The Gounkoto Au deposit, West Africa: Constraints on ore genesis and volatile sources from petrological, fluid inclusion and stable isotope data

The Loulo–Gounkoto complex in the Kédougou–Kéniéba Inlier hosts three multi-million ounce orogenic gold deposits, situated along the Senegal–Mali Shear Zone. This west Malian gold belt represents the largest West African orogenic gold district outside Ghana. The Gounkoto deposit is hosted to the south of the Gara and Yalea gold mines in the Kofi Series metasedimentary rocks. The ore body is structurally controlled and is characterised by sodic and phyllic alteration, As- and Fe-rich ore assemblages, with abundant magnetite, and overall enrichment in Fe–As–Cu–Au–Ag–W–Ni–Co–REE + minor Te–Pb–Se–Cd. Fluid inclusion analysis indicates that the deposit formed at P–T conditions of approximately 1.4 kbar and 340 °C and that two end member fluids were involved in mineralisation: (1) a moderate temperature (315–340 °C), low salinity (< 10 wt.% NaCl equiv.), low density (≤ 1 g·cm− 3), H2O–CO2–NaCl–H2S ± N2–CH4 fluid; (2) a high temperature (up to 445 °C), hypersaline (~ 40 wt.% NaCl equiv.), high density (~ 1.3 g·cm− 3), H2O–CO2–NaCl ± FeCl2 fluid. Partial mixing of these fluids within the Jog Zone at Gounkoto enhanced phase separation in the aqueo-carbonic fluid and acted as a precipitation mechanism for Au. These findings demonstrate the widespread, if heterogeneously distributed, nature of fluid mixing as an ore forming process in the Loulo–Gounkoto complex, operating over at least a 30 km strike length of the shear zone. Stable isotope analyses of ore components at Gounkoto indicate a dominant metamorphic source for H2O, H2S and CO2, and by extension Au. It thus can be reasoned that both the aqueo-carbonic and the hypersaline fluid at Gounkoto are of metamorphic origin and that the high levels of salinity in the brine are likely derived from evaporite dissolution

Designing for Discovery and Re-Use: the ‘ANDS Data Sharing Verbs’ Approach to Service Decomposition

This paper describes how the Australian National Data Services (ANDS) is designing systems to support data sharing and Re-use. The paper commences with an overview of the setting for ANDS, before introducing ANDS itself. The paper then structures its discussion of ANDS services for Re-use in terms of the ANDS Data Sharing Verbs: Create, Store, Describe, Identify, Register, Discover, Access and Exploit. For each of the data verbs, a rationale for its importance is provided together with a description of how it is being implemented by ANDS. The paper concludes by arguing for the data verbs approach as a useful way to design and structure flexible services in a heterogenous environment

Efficacy of memantine for agitation in Alzheimer's dementia:a randomised double-blind placebo controlled trial

Background - Agitation in Alzheimer’s disease (AD) is common and associated with poor patient life-quality and carer distress. The best evidence-based pharmacological treatments are antipsychotics which have limited benefits with increased morbidity and mortality. There are no memantine trials in clinically significant agitation but post-hoc analyses in other populations found reduced agitation. We tested the primary hypothesis, memantine is superior to placebo for clinically significant agitation, in patients with moderate-to-severe AD. Methods and Findings - We recruited 153 participants with AD and clinically significant agitation from care-homes or hospitals for a double-blind randomised-controlled trial and 149 people started the trial of memantine versus placebo. The primary outcome was 6 weeks mixed model autoregressive analysis of Cohen-Mansfield Agitation Inventory (CMAI). Secondary outcomes were: 12 weeks CMAI; 6 and 12 weeks Neuropsychiatric symptoms (NPI), Clinical Global Impression Change (CGI-C), Standardised Mini Mental State Examination, Severe Impairment Battery. Using a mixed effects model we found no significant differences in the primary outcome, 6 weeks CMAI, between memantine and placebo (memantine lower -3.0; -8.3 to 2.2, p = 0.26); or 12 weeks CMAI; or CGI-C or adverse events at 6 or 12 weeks. NPI mean difference favoured memantine at weeks 6 (-6.9; -12.2 to -1.6; p = 0.012) and 12 (-9.6; -15.0 to -4.3 p = 0.0005). Memantine was significantly better than placebo for cognition. The main study limitation is that it still remains to be determined whether memantine has a role in milder agitation in AD. Conclusions - Memantine did not improve significant agitation in people with in moderate-to-severe AD. Future studies are urgently needed to test other pharmacological candidates in this group and memantine for neuropsychiatric symptoms

