Multi-stage reactive formation of troctolites in slow-spreading oceanic lithosphere (Erro-Tobbio, Italy): a combined field and petrochemical study

partially_open5Many recent studies have investigated the replacive formation of troctolites from mantle protoliths and the compositional evolution of the percolating melt during melt-rock interaction processes. However, strong structural and geochemical constraints for a replacive origin have not yet been established. The Erro-Tobbio impregnated mantle peridotites are primarily associated with a hectometre-size troctolitic body and crosscutting gabbroic dikes, providing a good field control on melt-rock interaction processes and subsequent magmatic intrusions. The troctolitic body exhibits high inner complexity, with a host troctolite (Troctolite A) crosscut by a second generation of troctolitic metre-size pseudo-tabular bodies (Troctolite B). The host Troctolite A is characterized by two different textural types of olivine, corroded deformed millimetre- to centimetre-size olivine and fine-grained rounded undeformed olivine, both embedded in interstitial to poikilitic plagioclase and clinopyroxene. Troctolite A shows melt-rock reaction microstructures indicative of replacive formation after percolation and impregnation of mantle dunites by a reactive melt. The evolution of the texture and Crystallographic Preferred Orientation (CPO) of olivine are correlated and depend on the melt/rock ratio involved in the impregnation process. A low melt/rock ratio allows the preservation of the protolith structure, whereas a high melt/rock ratio leads to the disaggregation of the pre-existing matrix. The mineral compositions in Troctolite A define reactive trends, indicative of the buffering of the melt composition by assimilation of olivine during impregnation. The magmatic Troctolite B bodies are intruded within the pre-existing Troctolite A and are characterized by extreme textural variations of olivine, from decimetre-size dendritic to fine-grained euhedral crystals embedded in poikilitic plagioclase. This textural variability is the result of olivine assimilation during melt-rock reaction and the correlated increase in the degree of undercooling of the percolating melt. In the late gabbroic intrusions, mineral compositions are consistent with the fractional crystallization of melts modified after the reactive crystallization of Troctolites A and B. The Erro-Tobbio troctolitic body has a multi-stage origin, marked by the transition from reactive to fractional crystallization and diffuse to focused melt percolation and intrusion, related to progressive exhumation. During the formation of the troctolitic body, the melt composition was modified and controlled by assimilation and concomitant crystallization reactions occurring at low melt supply. Similar processes have been described in ultra-slow spreading oceanic settings characterized by scarce magmatic activity.openBasch, Valentin; Rampone, Elisabetta; Crispini, Laura; Ferrando, Carlotta; Ildefonse, Benoit; Godard, MargueriteBasch, Valentin; Rampone, Elisabetta; Crispini, Laura; Ferrando, Carlotta; Ildefonse, Benoit; Godard, Marguerit

Brown amphibole as tracer of tectono-magmatic evolution of the Atlantis Bank Oceanic Core Complex (IODP Hole U1473A)

Brown amphibole is a minor but common mineral component in lower oceanic crust. It is generally interpreted as products of migrating SiO2 and H2O-rich fluids or melts, which can be either residual melts from advanced magmatic differentiation of Mid-Ocean Ridge Basalt (MORB), or hydrothermal fluids including a seawater component. Within the lower oceanic crust exhumed at the Atlantis Bank Oceanic Core Complex (OCC), along the ultraslow Southwest Indian Ridge, brown amphibole is ubiquitous in all lithologies from olivine- to oxide-gabbros and diorites, including both undeformed and plastically deformed varieties. We here show the results of a systematic petrological study conceived to unravel the nature of the H2O-rich component recorded in brown amphiboles and document: (i) the evolution of migrating melts during the magmatic stage and (ii) different extents of melt-bearing deformation events recorded throughout the entire crustal transect. The low Cl contents and the light over heavy Rare Earth Elements (LREE/HREE) ratios and high Ti contents in brown amphiboles, indicate they crystallized from melts with a magmatic hydrous component. Consistently, their δ18O values are in equilibrium with MORB composition, except for diorite amphiboles that possibly record the local assimilation of altered minerals. In undeformed olivine gabbros, interstitial pargasite crystallized at hypersolidus conditions (~1000°C) from the melt residual after late stages of MORB differentiation. We speculate that before the olivine gabbro crystal mush reached fully solid state, some aliquots of residual melts were extracted and accumulated within discrete intervals. There, ferrobasaltic melts differentiated through the early crystallization of Fe-Ti oxides and clinopyroxene as liquidus phases, ultimately forming the oxide gabbros. This process promoted rapid Si enrichment and depletion in Fe, Ti, V in the residual melt, later extracted to form the crosscutting diorite veins. The mylonitic olivine gabbros record high-temperature plastic deformation (~900°C ± 50°C) under hypersolidus conditions, involving melts residual from previous crystallization of the gabbroic rock. Further solid-state plastic deformation led to substantial grain-size reduction and, consequently, to an increase in porosity. This created pathways for subsequent melt focussing, which likely represent late-stage differentiated melts migrating throughout the lower crustal section. This study shows that brown amphibole in the Atlantis Bank lower oceanic crust is the crystallization product of melts residual from advanced magmatic differentiation, which are also locally involved in the plastic deformation events during crustal accretion

