 222Rn) showed that the aquifers between the causses (mountains) and the Saïs Basin are of Liassic origin and at the southern extremities are of Triassic origin. Five recharge zones of different altitudes have been defined, including two main mixing zones in the south. Deuterium excess results suggest local recharge, while a plot of δ18O versus δD characterizes a confined aquifer in the eastern sector. 222Rn results reveal areas of rapid exchanges with an upwelling time of less than 2 weeks. A schematic conceptual model is presented to explain the groundwater circulation system and the behavior of this karst system.

Concentrations and activity ratios of uranium isotopes in groundwater from Doñana National Park, South of Spain

NASA Astrophysics Data System (ADS)

Bolívar, J. P.; Olías, M.; González-García, F.; García-Tenorio, R.

2008-08-01

The levels and distribution of natural radionuclides in groundwaters from the unconfined Almonte-Marismas aquifer, upon which Doñana National Park is located, have been analysed. Most sampled points were multiple piezometers trying to study the vertical distribution of the hydrogeochemical characteristics in the aquifer. Temperature, pH, electrical conductivity, dissolved oxygen and redox potential were determined in the field. A large number of parameters, physico-chemical properties, major and minor ions, trace elements and natural radionuclides (U-isotopes, Th-isotopes, Ra-isotopes and 210Po), were also analysed. In the southern zone, where aeolian sands crop out, water composition is of the sodium chloride type, and the lower U-isotopes concentrations have been obtained. As water circulates through the aquifer, bicarbonate and calcium concentrations increase slightly, and higher radionuclides concentrations were measured. Finally, we have demonstrated that 234U/238U activity ratios can be used as markers of the type of groundwater and bedrock, as it has been the case for old waters with marine origin confined by a marsh in the south-east part of aquifer.

Hydrogeochemical Investigation of Recharge Pathways to Intermediate and Regional Groundwater in Canon de Valle and Technical Area 16, Los Alamos National Laboratory

DOE Office of Scientific and Technical Information (OSTI.GOV)

Brady, Brendan W.

In aquifers consisting of fractured or porous igneous rocks, as well as conglomerate and sandstone products of volcanic formations, silicate minerals actively dissolve and precipitate (Eby, 2004; Eriksson, 1985; Drever, 1982). Dissolution of hydrated volcanic glass is also known to influence the character of groundwater to which it is exposed (White et al., 1980). Hydrochemical evolution, within saturated zones of volcanic formations, is modeled here as a means to resolve the sources feeding a perched groundwater zone. By observation of solute mass balances in groundwater, together with rock chemistry, this study characterizes the chemical weathering processes active along recharge pathwaysmore » in a mountain front system. Inverse mass balance modeling, which accounts for mass fluxes between solid phases and solution, is used to contrive sets of quantitative reactions that explain chemical variability of water between sampling points. Model results are used, together with chloride mass balance estimation, to evaluate subsurface mixing scenarios generated by further modeling. Final model simulations estimate contributions of mountain block and local recharge to various contaminated zones.« less

THE INTERFERENCE OF INACTIVE SERUM AND EGG-WHITE IN THE PHENOMENON OF COMPLEMENT FIXATIONS.

PubMed

Noguchi, H; Bronfenbrenner, J

1911-01-05

The fixing property of a specific precipitate and of syphilitic serum in the presence of certain antigenic lipoids, can be removed by adding certain non-complementary proteins of blood serum or hen's egg. This disappearance of the complementary activity in the syphilis reaction, as well as in the true Bordet-Gengou reaction, is a phenomenon which incidentally accompanies the fixation of certain serum constituents, some of which possess a complementary activity. The presence or absence of the complementary property in these protein components does not influence fixation. Whether the disappearance of the complementary activity during the phenomenon of so-called fixation is due to a mechanical precipitation of the molecules through absorption or whether it is due to a physico-chemical alteration of the active molecules, is unknown. It is more probable that a chemical interaction takes place in the case of the syphilis reaction. Certain sera, for example, those derived from man and goat, show a low fixability. It is interesting to note that the fixability is gradually diminished when these sera and egg-white are heated to a temperature above 56 degrees C., and totally disappears at 85 degrees C. The coagulation of proteins with absolute alcohol or by boiling, destroys their interfering property. The fact that the fixation is not selectively directed towards complement, has a very important meaning for exact serology. The one-sided accuracy as to the complementary unity is no longer sufficient for quantitative work. Both the complementary and the volumetric unity of a serum serving as the source of complement should be taken into consideration. Besides, the fixability of the sera of various species of animals must also be considered. From these facts a formula may be derived for deciding the degree of suitableness of a serum. see PDF for Equation X is the degree of suitableness; K, the species constant for the fixability; P, the complementary activity; and V, the volume of serum. It will be seen that the suitableness is proportional to the fixability constant and the complementary unity, and inversely proportional to the volume of serum employed. As to what species yields the largest value for X, we refer the reader to our studies published elsewhere.

Complementary and alternative medicine in women's health. Developing a research agenda.

PubMed

Murphy, P A; Kronenberg, F; Wade, C

1999-01-01

Complementary and alternative medicine is becoming an established intervention modality within the contemporary health care system. Various forms of complementary and alternative medicine are used by patients and practitioners alike, including chiropractic, massage, botanical medicine, homeopathy, and energy therapies. The National Center for Complementary and Alternative Medicine was established within the National Institutes of Health to facilitate evaluation of these alternative therapies, establish an information clearinghouse, and promote research in the field. This article discusses several aspects of complementary and alternative medicine, relates them to women's health, and describes the need for a research agenda to evaluate the impact of the complementary and alternative medicine modalities used for important conditions affecting women.

[Complementary and alternative medicine: use in Montes Claros, Minas Gerais].

PubMed

Neto, Joao Felício Rodrigues; Faria, Anderson Antônio de; Figueiredo, Maria Fernanda Santos

2009-01-01

To determine prevalence of utilization and social and economic profile of those using complementary and alternative medicine in the medium sized Brazilian city of Montes Claros, MG. A transversal descriptive study was conducted. The sample of 3090 people was probabilistic, by clusters using the household as the sample unit for interview of both genders, older than 18 years. Data were collected by semi-structured questionnaires. Utilization of complementary and alternative medicine was of 8.9% when only those involving costs such as homeopathy, acupuncture, chiropractics, techniques of relaxation/ meditation and massage are considered and of 70.0%, when all therapies found were included. Prevalent were prayers to God (52.0%), popular medicines (30.9%), physical exercises (25.5%), faith healers (15.0%), popular diets (7.1%), massage (4.9%), relaxation/meditation (2.8%), homeopathy (2.4%), and groups of self-help (1.9%), chiropractics (1.7%), acupuncture (1.5%) and orthomolecular medicine (0.2%). Women, Catholic, married of higher income and education were positively associated with utilization of therapies involving expenses. Complementary and alternative medicine is used by a significant number of those interviewed. Gender, religion, marital status, income and education were positively associated with utilization of complementary and alternative medicine. Access of those with less income and education could increase the utilization of the options that involve expenses.

Complementary feeding patterns among ethnic groups in rural western China.

PubMed

Qu, Peng-Fei; Zhang, Ya; Li, Jia-Mei; Zhang, Ruo; Yang, Jiao-Mei; Lei, Fang-Liang; Li, Shan-Shan; Liu, Dan-Meng; Dang, Shao-Nong; Yan, Hong

This study investigated complementary feeding practices among four ethnic groups (Han, Uygur, Tibetan, and Zhuang) based on a cross-sectional survey in rural western China. In 2005, a stratified multistage cluster random sampling method was used to recruit 9712 children (7411 Han, 1032 Uygur, 678 Tibetan, and 591 Zhuang) between 6 and 35 months of age and their mothers from 45 counties in 10 provinces (autonomous regions, municipalities) in western China. The rates of early introduction (before 6 months) of complementary foods in four ethnic groups (Han, Uygur, Tibetan, and Zhuang) were 71.30%, 95.95%, 82.40%, and 72.30%, respectively. The Infant and Child Feeding Index (ICFI) for Uygur and Tibetan children was lower than that for Han children at all age groups. Uygur children were more likely to have unqualified ICFI compared with Han children in a multivariate logistic regression (odds ratio (OR)=5.138, 95% confidence interval (CI): 4.340-6.084). A higher level of maternal education, greater family wealth, and the availability of complementary feeding educational materials decreased the likelihood of an unqualified ICFI. The nutritional status of children (Han, Tibetan, and Zhuang) with qualified ICFI was better than that for children with unqualified ICFI. Appropriate interventions are required to improve complementary feeding practices in rural western China.

75 FR 76019 - National Center for Complementary & Alternative Medicine; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-07

... Complementary & Alternative Medicine; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory... Complementary and Alternative Medicine (NACCAM) meeting. The meeting will be open to the public as indicated... for Complementary and Alternative Medicine. Date: February 4, 2011. Closed: February 4, 2011, 8:30 a.m...

78 FR 21381 - National Center for Complementary & Alternative Medicine; Notice of Closed Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-10

... Complementary & Alternative Medicine; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Complementary and Alternative Medicine Special Emphasis Education Panel. Date: June 21, 2013. Time: 8:00 a.m. to... Complementary and Alternative Medicine, National Institutes of Health, HHS) Dated: April 4, 2013. Michelle Trout...

76 FR 19379 - National Center for Complementary & Alternative Medicine; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-07

... Complementary & Alternative Medicine; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory... Complementary and Alternative Medicine (NACCAM) meeting. The meeting will be open to the public as indicated... for Complementary and Alternative Medicine. Date: June 3, 2011. Closed: June 3, 2011, 8:30 a.m. to 10...

An Evidence-Based Course in Complementary Medicines

PubMed Central

Hughes, Jeff

2012-01-01

Objective. To evaluate the impact of an evidence-based course in complementary medicines on the attitudes, knowledge, and professional practice behavior of undergraduate pharmacy students. Design. A required 12-week evidence-based complementary medicine course was designed and introduced into the third-year undergraduate pharmacy curriculum. The course included a combination of traditional lectures, interactive tutorial sessions, and a range of formal assessments. Assessment. Pre- and post-course survey instruments were administered to assess changes in students’ attitudes, perceptions, knowledge, and the likelihood they would recommend the use of complementary medicines in a pharmacy practice environment. Conclusion. Completion of a required evidence-based complementary medicines course resulted in a positive change in pharmacy students’ perceptions of the value of various complementary medicines as well as in their willingness to recommend them, and provided students with the required knowledge to make patient-centered recommendations for use of complementary medicines in a professional pharmacy practice setting. These findings support the need for greater evidence-based complementary medicine education within pharmacy curricula to meet consumer demand and to align with pharmacists’ professional responsibilities. PMID:23275665

Complementary and alternative therapies for pain management in labour.

PubMed

Smith, C A; Collins, C T; Cyna, A M; Crowther, C A

2003-01-01

Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the use of alternative and complementary therapies for pain management in labour. To examine the effectiveness of complementary and alternative therapies for pain management in labour on maternal and perinatal morbidity. We searched the Cochrane Pregnancy and Childbirth Group trials register (July 2002), the Cochrane Controlled Trials Register (The Cochrane Library Issue 2, 2002), MEDLINE (1966 to July 2002), EMBASE (1980 to July 2002) and CINAHL (1980 to July 2002). The inclusion criteria included published and unpublished randomised controlled trials comparing complementary and alternative therapies with placebo, no treatment or pharmacological forms of pain management in labour. All women whether primiparous or multiparous, and in spontaneous or induced labour, in the first and second stage of labour were included. Meta-analysis was performed using relative risks for dichotomous outcomes and weighted mean differences for continuous outcomes. The outcome measures were maternal satisfaction, use of pharmacological pain relief and maternal and neonatal adverse outcomes. Seven trials involving 366 women and using different modalities of pain management were included in this review. The trials included one involving acupuncture (n = 100), one involving audio-analgesia (n = 25), one involving aromatherapy (n = 22), three trials of hypnosis (n = 189) and one trial of music (n = 30). The trial of acupuncture decreased the need for pain relief (relative risk (RR) 0.56, 95% confidence interval (CI) 0.39 to 0.81). Women receiving hypnosis were more satisfied with their pain management in labour compared with controls (RR 2.33, 95% CI 1.55 to 4.71). No differences were seen for women receiving aromatherapy, music or audio analgesia. Acupuncture and hypnosis may be beneficial for the management of pain during labour. However, few complementary therapies have been subjected to proper scientific study and the number of women studied is small.

Complementary Feeding: Review of Recommendations, Feeding Practices, and Adequacy of Homemade Complementary Food Preparations in Developing Countries – Lessons from Ethiopia

PubMed Central

Abeshu, Motuma Adimasu; Lelisa, Azeb; Geleta, Bekesho

2016-01-01

Breastfeeding provides the ideal food during the first 6 months of life. Complementary feeding starts when breast milk is no longer sufficient by itself, where the target age is for 6–23 months. The gap between nutritional requirement and amount obtained from breast milk increases with age. For energy, 200, 300, and 550 kcal per day is expected to be covered by complementary foods at 6–8, 9–11, and 12–23 months, respectively. In addition, the complementary foods must provide relatively large proportions of micronutrients such as iron, zinc, phosphorus, magnesium, calcium, and vitamin B6. In several parts of the developing world, complementary feeding continues as a challenge to good nutrition in children. In Ethiopia, only 4.2% of breastfed children of 6–23 months of age have a minimum acceptable diet. The gaps are mostly attributed to either poor dietary quality or poor feeding practices, if not both. Commercial fortified foods are often beyond the reach of the poor. Thus, homemade complementary foods remain commonly used. Even when based on an improved recipe, however, unfortified plant-based complementary foods provide insufficient key micronutrients (especially, iron, zinc, and calcium) during the age of 6–23 months. Thus, this review assessed complementary feeding practice and recommendation and reviewed the level of adequacy of homemade complementary foods. PMID:27800479

[Systematization of nursing care: viewing care as interactive, complementary and multi-professional].

PubMed

do Nascimento, Keyla Cristiane; Backes, Dirce Stein; Koerich, Magda Santos; Erdmann, Alacoque Lorenzini

2008-12-01

This study is the result of an extended project, named: The systematization of nursing care in the perspective of complex thinking. The objective of this qualitative study is to better comprehend the meaning of the systematization of nursing care among healthcare professionals. The Data-Based Theory was used as a methodological reference. Data were collected by interviewing three sample groups, in a total of fifteen healthcare professionals. Data codification and analysis led us to the central theme: Viewing the Systematization of Nursing Care (SNC) as an Interactive and Complex Phenomenon. This theme is complemented by two phenomena. In this article, we discuss the phenomenon: Verifying the necessity of on interactive, complementary, and multi-professional process. The Systematization of Nursing Care is part of a process that has been developing over time by nurses committed to improve the care given to the patient, since they view the necessity for interactive, complementary, and multi-professional care.

Hydrogeochemical exploration of geothermal prospects in the Tecuamburro Volcano region, Guatemala

USGS Publications Warehouse

Janik, C.J.; Goff, F.; Fahlquist, L.; Adams, A.I.; Alfredo, Roldan M.; Chipera, S.J.; Trujillo, P.E.; Counce, D.

1992-01-01

Chemical and isotopic analyses of thermal and nonthermal waters and of gases from springs and fumaroles are used to evaluate the geothermal potential of the Tecuamburro Volcano region, Guatemala. Chemically distinct geothermal surface manifestations generally occur in separate hydrogeologic areas within this 400 km2 region: low-pressure fumaroles with temperatures near local boiling occur at 1470 m elevation in a sulfur mine near the summit of Tecuamburro Volcano; non-boiling acid-sulfate hot springs and mud pots are restricted to the Laguna Ixpaco area, about 5 km NNW of the sulfur mine and 350-400 m lower in elevation; steam-heated and thermal-meteoric waters are found on the flanks of Tecuamburro Volcano and several kilometers to the north in the andesitic highland, where the Infernitos fumarole (97??C at 1180 m) is the primary feature; neutral-chloride hot springs discharge along Rio Los Esclavos, principally near Colmenares at 490 m elevation, about 8-10 km SE of Infernitos. Maximum geothermometer temperatures calculated from Colmenares neutral-chloride spring compositions are ???180??C, whereas maximum subsurface temperatures based on Laguna Ixpaco gas compositions are ???310??C. An exploration core hole drilled to a depth of 808 m about 0.3 km south of Laguna Ixpaco had a bottom-hole temperature of 238??C but did not produce sufficient fluids to confirm or chemically characterize a geothermal reservoir. Hydrogeochemical data combined with regional geologic interpretations indicate that there are probably two hydrothermal-convection systems, which are separated by a major NW-trending structural boundary, the Ixpaco fault. One system with reservoir temperatures near 300??C lies beneath Tecuamburro Volcano and consists of a large vapor zone that feeds steam to the Laguna Ixpaco area, with underlying hot water that flows laterally to feed a small group of warm, chloriderich springs SE of Tecuamburro Volcano. The other system is located beneath the Infernitos area in the andesitic highland and consists of a lower-temperature (150-190??C) reservoir with a large natural discharge that feeds the Colmenares hot springs. ?? 1992.

Hydrogeochemical characterization of fluoride rich groundwater of Wailpalli watershed, Nalgonda District, Andhra Pradesh, India.

PubMed

Reddy, A G S; Reddy, D V; Rao, P N; Prasad, K Maruthy

2010-12-01

The groundwater of Nalgonda district is well known for its very high fluoride content for the past five decades. Many researchers have contributed their scientific knowledge to unravel causes for fluoride enrichment of groundwater. In the present paper, an attempt has been made to relate the high fluoride content in the groundwater to hydrogeochemical characterization of the water in a fracture hard rock terrain--the Wailpally watershed. Groundwater samples collected from all the major geomorphic units in pre- and post-monsoon seasons were analyzed for its major ion constituents such as Ca(2+), Mg(2+), Na(+), K(+), CO3-, HCO3-, Cl(-), SO4(-2), NO3-, and F(-). The groundwaters in the watershed have the average fluoride content of 2.79 mg/l in pre-monsoon and 2.83 mg/l in post-monsoon. Fluoride concentration in groundwater does not show perceptible change neither with time nor in space. The ionic dominance pattern is in the order of Na(+) > Ca(2+) > Mg(2+) > K(-) among cations and HCO3- Cl(-) > SO4(-2) NO3- F(-) among anions in pre-monsoon. In post-monsoon, Mg replaces Ca(2+) and NO3- takes the place of SO4(-2). The Modified Piper diagram reflect that the water belong to Ca(+2)-Mg(+2)-HCO3- to Na(+)-HCO3- facies. Negative chloralkali indices in both the seasons prove that ion exchange between Na(+) and K(+) in aquatic solution took place with Ca(+2) and Mg(+2) of host rock. The interpretation of plots for different major ions and molar ratios suggest that weathering of silicate rocks and water-rock interaction is responsible for major ion chemistry of groundwater in Wailpally watershed. Chemical characteristics and evolution of this fluoride-contaminated groundwater is akin to normal waters of other hard rock terrain; hence, it can be concluded that aquifer material play an important role in the contribution of fluoride in to the accompanying water. High fluoride content in groundwater can be attributed to the continuous water-rock interaction during the process of percolation with fluoride-bearing country rocks under arid, low precipitation, and high evapotranspiration conditions.

