Nonthermal phenomena in clusters of galaxies

Recent observations of high energy (> 20 keV) X-ray emission in a few clusters of galaxies broaden our knowledge of physical phenomena in the intracluster space. This emission is likely to be nonthermal, probably resulting from Compton scattering of relativistic electrons by the cosmic microwave background (CMB) radiation. Direct evidence for the presence of relativistic electrons in some 50 clusters comes from measurements of extended radio emission in their central regions. We briefly review the main results from observations of extended regions of radio emission, and Faraday rotation measurements of background and cluster radio sources. The main focus of the review are searches for nonthermal X-ray emission conducted with past and currently operating satellites, which yielded appreciable evidence for nonthermal emission components in the spectra of a few clusters. This evidence is clearly not unequivocal, due to substantial observational and systematic uncertainties, in addition to virtually complete lack of spatial information. If indeed the emission has its origin in Compton scattering of relativistic electrons by the CMB, then the mean magnetic field strength and density of relativistic electrons in the cluster can be directly determined. Knowledge of these basic nonthermal quantities is valuable for the detailed description of processes in intracluster gas and for the origin of magnetic fields.Comment: 23 pages, 7 figures, accepted for publication in Space Science Reviews, special issue "Clusters of galaxies: beyond the thermal view", Editor J.S. Kaastra, Chapter 5; work done by an international team at the International Space Science Institute (ISSI), Bern, organised by J.S. Kaastra, A.M. Bykov, S. Schindler & J.A.M. Bleeke

Burden and risk factors for Pseudomonas aeruginosa community-acquired pneumonia:a Multinational Point Prevalence Study of Hospitalised Patients

Pseudornonas aeruginosa is a challenging bacterium to treat due to its intrinsic resistance to the antibiotics used most frequently in patients with community-acquired pneumonia (CAP). Data about the global burden and risk factors associated with P. aeruginosa-CAP are limited. We assessed the multinational burden and specific risk factors associated with P. aeruginosa-CAP. We enrolled 3193 patients in 54 countries with confirmed diagnosis of CAP who underwent microbiological testing at admission. Prevalence was calculated according to the identification of P. aeruginosa. Logistic regression analysis was used to identify risk factors for antibiotic-susceptible and antibiotic-resistant P. aeruginosa-CAP. The prevalence of P. aeruginosa and antibiotic-resistant P. aeruginosa-CAP was 4.2% and 2.0%, respectively. The rate of P. aeruginosa CAP in patients with prior infection/colonisation due to P. aeruginosa and at least one of the three independently associated chronic lung diseases (i.e. tracheostomy, bronchiectasis and/or very severe chronic obstructive pulmonary disease) was 67%. In contrast, the rate of P. aeruginosa-CAP was 2% in patients without prior P. aeruginosa infection/colonisation and none of the selected chronic lung diseases. The multinational prevalence of P. aeruginosa-CAP is low. The risk factors identified in this study may guide healthcare professionals in deciding empirical antibiotic coverage for CAP patients

Prevalence of Frailty in European Emergency Departments (FEED): an international flash mob study

Introduction Current emergency care systems are not optimized to respond to multiple and complex problems associated with frailty. Services may require reconfiguration to effectively deliver comprehensive frailty care, yet its prevalence and variation are poorly understood. This study primarily determined the prevalence of frailty among older people attending emergency care. Methods This cross-sectional study used a flash mob approach to collect observational European emergency care data over a 24-h period (04 July 2023). Sites were identified through the European Task Force for Geriatric Emergency Medicine collaboration and social media. Data were collected for all individuals aged 65 + who attended emergency care, and for all adults aged 18 + at a subset of sites. Variables included demographics, Clinical Frailty Scale (CFS), vital signs, and disposition. European and national frailty prevalence was determined with proportions with each CFS level and with dichotomized CFS 5 + (mild or more severe frailty). Results Sixty-two sites in fourteen European countries recruited five thousand seven hundred eighty-five individuals. 40% of 3479 older people had at least mild frailty, with countries ranging from 26 to 51%. They had median age 77 (IQR, 13) years and 53% were female. Across 22 sites observing all adult attenders, older people living with frailty comprised 14%. Conclusion 40% of older people using European emergency care had CFS 5 + . Frailty prevalence varied widely among European care systems. These differences likely reflected entrance selection and provide windows of opportunity for system configuration and workforce planning

