50 research outputs found
The Evolution Of East Candor Chasma Valles Marineris Mars Proposed Structural Collapse And Sedimentation
Valles Marineris (VM), Mars has a long history of sedimentary deposition. East Candor Chasma is located on the eastern flank of
Valles Marineris. Previous studies of the chasma suggests a complex geological history of collapse and basin infill. Interior Layer
Deposits (ILDs) in East Candor Chasma span over 475 km long, 145 km wide and range in elevation from -5.5 km to 3.5 km at
datum. The ILDs can be separated into six different unit varieties-massive, thick layer unit, thin layer unit, steeply inclined unit,
deformed layer unit, and thin mesa unit. The massive unit contains no visible layering and a distinct erosional style. Thick layer
units are found overlying the massive unit and tend to thin upwards within the mound. The thin layer unit overlies the thick layer
unit and can be observed truncating thick layering. A steeply dipping unit is anomalous and found only in one mound within the
chasma. A Deformed layer unit is commonly observed along the walls of the chasma indicating post erosional slumping. A thin
mesa unit is thought to be a late ash cover which conformably drapes all pre-existing geology.
Unconformities are observed throughout the chasma, three occur at an elevation of ~1000 m within the thick layer unit. This
indicates the chasma likely underwent multiple periods of erosion and deposition. Attitude measurements taken within the layered
units of the central mounds reveal a possible secondary collapse along the north wall of the chasma. The lower stratigraphic
section along the north face of the central mounds reveals dips of ~20Ë, indicating that the massive unit was likely eroded prior to
thick layer unit deposition.
These observations can be used to interpret the geological history of East Candor Chasma. We suggest that a secondary
collapse occurred along the north wall of the chasma after the massive unit was emplaced. Sedimentation and erosion continued
after chasma collapse allowing for the emplacement of layer and thin mesa units. Two models for the history of East Candor
Chasma are presented
LSE Review of Books Podcast launches three-part series on Brazil
In the first episode of a three-part series on Brazil, the LSE Review of Books Podcast takes a closer look at the city of Rio de Janeiro to uncover wider issues that face the worldâs fastest growing cities. Before talking to LSE and Brazilian authors about their books on Brazil, LSERB podcast producer, Cheryl Brumley, made her first stop at the annual Urban Age Conference to hear how politicians, academics and planners from cities around the globe grapple with city transformations. The conference, put on by LSE Cities and the Alfred Herrhausen Society, is a globetrotting event which invites 70 experts to participate in a two-day investigation of cities. The conference took place in Rio amidst unprecedented urban transformation and ambitious redevelopment projects, spurred on by the impending World Cup and Olympic Games
A Cross-Sectional Study Evaluating the Impact of One Year versus Two Years of Exposure to Interprofessional Education on Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE)
Background: Evaluating student perceptions of interprofessional education (IPE) is important to meet accreditation standards. The objective of this study was to evaluate the impact of one year versus two years of exposure to IPE on student perceptions, as well as evaluate differences between professions.
Methods: In this cross-sectional study, first and second year medical and pharmacy students enrolled in an interprofessional experiential course series at each of their respective institutions completed a perceptions instrument prior to a standardized objective behavioral assessment. Student demographics and perception scores were summarized using descriptive statistics. Chi-squared tests and Cochran-Mantel-Haenszel tests were used to assess differences in demographic variables. Between-group differences in perception scores were assessed using Wilcoxon Rank-Sum tests.
Results: 155 students completed the instrument out of the 163 students enrolled in the course series. Overall, the median scores were âĽ4 (4=Agree, 5=Strongly Agree) for all SPICE items and factors. No significant differences were observed between first and second year students in response to any of the SPICE items or factors. When comparing professions, significant differences were observed between pharmacy students and medical students that IPE âenhances my educationâ (p=0.003), âimproves patient satisfactionâ (p=0.001), and âenhances my future ability to collaborateâ (p=0.001). Significant differences were also observed between pharmacy students and medical students for 2 of the 3 factors: teamwork (p=0.001) and patient outcomes (p=0.005). For all of the differences in items and factors, pharmacy students reported higher levels of agreement.
Conclusions: Two years of exposure to IPE compared to one year (i.e. second year students vs. first year students) did not result in higher levels of agreement; however, agreement was high across all students which may have limited the ability to detect a difference. When perceptions are high early in the curriculum, maintaining the same level of agreement longitudinally may be a more appropriate educational outcome. Pharmacy students had higher levels of agreement compared to medical students for certain items. Further research is needed to determine if these differences have an impact on interprofessional collaboration.
