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.     

Accuracy assessment of the GPS-TEC calibration constants by means of a simulation technique

During the last 2 decades, Global Positioning System (GPS) measurements have become a very important data-source for ionospheric studies. However, it is not a direct and easy task to obtain accurate ionospheric information from these measurements because it is necessary to perform a careful estimation of the calibration constants affecting the GPS observations, the so-called differential code biases (DCBs). In this paper, the most common approximations used in several GPS calibration methods, e.g. the La Plata Ionospheric Model (LPIM), are applied to a set of specially computed synthetic slant Total Electron Content datasets to assess the accuracy of the DCB estimation in a global scale scenario. These synthetic datasets were generated using a modified version of the NeQuick model, and have two important features: they show a realistic temporal and spatial behavior and all a-priori DCBs are set to zero by construction. Then, after the application of the calibration method the deviations from zero of the estimated DCBs are direct indicators of the accuracy of the method. To evaluate the effect of the solar activity radiation level the analysis was performed for years 2001 (high solar activity) and 2006 (low solar activity). To take into account seasonal changes of the ionosphere behavior, the analysis was repeated for three consecutive days close to each equinox and solstice of every year. Then, a data package comprising 24 days from approximately 200 IGS permanent stations was processed. In order to avoid unwanted geomagnetic storms effects, the selected days correspond to periods of quiet geomagnetic conditions. The most important results of this work are: i) the estimated DCBs can be affected by errors around ±8 TECu for high solar activity and ±3 TECu for low solar activity; and ii) DCB errors present a systematic behavior depending on the modip coordinate, that is more evident for the positive modip region.     

A new method for laboratory estimation of the transverse dispersion coefficient

We introduce a method for identifying the transverse dispersion coefficient in laboratory experiments based on the analytical solution of a pulse injection of a nonreactive solute in a soil column (cylindrical geometry) packed with a homogeneous porous medium. This method takes into account the effect of boundary conditions such as no flux on the column perimeter, and it does not need a priori knowledge of the longitudinal dispersion coefficient. Numerical applications of the method show that it is stable and robust and that the results are reasonably in accordance with those found using the classical maximum likelihood method.     

Die Einschichtung der Rhone im Genfersee: Ergebnisse von Strömungsmessungen im August 1983

Results obtained by means of an ultrasonic current meter in the plume of the Rhone river are summarized as follows:

1. Currents of Rhone river water entering the lake were clearly discernible up to a distance of about 1 km from the river mouth. The interflow was observed at depth of 10 to 30 m.
2. Interflow velocities decreased with increasing distance from the river mouth: from 40cm/s at a distance of 350 m to about 15 cm/s at 1 km.
3. Short-term variations of current velocities and directions documented the highly turbulent nature of the interflow.
4. The entering river water (inflow direction to the NNW) interfered with a persisting northeastward current of the lake water. At a distance of 1–2 km from the mouth the interflow gradually assumed the same direction, possibly due to deflection by Coriolis forces.
5. Current velocities showed considerable variations within a time scale in the order of hours at the same measuring position. The reasons for these fluctuations remain unclear. Possible causes may be lateral oscillations of the entering river water or its deviation by river mouth bars during periods of reduced river discharge. Variations of the discharge alone cannot explain these current fluctuations.

     

Harkerite from the Alban Hills,Italy

Harkerite, found in metamorphic ejecta of the Alban Hills associated with cuspidine, grossular, phlogopite, vesuvian, biotite, and minor amounts of diopside, aegirinaugite, leucite, magnetite and calcito, shows cubic Laue symmetry m3m, possible space groups Fm3m, F432, F43m, a₀ = 14.82 Å.On the basis of isomorphous replacements suggested by the crystal structure analysis, chemical data may be represented by the formula: Ca₄₈Mg₁₆(AlSi₄O₁₆)₄(BO₃)₁₂(CO₃)₂₀ · 4H₂O. Refractive index n_D = 1.6490.The relations between harkerite from Albano, harkerite from Skye and other known harkerites and sakhaites are discussed.     

