Revised chronology of Neogene DSDP holes from the World Ocean

After nearly 30 years of growth in geochronologic knowledge, the originally published age models for many older deep sea marine sections have become badly outdated. In this report we present newly revised age models for Neogene sediments from 94 DSDP holes. Biostratigraphic data for planktonic foraminifers, calcareous nannofossils, diatoms and radiolarians, paleomagnetic and other stratigraphic data were compiled from the original Initial Reports volumes of DSDP. The Berggren et al. (1985 doi:10.1130/0016-7606(1985)96<1407:CG>2.0.CO;2) scale was used for the age of magnetic reversals, and a variety of recent papers were used to establish a standard modern set of calibrations for marine microfossil events to the magnetic reversal scale. New age vs depth plots were made for each hole, and for each a new line of correlation was created. All tabulated stratigraphic data, new age models, and age depth plots are given as appendices to the report.

Late Oligocene to Recent benthic foraminifers from the northeastern North Atlantic

Deep-sea benthic foraminiferal faunas were studied from Sites 608 (depth 3534 m, 42°50'N, 23°05'W) and 610 (depth 2427 m, 53°13'N, 18°53'W). The sampling interval corresponded to 0.1 to 0.5 m.y. at Site 608 and in the sections of Site 610 from which core recovery was continuous. First and last appearances of benthic foraminiferal taxa are generally not coeval at the two sites, although the faunal patterns are similar and many species occur at both sites. Major periods of changes in the benthic faunas, as indicated by the numbers of first and last appearances and changes in relative abundances, occurred in the early Miocene (19.2-17 Ma), the middle Miocene (15.5-13.5 Ma), the late Miocene (7-5.5 Ma), and the Pliocene-Pleistocene (3.5-0.7 Ma). A period of minor changes in the middle to late Miocene (10-9 Ma) was recognized at Site 608 only. These periods of faunal changes can be correlated with periods of paleoceanographic changes: there was a period of sluggish circulation in the northeastern North Atlantic from 19.2 to 17 Ma, and the deep waters of the oceans probably cooled between 15.5 and 13.5 Ma, as indicated by an increase in delta18O values in benthic foraminiferal tests. The period between 10 and 9 Ma was probably characterized by relatively vigorous bottom-water circulation in the northeastern Atlantic, as indicated by the presence of a widespread reflector. The faunal change at 7 to 5.5 Ma corresponds in time with a worldwide change in delta13C values, and with the Messinian closing of the Mediterranean. The last and largest faunal changes correspond in time with the onset and intensification of Northern Hemisphere glaciation.

Physical examination during chemoradiation predicts outcome of locally advanced head and neck cancer. Secondary results of a randomized phase III trial (SAKK 10/94)

OBJECTIVES To analyze the prognostic value of clinical tumor response during chemoradiation for locally advanced head and neck cancer. PATIENTS AND METHODS The locoregional response at 50.4Gy was assessed by physical examination (PE) in patients treated within the randomized trial SAKK 10/94 using hyperfractionated radiotherapy (RT), median total dose 74.4Gy with or without cisplatin 20mg/m(2) chemotherapy on 5 consecutive days during weeks 1 and 5 or 6 of RT. Response was classified as a complete response (CR), complete response with uncertainty (Cru), partial response (PR), stable disease (SD), or progressive disease (PD). The primary endpoint was time to treatment failure (TTF) due to any cause. Secondary endpoints included locoregional-recurrence-free survival (LRRFS), distant metastasis-free survival (DMFS) and overall survival (OS). Univariate and multivariate Cox proportional hazards (PH) models were applied to analyze the associations between survival endpoints and clinical tumor response. RESULTS A total of 136, 131 and 97 patients were evaluable for response at the primary tumor, lymph nodes and both sites combined, respectively. At 50.4Gy 57/136 (42%), 46/131 (35%) and 21/97 (22%) patients had a good response (CR/Cru vs. PR/SD) at the primary tumor, the lymph nodes, and both sites combined, respectively. The median follow-up times were 11.4, 9.6 and 11.4years for the three groups. Good responses were all significantly associated with improved TTF, LRRFS, DMFS and OS in univariate analysis whereas good response at the primary tumor and lymph nodes remained significantly associated with TTF and OS after multivariate Cox PH models. CONCLUSIONS Locoregional response at 50.4Gy was identified as predictor of oncologic outcome. PE during treatment should not be underestimated in clinical practice.

