1000 resultados para 22-218
Resumo:
Modern erosion of the Himalaya, the world's largest mountain range, transfers huge dissolved and particulate loads to the ocean. It plays an important role in the long-term global carbon cycle, mostly through enhanced organic carbon burial in the Bengal Fan. To understand the role of past Himalayan erosion, the influence of changing climate and tectonic on erosion must be determined. Here we use a 12 Myr sedimentary record from the distal Bengal Fan (Deep Sea Drilling Project Site 218) to reconstruct the Mio-Pliocene history of Himalayan erosion. We use carbon stable isotopes (d13C) of bulk organic matter as paleo-environmental proxy and stratigraphic tool. Multi-isotopic - Sr, Nd and Os - data are used as proxies for the source of the sediments deposited in the Bengal Fan over time. d13C values of bulk organic matter shift dramatically towards less depleted values, revealing the widespread Late Miocene (ca. 7.4 Ma) expansion of C4 plants in the basin. Sr, Nd and Os isotopic compositions indicate a rather stable erosion pattern in the Himalaya range during the past 12 Myr. This supports the existence of a strong connection between the southern Tibetan plateau and the Bengal Fan. The tectonic evolution of the Himalaya range and Southern Tibet seems to have been unable to produce large re-organisation of the drainage system. Moreover, our data do not suggest a rapid change of the altitude of the southern Tibetan plateau during the past 12 Myr. Variations in Sr and Nd isotopic compositions around the late Miocene expansion of C4 plants are suggestive of a relative increase in the erosion of High Himalaya Crystalline rock (i.e. a simultaneous reduction of both Transhimalayan batholiths and Lesser Himalaya relative contributions). This could be related to an increase in aridity as suggested by the ecological and sedimentological changes at that time. A reversed trend in Sr and Nd isotopic compositions is observed at the Plio-Pleistocene transition that is likely related to higher precipitation and the development of glaciers in the Himalaya. These almost synchronous moderate changes in erosion pattern and climate changes during the late Miocene and at the Plio-Pleistocene transition support the notion of a dominant control of climate on Himalayan erosion during this time period. However, stable erosion regime during the Pleistocene is suggestive of a limited influence of the glacier development on Himalayan erosion.
Resumo:
Children may benefit from minimally invasive surgery (MIS) in the correction of Morgagni hernia (MH). The present study aims to evaluate the outcome of MIS through a multicenter study. National institutions that use MIS in the treatment of MH were included. Demographic, clinical and operative data were analyzed. Thirteen patients with MH (6 males) were operated using similar MIS technique (percutaneous stitches) at a mean age of 22.2±18.3 months. Six patients had chromosomopathies (46%), five with Down syndrome (39%). Respiratory complaints were the most common presentation (54%). Surgery lasted 95±23min. In none of the patients was the hernia sac removed; prosthesis was never used. In the immediate post-operative period, 4 patients (36%) were admitted to intensive care unit (all with Down syndrome); all patients started enteral feeds within the first 24h. With a mean follow-up of 56±16.6 months, there were two recurrences (18%) at the same institution, one of which was repaired with an absorbable suture; both with Down syndrome. The application of MIS in the MH repair is effective even in the presence of comorbidities such as Down syndrome; the latter influences the immediate postoperative recovery and possibly the recurrence rate. Removal of hernia sac does not seem necessary. Non-absorbable sutures may be more appropriate.
Resumo:
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)