Conflict of Interest
We declare no conflicts of interest or financial interests that the authors or members of their immediate families have in any product or service discussed in the manuscript, including grants (pending or received), employment, gifts, stock holdings or options, honoraria, consultancies, expert testimony, patents and royalties.
Type: Original Researc
Global Burden of Cardiovascular Diseases and Risk Factors, 1990â2019: Update From the GBD 2019 Study
Cardiovascular diseases (CVDs), principally ischemic heart disease (IHD) and stroke, are the leading cause of global mortality and a major contributor to disability. This paper reviews the magnitude of total CVD burden, including 13 underlying causes of cardiovascular death and 9 related risk factors, using estimates from the Global Burden of Disease (GBD) Study 2019. GBD, an ongoing multinational collaboration to provide comparable and consistent estimates of population health over time, used all available population-level data sources on incidence, prevalence, case fatality, mortality, and health risks to produce estimates for 204 countries and territories from 1990 to 2019.
Prevalent cases of total CVD nearly doubled from 271 million (95% uncertainty interval [UI]: 257 to 285 million) in 1990 to 523 million (95% UI: 497 to 550 million) in 2019, and the number of CVD deaths steadily increased from 12.1 million (95% UI:11.4 to 12.6 million) in 1990, reaching 18.6 million (95% UI: 17.1 to 19.7 million) in 2019. The global trends for disability-adjusted life years (DALYs) and years of life lost also increased significantly, and years lived with disability doubled from 17.7 million (95% UI: 12.9 to 22.5 million) to 34.4 million (95% UI:24.9 to 43.6 million) over that period. The total number of DALYs due to IHD has risen steadily since 1990, reaching 182 million (95% UI: 170 to 194 million) DALYs, 9.14 million (95% UI: 8.40 to 9.74 million) deaths in the year 2019, and 197 million (95% UI: 178 to 220 million) prevalent cases of IHD in 2019. The total number of DALYs due to stroke has risen steadily since 1990, reaching 143 million (95% UI: 133 to 153 million) DALYs, 6.55 million (95% UI: 6.00 to 7.02 million) deaths in the year 2019, and 101 million (95% UI: 93.2 to 111 million) prevalent cases of stroke in 2019.
Cardiovascular diseases remain the leading cause of disease burden in the world. CVD burden continues its decades-long rise for almost all countries outside high-income countries, and alarmingly, the age-standardized rate of CVD has begun to rise in some locations where it was previously declining in high-income countries. There is an urgent need to focus on implementing existing cost-effective policies and interventions if the world is to meet the targets for Sustainable Development Goal 3 and achieve a 30% reduction in premature mortality due to noncommunicable diseases.publishedVersio
Mental disorders as risk factors: assessing the evidence for the Global Burden of Disease Study
Background: Mental disorders are associated with a considerable burden of disease as well as being risk factors for other health outcomes. The new Global Burden of Disease (GBD) Study will make estimates for both the disability and mortality directly associated with mental disorders, as well as the burden attributable to other health outcomes. Herein we discuss the process by which health outcomes in which mental disorders are risk factors are selected for inclusion in the GBD Study. We make suggestions for future research to strengthen the body of evidence for mental disorders as risk factors
Global and national Burden of diseases and injuries among children and adolescents between 1990 and 2013
Importance The literature focuses on mortality among children younger than 5 years. Comparable information on nonfatal health outcomes among these children and the fatal and nonfatal burden of diseases and injuries among older children and adolescents is scarce.
Objective To determine levels and trends in the fatal and nonfatal burden of diseases and injuries among younger children (aged <5 years), older children (aged 5-9 years), and adolescents (aged 10-19 years) between 1990 and 2013 in 188 countries from the Global Burden of Disease (GBD) 2013 study.
Evidence Review Data from vital registration, verbal autopsy studies, maternal and child death surveillance, and other sources covering 14âŻ244 site-years (ie, years of cause of death data by geography) from 1980 through 2013 were used to estimate cause-specific mortality. Data from 35âŻ620 epidemiological sources were used to estimate the prevalence of the diseases and sequelae in the GBD 2013 study. Cause-specific mortality for most causes was estimated using the Cause of Death Ensemble Model strategy. For some infectious diseases (eg, HIV infection/AIDS, measles, hepatitis B) where the disease process is complex or the cause of death data were insufficient or unavailable, we used natural history models. For most nonfatal health outcomes, DisMod-MR 2.0, a Bayesian metaregression tool, was used to meta-analyze the epidemiological data to generate prevalence estimates.
