Overprinting orogenic events, ductile extrusion and strain partitioning during Caledonian transpression, NW Mainland Shetland

A 3.6 km thick stack of mid-crustal deformed Precambrian rocks is associated with the North Roe Nappe (NRN) and Walls Boundary Fault in the northernmost Scottish Caledonides on NW Mainland Shetland. The greenschist- to amphibolite-facies rocks display unusually complex and heterogeneous combinations of coaxial and non-coaxial transpressional deformation. Previously published isotopic dating, together with new detailed field mapping and microstructural characterisation show that the NRN preserves a record of Neoarchaean, Neoproterozoic (Knoydartian) and Ordovician-Silurian (Caledonian) overprinting deformation and metamorphism. Neoarchaean events in the Uyea Gneiss Complex located in its footwall are reworked by younger events in the overlying nappe pile. The main ductile fabrics were formed during Caledonian top-to-the W/NW thrusting and top-to-the N sinistral shearing, with subordinate regions of top- to-the E extensional and NNE-SSW dextral shearing. In lower parts of the NRN, these different kinematic domains are texturally indistinguishable and overprinting relationships are absent. At higher levels, top-to-the-W/NW thrust-related fabrics are consistently overprinted by top-to-the-N/NE sinistral shearing. The highly partitioned transpressional deformation shows similarities with equivalent rocks of the Moine Nappe in NW Scotland

Caledonian hot zone magmatism in the “Newer Granites”: insight from the Cluanie and Clunes plutons, Northern Scottish Highlands

Scottish “Newer” Granites record the evolution of the Caledonides resulting from Iapetus subduction and slab breakoff during the Silurian-Devonian Scandian Orogeny, but relationships between geodynamics, petrogenesis and emplacement are incomplete. Laser ablation U-Pb results from magmatic zircons at the Cluanie Pluton (Northern Highlands) identify clusters of concordant Silurian data points. A cluster with a weighted mean 206Pb/238U age of 431.6 ± 1.3 Ma (2 confidence interval, n = 6) records emplacement whilst older points (clustered at 441.8 ± 2.3 Ma, n = 9) record deep crustal hot zone magmatism prior to ascent. The Cluanie Pluton, and its neighbour the ∼428 Ma Clunes tonalite, have adakite-like high Na, Sr/Y, La/Yb and low Mg, Ni and Cr characteristics, and lack mafic facies common in other “Newer Granites”. These geochemical signatures indicate the tapping of batches of homogenised, evolved magma from the deeper crust. The emplacement age of the Cluanie Pluton confirms volumetrically modest subduction-related magmatism occurred beneath the Northern Highlands before slab breakoff, probably as a result of crustal thickening during the ∼450 Ma Grampian 2 event. Extensive new in-situ geochemical-geochronological studies for this terrane may further substantiate the deep crustal hot zone model and the association between Caledonian magmatism and potentially metallogenesis. The term “Newer Granites” is outdated as it ignores the demonstrated relationships between magmatism, Scandian orogenesis and slab breakoff. Hence, “Caledonian intrusions” would be a more appropriate generic term to cover those bodies related to either Iapetus subduction or to slab breakoff

New onshore insights into the role of structural inheritance during Mesozoic opening of the Inner Moray Firth Basin, Scotland

The Inner Moray Firth Basin (IMFB) forms the western arm of the North Sea trilete rift system that initiated mainly during the Late Jurassic–Early Cretaceous with the widespread development of major NE–SW-trending dip-slip growth faults. The IMFB is superimposed over the southern part of the older Devonian Orcadian Basin. The potential influence of older rift-related faults on the kinematics of later Mesozoic basin opening has received little attention, partly owing to the poor resolution of offshore seismic reflection data at depth. New field observations augmented by drone photography and photogrammetry, coupled with U–Pb geochronology, have been used to explore the kinematic history of faulting in onshore exposures along the southern IMFB margin. Dip-slip north–south- to NNE–SSW-striking Devonian growth faults are recognized that have undergone later dextral reactivation during NNW–SSE extension. The U–Pb calcite dating of a sample from the synkinematic calcite veins associated with this later episode shows that the age of fault reactivation is 130.99  ±  4.60 Ma (Hauterivian). The recognition of dextral-oblique Early Cretaceous reactivation of faults related to the underlying and older Orcadian Basin highlights the importance of structural inheritance in controlling basin- to sub-basin-scale architectures and how this influences the kinematics of IMFB rifting

New onshore insights into the role of structural inheritance during Mesozoic opening of the Inner Moray Firth Basin, Scotland

