Sedimentary controls on modern sand grain coat formation

Clay coated quartz grains can influence reservoir quality evolution during sandstone diagenesis. Porosity can be reduced and fluid flow restricted where grain coats encroach into pore space. Conversely pore-lining grain coats can restrict the growth of pore-filling quartz cement in deeply buried sandstones, and thus can result in unusually high porosity in deeply buried sandstones. Being able to predict the distribution of clay coated sand grains within petroleum reservoirs is thus important to help find good reservoir quality. Here we report a modern analogue study of 12 sediment cores from the Anllóns Estuary, Galicia, NW Spain, collected from a range of sub-environments, to help develop an understanding of the occurrence and distribution of clay coated grains. The cores were described for grain size, bioturbation and sedimentary structures, and then sub-sampled for electron and light microscopy, laser granulometry, and X-ray diffraction analysis. The Anllóns Estuary is sand-dominated with intertidal sand flats and saltmarsh environments at the margins; there is a shallowing/fining-upwards trend in the estuary-fill succession. Grain coats are present in nearly every sample analysed; they are between 1 μm and 100 μm thick and typically lack internal organisation. The extent of grain coat coverage can exceed 25% in some samples with coverage highest in the top 20 cm of cores. Samples from muddy intertidal flat and the muddy saltmarsh environments, close to the margins of the estuary, have the highest coat coverage (mean coat coverage of 20.2% and 21.3%, respectively). The lowest mean coat coverage occurs in the sandy saltmarsh (10.4%), beyond the upper tidal limit and sandy intertidal flat environments (8.4%), close to the main estuary channel. Mean coat coverage correlates with the concentration of clay fraction. The primary controls on the distribution of fine-grained sediment, and therefore grain coat distribution, are primary sediment transport and deposition processes that concentrate the clay fraction in the sediment towards the margins of the estuary. Bioturbation and clay illuviation/mechanical infiltration are secondary processes that may redistribute fine-grained sediment and produce grain coats. Here we have shown that detrital grain coats are more likely in marginal environments of ancient estuary-fills, which are typically found in the fining-upward part of progradational successions

Facies architecture of Miocene subaqueous clinothems of the New Jersey passive margin: Results from IODP-ICDP Expedition 313

Understanding the history, causes, and impact of sea-level changes is a challenge for our societies that face accelerated global sea-level rise. In this context, improvement of our knowledge of sea-level changes and shoreline migration at geological time scales is critical. The preserved, laterally correlative sedimentary record of continental erosion on passive margins has been used to reconstruct past sea level. However, the detailed nature of a basic clinothem progradational pattern observed on many of these margins is still poorly known. This paper describes the sedimentary facies and interprets the depositional environments and the architecture of the clinothems of the New Jersey shelf (offshore northeastern USA) to depict the origin and controls of the distribution of the sediment on the margin. We analyze 612 cores totaling 1311 m in length collected at three sites 60 km offshore Atlantic City, New Jersey, during International Ocean Discovery Program–International Continental Scientific Drilling Program (IODP-ICDP) Expedition 313. The three sites sampled the lower to middle Miocene passive margin sediments of the New Jersey shelf clinothems. We also collected wireline logs at the three sites and tied the sedimentary architecture to the geometry observed on seismic profiles. The observed sediment distribution in the clinoform complex differs from that of current models based on seismic data, which predict a progressive increase in mud and decrease in sand contents in a seaward direction. In contrast, we observe that the clinoforms are largely composed of muds, with sands and coarser material concentrated at the rollover, the bottomset, and the toe of the slope. The shelf clinothem topsets are storm-influenced mud whereas the foreset slope is composed of a mud wedge largely dominated by density current deposits (e.g., low-density turbidites and debrites). The architecture of the clinothem complex includes a composite stack of ~30-m-thick clinothem units each made up of four systems tracts (Transgressive, Highstand, Forced-Regres­sive, and Lowstand Systems Tract) building individual transgressive-regres­sive sequences. The presence of mud-rich facies deposited during highstands on the topset of the clinoform, 40–60 km offshore from the sand-prone shoreface deposit (observed in the New Jersey onshore delta plain), and the lack of subaerial erosion (and continental depositional environments) point to a depositional model involving a subaerial delta (onshore) feeding a distant subaqueous delta. During forced regressions, shelf-edge deltas periodically overstep the stacks of flood-influenced, offshore-marine mud wedges of the New Jersey subaqueous delta, bringing sand to the rollover and building up the large-scale shelf-prism clinothems. The clinothem complex develops on a gently dipping platform with a ramp-like morphology (apparent dip of 0.75°–0.5°) below mean storm wave base, in 30–50 m of water depth, 40–60 km seaward of the coastal area. Its shape depends on the balance between accom­mo­da­tion and sedimentation rates. Subaqueous deltas show higher accumulation rates than their subaerial counterparts and prograde three times further and faster than their contemporaneous shoreline. The increase in the intensity of waves (height and recurrence intervals) favors the separation between subaqueous and subaerial deltas, and as a consequence, the formation of a flat topset geometry, a decrease in flood events and fluvial discharge, an overall progressive decrease in sediment grain size (from sequence m5.45, ca. 17.8–17.7 Ma, onwards), as well as an increase in sedimentation rates on the foresets of the clinoforms. All of these are recognized as preliminary signals that might characterize the entry into the Neogene icehouse world

