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Body composition and measures of obesity were evaluated in 59 subjects with myelomeningocele (MMC), aged 0.3-29 y, by anthropometry and measures of body cell mass (BCM) and intra- and extracellular water (ICW and ECW), derived from total body potassium and deuterium-isotope dilution; these results were compared with reference data. Body composition was normal in preambulatory children with MMC. Beyond ages 3-4 y there was significant depletion of BCM and total body water, with maldistribution of water (increased ECW and decreased ICW) and increased percentage body fat above that expected for age and sex. These findings were more pronounced in females and in those with high lesions, and were less pronounced in those who remained ambulatory. These changes may result in metabolic and nutritional maladaption during stress. The relation of BCM, total body water depletion and increased ECW to decreasing ambulatory activity suggests that early nutritional and mobility programs warrant further study.

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The phyllic alteration in a number of circum-Pacific porphyry Cu-Au deposits is related to high-temperature saline magmatic fluids. This contradicts the widely used genetic models wherein phyllic alteration formed as the result of mixing between magmatic and me-teoric fluids. At the Endeavour 26 North porphyry deposit in eastern Australia, the transition from early potassic to the main-stage phyllic alteration is associated with fluids that with time decline in total salinity, NaCl/KCl, and temperature from 600 to 550 C. Calculated and measured 18 O and D compositions of fluids (5.1‰-8.5‰ 18 O, 57‰ to 73‰ D) confirm a primary magmatic origin for both the early potassic and main-stage phyllic alteration. These results are consistent with other recent studies (e.g., El Salvador, Chile, Far Southeast, Philippines, and Panguna and Porgera, Papua New Guinea) and suggest that, rather than these results being unusual, a major revision of porphyry Cu genetic models is required.

No abstract