Resolving the Multi-scale Behavior of Geochemical Weathering in the Critical Zone Using High Resolution Hydro-geochemical Models

NASA Astrophysics Data System (ADS)

Pandey, S.; Rajaram, H.

2015-12-01

This work investigates hydrologic and geochemical interactions in the Critical Zone (CZ) using high-resolution reactive transport modeling. Reactive transport models can be used to predict the response of geochemical weathering and solute fluxes in the CZ to changes in a dynamic environment, such as those pertaining to human activities and climate change in recent years. The scales of hydrology and geochemistry in the CZ range from days to eons in time and centimeters to kilometers in space. Here, we present results of a multi-dimensional, multi-scale hydro-geochemical model to investigate the role of subsurface heterogeneity on the formation of mineral weathering fronts in the CZ, which requires consideration of many of these spatio-temporal scales. The model is implemented using the reactive transport code PFLOTRAN, an open source subsurface flow and reactive transport code that utilizes parallelization over multiple processing nodes and provides a strong framework for simulating weathering in the CZ. The model is set up to simulate weathering dynamics in the mountainous catchments representative of the Colorado Front Range. Model parameters were constrained based on hydrologic, geochemical, and geophysical observations from the Boulder Creek Critical Zone Observatory (BcCZO). Simulations were performed in fractured rock systems and compared with systems of heterogeneous and homogeneous permeability fields. Tracer simulations revealed that the mean residence time of solutes was drastically accelerated as fracture density increased. In simulations that include mineral reactions, distinct signatures of transport limitations on weathering arose when discrete flow paths were included. This transport limitation was related to both advective and diffusive processes in the highly heterogeneous systems (i.e. fractured media and correlated random permeability fields with σlnk > 3). The well-known time-dependence of mineral weathering rates was found to be the most pronounced in the fractured systems, with a departure from the maximum system-averaged dissolution rate occurring after ~100 kyr followed by a gradual decrease in the reaction rate with time that persists beyond 104 kyr.

Psycho-Socioeconomic Factors Affecting Complementary and Alternative Medicine Use among Selected Rural Communities in Malaysia: A Cross-Sectional Study

PubMed Central

Ganasegeran, Kurubaran; Rajendran, Anantha Kumar; Al-Dubai, Sami Abdo Radman

2014-01-01

Introduction The use of complementary and alternative medicine (CAM) as a source of cure has gained much spectrum worldwide, despite skeptics and advocates of evidence-based practice conceptualized such therapies as human nostrum. Objective This study aimed to explore the factors affecting CAM use among rural communities in Malaysia. Methods A cross-sectional study was carried out on 288 occupants across four rural villages within the District of Selama, Perak, Malaysia. A survey that consisted of socio-economic characteristics, history of CAM use and the validated Holistic Complementary and Alternative Medicine Questionnaire (HCAMQ) were used. Results The prevalence of self-reported CAM use over the past one year was 53.1%. Multiple logistic regression analyses yielded three significant predictors of CAM use: monthly household income of less than MYR 2500, higher education level, and positive attitude towards CAM. Conclusion Psycho-socioeconomic factors were significantly associated with CAM use among rural communities in Malaysia. PMID:25375256

Positive stereotypes, negative outcomes: Reminders of the positive components of complementary gender stereotypes impair performance in counter-stereotypical tasks.

PubMed

Kahalon, Rotem; Shnabel, Nurit; Becker, Julia C

2018-04-01

Gender stereotypes are complementary: Women are perceived to be communal but not agentic, whereas men are perceived to be agentic but not communal. The present research tested whether exposure to reminders of the positive components of these gender stereotypes can lead to stereotype threat and subsequent performance deficits on the complementary dimension. Study 1 (N = 116 female participants) revealed that compared to a control/no-stereotype condition, exposure to reminders of the stereotype about women's communality (but not to reminders of the stereotype about women's beauty) impaired women's math performance. In Study 2 (N = 86 male participants), reminders of the stereotype about men's agency (vs. a control/no-stereotype condition) impaired men's performance in a test of socio-emotional abilities. Consistent with previous research on stereotype threat, in both studies the effect was evident among participants with high domain identification. These findings extend our understanding of the potentially adverse implications of seemingly positive gender stereotypes. © 2018 The British Psychological Society.

An exploration of complementary feeding of infants and young children in the rural area of Muhoroni, Nyanza province, Kenya: a descriptive study.

PubMed

Harvey, Sophie; Callaby, Jo; Roberts, Lesley

2017-08-01

Inappropriate infant and young child feeding practices contribute to malnutrition, infection and long-term development limitation. To explore complementary feeding and food safety in Muhoroni District, Nyanza Province in rural Kenya. To compare practices with the Infant and Young Child Feeding (IYCF) guidelines, and identify associations with inappropriate practices. Between January and April 2014, a questionnaire completed by primary caregivers of children aged 6-23 months asked about foods the child had received in the previous 24 hours, the introduction of complementary foods, and the food hygiene practices undertaken by the caregiver. The most recent World Health Organization IYCF core indicators (continued breastfeeding at 1 year; minimum dietary diversity; minimum meal frequency; minimum acceptable diet) were determined for 400 children. These indicators were compared with demographic indicators in multivariate analyses to identify associations with appropriate complementary feeding practices. A total of 55.2% of children aged 12-15 months continued to be breastfed at the time of questioning. Of the study population, 61.5% achieved minimum dietary diversity, 70.8% achieved minimum meal frequency and 43.0% achieved minimum acceptable diet. Older children were more likely to achieve minimum dietary diversity and minimum acceptable diet; however, they were also less likely to achieve minimum meal frequency. High levels of hygiene practices were reported in all areas of food safety. Complementary feeding indicators were higher than nationally, although less than half of children (43.0%) were receiving a minimum acceptable diet. Further work should explore the potential relationship between age and adequate infant feeding.

Using Religious Songs as an Integrative and Complementary Therapy for the Management of Psychological Symptoms Among African American Cancer Survivors.

PubMed

Hamilton, Jill B; Worthy, Valarie C; Kurtz, Melissa J; Cudjoe, Joycelyn; Johnstone, Peter A

Acupuncture, acupressure, yoga, meditation, cognitive-behavioral techniques, and, to a lesser extent, music are among those integrative and complementary therapies with known beneficial effects on psychological symptoms. However, noticeably absent from this research is the use of religious song as a type of integrative and complementary therapy. The aim of this study was to explore how religious songs were used to alleviate psychological symptoms associated with a cancer diagnosis among a sample of older African American cancer survivors. Thirty-one older African American cancer survivors residing in the Southeastern US participated in a qualitative descriptive study involving criterion sampling, open-ended semistructured interviews, and qualitative content analysis. Participants used religious songs in response to feeling depressed, low, or sad; feeling weak and seeking strength to endure treatment; and feeling worried, anxious, or fearful. Religious songs were also a source of support and hope. Types of religious songs included instructive, thanksgiving and praise, memory of forefathers, communication with God, and life after death. Religious songs appear to be an important form of religious expression in this population and used to manage psychological symptoms. Integrative and complementary oncology therapy has generally focused on yoga, meditation, acupuncture, and cognitive-behavioral techniques. However, religious songs are an important strategy used among older African American cancer patients. Religious songs can be readily integrated into cancer care. The incorporation of religious songs into spiritually based support groups and other integrative and complementary therapies might enhance health outcomes among this medically underserved cancer population.

The effect of self-selected complementary therapies on cancer patients' quality of life and symptom distress: A prospective cohort study in an integrative oncology setting.

PubMed

Stomski, N J; Petterson, A; Kristjanson, L; Lobb, E A; Phillips, M; Williams, A; Morrison, P; Joske, D

2018-04-01

To examine the effectiveness of a multifaceted complementary therapies intervention, delivered in a systematic manner within an Australian public hospital setting, on quality of life and symptom distress outcomes for cancer patients. Adults receiving treatment for any form of cancer were eligible to participate in this study. Self-referred participants were offered a course of six complementary therapy sessions. Measures were administered at baseline, and at the third and sixth visit. The primary outcomes were quality of life and symptom distress. Linear mixed models were used to assess change in the primary outcomes. In total, 1376 cancer patients participated in this study. The linear mixed models demonstrated that there were significant improvements in quality of life and significant reductions in symptom distress over six sessions. Body-based therapies demonstrated significantly superior improvement in quality of life over counselling, but no other differences between therapies were identified. Reduced symptom distress was not significantly associated with any particular type of therapy. A self-selected complementary therapies intervention, provided in an Australian public hospital by accredited therapists, for cancer patients significantly mproved quality of life and reduced symptom distress. The effect of this intervention on quality of life has particular salience, since cancer impacts on many areas of people's lives and impairs quality of life. Copyright © 2018 Elsevier Ltd. All rights reserved.

The patterns of organisation and structure of interactions in a fish-parasite network of a neotropical river.

PubMed

Bellay, Sybelle; Oliveira, Edson F de; Almeida-Neto, Mário; Abdallah, Vanessa D; Azevedo, Rodney K de; Takemoto, Ricardo M; Luque, José L

2015-07-01

The use of the complex network approach to study host-parasite interactions has helped to improve the understanding of the structure and dynamics of ecological communities. In this study, this network approach is applied to evaluate the patterns of organisation and structure of interactions in a fish-parasite network of a neotropical Atlantic Forest river. The network includes 20 fish species and 73 metazoan parasite species collected from the Guandu River, Rio de Janeiro State, Brazil. According to the usual measures in studies of networks, the organisation of the network was evaluated using measures of host susceptibility, parasite dependence, interaction asymmetry, species strength and complementary specialisation of each species as well as the network. The network structure was evaluated using connectance, nestedness and modularity measures. Host susceptibility typically presented low values, whereas parasite dependence was high. The asymmetry and species strength were correlated with host taxonomy but not with parasite taxonomy. Differences among parasite taxonomic groups in the complementary specialisation of each species on hosts were also observed. However, the complementary specialisation and species strength values were not correlated. The network had a high complementary specialisation, low connectance and nestedness, and high modularity, thus indicating variability in the roles of species in the network organisation and the expected presence of many specialist species. Copyright © 2015 Australian Society for Parasitology Inc. Published by Elsevier Ltd. All rights reserved.

Relief from anxiety using complementary therapies in the perioperative period: A principle-based concept analysis.

PubMed

Jaruzel, Candace B; Kelechi, Teresa J

2016-08-01

To analyze and clarify the concept of providing relief from anxiety using complementary therapies in the perioperative period utilizing the epistemological, pragmatic, linguistic and logical principles of a principle-based concept analysis to examine the state of the science. The majority of patients scheduled for surgery experience anxiety in the perioperative period. Anxiety has the potential to limit a patient's ability to participate in his or her care throughout their hospitalization. Although medications are the conventional medical treatment for anxiety in the perioperative period, the addition of a complementary therapy could be an effective holistic approach to providing relief from anxiety. Principle-based concept analysis. In 2015, strategic literature searches of CINHAL and PUBMED using keywords were performed. Fifty-six full text articles were assessed for eligibility. Twelve studies were used in the final analysis to clarify the concept of relief from anxiety using complementary therapies in the perioperative period. This analysis has clarified the maturity and boundaries, within the four principles of a principle-based concept analysis, of the concept of relief from anxiety using complementary therapies in the perioperative period. A greater understanding of relief from anxiety using complimentary therapies in the perioperative period as an adjunct to conventional medicine will allow perioperative nurses and anesthesia providers to modify and specify the plan of care for their surgical patients. The use of complementary therapies for relief in the perioperative period appears to be an area of promising research and treatment for patients, families and providers. Copyright © 2016 Elsevier Ltd. All rights reserved.

Midwives' support for Complementary and Alternative Medicine: a literature review.

PubMed

Hall, Helen G; McKenna, Lisa G; Griffiths, Debra L

2012-03-01

There is evidence that the use of Complementary and Alternative Medicine by childbearing women is becoming increasingly popular in industrialised countries. The aim of this is paper is to review the research literature investigating the midwives' support for the use of these therapies. A search for relevant research published from 2000 to 2009 was undertaken using a range of databases and by examining relevant bibliographies. A total of thirteen studies were selected for inclusion in this review. The findings indicate that the use of Complementary and Alternative Medicine is widespread in midwifery practice. Common indications for use include; labour induction and augmentation, nausea and vomiting, relaxation, back pain, anaemia, mal-presentation, perineal discomfort, postnatal depression and lactation problems. The most popular therapies recommended by midwives are massage therapy, herbal medicines, relaxation techniques, nutritional supplements, aromatherapy, homeopathy and acupuncture. Midwives support the use Complementary and Alternative Medicine because they believe it is philosophically congruent; it provides safe alternatives to medical interventions; it supports the woman's autonomy, and; incorporating Complementary and Alternative Medicine can enhance their own professional autonomy. There is considerable support by midwives for the use of Complementary and Alternative Medicine by expectant women. Despite this enthusiasm, currently there are few educational opportunities and only limited research evidence regarding CAM use in midwifery practice. These shortfalls need to be addressed by the profession. Midwives are encouraged to have an open dialogue with childbearing women, to document use and to base any advice on the best available evidence. Copyright © 2010 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

Complementary physical therapies for movement disorders in Parkinson's disease: a systematic review.

PubMed

Alves Da Rocha, P; McClelland, J; Morris, M E

2015-12-01

The growth and popularity of complementary physical therapies for Parkinson's disease (PD) attempt to fill the gap left by conventional exercises, which does not always directly target wellbeing, enjoyment and social participation. To evaluate the effects of complementary physical therapies on motor performance, quality of life and falls in people living with PD. Systematic review with meta-analysis. Outpatients--adults diagnosed with idiopathic PD, male or female, modified Hoehn and Yahr scale I-IV, any duration of PD, any duration of physical treatment or exercise. Randomized controlled trials, non-randomized controlled trials and case series studies were identified by systematic searching of health and rehabilitation electronic databases. A standardized form was used to extract key data from studies by two independent researchers. 1210 participants from 20 randomized controlled trials, two non-randomized controlled trials and 13 case series studies were included. Most studies had moderately strong methodological quality. Dancing, water exercises and robotic gait training were an effective adjunct to medical management for some people living with PD. Virtual reality training, mental practice, aerobic training, boxing and Nordic walking training had a small amount of evidence supporting their use in PD. On balance, alternative physical therapies are worthy of consideration when selecting treatment options for people with this common chronic disease. Complementary physical therapies such as dancing, hydrotherapy and robotic gait training appear to afford therapeutic benefits, increasing mobility and quality of life, in some people living with PD.

Recruiting and retaining family caregivers to a randomized controlled trial on mindfulness-based stress reduction.

PubMed

Whitebird, Robin R; Kreitzer, Mary Jo; Lewis, Beth A; Hanson, Leah R; Crain, A Lauren; Enstad, Chris J; Mehta, Adele

2011-09-01

Caregivers for a family member with dementia experience chronic long-term stress that may benefit from new complementary therapies such as mindfulness-based stress reduction. Little is known however, about the challenges of recruiting and retaining family caregivers to research on mind-body based complementary therapies. Our pilot study is the first of its kind to successfully recruit caregivers for a family member with dementia to a randomized controlled pilot study of mindfulness-based stress reduction. The study used an array of recruitment strategies and techniques that were tailored to fit the unique features of our recruitment sources and employed retention strategies that placed high value on establishing early and ongoing communication with potential participants. Innovative recruitment methods including conducting outreach to health plan members and generating press coverage were combined with standard methods of community outreach and paid advertising. We were successful in exceeding our recruitment goal and retained 92% of the study participants at post-intervention (2 months) and 90% at 6 months. Recruitment and retention for family caregiver interventions employing mind-body based complementary therapies can be successful despite many challenges. Barriers include cultural perceptions about the use and benefit of complementary therapies, cultural differences with how the role of family caregiver is perceived, the use of group-based designs requiring significant time commitment by participants, and travel and respite care needs for busy family caregivers. Copyright © 2011 Elsevier Inc. All rights reserved.

Tecuamburro Volcano, Guatemala: exploration geothermal gradient drilling and results

USGS Publications Warehouse

Goff, S.J.; Goff, F.; Janik, C.J.

1992-01-01

Results of geological, volcanological, hydrogeochemical, and geophysical field studies conducted in 1988 and 1989 at the Tecuamburro geothermal site, Guatemala, indicate that there is a substantial shallow heat source beneath the area of youngest volcanism. Gases from acid-sulfate springs near Laguna Ixpaco consistently yield maximum estimated subsurface temperatures of 300??C. To obtain information on subsurface temperatures and temperature gradients, stratigraphy, fracturing, hydrothermal alteration, and hydrothermal fluids, a geothermal gradient core hole (TCB-1) was drilled to 808 m low on the northern flank of the Tecuamburro Volcano complex. The hole is located 300 m south of a 300m-diameter phreatic crater. Laguna Ixpaco, dated at 2910 years. TCB-1 temperature logs do not indicate isothermal conditions at depth and the calculated thermal gradient from 500-800 m is 230??C/km. Bottom hole temperature is close to 240??C. Calculated heat flow values are around 350-400 mW/m2. Fluid-inclusion and secondary-alteration studies indicate that veins and secondary minerals were formed at temperatures equal to or slightly less than present temperatures; thus, the Tecuamburro geothermal system may still be heating up. The integration of results from the TCB-1 gradient core hole with results from field studies provides strong evidence that the Tecuamburro area holds great promise for geothermal resource development. ?? 1992.

