70 research outputs found
The granite hosted gold deposit of Moulin de Chéni (Saint-Yrieix district, Massif Central, France): petrographic, structural, fluid inclusion and oxygen isotope constraints
The Moulin de Chéni orogenic gold deposit is the only granite-hosted deposit of the Saint-Yrieix district, French Massif Central. It occurs in 338±1.5Ma-old peraluminous leucogranites and is characterized by intense microfracturing and bleaching of the granite in relation to pervasive sulfide crystallization. Formation of quartz veins and gold deposition occurred in two successive stages: an early "mesozonal” stage of quartz-sulfide (Fe-As-S) deposition, usually devoid of gold and a late "epizonal” stage of base metal and gold deposition. Both stages postdate peak metamorphism and granite intrusion. The genesis of the deposit is the result of four successive fluid events: (1) Percolation of aqueous-carbonic metamorphic fluids under an assumed lithostatic regime of 400-450°C, at a maximum depth of 13km; (2) Formation of the main quartz lodes with coeval K-alteration and introduction of As and S from aqueous-carbonic fluids percolating along regional faults. Arsenopyrite and pyrite deposition was linked to the alteration of Fe-silicates into K-feldspar and phengite at near-constant iron content in the bulk granite. Temperature was similar to that of the preceding stage, but pressure decreased to 100-50MPa, suggesting rapid uplift of the basement up to 7.5km depth; (3) The resulting extensional tectonic leads to the deposition of gold, boulangerite, galena and sphalerite in brecciated arsenopyrite and pyrite from aqueous fluids during a mixing process. Temperature and salinity decrease from 280 to 140°C and 8.1wt% eq. NaCl to 1.6wt% eq. NaCl, respectively; (4) Sealing of the late fault system by barren comb quartz which precipitated from dilute meteoric aqueous fluids (1.6wt% eq. NaCl to 0.9wt% eq. NaCl) under hydrostatic conditions at 200-150°
Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis
BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London
Country-level gender inequality is associated with structural differences in the brains of women and men
Gender inequality across the world has been associated with a higher risk to mental health problems and lower academic achievement in women compared to men. We also know that the brain is shaped by nurturing and adverse socio-environmental experiences. Therefore, unequal exposure to harsher conditions for women compared to men in gender-unequal countries might be reflected in differences in their brain structure, and this could be the neural mechanism partly explaining women's worse outcomes in gender-unequal countries. We examined this through a random-effects meta-analysis on cortical thickness and surface area differences between adult healthy men and women, including a meta-regression in which country-level gender inequality acted as an explanatory variable for the observed differences. A total of 139 samples from 29 different countries, totaling 7,876 MRI scans, were included. Thickness of the right hemisphere, and particularly the right caudal anterior cingulate, right medial orbitofrontal, and left lateral occipital cortex, presented no differences or even thicker regional cortices in women compared to men in gender-equal countries, reversing to thinner cortices in countries with greater gender inequality. These results point to the potentially hazardous effect of gender inequality on women's brains and provide initial evidence for neuroscience-informed policies for gender equality
Finishing the euchromatic sequence of the human genome
The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead
Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study
Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world.
Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231.
Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001).
Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication
Evaluation of the efficacy of a short-course, personalized self-management and intensive spa therapy intervention as active prevention of musculoskeletal disorders of the upper extremities (Muska): a research protocol for a randomized controlled trial
Détermination du coût complet et élaboration des tarifs 2014 pour les produits et prestations de la plateforme de micro et nanotechnologies du CNRS-LAAS
National audienceExplicitation de tous les éléments utilisés pour l'établissement d'une procédure de facturation auditable dans la plateforme de micro et nanotechnologies du CNRS--LAAS
Micro-investigation of EPICA Dome C bottom ice: evidence of long term in situ processes involving acid-salt interactions, mineral dust, and organic matter
The EPICA Dome C ice core (EDC) reached a final depth of 3260m, at a maximum height of about 15m above the ice-bedrock interface in December 2004. We present here data gained from a detailed investigation of selected samples of the deeper part of the core located below 3200m and referred to as bottom ice. This part of the core has been poorly investigated so far mainly because there are significant challenges in interpreting paleo-records that were very likely modified by long term in situ processes. Our study combines high resolution ion chromatography, high resolution synchrotron X-Ray micro-fluorescence (micro XRF), scanning, and transmission electron microscopy. Our aim was to identify the long term physico-chemical processes at work close to the bedrock, to determine how they have altered the initial registers, and, ultimately to extract information on the very ancient Antarctic environment.The ubiquitous presence of nanometer iron oxide crystals at the surface of wind-borne dust aggregates containing also large amount of organic matter raises the possibility that the consolidation of windborne dust clusters formed during ice recrystallization could be related to microbial iron reduction and, thus, to the progressive reactivation of dormant bacterial activity in warming ice. Inclusions of size and number density increasing with depth observed in the 12 last meters (3248-3260m) contain liquid and solid species, among them marine biogenic acids, numerous wind-borne dust aggregates and clusters of large reversible calcium carbonate particles precipitated once the inclusion was formed and often covered by secondary gypsum. The refreezing of slush lenses is discussed as a potential cause of the formation of such heterogeneous and complex mixtures. In addition to the very fine micrometer size minerals windborne from extra-Antarctic continental sources and often accreted in large aggregates, single medium size particles (a few to ca 20μm and among them organic debris) are commonly encountered. Their size, surface shape, and mineralogy suggest that aerosol transport from Antarctic ice-free areas played a significant role at the time EDC bottom ice was formed. Concentrations and concentration ratios of biogenic sulfur species also advocate for the strengthening of peri-Antarctic meteorological patterns that favor the inland penetration of disturbed flow carrying local material. Very large well preserved mineral particles several tens of micrometers in diameter, and biotope relics in deeper ice close to 3260m likely come from the sub-glacial environment.© 2013 Elsevier Ltd.SCOPUS: ar.jinfo:eu-repo/semantics/publishe
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