Web-based application for reducing methamphetamine use among Aboriginal and Torres Strait Islander People: Randomized waitlist controlled trial

Background: Digital interventions can help to overcome barriers to care, including stigma, geographical distance, and a lack of culturally appropriate treatment options. “We Can Do This” is a web-based app that was designed with input from cultural advisors and end users to support Aboriginal and Torres Strait Islander people seeking to stop or reduce their use of methamphetamine and increase psychosocial well-being. Objective: This study aimed to evaluate the effectiveness of the “We Can Do This” web-based app as a psychosocial treatment for Aboriginal and Torres Strait Islander people who use methamphetamine. Methods: The web app was evaluated using a randomized waitlist controlled parallel group trial. Participants were Aboriginal and Torres Strait Islander people aged 16 years or older who self-identified as having used methamphetamine at least weekly for the past 3 months. Participants were randomized on a 1:1 ratio to receive either access to the web-based app for 6 weeks or a waitlist control group. Both groups received access to a website with harm minimization information. The primary outcome was days of methamphetamine use in the past 4 weeks assessed at 1, 2, and 3 months post randomization. Secondary outcomes included severity of methamphetamine dependence (Severity of Dependence Scale [SDS]), psychological distress (Kessler 10 [K10]), help-seeking behavior, and days spent out of role due to methamphetamine use. Results: Participants (N=210) were randomized to receive either access to the web-based app (n=115) or the waitlist control condition (n=95). Follow-up was 63% at 1 month, 57% at 2 months, and 54% at 3 months. There were no significant group differences in days of methamphetamine use in the past 4 weeks at 1 the month (mean difference 0.2 days, 95% CI -1.5 to -2), 2 months (mean difference 0.6 days, 95% CI -1 to 2.4 days) or 3 months (mean difference 1.4 days, 95% CI -0.3 to 3.3 days) follow-up. There were no significant group differences in K10 scores, SDS scores, days out of role, or help-seeking at any of the 3 follow-up timepoints. There was poor adherence to the web-based app, only 20% of participants in the intervention group returned to the web-based app after their initial log-in. Participants cited personal issues and forgetting about the web-based app as the most common reasons for nonadherence. Conclusions: We found poor engagement with this web-based app. The web-based app had no significant effects on methamphetamine use or psychosocial well-being. Poor adherence and low follow-up hindered our ability to accurately evaluate the effectiveness of the web-based app. Future web-based apps for this population need to consider methods to increase participant engagement

Stable C, O, and S isotope record of magmatic-hydrothermal interactions between the Falémé Fe Skarn and the Loulo Au Systems in Western Mali