The Inner Moray Firth Basin (IMFB) forms the western arm of the North Sea trilete rift system that initiated mainly during the Late Jurassic–Early Cretaceous with the widespread development of major NE–SW-trending dip-slip growth faults. The IMFB is superimposed over the southern part of the older Devonian Orcadian Basin. The potential influence of older rift-related faults on the kinematics of later Mesozoic basin opening has received little attention, partly owing to the poor resolution of offshore seismic reflection data at depth. New field observations augmented by drone photography and photogrammetry, coupled with U–Pb geochronology, have been used to explore the kinematic history of faulting in onshore exposures along the southern IMFB margin. Dip-slip north–south-to NNE–SSW-striking Devonian growth faults are recognized that have undergone later dextral reactivation during NNW–SSE extension. The U–Pb calcite dating of a sample from the synkinematic calcite veins associated with this later episode shows that the age of fault reactivation is 130.99 ± 4.60 Ma (Hauterivian). The recognition of dextral-oblique Early Cretaceous reactivation of faults related to the underlying and older Orcadian Basin highlights the importance of structural inheritance in controlling basin-to sub-basin-scale architectures and how this influences the kinematics of IMFB rifting

Using UAV-Based Photogrammetry Coupled with In Situ Fieldwork and U-Pb Geochronology to Decipher Multi-Phase Deformation Processes: A Case Study from Sarclet, Inner Moray Firth Basin, UK

Constraining the age of formation and repeated movements along fault arrays in superimposed rift basins helps us to better unravel the kinematic history as well as the role of inherited structures in basin evolution. The Inner Moray Firth Basin (IMFB, western North Sea) overlies rocks of the Caledonian basement, the pre-existing Devonian–Carboniferous Orcadian Basin, and a regionally developed Permo–Triassic North Sea basin system. IMFB rifting occurred mainly in the Upper Jurassic–Lower Cretaceous. The rift basin then experienced further regional tilting, uplift and fault reactivation during the Cenozoic. The Devonian successions exposed onshore along the northwestern coast of IMFB and the southeastern onshore exposures of the Orcadian Basin at Sarclet preserve a variety of fault orientations and structures. Their timing and relationship to the structural development of the wider Orcadian and IMFB are poorly understood. In this study, drone airborne optical images are used to create high-resolution 3D digital outcrops. Analyses of these images are then coupled with detailed field observations and U-Pb geochronology of syn-faulting mineralised veins in order to constrain the orientations and absolute timing of fault populations and decipher the kinematic history of the area. In addition, the findings help to better identify deformation structures associated with earlier basin-forming events. This holistic approach helped identify and characterise multiple deformation events, including the Late Carboniferous inversion of Devonian rifting structures, Permian minor fracturing, Late Jurassic–Early Cretaceous rifting and Cenozoic reactivation and local inversion. We were also able to isolate characteristic structures, fault kinematics, fault rock developments and associated mineralisation types related to these event

Unravelling the Sequence and Timing of Fault-Related Deformation in Superimposed Rift Basins, Inner Moray Firth, NE Scotland

Devonian rocks of the Palaeozoic Orcadian Basin are well exposed along the northern flanks of the younger Mesozoic to Cenozoic Inner Moray Firth Basin in Scotland. These rocks preserve a succession of structures related to superimposed rifting and inversion events spanning nearly 400 Myrs. We combine new detailed field observations augmented by drone photography and the creation of 3D digital outcrops, coupled with U-Pb geochronology of syn-faulting calcite-mineralized veins to better constrain the absolute timing of fault movements and decipher the kinematic history of basin opening and inversion.Using this approach, we were able to isolate characteristic structures, fault kinematics, fault rock development and associated mineralization types related to five regional deformation events: (1) Devonian transtensional rifting associated to sinistral Great Glan Fault movements leading to the development of the Orcadian Basin; (2) Late Carboniferous inversion related to dextral Great Glen Fault reactivation; (3) minor N-S, possibly Permian calcite veins; (4) Late Jurassic–Early Cretaceous rifting related to the development of the IMFB; and finally, (5) Cenozoic uplift, reactivation, and local inversion. Our study demonstrates the utility of microstructurally constrained U-Pb geochronology of fault-related calcite mineralization. Applied elsewhere, our methodology has the potential to give consistent and regionally significant new insights into the nature and timing of superimposed rift-related deformation processes worldwide

CHronic hypERtension and L-citRulline studY (CHERRY): an Early-Phase Randomised Controlled Trial in Pregnancy.