Three-Dimensional Evaluation of Soft Tissue Malar Modifications after Zygomatic Valgization Osteotomy via Geometrical Descriptors

Patients with severe facial deformities present serious dysfunctionalities along with an unsatisfactory aesthetic facial appearance. Several methods have been proposed to specifically plan the interventions on the patient’s needs, but none of these seem to achieve a sufficient level of accuracy in predicting the resulting facial appearance. In this context, a deep knowledge of what occurs in the face after bony movements in specific surgeries would give the possibility to develop more reliable systems. This study aims to propose a novel 3D approach for the evaluation of soft tissue zygomatic modifications after zygomatic osteotomy; geometrical descriptors usually involved in face analysis tasks, i.e., face recognition and facial expression recognition, are here applied to soft tissue malar region to detect changes in surface shape. As ground truth for zygomatic changes, a zygomatic openness angular measure is adopted. The results show a high sensibility of geometrical descriptors in detecting shape modification of the facial surface, outperforming the results obtained from the angular evaluation

Glycerolized reticular dermis as a new human acellular dermal matrix: An exploratory study

Human Acellular Dermal Matrices (HADM) are employed in various reconstructive surgery procedures as scaffolds for autologous tissue regeneration. The aim of this project was to develop a new type of HADM for clinical use, composed of glycerolized reticular dermis decellularized through incubation and tilting in Dulbecco's Modified Eagle's Medium (DMEM). This manufacturing method was compared with a decellularization procedure already described in the literature, based on the use of sodium hydroxide (NaOH), on samples from 28 donors. Cell viability was assessed using an MTT assay and microbiological monitoring was performed on all samples processed after each step. Two surgeons evaluated the biomechanical characteristics of grafts of increasing thickness. The effects of the different decellularization protocols were assessed by means of histological examination and immunohistochemistry, and residual DNA after decellularization was quantified using a real-time TaqMan MGB probe. Finally, we compared the results of DMEM based decellularization protocol on reticular dermis derived samples with the results of the same protocol applied on papillary dermis derived grafts. Our experimental results indicated that the use of glycerolized reticular dermis after 5 weeks of treatment with DMEM results in an HADM with good handling and biocompatibility properties

Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both

Background and objective: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) mutually increase the risk of being present in the same patient, especially if older. Whether or not this coexistence may be associated with a worse prognosis is debated. Therefore, employing data derived from the REPOSI register, we evaluated the clinical features and outcomes in a population of elderly patients admitted to internal medicine wards and having COPD, HF or COPD + HF. Methods: We measured socio-demographic and anthropometric characteristics, severity and prevalence of comorbidities, clinical and laboratory features during hospitalization, mood disorders, functional independence, drug prescriptions and discharge destination. The primary study outcome was the risk of death. Results: We considered 2,343 elderly hospitalized patients (median age 81 years), of whom 1,154 (49%) had COPD, 813 (35%) HF, and 376 (16%) COPD + HF. Patients with COPD + HF had different characteristics than those with COPD or HF, such as a higher prevalence of previous hospitalizations, comorbidities (especially chronic kidney disease), higher respiratory rate at admission and number of prescribed drugs. Patients with COPD + HF (hazard ratio HR 1.74, 95% confidence intervals CI 1.16-2.61) and patients with dementia (HR 1.75, 95% CI 1.06-2.90) had a higher risk of death at one year. The Kaplan-Meier curves showed a higher mortality risk in the group of patients with COPD + HF for all causes (p = 0.010), respiratory causes (p = 0.006), cardiovascular causes (p = 0.046) and respiratory plus cardiovascular causes (p = 0.009). Conclusion: In this real-life cohort of hospitalized elderly patients, the coexistence of COPD and HF significantly worsened prognosis at one year. This finding may help to better define the care needs of this population

Prescription appropriateness of anti-diabetes drugs in elderly patients hospitalized in a clinical setting: evidence from the REPOSI Register

