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New organizations of care and social service delivery (especially the development of coordination and networks) are leading to the definition new spaces. This article is based on examples of restructuring of health care systems in France and in Quebec. Both are moving towards more integration of delivery of care. In Quebec, 95 territories were created with a leading structure: the center for health and social services. This structure is responsible for bringing all the providers of services into a network and for giving to the population the guarantee of continuity and quality of care. It results in a new geography of health at the local scale. In France, continuity and quality of care are also used as arguments to justify changes in the organization of the system.  相似文献   
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We present a comprehensive probabilistic hazard assessment for tephra fallout of Cotopaxi volcano (Ecuador), a quiescent but active stratovolcano known for its highly explosive behaviour. First, we developed a set of possible eruptive scenarios based on thorough field investigations, literature studies and using the Global Volcanism Program (GVP) database. Five eruption scenarios were identified, including two based on large pre-historical sub-Plinian/Plinian eruptions with eruptive parameters constrained from field investigations (One Eruption Scenario; OES) and three Eruption Range Scenarios (ERS) based on the Volcanic Explosivity Index (VEI) classification, for which eruptive parameters (i.e. erupted volume, plume height and median grainsize) were stochastically sampled within boundaries defined by VEI 3, 4 and 5. Second, the modelling was performed using the advection-diffusion model TEPHRA2 in combination with wind profiles from the NOAA NCEP/NCAR Reanalysis 1 database. We performed 1,000 runs for each eruption scenario, stochastically sampling a wind profile (OES and ERS) and a set of eruptive parameters (ERS only) at each run. Using the conditional probabilities of occurrence of eruption of VEI 3, 4 and 5 calculated from the GVP catalogue, we assessed the probability of tephra accumulation in a given time window. Based on the GVP database, a simple Poisson model shows that an eruption of VEI???3 has a 36?% probability of occurrence in the next 10?years. Finally, the hazard assessment was compiled based on three different outputs, including (i) probability maps for a given tephra accumulation, (ii) isomass maps for a given probability value and (iii) hazard curves for a given location. We conclude that the area west of Cotopaxi is exposed to light to severe tephra fallout for the smallest eruption magnitude considered (i.e. VEI 3). This area comprises a main communication axis (Panamerican Highway) topographically constrained at the bottom of the Interandean Valley, as well as the capital Quito and the town of Latacunga. In a companion paper, Biass et?al. (this volume) propose a method for a rapid risk assessment for tephra fallout using global and easily accessible data and the hazard assessment described here.  相似文献   
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The Penjom Gold Mine is located 30 km from the Bentong-Raub Suture at the western boundary of the Central Belt in Peninsular Malaysia. Gold mineralization hosted within the vein system is associated with pyrite, arsenopyrite, and minor base metals including galena. Trace element and lead isotope analysis was undertaken on nine samples that represent two stages of galena formed during two tectonic events. Both the Pb isotopes and the trace elements show that the first stage galena within the mineralized areas at the footwall has different geochemical characteristics compared with galena in non mineralized areas in the hanging wall, suggesting that galena crystallized from two different ore fluids and probably at two different times. Higher Te, Se and Bi in the galena from the mineralized area may indicate hydrothermal fluids that migrate through the structural conduit and leached out the metal along the pathway that consist of dominant carbonaceous unit. The Pb isotopic ratio composition are transitional between the bulk crustal growth and an upper crustal growth curve, indicating that derivation was from arc rocks associated with continental crust or a crustal source that includes arc volcanic and old continental sedimentary rocks.  相似文献   
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We demonstrate that the large scatter in the ultraviolet (UV) colours of intermediate-mass early-type galaxies in the local Universe and the inferred low-level recent star formation (RSF) in these objects can be reproduced by minor mergers in the standard Λ cold dark matter (ΛCDM) cosmology. Numerical simulations of mergers with mass ratios ≤1:4, with reasonable assumptions for the ages, metallicities and dust properties of the merger progenitors, produce good agreement with the observed UV colours of the early-type population, if the infalling satellites are assumed to have (cold) gas fractions ≥20 per cent. Early-types that satisfy  ( NUV − r ) ≲ 3.8  are likely to have experienced mergers with mass ratios between 1:4 and 1:6 within the last ∼1.5 Gyr, while those that satisfy  3.8 < ( NUV − r ) < 5.5  are consistent with either recent mergers with mass ratios ≤1:6 or mergers with higher mass ratios that occurred more than ∼1.5 Gyr in the past. We demonstrate that the early-type colour–magnitude relations and colour distributions, in both the UV and optical spectral ranges, are consistent with the expected frequency of minor merging activity in the standard ΛCDM cosmology at low redshift. We present a strong plausibility argument for minor mergers to be the principal mechanism behind the large UV scatter and associated low-level RSF observed in early-type galaxies in the nearby Universe.  相似文献   