The role of postoperative prophylactic antibiotics in the treatment of facial fractures: a randomised, double-blind, placebo-controlled pilot clinical study. Part 3: Le Fort and zygomatic fractures in 94 patients

The aim of this study was to evaluate the difference between the effect of a 5-day and a 1-day postoperative course of antibiotics on the incidence of infection after midfacial fractures. A total of 98 patients with displaced Le Fort or zygomatic fractures that required operation were randomly assigned into 2 groups, both of which were given amoxicillin/clavulanic acid 1.2g intravenously every 8h from the time of admission until 24h postoperatively. The 5-day group was then given amoxicillin/clavulanic acid 625mg orally 8-hourly for another 4 days. The 1-day group was given placebo orally at the same time points. Patients were followed up 1, 2, 4, 6, and 12 weeks, and 6 months, postoperatively. The development of an infection of the wound was the primary end point. Ninety-four of the 98 patients completed the study. Two of the 45 patients in the 5-day group (4%) and 2/49 in the 1-day group (4%) developed postoperative wound infections. One in each group had a purulent infection, while the others had only wound breakdown. Two patients of the 5-day group and one in the 1-day group developed rashes on the trunk. There were no significant differences in the incidence of infection or side effects between the groups. In midfacial fractures a 1-day course of antibiotics postoperatively is as effective in preventing infective complications as a 5-day regimen.

Impact of weight loss on survival after chemoradiation for locally advanced head and neck cancer: secondary results of a randomized phase III trial (SAKK 10/94).

BACKGROUND To analyze the impact of weight loss before and during chemoradiation on survival outcomes in patients with locally advanced head and neck cancer. METHODS From 07/1994-07/2000 a total of 224 patients with squamous cell carcinoma of the head and neck were randomized to either hyperfractionated radiation therapy alone or the same radiation therapy combined with two cycles of concomitant cisplatin. The primary endpoint was time to any treatment failure (TTF); secondary endpoints were locoregional recurrence-free survival (LRRFS), distant metastasis-free survival (DMFS) and overall survival (OS). Patient weight was measured 6 months before treatment, at treatment start and treatment end. RESULTS The proportion of patients with >5% weight loss was 32% before, and 51% during treatment, and the proportion of patients with >10% weight loss was 12% before, and 17% during treatment. After a median follow-up of 9.5 years (range, 0.1 - 15.4 years) weight loss before treatment was associated with decreased TTF, LRRFS, DMFS, cancer specific survival and OS in a multivariable analysis. However, weight loss during treatment was not associated with survival outcomes. CONCLUSIONS Weight loss before and during chemoradiation was commonly observed. Weight loss before but not during treatment was associated with worse survival.

Benthic foraminiferal communities at DSDP Sites 94-609 to 94-611

Benthic foraminiferal assemblages from northeast Atlantic DSDP Sites 609, 610, and 611 have been interpreted with reference to modern assemblages known to be linked with the overlying bottom-water masses. It is shown that the water masses in the late Miocene to Pleistocene were similar to those of today. The distribution of the water masses changed with time, however. Antarctic Bottom Water ("AABW"), which at present is restricted to the area south of the Azores, reached as far north as the Gibbs Fracture Zone in the early Pliocene. Increased production of North Atlantic Deep Water in the late Pliocene displaced the AABW to the south

Oxygen and carbon isotopic composition of benthic and planktonic foraminifers at DSDP Site 610

A record of carbon and oxygen isotopes in benthic and planktonic foraminifers has been obtained from the interval corresponding to the last 2.4 m.y. of Site 610, Holes 610 and 610A, with a sample resolution of about 30 kyr. The record from the late Quaternary (<0.9 Ma) shows large amplitudes and high frequencies in oxygen isotopic variation. Prior to 0.9 Ma the isotopic variability record is reduced in amplitude (but not in frequency) compared with the late Quaternary, suggesting lower ice-volume and climatic fluctuations, and higher average eustatic sea level. Left-coiling (L, polar) Neogloboquadrinapachyderma were not found in samples between 1.0 and 2.2 Ma, indicating less influence of polar front migrations in the Northeast Atlantic. Both polar planktonic faunas and larger isotope fluctuations reappear in the lowermost samples (2.3 to 2.4 Ma), pointing toward a period of larger climatic variability in the late Pliocene than in the early Quaternary. The variation in benthic d13C and hence in deep-water d13C seems to have been constant through the analyzed section, reflecting a stable variability in the production of North Atlantic Deep Water (NADW) and possibly in Norwegian-Greenland Sea Overflow. Preliminary analyses of amino-acid epimerization in N. pachyderma (L) indicate a constant rate of epimerization to approximately 0.3 Ma. Beneath this level the average epimerization rate is much reduced.