Design and feasibility testing of a novel group intervention for young women who binge drink in groups

BackgroundYoung women frequently drink alcohol in groups and binge drinking within these natural drinking groups is common. This study describes the design of a theoretically and empirically based group intervention to reduce binge drinking among young women. It also evaluates their engagement with the intervention and the acceptability of the study methods.MethodsFriendship groups of women aged 18–35 years, who had two or more episodes of binge drinking (>6 UK units on one occasion; 48g of alcohol) in the previous 30 days, were recruited from the community. A face-to-face group intervention, based on the Health Action Process Approach, was delivered over three sessions. Components of the intervention were woven around fun activities, such as making alcohol free cocktails. Women were followed up four months after the intervention was delivered. Results The target of 24 groups (comprising 97 women) was recruited. The common pattern of drinking was infrequent, heavy drinking (mean consumption on the heaviest drinking day was UK 18.1 units). Process evaluation revealed that the intervention was delivered with high fidelity and acceptability of the study methods was high. The women engaged positively with intervention components and made group decisions about cutting down. Twenty two groups set goals to reduce their drinking, and these were translated into action plans. Retention of individuals at follow up was 87%.ConclusionsThis study successfully recruited groups of young women whose patterns of drinking place them at high risk of acute harm. This novel approach to delivering an alcohol intervention has potential to reduce binge drinking among young women. The high levels of engagement with key steps in the behavior change process suggests that the group intervention should be tested in a full randomised controlled trial

Case Reports1. A Late Presentation of Loeys-Dietz Syndrome: Beware of TGFβ Receptor Mutations in Benign Joint Hypermobility

Background: Thoracic aortic aneurysms (TAA) and dissections are not uncommon causes of sudden death in young adults. Loeys-Dietz syndrome (LDS) is a rare, recently described, autosomal dominant, connective tissue disease characterized by aggressive arterial aneurysms, resulting from mutations in the transforming growth factor beta (TGFβ) receptor genes TGFBR1 and TGFBR2. Mean age at death is 26.1 years, most often due to aortic dissection. We report an unusually late presentation of LDS, diagnosed following elective surgery in a female with a long history of joint hypermobility. Methods: A 51-year-old Caucasian lady complained of chest pain and headache following a dural leak from spinal anaesthesia for an elective ankle arthroscopy. CT scan and echocardiography demonstrated a dilated aortic root and significant aortic regurgitation. MRA demonstrated aortic tortuosity, an infrarenal aortic aneurysm and aneurysms in the left renal and right internal mammary arteries. She underwent aortic root repair and aortic valve replacement. She had a background of long-standing joint pains secondary to hypermobility, easy bruising, unusual fracture susceptibility and mild bronchiectasis. She had one healthy child age 32, after which she suffered a uterine prolapse. Examination revealed mild Marfanoid features. Uvula, skin and ophthalmological examination was normal. Results: Fibrillin-1 testing for Marfan syndrome (MFS) was negative. Detection of a c.1270G > C (p.Gly424Arg) TGFBR2 mutation confirmed the diagnosis of LDS. Losartan was started for vascular protection. Conclusions: LDS is a severe inherited vasculopathy that usually presents in childhood. It is characterized by aortic root dilatation and ascending aneurysms. There is a higher risk of aortic dissection compared with MFS. Clinical features overlap with MFS and Ehlers Danlos syndrome Type IV, but differentiating dysmorphogenic features include ocular hypertelorism, bifid uvula and cleft palate. Echocardiography and MRA or CT scanning from head to pelvis is recommended to establish the extent of vascular involvement. Management involves early surgical intervention, including early valve-sparing aortic root replacement, genetic counselling and close monitoring in pregnancy. Despite being caused by loss of function mutations in either TGFβ receptor, paradoxical activation of TGFβ signalling is seen, suggesting that TGFβ antagonism may confer disease modifying effects similar to those observed in MFS. TGFβ antagonism can be achieved with angiotensin antagonists, such as Losartan, which is able to delay aortic aneurysm development in preclinical models and in patients with MFS. Our case emphasizes the importance of timely recognition of vasculopathy syndromes in patients with hypermobility and the need for early surgical intervention. It also highlights their heterogeneity and the potential for late presentation. Disclosures: The authors have declared no conflicts of interes

Solubility of Ore Minerals and Complexation of Ore Metals in Hydrothermal Solutions

Knowledge of the solubility of ore minerals and the speciation of ore metals in hydrothermal solutions is required for a complete understanding of the genesis of hydrothermal ores. In this chapter, we explore the factors that control solubility and speciation, demonstrate how to carry out quantitative calculations, and review the current state of knowledge for a number of economically important metals. The term solubility refers to the sum of the concentrations of all dissolved forms of a given metal in a hydrothermal solution in equilibrium with a mineral (or minerals) containing that metal. We use the term speciation to denote the relative concentrations of the various forms of a metal in solution

