Crustal Structure in the Southern Apennines from Teleseismic Receiver Functions

While the upper structure of the Southern Apennines is known, lack of control on the deep structure allows competing thin-skin and tick-skin models of the orogen. In thin-skin models the detachment decouples a stack of rootless nappes from the basement. In the tick-skin models, besement is involved in the most recent phase of thrusting. To examine crustal structure, we use teleseismic data from the CAT/SCAN array in southern Italy. We use receiver functions (RF) processed into a Common Conversion Point (CCP) stack to generate images of the crust. Interpretation and correlation to geological structure is done using inversions of individual station RFs. We focus on a shallow discontinuity where P-to-S conversions occur. In the foreland, it corresponds to velocity jumps between carbonate and clastic strata with basement. A similar interpretation for the Apennines provides the most parsimonious explanation and supports a tick-skin interpretation. In a thick-skin reconstruction, the amount of shortening is much smaller than for a thin-skin model. This implies considerably less Plio-Pleistocene shortening across the Apennines and suggests an E-SE motion of the Calabrian Arc subparallel to the southern Apennines rather than a radial expansion of the Arc

Illumination of the Crustal Structure in the Southern Apennines using Teleseismic Receiver Functions, CAT/SCAN Project

Field geology, well data and seismic imaging have illuminated the upper crustal structure of the Southern Apennines. However, lack of control of the deep structure allows viable competing thin-skin and thick-skin models of the orogen. In thin-skin models the detachment decouples a stack of rootless nappes from the basement. In thick-skin models, basement is involved in the most recent phase of thrusting. To examine the deep crustal structure, we use the teleseismic recordings from the CAT/SCAN array, deployed in southern Italy from Dec. 2003-Oct. 2005. We use receiver functions processed into a Common Conversion Point stack to generate images of the crust. We image three main westward-dipping seismic-velocity discontinuities where P-to-S conversions occur. They correspond to velocity jumps at the Moho, the upper-lower crust boundary and sedimentary interfaces resulting from the contrast between clastic and carbonate strata with basement. The CCP image matches features from both thin-skin and thick skin model. The lateral continuity of the converters favors thin skin, but consistent interpretation across the image favors the thick skin. Overall, the results provide a better fit to the thick-skin interpretation. This suggests a change in structural style as the collision with Apulia halted motion. This model also implies considerably less Plio-Pleistocene shortening across the Apennines and a SE motion of the Calabrian Arc subparallel to the southern Apennines rather than a radial expansion of the Arc

Results from the seismological component of CAT/SCAN, the Calabria-Apennine Tyrrhenian/Subduction-Collision-Accretion-Network

The Calabrian Arc is the final remnant of a Western Mediterranean microplate driven by rollback. The Calabrian-Apennine-Tyrrhenian/Subduction-Collision-Accretion Seismic Network (CAT/SCAN) was a passive seismic experiment to study of the Calabrian Arc and its transition to the southern Apennines. The follow up Calabrian Arc project added a multidisciplinary (seismology, geology, geomorphology, geochronology, GPS, etc.) approach to better understand the tectonics of southern Italy imaged by the CAT/SCAN experiment. Here we focus on the seismological results of the two projects. The CAT/SCAN land deployment consisted of three phases. The initial phase included an array of 39 broadband seismometers onshore, deployed during the winter of 2003/4. In September 2004, the array was reduced and in April 2005, the array was reduced once again. The field deployment was completed in October 2005. Offshore, 12 broadband Ocean Bottom Seismometers (OBSs) were deployed in the beginning of October 2004. However, only 1 was recovered normally while several others were recovered after being disturbed by trawling. The experiment goal was to determine the structure of the Calabrian subduction and southern Apennine collision systems and the structure of the transition from oceanic subduction in Calabria to continental collision in the southern Apennines.Published7922T. Tettonica attivaN/A or not JCRrestricte

Investigating the Sustainability of Outcomes in a Chronic Disease Treatment Programme

