Mixed-energy shallow-marine systems with emphasis on tidal influence

This research investigates mixed-energy shallow marine depositional systems (i.e., subject to the influence of river, wave and tidal currents), with particular emphasis on the role of tidal currents in controlling the final stratigraphic product. In modern coastal areas and in the rock record, many sedimentary systems bear the signature of changing and overlapping coastal processes. Understanding the evolution of the mixed tidal systems and their stratigraphic expression is fundamental both to the science of dynamic stratigraphy and for a proper exploitation of the stored natural resources. The research was carried out using four datasets: an outcrop dataset of measured sedimentological sections from the Jurassic Lajas Formation, Argentina; a dataset of previously published literature of process variability and sedimentary structures; a dataset of numerical simulations produced with Delft3D software; and an outcrop dataset of measured sedimentological sections from the Pleistocene Siderno Strait, Italy. The data here presented highlight the great degree of process variability in the rock record, and the importance of tidal currents in controlling deltaic morphology and stratigraphic architecture. The strata of the Lajas Formation show a clear process partitioning in different reaches of the deltaic system (proximal vs. distal and regressive vs. transgressive). In particular, tidal currents strongly reworked the delta front at times, creating sand-rich and amalgamated sandbodies. This project demonstrates that disentangling the signals of river, wave and tidal currents in the stratigraphy leads to a better interpretation of ancient mixed-energy systems. The study of the literature database shows that some sedimentary structures can be considered reliable indicators of a particular process (river, waves or tides), whereas other structures cannot be tied with confidence to any particular process. A process probability value is calculated for each sedimentary structure, and thus quantifies process variability and its uncertainty. This work encourages a new, more detailed and more quantified field methodology for facies sedimentology. The numerical modeling of tide-influenced deltas using Delft3D shows how different degrees of tidal influence in river-dominated deltas affect delta morphology and stratigraphy, when tidal currents are flowing perpendicularly to the shoreline. Increasing tidal influence induces deeper and more stable distributary channels that act as efficient conduits for sediment transport basinward. The delta-front geometry is also affected by tidal current reworking, evolving into a compound clinoform geometry. The research on the Siderno Strait, in contrast, highlights tidal influence on deltaic stratigraphic evolution when tidal currents flow parallel to the coastline. River-dominated deltas entering the tide-dominated strait tend to show a deflection of the delta-front sands in a direction parallel to the dominant tidal current. The delta-front sands became reworked by tidal currents into large dune fields within the strait.Geological Science

Straits and seaways: end members within the continuousspectrum of the dynamic connection between basins

Straits and seaways are fundamental connectors of oceans, seas and more rarely lakes. They areubiquitous in the modern geography and should be common in ancient landscapes. We compare their charac-teristics to improve our understanding of these features, with the aim to define better their geological use.We review geomorphological, oceanographic, geological and depositional characteristics based on well-doc-umented modern and ancient examples, with a stronger focus on the rock record.‘Strait’and‘seaway’are differentiated by their spatial and temporal scale. This influences the type and per-sistence of oceanographic circulation and sediment distribution. Straits are individual depositional systems,with predictable bedform and facies changes along the sediment transport pathway, whereas seaways are largerand longer-lived physiographic domains, composed of numerous depositional systems. Therefore, their strati-graphic signature in the rock record should be significantly different. We conclude that straits and seaways areend members of a continuum, giving rise to the occurrence of intermediate cases with transitional characteris-tics. The distinctive geological usage of the terms‘strait’and‘seaway’, even without sharp boundaries betweenend members, may be helpful for predicting their occurrence, stratigraphy, palaeogeography, biota distributionand potential distribution of reservoirs and seals for fossil resources and CO2storage

Dissociating object familiarity from linguistic properties in mirror word reading

<p>Abstract</p> <p>Background</p> <p>It is known that the orthographic properties of linguistic stimuli are processed within the left occipitotemporal cortex at about 150–200 ms. We recorded event-related potentials (ERPs) to words in standard or mirror orientation to investigate the role of visual word form in reading. Word inversion was performed to determine whether rotated words lose their linguistic properties.</p> <p>Methods</p> <p>About 1300 Italian words and legal pseudo-words were presented to 18 right-handed Italian students engaged in a letter detection task. EEG was recorded from 128 scalp sites.</p> <p>Results</p> <p>ERPs showed an early effect of word orientation at ~150 ms, with larger N1 amplitudes to rotated than to standard words. Low-resolution brain electromagnetic tomography (LORETA) revealed an increase in N1 to rotated words primarily in the right occipital lobe (BA 18), which may indicate an effect of stimulus familiarity. N1 was greater to target than to non-target letters at left lateral occipital sites, thus reflecting the first stage of orthographic processing. LORETA revealed a strong focus of activation for this effect in the left fusiform gyrus (BA 37), which is consistent with the so-called visual word form area (VWFA). Standard words (compared to pseudowords) elicited an enhancement of left occipito/temporal negativity at about 250–350 ms, followed by a larger anterior P3, a reduced frontal N400 and a huge late positivity. Lexical effects for rotated strings were delayed by about 100 ms at occipito/temporal sites, and were totally absent at later processing stages. This suggests the presence of implicit reading processes, which were pre-attentive and of perceptual nature for mirror strings.</p> <p>Conclusion</p> <p>The contrast between inverted and standard words did not lead to the identification of a purely linguistic brain region. This finding suggests some caveats in the interpretation of the inversion effect in subtractive paradigms.</p