The role of magma injection and crystal sorting in the formation of early gabbros at the Coldwell Complex, Ontario, Canada

The Layered Series of the Midcontinent Rift related Coldwell Complex comprises thick sections of gabbro, without any known associated ultramafic rocks. It represents a major early intrusive unit of the Coldwell Complex and consists of thick accumulations of olivine gabbro and oxide augite melatroctolite. This study combines petrography, mineral chemistry, and lithogeochemistry to constrain the magma composition and petrogenesis of the layered Series. The presence of cumulus orthoclase together with the observation that the Layered Series rocks plot in the alkaline field on a total alkali-silica diagram indicate that the Layered Series magma has an alkaline parentage. The stratigraphy of the Layered Series cannot be fully correlated between different areas using lithogeochemistry and mineral chemistry. This together with observed normal and reverse trends for mineral chemical compositions in different areas suggest that the processes related to magma emplacement and crystallization were different in different locations. The whole-rock concentrations of incompatible elements and the compositions of major minerals of the olivine gabbro and oxide augite melatroctolite units are chemically similar. However, major element lithogeochemistry is variable, dominantly due to differences in the abundances of olivine, clinopyroxene, plagioclase, and magnetite. An additional observation is that olivine and clinopyroxene are not in chemical equilibrium. Together, these observations are interpreted to reflect a combination of multiple injections of magma and crystal sorting in an open system

Au-Bi-Te(-Cu) Mineralization in the Wawa Gold Corridor (Ontario, Canada): Implications for the Role of Bi-Rich Polymetallic Melts in Orogenic Au Systems

The Wawa Gold Corridor, a series of Archean orogenic Au deposits in the Michipicoten greenstone belt, Canada, comprises two styles of Au mineralization: (1) syn-deformation gold associated with pyrite and arsenopyrite; and (2) late- to post-deformation gold associated with chalcopyrite and Bi-Te(-S) phases. Through petrographic and mineral–chemical analysis, it was determined that gold in the latter assemblages precipitated from Bi-rich polymetallic melts during hydrothermal overprinting of the earlier Au-As-S mineralization; this event was likely driven by the emplacement of Archean lamprophyres. The formation and evolution of these melts was governed by fluid–pyrite reaction interfaces, where the bulk composition of the melts was broadly controlled by the trace-element chemistry of the sulphide minerals in the local host rocks. This suggests that the melt-formation event involved mobilization of existing metal endowments related to early Au events, rather than addition of new Au, Bi, and Te. Thus, the deposition of high-grade Au by Bi-rich melts was dependent on pre-existing sulphide mineralization, both as a source of metals and as micro-environments that stabilized the melts. The paragenesis documented in the Wawa Gold Corridor (i.e., early hydrothermal Au-As-S mineralization and late melt-related Au-Bi-Te mineralization) has been previously recognized in numerous other orogenic and non-orogenic Au deposits. Herein, it is suggested that this apparent consistency in the timing of melt events across multiple systems probably reflects the physicochemical conditions (i.e., fO2-aH2S) of orogenic fluids being incompatible with molten Bi. Bi-rich polymetallic melts are hence unlikely to form primary Au mineralization in orogenic systems but can, however, have a significant impact on the ultimate deposit-scale distribution of Au via secondary mobilization and enrichment

Understanding fungal functional biodiversity during the mitigation of environmentally dispersed pentachlorophenol in cork oak forest soils

Pentachlorophenol (PCP) is globally dispersed and contamination of soil with this biocide adversely affects its functional biodiversity, particularly of fungi - key colonizers. Their functional role as a community is poorly understood, although a few pathways have been already elucidated in pure cultures. This constitutes here our main challenge - elucidate how fungi influence the pollutant mitigation processes in forest soils. Circumstantial evidence exists that cork oak forests in N. W. Tunisia - economically critical managed forests are likely to be contaminated with PCP, but the scientific evidence has previously been lacking. Our data illustrate significant forest contamination through the detection of undefined active sources of PCP. By solving the taxonomic diversity and the PCP-derived metabolomes of both the cultivable fungi and the fungal community, we demonstrate here that most strains (predominantly penicillia) participate in the pollutant biotic degradation. They form an array of degradation intermediates and by-products, including several hydroquinone, resorcinol and catechol derivatives, either chlorinated or not. The degradation pathway of the fungal community includes uncharacterized derivatives, e.g. tetrachloroguaiacol isomers. Our study highlights fungi key role in the mineralization and short lifetime of PCP in forest soils and provide novel tools to monitor its degradation in other fungi dominated food webs. © 2015 Society for Applied Microbiology and John Wiley & Sons Ltd