This study examines trends in chronic disease outcomes from initiation of a specialised chronic disease treatment programme through to incorporation of programme activities into routine service delivery. We reviewed clinical records of 98 participants with confirmed renal disease or hypertension in a remote indigenous community health centre in Northern Australia. For each participant the review period spanned an initial three years while participating in a specialised cardiovascular and renal disease treatment programme and a subsequent three years following withdrawal of the treatment programme. Responsibility for care was incorporated into the comprehensive primary care service which had been recently redeveloped to implement best practice care plans. The time series analysis included at least six measures prior to handover of the specialised programme and six following handover. Main outcome measures were trends in blood pressure (BP) control, and systolic and diastolic BP. We found an improvement in BP control in the first 6-12 months of the programme, followed by a steady declining trend. There was no significant difference in this trend between the pre- compared to the post-programme withdrawal period. This finding was consistent for control at levels below 130/80 and 140/90, and for trends in mean systolic and diastolic BP. Investigation of the sustainability of programme outcomes presents major challenges for research design. Sustained success in the management of chronic disease through primary care services requires better understanding of the causal mechanisms related to clinical intervention, the basis upon which they can be 'institutionalised' in a given context, and the extent to which they require regular revitalisation to maintain their effect

An exploratory randomised controlled trial of a premises-level intervention to reduce alcohol-related harm including violence in the United Kingdom

<b>Background</b><p></p> To assess the feasibility of a randomised controlled trial of a licensed premises intervention to reduce severe intoxication and disorder; to establish effect sizes and identify appropriate approaches to the development and maintenance of a rigorous research design and intervention implementation.<p></p> <b>Methods</b><p></p> An exploratory two-armed parallel randomised controlled trial with a nested process evaluation. An audit of risk factors and a tailored action plan for high risk premises, with three month follow up audit and feedback. Thirty-two premises that had experienced at least one assault in the year prior to the intervention were recruited, match paired and randomly allocated to control or intervention group. Police violence data and data from a street survey of study premises’ customers, including measures of breath alcohol concentration and surveyor rated customer intoxication, were used to assess effect sizes for a future definitive trial. A nested process evaluation explored implementation barriers and the fidelity of the intervention with key stakeholders and senior staff in intervention premises using semi-structured interviews.<p></p> <b>Results</b><p></p> The process evaluation indicated implementation barriers and low fidelity, with a reluctance to implement the intervention and to submit to a formal risk audit. Power calculations suggest the intervention effect on violence and subjective intoxication would be raised to significance with a study size of 517 premises.<p></p> <b>Conclusions</b><p></p> It is methodologically feasible to conduct randomised controlled trials where licensed premises are the unit of allocation. However, lack of enthusiasm in senior premises staff indicates the need for intervention enforcement, rather than voluntary agreements, and on-going strategies to promote sustainability

The reduction of intoxication and disorder in premises licensed to serve alcohol: An exploratory randomised controlled trial

Background: Licensed premises offer a valuable point of intervention to reduce alcohol-related harm. Objective: To describe the research design for an exploratory trial examining the feasibility and acceptability of a premises-level intervention designed to reduce severe intoxication and related disorder. The study also aims to assess the feasibility of a potential future large scale effectiveness trial and provide information on key trial design parameters including inclusion criteria, premises recruitment methods, strategies to implement the intervention and trial design, outcome measures, data collection methods and intra-cluster correlations. Design: A randomised controlled trial in licensed premises that had experienced at least one assault in the year preceding the intervention, documented in police or hospital Emergency Department (ED) records. Premises were recruited from four study areas by piloting four recruitment strategies of varying intensity. Thirty two licensed premises were grouped into matched pairs to reduce potential bias and randomly allocated to the control or intervention condition. The study included a nested process evaluation to provide information on intervention acceptability and implementation. Outcome measures included police-recorded violent incidents, assault-related attendances at each premises' local ED and patron Breath Alcohol Concentration assessed on exiting and entering study premises. Results: The most successful recruitment method involved local police licensing officers and yielded a 100% success rate. Police-records of violence provided the most appropriate source of data about disorder at the premises level. Conclusion: The methodology of an exploratory trial is presented and despite challenges presented by the study environment it is argued an exploratory trial is warranted. Initial investigations in recruitment methods suggest that study premises should be recruited with the assistance of police officers. Police data were of sufficient quality to identify disorder and street surveys are a feasible method for measuring intoxication at the individual level

