Understanding the dynamics of enhanced light non-aqueous phase liquids (LNAPL) remediation at a polluted site: Insights from hydrogeophysical findings and chemical evidence.

This study intricately unfolds a pioneering methodology for remediating contaminants in a persistent light non-aqueous phase liquids (LNAPL)-contaminated site. The remediation strategy seamlessly integrates enhanced desorption and in-situ chemical oxidation (ISCO), orchestrating the injection of PetroCleanze® (a desorbent) and RegenOx® (an oxidizer) through meticulously designed wells. These injections, based on detailed geological and hydrogeological assessments, aim at mobilizing residual contaminants for subsequent extraction. Real-time subsurface dynamics are investigated through geophysical monitoring, employing electrical resistivity tomography (ERT) to trace reagent migration pathways via their effect on bulk electrical conductivity. The integration of groundwater sampling data aims at providing additional insights into the transformations of contaminants in the spatiotemporal context. Vivid two-dimensional time-lapse ERT sections showcase the evolution of resistivity anomalies, providing high-resolution evidence of the heterogeneity, dispersion pathways of desorbent and oxidant, and residual LNAPL mobilization. Hydrochemical analyses complement this, revealing effective mobilization processes with increasing aqueous concentrations of total petroleum hydrocarbons (TPH) over time. Speciation analysis unveils the intricate interplay of desorption and oxidation, portraying the dynamic fractionation of hydrocarbon components. The hydrogeophysical and data-driven framework not only delivers qualitative and quantitative insights into reagent and contaminant distribution but also enhances understanding of spatial and temporal physio-chemical changes during the remediation process. Time-lapse ERT visually narrates the reagent's journey through time, while chemical analyses depict the unfolding processes of desorption and oxidation across space and time. The coupling of hydrogeophysical and chemical findings pictures the transformations of pollutants following the sequence of product injection and the push and pull activities, capturing the removal of mobilized contaminants through hydraulic barrier wells. This enhanced understanding proves instrumental towards optimizing and tailoring remediation efforts, especially in heterogeneous environmental settings. This study establishes a new standard for a sophisticated and innovative contaminant remediation approach, advancing environmental practices through the harmonized analysis of geophysical and chemical data.

The Correlation between Objective Ligament Laxity and the Clinical Outcome of Mechanically Aligned TKA.

Instability is one of the causes of failure in total knee arthroplasty (TKA). The aim of this study was to analyze the correlation between objective ligament laxity and the clinical outcome of mechanically aligned TKA. Fifty-one knees in 47 patients were evaluated at a minimum follow-up of 6 months. The correlation between the angular displacement and functional scores (Knee Society Score and Knee Injury and Osteoarthritis Score) was analyzed. A negative correlation (p-value < 0.05) was observed between medial laxity ≥5° at 0, 30, 60, and 90° of flexion and the outcome measures. Lateral laxity did not correlate with the clinical outcome. At 30° of knee flexion, a total varus and valgus laxity ≥10° was related to poorer outcomes. The same amount of angular displacement did not influence the outcome in the other flexion angles. There was no difference in single-radius vs multi-radius implants in terms of medial and lateral laxity and clinical outcome. A valgus displacement ≥5° measured at 0, 30, 60, and 90 degrees of flexion correlated with an inferior clinical outcome. In contrast, the same amount of displacement measured on the lateral compartment did not influence the clinical outcome after TKA.

Unicompartmental knee arthroplasty (UKA) for primary spontaneous osteonecrosis of the knee (SONK): a systematic review.

Introduction: The role of unicompartmental knee arthroplasty (UKA) in spontaneous osteonecrosis of the knee (SONK) is still controversial. Materials and methods: We performed a systematic review to evaluate all available current literature on UKA in the setting of SONK. A comprehensive electronic research was performed using the PubMed, Embase, Web of Science, and Cochrane databases with keywords related to SONK and knee arthroplasty. Studies were selected with predetermined inclusion criteria: 1) studies that specifically assessed SONK treated with UKA; 2) studies reporting implant survival rate and global clinical outcomes; 3) studies with a minimum follow up of 1 year. We excluded articles not written in English, articles that did not differentiate between primary and secondary osteonecrosis and articles published before 2000. Results: The overall research process produced 19 studies. We extrapolated data of a total of 717 unicompartimental knee arthroplasty procedures (1,39% lateral UKA, 98,61% medial UKA). Extracted data include years of follow-up, patient demographics, laterality of lesion, radiological findings, unicompartimental knee arthroplasty implants, reason of revision, revision rate, maximum knee flexion, knee clinical outcomes score, and Kaplan-Meier survival curves. The data collected show that UKA had acceptable survival rates as well as revision rates and good clinical outcomes both in the short- and long-term. Conclusion: UKA is an optimal treatment choice for primary SONK when correctly indicated in a carefully selected subset of patients, with no significant difference compared to osteoarthritis. Attention must be paid to distinguish the primary from secondary SONK, as the latter could lead to worse outcomes.