Hydrogeochemical characteristics and assessment of water quality in the Al-Saad Lake, Abha Saudi Arabia

NASA Astrophysics Data System (ADS)

Mallick, Javed

2017-10-01

Hydrogeochemical characteristics and assessment of water quality investigations have been carried out at Abha, located in Saudi Arabia, where Al-Saad Lake represents a rare example of natural endorheic lake. The ecosystem within and around the Al-Saad Lake including catchment area is of great social, cultural, aesthetic, environmental and economic values to Abha. Sampling and experiments of lake water has been carried out with the aim of characterizing the main physico-chemical parameters, such as DO, EC, TDS, Mg2+, Ca2+, Na+, K+, SO4 2-, Cl-, HCO3, NO3 - and F- concentration. The ordinary kriging (OK) method was used to produce the spatial patterns of water quality. The Result of DO (mean 5.38 mg/L) trend in Al-Saad Lake is not very encouraging as majority of the lake area is under DO stress or marginally above it. So, proper management strategies are needed to be formulated to protect flora and fauna of the lake. Furthermore, the chemical analysis results show the abundance of the major cations in the order Mg2+ > Ca2+ > Na+ > K+ whereas the abundance of anions are in the order SO4 2- > Cl- > HCO3 > NO3 - > F-. The result obtained in this investigation inferred that the cations in water i.e. sodium and iron are within the permissible limits but magnesium and potassium have exceeded the permissible limit. Whereas anions such as nitrate and fluoride are within the permissible range but chloride and sulphate have exceeded the permissible limits. The concentration of cation, magnesium (Mg) and potassium (K) in the lake water has exceeded the desirable range (30, 10 mg/L, respectively). This may be due to weathering and transported from rocks and particularly from sulphate deposits such as gypsum and anhydride and subsequently ends up in water. The concentration of anion, Sulphate (SO4) and chloride are above the desirable limit. The major source of bicarbonate are the carbonate rocks containing calcite (CaCO3) and dolomite (CaMg (CO3)2), Calcium (Ca) and Magnesium (Mg) can also be transported from Ca-silicates and Mg-silicates. The piper trilinear plot suggests the increase of Ca and SO4 contents is attributed to dissolution of gypsum and anhydrite, which are commonly found in the quaternary formations of watershed (wadi). Ion exchange, dissolution of calcite, semi-arid climate, alkaline condition and weathering are responsible for high concentration of ions exceeding the desirable limit of the study area.

Somatic association of telocentric chromosomes carrying homologous centromeres in common wheat.

PubMed

Mello-Sampayo, T

1973-01-01

Measurements of distances between telocentric chromosomes, either homologous or representing the opposite arms of a metacentric chromosome (complementary telocentrics), were made at metaphase in root tip cells of common wheat carrying two homologous pairs of complementary telocentrics of chromosome 1 B or 6 B (double ditelosomic 1 B or 6 B). The aim was to elucidate the relative locations of the telocentric chromosomes within the cell. The data obtained strongly suggest that all four telocentrics of chromosome 1 B or 6 B are spacially and simultaneously co-associated. In plants carrying two complementary (6 B (S) and 6 B (L)) and a non-related (5 B (L)) telocentric, only the complementary chromosomes were found to be somatically associated. It is thought, therefore, that the somatic association of chromosomes may involve more than two chromosomes in the same association and, since complementary telocentrics are as much associated as homologous, that the homology between centromeres (probably the only homologous region that exists between complementary telocentrics) is a very important condition for somatic association of chromosomes. The spacial arrangement of chromosomes was studied at anaphase and prophase and the polar orientation of chromosomes at prophase was found to resemble anaphase orientation. This was taken as good evidence for the maintenance of the chromosome arrangement - the Rabl orientation - and of the peripheral location of the centromere and its association with the nuclear membrane. Within this general arrangement homologous telocentric chromosomes were frequently seen to have their centromeres associated or directed towards each other. The role of the centromere in somatic association as a spindle fibre attachment and chromosome binder is discussed. It is suggested that for non-homologous chromosomes to become associated in root tips, the only requirement needed should be the homology of centromeres such as exists between complementary telocentrics, or, as a possible alternative, common repeated sequences of DNA molecules around the centromere region.

Fatty acid supply with complementary foods and LC-PUFA status in healthy infants: results of a randomised controlled trial.

PubMed

Libuda, Lars; Mesch, Christina M; Stimming, Madlen; Demmelmair, Hans; Koletzko, Berthold; Warschburger, Petra; Blanke, Katharina; Reischl, Eva; Kalhoff, Hermann; Kersting, Mathilde

2016-06-01

Introduction of complementary food usually leads to decreasing intakes of long-chain n-3 polyunsaturated fatty acids (n-3 LC-PUFA), compared to full breastfeeding. In the randomised controlled PINGU intervention trial, we tested the effects of complementary foods with different contents of alpha-linolenic acid (ALA) and docosahexaenoic acid (DHA) on term infant LC-PUFA status. Healthy infants born at term were randomised to receive from the introduction of complementary feeding at the age of 4 to 6 months until age of 10 months ready-made complementary meals either with ALA-rich rapeseed oil (intervention group (IG)-R), with salmon twice weekly to provide preformed DHA (IG-F), or with linoleic acid-rich corn oil (control group, CG). Fatty acid composition was assessed in erythrocyte (RBC) and plasma glycerophospholipids. Complete data of fatty acids in RBC (plasma) were available from 158 (155) infants. After intervention, infants assigned to IG-F showed higher RBC and plasma percentages of eicosapentaenoic acid (EPA), DHA, and total n-3 LC-PUFA than CG (each p < 0.001). In IG-R, levels of ALA and the ratio of ALA to LA in plasma and RBC (all p < 0.0001) as well as RBC-EPA (p < 0.0001) were higher than in CG, while DHA levels did not differ between IG-R and CG. Regular fish consumption during complementary feeding enhances infant EPA and DHA status. The usage of rapeseed oil in small amounts concordant with EU-law for commercial meals enhances endogenic EPA-synthesis, but does not affect DHA status. Provision of oily fish with complementary feeds is advisable to prevent a decline of DHA status. www.clinicaltrials.gov , identifier: NCT01487889, title: Polyunsaturated fatty acids in child nutrition-a German multimodal optimisation study (PINGU).

Nutritional and sensory evaluation of a complementary food formulated from rice, faba beans, sweet potato flour, and peanut oil.

PubMed

Mahmoud, Amal H; El Anany, Ayman Mohammed

2014-12-01

Childhood malnutrition is a common disorder in developing countries. To formulate a complementary food from rice, germinated-decoated faba bean, orange-fleshed sweet potato flour, and peanut oil (RFPP formula) for infants aged 6 to 24 months. The nutritional and sensory characteristics of the RFPP complementary food in comparison with those of a commercial complementary food were determined using standard official procedures. The levels of protein (17.89 g/100 g), fat (10.35 g/100 g), carbohydrate (67.82 g/100 g), and energy (435.99 kcal/100 g) of the RFPP complementary food met the specifications of the Codex standard (1991) and the Egyptian Standard No. 3284 (2005). The essential amino acid contents of the RFPP complementary food were higher than the amino acid profile of the Food and Agriculture Organization/World Health Organization/United Nations University (2002) reference protein for children 0.5 to 1 and 1 to 2 years of age. The RFPP complementary food had high levels (54.00%) of monounsaturated fatty acids. However, the highest level of saturated fatty acids (51.10%) was recorded for the commercial complementary food. The sensory evaluation results, using a nine-point hedonic scale ranging from 1 (dislike extremely) to 9 (like extremely), show that the RFPP complementary food was acceptable in appearance (7.20), color (6.35), aroma (6.75), taste (7.25), and mouthfeel (7.10) and had an overall acceptability of 6.40. The RFPP formulated complementary food was acceptable and adequate in nutrients for weaning purposes.

Compact wideband filter element-based on complementary split-ring resonators

NASA Astrophysics Data System (ADS)

Horestani, Ali K.; Shaterian, Zahra; Withayachumnankul, Withawat; Fumeaux, Christophe; Al-Sarawi, Said; Abbott, Derek

2011-12-01

A double resonance defected ground structure is proposed as a filter element. The structure involves a transmission line loaded with complementary split ring resonators embedded in a dumbbell shape defected ground structure. By using a parametric study, it is demonstrated that the two resonance frequencies can be independently tuned. Therefore the structure can be used for different applications such as dual bandstop filters and wide bandstop filters.

Autism: biomedical complementary treatment approaches.

PubMed

Hendren, Robert L

2013-07-01

This article provides a conceptual overview for the use of biomedical complementary and alternative medicine (CAM) treatments for autism spectrum disorders. Pharmaceutical agents with published studies are briefly mentioned; but the focus of the article is on possible biomedical CAM treatments, the rationale for their use, and the current database of mostly preliminary studies regarding their safety and efficacy. Of the more than 50 treatments currently listed here and in use by eager families, 9 are reviewed in more detail because of their promise from preliminary research studies or because of public interest. Copyright © 2013 Elsevier Inc. All rights reserved.

Scientific publications from mainland China, Taiwan, and Hong Kong in integrative and complementary medicine journals: a ten-year literature survey.

PubMed

Li, Xiao-Qian; Tao, Kun-Ming; Zhou, Qing-Hui; Ling, Chang-Quan

2011-01-01

Practitioners and researchers from China, the largest user of complementary and alternative medicine (CAM), have been publishing an increasing number of scientific articles in world-famous CAM journals in recent years. However, the status of CAM research in the three major regions of China, the Mainland, Taiwan and Hong Kong has, until now, not been reported. In this study, we compared articles from these three regions published in international CAM journals from 2000 to 2009 using PubMed database and the Journal Citation Reports. The study results showed that the number of published articles from Mainland China increased significantly from 2000 to 2009, particularly since 2005. Meanwhile, the number of published articles from Taiwan also increased, whereas those from Hong Kong remained steady. Clinical trials and randomized controlled trials from Chinese authors both took a small percentage of the total. The impact factors of the journals in which these articles were published suggested similar academic levels whereas the average number of citation of articles from the Mainland was less than those from the other two regions. Journal of Ethnopharmacology, American Journal of Chinese Medicine, Journal of Alternative and Complementary Medicine and Evidence-based Complementary and Alternative Medicine were the most popular journals for Chinese authors.

Anti-aging medicine--the good, the bad, and the ugly.

PubMed

Gammack, Julie K; Morley, John E

2004-05-01

Complementary and alternative medicine has flourished since the beginning of time because of a human need to postpone the aging process and to reverse disease. Complementary and alternative medicine sells, because in some cases it works as well or better than mainstream medicine. In addition, many practitioners of complementary medicine understand Hippocrates' aphorism: "It is more important to know the person that has the disease than the disease the person has." It is important to recognize that spending time with the patient is often as therapeutic as drugs. CAM offers patients the time, touch, attention, and level of personal interaction that are increasingly uncommon in contemporary medical care. There is a major need for large and appropriately designed studies to test the effectiveness of complementary techniques. As in other areas of health care, studies in the elderly are consistently lacking. With the growing interest in CAM, it is important for medical providers to keep an open mind--to both the potential benefits and potential harms of alternative treatments. When treatments are shown to be dangerous or ineffective, we must educate the public and work to remove these therapies from the market place. When treatments are proven effective, Western and Eastern medical providers must work together with patients to provide the most appropriate and comprehensive health care.

Complementary and Alternative Medicine Use in Modern Obstetrics: A Survey of the Central Association of Obstetricians & Gynecologists Members.

PubMed

Babbar, Shilpa; Williams, Karen B; Maulik, Dev

2016-10-05

The use of complementary and alternative medicine during pregnancy is currently on the rise. A validated survey was conducted at the Central Association of Obstetrician and Gynecologists annual meeting to evaluate the knowledge, attitude, and practice of general obstetricians and gynecologists and maternal-fetal medicine specialists in America. We obtained 128 responses: 73 electronically (57%) and 55 via the paper survey (43%). Forty-five percent reported personally using complementary and alternative medicine and 9% of women respondents used complementary and alternative medicine during pregnancy. Overall, 62% had advised their patients to utilize some form of complementary and alternative medicine in pregnancy. Biofeedback, massage therapy, meditation, and yoga were considered the most effective modalities in pregnancy (median [semi-interquartile range] = 2 [0.5]). Maternal-fetal medicine specialists were significantly more likely to disagree on the use of complementary and alternative medicine for risk reduction of preterm birth compared to obstetricians and gynecologists (P = .03). As the use of complementary and alternative medicine continues to rise in reproductive-age women, obstetricians will play an integral role in incorporating complementary and alternative medicine use with conventional medicine. © The Author(s) 2016.

Complementary and Alternative Medicine Use in Modern Obstetrics: A Survey of the Central Association of Obstetricians & Gynecologists Members

PubMed Central

Babbar, Shilpa; Williams, Karen B.; Maulik, Dev

2016-01-01

The use of complementary and alternative medicine during pregnancy is currently on the rise. A validated survey was conducted at the Central Association of Obstetrician and Gynecologists annual meeting to evaluate the knowledge, attitude, and practice of general obstetricians and gynecologists and maternal-fetal medicine specialists in America. We obtained 128 responses: 73 electronically (57%) and 55 via the paper survey (43%). Forty-five percent reported personally using complementary and alternative medicine and 9% of women respondents used complementary and alternative medicine during pregnancy. Overall, 62% had advised their patients to utilize some form of complementary and alternative medicine in pregnancy. Biofeedback, massage therapy, meditation, and yoga were considered the most effective modalities in pregnancy (median [semi-interquartile range] = 2 [0.5]). Maternal-fetal medicine specialists were significantly more likely to disagree on the use of complementary and alternative medicine for risk reduction of preterm birth compared to obstetricians and gynecologists (P = .03). As the use of complementary and alternative medicine continues to rise in reproductive-age women, obstetricians will play an integral role in incorporating complementary and alternative medicine use with conventional medicine. PMID:27707901

The meaning of complementary, alternative and traditional medicine among the Indonesian psychology community: a pilot study.

PubMed

Liem, Andrian; Rahmawati, Kuncoro Dewi

2017-07-01

Complementary, alternative and traditional medicine (CATM) is a new field, as well as a promising area of study and practice in psychology. It is important to research the cultural context and meaning of CATM, including its definitions and examples, among different communities of psychology because CATM's use is dependent on how it is understood by the members. The aim of this pilot study is to provide an interpretation of the Indonesian psychology community's understanding of CATM through a qualitative approach. Online interviews with open-ended questions and purposive sampling were used. Participants were dominantly psychologists or lecturers in clinical psychology area. Ten males and 12 females with an average age of 28.0 ± 2.5 years voluntarily participated in this study. Interviews were audio-recorded, transcribed verbatim, and reviewed and analysed by the two authors to ensure accuracy of interpretation. It was found that there was no single meaning of CATM among the Indonesian community of psychology. Participants were not familiar enough with the terms and tended to use them with overlap. It can be suggested that "complementary medicine" and "alternative medicine" or "complementary-alternative medicine" combined provides more suitable terminology for use among Indonesian psychology community when communicating with other health care professionals. The understanding of the terms and examples of CATM were diverse and were often used interchangeably in the projects/interviews. It was also found that Indonesian psychologists required more education regarding CATM. In addition, future studies with more participants from various aspects of the psychology community should be conducted to capture a more representative sample.

Use of complementary and alternative medicine in head and neck cancer patients.

PubMed

Lim, C M; Ng, A; Loh, K S

2010-05-01

To determine the prevalence and profile of patients who use complementary and alternative medicine, within a cohort of head and neck cancer patients. Cross-sectional survey. Ninety-three consecutive head and neck cancer patients being followed up at the department of otolaryngology head and neck surgery were surveyed using an interviewer-administered questionnaire. The prevalence of complementary and alternative medicine use was 67.8 per cent. Patients who used complementary and alternative medicine were more likely to be female, better educated and younger, compared with non-users. A total of 82.5 per cent (52/63) perceived complementary and alternative medicine to be effective, even though they were aware of the lack of research and endorsement by their physician regarding such medicine. The use of complementary and alternative medicine by head and neck cancer patients is common, regardless of efficacy or cost. Clinicians should routinely ask patients about their use of complementary and alternative medicine, to facilitate communication and enable appropriate use of such medicine.

A systematic review investigating the effectiveness of Complementary and Alternative Medicine (CAM) for the management of low back and/or pelvic pain (LBPP) in pregnancy.

PubMed

Close, Ciara; Sinclair, Marlene; Liddle, S Dianne; Madden, Elaine; McCullough, Julie E M; Hughes, Ciara

2014-08-01

To evaluate and summarize the current evidence on the effectiveness of complementary and alternative medicine for the management of low back pain and/or pelvic pain in pregnancy. International research demonstrates that 25-30% of women use complementary and alternative medicine to manage low back and pelvic pain in pregnancy without robust evidence demonstrating its effectiveness. A systematic review of randomized controlled trials to determine the effectiveness of complementary and alternative medicine for low back and/or pelvic pain in pregnancy. Cochrane library (1898-2013), PubMed (1996-2013), MEDLINE (1946-2013), AMED (1985-2013), Embase (1974-2013), Cinahl (1937-2013), Index to Thesis (1716-2013) and Ethos (1914-2013). Selected studies were written in English, randomized controlled trials, a group 1 or 2 therapy and reported pain reduction as an outcome measure. Study quality was reviewed using Risk of Bias and evidence strength the Cochrane Grading of Recommendations and Development Evaluation Tool. Eight studies were selected for full review. Two acupuncture studies with low risk of bias showed both clinically important changes and statistically significant results. There was evidence of effectiveness for osteopathy and chiropractic. However, osteopathy and chiropractic studies scored high for risk of bias. Strength of the evidence across studies was very low. There is limited evidence supporting the use of general CAM for managing pregnancy-related low back and/or pelvic pain. However, the restricted availability of high-quality studies, combined with the very low evidence strength, makes it impossible to make evidence-based recommendations for practice. © 2014 John Wiley & Sons Ltd.

Infant Gut Microbiota Development Is Driven by Transition to Family Foods Independent of Maternal Obesity.

PubMed

Laursen, Martin Frederik; Andersen, Louise B B; Michaelsen, Kim F; Mølgaard, Christian; Trolle, Ellen; Bahl, Martin Iain; Licht, Tine Rask

2016-01-01

The first years of life are paramount in establishing our endogenous gut microbiota, which is strongly affected by diet and has repeatedly been linked with obesity. However, very few studies have addressed the influence of maternal obesity on infant gut microbiota, which may occur either through vertically transmitted microbes or through the dietary habits of the family. Additionally, very little is known about the effect of diet during the complementary feeding period, which is potentially important for gut microbiota development. Here, the gut microbiotas of two different cohorts of infants, born either of a random sample of healthy mothers (n = 114), or of obese mothers (n = 113), were profiled by 16S rRNA amplicon sequencing. Gut microbiota data were compared to breastfeeding patterns and detailed individual dietary recordings to assess effects of the complementary diet. We found that maternal obesity did not influence microbial diversity or specific taxon abundances during the complementary feeding period. Across cohorts, breastfeeding duration and composition of the complementary diet were found to be the major determinants of gut microbiota development. In both cohorts, gut microbial composition and alpha diversity were thus strongly affected by introduction of family foods with high protein and fiber contents. Specifically, intake of meats, cheeses, and Danish rye bread, rich in protein and fiber, were associated with increased alpha diversity. Our results reveal that the transition from early infant feeding to family foods is a major determinant for gut microbiota development. IMPORTANCE The potential influence of maternal obesity on infant gut microbiota may occur either through vertically transmitted microbes or through the dietary habits of the family. Recent studies have suggested that the heritability of obesity may partly be caused by the transmission of "obesogenic" gut microbes. However, the findings presented here suggest that maternal obesity per se does not affect the overall composition of the gut microbiota and its development after introduction of complementary foods. Rather, progression in complementary feeding is found to be the major determinant for gut microbiota establishment. Expanding our understanding of the influence of complementary diet on the development and establishment of the gut microbiota will provide us with the knowledge to tailor a beneficial progression of our intestinal microbial community.

