No abstract

Groundwater occurrence in hard rock basaltic terrains is restricted to weathered and fractured zones and pockets wherein slow movement of groundwater, prolonged rock-water interactions and higher residence time alter the natural chemistry of groundwater raising water quality issues. The qualitative geochemical analysis, contamination levels and human health risk assessment (HHRA) of groundwater is an integral step in groundwater management in the Deccan Plateau basalt ow region of India. Representative groundwater samples (68) collected from the Shivganga River basin area during pre-monsoon (PRM) and post-monsoon (POM) seasons in 2015 were analyzed for major cations and anions. According to World Health Organization (WHO) EC, total dissolved solids, hardness, bicarbonate, calcium and magnesium surpassed the desirable limit. Boron and uoride content exceeded the prescribed desirable limit of the WHO. The pollution and drinking suitability were assessed by computing pollution index of groundwater (PIG), groundwater quality index (GWQI), and HHRA particularly for boron and uoride toxicity. PIG values inferred that about 6% of groundwater has moderate, 24% has low, and 70% has insigni cant pollution in the PRM season; while, only 1 sample (3 %) showed high pollution, 6% showed low, and 91% showed insigni cant pollution in the POM season. GWQI results indicate that 27% and 15% samples are within the poor category, and only 15% and 18% of the samples fall within the excellent water quality category in the PRM and the POM season, respectively. Total hazard index (THI) revealed that 88% of children, 59% of adults, and about 38% of infants are exposed to non-carcinogenic risk, as THI values (> 1) were noted for the PRM season; while, 62% of children, 47% of adults and 24% of infants, are vulnerable to non-carcinogenic health hazard during the POM period.

No abstract

No abstract

Study DesignA single-center prospective study.PurposeA magnetic resonance imaging (MRI) scan is undeniably the gold standard for the diagnosis of a lumbar disc prolapse. Unfortunately it shares a strong association with incidental findings. In this study, we aimed to determine the extent to which a 1.5 Tesla MRI correlates with the clinical features and intraoperative findings in cases of lumbar disc prolapse.Overview of LiteratureFew studies have correlated MRI with clinical findings, and none have extended this correlation to intraoperative findings.MethodsOver a 2-year period, 50 consecutive patients with lumbar disc herniation requiring discectomy were studied. The MRI findings we observed consisted of the prolapse level, type, position, migration, high-intensity zones (HIZ), lateral recess, and foraminal stenosis. A logistic regression analysis was performed to determine the significance for the various MRI findings. Finally, the MRI observations were confirmed with intraoperative findings and inferences were drawn.ResultsMRI scan sensitivity and specificity for determining surgically significant levels was 100% and 94.94%, respectively. Straight leg raising test was positive in 74% of patients, with 85%, 43%, and 75% for paracentral, central, and foraminal levels, respectively. A foraminal compromise was the only MRI parameter to share a significant association with neurological deficits. Patients with a HIZ on the MRI had a significant increase in back pain and 63% exhibited identifiable annular tears intraoperatively. The intraoperative anatomical findings correlated extensively with the MRI findings.ConclusionsMRI findings strongly correlate with intraoperative features and can serve as a useful tool when planning surgery due to the accurate depiction of the morphometric features. However, the decision for surgery should be made only when detailed clinical findings in conjunction with MRI findings allow for an accurate identification of the culprit fragment and pain generators.