A new generation of Primary Care Service Areas or general practice catchment areas

Primary Care is fundamental to a well‐functioning health system. Various geographical small areas including specialized geographies such as Primary Care Service Areas (PCSAs) are used to measure primary care relevant outcomes and services, or to target interventions. PCSAs are small areas, the majority of patients resident in which obtain their primary care services from within the geography. The extent of this self‐sufficiency of use is measured by the Localization Index (LI). PCSAs have been built in the US, Australia and Switzerland using an allocation algorithm, which, while simple and easy to implement, may require the use of various ad‐hoc parameters. In this article we propose an optimization based approach to creating PCSAs, ‐ an approach which has previously been used to generate labour flow regions in Ireland. The approach is data driven, thus requiring a minimal number of ad‐hoc parameters. We compared the resulting PCSAs (or `rPCSAs') with PCSAs generated using the traditional allocation algorithm. We found that rPCSAs were generally larger, offered greater LIs and reflected patient travel patterns better than traditional PCSAs. Accounting for the larger size of rPCSAs showed that rPCSAs offered better LIs than similar sized traditional PCSAs.     

Isotopic composition of rain- and groundwater at Mt. Vesuvius: environmental and volcanological implications

The present work reports on the isotopic characterization of rainfall and groundwater at Mt. Vesuvius. Values of δ ¹⁸O, monthly measured on rain samples collected during the period 2002–2004 in a rain-gauge network composed of 10 stations, were compared with meteorological and DEM data. Air temperature, controlled by the local orographic structure, was identified as the main factor influencing rain isotopic composition. Another important role is played by orographic clouds, whose condensation over the top of Mt. Vesuvius is responsible for anomalously high δ ¹⁸O values recorded in rain samples from the summit area of the volcanic edifice. A spatial model of rain isotopic composition, based on a 3D distribution of temperature derived by a 1 × 1 km DEM, was implemented and used for calculating the theoretical isotopic signature of seepage, further compared with data measured in the groundwater monitoring network. The analysis evidenced the role of local meteoric recharge as the main source feeding Mt. Vesuvius aquifers. The unique exception is the Olivella drainage gallery, located on the north-eastern flank of the volcanic edifice, whose isotopic composition is slightly more positive than the one expected for its altitude, likely caused by both evaporation processes and mixing with condensed hydrothermal vapor.     

Development of water management strategies in southern Mesopotamia during the fourth and third millennium B.C.E.

The last two decades witnessed increasing scholarly interest in the history of water management in southern Mesopotamia. Thanks to many geoarchaeological research projects conducted throughout the central and southern Iraqi floodplains, a general understanding of the macrophases of anthropogenic manipulation of this vast hydraulic landscape has been achieved. However, current narratives mostly rely on studies at a regional scale and are based on excessively long chronological phases (often spanning a whole millennium). A finer-tuned analysis at a submillennial scale is needed to better appreciate the dynamics that led to the development of artificial canals and irrigation systems and the creation of harbours in cities and other navigation-related facilities. The Iraqi-Italian QADIS project is addressing this issue through a systematic geoarchaeological investigation in the south-eastern area of the Qadisiyah province. We aim to update the current narrative by analysing case studies involving specific periods of occupation. We performed 17 boreholes to propose a date on the functioning period of the hydraulic works in five selected archaeological sites of this region. This approach allowed us to understand changes in water management strategies in both the short and the medium term (i.e., on a scale of centuries). In this paper, we present the results for the fourth and third millennia B.C.E. This period witnessed a crucial passage from the basic exploitation of natural watercourses for irrigation and occasional navigation to the emergence of the first system of artificial canals and intraurban harbours.     

Holocene sea-level fluctuation in the southern hemisphere

If rising sea levels dominate in the northern hemisphere (NH), falling or fluctuating sea levels predominate in the southern hemisphere (SH). Endogenic processes (tectonics, isostasy or geoidal changes) could explain local or regional mean sea level (MSL) fluctuations but not an hemispherical one.Evidence from South America, Africa, Antarctica, Australia and the Pacific and Indian Oceans suggest that the Holocene transgression rose above the present MSL, in higher latitudes before the tropics. By plotting latitude against the age of MSL arrival at present coasts, good correlation is observed.Oceanic salinity mixing has been already proposed to explain this mid-Holocene sea-level fluctuation. Climate could be the only factor responsible for this hemisphere-wide behavior of MSL. It has been suggested previously that the climate of the SH precedes that of the NH by 3000 years. The climatic optimum, or maximum warmth, occurred predominantly about 6000 BP in the NH, but about 10–9000 BP in the SH.Short-term climatic effects on the sea level (monsoons, southern oscillation/El Niño phenomena) should have significant occurrences during the past in the windiest oceanic hemisphere.This latitudinal trend in former MSL should be considered when using shorelines as reference points for measuring vertical crustal movements.     