Oral supplementation with L-citrulline, which is sequentially converted to L-arginine then nitric oxide, improves vascular biomarkers and reduces blood pressure in non-pregnant, hypertensive human cohorts and pregnant mice with a pre-eclampsia-like syndrome. This early-phase randomised feasibility trial assessed the acceptability of L-citrulline supplementation to pregnant women with chronic hypertension and its effects on maternal BP and other vascular outcomes. Pregnant women with chronic hypertension were randomised at 12-16 weeks to receive 3-g L-citrulline twice daily (n = 24) or placebo (n = 12) for 8 weeks. Pregnant women reported high acceptability of oral L-citrulline. Treatment increased maternal plasma levels of citrulline, arginine and the arginine:asymmetric dimethylarginine ratio, particularly in women reporting good compliance. L-citrulline had no effect on diastolic BP (L-citrulline: - 1.82 95% CI (- 5.86, 2.22) vs placebo: - 5.00 95% CI (- 12.76, 2.76)), uterine artery Doppler or angiogenic biomarkers. Although there was no effect on BP, retrospectively, this study was underpowered to detect BP changes < 9 mmHg, limiting the conclusions about biological effects. The increase in arginine:asymmetric dimethylarginine ratio was less than in non-pregnant populations, which likely reflects altered pharmacokinetics of pregnancy, and further pharmacokinetic assessment of L-citrulline in pregnancy is advised.Trial Registration EudraCT 2015-005792-25 (2017-12-22) and ISRCTN12695929 (2018-09-20) In pregnant women with chronic hypertension, L-citrulline is an acceptable intervention which increased plasma L-citrulline bioavailability but did not affect BP, potentially due to altered pharmacokinetics of pregnancy

Nicotine Acts on Growth Plate Chondrocytes to Delay Skeletal Growth through the α7 Neuronal Nicotinic Acetylcholine Receptor

BACKGROUND: Cigarette smoking adversely affects endochondral ossification during the course of skeletal growth. Among a plethora of cigarette chemicals, nicotine is one of the primary candidate compounds responsible for the cause of smoking-induced delayed skeletal growth. However, the possible mechanism of delayed skeletal growth caused by nicotine remains unclarified. In the last decade, localization of neuronal nicotinic acetylcholine receptor (nAChR), a specific receptor of nicotine, has been widely detected in non-excitable cells. Therefore, we hypothesized that nicotine affect growth plate chondrocytes directly and specifically through nAChR to delay skeletal growth. METHODOLOGY/PRINCIPAL FINDINGS: We investigated the effect of nicotine on human growth plate chondrocytes, a major component of endochondral ossification. The chondrocytes were derived from extra human fingers. Nicotine inhibited matrix synthesis and hypertrophic differentiation in human growth plate chondrocytes in suspension culture in a concentration-dependent manner. Both human and murine growth plate chondrocytes expressed alpha7 nAChR, which constitutes functional homopentameric receptors. Methyllycaconitine (MLA), a specific antagonist of alpha7 nAChR, reversed the inhibition of matrix synthesis and functional calcium signal by nicotine in human growth plate chondrocytes in vitro. To study the effect of nicotine on growth plate in vivo, ovulation-controlled pregnant alpha7 nAChR +/- mice were given drinking water with or without nicotine during pregnancy, and skeletal growth of their fetuses was observed. Maternal nicotine exposure resulted in delayed skeletal growth of alpha7 nAChR +/+ fetuses but not in alpha7 nAChR -/- fetuses, implying that skeletal growth retardation by nicotine is specifically mediated via fetal alpha7 nAChR. CONCLUSIONS/SIGNIFICANCE: These results suggest that nicotine, from cigarette smoking, acts directly on growth plate chondrocytes to decrease matrix synthesis, suppress hypertrophic differentiation via alpha7 nAChR, leading to delayed skeletal growth

Global Perspectives on Task Shifting and Task Sharing in Neurosurgery.

BACKGROUND: Neurosurgical task shifting and task sharing (TS/S), delegating clinical care to non-neurosurgeons, is ongoing in many hospital systems in which neurosurgeons are scarce. Although TS/S can increase access to treatment, it remains highly controversial. This survey investigated perceptions of neurosurgical TS/S to elucidate whether it is a permissible temporary solution to the global workforce deficit. METHODS: The survey was distributed to a convenience sample of individuals providing neurosurgical care. A digital survey link was distributed through electronic mailing lists of continental neurosurgical societies and various collectives, conference announcements, and social media platforms (July 2018-January 2019). Data were analyzed by descriptive statistics and univariate regression of Likert Scale scores. RESULTS: Survey respondents represented 105 of 194 World Health Organization member countries (54.1%; 391 respondents, 162 from high-income countries and 229 from low- and middle-income countries [LMICs]). The most agreed on statement was that task sharing is preferred to task shifting. There was broad consensus that both task shifting and task sharing should require competency-based evaluation, standardized training endorsed by governing organizations, and maintenance of certification. When perspectives were stratified by income class, LMICs were significantly more likely to agree that task shifting is professionally disruptive to traditional training, task sharing should be a priority where human resources are scarce, and to call for additional TS/S regulation, such as certification and formal consultation with a neurosurgeon (in person or electronic/telemedicine). CONCLUSIONS: Both LMIC and high-income countries agreed that task sharing should be prioritized over task shifting and that additional recommendations and regulations could enhance care. These data invite future discussions on policy and training programs