Changes in health related quality of life 3 months after an acute coronary syndrome

BACKGROUND: The aim of the study was to identify the changes in Health Related Quality of Life (HRQL) 3 months after discharge from hospital, in patients who have had an acute coronary episode, and to determine the clinical and sociodemographic variables that explain those changes. METHODS: HRQL was assessed in 132 patients while they were admitted to the hospital and at 3 months after discharge, using the SF-36 health questionnaire. To identify the variables associated with the change, multiple linear regression models were constructed for two summary dimensions of the SF-36 (PCS and MCS) taking the change in the score of the dimension as dependent variable. RESULTS: There were no significant differences between the patients who completed the monitoring (n = 76) and those who were dropped out. After three months, a significant decrease was observed in the dimensions of physical functioning, general health, vitality, and Physical Summary Component (PCS). The variables revascularisation, age, and the interaction between previous history of coronary heart disease (CHD) and the presence of one or more risk factors explained 16.6% of the decrease in the PCS. The decrease in the PCS was 6.4 points less in the patients who had undergone revascularisation, 0.2 points less for each year of age, and 4.7 points less in the patients who had antecedents of the illness as well as one or more risk factors. CONCLUSION: The dimensions most affected at three months after an acute coronary episode were those related to the physical component. Undergoing revascularisation improved the PCS in patients, but in the younger patients and those without personal antecedents or risk factors, the PCS was affected more, perhaps due to greater expectations for recovery in these patients

Mixed messages in iron oxide-copper-gold systems of the Cloncurry district, Australia: insights from PIXE analysis of halogens and copper in fluid inclusions

Proterozoic rocks of the Cloncurry district in NW Queensland, Australia, are host to giant (tens to hundreds of square kilometers) hydrothermal systems that include (1) barren regional sodic–calcic alteration, (2) granite-hosted hydrothermal complexes with magmatic–hydrothermal transition features, and (3) iron oxide–copper–gold (IOCG) deposits. Fluid inclusion microthermometry and proton-induced X-ray emission (PIXE) show that IOCG deposits and the granite-hosted hydrothermal complexes contain abundant high temperature, ultrasaline, complex multisolid (type 1) inclusions that are less common in the regional sodic–calcic alteration. The latter is characterized by lower salinity three-phase halite-bearing (type 2) and two-phase (type 3) aqueous inclusions. Copper contents of the type 1 inclusions (>300 ppm) is higher than in type 2 and 3 inclusions (<300 ppm), and the highest copper concentrations (>1,000 ppm) are found both in the granite-hosted systems and in inclusions with Br/Cl ratios that are consistent with a magmatic source. The Br/Cl ratios of the inclusions with lower Cu contents are consistent with an evaporite-related origin. Wide ranges in salinity and homogenization temperatures for fluid inclusions in IOCG deposits and evidence for multiple fluid sources, as suggested by halogen ratios, indicate fluid mixing as an important process in IOCG genesis. The data support both leaching of Cu by voluminous nonmagmatic fluids from crustal rocks, as well as the direct exsolution of Cu-rich fluids from magmas. However, larger IOCG deposits may form from magmatic-derived fluids based on their higher Cu content

Mineralogical and chemical evolution of the Ernest Henry Fe oxide-Cu-Au ore system, Cloncurry district, northwest Queensland, Australia

The Ernest Henry Cu–Au deposit was formed within a zoned, post-peak metamorphic hydrothermal system that overprinted metamorphosed dacite, andesite and diorite (ca 1740–1660 Ma). The Ernest Henry hydrothermal system was formed by two cycles of sodic and potassic alteration where biotite–magnetite alteration produced in the first cycle formed ca 1514±24 Ma, whereas paragenetically later Na–Ca veining formed ca 1529 +11/−8 Ma. These new U–Pbtitanite age dates support textural evidence for incursion of hydrothermal fluids after the metamorphic peak, and overlap with earlier estimates for the timing of Cu–Au mineralization (ca 1540–1500 Ma). A distal to proximal potassic alteration zone correlates with a large (up to 1.5 km) K–Fe–Mn–Ba enriched alteration zone that overprints earlier sodic alteration. Mass balance analysis indicates that K–Fe–Mn–Ba alteration—largely produced during pre-ore biotite- and magnetite-rich alteration—is associated with K–Rb–Cl–Ba–Fe–Mn and As enrichment and Na, Ca and Sr depletion. The aforementioned chemical exchange almost precisely counterbalances the mass changes associated with regional Na–Ca alteration. This initial transition from sodic to potassic alteration may have been formed during the evolution of a single fluid that evolved via alkali exchange during progressive fluid-rock interaction. Cu–Au ore, dominated by co-precipitated magnetite, minor specular hematite, and chalcopyrite as breccia matrix, forms a pipe-like body at the core of a proximal alteration zone dominated by K-feldspar alteration. Both the core and K-feldspar alteration overprint Na–Ca alteration and biotite–magnetite (K–Fe) alteration. Ore was associated with the concentration of a diverse range of elements (e.g. Cu, Au, Fe, Mo, U, Sb, W, Sn, Bi, Ag, F, REE, K, S, As, Co, Ba and Ca). Mineralization also involved the deposition of significant barite, K(–Ba)–feldspar, calcite, fluorite and complexly zoned pyrite. The complexly zoned pyrite and variable K–(Ba)–feldspar versus barite associations are interpreted to indicate fluctuating sulphur and/or barium supply. Together with the alteration zonation geochemistry and overprinting criteria, these data are interpreted to indicate that Cu–Au mineralization occurred as a result of fluid mixing during dilation and brecciation, in the location of the most intense initial potassic alteration. A link between early alteration (Na–Ca and K–Fe) and the later K-feldspathization and the Cu–Au ore is possible. However, the ore-related enrichments in particular elements (especially Ba, Mn, As, Mo, Ag, U, Sb and Bi) are so extreme compared with earlier alteration that another fluid, possibly magmatic in origin, contributed the diverse element suite geochemically independently of the earlier stages. Structural focussing of successive stages produced the distinctive alteration zoning, providing a basis both for exploration for similar deposits, and for an understanding of ore genesis