Infant Gut Microbiota Development Is Driven by Transition to Family Foods Independent of Maternal Obesity

PubMed Central

Laursen, Martin Frederik; Andersen, Louise B. B.; Michaelsen, Kim F.; Mølgaard, Christian; Trolle, Ellen; Bahl, Martin Iain

2016-01-01

ABSTRACT The first years of life are paramount in establishing our endogenous gut microbiota, which is strongly affected by diet and has repeatedly been linked with obesity. However, very few studies have addressed the influence of maternal obesity on infant gut microbiota, which may occur either through vertically transmitted microbes or through the dietary habits of the family. Additionally, very little is known about the effect of diet during the complementary feeding period, which is potentially important for gut microbiota development. Here, the gut microbiotas of two different cohorts of infants, born either of a random sample of healthy mothers (n = 114), or of obese mothers (n = 113), were profiled by 16S rRNA amplicon sequencing. Gut microbiota data were compared to breastfeeding patterns and detailed individual dietary recordings to assess effects of the complementary diet. We found that maternal obesity did not influence microbial diversity or specific taxon abundances during the complementary feeding period. Across cohorts, breastfeeding duration and composition of the complementary diet were found to be the major determinants of gut microbiota development. In both cohorts, gut microbial composition and alpha diversity were thus strongly affected by introduction of family foods with high protein and fiber contents. Specifically, intake of meats, cheeses, and Danish rye bread, rich in protein and fiber, were associated with increased alpha diversity. Our results reveal that the transition from early infant feeding to family foods is a major determinant for gut microbiota development. IMPORTANCE The potential influence of maternal obesity on infant gut microbiota may occur either through vertically transmitted microbes or through the dietary habits of the family. Recent studies have suggested that the heritability of obesity may partly be caused by the transmission of “obesogenic” gut microbes. However, the findings presented here suggest that maternal obesity per se does not affect the overall composition of the gut microbiota and its development after introduction of complementary foods. Rather, progression in complementary feeding is found to be the major determinant for gut microbiota establishment. Expanding our understanding of the influence of complementary diet on the development and establishment of the gut microbiota will provide us with the knowledge to tailor a beneficial progression of our intestinal microbial community. PMID:27303699

Complementary medicine.

PubMed Central

Spiegel, D; Stroud, P; Fyfe, A

1998-01-01

The widespread use of complementary and alternative medicine techniques, often explored by patients without discussion with their primary care physician, is seen as a request from patients for care as well as cure. In this article, we discuss the reasons for the growth of and interest in complementary and alternative medicine in an era of rapidly advancing medical technology. There is, for instance, evidence of the efficacy of supportive techniques such as group psychotherapy in improving adjustment and increasing survival time of cancer patients. We describe current and developing complementary medicine programs as well as opportunities for integration of some complementary techniques into standard medical care. PMID:9584661

Plane-wave scattering by self-complementary metasurfaces in terms of electromagnetic duality and Babinet's principle

NASA Astrophysics Data System (ADS)

Nakata, Yosuke; Urade, Yoshiro; Nakanishi, Toshihiro; Kitano, Masao

2013-11-01

We investigate theoretically electromagnetic plane-wave scattering by self-complementary metasurfaces. By using Babinet's principle extended to metasurfaces with resistive elements, we show that the frequency-independent transmission and reflection are realized for normal incidence of a circularly polarized plane wave onto a self-complementary metasurface, even if there is diffraction. Next, we consider two special classes of self-complementary metasurfaces. We show that self-complementary metasurfaces with rotational symmetry can act as coherent perfect absorbers, and those with translational symmetry compatible with their self-complementarity can split the incident power equally, even for oblique incidences.

Complementary and Integrative Medicine

MedlinePlus

... medical treatments that are not part of mainstream medicine. When you are using these types of care, it may be called complementary, integrative, or alternative medicine. Complementary medicine is used together with mainstream medical ...

Effect of pH and complementary ion concentration on nitrate removal using puroliteA400 Resin impregnated Cu in batch system

NASA Astrophysics Data System (ADS)

Turmuzi, M.; Tarigan, Z. N.; Nadapdap, L.; Batubara, F.

2018-02-01

The total nitrogen content in water bodies should be below 50 mg NO3 -/L (11.3 mgN/l) World Health Organization (WHO) 2006. The content of nitrogen exceeding the quality standard threshold will cause damage to the aquatic ecosystem and be carcinogenic to humans. The Purolite A-400 resin will be modified with Cu metal by batch method to see the adsorption allowance of nitrate in synthetic liquid waste with nitrate concentration of 50 mg/l. This study will evaluate the effect of pH and complementary ions on the adsorption process. From the result of the research, the second order pseudo model is the most suitable adsorption kinetics model. For the adsorption isotherms the most suitable model is the Freundlich adsorption isotherm model. The optimum pH conditions were at the range of 8.5. The addition of complementary ions sulfate and phosphate did not show any significant change, but sulfate is the most effective complementary ion with a content of 20 mg/l.

Integrative Medicine and Complementary and Alternative Therapies

MedlinePlus

... and tai chi. Questions to Ask Your Healthcare Team Use the following questions as a guide to discuss complementary therapies with your healthcare team: Are there complementary therapies that you would recommend? ...

Food Based Complementary Feeding Strategies for Breastfed Infants: What's the Evidence that it Matters?

PubMed Central

Krebs, Nancy F.

2015-01-01

The period of complementary feeding represents a major portion of the 1000 day critical window and thus impacts a period of substantial and dynamic infant development. This review highlights and synthesizes findings of several recent studies conducted to evaluate food based strategies on outcomes related to micronutrient status, growth and neurocognitive development. Particular emphasis is placed on interventions using meat or fortified products to impact iron and zinc intakes, due to the dependence of breastfed infants on complementary food choices to meet requirements for these two critical micronutrients. Regular consumption of modest amounts of meat or fortified cereals provides adequate absorbed zinc to meet estimated physiologic requirements, whereas homeostatic adaptation to lower zinc intake from unfortified cereal/plant staples is inadequate to meet requirements. Iron fortification of cereals may be somewhat more effective than meat to improve iron status, but neither prevents iron deficiency in breastfed infants, even in westernized settings. Improvements in the quality of complementary foods have had very modest effects on linear growth in settings where stunting is prevalent. Maternal education is strongly associated with both linear growth and with child neurodevelopment. The determinants of early growth faltering are more complex and intractable than ‘simple’ dietary deficiencies of micronutrients. Solutions to growth faltering in young children most likely need to be multi-factorial, and almost certainly will need to start earlier than the complementary feeding period. PMID:26549893

Impact of education and provision of complementary feeding on growth and morbidity in children less than 2 years of age in developing countries: a systematic review

PubMed Central

2013-01-01

Background About one third of deaths in children less than 5 years of age are due to underlying undernutrition. According to an estimate, 19.4% of children <5 years of age in developing countries were underweight (weight-for-age Z score <-2) and about 29.9% were stunted in the year 2011 (height-for-age Z score <-2). It is well recognized that the period of 6-24 months of age is one of the most critical time for the growth of the infant. Methods We included randomized, non-randomized trials and programs on the effect of complementary feeding (CF) (fortified or unfortified, but not micronutrients alone) and education on CF on children less than 2 years of age in low and middle income countries (LMIC). Studies that delivered intervention for at least 6 months were included; however, studies in which intervention was given for supplementary and therapeutic purposes were excluded. Recommendations are made for input to the Lives Saved Tool (LiST) model by following standardized guidelines developed by Child Health Epidemiology Reference Group (CHERG). Results We included 16 studies in this review. Amongst these, 9 studies provided education on complementary feeding, 6 provided complementary feeding (with our without education) and 1 provided both as separate arms. Overall, education on CF alone significantly improved HAZ (SMD: 0.23; 95% CI: 0.09, 0.36), WAZ (SMD 0.16, 95% CI: 0.05, 0.27), and significantly reduced the rates of stunting (RR 0.71; 95% CI: 0.56, 0.91). While no significant impact were observed for height and weight gain. Based on the subgroup analysis; ten studies from food secure populations indicated education on CF had a significant impact on height gain, HAZ scores, and weight gain, however, stunting reduced non-significantly. In food insecure population, CF education alone significantly improved HAZ scores, WAZ scores and significantly reduced the rates of stunting, while CF provision with or without education improved HAZ and WAZ scores significantly. Conclusion Complementary feeding interventions have a potential to improve the nutritional status of children in developing countries. However, large scale high quality randomized controlled trials are required to assess the actual impact of this intervention on growth and morbidity in children 6-24 months of age. Education should be combined with provision of complementary foods that are affordable, particularly for children in food insecure countries. PMID:24564534

Current Evidence on Heart Rate Variability Biofeedback as a Complementary Anticraving Intervention.

PubMed

Alayan, Nour; Eller, Lucille; Bates, Marsha E; Carmody, Dennis P

2018-05-21

The limited success of conventional anticraving interventions encourages research into new treatment strategies. Heart rate variability biofeedback (HRVB), which is based on slowed breathing, was shown to improve symptom severity in various disorders. HRVB, and certain rates of controlled breathing (CB), may offer therapeutic potential as a complementary drug-free treatment option to help control substance craving. This review evaluated current evidence on the effectiveness of HRVB and CB training as a complementary anticraving intervention, based on guidelines from the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. Studies that assessed a cardiorespiratory feedback or CB intervention with substance craving as an outcome were selected. Effect sizes were calculated for each study. The Scale for Assessing Scientific Quality of Investigations in Complementary and Alternative Medicine was used to evaluate the quality of each study reviewed. A total of eight articles remained for final review, including controlled studies with or without randomization, as well as noncontrolled trials. Most studies showed positive results with a variety of methodological quality levels and effect size. Current HRVB studies rated moderately on methodological rigor and showed inconsistent magnitudes of calculated effect size (0.074-0.727) across populations. The largest effect size was found in a nonclinical college population of high food cravers utilizing the most intensive HRVB training time of 240 min. Despite the limitations of this review, there is beginning evidence that HRVB and CB training can be of significant therapeutic potential. Larger clinical trials are needed with methodological improvements such as longer treatment duration, adequate control conditions, measures of adherence and compliance, longitudinal examination of craving changes, and more comprehensive methods of craving measurement.

Nutritional status and complementary feeding among HIV-exposed infants: a prospective cohort study.

PubMed

Kamenju, Pili; Liu, Enju; Hertzmark, Ellen; Spiegelman, Donna; Kisenge, Rodrick; Kupka, Roland; Aboud, Said; Manji, Karim P; Duggan, Christopher; Fawzi, Wafaie W

2017-07-01

Complementary feeding is crucial for improving child survival and promoting growth and development, particularly among HIV-exposed children who have higher risk of morbidity and mortality than their un-exposed peers. This prospective study employed an infant and child feeding index (ICFI) to measure complementary feeding and determine its association with nutritional status among 2092 HIV-exposed infants followed from 6 to 24 months of age in Dar es Salaam, Tanzania. The ICFI measured both quality and quantity of complementary feeding, including current breastfeeding status, food consistency, dietary diversity scores (DDS), food group frequency score, and meal frequency. The ICFI score ranged from 0 to 9; the median score was 6 (Inter-Quartile Range, IQR= 4-7). After adjusting for potential confounders, high ICFI scores were associated with reduced risk of stunting (high vs. low tertile hazard ratio, HR: 0.72; 95% confidence interval, CI: 0.57, 0.91; P< 0.01) and underweight (high vs. low tertile HR: 0.79; 95% CI: 0.61, 1.02; P= 0.07). Low DDS were associated with higher risk of stunting (low vs. high tertile HR: 1.59; 95% CI: 1.23, 2.07; P< 0.01) and underweight (low vs. high tertile HR: 1.48; 95% CI: 1.12, 1.96; P= 0.01). In this setting, high DDS and ICFI scores were protective of stunting and underweight. We recommend for nutrition programs in low-income countries to emphasize educating HIV-exposed children's caregivers on the importance of dietary diversity and optimal complementary feeding to improve nutritional status in this important subpopulation. © 2016 John Wiley & Sons Ltd.

Assessment of corporate compliance with guidance and regulations on labels of commercially produced complementary foods sold in Cambodia, Nepal, Senegal and Tanzania.

PubMed

Sweet, Lara; Pereira, Catherine; Ford, Rosalyn; Feeley, Alison B; Badham, Jane; Mengkheang, Khin; Adhikary, Indu; Sy Gueye, Ndèye Yaga; Coly, Aminata Ndiaye; Makafu, Cecilia; Zehner, Elizabeth

2016-04-01

National legislation and global guidance address labelling of complementary foods to ensure that labels support optimal infant and young child feeding practices. This cross-sectional study assessed the labels of commercially produced complementary foods (CPCF) sold in Phnom Penh (n = 70), Cambodia; Kathmandu Valley (n = 22), Nepal; Dakar Department (n = 84), Senegal; and Dar es Salaam (n = 26), Tanzania. Between 3.6% and 30% of products did not provide any age recommendation and 8.6-20.2% of products, from all sites, recommended an age of introduction of <6 months. Few CPCF products provided a daily ration (0.0-8.6%) and 14.5-55.6% of those that did exceeded the daily energy recommendation for complementary foods for a breastfed child from 6 to 8.9 months of age. Only 3.6-27.3% of labels provided accurate and complete messages in the required language encouraging exclusive breastfeeding, and almost none (0.0-2.9%) provided accurate and complete messages regarding the appropriate introduction of complementary foods together with continued breastfeeding. Between 34.3% and 70.2% of CPCF manufacturers also produced breastmilk substitutes and 41.7-78.0% of relevant CPCF products cross-promoted their breastmilk substitutes products. Labelling practices of CPCF included in this study do not fully comply with international guidance on their promotion and selected aspects of national legislation, and there is a need for more detailed normative guidance on certain promotion practices in order to protect and promote optimal infant and young child feeding. © 2016 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

Assessment of corporate compliance with guidance and regulations on labels of commercially produced complementary foods sold in Cambodia, Nepal, Senegal and Tanzania

PubMed Central

Sweet, Lara; Pereira, Catherine; Ford, Rosalyn; Feeley, Alison B; Mengkheang, Khin; Adhikary, Indu; Gueye, Ndèye Yaga Sy; Coly, Aminata Ndiaye; Makafu, Cecilia; Zehner, Elizabeth

2016-01-01

Abstract National legislation and global guidance address labelling of complementary foods to ensure that labels support optimal infant and young child feeding practices. This cross‐sectional study assessed the labels of commercially produced complementary foods (CPCF) sold in Phnom Penh (n = 70), Cambodia; Kathmandu Valley (n = 22), Nepal; Dakar Department (n = 84), Senegal; and Dar es Salaam (n = 26), Tanzania. Between 3.6% and 30% of products did not provide any age recommendation and 8.6−20.2% of products, from all sites, recommended an age of introduction of <6 months. Few CPCF products provided a daily ration (0.0−8.6%) and 14.5−55.6% of those that did exceeded the daily energy recommendation for complementary foods for a breastfed child from 6 to 8.9 months of age. Only 3.6−27.3% of labels provided accurate and complete messages in the required language encouraging exclusive breastfeeding, and almost none (0.0−2.9%) provided accurate and complete messages regarding the appropriate introduction of complementary foods together with continued breastfeeding. Between 34.3% and 70.2% of CPCF manufacturers also produced breastmilk substitutes and 41.7−78.0% of relevant CPCF products cross‐promoted their breastmilk substitutes products. Labelling practices of CPCF included in this study do not fully comply with international guidance on their promotion and selected aspects of national legislation, and there is a need for more detailed normative guidance on certain promotion practices in order to protect and promote optimal infant and young child feeding. PMID:27061960

Characteristics attributed to complementary foods by caregivers in four countries of Latin America and the Caribbean.

PubMed

Dutta, Tanushree; Sywulka, Sara M; Frongillo, Edward A; Lutter, Chessa K

2006-12-01

Attributes that caregivers assign to complementary foods have been primarily described in the context of illness, but attributes assigned to foods in everyday circumstances must be understood to effectively promote good complementary feeding. This study aimed to understand how mothers judge complementary foods to be appropriate by cross-cultural examination of food perceptions in four different Latin American and Caribbean countries. We used semistructured interviews to assess attributes that mothers ascribed to a list of key foods, both home-made and manufactured, and reasons for feeding or not feeding them. We elicited attributes from 79 caregivers with children 6 to 24 months of age from two urban and perirban sites each in Brazil, Jamaica, Mexico, and Panama. Textual analysis based on six home foods common to the four countries and manufactured foods resulted in six attribute categories, five of which could be positive or negative (Nutrient Content, Effects on Child, Child's Response, Availability and Accessibility, and Other Food Attributes); one (Food Quality and Safety) was only negative. Analysis of attributes of home foods (chicken, eggs, beans, carrots, bananas or plantains, and oranges) revealed many beliefs that were common within and across countries, whereas analysis of the attributes of manufactured foods revealed that these foods were less known. The consistency of the attribute categories across countries and across home and manufactured foods suggests their relevance to planning programs to improve complementary feeding in Latin America and the Caribbean and possibly other developing countries. These results can be used programmatically to assess the need for and the focus of food education programs, and to indicate which countries will be more receptive to certain foods as a means of improving complementary feeding.

Inhibition of BRCA2 and Thymidylate Synthase Creates Multidrug Sensitive Tumor Cells via the Induction of Combined "Complementary Lethality".

