Base of the Toarcian Stage of the Lower Jurassic defined by the Global Boundary Stratotype Section and Point (GSSP) at the Peniche section (Portugal)

This is the final version of the article. Available from the publisher via the DOI in this record.The Global Stratotype Section and Point (GSSP) for the base of Toarcian Stage, Lower Jurassic, is placed at the base of micritic limestone bed 15e at Ponta do Trovão (Peniche, Lusitanian Basin, Portugal; coordinates: 39°22'15''N, 9°23'07''W), 80km north of Lisbon, and coincides with the mass occurrence of the ammonite Dactylioceras (Eodactylites). The Pliensbachian/ Toarcian boundary (PLB/TOA) is contained in a continuous section forming over 450m of carbonate-rich sediments. Tectonics, syn-sedimentary disturbance, metamorphism or significant diagenesis do not significantly affect this area. At the PLB/TOA, no vertical facies changes, stratigraphical gaps or hiatuses have been recorded. The base of the Toarcian Stage is marked in the bed 15e by the first occurrence of D. (E.) simplex, co-occurring with D. (E.) pseudocommune and D. (E.) polymorphum. The ammonite association of D. (Eodactylites) ssp. and other species e.g. Protogrammoceras (Paltarpites) cf. paltum, Lioceratoides aff. ballinense and Tiltoniceras aff. capillatum is particularly significant for the boundary definition and correlation with sections in different basins. Ammonites of the PLB/ TOA are taxa characteristic of both the Mediterranean and Northwest European provinces that allow reliable, global correlations. The PLB/TOA is also characterized by other biostratigraphical markers (brachiopods, calcareous nannofossils, ostracods and benthic foraminifers) and by high-resolution stable carbon and oxygen isotopes, and 87Sr/86Sr ratios that show distinctive changes just above the PLB/TOA, thus providing additional, powerful tools for global correlations. The PBL-TOA lies at the end of a second (and third) order cycle of sea-level change, and the top of bed 15e is interpreted as a sequence boundary. Cyclostratigraphy analysis is available for the Lower Toarcian of Ponta do Trovão. Detailed correlations with the Almonacid de la Cuba section (Iberian Range, Spain) provide complementary data of the ammonite succession in the Northwest European Hawskerense and Paltum Subzones, and magnetostratigraphical data that allow supraregional correlations. The proposal was voted on by the Toarcian Working Group in June, 2012, and by the International Subcommission on Jurassic Stratigraphy in September, 2012, approved by the ICS in November, 2014, and ratified by the IUGS in December, 2014. With this Toarcian GSSP, all international stages of the Lower Jurassic have been officially defined.Several scientists have been members of the Toarcian Working Group. We would like to acknowledge all of them. We are also grateful to the ISJS and ICS members who have made valuable comments on a previous version of this manuscript. We warmly thank Marc Philippe for his help with the literature on Pliensbachian/Toarcian continental successions. We warmly thank Christian Meister and Jim Ogg for their helpful review. Constructive remarks by Jim Ogg on an early version of the paper were greatly appreciated. We also acknowledge the precious help of David Besson for providing the ammonite specimens from the Mouterde collection (Musée des Confluences, Lyon). Ammonite photographs were taken by Emmanuel Robert (Collections de Géologie de Lyon). This paper is dedicated to the memory of Abbé René Mouterde and Serge Elmi, who died in 2007 after having been for years the main supporters of the Peniche section as GSSP of Toarcian Stage. Calcareous nannofossil slides are curated at the Collections de Géologie de Lyon (No. FSL 766535-766617). This work has been supported by the BIOSCALES Project (POCTI/ 36438/PAL/2000), coordinated by the Universidade NOVA de Lisboa; R. B. Rocha thanks the support of A. F. Soares, J. C. Kullberg, P. S. Caetano and P. H. Verdial. Financial support was provided to L. V. Duarte, S. Pinto and M. C. Cabral by Projects PDCTE/CTA/44907/2002 and PTDC/CTE-GIX/098968/2008

The association between Zika virus infection and microcephaly in Brazil 2015–2017: An observational analysis of over 4 million births

