The role of structural inheritance in continental break-up and exhumation of Alpine Tethyan mantle (Canavese Zone, Western Alps)

The Canavese Zone (CZ) in the Western Alps represents the remnant of the distal passive margin of the Adria microplate, which was stretched and thinned during the Jurassic opening of the Alpine Tethys. Through detailed geological mapping, stratigraphic and structural analyses, we document that the continental break-up of Pangea and tectonic dismemberment of the Adria distal margin, up to mantle rocks exhumation and oceanization, did not simply result from the syn-rift Jurassic extension but was strongly favored by older structural inheritances (the Proto-Canavese Shear Zone), which controlled earlier lithospheric weakness. Our findings allowed to redefine in detail (i) the tectono-stratigraphic setting of the Variscan metamorphic basement and the Late Carboniferous to Early Cretaceous CZ succession, (ii) the role played by inherited Late Carboniferous to Early Triassic structures and (iii) the significance of the CZ in the geodynamic evolution of the Alpine Tethys. The large amount of extensional displacement and crustal thinning occurred during different pulses of Late Carboniferous–Early Triassic strike-slip tectonics is well-consistent with the role played by long-lived regional-scale wrench faults (e.g., the East-Variscan Shear Zone), suggesting a re-discussion of models of mantle exhumation driven by low-angle detachment faults as unique efficient mechanism in stretching and thinning continental crust. Keywords: Alpine Tethys, Western Alps, Jurassic ophiolite, Structural inheritance, Continental break-up, Mantle exhumatio

All-sky Medium Energy Gamma-ray Observatory: Exploring the Extreme Multimessenger Universe

The All-sky Medium Energy Gamma-ray Observatory (AMEGO) is a probe class mission concept that will provide essential contributions to multimessenger astrophysics in the late 2020s and beyond. AMEGO combines high sensitivity in the 200 keV to 10 GeV energy range with a wide field of view, good spectral resolution, and polarization sensitivity. Therefore, AMEGO is key in the study of multimessenger astrophysical objects that have unique signatures in the gamma-ray regime, such as neutron star mergers, supernovae, and flaring active galactic nuclei. The order-of-magnitude improvement compared to previous MeV missions also enables discoveries of a wide range of phenomena whose energy output peaks in the relatively unexplored medium-energy gamma-ray band

How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons

COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p < 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p < 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p < 0.0001) or urgent (20.4% vs. 38.5%; p < 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p < 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice

Association of kidney disease measures with risk of renal function worsening in patients with type 1 diabetes

Background: Albuminuria has been classically considered a marker of kidney damage progression in diabetic patients and it is routinely assessed to monitor kidney function. However, the role of a mild GFR reduction on the development of stage 653 CKD has been less explored in type 1 diabetes mellitus (T1DM) patients. Aim of the present study was to evaluate the prognostic role of kidney disease measures, namely albuminuria and reduced GFR, on the development of stage 653 CKD in a large cohort of patients affected by T1DM. Methods: A total of 4284 patients affected by T1DM followed-up at 76 diabetes centers participating to the Italian Association of Clinical Diabetologists (Associazione Medici Diabetologi, AMD) initiative constitutes the study population. Urinary albumin excretion (ACR) and estimated GFR (eGFR) were retrieved and analyzed. The incidence of stage 653 CKD (eGFR < 60 mL/min/1.73 m2) or eGFR reduction > 30% from baseline was evaluated. Results: The mean estimated GFR was 98 \ub1 17 mL/min/1.73m2 and the proportion of patients with albuminuria was 15.3% (n = 654) at baseline. About 8% (n = 337) of patients developed one of the two renal endpoints during the 4-year follow-up period. Age, albuminuria (micro or macro) and baseline eGFR < 90 ml/min/m2 were independent risk factors for stage 653 CKD and renal function worsening. When compared to patients with eGFR > 90 ml/min/1.73m2 and normoalbuminuria, those with albuminuria at baseline had a 1.69 greater risk of reaching stage 3 CKD, while patients with mild eGFR reduction (i.e. eGFR between 90 and 60 mL/min/1.73 m2) show a 3.81 greater risk that rose to 8.24 for those patients with albuminuria and mild eGFR reduction at baseline. Conclusions: Albuminuria and eGFR reduction represent independent risk factors for incident stage 653 CKD in T1DM patients. The simultaneous occurrence of reduced eGFR and albuminuria have a synergistic effect on renal function worsening

Deformation microstructures of low- and high-strain epidote-blueschist (Ryukyu arc, Japan): Implications for subduction interface rheology

We present field and microstructural data from an exhumed subduction complex in the Ryukyu arc, Japan, where epidote-blueschist, Triassic, Tomuru metamorphic rocks with block-in-matrix structure crop out. With the aim to constrain epidote-blueschist rheology, we investigate fabric development and infer deformation mechanisms of blocks and matrix through microstructural analyses on the main fabric-forming minerals: glaucophane, epidote and albite. The blocks have a poorly developed, discontinuous foliation. In contrast, the matrix has a well-developed, continuous foliation. Glaucophane is the principal foliation-forming phase, arranged in interconnected layers that surround epidote and albite, which suggests that glaucophane controls epidote-blueschist rheology. Deformation mechanisms inferred from petrographic and electron backscatter diffraction (EBSD) analysis are similar in blocks and matrix, with glaucophane deformed by diffusion creep accompanied by reaction-driven creep, albite by diffusion creep, and epidote by brittle fracture and incipient dislocation creep, based on degrees of internal misorientations, lattice preferred orientation (LPO) development and grain size. During deformation, shear stress must have been relatively low, which is implied by the predominance of diffusion and reaction creep as the dominant deformation mechanisms, and by the small viscosity contrast between blocks and matrix, reflected by their similarity in dominant deformation mechanism