PubMed

Rytelewski, Mateusz; Ferguson, Peter J; Maleki Vareki, Saman; Figueredo, Rene; Vincent, Mark; Koropatnick, James

2013-03-12

A high mutation rate leading to tumor cell heterogeneity is a driver of malignancy in human cancers. Paradoxically, however, genomic instability can also render tumors vulnerable to therapeutic attack. Thus, targeting DNA repair may induce an intolerable level of DNA damage in tumor cells. BRCA2 mediates homologous recombination repair, and BRCA2 polymorphisms increase cancer risk. However, tumors with BRCA2 mutations respond better to chemotherapy and are associated with improved patient prognosis. Thymidylate synthase (TS) is also involved in DNA maintenance and generates cellular thymidylate. We determined that antisense downregulation of BRCA2 synergistically potentiated drugs with mechanisms of action related to BRCA2 function (cisplatin, melphalan), a phenomenon we named "complementary lethality." TS knockdown induced complementary lethality to TS-targeting drugs (5-FUdR and pemetrexed) but not DNA cross-linking agents. Combined targeting of BRCA2 and TS induced complementary lethality to both DNA-damaging and TS-targeting agents, thus creating multidrug sensitive tumors. In addition, we demonstrated for the first time that simultaneous downregulation of both targets induced combined complementary lethality to multiple mechanistically different drugs in the same cell population. In this study, we propose and define the concept of "complementary lethality" and show that actively targeting BRCA2 and TS is of potential therapeutic benefit in multidrug treatment of human tumors. This work has contributed to the development of a BRCA2-targeting antisense oligdeoxynucleotide (ASO) "BR-1" which we will test in vivo in combination with our TS-targeting ASO "SARI 83" and attempt early clinical trials in the future.Molecular Therapy - Nucleic Acids (2013) 2, e78; doi:10.1038/mtna.2013.7 published online 12 March 2013.

Complementary and alternative medicine for Duchenne and Becker muscular dystrophies: characteristics of users and caregivers.

PubMed

Zhu, Yong; Romitti, Paul A; Conway, Kristin M; Andrews, Jennifer; Liu, Ke; Meaney, F John; Street, Natalie; Puzhankara, Soman; Druschel, Charlotte M; Matthews, Dennis J

2014-07-01

Complementary and alternative medicine is frequently used in the management of chronic pediatric diseases, but little is known about its use by those with Duchenne or Becker muscular dystrophy. Complementary and alternative medicine use by male patients with Duchenne or Becker muscular dystrophy and associations with characteristics of male patients and their caregivers were examined through interviews with 362 primary caregivers identified from the Muscular Dystrophy Surveillance, Tracking, and Research Network. Overall, 272 of the 362 (75.1%) primary caregivers reported that they had used any complementary and alternative medicine for the oldest Muscular Dystrophy Surveillance, Tracking, and Research Network male in their family. The most commonly reported therapies were from the mind-body medicine domain (61.0%) followed by those from the biologically based practice (39.2%), manipulative and body-based practice (29.3%), and whole medical system (6.9%) domains. Aquatherapy, prayer and/or blessing, special diet, and massage were the most frequently used therapies. Compared with nonusers, male patients who used any therapy were more likely to have an early onset of symptoms and use a wheel chair; their caregivers were more likely to be non-Hispanic white. Among domains, associations were observed with caregiver education and family income (mind-body medicines [excluding prayer and/or blessing only] and whole medical systems) and Muscular Dystrophy Surveillance, Tracking, and Research Network site (biologically based practices and mind-body medicines [excluding prayer and/or blessing only]). Complementary and alternative medicine use was common in the management of Duchenne and Becker muscular dystrophies among Muscular Dystrophy Surveillance, Tracking, and Research Network males. This widespread use suggests further study to evaluate the efficacy of integrating complementary and alternative medicine into treatment regimens for Duchenne and Becker muscular dystrophies. Copyright © 2014 Elsevier Inc. All rights reserved.

High consumption of commercial food products among children less than 24 months of age and product promotion in Kathmandu Valley, Nepal

PubMed Central

Huffman, Sandra L.; Adhikary, Indu; Upreti, Senendra Raj; Dhungel, Shrid; Champeny, Mary; Zehner, Elizabeth

2016-01-01

Abstract Commercially produced complementary foods can help improve nutritional status of young children if they are appropriately fortified and of optimal nutrient composition. However, other commercially produced snack food products may be nutritionally detrimental, potentially increasing consumption of foods high in salt or sugar and displacing consumption of other more nutritious options. Helen Keller International, in collaboration with the Nepal government, implemented a study to assess mothers' utilization of commercial food products for child feeding and exposure to commercial promotions for these products. A cross‐sectional survey was conducted among 309 mothers of children less than 24 months of age across 15 health facilities. Utilization of breastmilk substitutes was low, having been consumed by 6.2% of children 0–5 months of age and 7.5% of children 6–23 months of age. Approximately one‐fourth (24.6%) of children 6–23 months age had consumed a commercially produced complementary food in the prior day. Twenty‐eight percent of mothers reported observing a promotion for breastmilk substitutes, and 20.1% reported promotions for commercially produced complementary foods. Consumption of commercially produced snack food products was high at 74.1% of children 6–23 months. Promotions for these same commercially produced snack food products were highly prevalent in Kathmandu Valley, reported by 85.4% of mothers. In order to improve diets during the complementary feeding period, development of national standards for complementary food products is recommended. Nutritious snack options should be promoted for the complementary feeding period; consumption of commercially produced snack food products high in sugar and salt and low in nutrients should be discouraged. PMID:27061954

High consumption of commercial food products among children less than 24 months of age and product promotion in Kathmandu Valley, Nepal.

PubMed

Pries, Alissa M; Huffman, Sandra L; Adhikary, Indu; Upreti, Senendra Raj; Dhungel, Shrid; Champeny, Mary; Zehner, Elizabeth

2016-04-01

Commercially produced complementary foods can help improve nutritional status of young children if they are appropriately fortified and of optimal nutrient composition. However, other commercially produced snack food products may be nutritionally detrimental, potentially increasing consumption of foods high in salt or sugar and displacing consumption of other more nutritious options. Helen Keller International, in collaboration with the Nepal government, implemented a study to assess mothers' utilization of commercial food products for child feeding and exposure to commercial promotions for these products. A cross-sectional survey was conducted among 309 mothers of children less than 24 months of age across 15 health facilities. Utilization of breastmilk substitutes was low, having been consumed by 6.2% of children 0-5 months of age and 7.5% of children 6-23 months of age. Approximately one-fourth (24.6%) of children 6-23 months age had consumed a commercially produced complementary food in the prior day. Twenty-eight percent of mothers reported observing a promotion for breastmilk substitutes, and 20.1% reported promotions for commercially produced complementary foods. Consumption of commercially produced snack food products was high at 74.1% of children 6-23 months. Promotions for these same commercially produced snack food products were highly prevalent in Kathmandu Valley, reported by 85.4% of mothers. In order to improve diets during the complementary feeding period, development of national standards for complementary food products is recommended. Nutritious snack options should be promoted for the complementary feeding period; consumption of commercially produced snack food products high in sugar and salt and low in nutrients should be discouraged. © 2016 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.

Nutrient Content And Acceptability Of Snakehead-Fish (Ophiocephalus Striatus) And Pumpkin (Cucurbita Moschata) Based Complementary Foods

NASA Astrophysics Data System (ADS)

Ratna Noer, Etika; Candra, Aryu; Panunggal, Binar

2017-02-01

Poor nutrient-dense complementary foods is one of the common factors contributed for decline growth pattern in children. Snakehead-fish and Pumpkin Complementary Feeding (SPCF) base on locally food can help to reduce child malnutrition. Specifically, high protein and vitamin A in SPCF may improve immunity and nutrition status of malnutrition children. This study aimed to formulate low-cost, nutritive value and acceptable of SPCF on malnutrition children in coastal area. Carbohydrate content was determined by difference, protein by Kjeldahl, betacaroten by spectofotometri and sensory evaluation using a five point hedonic scale. Fe and zinc was determined by AAS. There is an effect of the substitution of snake-head fish flour and yellow pumpkin flour toward the nutrient content and the acceptability

[Role of complementary medicine in type 1 diabetes mellitus in two Swiss centres].

PubMed

Scheidegger, U A; Flück, C E; Scheidegger, K; Diem, P; Mullis, P E

2009-09-09

Insulin replacement is the only effective treatment of type 1 Diabetes mellitus (T1DM). Nevertheless, many complementary treatments are in use for T1DM. In this study we assessed by questionnaire that out of 342 patients with T1DM, 48 (14%; 13.4% adult, 18.5% paediatric; 20 male, 28 female) used complementary medicine (CM) in addition to their insulin therapy. The purpose of the use of CM was to improve general well-being, ameliorate glucose homeostasis, reduce blood glucose levels as well as insulin doses, improve physical fitness, reduce the frequency of hypoglycaemia, and control appetite. The modalities most frequently used are cinnamon, homeopathy, magnesium and special beverages (mainly teas). Thus, good collaboration between health care professionals will allow optimal patient care.

Efficacy of an MFGM-enriched complementary food in diarrhea, anemia, and micronutrient status in infants.

PubMed

Zavaleta, Nelly; Kvistgaard, Anne Staudt; Graverholt, Gitte; Respicio, Graciela; Guija, Henry; Valencia, Norma; Lönnerdal, Bo

2011-11-01

The aim of the present study was to evaluate the efficacy of a milkfat globule membrane (MFGM)-enriched protein fraction in a complementary food, on diarrhea, anemia, and micronutrient status. A randomized, double-blind controlled design to study 550 infants, 6 to 11 months old, who received daily for 6 months a complementary food (40 g/day) with the protein source being either the MFGM protein fraction or skim milk proteins (control). Health and nutritional status of infants were examined monthly in the outpatient clinic; product intake, food patterns, and diarrhea morbidity were assessed by home visits twice per week. Hemoglobin and micronutrient status were measured at 0 and 6 months of intervention. Results are presented as the entire group and as 6 to 8 and 9 to 11 months subgroups. A total of 499 infants completed the study. Global prevalence of diarrhea was 3.84% and 4.37% in the MFGM group and control group, respectively (P < 0.05). Consumption of the MFGM protein fraction reduced episodes of bloody diarrhea (odds ratio 0.54; 95% confidence interval 0.31-0.93, P = 0.025) adjusting for anemia and potable water facilities as covariates. There were no differences between groups in anemia, serum ferritin, zinc, or folate. Addition of an MFGM-enriched protein fraction to complementary food had beneficial effects on diarrhea in infants and may thus help to improve the health of vulnerable populations.

Assessment of Salient Beliefs Affecting Mothers' Intention to Adherence to Dietary Diversity in their Children's Complementary Feeding.

PubMed

Karimi-Shahanjarini, Akram; Rahmani, Fatemeh; Roshanei, Ghodratollah; Mahdi Hazavehei, Seyyed M

2017-01-01

Providing a variety of foods has been emphasized as one of the most important features of optimal complementary feeding. This study investigated key beliefs that guide mothers' intention to adherence to dietary diversity in their 1-2-year-old children's complementary feeding. This was a cross-sectional study involving 290 mothers (mean age = 27, standard deviation = 5.32) with child 1-2-year-old attending maternal and child health section of health centers in Rasht, Iran. To represent the socioeconomic status of the participants, 6 centers out of 15 were selected from three different socioeconomic areas (low-, middle-, and high-income areas). Mothers completed a questionnaire assessing intention and belief-based items of theory of planned behavior. Correlations and multiple regression analyses were performed. The mean age of mothers was 27 ± 5.33 (27-43 years). Regression analyses revealed that among behavioral beliefs, the perception that adherence to dietary diversity would lead to improve children's growth was the significant predictor of intention (β = 0.13, P = 0.04). Regarding normative beliefs, perceived social pressure from health-care professionals to adherence to dietary diversity significantly predicted intention (β = 0.15, P = 0.01). Among control beliefs, the perception that daily pressures made difficult adherence to dietary diversity was the key determinant (β = 0.19, P = 0.01). Findings of this study represent the important beliefs that can be addressed in development planning aimed at modifying mothers' child complementary feeding practices.

Complementary-encoding holographic associative memory using a photorefractive crystal

NASA Astrophysics Data System (ADS)

Yuan, ShiFu; Wu, Minxian; Yan, Yingbai; Jin, Guofan

1996-06-01

We present a holographic implementation of accurate associative memory with only one holographic memory system. In the implementation, the stored and test images are coded by using complementary-encoding method. The recalled complete image is also a coded image that can be decoded with a decoding mask to get an original image or its complement image. The experiment shows that the complementary encoding can efficiently increase the addressing accuracy in a simple way. Instead of the above complementary-encoding method, a scheme that uses complementary area-encoding method is also proposed for the holographic implementation of gray-level image associative memory with accurate addressing.

Complementary approaches to palliative oncological care.

PubMed

Zappa, Simone B; Cassileth, Barrie R

2003-01-01

The popularity of complementary and alternative medicine (CAM) has increased tremendously in recent years. Thus, it is imperative to distinguish between alternative therapies that can be dangerous and complementary therapies that are primarily palliative and augment conventional treatment. Memorial Sloan-Kettering Cancer Center's Integrative Medicine Service offers complementary therapies to patients in an attempt to improve quality of life and provide symptom management. In addition to clinical services, it also provides education to health care professionals and the public and performs clinical and laboratory research on complementary modalities and the antitumor properties of botanicals. If CAM is to be accepted by mainstream medicine, research must be done usingstandard research methodologies.

The use of complementary and alternative medicine in the general population: results from a longitudinal community study.

PubMed

Rössler, Wulf; Lauber, Christoph; Angst, Jules; Haker, Helene; Gamma, Alex; Eich, Dominique; Kessler, Ronald C; Ajdacic-Gross, Vladeta

2007-01-01

Many patients with psychological or physical problems are interested in non-medical approaches. The reasons for the growing popularity of complementary and alternative medicine (CAM) are not well understood considering that evidence of the effectiveness of conventional therapies is greater than ever before. We have examined data from the Zurich Study to determine trends and predictors of CAM use in Switzerland. The Zurich Study is a longitudinal community study that was started in 1979 with a sample of 591 participants born in 1958 and 1959. In 1999, the last of six interview waves with face-to-face interviews was conducted. CAM use was analyzed with data from interviews in 1993 and 1999. Polytomous logistic regression analysis focused on the personal, demographic and sociocultural background of CAM users. CAM use in the last 12 months was reported by 21.9% of the participants in 1993 and by 29.5% in 1999. CAM use among those exhibiting either physical or psychological problems was in the ratio of two to one. There was a trend from alternative variants of CAM (homeopathy) to complementary ones (massage, osteopathy, acupuncture). The vast majority of CAM use was in addition to conventional therapies. Predictors of CAM use were, among others, attribution of physical complaints to stress and other psychological variables, very low education level in parents, and lacking political interest. Besides the sociocultural background, characteristics such as the psychological attribution style play an important role in CAM use. CAM use in Switzerland is mainly of a complementary rather than an alternative nature.

How effective are spiritual care and body manipulation therapies in pediatric oncology? A systematic review of the literature.

PubMed

Poder, Thomas G; Lemieux, Renald

2013-12-10

The effects of cancer and associated treatments have a considerable impact on the well-being and quality of life of pediatric oncology patients. To support children and their families, complementary and alternative medicines are seen by nurses and doctors as practical to integrate to the services offered by hospitals. The purpose of this paper is to examine if the practice of complementary and alternative medicine, specifically spiritual care and treatments based on body manipulation, is likely to improve the health and well-being of children suffering from cancer. This objective is achieved through a systematic review of the literature. The level of evidence associated with each practice of complementary and alternative medicine was assessed according to the methodological design used by the studies reviewed. Studies reviewed are of a methodological quality that could be described as fair due to the small sample size of patients and the existence of a number of biases in the conduct and analysis of these studies. However, results obtained are consistent from one study to another, allowing us to make certain recommendations. It is thus advisable to consider the introduction of hypnotherapy in pediatric oncology services. Based on the data collected, it is the complementary and alternative medicine with the most evidence in favor of effectiveness of the well-being of pediatric oncology patients, especially during painful procedures. It is also recommended to use art therapy and music therapy. Conversely, too little evidence is present to be able to recommend the use of acupuncture, chiropractic or osteopathy.

Is complementary and alternative medicine effective in job satisfaction among dentists with musculoskeletal disorders? A cross sectional study.

PubMed

Gupta, Devanand; Bhaskar, Dara John; Gupta, Rajendra Kumar; Jain, Ankita; Yadav, Priyanka; Dalai, Deepak Ranjan; Singh, Rajeshwar; Singh, Nisha; Chaudhary, Varunjeet; Singh, Ankit; Yadav, Ankit; Karim, Bushra

2014-01-01

Musculoskeletal disorders have serious impact on the profession of dentistry. There is common occurrence of pain due to incorrect posture in dental professionals. Complementary and alternative medicine (CAM) therapies may cast a new light on preventing and intercepting musculoskeletal disorders (MSD). An epidemiological study was conducted in an effort to contribute to the prevention of musculoskeletal disorders in dentistry. The purpose of this study was to determine the prevalence of MSD at dentists using CAM as a treatment and preventive modality for MSD and to compare job/career satisfaction between dentists who use CAM and conventional therapy (CT). Dentists registered in Uttrakhand state, India, under the Dental Council of India and registered members of the Indian Dental Association, Uttrakhand branch (N = 1496) were surveyed. Statistical analysis was conducted using SPSS 17. A response rate of 84% (N = 1257) was obtained, revealing that 90% (N = 1131) had the problem of MSD. Seventy three percentage (N = 826) of dentists with MSD reported the use of CAM and CT. Complementary and alternative medicine users reported greater overall health (72.7% vs. 51%, p < 0.001), job satisfaction (61.2% vs. 35%, p < 0.001) and work efficiency compared to CT users. Complementary and alternative medicine therapies may improve quality of life, reduce work interruption and enhance job satisfaction for dentists who suffers from MSD. Through the course of their studies, dentists should be equipped with knowledge on ergonomics and CAM therapies, such as yoga and others, to help them prevent musculoskeletal disorders more effectively.

How Effective Are Spiritual Care and Body Manipulation Therapies in Pediatric Oncology? A Systematic Review of the Literature

PubMed Central

Poder, Thomas G.; Lemieux, Renald

2014-01-01

Background: The effects of cancer and associated treatments have a considerable impact on the well-being and quality of life of pediatric oncology patients. To support children and their families, complementary and alternative medicines are seen by nurses and doctors as practical to integrate to the services offered by hospitals. Objective: The purpose of this paper is to examine if the practice of complementary and alternative medicine, specifically spiritual care and treatments based on body manipulation, is likely to improve the health and well-being of children suffering from cancer. Method: This objective is achieved through a systematic review of the literature. The level of evidence associated with each practice of complementary and alternative medicine was assessed according to the methodological design used by the studies reviewed. Results and Conclusion: Studies reviewed are of a methodological quality that could be described as fair due to the small sample size of patients and the existence of a number of biases in the conduct and analysis of these studies. However, results obtained are consistent from one study to another, allowing us to make certain recommendations. It is thus advisable to consider the introduction of hypnotherapy in pediatric oncology services. Based on the data collected, it is the complementary and alternative medicine with the most evidence in favor of effectiveness of the well-being of pediatric oncology patients, especially during painful procedures. It is also recommended to use art therapy and music therapy. Conversely, too little evidence is present to be able to recommend the use of acupuncture, chiropractic or osteopathy. PMID:24576371

Office of Cancer Complementary and Alternative Medicine

MedlinePlus

... Information. Outreach. The Office of Cancer Complementary and Alternative Medicine (OCCAM) was established in October 1998 to coordinate ... Institute (NCI) in the arena of complementary and alternative medicine (CAM). More about us. CAM at the NCI ...

