Mantle heterogeneity during the formation of the North Atlantic Igneous Province: Constraints from trace element and Sr-Nd-Os-O isotope systematics of Baffin Island picrites

Sr-Nd-Os-O isotope and major and trace element data from ~62 Ma picrites from Baffin Island constrain the composition of mantle sources sampled at the inception of North Atlantic Igneous Province (NAIP) magmatism. We recognize two compositional types. Depleted (N-type) lavas have low 87Sr/86Sri (0.702990–0.703060) and 187Os/188Osi (0.1220–0.1247) and high 143Nd/144Ndi (0.512989–0.512999) and are depleted in incompatible elements relative to primitive mantle. Enriched (E-type) lavas have higher 87Sr/86Sri (0.703306–0.703851) and 187Os/188Osi (0.1261–0.1303), lower 143Nd/144Ndi (0.512825–0.512906), and incompatible element concentrations similar to, or more enriched than, primitive mantle. There is also a subtle difference in oxygen isotope composition; E-type lavas are marginally lower in δ18Oolivine value (5.16–4.84‰) than N-type lavas (5.15–5.22‰). Chemical and isotopic variations between E- and N-type lavas are inconsistent with assimilation of crust and/or subcontinental lithospheric mantle and appear to instead reflect mixing between melts derived from two distinct mantle sources. Strontium-Nd-O isotope compositions and incompatible trace element abundances of N-type lavas suggest these are largely derived from the depleted upper mantle. The 187Os/188Osi ratios of N-type lavas can also be explained by such a model but require that the depleted upper mantle had γOs of approximately −5 to −7 at 62 Ma. This range overlaps the lowest γOs values measured in abyssal peridotites. Baffin Island lava compositions are also permissive of a model involving recharging of depleted upper mantle with 3He-rich material from the lower mantle (Stuart et al., Nature, 424, 57–59, 2003), with the proviso that recharge had no recognizable effect on the lithophile trace element and Sr-Nd-Os-O isotope composition. The origin of the enriched mantle component sampled by Baffin Island lavas is less clear but may be metasomatized and high-temperature-altered recycled oceanic lithosphere transported within the proto Iceland plume. Differences between Baffin Island lavas and modern Icelandic basalts suggest that a range of enriched and depleted mantle sources have been tapped since the inception of magmatism in the province. Similarities between Baffin Island lavas erupted and those of similar age from East and West Greenland also suggest that the enriched component in Baffin Island lavas may have been sampled by lavas erupted over a wide geographic range

Analysis and correction of the magnetic field effects in the Hybrid Photo-Detectors of the RICH2 Ring Imaging Cherenkov detector of LHCb

The Ring Imaging Cherenkov detectors of the LHCb experiment at the Large Hadron Collider at CERN are equipped with Hybrid Photo-Detectors. These vacuum photo-detectors are affected by the stray magnetic field of the LHCb magnet, which degrades their imaging properties. This effect increases the error on the Cherenkov angle measurement and would reduce the particle identification capabilities of LHCb. A system has been developed for the RICH2 Ring Imaging Cherenkov detector to perform a detailed characterisation of the magnetic distortion effects. It is described, along with the methods implemented to correct for these effects, restoring the optimal resolution.Comment: 16 pages, 11 figure

Can Virialization Shocks be Detected Around Galaxy Clusters Through the Sunyaev-Zel'dovich Effect?

In cosmological structure formation models, massive non-linear objects in the process of formation, such as galaxy clusters, are surrounded by large-scale shocks at or around the expected virial radius. Direct observational evidence for such virial shocks is currently lacking, but we show here that their presence can be inferred from future, high resolution, high-sensitivity observations of the Sunyaev-Zel'dovich (SZ) effect in galaxy clusters. We study the detectability of virial shocks in mock SZ maps, using simple models of cluster structure (gas density and temperature distributions) and noise (background and foreground galaxy clusters projected along the line of sight, as well as the cosmic microwave background anisotropies). We find that at an angular resolution of 2'' and sensitivity of 10 micro K, expected to be reached at ~ 100 GHz frequencies in a ~ 20 hr integration with the forthcoming ALMA instrument, virial shocks associated with massive M ~ 10^15 M_Sun clusters will stand out from the noise, and can be detected at high significance. More generally, our results imply that the projected SZ surface brightness profile in future, high-resolution experiments will provide sensitive constraints on the density profile of cluster gas.Comment: 15 pages, submitted to Ap

Epidemiology of Clostridium difficile -associated disease at University Hospital Basel including molecular characterisation of the isolates 2006-2007

