Зональные фораминиферовые схемы нижнего карбона западных регионов Украины

Запропоновано зональні форамініферові схеми нижнього карбону Придобруджинського прогину та Львівсько-Волинського басейну. У Придобруджинському прогині нараховується вісім зон і дві підзони, з них одна зона і дві підзони виділені вперше. У п'яти зон змінено види-індекси, У Львівсько-Волинському басейні є п’ять зон і дві підзони, з них одна зона нова. Дві колишні зони об'єднано в одну — з двома підзонами. Змінено види-індекси трьох зон. В обох регіонах уточнено обсяг зон та їх межі. Границі зон і підзон проведено за першою появою видів-індексів. Проведено зіставлення цих зональних схем із форамініферовими зонами Доно-Дніпровського регіону і Східно-Європейської платформи.Foraminiferal zonal schemes of the Lower Carboniferous of the Dobrudja Foredeep and Lvov-Volynian basin are proposed in the paper. The first scheme includes eight zones and two subzones; among them one zone and two subzones are specified for the first time. In five zones species-index is changed. The second scheme includes five zones and two subzones; one zone is specified for the first time. Two preceding zones are united into one with two subzones. In three zones species-index is changed. The boundaries of zones and subzones are determined according to the first occurrence of species-index. Correlation of these zones with foraminiferal zones of Dono-Dnieper region and East-European platform is performed

Metamorphic reworking of a high pressure–low temperature mélange along the Motagua fault, Guatemala: A record of Neocomian and Maastrichtian transpressional tectonics

The Guatemala suture zone is a major east–west left-lateral strike slip boundary that separates the North American and Caribbean plates in Guatemala. The Motagua fault, the central active strand of the suture zone, underwent two major collisional events within a system otherwise dominated by strike–slip motion. The first event is recorded by high-pressure/low temperature (HP/LT) eclogites and related rocks that occur within serpentinites both north and south of the Motagua fault. Lawsonite eclogites south of the fault are not significantly retrograded and give 40Ar/39Ar ages of 125–116 Ma and Sm–Nd mineral isochrons of 144–132 Ma. Eclogites north of the fault give similar Sm–Nd isochron ages (131–126 Ma) but otherwise differ in that they are strongly overprinted by a lower pressure assemblage and, along with associated HP/LT rocks, give much younger 40Ar/39Ar ages of 88–55 Ma indicating a later amphibolite facies metamorphic event. We propose therefore that all serpentinite hosted eclogites along the Motagua fault formed at essentially the same time in different parts of a laterally extensive Lower Cretaceous forearc subduction system, but subsequently underwent different histories. The southern assemblages were thrust southwards (present coordinates) immediately after HP metamorphism whereas the northern association was retrograded during a later collision that thrust it northward at ca. 70 Ma. They were subsequently juxtaposed opposite each other by major strike slip motion. This model implies that the HP rocks on opposing sides of the Motagua fault evolved along a plate boundary that underwent both dip slip and strike slip motion throughout the Late Cretaceous as a result of oblique convergence. The juxtaposition of a convergent and strike slip system means that HP/LT rocks within serpentinites can be found at depth along much of the modern Guatemala suture zone and its eastward extension into the northern Caribbean. Both sets of assemblages were exhumed relatively recently by the uplift of mountain ranges on both sides of the fault caused by movement along a restraining bend. Recent exhumation explains the apparently lack of offset of surface outcrops along a major strike slip fault

Effectiveness of Non-nucleoside Reverse-Transcriptase Inhibitor-Based Antiretroviral Therapy in Women Previously Exposed to a Single Intrapartum Dose of Nevirapine: A Multi-country, Prospective Cohort Study

In a comparative cohort study, Jeffrey Stringer and colleagues investigate the risk of ART failure in women who received single-dose nevirapine for PMTCT, and assess the duration of increased risk

Outcome of HIV-exposed uninfected children undergoing surgery

<p>Abstract</p> <p>Background</p> <p>HIV-exposed uninfected (HIVe) children are a rapidly growing population that may be at an increased risk of illness compared to HIV-unexposed children (HIVn). The aim of this study was to investigate the morbidity and mortality of HIVe compared to both HIVn and HIV-infected (HIVi) children after a general surgical procedure.</p> <p>Methods</p> <p>A prospective study of children less than 60 months of age undergoing general surgery at a paediatric referral hospital from July 2004 to July 2008 inclusive. Children underwent age-definitive HIV testing and were followed up post operatively for the development of complications, length of stay and mortality.</p> <p>Results</p> <p>Three hundred and eighty children were enrolled; 4 died and 11 were lost to follow up prior to HIV testing, thus 365 children were included. Of these, 38(10.4%) were HIVe, 245(67.1%) were HIVn and 82(22.5%) were HIVi children.</p> <p>The overall mortality was low, with 2(5.2%) deaths in the HIVe group, 0 in the HIVn group and 6(7.3%) in the HIVi group (p = 0.0003). HIVe had a longer stay than HIVn children (3 (2-7) vs. 2 (1-4) days p = 0.02). There was no significant difference in length of stay between the HIVe and HIVi groups. HIVe children had a higher rate of complications compared to HIVn children, (9 (23.7%) vs. 14(5.7%) (RR 3.8(2.1-7) p < 0.0001) but a similar rate of complications compared to HIVi children 34 (41.5%) (RR = 0.6 (0.3-1.1) p = 0.06).</p> <p>Conclusion</p> <p>HIVe children have a higher risk of developing complications and mortality after surgery compared to HIVn children. However, the risk of complications is lower than that of HIVi children.</p

Improving a Mother to Child HIV Transmission Programme through Health System Redesign: Quality Improvement, Protocol Adjustment and Resource Addition

Health systems that deliver prevention of mother to child transmission (PMTCT) services in low and middle income countries continue to underperform, resulting in thousands of unnecessary HIV infections of newborns each year. We used a combination of approaches to health systems strengthening to reduce transmission of HIV from mother to infant in a multi-facility public health system in South Africa.All primary care sites and specialized birthing centers in a resource constrained sub-district of Cape Metro District, South Africa, were enrolled in a quality improvement (QI) programme. All pregnant women receiving antenatal, intrapartum and postnatal infant care in the sub-district between January 2006 and March 2009 were included in the intervention that had a prototype-innovation phase and a rapid spread phase. System changes were introduced to help frontline healthcare workers to identify and improve performance gaps at each step of the PMTCT pathway. Improvement was facilitated and spread through the use of a Breakthrough Series Collaborative that accelerated learning and the spread of successful changes. Protocol changes and additional resources were introduced by provincial and municipal government. The proportion of HIV-exposed infants testing positive declined from 7.6% to 5%. Key intermediate PMTCT processes improved (antenatal AZT increased from 74% to 86%, PMTCT clients on HAART at the time of labour increased from 10% to 25%, intrapartum AZT increased from 43% to 84%, and postnatal HIV testing from 79% to 95%) compared to baseline.System improvement methods, protocol changes and addition/reallocation of resources contributed to improved PMTCT processes and outcomes in a resource constrained setting. The intervention requires a clear design, leadership buy-in, building local capacity to use systems improvement methods, and a reliable data system. A systems improvement approach offers a much needed approach to rapidly improve under-performing PMTCT implementation programmes at scale in sub-Saharan Africa