The Monte Orfano Conglomerate revisited: stratigraphic constraints on Cenozoic tectonic uplift of the Southern Alps (Lombardy, northern Italy)

The Monte Orfano Conglomerate (MOC), exposed in the foothills of the Southern Alps (northern Italy), is one of the few outcrops of sediments documenting the Cenozoic tectonic evolution of the Alpine retrowedge. Calcareous nannofossil biostratigraphy allowed us to constrain the upper part of the MOC, formerly attributed to the Early-Middle Miocene in the type-locality, to the earliest Miocene (Neogene part of the NN1 nannofossil zone). A likely latest Oligocene age is therefore suggested for the bulk of the underlying conglomerates, whose base is not exposed. Deposition of the MOC can be framed into the post-collisional tectonic uplift of the Alps, documented in the Lake Como area by the Como Conglomerate (CC) at the base of the Gonfolite Lombarda Group, and supports the correlation with Upper Oligocene clastic sediments cropping out further to the East, in the Lake Garda and in the Veneto-Friuli areas (“molassa”). The remarkable difference in petrographic composition between the western (CC) and eastern (MOC) clastics deposited in the Alpine retro-foreland basin highlights the synchronous tectonic activity of two structural domains involving different crustal levels. Whilst the bulk of the CC, that straddles the Oligocene/Miocene boundary, records the tectonic exhumation of the Alpine axial chain crystalline complexes, the coeval MOC consists of detritus deriving from the Alpine retrowedge superficial crustal section (Triassic to Paleogene sedimentary rocks), and constrains the onset of the post-collisional deformation phase of the Southern Alps as not younger than the latest Oligocene

Taxonomy, biostratigraphy, and phylogeny of Oligocene and early Miocene Paragloborotalia and Parasubbotina

The taxonomy, phylogeny, and biostratigraphy of Oligocene and early Miocene Paragloborotalia and Parasubbotina are reviewed. The two genera are closely related; Paragloborotalia was derived from Parasubbotina in the early Eocene. Parasubbotina was more diverse during the middle Eocene, while Paragloborotalia experienced considerable diversification during the mid-Oligocene and in the latest Oligocene-earliest Miocene. A significant finding has been the synonymization of Globorotalia (Tuborotalia) mendacis Blow, and Turborotalia primitiva Brӧnnimann and Resig with Globorotalia birnageae Blow. The following species from the time interval of interest are regarded as valid: Paragloborotalia acrostoma (Wezel), Paragloborotalia birnageae (Blow), Paragloborotalia continuosa (Blow), Paragloborotalia incognita (Walters) Paragloborotalia kugleri (Bolli), Paragloborotalia mayeri (Cushman and Ellisor), Paragloborotalia nana (Bolli), Paragloborotalia opima (Bolli), Paragloborotalia pseudocontinuosa (Jenkins), Paragloborotalia pseudokugleri (Blow), Paragloborotalia semivera (Hornibrook), Paragloborotalia siakensis (LeRoy), Parasubbotina hagni (Gohrbandt), and Parasubbotina varianta (Subbotina). Paragloborotalia is a long-lived group of planktonic foraminifera that spanned the early Eocene to late Miocene and provided the root stock for the evolution of multiple smooth, nonspinose, and keeled globorotaliid lineages during the Neogene. The early Oligocene forms of Paragloborotalia (nana, opima, siakensis, pseudocontinuosa) have 4 or 5 globular chambers in the final whorl with radial spiral sutures and a broadly rounded periphery. A trend from radial to curved spiral sutures is observed in late Oligocene and earliest Miocene lineages. Most species of Paragloborotalia had wide distributions, but some were more common in tropical to warm subtropical waters (e.g., siakensis, kugleri) and were especially dominant in the equatorial Pacific divergence zone (e.g., nana, opima, and pseudocontinuosa) analogous to modern tropical upwelling Neogloboquadrina. Other species thrived in cool subtropical and temperate waters (e.g., acrostoma, incognita)

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700