Plume chemistry provides insights into mechanisms of sulfur and halogen degassing in basaltic volcanoes

This paper deals with sulfur, chlorine and fluorine abundances in the eruptive volcanic plume of the huge October 2002-January 2003 eruption of Mount Etna, aiming at relating the relevant compositional variations observed throughout with changes in eruption dynamics and degassing mechanisms. The recurrent sampling of plume acidic volatiles by filter-pack methodology revealed that, during the study period, S/Cl and Cl/F ratios ranged from 0.1-6.8 and 0.9-5.6, respectively. Plume S/Cl ratios increased by a factor of ∼10 as volcanic activity drifted from paroxysmal lava fountaining (mid- and late November) to passive degassing and minor effusion (early January), and then decreased to the low values (S/Cl=0.1) typical of the final stages of the eruption. Parallel variations in chlorine to fluorine ratios were also observed. A theoretical model is proposed for quantitative interpretation of these changes in plume composition. The model calculates the composition of a volatile phase exsolving from an ascending Etna magma, based on knowledge of solubilities and abundances in the undegassed melt of sulfur and halogens [T.M. Gerlach, EOS 72 (1991), 249, 254-255]. According to this model, degassing of Etnean basaltic melt at high pressures and depths (>100 MPa, 3 km) is likely to release a CO₂+H₂O-rich vapor phase with S/Cl molar ratios ∼1. Extensive sulfur and chlorine degassing from the melt would take place at shallower depth (P<20 MPa, 0.6 km), with S/Cl ratios in the vapor phase increasing as pressure drops to 0.1 MPa. Comparisons between model compositions and volcanic plume data demonstrate that the chemical trends observed during the eruption may be explained by increased degassing due to depressurization of a basaltic magma batch ascending toward the surface.     

NanoSr – A New Carbonate Microanalytical Reference Material for In Situ Strontium Isotope Analysis

The in situ measurement of Sr isotopes in carbonates by MC‐ICP‐MS is limited by the availability of suitable microanalytical reference materials (RMs), which match the samples of interest. Whereas several well‐characterised carbonate reference materials for Sr mass fractions > 1000 µg g^?1 are available, there is a lack of well‐characterised carbonate microanalytical RMs with lower Sr mass fractions. Here, we present a new synthetic carbonate nanopowder RM with a Sr mass fraction of ca. 500 µg g^?1 suitable for microanalytical Sr isotope research (‘NanoSr’). NanoSr was analysed by both solution‐based and in situ techniques. Element mass fractions were determined using EPMA (Ca mass fraction), as well as laser ablation and solution ICP‐MS in different laboratories. The ⁸⁷Sr/⁸⁶Sr ratio was determined by well‐established bulk methods for Sr isotope measurements and is 0.70756 ± 0.00003 (2s). The Sr isotope microhomogeneity of the material was determined by LA‐MC‐ICP‐MS, which resulted in ⁸⁷Sr/⁸⁶Sr ratios of 0.70753 ± 0.00007 (2s) and 0.70757 ± 0.00006 (2s), respectively, in agreement with the solution data within uncertainties. Thus, this new reference material is well suited to monitor and correct microanalytical Sr isotope measurements of low‐Sr, low‐REE carbonate samples. NanoSr is available from the corresponding author.     

Patterns of fluid flow in the contact aureole of the Late Miocene Monte Capanne pluton (Elba Island,Italy): the role of structures and rheology