BACKGROUND: In 2015, high rates of microcephaly were reported in Northeast Brazil following the first South American Zika virus (ZIKV) outbreak. Reported microcephaly rates in other Zika-affected areas were significantly lower, suggesting alternate causes or the involvement of arboviral cofactors in exacerbating microcephaly rates. METHODS AND FINDINGS: We merged data from multiple national reporting databases in Brazil to estimate exposure to 9 known or hypothesized causes of microcephaly for every pregnancy nationwide since the beginning of the ZIKV outbreak; this generated between 3.6 and 5.4 million cases (depending on analysis) over the time period 1 January 2015-23 May 2017. The association between ZIKV and microcephaly was statistically tested against models with alternative causes or with effect modifiers. We found no evidence for alternative non-ZIKV causes of the 2015-2017 microcephaly outbreak, nor that concurrent exposure to arbovirus infection or vaccination modified risk. We estimate an absolute risk of microcephaly of 40.8 (95% CI 34.2-49.3) per 10,000 births and a relative risk of 16.8 (95% CI 3.2-369.1) given ZIKV infection in the first or second trimester of pregnancy; however, because ZIKV infection rates were highly variable, most pregnant women in Brazil during the ZIKV outbreak will have been subject to lower risk levels. Statistically significant associations of ZIKV with other birth defects were also detected, but at lower relative risks than that of microcephaly (relative risk &lt; 1.5). Our analysis was limited by missing data prior to the establishment of nationwide ZIKV surveillance, and its findings may be affected by unmeasured confounding causes of microcephaly not available in routinely collected surveillance data. CONCLUSIONS: This study strengthens the evidence that congenital ZIKV infection, particularly in the first 2 trimesters of pregnancy, is associated with microcephaly and less frequently with other birth defects. The finding of no alternative causes for geographic differences in microcephaly rate leads us to hypothesize that the Northeast region was disproportionately affected by this Zika outbreak, with 94% of an estimated 8.5 million total cases occurring in this region, suggesting a need for seroprevalence surveys to determine the underlying reason.</p

The association between Zika virus infection and microcephaly in Brazil 2015–2017: An observational analysis of over 4 million births

BACKGROUND: In 2015, high rates of microcephaly were reported in Northeast Brazil following the first South American Zika virus (ZIKV) outbreak. Reported microcephaly rates in other Zika-affected areas were significantly lower, suggesting alternate causes or the involvement of arboviral cofactors in exacerbating microcephaly rates. METHODS AND FINDINGS: We merged data from multiple national reporting databases in Brazil to estimate exposure to 9 known or hypothesized causes of microcephaly for every pregnancy nationwide since the beginning of the ZIKV outbreak; this generated between 3.6 and 5.4 million cases (depending on analysis) over the time period 1 January 2015-23 May 2017. The association between ZIKV and microcephaly was statistically tested against models with alternative causes or with effect modifiers. We found no evidence for alternative non-ZIKV causes of the 2015-2017 microcephaly outbreak, nor that concurrent exposure to arbovirus infection or vaccination modified risk. We estimate an absolute risk of microcephaly of 40.8 (95% CI 34.2-49.3) per 10,000 births and a relative risk of 16.8 (95% CI 3.2-369.1) given ZIKV infection in the first or second trimester of pregnancy; however, because ZIKV infection rates were highly variable, most pregnant women in Brazil during the ZIKV outbreak will have been subject to lower risk levels. Statistically significant associations of ZIKV with other birth defects were also detected, but at lower relative risks than that of microcephaly (relative risk andlt; 1.5). Our analysis was limited by missing data prior to the establishment of nationwide ZIKV surveillance, and its findings may be affected by unmeasured confounding causes of microcephaly not available in routinely collected surveillance data. CONCLUSIONS: This study strengthens the evidence that congenital ZIKV infection, particularly in the first 2 trimesters of pregnancy, is associated with microcephaly and less frequently with other birth defects. The finding of no alternative causes for geographic differences in microcephaly rate leads us to hypothesize that the Northeast region was disproportionately affected by this Zika outbreak, with 94% of an estimated 8.5 million total cases occurring in this region, suggesting a need for seroprevalence surveys to determine the underlying reason.</p

Nursing consultation protocol for patients after myocardial revascularization: influence on anxiety and depression Protocolo de consultas de enfermería al paciente después de la revascularización del miocardio: influencia en la ansiedad y depresión Protocolo de consultas de enfermagem ao paciente após a revascularização do miocárdio: influência na ansiedade e depressão

