Excimer laser technologies enable a rapid and effective approach to the simultaneous U/Pb geochronology and (U-Th)/He thermochronology of a wide range of detrital accessory minerals. Here we describe the 'laser ablation double dating' (LADD) method and demonstrate its viability by applying it to zircon and titanite crystals from the wellcharacterized Fish Canyon tuff. We found that LADD dates for Fish Canyon zircon (206 Pb/ 238 U-28.63 ± 0.11 Ma; (U-Th)/He-28.38 ± 0.73 Ma) are statistically indistinguishable from those obtained through established, traditional methods of singlecrystal dating. The same is true for Fish Canyon titanite LADD dates: 206 Pb / 238 U-28.08 ± 0.90 Ma; (U-Th)/He-27.98 ± 0.86 Ma. As anticipated, given that LADD involves the analysis of smaller amounts of material than traditional methods, it yields dates with higher analytical uncertainty. However, this does not substantially reduce the utility of the results for most applications to detrital datasets. An important characteristic of LADD is that it encourages the chemical characterization of crystals by backscattered electron, cathodoluminescence, and/or Raman mapping prior to dating. In addition, by permitting the rapid and robust dating of crystals regardless of the degree of their abrasion during sedimentary transport, the method theoretically should yield dates that are more broadly representative of those of the entire population of detrital crystals in a natural sample.
Single-center studies have suggested that up to 70% of adults with cystic fibrosis (CF) have lower than expected bone mineral density (BMD), substantially higher than the 25% prevalence reported from national registries. We determined the prevalence of low BMD in CF adults at our center and assessed risk factors for low BMD. This retrospective cohort study was conducted in all CF patients ≥18 years of age who had a dual-energy X-ray absorptiometry (DXA) scan performed at the Johns Hopkins Adult Cystic Fibrosis center between 2010 and 2018. Prevalence and incidence of low BMD during the study period were determined. Poisson regression based on generalized estimating equations and robust standard errors were used to evaluate selected risk factors and risk of disease progression. A total of 234 individuals underwent an initial DXA scan. At this scan, prevalence of low BMD was 52.6% (95% confidence interval [CI] 46.0-59.1). A total of 43.6% were at risk for CF-related low BMD (AR-CFLBMD) (95% CI 37.1-50.2) and 9.0% had CF-related low BMD (CFRLBMD) (95% CI 5.6-13.4). Of the 25 with normal BMD at initial scan and a subsequent follow-up scan, 8 (32.0%) progressed to AR-CFLBMD. Of the 53 with AR-CFLBMD on initial scan and a subsequent scan, 6 (11.3%) progressed to CFLBMD, 9 (17.0%) returned to normal BMD, and 38 (71.7%) remained AR-CFLBMD. Older age (relative risk [RR] = 1.01; 95% CI 1.00-1.01) and male sex (RR = 1.32; 95% CI 1.04-1.66) were associated with increased risk of low BMD, while higher forced expiratory volume over 1 second (FEV 1 %) predicted (RR = 0.99; 95% CI 0.99-1.00) and body mass index (BMI; RR = 0.97; 95% CI 0.94-1.00) were associated with lower risk for low BMD. The fact that more than half of all individuals were found to have lower than expected BMD suggests that the actual prevalence may be higher than currently reported in national registries. This supports the importance of universal bone health screening of all CF adults.
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