New Geologic, Fluid Inclusion And Stable Isotope Studies On The Controversial Igarapé Bahia Cu-au Deposit, Carajás Province, Brazil

The Igarapé Bahia Cu-Au deposit in the Carajás Province, Brazil, is hosted by steeply dipping metavolcano-sedimentary rocks of the Igarapé Bahia Group. This group consists of a low greenschist grade unit of the Archean (2,750 Ma) Itacaiúnas Supergroup, in which other important Cu-Au and iron ore deposits of the Carajás region are also hosted. The orebody at Igarapé Bahia is a fragmental rock unit situated between chloritized basalt, with associated hyaloclastite, banded iron formation (BIF), and chert in the footwall and mainly coarse- to fine-grained turbidites in the hanging wall. The fragmental rock unit is a nearly concordant, 2 km long and 30-250 m thick orebody made up of heterolithic, usually matrix-supported rocks composed mainly of coarse basalt, BIF, and chert clasts derived from the footwall unit. Mineralization is confined to the fine-grained matrix and comprises disseminated to massive chalcopyrite accompanied by magnetite, gold, U- and light rare earth element (LREE)-minerals, and minor other sulfides like bornite, molybdenite, cobaltite, digenite, and pyrite. Gangue minerals include siderite, chlorite, amphibole, tourmaline, quartz, stilpnomelane, epidote, and apatite. A less important mineralization style at Igarapé Bahia is represented by late quartz-chalcopyrite-calcite veins that crosscut all rocks in the deposit area. Fluid inclusions trapped in a quartz cavity in the ore unit indicate that saline aqueous fluids (5 to 45 wt% NaCl + CaCl 2 equiv), together with carbonic (CO 2 ±CH 4) and low-salinity aqueous carbonic (6 wt% NaCl equiv) fluids, were involved in the mineralization process. Carbonates from the fragmental layer have δ 13C values from -6.7 to -13.4 per mil that indicate their origin from organic and possibly also from magmatic carbon. The δ 34S values for chalcopyrite range from -1.1 to 5.6 per mil with an outlier at -10.8 per mil, implying that most sulfur is magmatic or leached from magmatic rocks, whereas a limited contribution of reduced and oxydized sulfur is also evident. Oxygen isotopic ratios in magnetite, quartz, and siderite yield calculated temperatures of ∼400°C and δ 18 O-enriched compositions (5 to 16.5 per mil) for the ore-forming fluids that suggest a magmatic input and/or an interaction with 18O-rich, probably sedimentary rocks. The late veins of the Igarapé Bahia deposit area were formed from saline aqueous fluids (2 to 60 wt% NaCl + CaCl 2 equiv) with δ 18O fluid compositions around 0 per mil that indicate contribution from meteoric fluids. With respect to geological features, Igarapé Bahia bears similarity with syngenetic, volcanic-hosted massive sulfide (VHMS)-type deposits, as indicated by the volcano-sedimentary geological context, stratabound character, and association with submarine volcanic flows, hyaloclastite, and exhalative beds such as BIF and chert. On the other hand, the highly saline ore fluids and the mineral assemblage, dominated by magnetite and chalcopyrite, with associated gold, U- and LREE-minerals and scarce pyrite, indicate that Igarapé Bahia belongs to the Fe oxide Cu-Au (IOCG) group of deposits. The available geochronologic data used to attest syngenetic or epigenetic origins for the mineralization are either imprecise or may not represent the main mineralization episode but a later, superimposed event. The C, S, and O isotopic results obtained in this study do not clearly discriminate between fluid sources. However, recent B isotope data obtained on tourmaline from the matrix of the fragmental rock ore unit (Xavier, Wiedenbeck, Dreher, Rhede, Monteiro, Araújo, Chemical and boron isotopic composition of tourmaline from Archean and Paleoproterozoic Cu-Au deposits in the Carajás Mineral Province, 1° Simpósio Brasileiro de Metalogenia, Gramado, Brazil, extended abstracts, CD-ROM, 2005) provide strong evidence of the involvement of a marine evaporitic source in the hydrothermal system of Igarapé Bahia. Evaporite-derived fluids may explain the high salinities and the low reduced sulfur mineral paragenesis observed in the deposit. Evaporite-derived fluids also exclude a significant participation of magmatic or mantle-derived fluids, reinforcing the role of nonmagmatic brines in the genesis of Igarapé Bahia. 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