Complementary habitat use by wild bees in agro-natural landscapes.

PubMed

Mandelik, Yael; Winfree, Rachael; Neeson, Thomas; Kremen, Claire

2012-07-01

Human activity causes abrupt changes in resource availability across the landscape. In order to persist in human-altered landscapes organisms need to shift their habitat use accordingly. Little is known about the mechanisms by which whole communities persist in human-altered landscapes, including the role of complementary habitat use. We define complementary habitat use as the use of different habitats at different times by the same group of species during the course of their activity period. We hypothesize that complementary habitat use is a mechanism through which native bee species persist in human-altered landscapes. To test this idea, we studied wild bee communities in agro-natural landscapes and explored their community-level patterns of habitat and resource use over space and time. The study was conducted in six agro-natural landscapes in the eastern United States, each containing three main bee habitat types (natural habitat, agricultural fields, and old fields). Each of the three habitats exhibited a unique seasonal pattern in amount, diversity, and composition of floral resources, and together they created phenological complementarity in foraging resources for bees. Individual bee species as well as the bee community responded to these spatiotemporal patterns in floral availability and exhibited a parallel pattern of complementary habitat use. The majority of wild bee species, including all the main crop visitors, used fallow areas within crops early in the season, shifted to crops in mid-season, and used old-field habitats later in the season. The natural-forest habitat supported very limited number of bees, mostly visitors of non-crop plants. Old fields are thus an important feature in these arable landscapes for maintaining crop pollination services. Our study provides a detailed examination of how shifts in habitat and resource use may enable bees to persist in highly dynamic agro-natural landscapes, and points to the need for a broad cross-habitat perspective in managing these landscapes.

The mirror neuron system is more active during complementary compared with imitative action.

PubMed

Newman-Norlund, Roger D; van Schie, Hein T; van Zuijlen, Alexander M J; Bekkering, Harold

2007-07-01

We assessed the role of the human mirror neuron system (MNS) in complementary actions using functional magnetic resonance imaging while participants prepared to execute imitative or complementary actions. The BOLD signal in the right inferior frontal gyrus and bilateral inferior parietal lobes was greater during preparation of complementary than during imitative actions, suggesting that the MNS may be essential in dynamically coupling action observation to action execution.

Learners misperceive the benefits of redundant text in multimedia learning.

PubMed

Fenesi, Barbara; Kim, Joseph A

2014-01-01

Research on metacognition has consistently demonstrated that learners fail to endorse instructional designs that produce benefits to memory, and often prefer designs that actually impair comprehension. Unlike previous studies in which learners were only exposed to a single multimedia design, the current study used a within-subjects approach to examine whether exposure to both redundant text and non-redundant text multimedia presentations improved learners' metacognitive judgments about presentation styles that promote better understanding. A redundant text multimedia presentation containing narration paired with verbatim on-screen text (Redundant) was contrasted with two non-redundant text multimedia presentations: (1) narration paired with images and minimal text (Complementary) or (2) narration paired with minimal text (Sparse). Learners watched presentation pairs of either Redundant + Complementary, or Redundant + Sparse. Results demonstrate that Complementary and Sparse presentations produced highest overall performance on the final comprehension assessment, but the Redundant presentation produced highest perceived understanding and engagement ratings. These findings suggest that learners misperceive the benefits of redundant text, even after direct exposure to a non-redundant, effective presentation.

Complementary health insurance, out- of- pocket expenditures, and health services utilization: A population- based survey.

PubMed

Homaie Rad, Enayatollah; Kavosi, Zahra; Moghadamnia, Mohammad Taghi; Arefnezhad, Masoud; Arefnezhad, Masoumeh; Felezi Nasiri, Banfashe

2017-01-01

Background: Studies have shown that people using complementary health insurances have more access to health services than others. In the present study, we aimed at finding the differences between out- of- pocket payments and health service utilizations in complementary health insurances (CHIs) users and nonusers. Methods: Propensity score matching was used to compare the 2 groups. First, confounder variables were identified, and then propensity score matching was used to compare out- of- pocket expenditures with dental, general physician, hospital inpatient, emergency services, nursing, midwifery, laboratory services, specialists and rehabilitation services utilization. Results: Our results revealed no significant differences between the 2 groups in out- of- pocket health expenditures. Also, the specialist visits, inpatient services at the hospital, and dental services were higher in people who used CHIs compared to nonusers. Conclusion: People did not change their budget share for health care services after using CHIs. The payments were equal for people who were not CHIs users due to the increase in the quantity of the services.

The Dutch complementary and alternative medicine (CAM) protocol: to ensure the safe and effective use of complementary and alternative medicine within Dutch mental health care.

PubMed

Hoenders, H J Rogier; Appelo, Martin T; van den Brink, Erik H; Hartogs, Bregje M A; de Jong, Joop T V M

2011-12-01

Complementary and alternative medicine (CAM) is subject to heated debates and prejudices. Studies show that CAM is widely used by psychiatric patients, usually without the guidance of a therapist and without the use of a solid working method, leading to potential health risks. The purpose of this study is to facilitate the judicious use of CAM alongside conventional psychiatry in an outpatient psychiatric clinic. A search was made through scientific and legal articles and discussion in focus groups. In the Centre for Integrative Psychiatry (CIP) of Lentis in The Netherlands, some carefully selected CAM are offered under strict conditions, alongside conventional treatments. Because of the controversy and the potential health risks, Lentis designed a protocol that is presented. The CIP hopes, by using this protocol, to better serve and respect the individual needs and preferences of the diversity of psychiatric patients in our Dutch multicultural society, and better protect them from harm.

Complementary and alternative treatment in functional dyspepsia

PubMed Central

Chiarioni, Giuseppe; Pesce, Marcella; Fantin, Alberto; Sarnelli, Giovanni

2017-01-01

Introduction and aim The popularity of complementary and alternative medicine (CAM) in treating functional gastrointestinal disorders (FGIDs) has steadily increased in Western countries. We aimed at analyzing available data on CAM effectiveness in functional dyspepsia (FD) patients. Methods A bibliographical search was performed in PubMed using the following keywords: “complementary/alternative medicine,” “hypnosis,” “acupuncture” and/or “functional dyspepsia.” Results In community settings, almost 50% of patients with FGIDs used CAM therapies. Herbal remedies consist of multi-component preparations, whose mechanisms of action have not been systematically clarified. Few studies analyzed the effectiveness of acupuncture in Western countries, yielding conflicting results and possibly reflecting a population bias of this treatment. Hypnosis has been extensively used in irritable bowel syndrome, but few data support its role in treating FD. Conclusions Although some supporting well-designed studies have been recently performed, additional randomized, controlled trials are needed before stating any recommendation on CAM effectiveness in treating FD. PMID:29435308

Complementary and Alternative Medicine for Chronic Prostatitis/Chronic Pelvic Pain Syndrome

PubMed Central

2005-01-01

To discuss challenges concerning treatment for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and review complementary and alternative medical (CAM) therapies being evaluated for this condition, we performed a comprehensive search of articles published from 1990–2005 using the PubMed, Medline databases. Data from the articles were abstracted and pooled by subject. Keywords cross-searched with CP/CPPS included: complementary, alternative, integrative, therapies, interventions, nutrition, antioxidants, herbs, supplements, biofeedback and acupuncture. Listed articles with no abstracts were not included. Various CAM therapies for CP/CPPS exist including biofeedback, acupuncture, hyperthermia and electrostimulation. Additionally, a variety of in vitro and in vivo studies testing herbal and nutritional supplements were found. Saw palmetto, cernilton and quercetin were the most frequently tested supplements for CP/CPPS. Although many CAM therapies demonstrate positive preliminary observations as prospective treatments for CP/CPPS, further exploratory studies including more randomized, controlled trials are necessary for significant validation as treatment options for this complex disorder. PMID:16322807

The Use of Complementary and Alternative Medicine in Scandinavia.

PubMed

Nilsson, Jonas; Källman, Mikael; Östlund, Ulrika; Holgersson, Georg; Bergqvist, Michael; Bergström, Stefan

2016-07-01

Complementary alternative medicine (CAM) is widely used among patients with cancer. This usage may have potentially harmful effects, especially when combined with anticancer drugs. However, some complementary methods may benefit patients. This review investigated the prevalence of CAM use among patients with cancer in Scandinavia and secondly studied the educational levels of CAM users compared to non-users. A systematic search of the PubMed library was carried out to locate articles published between January 2000 and October 2015 that investigated prevalence of CAM use among Scandinavian patients with cancer. Twenty-two articles were found, of which nine were included in the review. The prevalence of CAM use was 7.9% to 53%, with an average of 36.0% across all studies. Use of CAM is widespread among patients with cancer. Knowledge about CAM should be disseminated to both patients and staff in order to optimise discussions about CAM in clinical practice. Copyright© 2016 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.

Reconfigurable Complementary Logic Circuits with Ambipolar Organic Transistors

PubMed Central

Yoo, Hocheon; Ghittorelli, Matteo; Smits, Edsger C. P.; Gelinck, Gerwin H.; Lee, Han-Koo; Torricelli, Fabrizio; Kim, Jae-Joon

2016-01-01

Ambipolar organic electronics offer great potential for simple and low-cost fabrication of complementary logic circuits on large-area and mechanically flexible substrates. Ambipolar transistors are ideal candidates for the simple and low-cost development of complementary logic circuits since they can operate as n-type and p-type transistors. Nevertheless, the experimental demonstration of ambipolar organic complementary circuits is limited to inverters. The control of the transistor polarity is crucial for proper circuit operation. Novel gating techniques enable to control the transistor polarity but result in dramatically reduced performances. Here we show high-performance non-planar ambipolar organic transistors with electrical control of the polarity and orders of magnitude higher performances with respect to state-of-art split-gate ambipolar transistors. Electrically reconfigurable complementary logic gates based on ambipolar organic transistors are experimentally demonstrated, thus opening up new opportunities for ambipolar organic complementary electronics. PMID:27762321

Reconfigurable Complementary Logic Circuits with Ambipolar Organic Transistors.

PubMed

Yoo, Hocheon; Ghittorelli, Matteo; Smits, Edsger C P; Gelinck, Gerwin H; Lee, Han-Koo; Torricelli, Fabrizio; Kim, Jae-Joon

2016-10-20

Ambipolar organic electronics offer great potential for simple and low-cost fabrication of complementary logic circuits on large-area and mechanically flexible substrates. Ambipolar transistors are ideal candidates for the simple and low-cost development of complementary logic circuits since they can operate as n-type and p-type transistors. Nevertheless, the experimental demonstration of ambipolar organic complementary circuits is limited to inverters. The control of the transistor polarity is crucial for proper circuit operation. Novel gating techniques enable to control the transistor polarity but result in dramatically reduced performances. Here we show high-performance non-planar ambipolar organic transistors with electrical control of the polarity and orders of magnitude higher performances with respect to state-of-art split-gate ambipolar transistors. Electrically reconfigurable complementary logic gates based on ambipolar organic transistors are experimentally demonstrated, thus opening up new opportunities for ambipolar organic complementary electronics.

How well do WHO complementary feeding indicators relate to nutritional status of children aged 6-23 months in rural Northern Ghana?

PubMed

Saaka, Mahama; Wemakor, Anthony; Abizari, Abdul-Razak; Aryee, Paul

2015-11-23

Though the World Health Organization (WHO) recommended Infant and Young Child Feeding (IYCF) indicators have been in use, little is known about their association with child nutritional status. The objective of this study was to explore the relationship between IYCF indicators (timing of complementary feeding, minimum dietary diversity, minimum meal frequency and minimum acceptable diet) and child growth indicators. A community-based cross-sectional survey was carried out in November 2013. The study population comprised mothers/primary caregivers and their children selected using a two-stage cluster sampling procedure. Of the 1984 children aged 6-23 months; 58.2 % met the minimum meal frequency, 34.8 % received minimum dietary diversity (≥4 food groups), 27.8 % had received minimum acceptable diet and only 15.7 % received appropriate complementary feeding. With respect to nutritional status, 20.5 %, 11.5 % and 21.1 % of the study population were stunted, wasted and underweight respectively. Multiple logistic regression analysis revealed that compared to children who were introduced to complementary feeding either late or early, children who started complementary feeding at six months of age were 25 % protected from chronic malnutrition (AOR = 0.75, CI = 0.50 - 0.95, P = 0.02). It was found that children whose mothers attended antenatal care (ANC) at least 4 times were 34 % protected [AOR 0.66; 95 % CI (0.50 - 0.88)] against stunted growth compared to children born to mothers who attended ANC less than 4 times. Children from households with high household wealth index were 51 % protected [AOR 0.49; 95 % CI (0.26 - 0.94)] against chronic malnutrition compared to children from households with low household wealth index. After adjusting for potential confounders, there was a significant positive association between appropriate complementary feeding index and mean WLZ (β = 0.10, p = 0.005) but was not associated with mean LAZ. The WHO IYCF indicators better explain weight-for-length Z-scores than length-for-age Z-scores of young children in rural Northern Ghana. Furthermore, a composite indicator comprising timely introduction of solid, semi-solid or soft foods at 6 months, minimum meal frequency, and minimum dietary diversity better explains weight-for-length Z-scores than each of the single indicators.

The effect of complementary therapies on post-operative pain control in ambulatory knee surgery: a systematic review.

PubMed

Barlow, Timothy; Downham, Christopher; Barlow, David

2013-10-01

Ambulatory knee surgery is a common procedure with over 100,000 knee arthroscopies performed in the U.K. in 2010-2011. Pain after surgery can decrease patient satisfaction, delay discharge, and decrease cost effectiveness. Multi-modal therapies, including complementary therapies, to improve pain control after surgery have been recommended. However, a comprehensive review of the literature regarding the use of complementary therapies to enhance pain control after ambulatory knee surgery is lacking, and this article aims to address this deficit. CINHAL, EMBASE, MEDLINE, AMED and CENTRAL databases were searched. Only Randomised Controlled Trials were included. All eligible papers were quality assessed using the Jadad system, and data was extracted using piloted forms. Two independent reviewers performed each stage of the review. Full details of the study methodology can be found on Prospero, a systematic review register. Five studies satisfied our eligibility criteria: three reporting on acupuncture, one on homeopathy, and one on acupoints. Acupoint pressure was the only study that demonstrated reduced pain compared with placebo. This study was the least methodologically robust. Arnica, although demonstrating a significant reduction in swelling, did not affect post-operative pain. Acupuncture did not affect post-operative pain; however, a reduction in ibuprofen use was demonstrated in two studies. Before recommending complementary therapy for routine use in ambulatory knee surgery, further work is required. Two areas of future research likely to bear fruit are demonstrating robust evidence for the effect of acupoint pressure on post-operative pain, and quantifying the positive effect of homeopathic arnica on post-operative swelling. Copyright © 2013 Elsevier Ltd. All rights reserved.

Hydrochemical characteristics and quality assessment of groundwater along the Manavalakurichi coast, Tamil Nadu, India

NASA Astrophysics Data System (ADS)

Srinivas, Y.; Aghil, T. B.; Hudson Oliver, D.; Nithya Nair, C.; Chandrasekar, N.

2017-06-01

The present study was carried out to find the groundwater quality of coastal aquifer along Manavalakurichi coast. For this study, a total of 30 groundwater samples were collected randomly from open wells and borewells. The concentration of major ions and other geochemical parameters in the groundwater were analyzed in the laboratory by adopting standard procedures suggested by the American Public Health Association. The order of the dominant cations in the study area was found to be Na+ > Ca2+ > Mg2+ > K+, whereas the sequence of dominant anions was {{Cl}}^{ - } > {{HCO}}3^{ - } > {{SO}}4^{2 - }. The hydrogeochemical facies of the groundwater samples were studied by constructing piper trilinear diagram which revealed the evidence of saltwater intrusion into the study area. The obtained geochemical parameters were compared with the standard permissible limits suggested by the World Health Organization and Indian Standard Institution to determine the drinking water quality in the study area. The analysis suggests that the groundwater from the wells W25 and W26 is unsuitable for drinking. The suitability of groundwater for irrigation was studied by calculating percent sodium, sodium absorption ratio and residual sodium carbonate values. The Wilcox and USSL plots were also prepared. It was found that the groundwater from the stations W1, W25 and W26 is unfit for irrigation. The Gibbs plots were also sketched to study the mechanisms controlling the geochemical composition of groundwater in the study area.

Goechemical and Hydrogeochemical Properties of Cappadocia Geothermal Province

NASA Astrophysics Data System (ADS)

Furkan Sener, Mehmet; Sener, Mehmet; Uysal, Tonguc

2016-04-01

In order to determine the geothermal resource potential of Niǧde, Nevşehir and Aksaray provinces in Central Anatolian Volcanic Province (CAVP), geothermal fluids, surface water, and alteration rock samples from the Cappadocia volcanic zone in Turkey were investigated for their geochemical and stable isotopic characteristics in light of published geological and tectonic studies. Accordingly, the Cappadocia Geothermal Province (CGP) has two different geothermal systems located along tectonic zones including five active and two potential geothermal fields, which are located between Tuzgölü Fault Zone and Keçiboyduran-Melendiz Fault and north of Keçiboyduran-Melendiz Fault. Based on water chemistry and isotope compositions, samples from the first area are characterized by Ca-Mg-HCO3 ve Ca-HCO3 type mineral poor waters and Ca-Na-SO4 and Ca-Mg-SO4 type for the cold waters and the hot waters, respectively, whereas hot waters from the second area are Na-Cl-HCO3 and Ca-Na-HCO3 type mineral poor waters. According to δ18O and δ2H isotope studies, the geothermal waters are fed from meteoric waters. Results of silica geothermometer indicate that the reservoir temperature of Dertalan, Melendiz Mount, Keçiboyduran Mount, Hasan Mount (Keçikalesi), Ziga, Acıgöl, and Derinkuyu geothermal waters are 150-173 oC, 88-117 oC, 91-120 oC, 94-122 oC, 131-156 oC, 157-179 oC; 152-174 oC and 102-130 oC, respectively. The REE composition of geothermal fluids, surface water, and mineral precipitates indicate that temperature has a strong effect on REE fractionation of the sampled fluids. Eu- and Ce- anomalies (Eu/Eu*, Ce/Ce*) are visible in several samples, which are related to the inheritance from the host reservoir rocks and redox-controlled fractionation of these elements during water-rock interactions. REE and Yttrium geochemistry results of altered rock samples and water samples, which were taken from same locations exhibited quite similar features in each system. Hence, it was conclude that the same hydrothermal fluid in geothermal system was reached to the surface and interacted with the surface rocks. Our conceptual geothermal model for Cappadocia Geothermal Province based on our geochemical and hydrogeochemical data in combination with geological and geophysical information suggest that the geothermal resources in this region are controlled by primary (active fault) and secondary (buried fault) tectonic belts. Further, our geochemical data indicate the Paleozoic-Mesozoic marble and gneiss being the reservoir rocks. Geogradient and impending heat fluxes to the surface with a possible crustal thinning, which was developed after regional tectonic activities during the Late Pliocene-Quaternary period, constitutes the heat sources. In addition, our study suggest that the Quaternary tuff and ignimbrites of Cappadocia Volcanics represent the seal rock of the geothermal system. In conclusion this study provide evidence for a significant geothermal potential in the Cappadocia region with well-defined seal rocks. However, further studies are needed to resolve the geothermal fluid source problem. Keywords: Cappadocia, geothermal systems, geochemistry, rare earth elements, hydrogeochemistry, hydrothermal alteration.