Diabetes is an increasing global health burden with the highest prevalence (24.0%) observed in elderly people. Older diabetic adults have a greater risk of hospitalization and several geriatric syndromes than older nondiabetic adults. For these conditions, special care is required in prescribing therapies including anti- diabetes drugs. Aim of this study was to evaluate the appropriateness and the adherence to safety recommendations in the prescriptions of glucose-lowering drugs in hospitalized elderly patients with diabetes. Data for this cross-sectional study were obtained from the REgistro POliterapie-Società Italiana Medicina Interna (REPOSI) that collected clinical information on patients aged ≥ 65 years acutely admitted to Italian internal medicine and geriatric non-intensive care units (ICU) from 2010 up to 2019. Prescription appropriateness was assessed according to the 2019 AGS Beers Criteria and anti-diabetes drug data sheets.Among 5349 patients, 1624 (30.3%) had diagnosis of type 2 diabetes. At admission, 37.7% of diabetic patients received treatment with metformin, 37.3% insulin therapy, 16.4% sulfonylureas, and 11.4% glinides. Surprisingly, only 3.1% of diabetic patients were treated with new classes of anti- diabetes drugs. According to prescription criteria, at admission 15.4% of patients treated with metformin and 2.6% with sulfonylureas received inappropriately these treatments. At discharge, the inappropriateness of metformin therapy decreased (10.2%, P < 0.0001). According to Beers criteria, the inappropriate prescriptions of sulfonylureas raised to 29% both at admission and at discharge. This study shows a poor adherence to current guidelines on diabetes management in hospitalized elderly people with a high prevalence of inappropriate use of sulfonylureas according to the Beers criteria

Beta-Blocker Use in Older Hospitalized Patients Affected by Heart Failure and Chronic Obstructive Pulmonary Disease: An Italian Survey From the REPOSI Register

Beta (β)-blockers (BB) are useful in reducing morbidity and mortality in patients with heart failure (HF) and concomitant chronic obstructive pulmonary disease (COPD). Nevertheless, the use of BBs could induce bronchoconstriction due to β2-blockade. For this reason, both the ESC and GOLD guidelines strongly suggest the use of selective β1-BB in patients with HF and COPD. However, low adherence to guidelines was observed in multiple clinical settings. The aim of the study was to investigate the BBs use in older patients affected by HF and COPD, recorded in the REPOSI register. Of 942 patients affected by HF, 47.1% were treated with BBs. The use of BBs was significantly lower in patients with HF and COPD than in patients affected by HF alone, both at admission and at discharge (admission, 36.9% vs. 51.3%; discharge, 38.0% vs. 51.7%). In addition, no further BB users were found at discharge. The probability to being treated with a BB was significantly lower in patients with HF also affected by COPD (adj. OR, 95% CI: 0.50, 0.37-0.67), while the diagnosis of COPD was not associated with the choice of selective β1-BB (adj. OR, 95% CI: 1.33, 0.76-2.34). Despite clear recommendations by clinical guidelines, a significant underuse of BBs was also observed after hospital discharge. In COPD affected patients, physicians unreasonably reject BBs use, rather than choosing a β1-BB. The expected improvement of the BB prescriptions after hospitalization was not observed. A multidisciplinary approach among hospital physicians, general practitioners, and pharmacologists should be carried out for better drug management and adherence to guideline recommendations

Antidiabetic Drug Prescription Pattern in Hospitalized Older Patients with Diabetes

Objective: To describe the prescription pattern of antidiabetic and cardiovascular drugs in a cohort of hospitalized older patients with diabetes. Methods: Patients with diabetes aged 65 years or older hospitalized in internal medicine and/or geriatric wards throughout Italy and enrolled in the REPOSI (REgistro POliterapuie SIMI—Società Italiana di Medicina Interna) registry from 2010 to 2019 and discharged alive were included. Results: Among 1703 patients with diabetes, 1433 (84.2%) were on treatment with at least one antidiabetic drug at hospital admission, mainly prescribed as monotherapy with insulin (28.3%) or metformin (19.2%). The proportion of treated patients decreased at discharge (N = 1309, 76.9%), with a significant reduction over time. Among those prescribed, the proportion of those with insulin alone increased over time (p = 0.0066), while the proportion of those prescribed sulfonylureas decreased (p < 0.0001). Among patients receiving antidiabetic therapy at discharge, 1063 (81.2%) were also prescribed cardiovascular drugs, mainly with an antihypertensive drug alone or in combination (N = 777, 73.1%). Conclusion: The management of older patients with diabetes in a hospital setting is often sub-optimal, as shown by the increasing trend in insulin at discharge, even if an overall improvement has been highlighted by the prevalent decrease in sulfonylureas prescription

Penilaian Kinerja Keuangan Koperasi di Kabupaten Pelalawan

This paper describe development and financial performance of cooperative in District Pelalawan among 2007 - 2008. Studies on primary and secondary cooperative in 12 sub-districts. Method in this stady use performance measuring of productivity, efficiency, growth, liquidity, and solvability of cooperative. Productivity of cooperative in Pelalawan was highly but efficiency still low. Profit and income were highly, even liquidity of cooperative very high, and solvability was good