Findings Of the 7.7 (95% uncertainty interval [UI], 7.4-8.1) million deaths among children and adolescents globally in 2013, 6.28 million occurred among younger children, 0.48 million among older children, and 0.97 million among adolescents. In 2013, the leading causes of death were lower respiratory tract infections among younger children (905âŻ059 deaths; 95% UI, 810âŻ304-998âŻ125), diarrheal diseases among older children (38âŻ325 deaths; 95% UI, 30âŻ365-47âŻ678), and road injuries among adolescents (115âŻ186 deaths; 95% UI, 105âŻ185-124âŻ870). Iron deficiency anemia was the leading cause of years lived with disability among children and adolescents, affecting 619 (95% UI, 618-621) million in 2013. Large between-country variations exist in mortality from leading causes among children and adolescents. Countries with rapid declines in all-cause mortality between 1990 and 2013 also experienced large declines in most leading causes of death, whereas countries with the slowest declines had stagnant or increasing trends in the leading causes of death. In 2013, Nigeria had a 12% global share of deaths from lower respiratory tract infections and a 38% global share of deaths from malaria. India had 33% of the worldâs deaths from neonatal encephalopathy. Half of the worldâs diarrheal deaths among children and adolescents occurred in just 5 countries: India, Democratic Republic of the Congo, Pakistan, Nigeria, and Ethiopia.
Conclusions and Relevance Understanding the levels and trends of the leading causes of death and disability among children and adolescents is critical to guide investment and inform policies. Monitoring these trends over time is also key to understanding where interventions are having an impact. Proven interventions exist to prevent or treat the leading causes of unnecessary death and disability among children and adolescents. The findings presented here show that these are underused and give guidance to policy makers in countries where more attention is needed
Qualitative impact assessment of land management interventions on ecosystem services (âQEIAâ). Report-2: integrated assessment
This project assessed the impacts of 741 potential land management actions, suitable for agricultural land in England, on the Farming & Countryside Programmeâs Environmental Objectives (and therefore Environment Act targets and climate commitments) through 53 relevant environmental and cultural service indicators.
The project used a combination of expert opinion and rapid evidence reviews, which included 1000+ pages of evidence in 10 separate reports with reference to over 2400 published studies, and an Integrated Assessment comprising expert-derived qualitative impact scores.
The project has ensured that ELM schemes are evidence-based, offer good value for money, and contribute to SoS priorities for farming
Qualitative Impact Assessment of Land Management Interventions on Ecosystem Services (âQEIAâ). Report-1: Executive Summary: QEIA Evidence Review & Integrated Assessment
The focus of this project was to provide an expert-led, rapid qualitative assessment of land management interventions on Ecosystem Services (ES) proposed for inclusion in Environmental Land Management (ELM) schemes. This involved a review of the current evidence base for 741 land management actions on 33 Ecosystem Services and 53 Ecosystem Service indicators by ten teams involving 45 experts drawn from the independent research community in a consistent series of Evidence Reviews covering the broad topics of:
⢠Air quality
⢠Greenhouse gas emissions
⢠Soils
⢠Water management
⢠Biodiversity: croplands
⢠Biodiversity: improved grassland
⢠Biodiversity: semi-natural habitats
⢠Biodiversity: integrated systems-based actions
⢠Carbon sequestration
⢠Cultural services (including recreation, geodiversity and regulatory services).
It should be noted that this piece of work is just one element of the wider underpinning work Defra has commissioned to support the development of the ELM schemes
Qualitative impact assessment of land management interventions on Ecosystem Services (âQEIAâ). Report-2: Integrated Assessment
The focus of this project was to provide an expert-led, rapid qualitative assessment of land management interventions on Ecosystem Services (ES) proposed for inclusion in Environmental Land Management (ELM) schemes. This involved a review of the current evidence base for 741 land management actions on 33 Ecosystem Services and 53 Ecosystem Service indicators by ten expert teams drawn from the independent research community in a consistent series of ten Evidence Reviews covering the broad topics of;
⢠Air quality
⢠Greenhouse gas emissions
⢠Soils
⢠Water management
⢠Biodiversity: croplands
⢠Biodiversity: improved grassland
⢠Biodiversity: semi-natural habitats
⢠Biodiversity: integrated systems-based actions
⢠Carbon sequestration
⢠Cultural services (including recreation, geodiversity and regulatory services)
These reviews were undertaken rapidly at Defraâs request by ten teams involving 45 experts who together captured more than 2,400 individual sources of evidence. This was followed by the Integrated Assessment (IA) reported here to provide a more accessible summary of these evidence reviews with a focus on capturing the actions with the greatest potential magnitude of change for the intended ES, and their potential co-benefits and trade-offs for the other ES