First record of contourites from Lower Devonian Liptrap Formation in southeast Australia

Typical contourite deposits associated with submarine turbidite fan deposits are recognized for the first time from the Lower Devonian Liptrap Formation at Cape Liatrap, Victoria in southeast Australia. The contourites are well integrated within the turbidite fan deposits and are characterized by thin (5–8 cm), lenticular, well-sorted coarse-grained siltstones to fine-grained sandstones with current-ripples and cross beddings. The palaeocurrent directions of the turbidite fan and contourites are perpendicular to each other, with the former directed generally westward while the latter varying from 165° to 190° southward. In view of the facies types and architecture, we suggest that the turbidite fan was developed at the base of a westward inclined palaeo-slope, at the front of which the contourites were deposited as a result of southward flowing deep-sea contour (geostrophic) currents. The depositional setting interpreted for the Liptrap Formation thus may provide a provisional model for the Lower Devonian continental slope and abyssal basin environment in the southeastern part of the Melbourne Trough.

What is a research track record?

The evaluation of academic research performance is a difficult question and can be evaluated in a number of different ways. In Australia and New Zealand there are formal governmental assessments of research quality, but them are of course also other forms of assessment, such as job interviews, grant assessment, etc, that occur as well. The objective of this commentary is to very briefly overview the issue assessing research quality. The issue of how to develop an effective portfolio of research is an issue that will be addressed by the other commentaries within this special section of AMJ. The materials presented here are based on the discussions at a special session of the 2006 ANZMAC conference and other materials in the literature. The issue of assessing research quality is an issue of concern for some governments, as they want to ensure that public money allocated to Universities are resulting in 'value' to the tax payer.

Oxygen delivery to patients after cardiac surgery : a medical record audit

OBJECTIVE: To describe how intensive care nurses manage the administration of supplemental oxygen to patients during the first 24 hours after cardiac surgery.
METHODS: A retrospective audit was conducted of the medical records of 245 adult patients who underwent cardiac surgery between 1 January 2005 and 31 May 2008 in an Australian metropolitan hospital. Physiological data (oxygen saturation measured by pulse oximetry and respiratory rate) and intensive care unit management data (oxygen delivery device, oxygen flow rate and duration of mechanical ventilation) were collected at hourly intervals over the first 24 hours of ICU care.
RESULTS: Of the 245 patients whose records were audited, 185 were male; mean age was 70 years (SD, 10), and mean APACHE II score was 17.5 (SD, 5.14). Almost half the patients (122, 49.8%) were extubated within 8 hours of ICU admission. The most common oxygen delivery device used immediately after extubation was the simple face mask (214 patients, 87%). Following extubation, patients received supplemental oxygen via, on average, two different delivery devices (range, 1-3), and had the delivery device changed an average of 1.38 times (range, 0-6) during the 24 hours studied. Twenty-two patients (9%) received non-invasive ventilation or high-flow oxygen therapy, and 16 (7%) experienced one or more episode of hypoxaemia during mechanical ventilation. A total of 148 patients (60%) experienced one or more episodes of low oxygenation or abnormal respiratory rate during the first 24 hours of ICU care despite receiving supplemental oxygen.
CONCLUSION: These findings suggest that the ICU environment does not protect cardiac surgical patients from suboptimal oxygen delivery, and highlights the need for strategies to prompt the early initiation of interventions aimed at optimising blood oxygen levels in cardiac surgical patients in the ICU.

Dietary patterns, assessed from a weighed food record, and survival among elderly participants from the United Kingdom

Background/Objectives: There is variability in the association between dietary intake and health outcomes across different countries, especially among the elderly. We used the gold standard dietary assessment method, a weighed food record, to examine the association between dietary pattern and mortality in a representative sample of community dwelling participants from Great Britain aged 65 years and older.

Subjects/Methods: Dietary intake was recorded at baseline in 1017 elderly participants (520 men, 497 women, mean age 76.3±7.4 years). Exploratory factor analysis was performed to examine dietary patterns and participants were followed up over an average of 9.2 years for mortality.

Results: The factor analysis revealed four interpretable principal components accounting for approximately 9.8% of the total variance, with similar patterns across sex. A ‘Mediterranean-style’ dietary pattern explained the greatest proportion of the variance (3.7%), followed by ‘health-aware’ (2.2%), ‘traditional’ (2.0%) and ‘sweet and fat’ (1.9%) factors. There were a total of 683 deaths through follow-up. After adjustment for potential confounders, only the Mediterranean-style dietary pattern remained associated with mortality (highest vs lowest tertile; hazard ratio¼0.82, 95% CI, 0.68–1.00). The benefits of the Mediterranean-style diet were only observed among women (hazard ratio¼0.71, 95% CI 0.52–0.96) although in men the traditional diet was a risk factor for mortality (hazard ratio¼1.30, 95% CI 1.00–1.71).

Conclusions: Using a gold standard approach, our results confirm previous evidence that dietary patterns are important in longevity among the elderly.