Gas hydrate distribution and carbon sequestration through coupled microbial methanogenesis and silicate weathering in the Krishna–Godavari Basin, offshore India

The National Gas Hydrate Program Expedition 01 cored ten sites in the Krishna-Godavari basin, located on the southeastern margin of India. A comprehensive suite of pore water solute concentrations and isotope ratios were analyzed to investigate the distribution and concentration of gas hydrate along the margin, in situ diagenetic and metabolic reactions, and fluid migration and flow pathways. Gas hydrate was present at all of the sites cored, and in situ microbial methanogenesis leads to estimates of depth-integrated average gas hydrate saturations that are typically \u3c5%. Deep-sourced fluid and gas migration produces gas hydrate saturations up to 68% along an isolated coarser-grained stratigraphic horizon at Site 15 and up to 41% within a fractured clay-dominated system at Site 10. Our results show that the CO2 produced through net microbial methanogenesis is effectively neutralized by silicate weathering throughout the sediment column drilled at each site (~100-300m), buffering the pore water pH and generating excess alkalinity via the same reaction sequence as continental silicate weathering. Most of the excess alkalinity produced by silicate weathering in the Krishna-Godavari basin is sequestered in Ca- and Fe-carbonates as a result of ubiquitous calcium release from weathering detrital silicates and dissolved Fe production within the methanogenic sediments. Formation of secondary hydrous silicates (e.g. smectite) related to incongruent primary silicate dissolution acts as a significant sink for pore water Mg, K, Li, Rb, and B. The consumption of methane through anaerobic oxidation of methane, sequestration of methane in gas hydrate, and sequestration of dissolved inorganic carbon in authigenic carbonates keeps methanogenesis as a thermodynamically feasible catabolic pathway. Our results combined with previous indications of silicate weathering in anoxic sediments in the Sea of Okhotsk, suggest that silicate weathering coupled to microbial methanogenesis should be occurring in continental margins worldwide, providing a net sink of atmospheric CO2

Parenteral and inhaled colistin for treatment of ventilator‐associated pneumonia

The spectrum of available therapeutic options has become drastically narrowed in recent years, particularly for nosocomial multidrug-resistant gram-negative pathogens. This therapeutic void has created a resurgence of interest in colistin. In 5 published series since 1999, clinical response rates for pneumonia due to Pseudomonas aeruginosa or Acinetobacter baumannii treated with intravenous colistin have ranged from 25% to 62%, despite high severity of illness at baseline. De novo nephrotoxicity was observed in 8% - 36% of patients, despite close attention to both appropriate dosing and duration of treatment. Neurotoxicity, which was commonly described in the old colistin era, has been exceedingly rare in recent experience. Aerosolized therapy as an adjunct to systemic treatment appears promising, but the current published data are much too limited to allow determination of the incremental benefit of the addition of aerosolized treatment to systemic treatment. Colistin is a reasonably safe last-line therapeutic alternative for pneumonia due to multi- or panresistant P. aeruginosa or A. baumannii