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Many people who are rescued alive from rubble after earthquakes suffer from crush injuries and associated acute kidney injury (AKI). McMahon score is used to determine the risk of AKI and mortality due to rhabdomyolysis in hospitalized patients. In this study, we aimed to evaluate the clinical findings, biochemical characteristics, and outcomes of crush injury patients admitted to our tertiary hospital and the use of the McMahon score in determining the need for renal replacement therapy (RRT) in this patient group.
Methods
Sociodemographic, clinical, and biochemical parameters of 28 patients who had creatine kinase levels of 1000 U/L and above were recorded. Patients with crush injuries requiring and not requiring RRT were compared according to the McMahon Score.
Results
A total of 42% of patients developed AKI and 67% of them required renal replacement therapy. In crush injury patients requiring RRT, serum urea, creatinine, LDH, aspartate aminotransferase, alanine transaminase, phosphorus, and procalcitonin levels were significantly higher and albumin levels were significantly lower at admission compared to patients not requiring RRT. All patients who required RRT had a McMahon Score ≥6.
Conclusions
A high McMahon score at hospital admission is associated with an increased need for RRT.
Healthcare workers’ (HCWs) safety and availability to care for patients are critical during a pandemic such as the one caused by severe acute respiratory syndrome coronavirus 2. Among providers of different specialities, it is critical to protect those working in hospital settings with a high risk of infection. Using an agent-based simulation model, various staffing policies were developed and simulated for 90 days using data from the largest health systems in South Carolina. The model considers staffing policies that include geographic segregation, interpersonal contact limits, and a combination of factors, including the patient census, transmission rates, vaccination status of providers, hospital capacity, incubation time, quarantine period, and interactions between patients and providers. Comparing the existing practices to various risk-adjusted staffing policies, model predictions show that restricted teaming and rotating schedules significantly (p-value <0.01) reduced weekly HCW unavailability and the number of infected HCWs by 22% and 38%, respectively, when the vaccination rates among HCWs were lower (<75%). However, as the vaccination rate increases, the benefits of risk-adjusted policies diminish; and when 90% of HCWs were vaccinated, there were no significant (p-value = 0.09) benefits. Although these simulated outcomes are specific to one health system, our findings can be generalised to other health systems with multiple locations.
The tolerance of cereal rye to eight herbicides registered for use in wheat, at two rates, was evaluated for potential labeling in cereal rye to expand limited chemical weed control options. Across five site-years, halauxifen-methyl + florasulam, pyroxsulam, and thifensulfuron-methyl + tribenuron-methyl applied at a 2X rate to cereal rye at Zadoks (Z) 13 caused less than 15% injury and had no impact on cereal rye density. These herbicides at the 2X rate reduced cereal rye heights 11% at 10 days after treatment (DAT), with rye recovering by 31 DAT; cereal rye heights were not reduced with these herbicides at their 1X rate. In contrast, significant injury was observed with the 1X rate of mesosulfuron-methyl (45%), pinoxaden (27%), and pinoxaden + fenoxaprop-P-ethyl (30%) applied postemergence; early-season height was reduced 19% to 26%. Residual herbicide pyroxasulfone applied as a delayed preemergence at Z 10 and flumioxazin + pyroxasulfone applied at Z 11 caused 27% to 28% and 16% to 47% injury, respectively, when the 1X rate was activated by rainfall within 2 d of application. These residual herbicides reduced cereal rye height and density up to 35% and 40%, respectively. Cereal rye grain yield was not influenced by herbicide or rate applied.