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The Helioseismic and Magnetic Imager (HMI) began near-continuous full-disk solar measurements on 1 May 2010 from the Solar Dynamics Observatory (SDO). An automated processing pipeline keeps pace with observations to produce observable quantities, including the photospheric vector magnetic field, from sequences of filtergrams. The basic vector-field frame list cadence is 135 seconds, but to reduce noise the filtergrams are combined to derive data products every 720 seconds. The primary 720 s observables were released in mid-2010, including Stokes polarization parameters measured at six wavelengths, as well as intensity, Doppler velocity, and the line-of-sight magnetic field. More advanced products, including the full vector magnetic field, are now available. Automatically identified HMI Active Region Patches (HARPs) track the location and shape of magnetic regions throughout their lifetime. The vector field is computed using the Very Fast Inversion of the Stokes Vector (VFISV) code optimized for the HMI pipeline; the remaining 180° azimuth ambiguity is resolved with the Minimum Energy (ME0) code. The Milne–Eddington inversion is performed on all full-disk HMI observations. The disambiguation, until recently run only on HARP regions, is now implemented for the full disk. Vector and scalar quantities in the patches are used to derive active region indices potentially useful for forecasting; the data maps and indices are collected in the SHARP data series, hmi.sharp_720s. Definitive SHARP processing is completed only after the region rotates off the visible disk; quick-look products are produced in near real time. Patches are provided in both CCD and heliographic coordinates. HMI provides continuous coverage of the vector field, but has modest spatial, spectral, and temporal resolution. Coupled with limitations of the analysis and interpretation techniques, effects of the orbital velocity, and instrument performance, the resulting measurements have a certain dynamic range and sensitivity and are subject to systematic errors and uncertainties that are characterized in this report.  相似文献   
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This paper deals with the geochemical features of the two Early Paleozoic ophiolite zones in the central-southem Tianshan region and the central Tianshan igneous rock belt between them.Study results suggest that the central Tianshan belt was an Ordovician volcanic arc with an affinity of continental crust, and the Kumux-Hongluhe ophiolitic zone that is located on the southern margin of central Tianshan has a crustal affinity to back-arc marginal sea.The Aqqikkudug-Weiya ophiolitic zone is an accretionary boundary between the Tuha continental block and the central Tianshan volcanic arc during Late Silurian to Devoniann;Ordovician ophi-olitic blocks,Silurian flysch sequence and HP metamorphic rock relics are distributed along the Aqqikkudug-Weiya zone.Geochemically,ophiolitic rocks in the Aqqikkudug-Weiya zone have an affinity to oceanic crust,reflecting a tectonic setting of paleo-trench or subduction zone .The Early Carboniferous red molasses were deposited unconformably on the pre-Carboniferous meta-mrophosed and ductile sheared volcanic and flysch rocks,providing an upper limit age of the central and southern Tianshan belts.  相似文献   
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This paper presents a numerical analysis of the influence of initial stress state on the response of deep excavation supported by retaining wall. Indeed, the influence of diaphragm wall installation prior to excavation works may affect the soil response and lateral wall deflection induced by excavation process. The first part of this paper gives a short review of the numerical methods aimed to reproduce the retaining wall installation. Numerical analysis of a deep excavation in two‐dimensional and three‐dimensional conditions is then performed according to the methods previously presented. In three‐dimensional conditions, diaphragm wall installation is performed considering a sequence of panels, described by their number and length. Results of three‐dimensional calculations confirm that stress state is disturbed by wall installation, which has a sensitive effect on the ground response induced by soil excavation. It is also noted that these results are not easily reproduced in two‐dimensional conditions. Copyright © 2012 John Wiley & Sons, Ltd.  相似文献   
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This study presents a high-resolution multi-proxy investigation of sediment core MD03-2601 and documents major glacier oscillations and deep water activity during the Holocene in the Adélie Land region, East Antarctica. A comparison with surface ocean conditions reveals synchronous changes of glaciers, sea ice and deep water formation at Milankovitch and sub-Milankovitch time scales. We report (1) a deglaciation of the Adélie Land continental shelf from 11 to 8.5 cal ka BP, which occurred in two phases of effective glacier grounding-line retreat at 10.6 and 9 cal ka BP, associated with active deep water formation; (2) a rapid glacier and sea ice readvance centred around 7.7 cal ka BP; and (3) five rapid expansions of the glacier–sea ice systems, during the Mid to Late Holocene, associated to a long-term increase of deep water formation. At Milankovich time scales, we show that the precessionnal component of insolation at high and low latitudes explains the major trend of the glacier–sea ice–ocean system throughout the Holocene, in the Adélie Land region. In addition, the orbitally-forced seasonality seems to control the coastal deep water formation via the sea ice–ocean coupling, which could lead to opposite patterns between north and south high latitudes during the Mid to Late Holocene. At sub-Milankovitch time scales, there are eight events of glacier–sea ice retreat and expansion that occurred during atmospheric cooling events over East Antarctica. Comparisons of our results with other peri-Antarctic records and model simulations from high southern latitudes may suggest that our interpretation on glacier–sea ice–ocean interactions and their Holocene evolutions reflect a more global Antarctic Holocene pattern.  相似文献   
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