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Abstract Background Understanding the complex heterogeneity of risk factors that can contribute to an increased risk of malaria at the individual and household level will enable more effective use of control measures. The objective of this study was to understand individual and household factors that influence clinical malaria infection among individuals in the highlands of Western Kenya. Methods This was a matched case–control study undertaken in the Western Kenya highlands. Clinical malaria cases were recruited from health facilities and matched to asymptomatic individuals from the community who served as controls. Each participant was screened for malaria using microscopy. Follow-up surveys were conducted with individual households to collect socio-economic data. The houses were also checked using pyrethrum spray catches to collect mosquitoes. Results A total of 302 malaria cases were matched to 604 controls during the surveillance period. Mosquito densities were similar in the houses of both groups. A greater percentage of people in the control group (64.6%) used insecticide-treated bed nets (ITNs) compared to the families of malaria cases (48.3%). Use of ITNs was associated with lower level of clinical malaria episodes (odds ratio 0.51; 95% CI 0.39–0.68; P

BackgroundUnderstanding the complex heterogeneity of risk factors that can contribute to an increased risk of malaria at the individual and household level will enable more effective use of control measures. The objective of this study was to understand individual and household factors that influence clinical malaria infection among individuals in the highlands of Western Kenya.MethodsThis was a matched case-control study undertaken in the Western Kenya highlands. Clinical malaria cases were recruited from health facilities and matched to asymptomatic individuals from the community who served as controls. Each participant was screened for malaria using microscopy. Follow-up surveys were conducted with individual households to collect socio-economic data. The houses were also checked using pyrethrum spray catches to collect mosquitoes.ResultsA total of 302 malaria cases were matched to 604 controls during the surveillance period. Mosquito densities were similar in the houses of both groups. A greater percentage of people in the control group (64.6%) used insecticide-treated bed nets (ITNs) compared to the families of malaria cases (48.3%). Use of ITNs was associated with lower level of clinical malaria episodes (odds ratio 0.51; 95% CI 0.39-0.68; P

An Enhanced Geothermal System (EGS) Demonstration Project is currently underway in the Northwest Geysers. The project goal is to demonstrate the feasibility of stimulating a deep high-temperature reservoir (HTR) (up to 400 °C, 750 °F). Two previously abandoned wells, Prati State 31 (PS-31) and Prati 32 (P-32), were reopened and deepened to be used as an injection and production doublet to stimulate the HTR. The deepened portions of both wells have conductive temperature gradients of 10 °F/100 ft (182 °C/km), produce connate native fluids and magmatic gas, and the rocks were isotopically unexchanged by meteoric water. The ambient temperature meteoric water injected into these hot dry rocks has evidently created a permeability volume of several cubic kilometers as determined by seismic monitoring. Preliminary isotopic analyses of the injected and produced water indicate that 50–75% of the steam from the created EGS reservoir is injection-derived.

In this paper, we summarize the results of coupled thermal, hydraulic, and mechanical (THM) modeling in support of the Northwest Geysers EGS Demonstration Project, which aims at enhancing production from a known High Temperature Reservoir (HTR) (280–400 °C) located under the conventional (240 °C) geothermal steam reservoir. The THM modeling was conducted to investigate geomechanical effects of cold-water injection during the stimulation of the EGS, first to predict the extent of the stimulation zone for a given injection schedule, and then to conduct interpretive analyses of the actual stimulation. By using a calibrated THM model based on historic injection and microseismic data at a nearby well, we could reasonably predict the extent of the stimulation zone around the injection well, at least for the first few months of injection. However, observed microseismic evolution and pressure responses over the one-year stimulation-injection revealed more heterogeneous behavior as a result of more complex geology, including a network of shear zones. Therefore, for an interpretive analysis of the one-year stimulation campaign, we included two sets of vertical shear zones within the model; a set of more permeable NW-striking shear zones and a set of less permeable NE-striking shear zones. Our modeling indicates that the microseismic events in this system are related to shear reactivation of pre-existing fractures, triggered by the combined effects of injection-induced cooling around the injection well and rapid (but small) changes in steam pressure as far as a kilometer from the injection well. Overall, the integrated monitoring and modeling of microseismicity, ground surface deformations, reservoir pressure, fluid chemical composition, and seismic tomography depict an EGS system hydraulically bounded by some of the NE-striking low permeability shear zones, with the more permeable NW-striking shear zone providing liquid flow paths for stimulation deep (several kilometers) down into the HTR. The modeling indicates that a significant mechanical degradation (damage) inferred from seismic tomography, and potential changes in fracture porosity inferred from cross-well pressure responses, are related to shear rupture in the stimulation zone driven by both pressure and cooling effects.

