Terrestrial planet formation from lost inner solar system material

Two fundamentally different processes of rocky planet formation exist, but it is unclear which one built the terrestrial planets of the solar system. They formed either by collisions among planetary embryos from the inner solar system or by accreting sunward-drifting millimeter-sized “pebbles” from the outer solar system. We show that the isotopic compositions of Earth and Mars are governed by two-component mixing among inner solar system materials, including material from the innermost disk unsampled by meteorites, whereas the contribution of outer solar system material is limited to a few percent by mass. This refutes a pebble accretion origin of the terrestrial planets but is consistent with collisional growth from inner solar system embryos. The low fraction of outer solar system material in Earth and Mars indicates the presence of a persistent dust-drift barrier in the disk, highlighting the specific pathway of rocky planet formation in the solar system

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Disk transport rates from Ti isotopic signatures of refractory inclusions

The early solar system was a dynamic period during which the formation of early solids set into motion the process of planet building. Although both astrophysical observations and theoretical modeling demonstrate the presence of widespread transport of material, we lack concrete quantitative constraints on timings, distances, and mechanisms thereof. To trace these transport processes, one needs objects of known early formation times and these objects would need to be distributed throughout parent bodies with known accretion times and distances. Generally, these criteria are met by “regular” (i.e., non–fractionated and unidentified nuclear and excluding hibonite-rich) Ca-Al-rich inclusions (CAIs) as these objects formed very early and close to the young Sun and contain distinctive nucleosynthetic isotope anomalies that permit provenance tracing. However, nucleosynthetic isotopic signatures of such refractory inclusions have so far primarily been analyzed in chondritic meteorites that formed within ~4 AU from the Sun. Here, we investigate Ti isotopic signatures of four refractory inclusions from the ungrouped carbonaceous chondrite WIS 91600 that was previously suggested to have formed beyond ~10 AU from the Sun. We show that these inclusions exhibit correlated excesses in 50Ti and 46Ti and lack large Ti isotopic anomalies that would otherwise be indicative of more enigmatic refractory materials with unknown formation ages. Instead, these isotope systematics suggest the inclusions to be genetically related to regular CAIs commonly found in other chondrites that have a broadly known formation region and age. Collectively, this implies that a common population of CAIs was distributed over the inner ~10 AU within ~3.5 Myr, yielding an average (minimum) speed for the transport of millimeter-scale material in the early solar system of ~1 cm s−1

Disk transport rates from Ti isotopic signatures of refractory inclusions

The early solar system was a dynamic period during which the formation of early solids set into motion the process of planet building. Although both astrophysical observations and theoretical modeling demonstrate the presence of widespread transport of material, we lack concrete quantitative constraints on timings, distances, and mechanisms thereof. To trace these transport processes, one needs objects of known early formation times and these objects would need to be distributed throughout parent bodies with known accretion times and distances. Generally, these criteria are met by “regular” (i.e., non–fractionated and unidentified nuclear and excluding hibonite‐rich) Ca‐Al‐rich inclusions (CAIs) as these objects formed very early and close to the young Sun and contain distinctive nucleosynthetic isotope anomalies that permit provenance tracing. However, nucleosynthetic isotopic signatures of such refractory inclusions have so far primarily been analyzed in chondritic meteorites that formed within ~4 AU from the Sun. Here, we investigate Ti isotopic signatures of four refractory inclusions from the ungrouped carbonaceous chondrite WIS 91600 that was previously suggested to have formed beyond ~10 AU from the Sun. We show that these inclusions exhibit correlated excesses in 50Ti and 46Ti and lack large Ti isotopic anomalies that would otherwise be indicative of more enigmatic refractory materials with unknown formation ages. Instead, these isotope systematics suggest the inclusions to be genetically related to regular CAIs commonly found in other chondrites that have a broadly known formation region and age. Collectively, this implies that a common population of CAIs was distributed over the inner ~10 AU within ~3.5 Myr, yielding an average (minimum) speed for the transport of millimeter‐scale material in the early solar system of ~1 cm s−1.Alexander von Humboldt‐Stiftung http://dx.doi.org/10.13039/100005156Deutsche Forschungsgemeinschaft http://dx.doi.org/10.13039/501100001659Lawrence Livermore National Laboratory http://dx.doi.org/10.13039/10000622

Survey of Access to GastroEnterology in Canada: The SAGE wait times program

BACKGROUND: Assessment of current wait times for specialist health services in Canada is a key method that can assist government and health care providers to plan wisely for future health needs. These data are not readily available. A method to capture wait time data at the time of consultation or procedure has been developed, which should be applicable to other specialist groups and also allows for assessment of wait time trends over intervals of years