The interpretation of crustal dynamics data in terms of plate motions and regional deformation near plate boundaries

The focus was in two broad areas during the most recent 6-month period: (1) the nature and dynamics of time dependent deformation and stress along major seismic zones; and (2) the nature of long-wavelength oceanic geoid anomalies in terms of lateral variations in upper mantle temperature and composition. The principle findings are described in the accompanying appendices

Constraints on crustal rheology and age of deformation from models of gravitational spreading in Ishtar Terra, Venus

Gravitational spreading is expected to lead to rapid relaxation of high relief due to the high surface temperature and associated weak crust on Venus. In this study, we use new Magellan radar and altimetry data to determine the extent of gravitational relaxation in Ishtar Terra, which contains the highest relief on Venus as well as areas of extremely high topographic slope. Within Ishtar Terra the only mountain belts found on Venus, Akna, Danu, Freyja, and Maxwell Montes, nearly encircle the smooth, high (3-4 km) plateau of Lakshmi Planum. Finite-element models of this process give expected timescales for relaxation of relief and failure at the surface. From these modeling results we attempt to constrain the strength of the crust and timescales of deformation in Ishtar Terra. Below we discuss observational evidence for gravitational spreading in Ishtar Terra, results from the finite-element modeling, independent age constraints, and implications for the rheology and timing of deformation

The interpretation of crustal dynamics data in terms of plate motions and regional deformation near plate boundaries

The focus of the research was in two broad areas: (1) the nature and dynamics of time dependent deformation and stress along major seismic zones; and (2) the nature of long wavelength oceanic geoid anomalies in terms of lateral variations in upper mantle temperature and composition. The principle findings of the research are described in the accompanying appendices. The first two and the fourth appendices are reprints of papers recently submitted for publication, and the third is the abstract of a recently completed thesis supported by this project

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research