The Maoxian landslide as seen from space: detecting precursors of failure with Sentinel-1 data

Post-event Interferometric Synthetic Aperture Radar (InSAR) analysis on a stack of 45 C-band SAR images acquired by the ESA Sentinel-1 satellites from 9 October 2014 to 19 June 2017 allowed the identification of a clear precursory deformation signal for the Maoxian landslide (Mao County, Sichuan Province, China). The landslide occurred in the early morning of 24 June 2017 and killed more than 100 people in the village of Xinmo. Sentinel-1 images have been processed through an advanced multi-interferogram analysis capable of maximising the density of measurement points, generating ground deformation maps and displacement time series for an area of 460 km² straddling the Minjiang River and the Songping Gully. InSAR data clearly show the precursors of the slope failure in the source area of the Maoxian landslide, with a maximum displacement rate detected of 27 mm/year along the line of sight of the satellite. Deformation time series of measurement points identified within the main scarp of the landslide exhibit an acceleration starting from April 2017. A detailed time series analysis leads to the classification of different deformation behaviours. The Fukuzono method for forecasting the time of failure appear to be applicable to the displacement data exhibiting progressive acceleration. Results suggest that satellite radar data, systematically acquired over large areas with short revisiting time, could be used not only as a tool for mapping unstable areas, but also for landslide monitoring, at least for some typologies of sliding phenomena.     

Reply to discussion on “Guidelines on the use of inverse velocity method as a tool for setting alarm thresholds and forecasting landslides and structure collapses” by F. Bozzano,P. Mazzanti,and S. Moretto

■■■The paper “Discussion to: Guidelines on the use of inverse velocity method as a tool for setting alarm thresholds and forecasting landslides and structure collapses by T. Carlà, E. Intrieri, F. Di Traglia, T. Nolesini, G. Gigli and N. Casagli” by Bozzano et al. brings forward new considerations on an issue of extreme concern in landslide risk management. To this day, the ability to predict catastrophic landslide failures from slope surface displacements is a problem dictated more by practical constraints rather than by theoretical uncertainties. In this sense, the development of data interpretation practices is crucial. This short reply provides a few further insights with regard to this subject, also in the context of the recently published literature.     

Jet–gas interactions in z∼ 2.5 radio galaxies: evolution of the ultraviolet line and continuum emission with radio morphology

We present an investigation into the nature of the jet–gas interactions in a sample of 10 radio galaxies at  2.3 < z < 2.9  using deep spectroscopy of the ultraviolet (UV) line and continuum emission obtained at Keck II and the Very Large Telescope. Kinematically perturbed gas, which we have shown to be within the radio structure in previous publications, is always blueshifted with respect to the kinematically quiescent gas, is usually spatially extended, and is usually detected on both sides of the nucleus. In the three objects from this sample for which we are able to measure line ratios for both the perturbed and quiescent gases, we suggest that the former has a lower ionization state than the latter.
We propose that the perturbed gas is part of a jet-induced outflow, with dust obscuring the outflowing gas that lies on the far side of the object. The spatial extent of the blueshifted perturbed gas, typically ∼35 kpc, implies that the dust is spatially extended at least on similar spatial scales.
We also find interesting interrelationships between UV line, UV continuum and radio continuum properties of this sample.     

Grain size characteristics of superficial sediments of the Gulf of Tunis (NE Tunisia)

This work presents a recent grain size study characterizing superficial sediments of the whole sectors of the Gulf of Tunis which extends from Sidi Ali El Mekki to Sidi Daoued. In this study, a total of 112 samples were collected from different depths following 26 profiles perpendicular to the shore and from rivers. The determination of the proportions of coarse and fine fractions and the interpretation of the grain size results lead to dividing the Gulf of Tunis into two principal coasts: (1) the western coast situated between Sidi Ali El Mekki and Borj Cédria, which is characterized by three sedimentary facies: (a) a sandy facies along the coastline, (b) a mixed facies between Ghar El Melh and Raoued, near the Medjerda River, and between La Goulette and Ezzahra, near the Miliane River, and (c) a muddy facies between Ghar El Melh and Kalâat El Andalous and covered by fine to very fine sands, and (2) the eastern coast, which is characterized by a sandy facies and covered by medium to coarse sands. The dominant N–E and N–W waves generate longshore currents that provide sediment transport following the directions N–S, from Sidi Ali El Mekki to Kalâat El Andalous; SE–NW, from Gammarth to Raoued; NE–SW, from Sidi Bou Saïd to La Goulette and from Sidi Daoued to Bir El Jadi; SE–NW, from Hammam-Plage to Ezzahra; and SW–NE, from Port aux Princes to Rtiba.     

The Ross orogeny of the transantarctic mountains: a northern Victoria Land perspective

Northern Victoria Land (Antarctica) is made up of three terranes of Cambrian–Ordovician rocks: the Wilson (WT), Bowers (BT) and Robertson Bay terranes (RBT). The WT comprises a low- to high-grade metasedimentary sequence intruded by calc-alkaline plutons with magmatic arc affinity; the BT is composed of low-grade metavolcanic and metasedimentary rocks usually interpreted as an intra-oceanic arc; the RBT is a very low-grade flysch-like sequence. Terrane juxtaposition has traditionally been attributed to accretion during the Cambro-ordovician Ross orogeny. We propose a new model in which the WT, BT and RBT are interpreted as an arc/back-arc/trench system, developed in the context of a SW-dipping subduction zone. The subducting plate carried a continent originally located outboard of the turbidite fan of the RBT. Collision between this continent and the East Antarctic craton caused partial subduction of the intervening back-arc basin and, ultimately, the end of Ross-orogenic subduction. The turbidite fan of the RBT originally sedimented above the trench and on the subducting oceanic plate; due to collision it was thrusted on the continent, that constitutes, at least in part, the present basement of the RBT turbidite. The eastern portions of this continental mass were later dissected by the tensile tectonics related to the opening of the of the Southern Ocean.