Eine bemerkenswerte Bio- und Lithofazies an der Basis des Unter-Hauterivium Nordwestdeutschlands

Im östlichen Teil des Niedersächsischen Beckens ist das Trans gressionskonglomerat des Unter-Hauterivium-Meeres ("Hilskon- glomerat") in Küsten- und Schwellennähe durch einen hohen, meist organogenen Karbonatgehalt (Biosparit), Biomikrit, Kalk und Mergelstein) sowie Brauneisengeröll- und Quarzsandführung gekennzeichnet. Gleichzeitig weisen diese Basisschichten des Unter-Hauterivium hier einen außergewöhnlichen Fauneninhalt auf ("Sonderfazies”), der im küstenferneren Bereich des östlichen wie auch im Gesamtbereich des mittleren und westlichen Niedersächsischen Beckens bisher nicht beobachtet werden konnte ("Normalfazies"). In der Mikrofauna erscheinen, z.T. im Faunenbild dominierend, Foraminiferen mediterraner Herkunft (Trocholina, Meandrospira Cyclammina u.a.). Auch die Megafauna der "Sonderfazies" ist durch Warm- und Flachwasserformen (Kalkschwämme, Korallen, Bryozoen, Serpuliden, Seelilien) charakterisiert. Da auch in der östlichen Fortsetzung des Norddeutsch-Polnischen Unterkreide-Meeres (Brandenburg, Mecklenburg) u.a. eben falls die Foraminiferen-Gattungen Trocholina und Cyclammina sowie Bryozoen und Seelilien beobachtet werden konnten und im Hauterivium lediglich über die südpolnische Meeresstraße eine Verbindung zum mediterranen Meeresraum bestand, müssen warme Meeresströmungen aus südöstlicher Richtung als Ursache für den Karbonatreichtum der Sedimente und deren Besiedelung durch benthische "Warmwasserformen" angenommen werden. Auch die Ammoniten-Gattung Endemoceras ist nach Untersuchungen von THIERMANN (1963) auf diesem Wege in das Niedersächsische Becken eingewandert. Da die Unterkreide-Transgression mit Konglomerat- und Aufarbeitungshorizonten in einigen küsten- und schwellennahen Bereichen des nordwestdeutschen Unterkreide-Meeres bereits im höheren Valanginium oder aber erst im höheren Unter-Hauteri- vium (z.B. Fallsteingebiet) bzw. tiefem Ober-Hauterivium (z.B. Westerberg b. Alfeld) erfolgte, ist das sog. "Hilskon- glomerat" i.w.S. nicht als synchrone Bildung anzusehen. Allerdings konnten der spezifische petrographische Charakter sowie die typische Fauaenvergesellschaftung der "Sonderfazies" bisher nur im Basiskonglomerat des Unter-Hauterivium und nur im östlichen Teil des Niedersächsischen Beckens beobachtet werden. Daraus ließe sich ableiten, daß nur für einen (im geologischen Maßstab!) enger begrenzten Zeitraum (tieferes Unter- Hauterivium) die zur Entstehung der "Sonderfazies" notwendigen hydrologischen und klimatischen Voraussetzungen gegeben waren. So nimmt der Karbonatgehalt der Sedimente bis zum Unter-Aptium deutlich ab; nur im höheren Ober-Hauterivium steigen die Karbonatgehalte wieder stärker an, um dann im Barremium und Unter- Aptium die im Durchschnitt geringsten Werte der borealen Unterkreide NW-Deutschlands zu erreichen. Erst im Ober-Aptium steigen die Karbonatgehalte wieder an, sinken im Unter-Albium deutlich ab und nehmen vom Mittel-Albium bis Cenomanium kontinuierlich zu. Parallel zum abnehmenden Karbonatgehalt der Sedimente verschwinden bereits im Hauterivium Korallen, Kalkschwämme und Bryozoen, im höchsten Ober-Hauterivium auch die Crinoiden. Erst im höheren Unter-Albium erscheinen wieder Crinoiden im Faunenbild der Bodentier-Vergesellschaftungen. Daraus läßt sich eine deutliche Temperaturabnahme - zumindest im Bodenwasserbereich - infolge fehlender warmer Meeres-Strömungen, verbunden mit einer Zunahme der Wassertiefe im Beckenbereich vom Unter-Barremium bis Unter-Aptium, ableiten. Nach beträchtlicher regionaler Ausweitung der Meeresräume während des Albium kennzeichnen abseits der Küsten- und Schwellenbereiche erstmalig pelagische Faziesverhältnisse das lithologische und faunistische Bild der höheren Unterkreide NW-Deutschlands