Complementary and Integrative Interventions for Chronic Neurologic Conditions Encountered in the Primary Care Office.

PubMed

Bega, Danny

2017-06-01

Chronic neurologic conditions are frequently managed in the primary care setting, and patients with these conditions are increasingly seeking nonconventional treatment options. This article provides a review and summary of the evidence for some of the most commonly studied and most frequently used complementary and integrative interventions for 3 conditions managed every day in primary care offices - diabetic neuropathy, migraine, and dementia. Copyright © 2017 Elsevier Inc. All rights reserved.

Special Section: Complementary and Alternative Medicine (CAM): Time to Talk

MedlinePlus

... with your health care providers any complementary and alternative medicines you take or are thinking about starting. Photo: ... and older use some form of complementary and alternative medicine (CAM). But less than one-third who use ...

Malnutrition among vaccinated children aged 0-5 years in Batouri, Republic of Cameroon.

PubMed

Nagahori, Chikako; Kinjo, Yoshihide; Tchuani, Jean Paul; Yamauchi, Taro

2017-12-01

Malnutrition continues to contribute to a high infant mortality rate. This study aimed to determine the prevalence of malnutrition and its potential association with the time at which complementary feeding was introduced among children aged 0-5 years in Batouri, Republic of Cameroon. Mothers (n=212) were interviewed using a structured questionnaire. Child height or length, and weight measurements were determined and the appropriate Z -scores calculated. Multiple regression analysis was performed with the values of all nutritional status indicators as dependent variables and the time of commencing complementary feeding, and the child's age and sex, as independent variables. The prevalence of stunting (height/length for age<-2 standard deviation [SD]), underweight (weight for age<-2SD), and wasting (weight for height/length<-2SD) was 45.8%, 30.2%, and 11.3%, respectively. Even taking into consideration the biological variables, there was a significant association in the effects of time of starting complementary foods on the nutritional status indicators. Furthermore, adding socio-economic variables did not produce a rise in adjusted R 2 values for all age group models concerned. Approximately 30% of the children in the study region were underweight, and approximately half of the children exhibited stunting, indicating chronic malnutrition. Commencing complementary feeding at an appropriate time had a positive effect on nutritional status from approximately 2 years of age.

[Breastfeeding, complementary feeding and risk of childhood obesity].

PubMed

Sandoval Jurado, Luis; Jiménez Báez, María Valeria; Olivares Juárez, Sibli; de la Cruz Olvera, Tomas

2016-11-01

To evaluate the pattern of breastfeeding and weaning as a risk of obesity in pre-school children from a Primary Care Unit. Cross-sectional analytical study LOCATION: Cancun, Quintana Roo (Mexico). Children from 2-4 years of age from a Primary Care Unit. Duration of total and exclusive breastfeeding, age and food utilized for complementary feeding reported by the mother or career of the child and nutritional status assessment evaluated by body mass index (BMI) ≥ 95 percentile. Determination of prevalence ratio (PR), odds ratio (OR), chi squared (x2), and binary logistic regression. The study included 116 children (55.2% girls) with a mean age of 3.2 years, with obesity present in 62.1%, Exclusive breastfeeding in 72.4% with mean duration of 2.3 months, and age at introducing solids foods was 5.0 months. There was a difference for breastfeeding and complementary feeding by gender sex (P<.05). A PR=3.9 (95% CI: 1.49-6.34) was calculated for exclusive breastfeeding and risk of obesity. The model showed no association between these variables and obesity in children CONCLUSIONS: Exclusive breastfeeding of less than three months is associated with almost 4 more times in obese children. There was a difference in age of complementary feeding, duration of breastfeeding, and formula milk consumption time for obese and non-obese children. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

One hand cannot clap-a study of Arab practitioners of traditional and complementary medicine in Israel: identifying barriers to integrative oncology care.

PubMed

Popper-Giveon, Ariela; Schiff, Elad; Hatem, David; Samuels, Noah; Ben-Arye, Eran

2014-01-01

The integration of complementary medicine is gradually becoming an accepted part of standard care for patients with cancer. In our integrative oncology program, we have encountered difficulties in recruiting Arab patients. In order to understand the special needs of this population, we conducted interviews among Arab practitioners of complementary and traditional medicine (CTM). The characteristics of practitioners and their views regarding the therapeutic process were examined. Semi-structured qualitative interviews were administered to 27 Arab practitioners of CTM whose clientele was comprised primarily of Arab cancer patients. Conventional content analysis of the transcribed interviews and field notes was performed in order to identify key themes. Three groups of CTM practice were identified: Folk-herbal medicine (n = 9), complementary medicine (CM; n = 14), and religious healing (n = 4). Seven factors were identified in the practitioner accounts: the duration and scheduling of treatment sessions, the language of communication, the presence of family members, the appearance of the practitioner, the definition of treatment goals, the discussion of behavioral and lifestyle changes, and finally, the use of tangible elements in treatment. The study of Arab CTM practitioner recommendations may help facilitate a culture-sensitive encounter with Arab patients with cancer. This approach may also have implications for other ethno-culturally unique populations. Copyright © 2014 Elsevier Inc. All rights reserved.

Complementary and alternative exercise for fibromyalgia: a meta-analysis.

PubMed

Mist, Scott David; Firestone, Kari A; Jones, Kim Dupree

2013-01-01

Complementary and alternative medicine includes a number of exercise modalities, such as tai chi, qigong, yoga, and a variety of lesser-known movement therapies. A meta-analysis of the current literature was conducted estimating the effect size of the different modalities, study quality and bias, and adverse events. The level of research has been moderately weak to date, but most studies report a medium-to-high effect size in pain reduction. Given the lack of adverse events, there is little risk in recommending these modalities as a critical component in a multimodal treatment plan, which is often required for fibromyalgia management.

Complementary and alternative medicine for multiple sclerosis.

PubMed

Schwarz, S; Knorr, C; Geiger, H; Flachenecker, P

2008-09-01

We analyzed characteristics, motivation, and effectiveness of complementary and alternative medicine in a large sample of people with multiple sclerosis. A 53-item survey was mailed to the members of the German Multiple Sclerosis Society, chapter of Baden-Wuerttemberg. Surveys of 1573 patients (48.5 +/- 11.7 years, 74% women, duration of illness 18.1 +/- 10.5 years) were analyzed. In comparison with conventional medicine, more patients displayed a positive attitude toward complementary and alternative medicine (44% vs 38%, P < 0.05), with 70% reporting lifetime use of at least one method. Among a wide variety of complementary and alternative medicine, diet modification (41%), Omega-3 fatty acids (37%), removal of amalgam fillings (28%), vitamins E (28%), B (36%), and C (28%), homeopathy (26%), and selenium (24%) were cited most frequently. Most respondents (69%) were satisfied with the effects of complementary and alternative medicine. Use of complementary and alternative medicine was associated with religiosity, functional independence, female sex, white-collar job, and higher education (P < 0.05). Compared with conventional therapies, complementary and alternative medicine rarely showed unwanted side effects (9% vs 59%, P < 0.00001). A total of 52% stated that the initial consultation with their physician lasted less than 15 min. To conclude, main reasons for the use of complementary and alternative medicine include the high rate of side effects and low levels of satisfaction with conventional treatments and brief patients/physicians contacts.

Use of complementary and alternative medicine by patients with lysosomal storage diseases.

PubMed

Balwani, Manisha; Fuerstman, Laura; Desnick, Robert J; Buckley, Brian; McGovern, Margaret M

2009-10-01

To evaluate the extent of complementary and alternative medicine use and perceived effectiveness in patients with lysosomal storage diseases. A 26-item survey was distributed to 495 patients with type 1 Gaucher, Fabry, and type B Niemann-Pick diseases who were seen at the Lysosomal Storage Disease Program at the Mount Sinai School of Medicine. Survey responses were entered into an access database and analyzed using descriptive statistics. Surveys were completed by 167 respondents with an overall response rate of 34%. Complementary and alternative medicines were used by 45% of patients with type 1 Gaucher disease, 41% of patients with Fabry disease, and 47% of patients with type B Niemann-Pick for symptoms related to their disease. Complementary and alternative medicines were used most frequently by adult females (55%), in patients who reported having one or more invasive procedures due to their disease, patients who use one or more conventional medical therapies, or those with depression and/or anxiety. Overall perceived effectiveness of complementary and alternative medicine supplements was low; however, complementary and alternative medicine therapies were perceived as effective. Complementary and alternative medicines are commonly used among patients with lysosomal storage diseases. Assessment of the effectiveness of these approaches in the lysosomal storage diseases is needed, and physicians should be aware of complementary and alternative medicine therapies used by patients to evaluate safety and possible drug interactions.

Use of Alternative and Complementary Medicine in Patients with Malignant Diseases in High-Volume Cancer Center and Future Aspects

PubMed

Kust, Davor; Šamija, Ivan; Marić-Brozić, Jasmina; Svetec, Branka; Miletić, Marija; Mamić, Gordana; Bolanča, Ante; Kusić, Zvonko; Fröbe, Ana

2016-12-01

Usage of complementary and alternative medicine (CAM) is steadily increasing over the last decades, gaining medical, economic and sociological importance. The aim of the present study was to assess the use of complementary and alternative therapies in cancer patients. A cross-sectional, descriptive survey design was used to collect data through an anonymous questionnaire. A total of 267 patients were included in the study. The prevalence of CAM use among cancer patients in this study was 60.3%. It was found that 61 heterogeneous CAM therapies were used, the most popular among patients being naturopathy/folk medicine. In multivariate logistic regression analysis, independent predictors of CAM use were high income, divorced status, female sex and younger age. In conclusion, considering the fact that a large proportion of patients used at least one CAM approach, we need to continue our efforts to improve the patient-oncologist communication in order to deliver most reliable information to patients and to better understand the possible standard medicine-CAM interactions. According to results of the latest studies, CAM therapies that help manage pain, nausea, fatigue, anxiety, and other symptoms should be integrated into the patient overall care.

A bench-scale constructed wetland as a model to characterize benzene biodegradation processes in freshwater wetlands.

PubMed

Rakoczy, Jana; Remy, Benjamin; Vogt, Carsten; Richnow, Hans H

2011-12-01

In wetlands, a variety of biotic and abiotic processes can contribute to the removal of organic substances. Here, we used compound-specific isotope analysis (CSIA), hydrogeochemical parameters and detection of functional genes to characterize in situ biodegradation of benzene in a model constructed wetland over a period of 370 days. Despite low dissolved oxygen concentrations (<30 μM), the oxidation of ammonium to nitrate and the complete oxidation of ferrous iron pointed to a dominance of aerobic processes, suggesting efficient oxygen transfer into the sediment zone by plants. As benzene removal became highly efficient after day 231 (>98% removal), we applied CSIA to study in situ benzene degradation by indigenous microbes. Combining carbon and hydrogen isotope signatures by two-dimensional stable isotope analysis revealed that benzene was degraded aerobically, mainly via the monohydroxylation pathway. This was additionally supported by the detection of the BTEX monooxygenase gene tmoA in sediment and root samples. Calculating the extent of biodegradation from the isotope signatures demonstrated that at least 85% of benzene was degraded by this pathway and thus, only a small fraction was removed abiotically. This study shows that model wetlands can contribute to an understanding of biodegradation processes in floodplains or natural wetland systems.

Identifying and assessing human activity impacts on groundwater quality through hydrogeochemical anomalies and NO3-, NH4+, and COD contamination: a case study of the Liujiang River Basin, Hebei Province, P.R. China.

PubMed

Peng, Cong; He, Jiang-Tao; Wang, Man-Li; Zhang, Zhen-Guo; Wang, Lei

2018-02-01

In the face of rapid economic development and increasing human activity, the deterioration of groundwater quality has seriously affected the safety of the groundwater supply in eastern China. Identifying and assessing the impact of human activities is key to finding solutions to this problem. This study is an effort to scientifically and systematically identify and assess the influence of human activities on groundwater based on irregularities in hydrochemical properties and water contamination, which are considered to directly result from anthropogenic activity. The combination of the hydrochemical anomaly identification (HAI) and the contaminant identification (CI) was proposed to identify the influence of human activities on groundwater quality. And the degree of abnormality was quantified by the background threshold value. The principal component analysis (PCA) and land use map were used to verify the reliability of the identification result. The final result show that the strong influence areas mainly distributed in the south of the basin and the affected indicators contained the major elements and NO 3 - , NH 4 + , COD. Impacts from anthropogenic activities can be divided into two types: mine drainage that disrupts natural water-rock interaction processes, agricultural cultivation, and sewage emissions that contribute to nitrate pollution.

Identification of hydrogeochemical processes and pollution sources of groundwater nitrate in Leiming Basin of Hainan island, Southern China

NASA Astrophysics Data System (ADS)

Shaowen, Y.; Zhan, Y., , Dr; Li, Q.

2017-12-01

Identifying the evolution of groundwater quality is important for the control and management of groundwater resources. The main aims of the present study are to identify the major factors affecting hydrogeochemistry of groundwater resources and to evaluate the potential sources of groundwater nitrate in Leiming basin using chemical and isotopic methods. The majority of samples belong to Na-Cl water type and are followed by Ca-HCO3 and mixed Ca-Na-HCO3. The δ18O and δ2H values in groundwater indicate that the shallow fissure groundwater is mainly recharged by rainfall. The evaporated surface water is another significant origin of groundwater. The weathering and dissolution of different rocks and minerals, input of precipitation, evaporation, ion exchange and anthropogenic activities, especially agricultural activities, influence the hydrogeochemistry of the study area. NO- 3 concentration in the groundwater varies from 0.7 to 51.7 mg/L and high values are mainly occurred in the densely populated area. The combined use of isotopic values and hydrochemical data suggests that the NO- 3 load in Leiming basin is not only derived from agricultural activities but also from other sources such as waste water and atmospheric deposition. Fertilizer is considered as the major source of NO- 3 in the groundwater in Leiming basin.

Seasonal and Spatial Variability of Anthropogenic and Natural Factors Influencing Groundwater Quality Based on Source Apportionment

PubMed Central

Guo, Xueru; Zuo, Rui; Meng, Li; Wang, Jinsheng; Teng, Yanguo; Liu, Xin; Chen, Minhua

2018-01-01

Globally, groundwater resources are being deteriorated by rapid social development. Thus, there is an urgent need to assess the combined impacts of natural and enhanced anthropogenic sources on groundwater chemistry. The aim of this study was to identify seasonal characteristics and spatial variations in anthropogenic and natural effects, to improve the understanding of major hydrogeochemical processes based on source apportionment. 34 groundwater points located in a riverside groundwater resource area in northeast China were sampled during the wet and dry seasons in 2015. Using principal component analysis and factor analysis, 4 principal components (PCs) were extracted from 16 groundwater parameters. Three of the PCs were water-rock interaction (PC1), geogenic Fe and Mn (PC2), and agricultural pollution (PC3). A remarkable difference (PC4) was organic pollution originating from negative anthropogenic effects during the wet season, and geogenic F enrichment during the dry season. Groundwater exploitation resulted in dramatic depression cone with higher hydraulic gradient around the water source area. It not only intensified dissolution of calcite, dolomite, gypsum, Fe, Mn and fluorine minerals, but also induced more surface water recharge for the water source area. The spatial distribution of the PCs also suggested the center of the study area was extremely vulnerable to contamination by Fe, Mn, COD, and F−. PMID:29415516

Heat storage in the Hettangian aquifer in Berlin - results from a column experiment

NASA Astrophysics Data System (ADS)

Milkus, Chri(Sch)augott

2015-04-01

Aquifer Thermal Energy Storage (ATES) is a sustainable alternative for storage and seasonal availability of thermal energy. However, its impact on the subsurface flow regime is not well known. In Berlin (Germany), the Jurassic (Hettangian) sandstone aquifer with highly mineralized groundwater (TDS 27 g/L) is currently used for heat storage. The aim of this study was to examine the hydrogeochemical changes that are caused by the induced temperature shift and its effects on the hydraulic permeability of the aquifer. Column experiments were conducted, in which stainless steel columns were filled with sediment from the aquifer and flushed with native groundwater for several weeks. The initial temperature of the experiment was 20°C, comparable to the in-situ conditions within the aquifer. After reaching equilibrium between sediment and water, the temperature was increased to simulate heating of the aquifer. During the experiment, physical and chemical parameters (pH, ORP, dissolved oxygen and dissolved carbon dioxide) were measured at the outflow of the column and the effluent water was sampled. Using a Scanning Electron Microscope, the deposition of precipitated minerals and biofilm on sediment grains was analyzed. Changes in hydraulic properties of the sediment were studied by the use of tracer tests with Uranin.

Uranium resource assessment through statistical analysis of exploration geochemical and other data. Final report. [Codes EVAL, SURE

DOE Office of Scientific and Technical Information (OSTI.GOV)

Koch, G.S. Jr.; Howarth, R.J.; Schuenemeyer, J.H.