Georgia vegetable growers produce more than 27% of the nation’s fresh-market cucumbers. To maximize yields and profit, fields must be weed-free when planting. Limitations with current burndown herbicide options motivated academic, industry, and U.S. Department of Agriculture partners to search for new tools to assist growers. One possibility, glufosinate, controls many common and troublesome weeds, but its influence on cucumber development through residual activity when applied before or at planting is not understood. Thus, four different studies were each conducted two to four times from 2017 to 2020 to determine 1) transplant cucumber response to preplant glufosinate applications as influenced by rate, overhead irrigation, and interval between application and planting; and 2) seeded cucumber response to preemergence (PRE) glufosinate applications as influenced by rate, overhead irrigation, and planting depth. Glufosinate applied at 330, 660, 980, and 1,640 g ai ha−1 the day before transplanting caused 11% to 53% injury on sandy, low organic matter soils. Cucumber vine lengths and plant biomass were reduced up to 28% and 46%, respectively, with the three highest rates. Early-season yield (harvests 1 to 4) noted a 31% to 60% yield loss with glufosinate at 660 to 1,640 g ha−1 with similar trends observed with total yield (11 to 13 harvests). Irrigation (0.75 cm) after application and before transplanting reduced injury to less than 21%, eliminated vine length and biomass suppression except at the highest rate, and eliminated yield loss. Extending the interval between glufosinate application and transplanting from 1 to 4 d was not beneficial, and further extending the interval to 7 d significantly reduced injury half the time. When applied PRE to seeded cucumber and combining the data across locations, glufosinate caused less than 7% injury even at 1,640 g ha−1. Seeded plant vine lengths, biomass, and marketable yield were not influenced by the PRE application, and neither irrigation nor planting depth influenced seeded crop response to glufosinate.
Glyphosate and paraquat are effective preplant burndown herbicide options for multicrop vegetable production that uses plastic mulch, but problematic weeds such as wild radish, cutleaf evening primrose, annual morningglory, or horseweed may not be adequately controlled with these herbicides alone. The herbicides 2,4-D and dicamba could help control these troublesome weeds prior to planting if they can be removed from plastic mulch and thus avoid crop damage. Treatments included 2,4-D (1,065 and 2,130 g ae ha−1) and dicamba (560 and 1,120 g ae ha−1) applied broadcast over plastic mulch a day before transplanting. Just before transplanting, treatments received either 0.76 cm of water via overhead irrigation or no irrigation. Plastic mulch samples were collected at application and planting to determine herbicide presence using analytical techniques, and cantaloupe and zucchini squash were subsequently transplanted on the plastic beds. Analytical ultra-high performance liquid chromatography revealed that 88% to 99% of the initial herbicide concentration was present at crop planting when irrigation was not implemented. At most, a 1/50 rate of dicamba and a 1/500 rate of 2,4-D was present at planting when overhead irrigation was applied prior to transplanting. Maximum cantaloupe and squash injury from 2,4-D with irrigation was 10% and did not influence plant growth, biomass, or yield. For dicamba with overhead irrigation, cantaloupe injury was 35%, vine lengths were reduced by 24%, and maturity was delayed, whereas squash injury ranged from 9% to 12%, with no influence on growth or yield. Without irrigation to wash herbicides from the mulch prior to planting, 60% to 100% injury of both crops occurred with both herbicides. Zucchini squash was more tolerant to dicamba than cantaloupe. Results demonstrated that 2,4-D can be adequately removed from the surface of plastic mulch with irrigation, whereas a single irrigation event was not sufficient to remove dicamba.
The loss of methyl bromide led vegetable growers to rely more heavily on herbicides to control weeds. Although herbicides can be effective, limited options in vegetable production challenge growers. Identifying new, effective tools to be applied over plastic mulch before planting, for improved weed control with minimal crop injury, would be beneficial. The objective of these experiments was to evaluate the persistence of preplant applications of glyphosate (1,125 or 2,250 g ae ha−1) plus 2,4-D (1,065 or 2,130 g ae ha−1) or dicamba (560 g ae ha−1) over plastic mulch, using analytical techniques and subsequent yellow squash and watermelon response. Glyphosate and 2,4-D were not analytically detected at damaging concentrations on plastic mulch when at least 3.5 cm of rainfall was received after application and before planting. In addition, bioassay results showing less than 10% visual injury for either squash and watermelon, with no growth or yield suppression observed, supported analytical results. In contrast, dicamba concentrations on plastic mulch, regardless of rainfall amount or time between application and planting, remained at damaging levels. Squash yields were reduced by dicamba applied 1 to 30 d before planting, whereas watermelon was more resilient. 2,4-D plus glyphosate applied preplant over plastic mulch can provide an additional herbicide option for vegetable growers. More research is needed to understand the impact of residual activity of 2,4-D when transplants land directly in holes in plastic mulch at the time of application. The relationship of dicamba with plastic mulch is complex, because the herbicide cannot be easily removed by rainfall. Thus, dicamba should not be included in a weed management system in plasticulture vegetable production.
