Refining Rates of Active Crustal Deformation in the Upper Plate of Subduction Zones, Implied by Geological and Geodetic Data: The E-Dipping West Crati Fault, Southern Italy

We investigate crustal deformation within the upper plate of the Ionian Subduction Zone (ISZ) at different time scales by (i) refining geodetic rates of crustal extension from continuous Global Navigation Satellite System (GNSS) measurements and (ii) mapping sequence of Late Quaternary raised marine terraces tectonically deformed by the West Crati normal fault, in northern Calabria. This region experienced damaging earthquakes in 1184 (M 6.75) and 1854 (M 6.3), possibly on the E-dipping West Crati fault (WCF) which, however, is not unanimously considered to be a seismogenic source. We report geodetic measurements of extension and strain rates across the strike of the E dipping WCF and throughout the northern Calabria obtained by using velocities from 18 permanent GNSS stations with a series length longer than 4.5 years. These results suggest that crustal extension may be seismically accommodated in this region by a few normal faults. Furthermore, by applying a synchronous correlation approach, we refine the chronology of understudied tectonically deformed palaeoshorelines mapped on the footwall and along the strike of the WCF, facilitating calculation of the associated fault-controlled uplift rates. Raised Late Quaternary palaeoshorelines are preserved on the footwall of the WCF indicating that “regional” uplift, likely related to the deformation associated either with the subduction or mantle upwelling processes, is affected by local footwall uplift. We show that GIS-based elevations of Late Quaternary palaeoshorelines, as well as temporally constant uplift rates, vary along the strike of the WCF, implying normal faulting activity through time. This suggests that (i) the fault slip rate governing seismic hazard has also been constant over the Late Quaternary, over multiple earthquake cycles, and (ii) our geodetically derived fault throw rate for the WCF is likely a more than reasonable value to be used over longer time scales for an improved seismic hazard assessment. Overall, we emphasize the importance of mapping crustal deformation within the upper plate above subduction zones to avoid unreliable interpretations relating to the mechanism controlling regional uplift

Clinical features and outcomes of elderly hospitalised patients with chronic obstructive pulmonary disease, heart failure or both

Background and objective: Chronic obstructive pulmonary disease (COPD) and heart failure (HF) mutually increase the risk of being present in the same patient, especially if older. Whether or not this coexistence may be associated with a worse prognosis is debated. Therefore, employing data derived from the REPOSI register, we evaluated the clinical features and outcomes in a population of elderly patients admitted to internal medicine wards and having COPD, HF or COPD + HF. Methods: We measured socio-demographic and anthropometric characteristics, severity and prevalence of comorbidities, clinical and laboratory features during hospitalization, mood disorders, functional independence, drug prescriptions and discharge destination. The primary study outcome was the risk of death. Results: We considered 2,343 elderly hospitalized patients (median age 81 years), of whom 1,154 (49%) had COPD, 813 (35%) HF, and 376 (16%) COPD + HF. Patients with COPD + HF had different characteristics than those with COPD or HF, such as a higher prevalence of previous hospitalizations, comorbidities (especially chronic kidney disease), higher respiratory rate at admission and number of prescribed drugs. Patients with COPD + HF (hazard ratio HR 1.74, 95% confidence intervals CI 1.16-2.61) and patients with dementia (HR 1.75, 95% CI 1.06-2.90) had a higher risk of death at one year. The Kaplan-Meier curves showed a higher mortality risk in the group of patients with COPD + HF for all causes (p = 0.010), respiratory causes (p = 0.006), cardiovascular causes (p = 0.046) and respiratory plus cardiovascular causes (p = 0.009). Conclusion: In this real-life cohort of hospitalized elderly patients, the coexistence of COPD and HF significantly worsened prognosis at one year. This finding may help to better define the care needs of this population

Gain- and Loss-of-Function CFTR Alleles Are Associated with COVID-19 Clinical Outcomes

Carriers of single pathogenic variants of the CFTR (cystic fibrosis transmembrane conductance regulator) gene have a higher risk of severe COVID-19 and 14-day death. The machine learning post-Mendelian model pinpointed CFTR as a bidirectional modulator of COVID-19 outcomes. Here, we demonstrate that the rare complex allele [G576V;R668C] is associated with a milder disease via a gain-of-function mechanism. Conversely, CFTR ultra-rare alleles with reduced function are associated with disease severity either alone (dominant disorder) or with another hypomorphic allele in the second chromosome (recessive disorder) with a global residual CFTR activity between 50 to 91%. Furthermore, we characterized novel CFTR complex alleles, including [A238V;F508del], [R74W;D1270N;V201M], [I1027T;F508del], [I506V;D1168G], and simple alleles, including R347C, F1052V, Y625N, I328V, K68E, A309D, A252T, G542*, V562I, R1066H, I506V, I807M, which lead to a reduced CFTR function and thus, to more severe COVID-19. In conclusion, CFTR genetic analysis is an important tool in identifying patients at risk of severe COVID-19

Host genetics and COVID-19 severity: increasing the accuracy of latest severity scores by Boolean quantum features