Sequences of acetyl CoA carboxylase promoter for tumour necrosis factor action

Tumour necrosis factor (TNF) inhibits the accumulation of acetyl CoA carboxylase (ACC) mRNA by decreasing the rate of ACC gene transcription. The ACC mRNA species found in 30A5 cells are generated from promoter II and TNF inhibits the accumulation of class 2 type mRNAs. By using 5' deletion mutants of promoter II fused to the bacterial chloramphenicol acetyltransferase (CAT) gene, the DNA mobility shift assay and the DNase I footprinting assay, the authors have identified the 30 bp from −389 to −359 as the TNF responsive element in promoter II. TNF treatment causes a decrease in the binding activity of nuclear protein(s) specific to the TNF responsive element. When the fragment containing the TNF responsive element was incorporated into the thymidine kinase promoter, the chimeric gene exhibited TNF induced inhibition of expression

Human Prion Disease and Relative Risk Associated with Chronic Wasting Disease

Colorado death certificate data from 1979 through 2001 show that the risk for Creutzfeldt-Jakob disease did not increase for residents of counties where chronic wasting disease is endemic among deer and elk

Origin and transformation of light hydrocarbons ascending at an active pockmark on Vestnesa Ridge, Arctic Ocean

We report on the geochemistry of hydrocarbons and pore waters down to 62.5 mbsf, collected by drilling with the MARUM‐MeBo70 and by gravity coring at the Lunde pockmark in the Vestnesa Ridge. Our data document the origin and transformations of volatiles feeding gas emissions previously documented in this region. Gas hydrates are present where a fracture network beneath the pockmark focusses migration of thermogenic hydrocarbons characterized by their C1/C2+ and stable isotopic compositions (δ2H‐CH4, δ13C‐CH4). Measured geothermal gradients (~80°C km‐1) and known formation temperatures (>70°C) suggest that those hydrocarbons are formed at depths >800 mbsf. A combined analytical/modeling approach, including concentration and isotopic mass balances, reveals that pockmark sediments experience diffuse migration of thermogenic hydrocarbons. However, at sites without channeled flow this appears to be limited to depths > ~50 mbsf. At all sites we document a contribution of microbial methanogenesis to the overall carbon cycle that includes a component of secondary carbonate reduction (CR) – i.e. reduction of dissolved inorganic carbon (DIC) generated by anaerobic oxidation of methane (AOM) in the uppermost methanogenic zone. AOM and CR rates are spatially variable within the pockmark and are highest at high‐flux sites. These reactions are revealed by δ13C‐DIC depletions at the sulfate‐methane interface at all sites. However, δ13C‐CH4 depletions are only observed at the low methane flux sites because changes in the isotopic composition of the overall methane pool are masked at high‐flux sites. 13C‐depletions of TOC suggest that at seeps sites, methane‐derived carbon is incorporated into de novo synthesized biomass

Early and efficient detection of Mycobacterium tuberculosis in sputum by microscopic observation of broth cultures.

Early, efficient and inexpensive methods for the detection of pulmonary tuberculosis are urgently needed for effective patient management as well as to interrupt transmission. These methods to detect M. tuberculosis in a timely and affordable way are not yet widely available in resource-limited settings. In a developing-country setting, we prospectively evaluated two methods for culturing and detecting M. tuberculosis in sputum. Sputum samples were cultured in liquid assay (micro broth culture) in microplate wells and growth was detected by microscopic observation, or in Löwenstein-Jensen (LJ) solid media where growth was detected by visual inspection for colonies. Sputum samples were collected from 321 tuberculosis (TB) suspects attending Bugando Medical Centre, in Mwanza, Tanzania, and were cultured in parallel. Pulmonary tuberculosis cases were diagnosed using the American Thoracic Society diagnostic standards. There were a total of 200 (62.3%) pulmonary tuberculosis cases. Liquid assay with microscopic detection detected a significantly higher proportion of cases than LJ solid culture: 89.0% (95% confidence interval [CI], 84.7% to 93.3%) versus 77.0% (95% CI, 71.2% to 82.8%) (p = 0.0007). The median turn around time to diagnose tuberculosis was significantly shorter for micro broth culture than for the LJ solid culture, 9 days (interquartile range [IQR] 7-13), versus 21 days (IQR 14-28) (p<0.0001). The cost for micro broth culture (labor inclusive) in our study was US $4.56 per sample, versus US$11.35 per sample for the LJ solid culture. The liquid assay (micro broth culture) is an early, feasible, and inexpensive method for detection of pulmonary tuberculosis in resource limited settings