Agronomic crops engineered with resistance to 2,4-D or dicamba have been commercialized and widely adopted throughout the United States. Because of this, increased use of these herbicides in time and space has increased damage to sensitive crops. From 2014 to 2016, cucumber and cantaloupe studies were conducted in Tifton, GA, to demonstrate how auxinic herbicides (namely, 2,4-D or dicamba), herbicide rate (1/75 or 1/250 field use), and application timing (26, 16, and 7 d before harvest [DBH] of cucumber; 54, 31, and 18 DBH of cantaloupe) influenced crop injury, growth, yield, and herbicide residue accumulation in marketable fruit. Greater visual injury, reductions in vine growth, and yield loss were observed at higher rates when herbicides were applied during early-season vegetative growth compared with late-season with fruit development. Dicamba was more injurious in cucumber, whereas cantaloupe responded similarly to both herbicides. For cucumber, total fruit number and relative weights were reduced (16% to 19%) when either herbicide was applied at the 1/75 rate 26 DBH. Cantaloupe fruit weight was also reduced 21% and 10% when either herbicide was applied at the 1/75 rate 54 or 31 DBH, respectively. Residue analysis noted applications made closer to harvest were more likely to be detectable in fruit than earlier applications. In cucumber, dicamba was detected at both rates when applied 7 DBH, whereas in cantaloupe, it was detected at both rates when applied 18 or 31 DBH in 2016 and at the 1/75 rate applied 18 or 31 DBH in 2014. Detectable amounts of 2,4-D were not observed in cucumber but were detected in cantaloupe when applied at either rate 18 or 31 DBH. Although early-season injury will more likely reduce cucumber or cantaloupe yields, the quantity of herbicide residue detected will be most influenced by the time interval between the off-target incident and sampling.
Some studies have shown that alexithymic patients respond poorly to pharmacotherapy and that alexithymia may have a negative impact on the naturalistic course of psychiatric illnesses. The view that alexithymic patients are also less responsive to psychotherapy is often described in the literature, but few empirical studies have examined this issue, with inconsistent results.
Methods:
We conducted two prospective studies (pre/post/follow-up) with patients with panic disorder and obsessive-compulsive disorder, to evaluate alexithymia as a potential predictor of the outcome of cognitive-behavioral therapy (CBT) including exposure response management. A further aim was to examine the absolute and relative stability of alexithymia.
Results:
Regression analyses revealed that alexithymia, as measured with the 20-item Toronto Alexithymia Scale, was related neither to the post-treatment nor to the follow-up outcome. The repeated measures ANOVA showed a significant decrease of alexithymia over time, even after controlling for depression. The high test-retest correlations of alexithymia total and factor scores indicated relative stability of this construct, suggesting that it is a stable personality trait rather than a state-dependent phenomenon in these patients.
Conclusions:
The results are encouraging for cognitive-behavior therapists working with alexithymic patients with panic disorder and obsessive-compulsive disorder, since the CBT outcome of these patients does not appear to be negatively affected by alexithymia. Furthermore, some alexithymic characteristics may decrease during CBT, even when the therapy program is not specifically directed to alexithymia. Future controlled studies should examine whether these improvements of alexithymia are due to psychotherapeutic interventions, in particular exposure therapy.
Data about quality of life (QoL) are important to estimate the impact of diseases on functioning and well-being. The present study was designed to assess the association of different aspects of panic disorder (PD) with QoL and to examine the relationship between QoL and symptomatic outcome following brief cognitive-behavioral group therapy (CBGT).
Methods
The sample consisted of 55 consecutively recruited outpatients suffering from PD who underwent CBGT. QoL was assessed by the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) at baseline, post-treatment and six months follow-up. SF-36 baseline scores were compared with normative data obtained from a large German population sample.
Results
Agoraphobia, disability, and worries about health were significantly associated with decreased QoL, whereas frequency, severity and duration of panic attacks were not. Treatment responders showed significantly better QoL than non-responders. PD symptom reduction following CBGT was associated with considerable improvement in emotional and physical aspects of QoL. However, the vitality subscale of the SF-36 remained largely unchanged over time.