Linking sediment supply variations and tectonic evolution in deep time, source-to-sink systems—The Triassic Greater Barents Sea Basin

Triassic strata in the Greater Barents Sea Basin are important records of geodynamic activity in the surrounding catchments and sediment transport in the Arctic basins. This study is the first attempt to investigate the evolution of these source areas through time. Our analysis of sediment budgets from subsurface data in the Greater Barents Sea Basin and application of the BQART approach to estimate catchment properties shows that (1) during the Lower Triassic, sediment supply was at its peak in the basin and comparable to that of the biggest modern-day river systems, which are supplied by tectonically active orogens; (2) the Middle Triassic sediment load was significantly lower but still comparable to that of the top 10 largest modern rivers; (3) during the Upper Triassic, sediment load increased again in the Carnian; and (4) there is a large mismatch (70%) between the modeled and estimated sediment load of the Carnian. These results are consistent with the Triassic Greater Barents Sea Basin succession being deposited under the influence of the largest volcanic event ever at the Permian-Triassic boundary (Siberian Traps) and concurrent with the climatic changes of the Carnian Pluvial Event and the final stages of the Northern Ural orogeny. They also provide a better understanding of geodynamic impacts on sedimentary systems and improve our knowledge of continental-scale sediment transport. Finally, the study demonstrates bypass of sediment from the Ural Mountains and West Siberia into the adjacent Arctic Sverdrup, Chukotka, and Alaska Basins in Late Carnian and Late Norian time.publishedVersio

COVID-19 Severity in Multiple Sclerosis: Putting Data Into Context

Background and objectives: It is unclear how multiple sclerosis (MS) affects the severity of COVID-19. The aim of this study is to compare COVID-19-related outcomes collected in an Italian cohort of patients with MS with the outcomes expected in the age- and sex-matched Italian population. Methods: Hospitalization, intensive care unit (ICU) admission, and death after COVID-19 diagnosis of 1,362 patients with MS were compared with the age- and sex-matched Italian population in a retrospective observational case-cohort study with population-based control. The observed vs the expected events were compared in the whole MS cohort and in different subgroups (higher risk: Expanded Disability Status Scale [EDSS] score &gt; 3 or at least 1 comorbidity, lower risk: EDSS score ≤ 3 and no comorbidities) by the χ2 test, and the risk excess was quantified by risk ratios (RRs). Results: The risk of severe events was about twice the risk in the age- and sex-matched Italian population: RR = 2.12 for hospitalization (p &lt; 0.001), RR = 2.19 for ICU admission (p &lt; 0.001), and RR = 2.43 for death (p &lt; 0.001). The excess of risk was confined to the higher-risk group (n = 553). In lower-risk patients (n = 809), the rate of events was close to that of the Italian age- and sex-matched population (RR = 1.12 for hospitalization, RR = 1.52 for ICU admission, and RR = 1.19 for death). In the lower-risk group, an increased hospitalization risk was detected in patients on anti-CD20 (RR = 3.03, p = 0.005), whereas a decrease was detected in patients on interferon (0 observed vs 4 expected events, p = 0.04). Discussion: Overall, the MS cohort had a risk of severe events that is twice the risk than the age- and sex-matched Italian population. This excess of risk is mainly explained by the EDSS score and comorbidities, whereas a residual increase of hospitalization risk was observed in patients on anti-CD20 therapies and a decrease in people on interferon

Clinical Features, Cardiovascular Risk Profile, and Therapeutic Trajectories of Patients with Type 2 Diabetes Candidate for Oral Semaglutide Therapy in the Italian Specialist Care

Introduction: This study aimed to address therapeutic inertia in the management of type 2 diabetes (T2D) by investigating the potential of early treatment with oral semaglutide. Methods: A cross-sectional survey was conducted between October 2021 and April 2022 among specialists treating individuals with T2D. A scientific committee designed a data collection form covering demographics, cardiovascular risk, glucose control metrics, ongoing therapies, and physician judgments on treatment appropriateness. Participants completed anonymous patient questionnaires reflecting routine clinical encounters. The preferred therapeutic regimen for each patient was also identified. Results: The analysis was conducted on 4449 patients initiating oral semaglutide. The population had a relatively short disease duration (42%  60% of patients, and more often than sitagliptin or empagliflozin. Conclusion: The study supports the potential of early implementation of oral semaglutide as a strategy to overcome therapeutic inertia and enhance T2D management