Pump-and-treat (P&T) vs groundwater circulation wells (GCW): Which approach delivers more sustainable and effective groundwater remediation?

Pump-and-treat (P&T) is commonly used to remediate contaminated groundwater sites. The scientific community is currently engaged in a debate regarding the long-term effectiveness and sustainability of P&T for groundwater remediation. This work aims to provide a quantitative comparative analysis of the performance of an alternative system to traditional P&T, to support the development of sustainable groundwater remediation plans. Two industrial sites with unique geological frameworks and contamination with dense non-aqueous phase liquid (DNAPL) and arsenic (As) respectively, were selected for the study. At both locations, attempts were made for decades to clean up groundwater contamination by pump-and-treat. In response to persistently high levels of pollutants, groundwater circulation wells (GCWs) were installed to explore the possibility of accelerating the remediation process in unconsolidated and rock deposits. This comparative evaluation focuses on the different mobilization patterns observed, resulting variations in contaminant concentration, mass discharge, and volume of extracted groundwater. To facilitate the fusion of multi-source data, including geological, hydrological, hydraulic, and chemical information, and enable the continuous extraction of time-sensitive information, a geodatabase-supported conceptual site model (CSM) is utilized as a dynamic and interactive interface. This approach is used to assess the performance of GCW and P&T at the investigated sites. At Site 1, the GCW stimulated microbiological reductive dichlorination and mobilized significantly higher 1,2-DCE concentrations than P&T, despite recirculating a smaller volume of groundwater. At Site 2, As removal rate by GCW resulted generally higher than pumping wells. One conventional well mobilized higher masses of As in the early stages of P&T. This reflected the P&T's impact on accessible contaminant pools in early operational periods. P&T withdrew a significantly larger volume of groundwater than the GCW. The outcomes unveil the diverse contaminant removal behavior characterizing two distinct remediation strategies in different geological environments, revealing the dynamics and decontamination mechanisms that feature GCWs and P&T and emphasizing the limitations of traditional groundwater extraction systems in targeting aged pollution sources. GCWs have been shown to reduce remediation time, increase mass removal, and minimize the significant water consumption associated with P&T. These benefits pave the way for more sustainable groundwater remediation approaches in various hydrogeochemical scenarios.

Dataset on physical properties and mechanical parameters of limestone rocks from Central Apennines (Italy) by laboratory test on intact rock specimens.

Physical properties and mechanical parameters of intact rocks are essential in defining geomechanical characteristics of rock masses. The latter are fundamental in the geotechnical design and numerical modelling of engineering-geological applications involving slope stability analyses as well as the design of dams, foundations, tunnels, open and underground mines, nuclear storage repository etc. Time and financial constraints of many projects often do not allow to perform all the laboratory tests necessary for physical-mechanical characterization of the rock matrix. In these cases, existing published data are the only tools for appropriate definition of the geomechanical characteristics of the intact rocks and subsequent development of engineering-geological performances. This paper reports the values of major physical properties and mechanical parameters for several intact rock samples of limestone, collected from the Central Apennines region (Italy). The main physical properties measured for the rock samples are unit weight, density, and porosity. The mechanical parameters derived from the laboratory tests on the samples include uniaxial compressive strength, cohesion, friction angle, tensile strength, elastic modulus, and Poisson's ratio. Only for a few of samples, the index parameters (point load index) and the dynamic characteristics (P-wave velocity) were also measured. The laboratory tests for these samples were performed following the standards by the International Society for Rock Mechanics (ISRM).

A data-driven modeling approach for the sustainable remediation of persistent arsenic (As) groundwater contamination in a fractured rock aquifer through a groundwater recirculation well (IEG-GCW®).