Light smoking at base-line predicts a higher mortality risk to women than to men; evidence from a cohort with long follow-up

BACKGROUND: There is conflicting evidence as to whether smoking is more harmful to women than to men. The UK Cotton Workers’ Cohort was recruited in the 1960s and contained a high proportion of men and women smokers who were well matched in terms of age, job and length of time in job. The cohort has been followed up for 42 years. METHODS: Mortality in the cohort was analysed using an individual relative survival method and Cox regression. Whether smoking, ascertained at baseline in the 1960s, was more hazardous to women than to men was examined by estimating the relative risk ratio women to men, smokers to never smoked, for light (1–14), medium (15–24), heavy (25+ cigarettes per day) and former smoking. RESULTS: For all-cause mortality relative risk ratios were 1.35 for light smoking at baseline (95% CI 1.07-1.70), 1.15 for medium smoking (95% CI 0.89-1.49) and 1.00 for heavy smoking (95% CI 0.63-1.61). Relative risk ratios for light smoking at baseline for circulatory system disease was 1.42 (95% CI 1.01 to 1.98) and for respiratory disease was 1.89 (95% CI 0.99 to 3.63). Heights of participants provided no explanation for the gender difference. CONCLUSIONS: Light smoking at baseline was shown to be significantly more hazardous to women than to men but the effect decreased as consumption increased indicating a dose response relationship. Heavy smoking was equally hazardous to both genders. This result may help explain the conflicting evidence seen elsewhere. However gender differences in smoking cessation may provide an alternative explanation

Incisional hernia after upper abdominal surgery: A randomised controlled trial of midline versus transverse incision

Objectives: To determine whether a transverse incision is an alternative to a midline incision in terms of incisional hern

Expression and DNA methylation of TNF, IFNG and FOXP3 in colorectal cancer and their prognostic significance.

