New K/Ar dating and geochemical analyses have been carried out on the WNW-ESE elongated oceanic island of S. Jorge to reconstruct the volcanic evolution of a linear ridge developed close to the Azores triple junction. We show that S. Jorge sub-aerial construction encompasses the last 1.3 Myr, a time interval far much longer than previously reported. The early development of the ridge involved a sub-aerial building phase exposed in the southeast end of the island and now constrained between 1.32 +/-0.02 and 1.21 +/-0.02 Ma. Basic lavas from this older stage are alkaline and enriched in incompatible elements, reflecting partial melting of an enriched mantle source. At least three differentiation cycles from alkaline basalts to mugearites are documented within this stage. The successive episodes of magma rising, storage and evolution suggest an intermittent reopening of the magma feeding system, possibly due to recurrent tensional or transtensional tectonic events. Present data show a gap in sub-aerial volcanism before a second main ongoing building phase starting at about 750 ka. Sub-aerial construction of the S. Jorge ridge migrated progressively towards the west, but involved several overlapping volcanic episodes constrained along the main WNW-ESE structural axis of the island. Malic magmas erupted during the second phase have been also generated by partial melting of an enriched mantle source. Trace element data suggest, however, variable and lower degrees of partial melting of a shallower mantle domain, which is interpreted as an increasing control of lithospheric deformation on the genesis and extraction of primitive melts during the last 750 kyr. The multi-stage development of the S. Jorge volcanic ridge over the last 1.3 Myr has most likely been greatly influenced by regional tectonics, controlled by deformation along the diffuse boundary between the Nubian and the Eurasian plates, and the increasing effect of sea-floor spreading at the Mid-Atlantic Ridge. (C)

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Purpose (Poly)phenols have been reported to confer protective effects against type 2 diabetes but the precise association remains elusive. This meta-analysis aimed to assess the effects of (poly)phenol intake on well-established biomarkers in people with type 2 diabetes or at risk of developing diabetes. Methods A systematic search was conducted using the following selection criteria: (1) human randomized controlled trials involving individuals with prediabetes and type 2 diabetes; (2) one or more of the following biomarkers: glucose, glycated haemoglobin (HbA1c), insulin, pro-insulin, homeostatic model assessment of insulin resistance (HOMA-IR), islet amyloid polypeptide (IAPP)/amylin, pro-IAPP/pro-amylin, glucagon, C-peptide; (3) chronic intervention with pure or enriched mixtures of (poly)phenols. From 488 references, 88 were assessed for eligibility; data were extracted from 27 studies and 20 were used for meta-analysis. The groups included in the meta-analysis were: (poly)phenol mixtures, isoflavones, flavanols, anthocyanins and resveratrol. Results Estimated intervention/control mean differences evidenced that, overall, the consumption of (poly)phenols contributed to reduced fasting glucose levels (− 3.32 mg/dL; 95% CI − 5.86, − 0.77; P = 0.011). Hb1Ac was only slightly reduced (− 0.24%; 95% CI − 0.43, − 0.044; P = 0.016) whereas the levels of insulin and HOMA-IR were not altered. Subgroup comparative analyses indicated a stronger effect on blood glucose in individuals with diabetes (− 5.86 mg/dL, 95% CI − 11.34, − 0.39; P = 0.036) and this effect was even stronger in individuals taking anti-diabetic medication (− 10.17 mg/dL, 95% CI − 16.59, − 3.75; P = 0.002). Conclusions Our results support that the consumption of (poly)phenols may contribute to lower glucose levels in individuals with type 2 diabetes or at risk of diabetes and that these compounds may also act in combination with anti-diabetic drugs.

Magmas in Faial Island, Azores (Portugal), were mostly erupted from two fissure zones and the Caldeira central volcano during overlapping periods. The fissure zones follow extensional trends oriented WNW and ESE and erupted nepheline- to hypersthene-normative basalts and hawaiites. The Caldeira central volcano builds the central part of the island, which is cut by the fissure zones. Ne-normative basalts show similar high-field-strength element (HFSE) concentrations but higher large ion lithophile element (LILE) concentrations than hy-normative equivalents. Primitive melts were generated by small (3–5%) degrees of partial melting of garnet-bearing peridotite, variably enriched in incompatible elements. Overall, basalts from Faial show relatively higher LILE abundances and LILE/HFSE ratios than those of the other islands of the Azores and of many other volcanoes in the Atlantic area. This feature indicates the existence of chemical heterogeneities in the mantle sources characterized by variable degrees of metasomatism, both at local and regional scales. Hawaiites evolved from basalts through 30–40% fractional crystallization of mafic phases plus some plagioclase, in deep reservoirs, at about 430–425 MPa (~ 15 km). The Caldeira central volcano rocks range from basalts to trachytes. Basalts, produced under similar conditions as fissure basalts, evolved to trachytes through large degrees of polybaric fractional crystallization (100–760 MPa; i.e. ~ 3.6–26 km), involving olivine, clinopyroxene, feldspar and minor quantities of amphibole, biotite, apatite and oxides. In contrast, mafic magmas from the fissure zones were erupted directly onto the surface from magma reservoirs mainly located at the crust–mantle boundary.

Fundamento: A endocardite infecciosa (EI) está associada a complicações graves e alta mortalidade. A avaliação das taxas de mortalidade e preditores de eventos fatais é importante para identificar fatores modificáveis relacionados ao padrão de tratamento, com o objetivo de melhorar os desfechos. Objetivos: Avaliar os desfechos clínicos de pacientes com EI e determinar preditores de mortalidade hospitalar. Métodos: Estudo retrospectivo de centro único, incluindo pacientes com EI admitidos durante um período de 10 anos (2006-2015). Foram avaliados dados de comorbidades, apresentação clínica, microbiologia e desfechos clínicos durante a internação. Foram analisados os fatores de risco de morte hospitalar. Um valor de p < 0,05 foi considerado significativo. Resultados: Foram incluídos 134 casos (73% do sexo masculino, média de idade de 61 ± 16 anos). Metade dos casos apresentava cardiopatia valvar prévia. A EI associada a cuidados de saúde e hemoculturas negativas ocorreram em 22%, e a EI associada a prótese em 25%. A válvula aórtica foi a mais frequentemente afetada por infecção. Staphylococcus aureus foi o microrganismo mais comumente isolado. Quarenta e quatro (32,8%) pacientes foram submetidos à cirurgia cardíaca. A taxa de mortalidade hospitalar foi de 31,3% (42 pacientes). Os fatores de risco identificados para mortalidade hospitalar foram etiologia do Staphylococcus aureus (OR 6,47; IC 95%: 1,07-39,01; p = 0,042), hemoculturas negativas (OR 9,14; IC 95%: 1,42-58,77; p = 0,02), evidência de obstrução valvar na ecocardiografia (OR 8,57; IC 95%: 1,11-66,25; p = 0,039), evolução clínica com insuficiência cardíaca (OR 4,98; IC 95%: 1,31-18,92; p = 0,018) ou choque séptico (OR 20,26; IC 95%: 4,04-101,74; p < 0,001). A cirurgia cardíaca foi um fator protetor de mortalidade (OR 0,14; IC95%: 0,03-0,65; p = 0,012). Conclusão: Os fatores de risco para mortalidade hospitalar foram clínicos (insuficiência cardíaca, choque séptico), evidência de obstrução valvar no ecocardiograma, etiologia do Staphylococcus aureus ou hemoculturas negativas. O tratamento invasivo por cirurgia diminuiu significativamente o risco de mortalidade.