Browsing by Subject "fractures"
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Item Open Access Fractures, Faults, and Hydrothermal Systems of Puna, Hawaii, and Montserrat, Lesser Antilles(2010) Kenedi, Catherine LewisThe focus of this work is to use geologic and geophysical methods to better understand the faults and fracture systems at Puna, in southeastern Hawaii, and southern Montserrat, in the Lesser Antilles. The particular interest is understanding and locating the deep fracture networks that are necessary for fluid circulation in hydrothermal systems. The dissertation first presents a study in which identification of large scale faulting places Montserrat into a tectonic context. Then follow studies of Puna and Montserrat that focus on faults and fractures of the deep hydrothermal systems.
The first chapter consists of the results of the SEA-CALIPSO experiment seismic reflection data, recorded on a 48 channel streamer with the active source as a 2600 in3 airgun. This chapter discusses volcaniclastic debris fans off the east coast of Montserrat and faults off the west coast. The work places Montserrat in a transtensional environment (influenced by oblique subduction) as well as in a complex local stress regime. One conclusion is that the stress regime is inconsistent with the larger arc due to the influence of local magmatism and stress.
The second chapter is a seismic study of the Puna hydrothermal system (PHS) along the Kilauea Lower East Rift Zone. The PHS occurs at a left step in the rift, where a fracture network has been formed between fault segments. It is a productive geothermal field, extracting steam and reinjecting cooled, condensed fluids. A network of eight borehole seismometers recorded >6000 earthquakes. Most of the earthquakes are very small (< M.2), and shallow (1-3 km depth), likely the result of hydrothermal fluid reinjection. Deeper earthquakes occur along the rift as well as along the south-dipping fault plane that originates from the rift zone.
Seismic methods applied to the PHS data set, after the initial recording, picking, and locating earthquakes, include a tomographic inversion of the P-wave first arrival data. This model indicates a high seismic velocity under the field that is thought to be an intrusion and the heat source of the hydrothermal system. A shear wave splitting study suggested the PHS fracture system is largely oriented rift-parallel with some orthogonal fractures. Shear wave splitting data also were used in a tomographic inversion for fracture density. The fracture density is high in the PHS, which indicates high permeability and potential for extensive fluid circulation. This has been confirmed by high fluid flow and energy generation. The high fracture density is consistent with the interpretation of a transfer zone between the rift segments where a fracture mesh would be expected. In Puna the transfer zone is a relay ramp.
The results from the PHS are used as an example to examine the proposed hydrothermal system at St. George's Hill, Montserrat. In southern Montserrat, hot springs and fumaroles suggest a deep hydrothermal system heated by local magmatism. A magnetotelluric study obtained resistivity data that suggest focused alteration under southeastern Montserrat that is likely to be along fault segments. Several faults intersect under SGH, making it the probable center of the hydrothermal system. At Puna, and also Krafla, Iceland, where faults interact is an area of increased permeability, acting as a model to be applied to southern Montserrat. The conclusion is that in both Puna and Montserrat large faults interact to produce local areas of stress transfer that lead to fracturing and permeable networks; these networks allow for high-temperature hydrothermal circulation.
Item Open Access Use of a 5-item modified Fragility Index for risk stratification in patients undergoing surgical management of proximal humerus fractures.(JSES international, 2021-03) Evans, Daniel R; Saltzman, Eliana B; Anastasio, Albert T; Guisse, Ndeye F; Belay, Elshaday S; Pidgeon, Tyler S; Richard, Marc J; Ruch, David S; Anakwenze, Oke A; Gage, Mark J; Klifto, Christopher SHypothesis
We hypothesized that the modified Fragility Index (mFI) would predict complications in patients older than 50 years who underwent operative intervention for a proximal humerus fracture.Methods
We retrospectively reviewed the American College of Surgeons National Surgery Quality Improvement Program database, including patients older than 50 years who underwent open reduction and internal fixation of a proximal humerus fracture. A 5-item mFI score was then calculated for each patient. Postoperative complications, readmission and reoperation rates as well as length of stay (LOS) were recorded. Univariate as well as multivariable statistical analyses were performed, controlling for age, sex, body mass index, LOS, and operative time.Results
We identified 2,004 patients (median age, 66 years; interquartile range: 59-74), of which 76.2% were female. As mFI increased from 0 to 2 or greater, 30-day readmission rate increased from 2.8% to 6.7% (P-value = .005), rate of discharge to rehabilitation facility increased from 7.1% to 25.3% (P-value < .001), and rates of any complication increased from 6.5% to 13.9% (P-value < .001). Specifically, the rates of renal and hematologic complications increased significantly in patients with mFI of 2 or greater (P-value = .042 and P-value < .001, respectively). Compared with patients with mFI of 0, patients with mFI of 2 or greater were 2 times more likely to be readmitted within 30 days (odds ratio = 2.2, P-value .026). In addition, patients with mFI of 2 or greater had an increased odds of discharge to a rehabilitation center (odds ratio = 2.3, P-value < .001). However, increased fragility was not significantly associated with an increased odds of 30-day reoperation or any complication after controlling for demographic data, LOS, and operative time.Conclusion
An increasing level of fragility is predictive of readmission and discharge to a rehabilitation center after open reduction and internal fixation of proximal humerus fractures. Our data suggest that a simple fragility evaluation can help inform surgical decision-making and counseling in patients older than 50 years with proximal humerus fractures.