A prospective study was conducted during a one-year period between 2006 and 2007 to describe the epidemiology of Clostridium difficile-associated disease (CDAD) at University Hospital Basel, Switzerland (UHBS) and to determine phenotypic and genotypic features of C. difficile strains isolated at the Microbiology Laboratory UHBS including strains from regional non-university hospitals. We prospectively identified 78CDAD cases at UHBS with an incidence of 2.65/1,000 hospitalised patients or 2.3/10,000 patient-days. Sixteen patients (20.5%) were infected with clindamycin-resistant strains of PCR-ribotype 027 during an outbreak at the geriatric hospital. Among 124 single-patient isolates, 28 (22.6%) were resistant to moxifloxacin and 34 (27.4%) were resistant to clindamycin, but all remained susceptible to metronidazole and vancomycin. Of 102 toxigenic isolates, 19 (18.7%) had an 18-bp deletion in the tcdC gene, eight (7.8%) a 39-bp deletion, and one (1.0%) a 54-bp deletion. Genes for binary toxin were present in 27 (21.8%). PCR-ribotype 027 was associated with older age (median age 83.5 vs. 65.5years, p < 0.0001) and longer duration of hospitalisation before onset of disease (median 15.5 vs. 9days, p = 0.014) with a trend towards higher crude mortality, more severe disease, and previous use of macrolides compared to ribotype non-027. Overall, severe disease correlated with use of a nasogastric tube and surprisingly shorter duration of hospitalisation before onset of disease. Today, laboratory-based and epidemiological surveillance systems are required to monitor CDAD cases and emergence of new epidemic strain

CONTROL OF END-TIDAL HALOTHANE CONCENTRATION: Part B: Verification in Dogs

Conventional anaesthetic techniques do not allow for the automatic control of end-tidal halothane concentration and, therefore, brain concentration cannot be predicted. In this study, eight dogs were ventilated with halothane in oxygen using a new closed-loop anaesthetic breathing system which provided a constant end-tidal concentration. During the first 60 min the end-tidal concentration was maintained at 0.87 vol% (1 MAC). Then followed 60 min of halothane wash-out and a further 120-min period of halothane at 1.74 vol% (2 MAC). Halothane concentrations were measured in the inspired and expired air, and in the arterial, cerebral venous and mixed venous blood. Haemodynamic and respiratory variables were measured. The system reached 95% of the target end-tidal concentration within 6 min without over-shooting. After 2 h of wash-in, significant gradients still persisted between end-tidal, arterial and cerebral venous blood concentrations. Measured uptake differed from theoretically calculated uptake by 18.3-57.6%, depending on the model used. Measured arterial and cerebral venous concentrations differed from theoretically calculated values by 7% and 17.5%, respectively. It was shown that the required end-tidal concentrations can be obtained rapidly and accurately, and that brain tissue concentrations can be predicted within certain limit

Stronger correlation between antibiotic use and the incidence of Clostridium difficile determined by culture results instead of faecal toxin detection only

The detection of Clostridium difficile in previous studies evaluating antibiotic use as a risk factor was limited to toxin assay tests. The reported associations may have been misleading due to the low sensitivity of toxin assay tests compared to culture results. Antibiotic use and the incidence of C. difficile of 19 units (wards) over 5years were analysed. Stool samples were tested for toxin A/B and cultured. The correlation of antibiotic use with the incidence of C. difficile determined by culture results was compared to the correlation determined by toxin assay results. Additionally, single antibiotics were analysed as risk factors. Of 5,772 faecal samples tested for C. difficile, 154 single-first cases were detected by the toxin assay and 251 additional single-first cases by culture. Antibiotic use was a significantly stronger risk factor in the correlation based on the culture results (R 2 = 0.63) versus toxin assay results (R 2 = 0.40). Multivariate analysis did not improve the correlation significantly and only the group of broad-spectrum beta-lactams was identified as an independent risk factor. The correlation between antibiotic use and C. difficile incidence rates significantly improves if detection is not limited to faecal toxin assays. Therefore, antibiotic pressure was previously underestimated as a risk facto