Persistent arsenic (As) pollution sources from anthropogenic activities pose a serious threat to groundwater quality. This work aims to illustrate the application of an innovative remediation technology to remove As from a heavily contaminated fractured aquifer at a historically polluted industrial site. Groundwater circulation well (GCW) technology was tested to significantly increase and accelerate the mobilization and removal of As in the source area. The GCW extracts and re-injects groundwater at different depths of a vertical circulation well. By pumping out and reinjecting in different screen sections of the well, the resulting vertical hydraulic gradients create recirculation cells and affect and mobilize trapped contaminants that cannot be influenced by traditional pumping systems. The first 45-m deep IEG-GCW® system was installed in 2020, equipped with 4 screen sections at different depths and with an above-ground As removal system by oxidation and filtration on Macrolite (Enki). A geomodeling approach supports both remediation and multi-source data interpretation. The first months of operation demonstrate the hydraulic effectiveness of the IEG-GCW® system in the fractured rock aquifer and the ability to significantly enhance As removal compared to conventional pumping wells currently feeding a centralized treatment system. The recirculation flow rate amounts to about 2 m3/h. Water pumped and treated by the GCW system is reintroduced with As concentrations reduced by an average of 20%-60%. During the pilot test, the recirculating system removed 23 kg As whilst the entire central pump-and-treat (P&T) system removed 129 kg, although it treated 100 times more water volume. The P&T plant removed 259 mg As per m3 of pumped and treated groundwater while the GCW removed 4814 mg As per m3 of the treated groundwater. The results offer the opportunity for a more environmentally sustainable remediation approach by actively attacking the contamination source rather than containing the plume.

Remediation of chlorinated aliphatic hydrocarbons (CAHs) contaminated site coupling groundwater recirculation well (IEG-GCW®) with a peripheral injection of soluble nutrient supplement (IEG-C-MIX) via multilevel-injection wells (IEG-MIW).

An innovative Groundwater Circulation Well (GCW) process was configured, installed, and tested for optimizing the distribution of a soluble nutrient supplement in a heterogeneous aquifer for reductive dehalogenation. This generated an in-situ bioreactor for the enhanced treatment of chlorinated aliphatic hydrocarbons (CAHs). At a site in Barcelona, Spain, trichloroethylene (TCE) concentration was found in the source area to a maximum value of up to 170 mg/L, while the degradation products like 1,2-dichloroethylene (1,2-DCE) and vinyl chloride (VC) were detected in significantly lower concentrations or were even absent. The novel system combined a vertical recirculation well (IEG-GCW®) and four multilevel injection wells (IEG-MIWs) to introduce the carbon solution into the aquifer. A 12 m deep IEG-GCW® equipped with 2 screened sections were located in the center of the 4 IEG-MIWs. The GCW induced flow moves the groundwater in an ellipsoidal recirculation cell to spread the supplements from the central GCW and from the peripheral MIWs in the aquifer body. Two multilevel sampling wells (IEG-MLSWs®) in the radius of influence (ROI) monitor the remediation process to capture hydrochemical variations along the vertical aquifer sections. A multi-source model harmonizes geological and hydrochemical information during different remediation stages, guiding the adaptation of the remediation strategy to physicochemical conditions and unmasking the decontamination mechanics induced by the remedial actions. Hydrochemical monitoring of MLWS and the stable carbon isotopic signature of cis-1,2-DCE and VC show the mobilization of secondary contamination sources triggered by recirculation during remediation, the stimulation of microbiological activity following nutrient supplement via GCW and MIWs, and the strong decrease of CAHs concentrations at different aquifer levels. Evidence from the first application at the field scale reveals a significant increase in the chloroethane biodegradation rate and short-term effectiveness of the innovative remediation strategy. GCW-MIWs synergy represents a promising strategy to degrade CAHs in a shorter period through the combination of a controllable hydraulic system, effective nutrient distribution, and the monitoring of the remediation process.

Contamination presence and dynamics at a polluted site: Spatial analysis of integrated data and joint conceptual modeling approach.

Contaminated sites are complex systems posing challenges for their characterization as both contaminant distribution and hydrogeological properties vary markedly at the metric scale, yet may extend over broad areas, with serious issues of spatial under-sampling in the space. Characterization with sufficient spatial resolution is thus, one of the main concerns and still open areas of research. To this end, the joint use of direct and indirect (i.e., geophysical) investigation methods is a very promising approach. This paper presents a case study aspiring to demonstrate the benefit of a multidisciplinary approach in the characterization of a hydrocarbon-contaminated site. Detailed multi-source data, collected via stratigraphic boreholes, laser-induced fluorescence (LIF) surveys, electrical resistivity tomography (ERT) prospecting, groundwater hydrochemical monitoring, and gas chromatography-mass spectrometry (GC-MS) analyses were compiled into an interactive big-data package for modeling activities. The final product is a comprehensive conceptual hydro-geophysical model overlapping multi-modality data and capturing hydrogeological and geophysical structures, as well as contamination distribution in space and dynamics in time. The convergence of knowledge in the joint model verifies the possibility of discriminating geophysical findings based on lithological features and contamination effects, unmasking the real characteristics of the pollutant, the contamination mechanisms, and the residual phase hydrocarbon sequestration linked to the hydrogeological dynamics and adopted remediation actions. The emerging conceptual site model (CSM), emphasizing the necessity of a large amount of multi-source data for its reliable, high-resolution reconstruction, appears as the necessary tool for the design of remedial actions, as well as for the monitoring of remediation performance.