Abstract The Gara, Yalea, and Gounkoto Au deposits of the >17 Moz Loulo mining district, largely hosted by the Kofi series metasediments, are located several kilometers to the east of the 650-Mt Fe skarn deposits in the adjacent Falémé batholith. The Au deposits are interpreted to have formed through phase separation of an aqueous-carbonic fluid, which locally mixed with a hypersaline brine of metaevaporite origin. Recognition of an intrusive relationship between the Falémé batholith and Kofi series opens the possibility that the Fe skarns and Au deposits are part of the same mineral system. In this paper, we combine new δ13C, δ18O, and δ34S data from the Karakaene Ndi skarn, Au occurrences along the western margin of the Kofi series, and zircons within plutonic rocks of the Falémé batholith. We combine these with existing data from the Loulo Au deposits to model the contribution of magmatic volatiles to Au mineralization. C and O isotope compositions of auriferous carbonate-quartz-sulfide veins from the Loulo Au deposits have wide ranges (δ13C: –21.7 to –4.5‰ and δ18O: 11.8 to 23.2‰), whereas values from carbonate veins in Kofi series Au prospects close to the Falémé batholith and the Karakaene Ndi Fe skarn deposit have more restricted ranges (δ13C: –16.8 to –3.7‰, δ18O: 11.4 to 17.2‰, and δ13C: –3.0 ± 1‰, δ18O: 12.6 ± 1‰, respectively). Kofi series dolostones have generally higher isotopic values (δ13C: –3.1 to 1.3‰ and δ18O: 19.1 to 23.3‰). Pyrite from Kofi series Au prospects adjacent to the Falémé batholith have a wide range of δ34S values (–4.6 to 14.2‰), similar to pyrite from the Karakaene Ndi skarn (2.8 to 11.9‰), whereas δ34S values of pyrite and arsenopyrite from the Loulo deposits are consistently >6‰. Comparison of the C and O isotope data with water-rock reaction models indicates the Loulo Au deposits formed primarily through unmixing of an aqueous carbonic fluid derived from the devolatilization of sedimentary rocks with an organic carbon component. Isotopic data are permissive of the hypersaline brine that enhanced this phase separation including components derived from both Kofi series evaporite horizons interlayered with the dolostones and a magmatic-hydrothermal brine. This magmatic-hydrothermal component is particularly apparent in O, C, and S isotope data from the Gara deposit and Au prospects immediately adjacent to the Falémé batholith

Better Palliative Care for people with a Dementia: Summary of InterdisciplinaryWorkshop Highlighting Current Gaps and Recommendations for Future Research

Background: Dementia is the most common neurological disorder worldwide and is a life-limiting condition, but very often is not recognised as such. People with dementia, and their carers, have been shown to have palliative care needs equal in extent to those of cancer patients. However, many people with advanced dementia are not routinely being assessed to determine their palliative care needs, and it is not clear why this is so. Main body: An interdisciplinary workshop on "Palliative Care in Neurodegeneration, with a focus on Dementia", was held in Cork, Ireland, in May 2016. The key aim of this workshop was to discuss the evidence base for palliative care for people with dementia, to identify 'gaps' for clinical research, and to make recommendations for interdisciplinary research practice. To lead the discussion throughout the day a multidisciplinary panel of expert speakers were brought together, including both researchers and clinicians from across Ireland and the UK. Targeted invitations were sent to attendees ensuring all key stakeholders were present to contribute to discussions. In total, 49 experts representing 17 different academic and practice settings, attended. Key topics for discussion were pre-selected based on previously identified research priorities (e.g. James Lind Alliance) and stakeholder input. Key discussion topics included: i. Advance Care Planning for people with Dementia; ii. Personhood in End-of-life Dementia care; iii. Topics in the care of advanced dementia at home. These topics were used as a starting point, and the ethos of the workshop was that the attendees could stimulate discussion and debate in any relevant area, not just the key topics, summarised under iv. Other priorities. Conclusions: The care experienced by people with dementia and their families has the potential to be improved; palliative care frameworks may have much to offer in this endeavour. However, a solid evidence base is required to translate palliative care into practice in the context of dementia. This paper presents suggested research priorities as a starting point to build this evidence base. An interdisciplinary approach to research and priority setting is essential to develop actionable knowledge in this area

Is there a space–time continuum in olfaction?

The coding of olfactory stimuli across a wide range of organisms may rely on fundamentally similar mechanisms in which a complement of specific odorant receptors on olfactory sensory neurons respond differentially to airborne chemicals to initiate the process by which specific odors are perceived. The question that we address in this review is the role of specific neurons in mediating this sensory system—an identity code—relative to the role that temporally specific responses across many neurons play in producing an olfactory perception—a temporal code. While information coded in specific neurons may be converted into a temporal code, it is also possible that temporal codes exist in the absence of response specificity for any particular neuron or subset of neurons. We review the data supporting these ideas, and we discuss the research perspectives that could help to reveal the mechanisms by which odorants become perceptions