Conclusions
Our results are encouraging for cognitive-behavior therapists who treat patients suffering from PD in groups, since decrease of PD symptoms appears to be associated with considerable improvements in QoL. Nevertheless, additional interventions designed to target specific aspects of QoL, in particular vitality, may be useful to enhance patients’ well-being.
Correlation of Rodinian and Gondwanan crustal domains relies on a thorough knowledge of those vestiges preserved today. The Bunger Hills hold a critical place in East Antarctica, recording the Mesoproterozoic assembly of Australo-Antarctica in Rodinia and the Neoproterozoic–Cambrian amalgamation of Indo- and Australo-Antarctica in Gondwana. It is situated in a region of disputed overlap between the different components of Rodinia and Gondwana, where there is little consensus on the location of sutures in this region and thus often speculative geological interpretations. The Bunger Hills therefore provide an opportunity to better understand the tectonic setting and palaeogeography during the assembly of these supercontinents. Recent work has confirmed that the Bunger Hills are one of few rare outcrops in Wilkes Land, East Antarctica that can be directly correlated with the broader Musgrave–Albany–Fraser–Wilkes Orogen (MAFWO). Whilst other constituent terranes of the MAFWO have been intensely studied, our geological knowledge of the Bunger Hills was comparatively limited until recently. In light of recent geological and geophysical developments, this contribution serves as an updated and concise standalone reference for the present state of knowledge of the Neoarchean–Cambrian evolution of the Bunger Hills region.
Dicamba and 2,4-D systems control many problematic weeds; however, drift to susceptible crops can be a concern in diverse production areas. Glufosinate-based systems are an alternative, but current recommended rates of glufosinate can result in variable control. Research was conducted in 2017 and 2018 to investigate the optimum time interval between sequential glufosinate applications and determine if the addition of glyphosate with glufosinate is beneficial for controlling Palmer amaranth and annual grasses in cotton. The interval between sequential applications (1, 3, 5, 7, 10, or 14 d or no second spray) was the whole plot and herbicide option (glufosinate or glufosinate plus glyphosate) was the subplot. Combined over herbicides, Palmer amaranth 15- to 20-cm tall (at four locations) was controlled 98% to 99% with sequential intervals of 1 to 7 d compared with 70% to 88% with intervals of 10 or 14 d. Lowest biomass weight and population densities were noted with 1- to 7-d intervals. Large crabgrass 15- to 20-cm tall (at five locations) was controlled 93% to 98% with glufosinate applications 3- to 7-d apart as compared with 76% to 81% with applications 10- to 14-d apart. Lowest biomass weights were observed with 1- to 7-d intervals. When glufosinate controlled grass less than 93%, adding glyphosate was beneficial. Neither interval between sequential applications nor herbicide option influenced cotton yield. Shorter time intervals between sequential application and including glyphosate can improve the effectiveness of a glufosinate-based system in managing Palmer amaranth and large crabgrass.
Six on-farm studies determined the effects of a rolled rye cover crop, herbicide program, and planting technique on cotton stand, weed control, and cotton yield in Georgia. Treatments included: (1) rye drilled broadcast with 19-cm row spacing and a broadcast-herbicide program (2) rye drilled with a 25-cm rye-free zone in the cotton row and a broadcast-herbicide program (3) rye drilled with a 25-cm rye-free zone in the cotton row with PPI and PRE herbicides banded in the cotton planting row, and (4) no cover crop (i.e., weedy cover) with broadcast herbicides. At two locations, cotton stand was lowest with rye drilled broadcast; at these sites the rye-free zone maximized stand equal to the no-cover system. At a third location, cover crop systems resulted in greater stand, due to enhanced soil moisture preservation compared with the no-cover system. Treatments did not influence cotton stand at the other three locations and did not differ in the control of weeds other than Palmer amaranth at any location. Treatments controlled Palmer amaranth equally at three locations; however, differences were observed at the three locations having the greatest glyphosate-resistant plant densities. For these locations, when broadcasting herbicides, Palmer amaranth populations were reduced 82% to 86% in the broadcast rye and rye-free zone systems compared with the no-cover system at harvest. The system with banded herbicides was nearly 21 times less effective than the similar system broadcasting herbicides. At these locations, yields in the rye broadcast and rye-free zone systems with broadcast herbicides were increased 9% to 16% compared with systems with no cover or a rye-free zone with PPI and PRE herbicides banded. A rolled rye cover crop can lessen weed emergence and selection pressure while improving weed control and cotton yield, but herbicides should be broadcast in fields heavily infested with glyphosate-resistant Palmer amaranth.