Unicompartmental Knee Replacement in Obese Patients: A Systematic Review and Meta-Analysis.

Thanks to modern surgical techniques and implants, traditional exclusion criteria for unicompartmental knee arthroplasty (UKA) are no longer considered contraindications. The aim of this study is to clarify the impact of obesity on functional outcomes and revision rates of UKA. We performed a comprehensive systematic review using PubMed-Medline, Google Scholar and Cochrane Central. Then, we extracted data related to body mass index (BMI), age and follow-up, functional outcome scores and rate of revisions (all-cause, aseptic and septic). Patients were stratified according to BMI into two groups: non-obese (BMI < 30) and obese (BMI ≥ 30). We identified 22 eligible studies, of which 13 were included in the meta-analysis. Patients with a BMI > 30 had a significantly higher likelihood for revision (p = 0.02), while the risk of septic revision was similar (p = 0.79). The clinical outcome measures showed a significant difference in favor of patients with a BMI < 30 (p < 0.0001). The improvements in Oxford Knee Score and Knee Society Score were significant in both obese and non-obese patients, although the latter showed inferior results. The results of this systematic review and meta-analysis show that BMI is not a contraindication to UKA. However, obese patients have a higher risk for aseptic failure and lower improvement in clinical scores compared to non-obese patients.

3D dynamic model empowering the knowledge of the decontamination mechanisms and controlling the complex remediation strategy of a contaminated industrial site.

Knowledge of the geology and hydrogeology of the polluted site emblematize a key requirement for environmental remediation, through assembling and synthesizing findings from various sources of physical evidence. In an increasingly virtual era, digital and geo-referenced metadata may serve as tools for collecting, merging, matching, and understanding multi-source information. The main goal of this paper is to emphasize the significance of a 3D hydrogeochemical model to the portrayal and the understanding of contamination dynamics and decontamination mechanisms at a highly contaminated industrial site. Some remediation measures are active on-site, due to the evidence-based presence of chlorinated solvents in groundwater. These are attributable to a slow-release source of pollutants in the saturated zone associated with very low permeability sediments. Therefore, in this research, a new technique for the remediation of secondary sources of dense non-aqueous phase liquid (DNAPL) contamination was investigated for the first time on a full-scale application. The combination of groundwater circulation wells (IEG-GCW®) and a continuous electron donor production device was set up to boost in situ bioremediation (ISB). A multi-phase approach was followed handling and releasing data during various remediation stages, from site characterization via pilot testing to full-scale remediation, thus allowing users to monitor, analyze, and manipulate information in 3D space-time. Multi-source and multi-temporal scenarios reveal the impact of ongoing hydraulic dynamics and depict the decontamination mechanisms in response to the interventions implemented over time, by quantifying the overall performance of the adopted strategies in terms of removal of secondary sources of pollution still active at the site.

A field-scale remediation of residual light non-aqueous phase liquid (LNAPL): chemical enhancers for pump and treat.

The remediation of petroleum-contaminated soil and groundwater is a challenging task. The petroleum hydrocarbons have a long persistence in both the vadose zone and in the aquifer and potentially represent secondary and residual sources of contamination. This is particularly evident in the presence of residual free-phase. Pump-and-treat is the most common hydrocarbon decontamination strategy. Besides, it acts primarily on the water dissolved phase and reduces concentrations of contaminants to an asymptotic trend. This study presents a case of enhanced light non-aqueous phase liquid (LNAPL) remediation monitored using noninvasive techniques. A pilot-scale field experiment was conducted through the injection of reagents into the subsoil to stimulate the desorption and the oxidation of residual hydrocarbons. Geophysical and groundwater monitoring during pilot testing controlled the effectiveness of the intervention, both in terms of product diffusion capacity and in terms of effective reduction of pollutant concentrations. In particular, non-invasive monitoring of the reagent migration and its capability to reach the target areas is a major add-on to the remediation technique. Most of the organic contaminants were decomposed, mobilized, and subsequently removed using physical recovery techniques. A considerable mass of contaminant was recovered resulting in the reduction of concentrations in the intervention areas.