The influence of the team in conducting a systematic review

There is an increasing body of research documenting flaws in many published systematic reviews' methodological and reporting conduct. When good systematic review practice is questioned, attention is rarely turned to the composition of the team that conducted the systematic review. This commentary highlights a number of relevant articles indicating how the composition of the review team could jeopardise the integrity of the systematic review study and its conclusions. Key biases require closer attention such as sponsorship bias and researcher allegiance, but there may also be less obvious affiliations in teams conducting secondary evidence-syntheses. The importance of transparency and disclosure are now firmly on the agenda for clinical trials and primary research, but the meta-biases that systematic reviews may be at risk from now require further scrutiny

Sediment Delivery to Sustain the Ganges-Brahmaputra Delta Under Climate Change and Anthropogenic Impacts

The principal nature-based solution for offsetting relative sea-level rise in the Ganges-Brahmaputra delta is the unabated delivery, dispersal, and deposition of the rivers’ ~1 billion-tonne annual sediment load. Recent hydrological transport modeling suggests that strengthening monsoon precipitation in the 21st century could increase this sediment delivery 34-60%; yet other studies demonstrate that sediment could decline 15-80% if planned dams and river diversions are fully implemented. We validate these modeled ranges by developing a comprehensive field-based sediment budget that quantifies the supply of Ganges-Brahmaputra river sediment under varying Holocene climate conditions. Our data reveal natural responses in sediment supply comparable to previously modeled results and suggest that increased sediment delivery may be capable of offsetting accelerated sea-level rise. This prospect for a naturally sustained Ganges-Brahmaputra delta presents possibilities beyond the dystopian future often posed for this system, but the implementation of currently proposed dams and diversions would preclude such opportunities

Factors Influencing Engagement, Perceived Usefulness and Behavioral Mechanisms Associated with a Text Message Support Program

Introduction Many studies have now demonstrated the efficacy of text messaging in positively changing behaviours. We aimed to identify features and factors that explain the effectiveness of a successful text messaging program in terms of user engagement, perceived usefulness, behavior change and program delivery preferences. Methods Mixed methods qualitative design combining four data sources; (i) analytic data extracted directly from the software system, (ii) participant survey, (iii) focus groups to identify barriers and enablers to implementation and mechanisms of effect and (iv) recruitment screening logs and text message responses to examine engagement. This evaluation was conducted within the TEXT ME trial—a parallel design, single-blind randomized controlled trial (RCT) of 710 patients with coronary heart disease (CHD). Qualitative data were interpreted using inductive thematic analysis. Results 307/352 (87% response rate) of recruited patients with CHD completed the program evaluation survey at six months and 25 participated in a focus group. Factors increasing engagement included (i) ability to save and share messages, (ii) having the support of providers and family, (iii) a feeling of support through participation in the program, (iv) the program being initiated close to the time of a cardiovascular event, (v) personalization of the messages, (vi) opportunity for initial face-to-face contact with a provider and (vii) that program and content was perceived to be from a credible source. Clear themes relating to program delivery were that diet and physical activity messages were most valued, four messages per week was ideal and most participants felt program duration should be provided for at least for six months or longer. Conclusions This study provides context and insight into the factors influencing consumer engagement with a text message program aimed at improving health-related behavior. The study suggests program components that may enhance potential success but will require integration at the development stage to optimize up-scaling