Equipment review: Mechanical effects of heat-moisture exchangers in ventilated patients

Although they represent a valuable alternative to heated humidifiers, artificial noses have unfavourable mechanical effects. Most important of these is the increase in dead space, with consequent increase in the ventilation requirement. Also, artificial noses increase the inspiratory and expiratory resistance of the apparatus, and may mildly increase intrinsic positive end-expiratory pressure. The significance of these effects depends on the design and function of the artificial nose. The pure humidifying function results in just a moderate increase in dead space and resistance of the apparatus, whereas the combination of a filtering function with the humidifying function may critically increase the volume and the resistance of the artificial nose, especially when a mechanical filter is used. The increase in the inspiratory load of ventilation that is imposed by artificial noses, which is particularly significant for the combined heat-moisture exchanger filters, should be compensated for by an increase either in ventilator output or in patient's work of breathing. Although both approaches can be tolerated by most patients, some exceptions should be considered. The increased pressure and volume that are required to compensate for the artificial nose application increase the risk of barotrauma and volutrauma in those patients who have the most severe alterations in respiratory mechanics. Moreover, those patients who have very limited respiratory reserve may not be able to compensate for the inspiratory work imposed by an artificial nose. When we choose an artificial nose, we should take into account the volume and resistance of the available devices. We should also consider the mechanical effects of the artificial noses when setting mechanical ventilation and when assessing a patient's ability to breathe spontaneously

The onset of an eruption: selective assimilation of hydrothermal minerals during pre-eruptive magma ascent of the 2010 summit eruption of Eyjafjallajokull volcano, Iceland

The complex processes occurring in the initial phases of an eruption are often recorded in the products of its opening stage, which are usually characterized by small volume and limited dispersal, and thus generally poorly studied. The 2010 eruption of Eyjafjallajökull (Iceland) represents a unique opportunity for these investigations thanks to the good preservation of tephra deposits within the ice/snow pack. A detailed geochemical investiga- tion on the glassy groundmass of single ash clasts disclosed a population of fragments with unusual high 87Sr/86Sr (up to 0.70668) for Icelandic magmatism, and anomalous elemental composition with respect to most of the ju- venile material of the eruption. This suggests that during its rise, before intruding into the ice cover, magma at a dyke tip selectively assimilated hydrothermal minerals with seawater-related, high-Sr isotopic ratios (zeolites, silica phases, anhydrite) hosted in altered volcanic/epiclastic rocks. According to the observed precursory seismic- ity, only restricted to few hours before the onset of the eruption, this process could have accompanied subcritical aseismic fracture opening during the days before the eruption, possibly related to stress corrosion-cracking pro- cesses, which enhanced the partial dissolution/melting and subsequent selective assimilation of the host rocks

System consolidation of spatial memories in mice: effects of enriched environment.

Environmental enrichment (EE) is known to enhance learning and memory. Declarative memories are thought to undergo a first rapid and local consolidation process, followed by a prolonged process of system consolidation, which consist in a time-dependent gradual reorganization of brain regions supporting remote memory storage and crucial for the formation of enduring memories. At present, it is not known whether EE can affect the process of declarative memory system consolidation. We characterized the time course of hippocampal and cortical activation following recall of progressively more remote spatial memories. Wild-type mice either exposed to EE for 40 days or left in standard environment were subjected to spatial learning in the Morris water maze and to the probe test 1, 10, 20, 30, and 50 days after learning. Following the probe test, regional expression of the inducible immediate early gene c-Fos was mapped by immunohistochemistry, as an indicator of neuronal activity. We found that activation of the medial prefrontal cortex (mPFC), suggested to have a privileged role in processing remote spatial memories, was evident at shorter time intervals after learning in EE mice; in addition, EE induced the progressive activation of a distributed cortical network not activated in non-EE mice. This suggests that EE not only accelerates the process of mPFC recruitment but also recruits additional cortical areas into the network supporting remote spatial memories

Subduction-related hybridization of the lithospheric mantle revealed by trace element and Sr-Nd-Pb isotopic data in composite xenoliths from Tallante (Betic Cordillera, Spain)

Ultramafic xenoliths are rarely found at convergent plate margins. A notable exception is in the Betic Cordillera of southern Spain, where the eruption of xenolith-bearing alkaline basalts during the Pliocene post-dated the Cenozoic phase of plate convergence and subduction-related magmatism. Mantle xenoliths of the monogenetic volcano of Tallante display extreme compositional heterogeneities, plausibly related to multiple tectono-magmatic episodes that affected the area. This study focuses on two peculiar composite mantle xenolith samples from Tallante, where mantle peridotite is crosscut by felsic veins of different size and mineralogy, including quartz, orthopyroxene, and plagioclase. The veins are separated from the peridotite matrix by an orthopyroxene-rich reaction zone, indicating that the causative agents were alkali-rich hydrous silica-oversaturated melts, which were likely related to recycling of subducted continental crust components. The present study reports new and detailed major and trace elements and Sr-Nd-Pb analyses of the minerals in the composite Tallante xenoliths that confirm the continental crust derivation of the metasomatic melts, and clarifies the mode in which subduction-related components are transferred to the mantle wedge in orogenic areas. The particular REE patterns of the studied minerals, as well as the variation of the isotopic ratios between the different zones of the composite xenoliths, reveal a complex metasomatic process. The distribution of the different elements, and their isotope ratios, in the studied xenoliths are controlled by the mineral phases stabilised by the interaction between the percolating melts and the peridotitic country rock. The persistence of marked isotopic heterogeneities and the lack of re-equilibration suggest that metasomatism of the sub-continental lithospheric mantle occurred shortly before the xenolith exhumation. In this scenario, the studied xenoliths and the metasomatic processes that affected them may be representative of the mantle sources of mafic potassic to ultrapotassic magmas occurring in post-collisional tectonic settings