The objective was to evaluate the influence of the Nursing Consultation Protocol in aspects of anxiety and depression in patients after myocardial revascularization using the Hospital Anxiety and Depression scale (HAD). A randomized clinical trial developed in the outpatient clinic of a public hospital in Fortaleza-Ceará. One hundred and forty six patients, who underwent myocardial revascularization, composed the population, providing the sample of 39 patients in the control group (CG) and 39 in the intervention group (IG). The results were presented in tables. Anxiety had a mean of 5.41 in the CG and a median of 5 and a mean in the IG of 5.21 and a median of 4. Depression predominated in the CG, with a mean 4.82 and a median of 4, while the IG had a mean of 3.79 and a median of 3. It was found that people monitored in accordance with the Nursing Consultation Protocol had a lower percentage of anxiety and depression after six months.<br>El objetivo fue verificar la influencia del protocolo de consultas de enfermería sobre aspectos relacionados a ansiedad y depresión en pacientes después de la revascularización del miocardio, utilizando la escala de HAD (Hospital Ansiety and Depresion). Se trata de un ensayo clínico, aleatorio, desarrollado en el ambulatorio de un hospital público en Fortaleza, estado de Ceará. La población fue compuesta 146 pacientes en los cuales fue realizada la revascularización del miocardio, constituyendo la muestra 39 pacientes del grupo de control (GC) y 39 del grupo de intervención (GI). Los resultados fueron presentados en tablas. La ansiedad tuvo promedio en el GC de 5,41 y mediana de 5 y, en el GI, tuvo promedio de 5,21 y mediana de 4. La depresión predominó en el GC, con promedio 4,82 y mediana de 4; en cuanto el GI tuvo promedio de 3,79 y mediana de 3. Se constató que las personas acompañadas de acuerdo con el protocolo de consultas de enfermería tuvieron un porcentaje menor de ansiedad y depresión, después de seis meses de acompañamiento.<br>O objetivo foi verificar a influência do protocolo de consultas de enfermagem nos aspectos relacionados à ansiedade e à depressão em pacientes após revascularização miocárdica, utilizando a escala de HAD (Hospital Ansiety and Depression). Ensaio clínico, randomizado, desenvolvido no ambulatório de um hospital público, Fortaleza, CE. Compôs a população 146 pacientes nos quais foi realizada revascularização miocárdica, constituindo a amostra 39 pacientes do grupo controle (GC) e 39 do grupo de intervenção (GI). Os resultados foram apresentados em tabelas. A ansiedade teve média no GC de 5,41 e mediana de 5 e, no GI, teve média de 5,21 e mediana de 4. A depressão predominou no GC, com média 4,82 e mediana de 4, enquanto o GI teve média de 3,79 e mediana de 3. Constatou-se que as pessoas acompanhadas de acordo com o protocolo de consultas de enfermagem tiveram menor percentual de ansiedade e depressão, após seis meses de acompanhamento

Base of the Toarcian Stage of the Lower Jurassic defined by the Global Boundary Stratotype Section and Point (GSSP) at the Peniche section (Portugal)

The Global Stratotype Section and Point (GSSP) for the base of Toarcian Stage, Lower Jurassic, is placed at the base of micritic limestone bed 15e at Ponta do Trovão (Peniche, Lusitanian Basin, Portugal; coordinates: 39º22’15’’N, 9º23’07’’W), 80km north of Lisbon, and coincides with the mass occurrence of the ammonite Dactylioceras (Eodactylites). The Pliensbachian/ Toarcian boundary (PLB/TOA) is contained in a continuous section forming over 450m of carbonate-rich sediments. Tectonics, syn-sedimentary disturbance, metamorphism or significant diagenesis do not significantly affect this area. At the PLB/TOA, no vertical facies changes, stratigraphical gaps or hiatuses have been recorded. The base of the Toarcian Stage is marked in the bed 15e by the first occurrence of D. (E.) simplex, co-occurring with D. (E.) pseudocommune and D. (E.) polymorphum. The ammonite association of D. (Eodactylites) ssp. and other species e.g. Protogrammoceras (Paltarpites) cf. paltum, Lioceratoides aff. ballinense and Tiltoniceras aff. capillatum is particularly significant for the boundary definition and correlation with sections in different basins. Ammonites of the PLB/ TOA are taxa characteristic of both the Mediterranean and Northwest European provinces that allow reliable, global correlations. The PLB/TOA is also characterized by other biostratigraphical markers (brachiopods, calcareous nannofossils, ostracods and benthic foraminifers) and by high-resolution stable carbon and oxygen isotopes, and 87Sr/86Sr ratios that show distinctive changes just above the PLB/TOA, thus providing additional, powerful tools for global correlations. The PBL-TOA lies at the end of a second (and third) order cycle of sea-level change, and the top of bed 15e is interpreted as a sequence boundary. Cyclostratigraphy analysis is available for the Lower Toarcian of Ponta do Trovão. Detailed correlations with the Almonacid de la Cuba section (Iberian Range, Spain) provide complementary data of the ammonite succession in the Northwest European Hawskerense and Paltum Subzones, and magnetostratigraphical data that allow supraregional correlations. The proposal was voted on by the Toarcian Working Group in June, 2012, and by the International Subcommission on Jurassic Stratigraphy in September, 2012, approved by the ICS in November, 2014, and ratified by the IUGS in December, 2014. With this Toarcian GSSP, all international stages of the Lower Jurassic have been officially defined

Field and classroom initiatives for portable sequence-based monitoring of dengue virus in Brazil.

Brazil experienced a large dengue virus (DENV) epidemic in 2019, highlighting a continuous struggle with effective control and public health preparedness. Using Oxford Nanopore sequencing, we led field and classroom initiatives for the monitoring of DENV in Brazil, generating 227 novel genome sequences of DENV1-2 from 85 municipalities (2015-2019). This equated to an over 50% increase in the number of DENV genomes from Brazil available in public databases. Using both phylogenetic and epidemiological models we retrospectively reconstructed the recent transmission history of DENV1-2. Phylogenetic analysis revealed complex patterns of transmission, with both lineage co-circulation and replacement. We identified two lineages within the DENV2 BR-4 clade, for which we estimated the effective reproduction number and pattern of seasonality. Overall, the surveillance outputs and training initiative described here serve as a proof-of-concept for the utility of real-time portable sequencing for research and local capacity building in the genomic surveillance of emerging viruses