THE ORIGIN OF DOLOMITE IN THE ASMARI FORMATION (OLIGOCENE-LOWER MIOCENE), DEZFUL EMBAYMENT, SW IRAN

Dolomitisation is an important factor controlling reservoir quality in the Asmari Formation in many producing fields in SW Iran. Dolostones have higher average porosities than limestones. Petrographic and geochemical studies have been used to determine the causes of Asmari dolomitisation at the Bibi Hakimeh and Marun fields and at the Khaviz anticline. The formation is generally characterized by a large‐scale trend of upward‐decreasing accommodation. Basal strata were deposited under relatively open‐marine, high‐energy conditions, whereas the Middle to Upper Asmari succession was deposited in relatively protected settings with more frequent evidence of exposure and evaporitic conditions. There is a general upward increase in the abundance of both anhydrite (occurring as nodules and cement) and dolomite. Two main types of dolomite fabric are recognised, reflecting the textures of the precursor limestones: (1) finely crystalline pervasive dolomite (commonly <20μ) replacing mud‐rich facies; and (2) combinations of finely crystalline replacive dolomite and surrounding areas of coarser dolomite cement (crystals up to 100μ) in grain‐supported facies. Fluid inclusion data indicate that finely crystalline dolomites formed at low temperatures (ca. <50°C), while the coarser dolomite formed at higher temperatures (50–;140°C). Whole rock‐carbonate oxygen and carbon isotope analyses of pure dolostone samples show no apparent correlation with either depositional or diagenetic textures: δ¹⁸O is generally 0 to 2.7‰ PDB, and δ¹³C is ?1 to 4‰ PDB. The importance of evaporated seawater to Asmari dolomitisation is indicated by the ubiquitous occurrence of felty‐textured anhydrite nodules in dolostone beds and the presence of high‐salinity fluid inclusions in dolomite. The derivation of dolomitising fluids from contemporaneous seawater is supported by the general correspondence between age estimates derived from the strontium isotope composition of anhydrites and dolomites and those derived from stratigraphic considerations. This suggested synsedimentary dolomitisation. Dolomitisation of the upper half of the Asmari Formation may have occurred as a result of two syn‐sedimentary mechanisms: (1) by the reflux of evaporative brines concentrated in shallow lagoons or sabkhas, through immediately underlying strata (mainly during highstands); and (2) by the flushing of platform‐top carbonates by basinal evaporated waters during lowstand/early transgression. Continued dolomitisation during deeper burial is supported by the presence of high‐temperature fluid inclusions and iron‐rich crystal rims. Dolomite within the lower part of the Asmari Formation probably mostly formed during burial as a result of compaction of, and fluid exclusion from, the underlying Pabdeh marls and shales.     

CMV colitis masquerading as colon cancer--an unusual presentation of acquired immunodeficiency syndrome

To determine whether there is any correlation between sudden decrease in barometric pressure and onset of labor, a non-experimental, retrospective study at a 948-bed tertiary care hospital was done. Pregnant patients of 36 weeks gestation or more who presented with spontaneous onset of labor during the 48 hours surrounding the 12 occurrences of significant drop in barometric pressure in 1992 were included in the study. Significantly more occurrences of onset of labor were identified in the 24 hours after a drop in barometric pressure than were identified in the 24 hours prior to the drop in barometric pressure (P < 0.05). Therefore, the overall number of labor onsets increased in the 24 hours following a significant drop in barometric pressure.     

A new method to estimate parameters of linear compartmental models using artificial neural networks

At present, the preferred tool for parameter estimation in compartmental analysis is an iterative procedure; weighted nonlinear regression. For a large number of applications, observed data can be fitted to sums of exponentials whose parameters are directly related to the rate constants/coefficients of the compartmental models. Since weighted nonlinear regression often has to be repeated for many different data sets, the process of fitting data from compartmental systems can be very time consuming. Furthermore the minimization routine often converges to a local (as opposed to global) minimum. In this paper, we examine the possibility of using artificial neural networks instead of weighted nonlinear regression in order to estimate model parameters. We train simple feed-forward neural networks to produce as outputs the parameter values of a given model when kinetic data are fed to the networks' input layer. The artificial neural networks produce unbiased estimates and are orders of magnitude faster than regression algorithms. At noise levels typical of many real applications, the neural networks are found to produce lower variance estimates than weighted nonlinear regression in the estimation of parameters from mono- and biexponential models. These results are primarily due to the inability of weighted nonlinear regression to converge. These results establish that artificial neural networks are powerful tools for estimating parameters for simple compartmental models.     

A behavioral medicine intervention in persons with HIV

This study used a pretest-posttest preexperimental design to examine the effect of a 10-week behavioral medicine support group intervention in a sample of persons with HIV. Using Solomon's psychoneuroimmunologic framework, the 10-week behavioral medicine program focused on the mind/body interaction, the relaxation response, coping with illness, hardiness, and nutrition. Pearson correlation coefficients and t tests were performed on the pre- and postintervention measures of hardiness, social support, immune function, and perceived health status. Results of the study indicated that hardiness (preintervention) and CD4 counts (pre- and postintervention) were significantly correlated with health status; however, CD4 counts decreased over the course of the behavioral medicine program. Implications for nursing and recommendations for further research are discussed.     

Fetus-in-fetu with malignant recurrence

Fetus-in-fetu is an unusual condition in which a vertebrate fetus is enclosed within the abdomen of another fetus. These occurrences are usually benign. This report describes an instance of malignant recurrence after resection of a fetus-in-fetu.     

Effect of race on outcome after kidney and kidney-pancreas transplantation in type 1 diabetic patients

OBJECTIVE: The racial impact on graft outcome is not well defined in diabetic recipients. The purpose of this study is to analyze our experience with kidney-alone (A) and kidney-pancreas (KP) transplantation in type 1 diabetic recipients and evaluate the impact of racial disparity on outcome. RESEARCH DESIGN AND METHODS: The records of 217 kidney transplants (118 KA, 99 KP) performed on type 1 diabetic patients between 1985 and 1995 at the Medical University of South Carolina and the University of Texas Medical Branch were reviewed. RESULTS: A total of 53 (31%) white patients and 15 (33%) black patients experienced at least one episode of biopsy-proven acute rejection of the renal graft (NS). Patient survival at 1, 2, and 5 years was similar in white (92, 87, 69%) and black (91, 91, 69%) patients (NS). Kidney graft survival at 1, 2, and 5 years in the KA group was 72, 62, and 42% in blacks, compared with 79, 76, and 53% in whites (NS). Kidney graft survival at 1, 2, and 5 years in the KP group was 92, 92, and 74% in blacks, compared with 83, 77, and 58% in whites (NS). Pancreas graft survival at 1, 2, and 5 years was 81, 81, and 81% in blacks, compared with 81, 75, and 62% in whites (NS). Cox regression analysis revealed that donor age > or = 40 years increased the risk of renal graft failure 6.2-fold (P = 0.0001), whereas the addition of a pancreas transplant to a kidney and a living-related transplant decreased the risk of failure of the kidney graft 0.2 (P = 0.005) and 0.1 times (P = 0.005). CONCLUSIONS: Our results suggest that when compared with whites, there may be a trend toward an improved kidney and pancreas graft outcome in blacks undergoing KP transplants. These findings suggest that diabetes may override the risk factors that account for the pronounced disparity in outcome observed between nondiabetic white and black recipients.