BACKGROUND: Colorectal cancer (CRC) progression is associated with suppression of host cell-mediated immunity and local immune escape mechanisms. Our aim was to assess the immune function in terms of expression of TNF, IFNG and FOXP3 in CRC. METHODS: Sixty patients with CRC and 15 matched controls were recruited. TaqMan quantitative PCR and methylation-specific PCR was performed for expression and DNA methylation analysis of TNF, IFNG and FOXP3. Survival analysis was performed over a median follow-up of 48 months. RESULTS: TNF was suppressed in tumour and IFNG was suppressed in peripheral blood mononuclear cells (PBMCs) of patients with CRC. Tumours showed enhanced expression of FOXP3 and was significantly higher when tumour size was >38 mm (median tumour size; P=0.006, Mann-Whitney U-test). Peripheral blood mononuclear cell IFNG was suppressed in recurrent CRC (P=0.01). Methylated TNFpromoter (P=0.003) and TNFexon1 (P=0.001) were associated with significant suppression of TNF in tumours. Methylated FOXP3cpg was associated with significant suppression of FOXP3 in both PBMC (P=0.018) and tumours (P=0.010). Reduced PBMC FOXP3 expression was associated with significantly worse overall survival (HR=8.319, P=0.019). CONCLUSIONS: We have detected changes in the expression of immunomodulatory genes that could act as biomarkers for prognosis and future immunotherapeutic strategies

Entrepreneurial sons, patriarchy and the Colonels' experiment in Thessaly, rural Greece

Existing studies within the field of institutional entrepreneurship explore how entrepreneurs influence change in economic institutions. This paper turns the attention of scholarly inquiry on the antecedents of deinstitutionalization and more specifically, the influence of entrepreneurship in shaping social institutions such as patriarchy. The paper draws from the findings of ethnographic work in two Greek lowland village communities during the military Dictatorship (1967–1974). Paradoxically this era associated with the spread of mechanization, cheap credit, revaluation of labour and clear means-ends relations, signalled entrepreneurial sons’ individuated dissent and activism who were now able to question the Patriarch’s authority, recognize opportunities and act as unintentional agents of deinstitutionalization. A ‘different’ model of institutional change is presented here, where politics intersects with entrepreneurs, in changing social institutions. This model discusses the external drivers of institutional atrophy and how handling dissensus (and its varieties over historical time) is instrumental in enabling institutional entrepreneurship

A descriptive study of UK cancer genetics services: an emerging clinical response to the new genetics

The objective was to describe NHS cancer genetic counselling services and compare UK regions. The study design was a cross-sectional study over 4 weeks and attendee survey. The setting was 22 of the 24 regional cancer genetics services in the UK NHS. Participants were individuals aged over 18 attending clinics at these services. Outcome measures were staff levels, referral rates, consultation rates, follow-up plans, waiting time. There were only 11 dedicated cancer geneticists across the 22 centres. Referrals were mainly concerned with breast (63%), bowel (18%) and ovarian (12%) cancers. Only 7% of referrals were for men and 3% were for individuals from ethnic minorities. Referral rates varied from 76 to 410 per million per annum across the regions. Median waiting time for an initial appointment was 19 weeks, ranging across regions from 4 to 53 weeks. Individuals at population-level genetic risk accounted for 27% of consultations (range 0%, 58%). Shortfalls in cancer genetics staff and in the provision of genetic testing and cancer surveillance have resulted in large regional variations in access to care. Initiatives to disseminate referral and management guidelines to cancer units and primary care should be adequately resourced so that clinical genetics teams can focus on the genetic testing and management of high-risk families. © 2001 Cancer Research Campaign http://www.bjcancer.co

The formation of professional identity in medical students: considerations for educators

<b>Context</b> Medical education is about more than acquiring an appropriate level of knowledge and developing relevant skills. To practice medicine students need to develop a professional identity – ways of being and relating in professional contexts.<p></p> <b>Objectives</b> This article conceptualises the processes underlying the formation and maintenance of medical students’ professional identity drawing on concepts from social psychology.<p></p> <b>Implications</b> A multi-dimensional model of identity and identity formation, along with the concepts of identity capital and multiple identities, are presented. The implications for educators are discussed.<p></p> <b>Conclusions</b> Identity formation is mainly social and relational in nature. Educators, and the wider medical society, need to utilise and maximise the opportunities that exist in the various relational settings students experience. Education in its broadest sense is about the transformation of the self into new ways of thinking and relating. Helping students form, and successfully integrate their professional selves into their multiple identities, is a fundamental of medical education