301 research outputs found

    THE CASE FOR THE GLOBAL STRATOTYPE SECTION AND POINT(GSSP) FOR THE BASE OF THE NORIAN STAGE

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    The Norian Stage is the longest stage in the Phanerozoic, and some members of the boundary working group have been evaluating suitable Carnian-Norian boundary sections for roughly two decades. This has identified two possible candidate boundary sections, at Black Bear Ridge (British Columbia, Canada) and Pizzo Mondello (Sicily, Italy). After a formal voting procedure within the working group, ending on the 26th July, 2021, the Pizzo Mondello section was selected as the global stratotype section and point for the base of the Norian. We evaluated the global correlation potential of the two proposed primary markers, the conodont Metapolygnathus parvus and the ‘flat-clam’ Halobia austriaca. Secondary markers were also evaluated around these boundary datums for correlation potential, and the veracity of the proposed sections for GSSP status. Data and arguments for the proposed sections and datums are presented here. Through a two-stage process of option elimination in voting, conforming with ICS guidelines, the working group decided by 60% majority to propose that the first occurrence datum of Halobia austriaca in the Pizzo Mondello section at the base of bed FNP135A should become the ‘golden spike’ for the base of the Norian. A secondary biotic marker for this boundary is the first occurrence of Primatella (Carnepigondolella) gulloae, in sample NA43, ca. 0 m below FNP135A, and the FA of Dimorphites noricus (sample NA42.1) ca. 3.5 m above bed FNP135 (indicating the first subzone of the Jandianus Zone). The best physical secondary marker is the magnetozone PM5n with the proposed boundary ca.40% through the thickness of PM5n. Strengths of the chosen datum are: 1) it also maintains historical priority for ammonoid zonations, which had placed the base Norian near to this level in Europe, North America and probably NE Asia; 2) Halobia austriaca is widely distributed in all paleolatitudes and is a long-established taxon

    Development and Validation of a Risk Score for Chronic Kidney Disease in HIV Infection Using Prospective Cohort Data from the D:A:D Study

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    Ristola M. on työryhmien DAD Study Grp ; Royal Free Hosp Clin Cohort ; INSIGHT Study Grp ; SMART Study Grp ; ESPRIT Study Grp jäsen.Background Chronic kidney disease (CKD) is a major health issue for HIV-positive individuals, associated with increased morbidity and mortality. Development and implementation of a risk score model for CKD would allow comparison of the risks and benefits of adding potentially nephrotoxic antiretrovirals to a treatment regimen and would identify those at greatest risk of CKD. The aims of this study were to develop a simple, externally validated, and widely applicable long-term risk score model for CKD in HIV-positive individuals that can guide decision making in clinical practice. Methods and Findings A total of 17,954 HIV-positive individuals from the Data Collection on Adverse Events of Anti-HIV Drugs (D:A:D) study with >= 3 estimated glomerular filtration rate (eGFR) values after 1 January 2004 were included. Baseline was defined as the first eGFR > 60 ml/min/1.73 m2 after 1 January 2004; individuals with exposure to tenofovir, atazanavir, atazanavir/ritonavir, lopinavir/ritonavir, other boosted protease inhibitors before baseline were excluded. CKD was defined as confirmed (>3 mo apart) eGFR In the D:A:D study, 641 individuals developed CKD during 103,185 person-years of follow-up (PYFU; incidence 6.2/1,000 PYFU, 95% CI 5.7-6.7; median follow-up 6.1 y, range 0.3-9.1 y). Older age, intravenous drug use, hepatitis C coinfection, lower baseline eGFR, female gender, lower CD4 count nadir, hypertension, diabetes, and cardiovascular disease (CVD) predicted CKD. The adjusted incidence rate ratios of these nine categorical variables were scaled and summed to create the risk score. The median risk score at baseline was -2 (interquartile range -4 to 2). There was a 1: 393 chance of developing CKD in the next 5 y in the low risk group (risk score = 5, 505 events), respectively. Number needed to harm (NNTH) at 5 y when starting unboosted atazanavir or lopinavir/ritonavir among those with a low risk score was 1,702 (95% CI 1,166-3,367); NNTH was 202 (95% CI 159-278) and 21 (95% CI 19-23), respectively, for those with a medium and high risk score. NNTH was 739 (95% CI 506-1462), 88 (95% CI 69-121), and 9 (95% CI 8-10) for those with a low, medium, and high risk score, respectively, starting tenofovir, atazanavir/ritonavir, or another boosted protease inhibitor. The Royal Free Hospital Clinic Cohort included 2,548 individuals, of whom 94 individuals developed CKD (3.7%) during 18,376 PYFU (median follow-up 7.4 y, range 0.3-12.7 y). Of 2,013 individuals included from the SMART/ESPRIT control arms, 32 individuals developed CKD (1.6%) during 8,452 PYFU (median follow-up 4.1 y, range 0.6-8.1 y). External validation showed that the risk score predicted well in these cohorts. Limitations of this study included limited data on race and no information on proteinuria. Conclusions Both traditional and HIV-related risk factors were predictive of CKD. These factors were used to develop a risk score for CKD in HIV infection, externally validated, that has direct clinical relevance for patients and clinicians to weigh the benefits of certain antiretrovirals against the risk of CKD and to identify those at greatest risk of CKD.Peer reviewe

    Sedilichnus, Oichnus, Fossichnus

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    Subsidence dynamics of the Montney Formation (Early Triassic, Western Canada Sedimentary Basin): insights for its geodynamic setting and wider implications

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    International audienceThis study presents the first published subsidence analysis during the deposition of the Montney Formation. It was deposited during the Early Triassic (ca. 252.2–245 Ma) in the Western Canadian Sedimentary Basin (WCSB) located along the western margin of the North American craton. Subsidence analyses of six representative wells and two outcrop sections along a proximal to distal transect are presented using a backstripping method integrating recent high-resolution stratigraphic correlations for the Montney Formation. The entire Paleozoic to Cenozoic sedimentary column of the WCSB was backstripped to put the deposition of the Montney Formation into a broader context and provide results regarding the type of subsidence and geodynamic setting for the Montney Formation.The spatial and temporal evolution of the subsidence during the deposition of the Montney Formation indicates that the most likely basin setting is a foreland. The tectonic subsidence during the Triassic is herein interpreted as a combination of the topographic loading of the orogenic wedge (flexure) and the sublithospheric “loading” caused by slab load-driven subsidence (dynamic subsidence). This suggests that the retro-foreland basin setting was associated with an eastward dipping subduction during the deposition of the Montney Fm.Three foreland stages are thus recorded in the whole WCSB, with evidence for: 1) a Late Permian (fore-arc) pro-foreland setting; then 2) a Triassic collisional retro-foreland basin prior to the well-known; 3) Jurassic-Cenozoic collisional retro-foreland
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