Petrological and mineral chemical data are presented for two new occurrences of co-existing borosilicate minerals in the Larsemann Hills, East Antarctica. The assemblages contain kornerupine and the rare borosilicate, grandidierite (Mg,Fe)A13BSiO9. Two distinct associations occur: (1) At McCarthy Point, 1–10 mm thick tourmaline-kornerupine-grandidierite layers are hosted within quartzofeldspathic gneiss; and (2) Seal Cove, where coexisting kornerupine and grandidierite occur within coarse-grained, metamorphic segregations with Mg-rich cores of cordierite-garnet-spinel-biotite-ilmenite and variably developed plagioclase halos. The segregations are hosted within biotite-bearing, plagio-feldspathic gneiss. Textural relationships from these localities indicate the stability of co-existing kornerupine and grandidierite.
The grandidierite- and kornerupine-bearing segregations from Seal Cove largely postdate structures developed during a crustal thickening event (D2) which was coeval with peak metamorphism. At McCarthy Point, grandidierite, kornerupine and late-tourmaline growth predates, or is synchronous, with F3 fold structures developed during a extensive granulite grade, normal shearing event (D3) which occurred prior to, and synchronous with, near-isothermal decompression. Average pressure calculations on assemblages that coexist with the borosilicates at Seal Cove, indicate the prevailing conditions were 5.2–5.5 kbar at ∼ 750°C for formation of the grandidierite-kornerupine assemblage.
We revise the data fitting in our original paper [The dissolution rates of simulated UK Magnox - ThORP blend nuclear waste glass as a function of pH, temperature and waste loading, Miner. Mag.79 (2015) 1529–1542]. The intrinsic rate constant data were calculated incorrectly, the corrected data are presented herein. To support the corrected analysis we have also taken the opportunity to report some additional 90°C data. The conclusions of the original paper remain sound.
In this study, in situ and erratic samples from George V Coast (East Antarctica) and southern Eyre Peninsula (Australia) have been used to characterize the microstructural, pressure–temperature and geochronological record of upper amphibolite and granulite facies polymetamorphism in the Mawson Continent to provide insight into the spatial distribution of reworking and the subice geology of the Mawson Continent. Monazite U-Pb data shows that in situ samples from the George V Coast record exclusively 2450–2400 Ma ages, whereas most erratic samples from glacial moraines at Cape Denison and the Red Banks Charnockite record only 1720–1690 Ma ages, consistent with known ages of the Sleaford and Kimban events, respectively. Phase equilibria forward modelling reveals considerable overlap of the thermal character of these two events. Samples with unimodal 1720–1690 Ma Kimban ages reflect either formation after the Sleaford event or complete metamorphic overprinting. Rocks recording only 2450–2400 Ma ages were unaffected by the younger Kimban event, perhaps as a result of unreactive rock compositions inherited from the Sleaford event. Our results suggest the subice geology of the Mawson Continent is a pre-Sleaford-aged terrane with a cover sequence reworked during the Kimban event.
During the last two decades, vertebrate palaeontological research in Australia has entered a new phase of development, with more investigators backed by a significant increase in financial support from government and private financial sources. The consequences of this accelerated phase of investigation has been rapid growth in information about vertebrate diversity, phylogenetic relationships, biocorrelation, palaeobiogeography and palaeoecology. In this review, we consider highlights of the developing late Mesozoic- late Cenozoic record of Australian terrestrial mammals, in part because the Cenozoic record of these is better known than that for any other group of vertebrates and in part because the ability to infer aspects of palaeohabitats from anatomical features is perhaps greatest for this group.
Most modern orders of mammals underwent adaptive radiations between the Late Cretaceous and late Paleogene subsequent to the Early to mid-Cretaceous diversification of angiosperms. For this reason many aspects of the history and structure of Australia's mammalian herbivores reflect the requirements of harvesting and consuming particular groups of flowering plants. In so far as this correlation holds, it is possible to infer from the structure of the dentition of extinct herbivores aspects of the vegetation upon which they fed. Although experimental studies (e.g. Sanson, 1989) of the function of the teeth of living Australian herbivores are few, deductive analysis of the diets of extinct forms based on diets of living species enables hypotheses about the timing of key mid-late Tertiary changes in the structure of Australia's terrestrial communities.
