61 research outputs found

    Segmentation and kinematics of the North America-Caribbean plate boundary offshore Hispaniola

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    We explored the submarine portions of the Enriquillo–Plantain Garden Fault zone (EPGFZ) and the Septentrional–Oriente Fault zone (SOFZ) along the Northern Caribbean plate boundary using high-resolution multibeam echo-sounding and shallow seismic reflection. The bathymetric data shed light on poorly documented or previously unknown submarine fault zones running over 200 km between Haiti and Jamaica (EPGFZ) and 300 km between the Dominican Republic and Cuba (SOFZ). The primary plate-boundary structures are a series of strike-slip fault segments associated with pressure ridges, restraining bends, step overs and dogleg offsets indicating very active tectonics. Several distinct segments 50–100 km long cut across pre-existing structures inherited from former tectonic regimes or bypass recent morphologies formed under the current strike-slip regime. Along the most recent trace of the SOFZ, we measured a strike-slip offset of 16.5 km, which indicates steady activity for the past ~1.8 Ma if its current GPS-derived motion of 9.8 ± 2 mm a−1 has remained stable during the entire Quaternary.Depto. de GeodinĂĄmica, EstratigrafĂ­a y PaleontologĂ­aFac. de Ciencias GeolĂłgicasTRUEpu

    Mortality and pulmonary complications in patients undergoing surgery with perioperative sars-cov-2 infection: An international cohort study

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    Background The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (740%) had emergency surgery and 280 (248%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (261%) patients. 30-day mortality was 238% (268 of 1128). Pulmonary complications occurred in 577 (512%) of 1128 patients; 30-day mortality in these patients was 380% (219 of 577), accounting for 817% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 175 [95% CI 128-240], p<00001), age 70 years or older versus younger than 70 years (230 [165-322], p<00001), American Society of Anesthesiologists grades 3-5 versus grades 1-2 (235 [157-353], p<00001), malignant versus benign or obstetric diagnosis (155 [101-239], p=0046), emergency versus elective surgery (167 [106-263], p=0026), and major versus minor surgery (152 [101-231], p=0047). Interpretation Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

    Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

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    Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

    Break-up spots : Could the Pacific open as a consequence of plate kinematics?

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    The South Central Pacific is the location of an abnormal concentration of intraplate volcanism. Noting that this volcanism is present from the Kermadec Tonga trench to the Easter microplate and forms a wide east-west channel, we propose to explain its occurrence in relation to the Pacific plate geometry and kinematics. We construct 2D numerical models of stress and strain within the Pacific plate using its velocity field and boundary conditions. The models indicate a shear band, associated to a change from compressional stresses to the south to tensional stresses to the north, which develop after 10 Myr between the Australian plate corner and the Easter microplate. We propose that the Central Pacific intraplate volcanism is related to this process, and may represent the first step of a future plate re-organization which will eventually break the Pacific plate in a southern and a northern plate due to intraplate stresses. Present-day intraplate volcanism would define break up spots of the future border

    Submarine Landslides in Society and Austral Islands, French Polynesia: Evolution With the Age of Edifices

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    Size and depth of ancient magma reservoirs under atolls and islands of French Polynesia using gravity data

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    New insights into the structural and tectonic evolution of islands and atolls in French Polynesia are derived from the analysis of gravity data. Free-air anomaly maps were constructed using gravity data from land surveys of 25 islands combined with free-air anomaly data derived from satellite altimetry and shipborne gravimeters. Residual isostatic anomalies were calculated using a three-dimensional (3-D), four-layer crustal model taking into account the bathymetry of the seafloor, the topography of the islands, and the deflection of the litosphere under the load of the volcanoes. Twenty of the 25 islands yield a positive residual anomaly, ranging between 9 and 60 mGal. Negative residual anomalies over four islands probably correspond either to limestone deposits or to fragmented materials from aerial volcanism. The occurrence of a positive anomaly provides some evidence that there is a solidified magma chamber at depth beneath each or several islands in French Polynesia. A linear relation between the amplitude of the positive gravity anomaly and island volume is also observed. Geological features which generate these positive anomalies are described by simple geometric models (3-D ellipsoidal dense bodies) which lead to a rough estimate of the size and depth of the magma chambers. We then propose a simple linear relation between the volume of such magma chambers and the volume of islands that can be used for other extinct intraplate basaltic volcanoes. The diameter of the inferred magma chamber and its projection on the surface of the islands implied that calderas correspond mostly to collapses of the flanks of the edifices rather than to caldera vertical subsidence. (Résumé d'auteur

    Size and depth of ancient magma reservoirs under atolls and islands of French Polynesia using gravity data

    No full text
    New insights into the structural and tectonic evolution of islands and atolls in French Polynesia are derived from the analysis of gravity data. Free-air anomaly maps were constructed using gravity data from land surveys of 25 islands combined with free-air anomaly data derived from satellite altimetry and shipborne gravimeters. Residual isostatic anomalies were calculated using a three-dimensional (3-D), four-layer crustal model taking into account the bathymetry of the seafloor, the topography of the islands, and the deflection of the litosphere under the load of the volcanoes. Twenty of the 25 islands yield a positive residual anomaly, ranging between 9 and 60 mGal. Negative residual anomalies over four islands probably correspond either to limestone deposits or to fragmented materials from aerial volcanism. The occurrence of a positive anomaly provides some evidence that there is a solidified magma chamber at depth beneath each or several islands in French Polynesia. A linear relation between the amplitude of the positive gravity anomaly and island volume is also observed. Geological features which generate these positive anomalies are described by simple geometric models (3-D ellipsoidal dense bodies) which lead to a rough estimate of the size and depth of the magma chambers. We then propose a simple linear relation between the volume of such magma chambers and the volume of islands that can be used for other extinct intraplate basaltic volcanoes. The diameter of the inferred magma chamber and its projection on the surface of the islands implied that calderas correspond mostly to collapses of the flanks of the edifices rather than to caldera vertical subsidence. (Résumé d'auteur
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