Not All Patients with Vancomycin-Resistant Enterococci Need To Be Isolated

Background. Vancomycin-resistant enterococci (VRE) have triggered multiple outbreaks. However, VRE of genotype vanC appear not to be associated with outbreaks. The goal of this study was to estimate the risk of bloodstream infections in patients colonized with VRE of genotype vanC who received care from a bone marrow transplant unit for patients with leukemia, where only standard precautions were implemented for VRE of genotype vanC during the last 9 years. Methods. Since 2000, all patients in the bone marrow transplant unit underwent routine VRE rectal screening, data were prospectively entered in a database, and isolates were molecularly characterized. Infection control policy required contact isolation for patients infected with VRE of genotype vanA or vanB but only standard precautions for patients infected with VRE of genotype vanC. Results. From January 2000 to July 2008, 290 isolates of VRE of genotype vanC obtained from 273 different patients were identified, with an incidence of 25-43 isolates/year. Of 290 isolates, 285 (98%) were identified in rectal screening swabs, 5 were from other body sites, and none required specific treatment. During the entire study period, only 1 case of bloodstream infection was detected, reflecting an incidence of 1 (0.4%) of the 273 patients, or <0.2 cases per 1000 patient-days. No outbreaks were recorded. Conclusions. These data provide strong evidence that carriers of VRE of genotype vanC do not require contact isolation, thereby saving resources and potentially improving patient care. The genotype should be routinely determined in areas with a high prevalence of VRE of genotype van

IS THE END-TIDAL PARTIAL PRESSURE OF ISOFLURANE A GOOD PREDICTOR OF ITS ARTERIAL PARTIAL PRESSURE?

End-tidal partial pressure of isoflurane (PE′iso) may be used as a measure of anaesthetic depth. During uptake, an arterial partial pressure (Paiso) which is considerably less than PE′iso(Paiso/PE′iso<<1) leads to underestimation of depth of anaesthesia and, during elimination, PE′iso/Paiso<<1 will lead to an overestimation of anaesthetic depth. We measured Paiso/PE′iso during a 60-min uptake period of 1% isoflurane and PE′iso/Paiso during the subsequent 60-min elimination period in 26 patients (age 13-88 yr, ASA I-III) undergoing various surgical procedures. After 15 min of isoflurane uptake, Paiso/PE′iso of 26 patients was mean 0.78 (SD 0.10) and this increased only marginally at 60 min (0.79 (0.09)), whereas during elimination, PE′iso/Paiso was in the range 0.79 (0.14)-0.83 (0.11). Predictability of Paiso in a given patient is hindered by the high SD of Paiso/PE′iso and PE′iso/Paiso, but it may be improved by taking into account age, ASA physical status category, vital capacity, inspired minus end-tidal isoflurane partial pressure and arterial minus end-tidal carbon dioxide partial pressure during uptake; and obesity, end-tidal isoflurane partial pressure and arterial minus end-tidal carbon dioxide partial pressure during elimination. However, even with multiple regression analysis (to account for the various possible variables), clinically useful prediction of Paiso/PE′iso and PE′iso/Paiso in a particular patient is not possible (residual SD 0.084 and 0.113, respectively

Highly effective regimen for decolonization of methicillin-resistant Staphylococcus aureus carriers

OBJECTIVE: To evaluate the efficacy of a standardized regimen for decolonization of methicillin-resistant Staphylococcus aureus (MRSA) carriers and to identify factors influencing decolonization treatment failure. DESIGN: Prospective cohort study from January 2002 to April 2007, with a mean follow-up period of 36 months. SETTING: University hospital with 750 beds and 27,000 admissions/year. PATIENTS: Of 94 consecutive hospitalized patients with MRSA colonization or infection, 32 were excluded because of spontaneous loss of MRSA, contraindications, death, or refusal to participate. In 62 patients, decolonization treatment was completed. At least 6 body sites were screened for MRSA (including by use of rectal swabs) before the start of treatment. INTERVENTIONS: Standardized decolonization treatment consisted of mupirocin nasal ointment, chlorhexidine mouth rinse, and full-body wash with chlorhexidine soap for 5 days. Intestinal and urinary-tract colonization were treated with oral vancomycin and cotrimoxazole, respectively. Vaginal colonization was treated with povidone-iodine or, alternatively, with chlorhexidine ovula or octenidine solution. Other antibiotics were added to the regimen if treatment failed. Successful decolonization was considered to have been achieved if results were negative for 3 consecutive sets of cultures of more than 6 screening sites. RESULTS: The mean age (+/- standard deviation [SD]) age of the 62 patients was 66.2 +/- 19 years. The most frequent locations of MRSA colonization were the nose (42 patients [68%]), the throat (33 [53%]), perianal area (33 [53%]), rectum (36 [58%]), and inguinal area (30 [49%]). Decolonization was completed in 87% of patients after a mean (+/-SD) of 2.1 +/- 1.8 decolonization cycles (range, 1-10 cycles). Sixty-five percent of patients ultimately required peroral antibiotic treatment (vancomycin, 52%; cotrimoxazole, 27%; rifampin and fusidic acid, 18%). Decolonization was successful in 54 (87%) of the patie in the intent-to-treat analysis and in 51 (98%) of 52 patients in the on-treatment analysis. CONCLUSION: This standardized regimen for MRSA decolonization was highly effective in patients who completed the full decolonization treatment course