Higher-level systematic nomenclatures used here follow those of Aplin & Archer (1987; marsupials), Watts & Aslin (1981; rodents) and Walton & Richardson (1989; bats and other mammal groups). Biostratigraphic nomenclature, unless otherwise indicated, follows those of Woodburne et al. (1985) and Archer et al. (1989, 1991). The positions of the major fossil sites discussed in this chapter are shown in Figure 6.1 and the current understanding of the ages of the sites is shown in Figure 6.2.
AUSTRALIAN MAMMAL DIVERSITY
There are 12 groups of ordinally distinct endemic Australian mammals.
Cerebral cavernous malformation (CCM) is a form of intracranial vascular disease that may arise sporadically or be dominantly inherited. Linkage studies have revealed genetic heterogeneity among the dominantly inherited forms suggesting the existence of at least three loci called CCM1, CCM2 and CCM3.
Methods:
In the present study, we screened five families with dominantly inherited CCM for CCM1 gene mutations with denaturing high performance liquid chromatography (DHPLC). Then, we performed linkage analysis and haplotyping on these five families using highly polymorphic markers at the candidate CCM loci.
Results:
None of the five families tested with DHPLC were found to have mutations in the CCM1 gene. Based on haplotyping, we identified three families segregating alleles for CCM2, while two families segregated alleles for CCM3. Using linkage analysis, we could confirm that one family (IFCAS-1) had a positive Lod score of 2.03 (p<0.0001) at the CCM2 locus using marker D7S678.
Conclusions:
The present study is the first one to replicate linkage at the CCM2 locus and provides a fifth family identified as such. It also supports the concept of genetic heterogeneity in CCM, identifying four other families that showed no mutations in the CCM1 gene.
The age and conditions of metamorphism in the Highjump Archipelago, East Antarctica, are investigated using samples collected during the 1986 Australian Antarctic expedition to the Bunger Hills–Denman Glacier region. In situ U-Pb dating of monazite from three metasedimentary rocks yields ages between c. 1240–1150 Ma and a weighted mean 207Pb/206Pb age of 1183±8 Ma, consistent with previous constraints on the timing of metamorphism in this region and Stage 2 of the Albany–Fraser Orogeny in south-western Australia. This age is interpreted to date the development of garnet ± sillimanite ± rutile-bearing assemblages that formed at c. 850–950°C and 6–9 kbar. Peak granulite facies metamorphism was followed by decompression, evidenced largely by the partial replacement of garnet by cordierite. These new pressure–temperature determinations suggest that the Highjump Archipelago attained slightly higher temperature and pressure conditions than previously proposed and that the rocks probably experienced a clockwise pressure–temperature evolution.
Abundant tubular macrofossils occur in finely laminated siltstones and shales of the 548–542 Ma Schwarzrand Subgroup, Nama Group, Namibia. The Nama tubes occur in both the Vingerbreek and Feldschuhhorn members commonly in dense populations and always in fine-grained, lower shore-face lithologies deposited below fair-weather wave base. The tubes are preserved mostly as compressed casts and molds that range in width from 0.6 to 2.1 mm; apparently incomplete specimens reach lengths up to 10 cm. All specimens show sinuous bending and occasional brittle fracture, indicating an original construction of strong but flexible organic matter. Feldschuhhorn specimens preserve fine longitudinal pleats or folds that record pliant organic walls, but the older Vingerbreek populations do not. Similarly, some specimens in the Feldschuhhorn Member display branching, while Vingerbreek tubes do not. The abundant Feldschuhhorn tubes are assigned to the widespread Ediacaran problematicum Vendotaenia antiqua; however, the distinctive Vingerbreek population remains in open nomenclature. The most abundant fossils in Nama rocks, these tubes resemble populations in Ediacaran successions from Russia, China, Spain, and elsewhere. Beyond their local importance, then, such tubes may turn out to be the most abundant record of Ediacaran life.