Background and Purpose - Recent animal studies demonstrate that vagus nerve stimulation (VNS) paired with movement induces movement-specific plasticity in motor cortex and improves forelimb function after stroke. We conducted a randomized controlled clinical pilot study of VNS paired with rehabilitation on upper-limb function after ischemic stroke. Methods - Twenty-one participants with ischemic stroke >6 months before and moderate to severe upper-limb impairment were randomized to VNS plus rehabilitation or rehabilitation alone. Rehabilitation consisted of three 2-hour sessions per week for 6 weeks, each involving >400 movement trials. In the VNS group, movements were paired with 0.5-second VNS. The primary objective was to assess safety and feasibility. Secondary end points included change in upper-limb measures (including the Fugl-Meyer Assessment-Upper Extremity). Results - Nine participants were randomized to VNS plus rehabilitation and 11 to rehabilitation alone. There were no serious adverse device effects. One patient had transient vocal cord palsy and dysphagia after implantation. Five had minor adverse device effects including nausea and taste disturbance on the evening of therapy. In the intention-to-treat analysis, the change in Fugl-Meyer Assessment-Upper Extremity scores was not significantly different (between-group difference, 5.7 points; 95% confidence interval, -0.4 to 11.8). In the per-protocol analysis, there was a significant difference in change in Fugl-Meyer Assessment-Upper Extremity score (between-group difference, 6.5 points; 95% confidence interval, 0.4 to 12.6). Conclusions - This study suggests that VNS paired with rehabilitation is feasible and has not raised safety concerns. Additional studies of VNS in adults with chronic stroke will now be performed. Clinical Trial Registration - URL: https://www.clinicaltrials.gov. Unique identifier: NCT01669161.

We present a three-dimensional thermohydromechanical numerical study of the evolution and distribution of the stress tensor within the northwest part of The Geysers geothermal reservoir (in California), including a detailed study of the region around one injection well from 2003 to 2012. Initially, after imposing a normal faulting stress regime, we calculated local changes in the stress regime around injection wells. Our results were compared with previously published studies in which the stress state was inferred from inverting the focal plane mechanism of seismic events. Our main finding is that changes in stress tensor orientation are caused by injection-induced progressive cooling of the reservoir, as well as by the seasonal variations in injection rate. Because of the gravity flow and cooling around a liquid zone formed by the injection, the vertical stress reduction is larger and propagates far below the injection well. At the same time, the horizontal stress increases, mostly because of stress redistribution below and above the cooling area. These two phenomena cause the rotation of the stress tensor and the appearance of a strike-slip regime above, inside, and below the cooling area. The cooling and the associated rotation of the stress regime can play a significant role in the observed long-term deepening of the microseismicity below active injection wells.

In this paper, we use the Seismicity-Based Reservoir Characterization approach to study the spatiotemporal dynamics of an injection-induced microseismic cloud, monitored during the stimulation of an enhanced geothermal system, and associated with the Northwest Geysers Enhanced Geothermal System (EGS) Demonstration project (California). We identified the development of a seismically quiet domain around the injection well surrounded by a seismically active domain. Then we compare these observations with the results of 3-D Thermo-Hydro-Mechanical simulations of the EGS, which accounts for changes in permeability as a function of the effective normal stress and the plastic strain. The results of our modeling show that (1) the aseismic domain is caused by both the presence of the injected cold water and by thermal processes. These thermal processes cause a cooling-stress reduction, which prevent shear reactivation and favors fracture opening by reducing effective normal stress and locally increasing the permeability. This process is accompanied by aseismic plastic shear strain. (2) In the seismic domain, microseismicity is caused by the reactivation of the preexisting fractures, resulting from an increase in injection-induced pore pressure. Our modeling indicates that in this domain, permeability evolves according to the effective normal stress acting on the shear zones, whereas shearing of preexisting fractures may have a low impact on permeability. We attribute this lack of permeability gain to the fact that the initial permeabilities of these preexisting fractures are already high (up to 2 orders of magnitude higher than the host rock) and may already be fully dilated by past tectonic straining.

We resolve deformation at The Geysers Geothermal Field using two distinct sets of interferometric synthetic aperture radar (InSAR) data. The first set of observations utilize archived European Space Agency C-band synthetic aperture radar data from 1992 through 1999 to image the long-term and large-scale subsidence at The Geysers. The peak range velocity of approximately 50 mm/year agrees with previous estimates from leveling and global positioning system observations. Data from a second set of measurements, acquired by TerraSAR-X satellites, extend from May 2011 until April 2012 and overlap the C-band data spatially but not temporally. These X-band data, analyzed using a combined permanent and distributed scatterer algorithm, provide a higher density of scatterers (1122 per square kilometer) than do the C-band data (12 per square kilometer). The TerraSAR-X observations resolve 1 to 2 cm of deformation due to water injection into a Northwest Geysers enhanced geothermal system well, initiated on October 2011. The temporal variation of the deformation is compatible with estimates from coupled numerical modeling. © 2013 American Geophysical Union. All Rights Reserved.

All high school students that wish to continue onto college are seeking opportunities to be competitive in the college market. They participate in extra-curricular activities which are seen to foster creativity and the skills necessary to do well in the college environment. In the case of students with an interest in physics, participating in a small scale research project while in high school gives them the hands on experience and ultimately prepares them more for the college experience. SUNY Plattsburgh's Physics department started a five-week summer program for high school students in 2012. This program has proved not only beneficial for students while in the program, but also as they continue on in their development as scientists/engineers. Independent research, such as that offered by SUNY Plattsburgh's five-week summer program, offers students a feel and taste of the culture of doing research, and life as a scientist. It is a short-term, risk free way to investigate whether a career in research or a particular scientific field is a good fit.