The impact of common and rare variants in COVID-19 host genetics has been widely studied. In particular, in Fallerini et al. (Human genetics, 2022, 141, 147–173), common and rare variants were used to define an interpretable machine learning model for predicting COVID-19 severity. First, variants were converted into sets of Boolean features, depending on the absence or the presence of variants in each gene. An ensemble of LASSO logistic regression models was used to identify the most informative Boolean features with respect to the genetic bases of severity. After that, the Boolean features, selected by these logistic models, were combined into an Integrated PolyGenic Score (IPGS), which offers a very simple description of the contribution of host genetics in COVID-19 severity.. IPGS leads to an accuracy of 55%–60% on different cohorts, and, after a logistic regression with both IPGS and age as inputs, it leads to an accuracy of 75%. The goal of this paper is to improve the previous results, using not only the most informative Boolean features with respect to the genetic bases of severity but also the information on host organs involved in the disease. In this study, we generalize the IPGS adding a statistical weight for each organ, through the transformation of Boolean features into “Boolean quantum features,” inspired by quantum mechanics. The organ coefficients were set via the application of the genetic algorithm PyGAD, and, after that, we defined two new integrated polygenic scores (IPGSph1 and IPGSph2). By applying a logistic regression with both IPGS, (IPGSph2 (or indifferently IPGSph1) and age as inputs, we reached an accuracy of 84%–86%, thus improving the results previously shown in Fallerini et al. (Human genetics, 2022, 141, 147–173) by a factor of 10%

Analisi petrografica di inclusi in depositi piroclastici del Monte Vesuvio

Il lavoro svolto mira alla classificazione dei litici presi in carica dal magma durante le eruzioni del Monte Somma-Vesuvi

Characterizing magma fragmentation and its relationship with eruptive styles of Somma-Vesuvius volcano (Naples, Italy)

Among the active volcanoes worldwide, Somma-Vesuvius is one with the highest volcanic risk as the surrounding areas are highly populated. Somma-Vesuvius is quiescent since 1944, but geological and historical records reveal a frequent violent explosive activity in the last 4000 years, representing a severe risk for the ~700000 inhabitants currently living in the area having a high probability for being impacted by pyroclastic density currents (“red zone”) and more than one million people who can be potentially affected by tephra fallout. This study aims to analyze the distribution and grain-size of tephra fallout deposits from several Somma-Vesuvius eruptions of different styles, ranging from Violent Strombolian to sub-Plinian and Plinian, for characterizing the associated magmatic fragmentation through the assessment of their total grain-size distribution (TGSD). Chronologically, we focus on the Avellino (4365 BP) and Pompeii (A.D. 79) Plinian eruptions, the Pollena (A.D. 472) sub-Plinian eruption, and the 1906 and 1944 Violent Strombolian eruptions. The related TGSDs were estimated by means of the Voronoi tessellation method, which requires a suitable number of local grain-size distributions and estimation of the area of minimum tephra loading (zero-line contour). However, field-derived TGSDs can be biased towards the coarse and fine grain-size populations due to the typical paucity of available field outcrops of fallout deposits. To encompass this issue, we performed a sensitivity study on the assumption behind TGSD reconstructions and described TGSDs through analytical grain-size distributions that best fit the field TGSDs. Our main objective is a more robust estimation of the TGSDs associated with the different eruptive styles, which is crucial, together with the other eruption source parameters, for robustly predicting tephra loading and airborne ash dispersal of future eruptions at Somma-Vesuvius.Publishedid 1066835V. Processi eruttivi e post-eruttiviJCR Journa

Refining Rates of Active Crustal Deformation in the Upper Plate of Subduction Zones, Implied by Geological and Geodetic Data: The E-Dipping West Crati Fault, Southern Italy

We investigate crustal deformation within the upper plate of the Ionian Subduction Zone (ISZ) at different time scales by (i) refining geodetic rates of crustal extension from continuous Global Navigation Satellite System (GNSS) measurements and (ii) mapping sequence of Late Quaternary raised marine terraces tectonically deformed by the West Crati normal fault, in northern Calabria. This region experienced damaging earthquakes in 1184 (M 6.75) and 1854 (M 6.3), possibly on the E-dipping West Crati fault (WCF) which, however, is not unanimously considered to be a seismogenic source. We report geodetic measurements of extension and strain rates across the strike of the E-dipping WCF and throughout the northern Calabria obtained by using velocities from 18 permanent GNSS stations with a series length longer than 4.5 years. These results suggest that crustal extension may be seismically accommodated in this region by a few normal faults. Furthermore, by applying a synchronous correlation approach, we refine the chronology of understudied tectonically deformed palaeoshorelines mapped on the footwall and along the strike of the WCF, facilitating calculation of the associated fault-controlled uplift rates. Raised Late Quaternary palaeoshorelines are preserved on the footwall of the WCF indicating that “regional” uplift, likely related to the deformation associated either with the subduction or mantle upwelling processes, is affected by local footwall uplift. We show that GIS-based elevations of Late Quaternary palaeoshorelines, as well as temporally constant uplift rates, vary along the strike of the WCF, implying normal faulting activity through time. This suggests that (i) the fault slip rate governing seismic hazard has also been constant over the Late Quaternary, over multiple earthquake cycles, and (ii) our geodetically derived fault throw rate for the WCF is likely a more than reasonable value to be used over longer time scales for an improved seismic hazard assessment. Overall, we emphasize the importance of mapping crustal deformation within the upper plate above subduction zones to avoid unreliable interpretations relating to the mechanism controlling regional uplift