Preserved organic matter in a fossil Ocean Continent Transition in the Alps: the example of Totalp, SE Switzerland

International audienc

Safety and Efficacy of Nivolumab Monotherapy in Recurrent or Metastatic Cervical, Vaginal, or Vulvar Carcinoma: Results From the Phase I/II CheckMate 358 Trial

Purpose: Nivolumab was assessed in patients with virus-associated tumors in the phase I/II CheckMate 358 trial (ClinicalTrials.gov identifier: NCT02488759). We report on patients with recurrent/metastatic cervical, vaginal, or vulvar cancers. Patients and methods: Patients received nivolumab 240 mg every 2 weeks. Although patients with unknown human papillomavirus status were enrolled, patients known to have human papillomavirus-negative tumors were ineligible. The primary end point was objective response rate. Duration of response (DOR), progression-free survival, and overall survival were secondary end points. Safety and patient-reported outcomes were exploratory end points. Results: Twenty-four patients (cervical, n = 19; vaginal/vulvar, n = 5) were enrolled. Most patients had received prior systemic therapy for metastatic disease (cervical, 78.9%; vaginal/vulvar, 80.0%). Objective response rates were 26.3% (95% CI, 9.1 to 51.2) for cervical cancer and 20.0% (95% CI, 0.5 to 71.6) for vaginal/vulvar cancers. At a median follow-up of 19.2 months, median DOR was not reached (range, 23.3 to 29.5+ months; + indicates a censored observation) in the five responding patients in the cervical cohort; the DOR was 5.0 months in the single responding patient in the vaginal/vulvar cohort. Median overall survival was 21.9 months (95% CI, 15.1 months to not reached) among patients with cervical cancer. Any-grade treatment-related adverse events were reported in 12 of 19 patients (63.2%) in the cervical cohort and all five patients in the vaginal/vulvar cohort; there were no treatment-related deaths. In the cervical cohort, nivolumab treatment generally resulted in stabilization of patient-reported outcomes associated with health status and health-related quality of life. Conclusion: The efficacy of nivolumab in patients with recurrent/metastatic cervical and vaginal or vulvar cancers is promising and warrants additional investigation. No new safety signals were identified with nivolumab treatment in this population

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Low Temperature Serpentinite Replacement by Carbonates during Seawater Influx in the Newfoundland Margin

Serpentinite replacement by carbonates in the seafloor is one of the main carbonation processes in nature providing insights into the mechanisms of CO2 sequestration; however, the onset of this process and the conditions for the reaction to occur are not yet fully understood. Preserved serpentine rim with pseudomorphs of carbonate after serpentine and lobate-shaped carbonate grains are key structural features for replacement of serpentinite by carbonates. Cathodoluminescence microscopy reveals that Ca-rich carbonate precipitation in serpentinite is associated with a sequential assimilation of Mn. Homogeneous δ18O values at the µm-scale within grains and host sample indicate low formation temperature (<20 °C) from carbonation initiation, with a high fluid to rock ratio. δ13C (1–3 ± 1‰) sit within the measured values for hydrothermal systems (−3–3‰), with no systematic correlation with the Mn content. δ13C values reflect the inorganic carbon dominance and the seawater source of CO2 for carbonate. Thermodynamic modeling of fluid/rock interaction during seawater transport in serpentine predicts Ca-rich carbonate production, at the expense of serpentine, only at temperatures below 50 °C during seawater influx. Mg-rich carbonates can also be produced when using a model of fluid discharge, but at significantly higher temperatures (150 °C). This has major implications for the setting of carbonation in present-day and in fossil margins

Oceanic corrugated surfaces and the strength of the axial lithosphere at slow spreading ridges

International audienc

Low Temperature Serpentinite Replacement by Carbonates during Seawater Influx in the Newfoundland Margin

International audienceSerpentinite replacement by carbonates in the seafloor is one of the main carbonation processes in nature providing insights into the mechanisms of CO2 sequestration; however, the onset of this process and the conditions for the reaction to occur are not yet fully understood. Preserved serpentine rim with pseudomorphs of carbonate after serpentine and lobate-shaped carbonate grains are key structural features for replacement of serpentinite by carbonates. Cathodoluminescence microscopy reveals that Ca-rich carbonate precipitation in serpentinite is associated with a sequential assimilation of Mn. Homogeneous δ18O values at the µm-scale within grains and host sample indicate low formation temperature (<20 °C) from carbonation initiation, with a high fluid to rock ratio. δ13C (1–3 ± 1‰) sit within the measured values for hydrothermal systems (−3–3‰), with no systematic correlation with the Mn content. δ13C values reflect the inorganic carbon dominance and the seawater source of CO2 for carbonate. Thermodynamic modeling of fluid/rock interaction during seawater transport in serpentine predicts Ca-rich carbonate production, at the expense of serpentine, only at temperatures below 50 °C during seawater influx. Mg-rich carbonates can also be produced when using a model of fluid discharge, but at significantly higher temperatures (150 °C). This has major implications for the setting of carbonation in present-day and in fossil margins