DMTs and Covid-19 severity in MS: a pooled analysis from Italy and France

We evaluated the effect of DMTs on Covid-19 severity in patients with MS, with a pooled-analysis of two large cohorts from Italy and France. The association of baseline characteristics and DMTs with Covid-19 severity was assessed by multivariate ordinal-logistic models and pooled by a fixed-effect meta-analysis. 1066 patients with MS from Italy and 721 from France were included. In the multivariate model, anti-CD20 therapies were significantly associated (OR&nbsp;=&nbsp;2.05, 95%CI&nbsp;=&nbsp;1.39–3.02, p&nbsp;&lt;&nbsp;0.001) with Covid-19 severity, whereas interferon indicated a decreased risk (OR&nbsp;=&nbsp;0.42, 95%CI&nbsp;=&nbsp;0.18–0.99, p&nbsp;=&nbsp;0.047). This pooled-analysis confirms an increased risk of severe Covid-19 in patients on anti-CD20 therapies and supports the protective role of interferon

Colorectal Cancer Stage at Diagnosis Before vs During the COVID-19 Pandemic in Italy

IMPORTANCE Delays in screening programs and the reluctance of patients to seek medical attention because of the outbreak of SARS-CoV-2 could be associated with the risk of more advanced colorectal cancers at diagnosis. OBJECTIVE To evaluate whether the SARS-CoV-2 pandemic was associated with more advanced oncologic stage and change in clinical presentation for patients with colorectal cancer. DESIGN, SETTING, AND PARTICIPANTS This retrospective, multicenter cohort study included all 17 938 adult patients who underwent surgery for colorectal cancer from March 1, 2020, to December 31, 2021 (pandemic period), and from January 1, 2018, to February 29, 2020 (prepandemic period), in 81 participating centers in Italy, including tertiary centers and community hospitals. Follow-up was 30 days from surgery. EXPOSURES Any type of surgical procedure for colorectal cancer, including explorative surgery, palliative procedures, and atypical or segmental resections. MAIN OUTCOMES AND MEASURES The primary outcome was advanced stage of colorectal cancer at diagnosis. Secondary outcomes were distant metastasis, T4 stage, aggressive biology (defined as cancer with at least 1 of the following characteristics: signet ring cells, mucinous tumor, budding, lymphovascular invasion, perineural invasion, and lymphangitis), stenotic lesion, emergency surgery, and palliative surgery. The independent association between the pandemic period and the outcomes was assessed using multivariate random-effects logistic regression, with hospital as the cluster variable. RESULTS A total of 17 938 patients (10 007 men [55.8%]; mean [SD] age, 70.6 [12.2] years) underwent surgery for colorectal cancer: 7796 (43.5%) during the pandemic period and 10 142 (56.5%) during the prepandemic period. Logistic regression indicated that the pandemic period was significantly associated with an increased rate of advanced-stage colorectal cancer (odds ratio [OR], 1.07; 95%CI, 1.01-1.13; P = .03), aggressive biology (OR, 1.32; 95%CI, 1.15-1.53; P &lt; .001), and stenotic lesions (OR, 1.15; 95%CI, 1.01-1.31; P = .03). CONCLUSIONS AND RELEVANCE This cohort study suggests a significant association between the SARS-CoV-2 pandemic and the risk of a more advanced oncologic stage at diagnosis among patients undergoing surgery for colorectal cancer and might indicate a potential reduction of survival for these patients

Lactate Can Modulate the Antineoplastic Effects of Doxorubicin and Relieve the Drug's Oxidative Damage on Cardiomyocytes

Background: Doxorubicin (DOXO) is currently administered as the first-choice therapy for a variety of malignancies. Cancer cells exhibit enhanced glycolysis and lactate production. This metabolite affects gene expression and can play a role in chemoresistance. Aim of this study: We investigated whether the enhanced lactate levels that characterize neoplastic tissues can modify the response of cancer cells to DOXO. Methods: After exposing cancer cells to increased lactate levels, we examined whether this metabolite could interfere with the principal mechanisms responsible for the DOXO antineoplastic effect. Results: Increased lactate levels did not affect DOXO-induced topoisomerase poisoning but offered protection against the oxidative damage caused by the drug. This protection was related to changes in gene expression caused by the combined action of DOXO and lactate. Oxidative damage significantly contributed to the heavy cardiotoxicity following DOXO treatment. In cultured cardiomyocytes, we confirmed that DOXO-induced DNA damage and oxidative stress can be significantly mitigated by exposing the cells to increased lactate levels. Conclusions: In addition to contributing to elucidating the effects of the combined action of DOXO and lactate, our results suggest a possible method to reduce the heavy drug cardiotoxicity, a major side effect leading to therapy discontinuation