1981-02-01

We have developed a procedure that can help quadrangle evaluators to systematically summarize and use hydrogeochemical and stream sediment reconnaissance (HSSR) and occurrence data. Although we have not provided an independent estimate of uranium endowment, we have devised a methodology that will provide this independent estimate when additional calibration is done by enlarging the study area. Our statistical model for evaluation (system EVAL) ranks uranium endowment for each quadrangle. Because using this model requires experience in geology, statistics, and data analysis, we have also devised a simplified model, presented in the package SURE, a System for Uranium Resource Evaluation. Wemore » have developed and tested these models for the four quadrangles in southern Colorado that comprise the study area; to investigate their generality, the models should be applied to other quandrangles. Once they are calibrated with accepted uranium endowments for several well-known quadrangles, the models can be used to give independent estimates for less-known quadrangles. The point-oriented models structure the objective comparison of the quandrangles on the bases of: (1) Anomalies (a) derived from stream sediments, (b) derived from waters (stream, well, pond, etc.), (2) Geology (a) source rocks, as defined by the evaluator, (b) host rocks, as defined by the evaluator, and (3) Aerial radiometric anomalies.« less

INFANT FEEDING IN THE FIRST TWO YEARS OF LIFE.

PubMed

Lopes, Wanessa Casteluber; Marques, Fúlvia Karine Santos; Oliveira, Camila Ferreira de; Rodrigues, Jéssica Alkmim; Silveira, Marise Fagundes; Caldeira, Antônio Prates; Pinho, Lucinéia de

2018-01-01

To analyze the prevalence of breastfeeding and the introduction of complementary food for zero to 24-month-old infants. This is a population-based cross-sectional study of children aged less than 24 months in Montes Claros, Minas Gerais, Brazil. Data were collected in 2015, by interviews with people in charge of infant care in the house. The questionnaire administered assessed the sociodemographic status of the family, maternal and infant characteristics and food consumption habits. Survival analysis was used to calculate median prevalence and duration of breastfeeding and the introduction of complementary feeding. With 180 days of life, 4.0% of the children were exclusively breastfed, 22.4% were mostly breastfed and 43.4% were fed breast milk as complementary food. In the third month of life, children were consuming water (56.8%), fruit juice or formula (15.5%) and cow's milk (10.6%). At the age of 12 months, 31.1% were consuming artificial juice and 50.0% were eating candies. Before the age of 1 year, 25.0% of them had already eaten instant noodles. The introduction of drinks, honey, sugar and candies as complementary food was found to be premature; and solid and semi-solid foods were almost appropriate. The habits described can directly affect the success of breastfeeding. Given that the inadequate eating practices identified can compromise the infant's health, actions that promote breastfeeding and provide guidance on the introduction of complementary foods are important.

Lipophilic oligonucleotides spontaneously insert into lipid membranes, bind complementary DNA strands, and sequester into lipid-disordered domains.

PubMed

Bunge, Andreas; Kurz, Anke; Windeck, Anne-Kathrin; Korte, Thomas; Flasche, Wolfgang; Liebscher, Jürgen; Herrmann, Andreas; Huster, Daniel

2007-04-10

For the development of surface functionalized bilayers, we have synthesized lipophilic oligonucleotides to combine the molecular recognition mechanism of nucleic acids and the self-assembly characteristics of lipids in planar membranes. A lipophilic oligonucleotide consisting of 21 thymidine units and two lipophilic nucleotides with an alpha-tocopherol moiety as a lipophilic anchor was synthesized using solid-phase methods with a phosphoramadite strategy. The interaction of the water soluble lipophilic oligonucleotide with vesicular lipid membranes and its capability to bind complementary DNA strands was studied using complementary methods such as NMR, EPR, DSC, fluorescence spectroscopy, and fluorescence microscopy. This oligonucleotide inserted stably into preformed membranes from the aqueous phase. Thereby, no significant perturbation of the lipid bilayer and its stability was observed. However, the non-lipidated end of the oligonucleotide is exposed to the aqueous environment, is relatively mobile, and is free to interact with complementary DNA strands. Binding of the complementary single-stranded DNA molecules is fast and accomplished by the formation of Watson-Crick base pairs, which was confirmed by 1H NMR chemical shift analysis and fluorescence resonance energy transfer. The molecular structure of the membrane bound DNA double helix is very similar to the free double-stranded DNA. Further, the membrane bound DNA double strands also undergo regular melting. Finally, in raft-like membrane mixtures, the lipophilic oligonucleotide was shown to preferentially sequester into liquid-disordered membrane domains.

MERGING conventional and complementary medicine in a clinic department - a theoretical model and practical recommendations.

PubMed

Pérard, Marion; Mittring, Nadine; Schweiger, David; Kummer, Christopher; Witt, Claudia M

2015-06-09

Today, the increasing demand for complementary medicine encourages health care providers to adapt and create integrative medicine departments or services within clinics. However, because of their differing philosophies, historical development, and settings, merging the partners (conventional and complementary medicine) is often difficult. It is necessary to understand the similarities and differences in both cultures to support a successful and sustainable integration. The aim of this project was to develop a theoretical model and practical steps that are based on theories from mergers in business to facilitate the implementation of an integrative medicine department. Based on a literature search and expert discussions, the cultures were described and model domains were developed. These were applied to two case studies to develop the final model. Furthermore, a checklist with practical steps was devised. Conventional medicine and complementary medicine have developed different corporate cultures. The final model, which should help to foster integration by bridging between these cultures, is based on four overall aspects: culture, strategy, organizational tools and outcomes. Each culture is represented by three dimensions in the model: corporate philosophy (core and identity of the medicine and the clinic), patient (all characteristics of the professional team's contact with the patient), and professional team (the characteristics of the interactions within the professional team). Overall, corporate culture differs between conventional and complementary medicine; when planning the implementation of an integrative medicine department, the developed model and the checklist can support better integration.

General practitioners, complementary therapies and evidence-based medicine: the defence of clinical autonomy.

PubMed

Adams, J

2000-12-01

Amidst the substantial change currently gripping primary health care are two developments central to contemporary debate regarding the very nature, territory and identity of general practice - the integration of complementary and alternative medicine (CAM) and the rise of evidence-based medicine (EBM). This paper reports findings from a study based upon 25 in-depth interviews with general practitioners (GPs) personally practising complementary therapies alongside more conventional medicine to treat their NHS patients. The paper outlines the GPs' perceptions of EBM, its relationship to their personal development of CAM, and their notions of good clinical practice more generally. Analysis of the GPs' accounts demonstrates how CAM can be seen as a useful resource with which some GPs defend their clinical autonomy from what they perceive to be the threat of EBM. Copyright 2000 Harcourt Publishers Ltd.

Study on recognition technology of complementary image

NASA Astrophysics Data System (ADS)

Liu, Chengxiang; Hu, Xuejuan; Jian, Yaobo; Zhang, Li

2006-11-01

Complementation image is often used as a guard technology in the trademark and paper currency. The key point of recognizing this kind of images is judging the complementary effect of complementation printing. The perspective images are usually not clear and legible, so it is difficult to recognize them. In this paper, a new method is proposed. Firstly, capture the image by reflex. Secondly, find the same norm to man-made pair printing. Lastly, judge the true and false of paper currency by the complementary effect of complementation printing. This is the purpose of inspecting the false. Theoretic analysis and simulation results reveal that the effect of man-made pair printing is good, the method has advantages such as simplicity, high calculating speed, and good robust to different RMB. The experiment results reveal that the conclusion is reasonable, and demonstrates that this approach is effective.

US Spending On Complementary And Alternative Medicine During 2002–08 Plateaued, Suggesting Role In Reformed Health System

PubMed Central

Davis, Matthew A.; Martin, Brook I.; Coulter, Ian D.; Weeks, William B.

2013-01-01

Complementary and alternative medicine services in the United States are an approximately $9 billion market each year, equal to 3 percent of national ambulatory health care expenditures. Unlike conventional allopathic health care, complementary and alternative medicine is primarily paid for out of pocket, although some services are covered by most health insurance. Examining trends in demand for complementary and alternative medicine services in the United States reported in the Medical Expenditure Panel Survey during 2002–08, we found that use of and spending on these services, previously on the rise, have largely plateaued. The higher proportion of out-of-pocket responsibility for payment for services may explain the lack of growth. Our findings suggest that any attempt to reduce national health care spending by eliminating coverage for complementary and alternative medicine would have little impact at best. Should some forms of complementary and alternative medicine—for example, chiropractic care for back pain—be proven more efficient than allopathic and specialty medicine, the inclusion of complementary and alternative medicine providers in new delivery systems such as accountable care organizations could help slow growth in national health care spending. PMID:23297270

Complementary and alternative medicine in pregnancy: a survey of North Carolina certified nurse-midwives.

PubMed

Allaire, A D; Moos, M K; Wells, S R

2000-01-01

To determine the prevalence and types of complementary and alternative medicine therapies used by certified nurse-midwives in North Carolina. Surveys were sent to all 120 licensed certified nurse-midwives in North Carolina requesting information concerning their recommendations for use of complementary and alternative medicine for their pregnant or postpartum patients. Eighty-two responses were received (68.3%). Seventy-seven (93.9%) reported recommending complementary and alternative medicine to their pregnant patients in the past year. Forty-seven (57.3%) reported recommending complementary and alternative medicine to more than 10% of patients. The percentage of nurse-midwives who recommended each type of complementary and alternative medicine was as follows: herbal therapy (73.2%), massage therapy (67.1%), chiropractic (57.3%), acupressure (52.4%), mind-body interventions (48.8%), aromatherapy (32.9%), homeopathy (30.5%), spiritual healing (23.2%), acupuncture (19.5%), and bioelectric or magnetic applications (14.6%). The 60 respondents who reported prescribing herbal therapies gave them for the following indications: nausea and vomiting, labor stimulation, perineal discomfort, lactation disorders, postpartum depression, preterm labor, postpartum hemorrhage, labor analgesia, and malpresentation. Complementary and alternative medicine, especially herbal therapy, is commonly prescribed to pregnant women by nurse-midwives in North Carolina.

[Analysis of Conformational Features of Watson-Crick Duplex Fragments by Molecular Mechanics and Quantum Mechanics Methods].

PubMed

Poltev, V I; Anisimov, V M; Sanchez, C; Deriabina, A; Gonzalez, E; Garcia, D; Rivas, F; Polteva, N A

2016-01-01

It is generally accepted that the important characteristic features of the Watson-Crick duplex originate from the molecular structure of its subunits. However, it still remains to elucidate what properties of each subunit are responsible for the significant characteristic features of the DNA structure. The computations of desoxydinucleoside monophosphates complexes with Na-ions using density functional theory revealed a pivotal role of DNA conformational properties of single-chain minimal fragments in the development of unique features of the Watson-Crick duplex. We found that directionality of the sugar-phosphate backbone and the preferable ranges of its torsion angles, combined with the difference between purines and pyrimidines. in ring bases, define the dependence of three-dimensional structure of the Watson-Crick duplex on nucleotide base sequence. In this work, we extended these density functional theory computations to the minimal' fragments of DNA duplex, complementary desoxydinucleoside monophosphates complexes with Na-ions. Using several computational methods and various functionals, we performed a search for energy minima of BI-conformation for complementary desoxydinucleoside monophosphates complexes with different nucleoside sequences. Two sequences are optimized using ab initio method at the MP2/6-31++G** level of theory. The analysis of torsion angles, sugar ring puckering and mutual base positions of optimized structures demonstrates that the conformational characteristic features of complementary desoxydinucleoside monophosphates complexes with Na-ions remain within BI ranges and become closer to the corresponding characteristic features of the Watson-Crick duplex crystals. Qualitatively, the main characteristic features of each studied complementary desoxydinucleoside monophosphates complex remain invariant when different computational methods are used, although the quantitative values of some conformational parameters could vary lying within the limits typical for the corresponding family. We observe that popular functionals in density functional theory calculations lead to the overestimated distances between base pairs, while MP2 computations and the newer complex functionals produce the structures that have too close atom-atom contacts. A detailed study of some complementary desoxydinucleoside monophosphate complexes with Na-ions highlights the existence of several energy minima corresponding to BI-conformations, in other words, the complexity of the relief pattern of the potential energy surface of complementary desoxydinucleoside monophosphate complexes. This accounts for variability of conformational parameters of duplex fragments with the same base sequence. Popular molecular mechanics force fields AMBER and CHARMM reproduce most of the conformational characteristics of desoxydinucleoside monophosphates and their complementary complexes with Na-ions but fail to reproduce some details of the dependence of the Watson-Crick duplex conformation on the nucleotide sequence.

7 CFR 3405.8 - Complementary project proposals.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 15 2014-01-01 2014-01-01 false Complementary project proposals. 3405.8 Section 3405.8 Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND AGRICULTURE HIGHER EDUCATION CHALLENGE GRANTS PROGRAM Program Description § 3405.8 Complementary...

7 CFR 3405.8 - Complementary project proposals.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 15 2013-01-01 2013-01-01 false Complementary project proposals. 3405.8 Section 3405.8 Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND AGRICULTURE HIGHER EDUCATION CHALLENGE GRANTS PROGRAM Program Description § 3405.8 Complementary...

7 CFR 3405.8 - Complementary project proposals.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 15 2012-01-01 2012-01-01 false Complementary project proposals. 3405.8 Section 3405.8 Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND AGRICULTURE HIGHER EDUCATION CHALLENGE GRANTS PROGRAM Program Description § 3405.8 Complementary...

7 CFR 3405.8 - Complementary project proposals.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 15 2011-01-01 2011-01-01 false Complementary project proposals. 3405.8 Section 3405.8 Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND AGRICULTURE HIGHER EDUCATION CHALLENGE GRANTS PROGRAM Program Description § 3405.8 Complementary...

Realization of a complementary medium using dielectric photonic crystals.

PubMed

Xu, Tao; Fang, Anan; Jia, Ziyuan; Ji, Liyu; Hang, Zhi Hong

2017-12-01

By exploiting the scaling invariance of photonic band diagrams, a complementary photonic crystal slab structure is realized by stacking two uniformly scaled double-zero-index dielectric photonic crystal slabs together. The space cancellation effect in complementary photonic crystals is demonstrated in both numerical simulations and microwave experiments. The refractive index dispersion of double-zero-index dielectric photonic crystal is experimentally measured. Using pure dielectrics, our photonic crystal structure will be an ideal platform to explore various intriguing properties related to a complementary medium.

Orthogonal Polynomials Associated with Complementary Chain Sequences

NASA Astrophysics Data System (ADS)

Behera, Kiran Kumar; Sri Ranga, A.; Swaminathan, A.

2016-07-01

Using the minimal parameter sequence of a given chain sequence, we introduce the concept of complementary chain sequences, which we view as perturbations of chain sequences. Using the relation between these complementary chain sequences and the corresponding Verblunsky coefficients, the para-orthogonal polynomials and the associated Szegő polynomials are analyzed. Two illustrations, one involving Gaussian hypergeometric functions and the other involving Carathéodory functions are also provided. A connection between these two illustrations by means of complementary chain sequences is also observed.

Women's Health and Complementary Approaches

MedlinePlus

... Information Center Ongoing Medical Studies Find Active Medical Research Studies on Cranberry (ClinicalTrials.gov) Find Active Medical Research Studies on Menopause (ClinicalTrials.gov) Safety Information Dream Body ...

[Standards, options, and recommendations for initial management of patients with malignant ovarian epithelial tumors].

PubMed

Kerbrat, P; Lhommé, C; Fervers, B; Guastalla, J P; Thomas, L; Basuyau, J P; Duvillard, P; Cohen-Solal, C; Dauplat, J; Tournemaine, N

2000-12-09

Suprapubic and transvaginal pelvic ultrasound exploration is indicated for suspected ovarian tumor (standard). Diagnosis and search for extension require surgery and pathology examination. Systematic preoperative computed tomography is not recommended (standard). Surgery for cancer of the ovary is a specialized procedure requiring skill in cancer, gynecology, visceral surgery and laparoscopic surgery. If the patient is referred to a specialized center after a primary procedure considered to be inadequate, a new procedure is recommended for staging. Residual tumor volume after the primary procedure has prognostic value. Systematic second look procedures are not recommended for routine practice (standard). For patients with grade IA G1 tumors, there is no indication for complementary treatment (standard). For patients with grade IA G2-3 or clear cell tumors, IB, IC, IIA, there is no standard. no complementary treatment, complementary chemotherapy using platinum, complementary external abdominopelvic radiotherapy. A complementary treatment is recommended for grades IC and IIA. Complementary treatment for grades IIB (no residual tissue), IIC (with residual tissue), III (no residual tissue), is based on: complementary chemotherapy with platinium, complementary external abdominopelvic radiotherapy (options). Complementary treatment for advanced forms (IIB (with residual tissue), IIC (with residual tissue), III (with residual tissue) and IV) is based on polychemotherapy with platinium (standard). platinium combined with paclitaxel (intravenous), platinium combined with cyclophosphamide and/or doxorubicin (intravenous) or intraperitoneal cisplatin combined with cyclophosphamide (intravenous). The chemotherapy work-up includes physical examination, assay of serum markers (particularly CA125) and abdominopelvic computed tomography (proof level B) (standard). Physical examination is recommended for monitoring patients in complete remission with no sign of suspected recurrence (standard). This document was reviewed in April 1977. The working group again validated the Standards, OPTIONS and Recommendations, without modifications in June 1999.

Scranton 1/sup 0/ x 2/sup 0/ NTMS area: New Jersey, New York, and Pennsylvania. Preliminary basic data report. National Uranium Resource Evaluation Program. Hydrogeochemical and stream sediment reconnaissance

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ferguson, R.B.; Tones, P.L.

1978-11-01

Stream sediment and stream water samples were collected from small streams at 980 sites for a nominal density of one site per 18 square kilometers in rural areas. Ground water samples were collected at 1251 sites for a nominal density of one site per 13 square kilometers. Neutron activation analysis results are given for uranium and 16 other elements in sediments, and for uranium and 9 other elements in ground water and surface water. Field measurements and observations are reported for each site. Analytical data and field measurements are presented in tables and maps. Statistical summaries of data and amore » brief description of results are given. A generalized geologic map and a summary of the geology of the area are included.« less

Technogenic effect of liquidation of coal mines on earth’s entrails: hydrogeochemical aspect

NASA Astrophysics Data System (ADS)

Tarasenko, I. A.; Zinkov, A. V.; Chudaev, O. V.; Vetoshkina, A. V.; Holodilov, I. I.

2017-10-01

The authors of the paper have established the geochemical features of the composition of underground waters and regularities of their formation in the areas of the liquidated coal mines of Russia and Ukraine. It is shown that the mine flood resulted in the formation of technogenic waters which geochemical specificity originates in the feeding field and is transformed in the direction of the filtration flow. It depends on the geological structure of sedimentary basins and the presence in the coal and supra-coal beds of the marine, salt-bearing and freshwater groups of geological formations. The water types are distinguished characterizing the conditions and processes of their formation that may be the regional markers in the hydrochemical and geological constructions. The technogenic waters influenced the safety of the underground waters, sources of water supply of the regions, and surface water channels. The pollutions are of local character in space.