Ordovician tectonics of the South European Variscan Realm: new insights from Sardinia

Although much is known about the Ordovician tectonics of the South European Variscides, aspects of their geodynamic evolution and palaeogeographic reconstruction remain uncertain. In Sardinia, Variscan tectonic units include significant vestiges of Ordovician evolution, such as a fold system that affected only the Cambrian-Lower Ordovician successions, and are cut by a regional angular unconformity. A comparison of the stratigraphy and tectonic structures of the successions below and above the Lower Ordovician unconformity and a reinterpretation of biostratigraphic data allow us to identify significant differences between the stacked tectonic units. The unconformity is sealed as follows: (i) in the Sulcis-Iglesiente Unit (Variscan External Zone, SW Sardinia) by Middle-Upper Ordovician continental and tidal deposits; and (ii) in the Sarrabus and Gerrei units (part of the Variscan Nappe Zone, SE Sardinia) by Middle-Upper Ordovician calc-alkaline volcanic rocks. Therefore, at the same time, one tectonic unit was situated close to a rifting setting and the others were involved in a convergent margin. Of note are the different durations associated with the unconformities in the tectonic units (17 Myr in the Sulcis-Iglesiente Unit, 6 Myr in the Sarrabus and Gerrei units) and the occurrence (or absence) of glacio-marine deposits indicating that the units were located at different palaeo-latitudes during the Ordovician. These results suggest that the SW and SE Sardinia blocks did not share the same geodynamic setting during the Ordovician, implying that they were situated in different palaeogeographic positions at this time and subsequently amalgamated during the Variscan Orogeny. Furthermore, stratigraphic and tectonic correlations with neighbouring areas, such as the eastern Pyrenees, imply alternative palaeogeographic reconstructions to those proposed previously for some peri-Mediterranean Variscan terranes

Nephrological Complications in Hemoglobinopathies: SITE Good Practice

Background. Hemoglobinopathies, among which thalassemic syndromes (transfusion-dependent and non-transfusion dependent thalassemias) and sickle cell disease (SCD), are the most widespread monogenic diseases worldwide. Hemoglobinopathies are endemic and spread-out all-over Italy, as result of internal and external migration flows. Nowadays, the increase therapeutic options associated to the general aging of patients with hemoglobinopathies related to the improvement in clinical management, contribute to the abnormalities in kidney function going from blood and urine test alterations to chronic kidney disease and end stage renal disease. Methods. Here, we carried out a revision of the literature as panel of recognized experts in hemoglobinopathies with the consultancy and the revision of two nephrologists on kidney alteration and kidney disease in patients with TDT, NTDT and SCD. This is part of the action of the Italian society for the study of thalassemia and hemoglobinopties (SITE). The purpose of this “good practice (GP)” is to provide recommendations for follow-up and therapy for the management of kidney alterations in patients with TDT, NTDT and SCD. The literature review covers the period 1.1.2016 to 31.12.2022. In consideration of the rarity of these diseases, the analysis was extended from 5 to 7 years. Moreover, in the absence of relevant scientific papers in the identified time frame, we referred to pivotal or population studies, when available. Finally, in the absence of evidence-based data from prospective and randomized trials, the authors had to refer to expert opinion (expert consensus) for many topics. Results. We generated question and answer boxes to offer a friendly consultation, using color code strategy and focused answers. Conclusions. The present GP will help in improving the clinical management, and the quality of care of patients with hemoglobinopathies