Lipophilicity Parameters and Biological Activity in a Series of Compounds with Potential Cardiovascular Applications

The biological activity of some long hydrocarbon keto-diols (and their phosphate esters) and acids, has been correlated with their lipohilicity. IC50 values of the hepatocyte lipid synthesis inhibition (in vitro) were used to measure biological activity; lipohilicities were calculated by employing a 3D molecular size approach implemented in a QLogP software package. Although no quantitative correlation was observed, the results of the study might be significant for in vivo application of these compounds as potential cardiovascular agents

Cirurgia para o controle de danos: Sua evolução durante os últimos 20 anos

In less than twenty years, what began as a concept for the treatment of exsanguinating truncal trauma patients has become the primary treatment model for numerous emergent, life threatening surgical conditions incapable of tolerating traditional methods. Its core concepts are relative straightforward and simple in nature: first, proper identification of the patient who is in need of following this paradigm; second, truncation of the initial surgical procedure to the minimal necessary operation; third, aggressive, focused resuscitation in the intensive care unit; fourth, definitive care only once the patient is optimized to tolerate the procedure. These simple underlying principles can be molded to a variety of emergencies, from its original application in combined major vascular and visceral trauma to the septic abdomen and orthopedics. A host of new resuscitation strategies and technologies have been developed over the past two decades, from permissive hypotension and damage control resuscitation to advanced ventilators and hemostatic agents, which have allowed for a more focused resuscitation, allowing some of the morbidity of this model to be reduced. The combination of the simple, malleable paradigm along with better understanding of resuscitation has proven to be a potent blend. As such, what was once an almost lethal injury (combined vascular and visceral injury) has become a survivable one

The impact of financial incentives on the implementation of asthma or diabetes self-management: A systematic review

Introduction: Financial incentives are utilised in healthcare systems in a number of countries to improve quality of care delivered to patients by rewarding practices or practitioners for achieving set targets. Objectives: To systematically review the evidence investigating the impact of financial incentives for implementation of supported self-management on quality of care including: organisational process outcomes, individual behavioural outcomes, and health outcomes for individuals with asthma or diabetes; both conditions with an extensive evidence base for self-management. Methods: We followed Cochrane methodology, using a PICOS search strategy to search eight databases in November 2015 (updated May 2017) including a broad range of implementation methodologies. Studies were weighted by robustness of methodology, number of participants and the quality score. We used narrative synthesis due to heterogeneity of studies. Results: We identified 2,541 articles; 12 met our inclusion criteria. The articles were from the US (n = 7), UK (n = 4) and Canada (n = 1). Measured outcomes were HbA1c tests undertaken and/or the level achieved (n = 10), written action plans for asthma (n = 1) and hospital/emergency department visits (n = 1). Three of the studies were part of a larger incentive scheme including many conditions; one focused on asthma; eight focussed on diabetes. In asthma, the proportion receiving ‘perfect care’ (including providing a written action plan) increased from 4% to 88% in one study, and there were fewer hospitalisations/emergency department visits in another study. Across the diabetes studies, quality-of-care/GP performance scores improved in three, were unchanged in six and deteriorated in one. Conclusions: Results for the impact of financial incentives for the implementation of self-management were mixed. The evidence in diabetes suggests no consistent impact on diabetic control. There was evidence from a single study of improved process and health outcomes in asthma. Further research is needed to confirm these findings and understand the process by which financial incentives may impact (or not) on care