Fluid–rock interaction was investigated in the inner aureole of the Late Miocene Monte Capanne pluton on Elba Island (Tuscany, central Italy) by integrating structural, petrological, fluid inclusion, and stable isotope analyses. In the north-western sector of the aureole (Procchio–Spartaia area), calc–silicates alternate with nearly pure carbonate layers at the metre scale. Close to the pluton, the prograde metamorphic sequence includes calc–silicates that transition within a few metres to overlying nearly pure calcite marbles. The calc–silicates are extensively metasomatised to form massive wollastonite-grossular-bearing exoskarn. The mineralogical assemblage found in the marbles and the unshifted carbon and oxygen isotopic ratios in calcite attest that the fluid phase was internally buffered. On the other hand, the calc–silicates constituted channels for infiltration of disequilibrium fluids of magmatic origin. Fluid infiltration was enhanced by hydrofracturing and structurally-controlled by existing planar anisotropies in calc–silicates (layering and lithological boundaries). At the metamorphic peak (∼600°C and 1.5–2 kbar), the marble–calc–silicate interface acted as a barrier to fluids exsolved from the crystallising intrusions, separating two different flow patterns in the inner aureole: a high fluid–flux region on its higher grade side (Wol-zone) and a low fluid–flux region on the lower-grade side (Cpx zone). Results of this study: (1) documented that fluid pathways in the aureole rocks at the top of the pluton were largely horizontal, controlled by the lithological layering and the pluton–host rock contact; and (2) elucidated the primary control exerted by the structural and rheological properties of the host rocks on the geometry of fluid flow during pluton emplacement.     

Mineralogical and geochemical study of granular xenoliths from the Alban Hills volcano,Central Italy: bearing on evolutionary processes in potassic magma chambers

Granular xenoliths (ejecta) from pyroclastic deposits emplaced during the latest stages of activity of the Alban Hills volcano range from ultramafic to salic. Ultramafic types consist of various proportions of olivine, spinel, clinopyroxene and phlogopite. They show low SiO₂, alkalies and incompatible element abundances and very high MgO. However, Cr, Co and Sc are anomalously low, at a few ppm level. Olivine is highly magnesian (up to Fo%=96) and has rather high CaO (1% Ca) and very low Ni (around a few tens ppm) contents. These characteristics indicate a genesis of ultramafic ejecta by thermal metamorphism of a siliceous dolomitic limestone, probably with input of chemical components from potassic magma. The other xenoliths have textures and compositional characteristics which indicate that they represent either intrusive equivalents of lavas or cumulates crystallized from variably evolved ultrapotassic magmas. One sample of the former group has major element composition resembling ultrapotassic rocks with kamafugitic affinity. Some cumulitic rocks have exceedingly high abundances of Th (81–84 ppm) and light rare-earth elements (LREE) (La+Ce=421–498 ppm) and extreme REE fractionation (La/Yb=288–1393), not justified by their modal mineralogy which is dominated by sanidine, leucite and nepheline. Finegrained phases are dispersed through the fractures and within the interstices of the main minerals. Semiquantitative EDS analyses show that Th and LREE occur at concentration levels of several tens of percent in these phases, indicating that their presence is responsible for the high concentration of incompatible trace elements in the whole rocks. The interstitial position of these phases and their association with fluorite support a secondary origin by deposition from fluorine-rich fluids separated from a highly evolved potassic liquid. The Nd isotopic ratios of the cjecta range from 0.51182 to 0.51217. ⁸⁷Sr/⁸⁶Sr ratios range from 0.70900 to 0.71036. With the exception of one sample, these values are lower than those of the outcropping lavas, which cluster around 0.7105±3. This indicates either the occurrence of several isotopically distinct potassic magmas or a variable interaction between magmas and wall rocks. However, this latter hypothesis requires selective assimilation of host rocks in order to explain isotopic and geochemical characteristics of lavas and xenoliths. The new data indicate that the evolutionary processes in the potassic magmas of the Alban Hills were much more complex than envisaged by previous studies. Interaction of magmas with wall rocks may be an important process during magmatic evolution. Element migration by gaseous transfer, often invoked but rarely constrained by sound data, is shown to have occurred during the latest stages of magmatic evolution. Such a process was able to produce selective enrichment of Th, U, LREE and, to a minor degree, Ta and Hf in the wall rocks of potassic magma chamber. Finally, the occurrence of xenoliths with kamafugitic composition points to the existence of this type of ultrapotassic magma at the Alban Hills.