Mid-Devonian Archaeopteris roots signal revolutionary change in earliest fossil forests

The origin of trees and forests in the Mid Devonian (393–383 Ma) was a turning point in Earth history, marking permanent changes to terrestrial ecology, geochemical cycles, atmospheric CO2 levels, and climate. However, how all these factors interrelate remains largely unknown. From a fossil soil (palaeosol) in the Catskill region near Cairo NY, USA, we report evidence of the oldest forest (mid Givetian) yet identified worldwide. Similar to the famous site at Gilboa, NY, we find treefern-like Eospermatopteris (Cladoxylopsida). However, the environment at Cairo appears to have been periodically drier. Along with a single enigmatic root system potentially belonging to a very early rhizomorphic lycopsid, we see spectacularly extensive root systems here assigned to the lignophyte group containing the genus Archaeopteris. This group appears pivotal to the subsequent evolutionary history of forests due to possession of multiple advanced features and likely relationship to subsequently dominant seed plants. Here we show that Archaeopteris had a highly advanced root system essentially comparable to modern seed plants. This suggests a unique ecological role for the group involving greatly expanded energy and resource utilization, with consequent influence on global processes much greater than expected from tree size or rooting depth alone

Givetian (Middle Devonian) sharks from Cairo, New York (USA): Evidence of early cosmopolitanism

Whereas cosmopolitan distribution patterns are established for many Late Devonian vertebrates (e.g., placoderms, onychodontiforms), few palaeobiogeographic studies have considered chondrichthyans. Recent discoveries of shark material demonstrate that some chondrichthyans were cosmopolitan by the Middle Devonian. Abundant Givetian microremains have been recovered from the Cairo quarry in eastern New York State, USA. These include teeth of two shark species with Gondwanan affinities, the omalodontid Portalodus mannoliniae sp. nov. and the antarctilamnid Wellerodus priscus. Abundant teeth of P. mannoliniae sp. nov. are characterized by a smooth diplodont crown, polarized cusps, and a labially oriented base. The teeth demonstrate monognathic heterodonty. The juvenile morph is distinguished from the adult by smaller size, slender cusps, and variation in the shape of the base. W. priscus is represented by rare juvenile teeth. Two groups of scales that show affinity to material from northern (Spain) and East Gondwana (Antarctica) are tentatively attributed to the two described species. Antarctilamnid distribution suggests a north Gondwanan origin and a colonization of the margin of the landmass before dispersing to Laurentia by the Middle Devonian. This material further indicates that vertebrate global dispersal was initiated by the Middle Devonian, and emphasizes earlier palaeogeographic interpretations that the Middle Devonian “Hamilton fauna” of North American Laurussia originated in the Early Devonian in South American Gondwana

The prognostic importance of chronic end-stage diseases in geriatric patients admitted to 163 Italian ICUs

BACKGROUND: The number of elderly patients undergoing major surgical interventions and then needing admission to intensive care unit (ICU) grows steadily. We investigated this issue in a cohort of 232,278 patients admitted in five years (2011-2015) to 163 Italian general ICUs. METHODS: Surgical patients older than 75 registered in the GiViTI MargheritaPROSAFE project were analyzed. The impact on hospital mortality of important chronic conditions (severe COPD, NYHA class IV, dementia, end-stage renal disease, cirrhosis with portal hypertension) was investigated with two prognostic models developed yearly on patients staying in the ICU less or more than 24 hours. RESULTS: 44,551 elderly patients (19.2%) underwent emergency (47.3%) or elective surgery (52.7%). At least one severe comorbidity was present in 14.6% of them, yielding a higher hospital mortality (32.4%, vs. 21.1% without severe comorbidity). In the models for patients staying in the ICU 24 hours or more, cirrhosis, NYHA class IV, and severe COPD were constant independent predictors of death (adjusted odds ratios [ORs] range 1.67-1.97, 1.54-1.91, and 1.34-1.50, respectively), while dementia was statistically significant in four out of five models (adjusted ORs 1.23-1.28). End-stage renal disease, instead, never resulted to be an independent prognostic factor. For patients staying in the ICU less than 24 hours, chronic comorbidities were only occasionally independent predictors of death. CONCLUSIONS: Our study confirms that elderly surgical patients represent a relevant part of all ICUs admissions. About one of seven bear at least one severe chronic comorbidity, that, excluding end-stage renal disease, are all strong independent predictors of hospital death

The role of the intensive care unit in real-time surveillance of emerging pandemics: the Italian GiViTI experience

The prompt availability of reliable epidemiological information on emerging pandemics is crucial for public health policy-makers. Early in 2013, a possible new H1N1 epidemic notified by an intensive care unit (ICU) to GiViTI, the Italian ICU network, prompted the re-activation of the real-time monitoring system developed during the 2009-2010 pandemic. Based on data from 216 ICUs, we were able to detect and monitor an outbreak of severe H1N1 infection, and to compare the situation with previous years. The timely and correct assessment of the severity of an epidemic can be obtained by investigating ICU admissions, especially when historical comparisons can be made