AIM:To examine the feasibility of predicting the flareup of ulcerative colitis (UC) before symptoms emerge using the immunochemical fecal occult blood test (IFOBT).METHODS:We prospectively measured fecal hemoglobin co...AIM:To examine the feasibility of predicting the flareup of ulcerative colitis (UC) before symptoms emerge using the immunochemical fecal occult blood test (IFOBT).METHODS:We prospectively measured fecal hemoglobin concentrations in 78 UC patients using the I-FOBT every 1 or 2 mo.RESULTS:During a 20 mo-period,823 fecal samples from 78 patients were submitted.The median concentration of fecal hemoglobin was 41 ng/mL (range:0-392 500 ng/mL).There were three types of patients with regard to the correlation between I-FOBT and patient symptoms;the synchronous transition type with symptoms (44 patients),the unrelated type withsymptoms (19 patients),and the flare-up predictive type (15 patients).In patients with the flare-up predictive type,the values of I-FOBT were generally low during the study period with stable symptoms.Two to four weeks before the flare-up of symptoms,the I-FOBT values were high.Thus,in these patients,I-FOBT could predict the flare-up before symptoms emerged.CONCLUSION:Flare-up could be predicted by I-FOBT in approximately 20% of UC patients.These results warrant periodical I-FOBT in UC patients.展开更多
Magmatic periodicity is recognized in continental arcs worldwide, but the mechanism responsible for punctuated arc magmatism is controversial. Continental arcs in the Trans-Himalayan orogenic system display episodic m...Magmatic periodicity is recognized in continental arcs worldwide, but the mechanism responsible for punctuated arc magmatism is controversial. Continental arcs in the Trans-Himalayan orogenic system display episodic magmatism and the most voluminous flare-up in this system was in early Eocene during the transition from subduction to collision. The close association of the flare-up with collision is intriguing. Our study employs zircon Lu-Hf and bulk rock Sr-Nd isotopes, along with mineral geochemistry, to track the melt sources of the Nymo intrusive complex and the role of mantle magma during the early Eocene flare-up of the Gangdese arc, Tibet. The Nymo intrusive complex is composed of gabbronorite, diorite, quartz diorite, and granodiorite which define an arc-related calc-alkaline suite. Zircon U-Pb ages reveal that the complex was emplaced between ~50–47 Ma. Zircon Hf isotopes yield εHf(t) values of 8.2–13.1, while whole-rock Sr and Nd isotopes yield εNd(t) values of 2.7–6.5 indicative of magmatism dominated by melting of a juvenile mantle source with only minor crustal assimilation(~15%–25%) as indicated by assimilation and fractional crystallization modeling. Together with published data, the early Eocene magmatic flare-up was likely triggered by slab breakoff of subducted oceanic lithosphere at depths shallower than the overriding plate. The early Eocene magmatic flare-up may have contributed to crustal thickening of the Gangdese arc. This study provides important insights into the magmatic flare-up and its significant role in the generation of large batholiths during the transition from subduction to collision.展开更多
文摘AIM:To examine the feasibility of predicting the flareup of ulcerative colitis (UC) before symptoms emerge using the immunochemical fecal occult blood test (IFOBT).METHODS:We prospectively measured fecal hemoglobin concentrations in 78 UC patients using the I-FOBT every 1 or 2 mo.RESULTS:During a 20 mo-period,823 fecal samples from 78 patients were submitted.The median concentration of fecal hemoglobin was 41 ng/mL (range:0-392 500 ng/mL).There were three types of patients with regard to the correlation between I-FOBT and patient symptoms;the synchronous transition type with symptoms (44 patients),the unrelated type withsymptoms (19 patients),and the flare-up predictive type (15 patients).In patients with the flare-up predictive type,the values of I-FOBT were generally low during the study period with stable symptoms.Two to four weeks before the flare-up of symptoms,the I-FOBT values were high.Thus,in these patients,I-FOBT could predict the flare-up before symptoms emerged.CONCLUSION:Flare-up could be predicted by I-FOBT in approximately 20% of UC patients.These results warrant periodical I-FOBT in UC patients.
基金co-supported by the National Natural Science Foundation of China (Grant No. 42272267)the Research Grants of Chinese Academy of Geological Sciences (Grant No. JKYQN202309)+3 种基金the National Key Research and Development Project "Key scientific issues of transformative technology" (Grant No. 2019YFA0708604)the second Tibetan Plateau Scientific Expedition and Research Program (STEP) Grant (Grant Nos. 2019QZKK0802, 2019QZKK0901)the Scientific Investigation on Basic Resources of Ministry of Science and Technology (Grant No. 2021FY100101)the Geological Survey of China (Grant Nos. DD20221630, DD20242126)。
文摘Magmatic periodicity is recognized in continental arcs worldwide, but the mechanism responsible for punctuated arc magmatism is controversial. Continental arcs in the Trans-Himalayan orogenic system display episodic magmatism and the most voluminous flare-up in this system was in early Eocene during the transition from subduction to collision. The close association of the flare-up with collision is intriguing. Our study employs zircon Lu-Hf and bulk rock Sr-Nd isotopes, along with mineral geochemistry, to track the melt sources of the Nymo intrusive complex and the role of mantle magma during the early Eocene flare-up of the Gangdese arc, Tibet. The Nymo intrusive complex is composed of gabbronorite, diorite, quartz diorite, and granodiorite which define an arc-related calc-alkaline suite. Zircon U-Pb ages reveal that the complex was emplaced between ~50–47 Ma. Zircon Hf isotopes yield εHf(t) values of 8.2–13.1, while whole-rock Sr and Nd isotopes yield εNd(t) values of 2.7–6.5 indicative of magmatism dominated by melting of a juvenile mantle source with only minor crustal assimilation(~15%–25%) as indicated by assimilation and fractional crystallization modeling. Together with published data, the early Eocene magmatic flare-up was likely triggered by slab breakoff of subducted oceanic lithosphere at depths shallower than the overriding plate. The early Eocene magmatic flare-up may have contributed to crustal thickening of the Gangdese arc. This study provides important insights into the magmatic flare-up and its significant role in the generation of large batholiths during the transition from subduction to collision.
