Searching for Life in Hot Spring Carbonate Systems : Investigating Raman Spectra of Carotenoid-Bearing Organic Carbonaceous Inclusions from Travertines of Italy

Acknowledgements This study was carried out as part of a University of Aberdeen PhD, supported by the UKRI Centre for Doctoral Training in Oil & Gas. We must thank Professor Javier Martín-Torres for his valuable Martian insights, and Sig. Domenico Belli for allowing access to the Paliano spring locale, and Dr. Vereno Bisegna and Dr. Giuseppe Pagano for logistic and local assistance.Peer reviewedPostprin

Were springline carbonates in the Kurkur-Dungul area (Southern Egypt) deposited during glacial periods?

The tufa deposits in the Kurkur–Dungul area, southern Egypt, date from marine isotope stage (MIS) 11 to MIS 1. Springs across the region were active during glacial periods (with sea-level below –50 m), reflecting changed atmospheric circulation over the Indian Ocean, as well as peak interglacial periods. During times of low sea-level, reduced Indonesian throughflow promoted formation of an Indian Ocean Warm Pool, and anomalous rainfall on its western margin. We suggest that Egypt lies at the intersection of westerly (‘maghrebian’) and easterly (‘mashriqian’) rainfall provinces, which show different timing with relation to orbital forcing and different source water regions. Tufa-growth periods are therefore not mechanistically linked to ‘humid periods’ or ‘sapropel events’ identified elsewhere. Stable isotope and T(Δ47) data are also inconsistent with these spring systems being part of a larger system spanning northern Africa, and lack a clear interaction between northern hemisphere heating and mid-latitude rainfall. We also follow previous researchers in concluding that formation of springline deposit formation was probably delayed compared with rainfall, owing to aquifer flow distances. This delay is unlikely to be sufficient to explain why rainfall is out of phase with movements of the monsoon belts, but may complicate interpretation of these records. Supplementary material: A lithofacies description and supplementary figures and tables are available at https://doi.org/10.6084/m9.figshare.c.524666

Global overview of the management of acute cholecystitis during the COVID-19 pandemic (CHOLECOVID study)

Background: This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. Methods: CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. Data on management were collected for a 2-month study interval coincident with the WHO declaration of the SARS-CoV-2 pandemic and compared with an equivalent pre-pandemic time interval. Mediation analysis examined the influence of SARS-COV-2 infection on 30-day mortality. Results: This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The pandemic was associated with reduced availability of surgical workforce and operating facilities globally, a significant shift to worse severity of disease, and increased use of conservative management. There was a reduction (both absolute and proportionate) in the number of patients undergoing cholecystectomy from 3095 patients (56.2 per cent) pre-pandemic to 1998 patients (46.2 per cent) during the pandemic but there was no difference in 30-day all-cause mortality after cholecystectomy comparing the pre-pandemic interval with the pandemic (13 patients (0.4 per cent) pre-pandemic to 13 patients (0.6 per cent) pandemic; P = 0.355). In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). Conclusion: CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. The study highlights the need for system resilience in retention of elective surgical activity. Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic