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See detailInside-out Transobturator Vaginal Tape (TVT-O): one-year results of a prospective study
Waltregny, David ULiege; Reul, Olivier ULiege; Keppenne, Véronique ULiege et al

in European Urology Supplements (2005), 4(3), 1653

Title Inside-out transobturator vaginal tape (TVT-O): One-year results of a prospective study Introduction and Objectives The aim of this study was to prospectively assess the efficacy of a new surgical ... [more ▼]

Title Inside-out transobturator vaginal tape (TVT-O): One-year results of a prospective study Introduction and Objectives The aim of this study was to prospectively assess the efficacy of a new surgical technique, the inside-out transobturator vaginal tape (TVT-O), for the treatment of female stress urinary incontinence (SUI). Study design, materials and methods From 03/2003 through 10/2003, a TVT-O tape was inserted in 83 consecutive patients with clinical evidence of SUI. Preoperative evaluation included complete history, physical examination, urodynamics, urine analysis, and cystoscopy. None of the patients presented the following exclusion criteria: post-void residual (PVR) >100 cc, detrusor overactivity or acontractility, pregnancy, neurological pathology, active urinary or vaginal infection, age >85 years, negative stress test, and maximum cystometric capacity <300 mL. Post-operative evaluation was carried out using symptom scoring and quality of life (QoL) questionnaires, visual analog scales, physical examination, uroflowmetry, and PVR measurement. Cure was defined as no leakage based on both symptom scale scoring and physical examination. Improvement was defined as ≥50% decrease in symptoms based on the questionnaire’s results. Results Mean age of the patients was 61 years. The TVT-O procedure was associated with pelvic organ prolapse cure in 15 patients (18%). Follow-up time was ≥12 months in all women (mean = 13.6); 3 patients were lost to follow-up. No significant blood loss (≥100 cc), vaginal wall, urethral, or bladder perforation was encountered. No hematoma, vaginal or urethral erosion, or neurological complication was observed. No patient complained of persistent pain. At the latest follow-up visit, max flow rate was ≥10 mL/sec and PVR was <100 cc in 90% and 94% patients, respectively. Two patients underwent an immediate tape release procedure while the tape was sectioned in 2 other patients for retention and/or urgency associated with obstruction. Sixty eight patients (85%) were cured of their SUI while 9 patients (11%) were improved. Urgency questionnaire’s results showed that 5 (5/46) patients developed de novo urgency. Twenty and 14 out of the 34 patients with preoperative urge symptoms reported either disappearance or no change of urgency, respectively. Obstruction symptoms appeared or worsened in 3 patients and were unchanged or decreased in all other patients. Analysis of the incontinence visual analog and QoL scale scores showed that the majority of patients reported disappearance of incontinence together with significant improvement of their QoL. Conclusions The one-year results of this study suggest that TVT-O is associated with a low incidence of peri- and post-operative complications and high objective and subjective SUI cure rates. [less ▲]

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See detailInside-out transobturator vaginal tape (TVT-O): Short-term results of a prospective study
Waltregny, David ULiege; Reul, Olivier ULiege; Bonnet, Pierre ULiege et al

in Neurourology and Urodynamics (2004), 23(5-6), 428-429

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See detailInside-out transobturator vaginal tape (TVT-O): Short-term results of a prospective study
Waltregny, David ULiege; Reul, Olivier ULiege; Bonnet, Pierre ULiege et al

in International Urogynecology Journal & Pelvic Floor Dysfunction (2004)

Hypothesis / aims of study The aim of this study was to prospectively evaluate the efficacy of the TVT-O inside-out procedure for the treatment of female stress urinary incontinence (SUI). Study design ... [more ▼]

Hypothesis / aims of study The aim of this study was to prospectively evaluate the efficacy of the TVT-O inside-out procedure for the treatment of female stress urinary incontinence (SUI). Study design, materials and methods From March 2003 through September 2003, 53 patients with clinical evidence of SUI participated in this prospective clinical trial. Preoperative evaluation included complete history, physical examination, multichannel urodynamics, urine analysis, and cystoscopy. None of the patients presented the following exclusion criteria: post-void residual volume (PVR) ≥ 100 cc, detrusor overactivity or acontractility, contraindication to anesthesia, pregnancy, neurological pathology, or active urinary or vaginal infection. All patients met the following inclusion criteria: age > 25 and < 85 years, clinically demonstrated SUI, positive Ulmsten test, and maximum cystometric capacity ≥ 300 mL. In all patients, a sub-urethral tape (Gynecare®) was inserted by one single surgeon via an inside-out transobturator approach (TVT-O), as previously described (1). Evaluation of SUI, urgency/urge incontinence, daytime urinary frequency/nocturia, and lower urinary tract symptoms (LUTS) suggestive of bladder outlet obstruction/retention was carried out using the Measurement of Urinary Handicap scale questionnaire (2). The importance of urinary incontinence was assessed with a visual analog scale graded from 0 to 10. Quality of life (QoL) assessment was performed using the validated Ditrovie self-administered questionnaire. Outpatient follow-up was perfomed at 1 and 6 months, and every 6 months thereafter. Follow-up evaluation included physical examination with a stress test, uroflowmetry, PVR, and symptom, visual analog, and QoL scales scoring. Cure was defined as no leakage based on both symptom scale scoring and physical examination. Improvement was defined as at least a 50% decrease in symptoms based on the questionnaire’s evaluation. Chart review was conducted by a physician not associated with the surgical procedure. The specific protocol used in this study was approved by the Medical Ethics committee of our Institution. All patients had given their written informed consent. Methods, defintions,and units conform to the standards recommended by the ICS. Results Mean age of the patients was 61.2 years (36 to 80). Of the 53 patients, 20 had undergone previous pelvic surgery. Forty-eight patients suffered from SUI. Five patients did not complain of SUI but had clinical evidence of SUI after reduction of pelvic organ prolapse (POP) during vaginal examination. The TVT-O procedure was associated with POP cure (performed before TVT-O) in 12 patients. Maximal urethral closure pressure was < 30 cm H20 in 6 patients. Follow-up time was ≥ 6 months in all women (max = 12.5; mean = 8). A total of 33 and 20 women received spinal and general anesthesia, respectively. Intraoperative blood loss was < 100 cc in all cases. No vaginal wall, urethral, or bladder perforation was encountered. No hematoma, neurological complication, fistula, vaginal or urethral erosion, or tape rejection was observed. Some patients reported pain symptoms, directly after the procedure, mainly located in the thigh regions (either uni- or bilaterally). Pain was always mild, never requiring opioid antalgics. No patient complained of persistent pain; indeed, pain had completely vanished within the first post-operative month in all cases. At the latest follow-up visit, PVR was < 100 cc and max flow rate was ≥ 10 mL/sec in 49 (92.4%) and 39 (73.6%) patients, respectively. One patient underwent an immediate tape release procedure for complete retention 2 days after TVT-O. Thereafter, the patient had no PVR and was completely dry. The tape was sectioned in 2 patients for chronic retention and/or urgency associated with bladder outlet obstruction, 4 and 7 months after the operation. Based on the SUI questionnaire evaluation and physical examination, 50 (94.3%) patients were cured. SUI symptoms had improved in 1 patient and had not changed in another. One patient with POP not complaining of SUI preoperatively (but with clinically demonstrated SUI following POP reduction) developed SUI after POP cure associated with TVT-O. Analysis of the urgency questionnaire’s results revealed that among the 53 patients, 32 did not complain of any urgency before the operation. Of these 32 patients, 3 patients developed de novo urgency, with one of them requiring tape sectioning because of obstruction-associated urge incontinence. Among the 21 patients with preoperative urge symptoms, 15 of them reported disappearance of urgency after the procedure. Urge symptoms were unchanged in the remaining 6 patients. Daytime frequency/nocturia symptoms scale scoring showed that 4 patients had a worsening of these symptoms while all other patients were either improved or unchanged. LUTS suggestive of bladder outlet obstruction/retention appeared or worsened in 3 patients, amongst which the 2 patients who required tape sectioning. These symptoms were unchanged or decreased (mainly in patients with associated POP cure) in all other patients. Analysis of the urinary incontinence visual analog and QoL scale scores demonstrated that the majority of patients reported disappearance of urinary leakage together with significant improvement of their QoL (Figures 1 and 2). Interpretation of results As already suggested by the results of a recent feasibility study (1), TVT-O appears to be associated with a minimal risk of peri-operative complications. Indeed, in our present prospective study, no injury to the bladder, vagina, or urethra was encountered and we have not observed any vascular, digestive or neurological complication. Our data suggest that TVT-O is associated with high objective and subjective SUI cure rates and a low incidence of post-operative complications. Longer follow-up times are required to determine the long-term efficacy of TVT-O. Concluding message The short term results of this prospective study suggest that TVT-O is a safe and efficient surgical procedure for the treatment of female SUI. References 1. Novel surgical technique for the treatment of female stress urinary incontinence: Transobturator vaginal tape inside-out. Eur Urol 44:724-730, 2003 2. Elaboration and validation of a specific quality of life questionnaire for urination urgency in women. Prog Urol 7:56-63, 1997 [less ▲]

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See detailInsidious dangers of benevolent sexism: Consequences for women's performance
Dardenne, Benoît ULiege; Dumont, Muriel; Bollier, Thierry

in Journal of Personality & Social Psychology (2007), 93(5), 764-779

Four experiments found benevolent sexism to be worse than hostile sexism for women's cognitive performance. Experiments 1-2 showed effects of paternalist benevolent sexism and ruled out explanations of ... [more ▼]

Four experiments found benevolent sexism to be worse than hostile sexism for women's cognitive performance. Experiments 1-2 showed effects of paternalist benevolent sexism and ruled out explanations of perceived sexism, context pleasantness, and performance motivation. Experiment 3 showed effects of both paternalist and complementary gender differentiation components of benevolent sexism. Benevolent sexism per se (rather than the provision of unsolicited help involved in paternalism) worsened performance. Experiment 4 showed that impaired performance due to benevolent sexism was fully mediated by the mental intrusions women experienced about their sense of competence. Additionally, Experiment 4 showed that gender identification protected against hostile but not benevolent sexism. Despite the apparently positive and inoffensive tone of benevolent sexism, our research emphasizes its insidious dangers. [less ▲]

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See detailInsight and the sleep committee
Maquet, Pierre ULiege; Ruby, P.

in Nature (2004), 427(6972), 304-305

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See detailInsight and the sleep committee
Maquet, Pierre ULiege; Ruby, Perrine

in Nature (2004), 427(6972), 304-305

We all spend about a third of our lives asleep, an essential but seemingly unproductive state. Experimental evidence now emerges to support anecdotal evidence that sleep can stimulate creative thinking.

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See detailInsight et expériences anormales du soi dans la schizophrénie : une étude phénoménologique
Englebert, Jérôme ULiege; Baillion, Marie

Poster (2016, January 20)

Le terme d'insight désigne la conscience et la compréhension que le malade a de son trouble mental (Raffard, 2007). La prévalence du manque d'insight dans la schizophrénie est élevée puisque 50 à 80% des ... [more ▼]

Le terme d'insight désigne la conscience et la compréhension que le malade a de son trouble mental (Raffard, 2007). La prévalence du manque d'insight dans la schizophrénie est élevée puisque 50 à 80% des patients n'aurait pas conscience de leur maladie (Amador et Gorman, 1998). L'objectif de notre étude est d'investiguer la conscience qu’une personne atteinte de schizophrénie a de ses troubles en utilisant une méthodologie d’inspiration phénoménologique. Pour atteindre notre objectif, nous avons choisi un outil issu des travaux de la psychopathologie phénoménologique. L’échelle EASE [Evaluation des Anomalies de l'Expérience de Soi] (Parnas et al., 2012) permet d'appréhender la conscience des troubles de façon qualitative et selon une perspective en première personne. Nous avons également utilisé le Self-Appraisal of Illness Questionnaire (SAIQ, Marks et al. 2000), permettant l'évaluation de l'insight de manière quantitative. Notre population, composée de sujets schizophrènes, est divisée en deux groupes : ceux ayant un bon insight et ceux ayant un faible (révélés par le SAIQ). Nous avons évalué la conscience des troubles à l'aide de l’EASE chez 14 hommes schizophrènes de 51 ans d’âge moyen. Notre hypothèse était que, plus le sujet peut parler des expériences qu'il vit – donnée qualitative que nous évaluons avec l'échelle EASE qui facilite l'énonciation de ses troubles – plus le sujet a conscience de sa maladie. Les deux tiers de notre échantillon confirment notre hypothèse. Notre étude met en exergue que l’insight est un phénomène difficile à appréhender qui mérite d’être étudié dans une perspective en première personne. Parnas et Henriksen (2014) estiment que l’échec de programmes thérapeutiques et de psychoéducations ainsi que la faible observance de la médication est souvent le résultat d'une compréhension inadéquate de la nature du concept d’insight dans la schizophrénie. [less ▲]

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See detailInsight in variability of apparent endoxylanase and endoxylanase inhibitor levels in wheat kernels
Dornez, Emmie; Joye, Iris J.; Gebeurs, Kurt et al

in Journal of the Science of Food and Agriculture (2006), 86(11), 1610-1617

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See detailInsight into biting diversity to capture benthic prey in damselfishes (Pomacentridae)
Olivier, Damien ULiege; Parmentier, Eric ULiege; Frederich, Bruno ULiege

in Zoologischer Anzeiger (2016), 264

The cerato-mandibular (c-md) ligament, joining the hyoid bar to the coronoid process of the angular, allows Pomacentridae to slam their mouth shut in a few milliseconds. Previous works have revealed that ... [more ▼]

The cerato-mandibular (c-md) ligament, joining the hyoid bar to the coronoid process of the angular, allows Pomacentridae to slam their mouth shut in a few milliseconds. Previous works have revealed that such a mechanism is used to feed, but some variability in biting patterns has been observed between two damselfish species. The pelagic feeder Amphiprion clarkii performs two different kinematic patterns to bite fixed prey, one that does not depend on the c-md ligament (biting-1) and one that does (biting-2). The benthic feeder Stegastes rectifraenum only performs biting-2. The present study aims to shed light on the occurrence of biting-2 in the feeding behaviour of Pomacentridae. To test our hypothesis that biting-2 would be the only biting pattern for benthic feeders, we compared biting behaviours among four species: one pelagic feeder, A. clarkii, and three benthic feeders, Neoglyphidodon nigroris, Stegastes leucostictus and S. rectifraenum. Our results showed that the four species were able to perform biting-2, but they do not support that the use of this pattern is related to trophic habits. Contrary to S. rectifraenum, the two other benthic feeders randomly used biting-1 and biting-2 patterns, similar to A. clarkii. Two hypotheses are discussed for explaining this variability within Pomacentridae. Finally, it has been recently shown that some damselfishes do not possess the c-md ligament. We therefore included two species lacking the c-md ligament (Chromis chromis and Abudefduf troschelii) in our study and we demonstrate our expectation that they are unable to perform biting-2. [less ▲]

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See detailInsight into cellular response of plant cells confined within silica-based matrices
Meunier, C. F.; Rooke, J. C.; Hajdu, K. et al

in Langmuir (2010), 26(9), 6568-6575

The encapsulation of living plant cells into materials could offer the possibility to develop new green biochemical technologies. With the view to designing new functional materials, the physiological ... [more ▼]

The encapsulation of living plant cells into materials could offer the possibility to develop new green biochemical technologies. With the view to designing new functional materials, the physiological activity and cellular response of entrapped cells within different silica-based matrices have been assessed. A fine-tuning of the surface chemistry of the matrix has been achieved by the in situ copolymerization of an aqueous silica precursor and a biocompatible trifunctional silane bearing covalently bound neutral sugars. This method allows a facile control of chemical and physical interactions between the entrapped plant cells and the scaffold. The results show that the cell-matrix interaction has to be carefully controlled in order to avoid the mineralization of the cell wall which typically reduces the bioavailability of nutrients. Under appropriate conditions, the introduction of a trifunctional silane (ca. 10%) during the preparation of hybrid gels has shown to prolong the biological activity as well as the cellular viability of plant cells. The relations of cell behavior with some other key factors such as the porosity and the contraction of the matrix are also discussed. © 2010 American Chemical Society. [less ▲]

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See detailAn insight into normal and pathological pregnancies using large-scale microarrays: lessons from microarrays
Chaouat, G. R.; Rodde, N.; Petitbarat, M. et al

in Journal of Reproductive Immunology (2011), 89(2), 163-72

In the introduction, we briefly recall old but classic evidence that there is no tolerance to paternal alloantigens in a first pregnancy. Therefore, we performed small- and large-scale microarrays in CBA ... [more ▼]

In the introduction, we briefly recall old but classic evidence that there is no tolerance to paternal alloantigens in a first pregnancy. Therefore, we performed small- and large-scale microarrays in CBA × DBA/2 and CBA × BALB/c combinations, recently described as a murine model for preeclampsia. Our results are in line with other data suggesting a very early deregulation of local immune vascular events rather than a break of immune tolerance. Other data presented at the Tioman 2010 Preeclampsia Workshop supporting this hypothesis are briefly summarised, as well as indications and caveats from a recent human microarray on implantation failure and recurrent pregnancy loss. [less ▲]

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See detailInsight into organometallic-mediated radical polymerization
Hurtgen, Marie ULiege; Detrembleur, Christophe ULiege; Jérôme, Christine ULiege et al

in Polymer Reviews (2011), 51(2), 188-213

This review focuses on an emerging class of controlled radical polymerization named Organometallic-Mediated Radical Polymerization (OMRP). The latter is based on the temporary deactivation of the growing ... [more ▼]

This review focuses on an emerging class of controlled radical polymerization named Organometallic-Mediated Radical Polymerization (OMRP). The latter is based on the temporary deactivation of the growing radical species by a transition metal complex and the reversible formation of a carbon-metal covalent bond. Initially developed with cobalt complexes, OMRP has extended to several metals today. As highlighted here, the choice of the metal, the structure of ligands, temperature, and additives deeply affect the course of the polymerization and its mechanism. Macromolecular engineering opportunities offered by OMRP are also described, as well as practical applications sustained by the resulting polymer materials. [less ▲]

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See detailInsight into Sam Francis’ painting techniques through the analytical study of twenty-eight artworks made between 1946 and 1992
Defeyt, Catherine ULiege; Mazurek, Joy; Zebala, Aneta et al

in Applied Physics A : Materials Science & Processing (2016), 122

The present paper proposes an overview of the painting materials experimented with over the years by Sam Francis, leading figure of the post-World War II American painting, through the analytical study of ... [more ▼]

The present paper proposes an overview of the painting materials experimented with over the years by Sam Francis, leading figure of the post-World War II American painting, through the analytical study of an extended number of paint samples supplied by the Sam Francis Foundation. In total, 279 samples taken from twenty-eight artworks made between 1946 and 1992, were analyzed by Raman, FTIR and Py–GC/MS techniques. The obtained results revealed the Francis’ preference in terms of pigments, i.e., phthalocyanine blues and greens, and outlined unconventional combination of binder media. [less ▲]

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See detailInsight into SUCNR1 (GPR91) structure and function
Gilissen, Julie ULiege; Jouret, François ULiege; Pirotte, Bernard ULiege et al

in Pharmacology & Therapeutics (2016)

SUCNR1 (or GPR91) belongs to the family of G protein-coupled receptors (GPCR), which represents the largest group of membrane proteins in human genome. The majority of marketed drugs targets GPCRs ... [more ▼]

SUCNR1 (or GPR91) belongs to the family of G protein-coupled receptors (GPCR), which represents the largest group of membrane proteins in human genome. The majority of marketed drugs targets GPCRs, directly or indirectly. SUCNR1 has been classified as an orphan receptor until a landmark study paired it with succinate, a citric acid cycle intermediate. According to the current paradigm, succinate triggers SUCNR1 signaling pathways to indicate local stress that may affect cellular metabolism. SUCNR1 implication has been well documented in renin-induced hypertension, ischemia/reperfusion injury, inflammation and immune response, platelet aggregation and retinal angiogenesis. In addition, the SUCNR1-induced increase of blood pressure may contribute to diabetic nephropathy or cardiac hypertrophy. The understanding of SUCNR1 activation, signaling pathways and functions remains largely elusive, which calls for deeper investigations. SUCNR1 shows a high potential as an innovative drug target and is probably an important regulator of basic physiology. In order to achieve the full characterization of this receptor,more specific pharmacological tools such as small-molecules modulators will represent an important asset. In this review, we describe the structural features of SUCNR1, its current ligands and putative binding pocket. We give an exhaustive overview of the known and hypothetical signaling partners of the receptor in different in vitro and in vivo systems. The link between SUCNR1 intracellular pathways and its pathophysiological roles are also extensively discussed. [less ▲]

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See detailInsight into the cellular uptake mechanism of a secondary amphipathic cell penetrating peptide for siRNA delivery.
Konate, K.; Crombez, L.; Deshayes, S. et al

in Biochemistry (2010)

Delivery of siRNA remains a major limitation to their clinical application and several technologies have been proposed to improve their cellular uptake. We recently described a peptide-based nanoparticle ... [more ▼]

Delivery of siRNA remains a major limitation to their clinical application and several technologies have been proposed to improve their cellular uptake. We recently described a peptide-based nanoparticle system for efficient delivery of siRNA into primary cell lines: CADY. CADY is a secondary amphipathic peptide that forms stable complexes with siRNA and improves their cellular uptake independently of the endosomal pathway. In the present work, we have combined molecular modelling, spectroscopy and membrane interaction approaches, in order to gain further insight into CADY/siRNA particle mechanism of interaction with biological membrane. We demonstrate that CADY forms stable complexes with siRNA and binds phospholipids tightly, mainly through electrostatic interactions. Binding to siRNA or phospholipids triggers a conformational transition of CADY from an unfolded state to an -helical structure, thereby stabilizing CADY/siRNA complexes and improving their interactions with cell membranes. Therefore, we propose that CADY cellular membrane interaction is driven by its structural polymorphism which enables stabilization of both electrostatic and hydrophobic contacts with surface membrane proteoglycan and phospholipids. [less ▲]

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See detailInsight into the development of a carbonate platform through a multi-disciplinary approach - A case study from the Upper Devonian slope deposits of Mount Freikofel (Carnic Alps, Austria/Italy)
Pas, Damien ULiege; Da Silva, Anne-Christine ULiege; Suttner, Thomas et al

in International Journal of Earth Sciences (2014), 103

The development and behavior of Million year-scaled depositional sequences recorded within Palaeozoic carbonate platform has remained poorly examined. Therefore, the understanding of palaeoenvironmental ... [more ▼]

The development and behavior of Million year-scaled depositional sequences recorded within Palaeozoic carbonate platform has remained poorly examined. Therefore, the understanding of palaeoenvironmental changes that occur in geological past is still limited. We herein undertake a multi-disciplinary approach (sedimentology, conodont biostratigraphy, magnetic susceptibility and geochemistry) of a long-term succession in the Carnic Alps which offers new insights into the peculiar evolution of one of the best example of Palaeozoic carbonate platform in Europe. The Freikofel section, located in the central part of the Carnic Alps represents an outstanding succession in a fore-reef setting, extending from the latest Givetian (indet. falsiovalis conodont Zones) to the early Famennian (Lower crepida conodont Zone). Sedimentological analysis allowed to propose a sedimentary model dominated by distal slope and fore-reef slope deposits. The most distal setting is characterized by an autochthonous pelagic sedimentation showing local occurrence of thin-bedded turbiditic deposits. In the fore-reef slope, in a more proximal setting, there is an accumulation of various autochthonous and allochthonous fine- to coarse-grained sediments originated from the interplay of gravity-flow currents derived from the shallow-water and deeper-water area. The temporal evolution of microfacies in the Freikofel section evolves in two main steps corresponding to the Freikofel (Unit 1) and the Pal (Unit 2) Limestones. Distal slope to fore-reef lithologies and associate changes are from base to top of the section: (U1) thick bedded litho- and bioclastic breccia beds with local fining upward sequence and fine-grained mudstone intercalations corresponding, in the fore-reef setting, to the dismantlement of the Eifelian – Frasnian carbonate platform during the early to late Frasnian time (falsiovalis to rhenana superzones) with one of the causes being the Late Givetian major rift pulse; (U2) occurrence of thin-bedded red nodular and cephalopod-bearing limestones with local lithoclastic grainstone intercalations corresponding to a significant deepening of the area and the progressive withdrawal of sedimentary influxes toward the basin, in relation with late Frasnian sea-level rise. Magnetic susceptibility and geochemical analyses were also performed along the Freikofel section and demonstrate the inherent-parallel link existing between variation in magnetic susceptibility values and proxy for terrestrial input. Interpretation of magnetic susceptibility in term of palaeoenvironmental processes reflect that even though distality remains the major parameter influencing magnetic susceptibility values, carbonate production and water agitation also play an important role. [less ▲]

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