About this title - The Geology and Tectonics of the Jabal Akhdar and Saih Hatat Domes, Oman Mountains

The geology of the Oman Mountains, including the Jabal Akhdar and Saih Hatat domes, is extraordinarily well-exposed and diverse, spanning a geological record of more than 800 Ma. The area is blessed with first-class outcrops and is well known in the geological community for its ophiolite. The Oman Mountains have much more to offer; including, Neoproterozoic diamictites (“Snowball Earth”), fossil-rich Permo-Mesozoic carbonates and metamorphic rocks. The arid climate and deep incision of wadis allow for nearly complete rock exposure which can be investigated in all three dimensions. The diverse geology is also responsible for the breathtaking landscape. New roads and the nature of the friendly Omani people make fieldwork unforgettable.This Memoir provides a thorough state-of-the-art overview of the geology and tectonics of the Southeastern Oman Mountains, and is accompanied by an over-sized geological map and a correlation chart.

The architecture of the Kattendijk Formation and the implications on the early Pliocene depositional evolution of the southern margin of the North Sea Basin

An east-west correlation profile through the upper Neogene succession north of Antwerp, based on cone penetration tests, reveals the architecture of the lower Pliocene Kattendijk Formation. It shows a basal incision of the Kattendijk Formation down to 20 m in Miocene sands and locally even Lower Oligocene clays. The incision is part of a much larger gully system in the region at the base of the Kattendijk Formation. The strongest gully incision is observed along the western profile, and coincides with increases in the thickness of the Kattendijk Formation from its typical four to six meters thickness in the east towards a maximum of 15 m in the west. Correlations show that this additional thickness represents a separate sequence of the Kattendijk Formation that first filled the deepest part of the gully prior to being transgressed and covered by the second sequence deposited in a larger gully system. Both sequences of the Kattendijk Formation have basal transgressive layers, and are lithologically identical. Initial, deep incision at the base of the Kattendijk Formation might have been the result of the constriction of early Pliocene tidal currents that invaded and expanded fluvial or estuarine gullies that had developed during the latest Miocene sea-level low. A similar mechanism had been proposed for the development of late Miocene gully system at the base of the Diest Formation further southeast in northern Belgium. As the wider area was transgressed and covered by the second sequence of the Kattendijk Formation, flow constriction ended, currents weakened and gully incisions were reduced in size.

PREVALENCE OF SURGICAL SITE INFECTION ASSOCIATED RISK FACTORS IN A TERTIARY CARE HOSPITAL OF VEDANTA INSTITUTE OF MEDICAL SCIENCES

Introduction: Skin is generally colonised by a wide range of microorganisms that could cause infection. Surgical site infection (SSI) requires evidence of clinical signs and symptoms of infection rather than microbiological evidence alone. SSIs generally affect the superficial tissues, but some more serious infections affect the deeper tissues or other parts of the body manipulated during the surgical procedure.About 5% of patients posted for surgery develop surgical site infections (SSIs), which may cause much morbidity and may sometimes mortality. Treatment of SSIs imposes a substantial financial burden on the health care system. Patients who develop SSI are more likely to spend 60% more time in an Intensive care unit (ICU), they are 5 times as likely to be readmitted and their mortality rate is twice of non-infected patient. But to great surprise 40-60% of these infections are preventable. Material and Methods: A total of 500 patients who had undergone surgical procedure at the teaching hospitalwere studied prospectively. A total of 464(92.8%) elective surgical patients and 36(7.2%) emergency surgical patients were included in the study.Patient information gathered from the data chart, treatment chart and from ward rounds in the hospital. All patients were followed up from the time of admission until the time of discharge and 30 days postoperatively to inspect the incidence of SSI. Wound infection was diagnosed. SSI diagnosed was divided into three categories: Superficial incision SSI, Deep incision SSI and Organ/space SSI. SSI is considered if an infection occurred within 30 days after the operation, if no implant is left in place SSI was considered. Results: In the present study 500 patients were included of which 464(92.8%) were elective surgical patients and 36(7.2%) were emergency surgical patients. Total SSI cases were 41 (8.2%) of which 29 (70.7%) were identified in elective surgery cases and 12 (29.3%) were observed in emergency surgery superficial incision SSI was most prevalent 25 (61%) followed by deep incisional SSI 11(26.8%) and then by organ/space SSI 5(12.2%).Mean age in elective surgery group was 52.4±7.48 and in emergency surgery group was 56.2± 6.78. In elective surgery group there were 296 (63.8%) male and 168 (36.2%) female. In emergency group there were 29 (80.6%) male and 7 (19.4%) female. Prophylactic antibiotics were given to 404 (87.1%) in elective surgery group and 30 (83.3%) in emergency surgery group. SSI rate observed in elective surgery group was 29/464 (6.25%) while in emergency surgery group was 12/36 (33.33%).BMI (Body mass index) in elective surgery group was 28.7 ±2.45and in emergency surgery group was 27.6 ± 2.89. Conclusion: higher incidence of SSI with increasing age of the patient.it was observed that to prevent SSI prophylactic antibiotics should be initiated within one hour before surgical incision. Keywords: SSI, Surgery, Superficial incision SSI, Deep incision SSI, Organ/space SSI

Glacial and geomorphic effects of a supraglacial lake drainage and outburst event, Everest region, Nepal Himalaya

A set of supraglacial ponds filled rapidly between April and July 2017 on Changri Shar Glacier in the Everest region of Nepal, coalescing into a ∼180 000 m2 lake before sudden and complete drainage through Changri Shar and Khumbu glaciers (15–17 July). We use PlanetScope and Pléiades satellite orthoimagery to document the system's evolution over its very short filling period and to assess the glacial and proglacial effects of the outburst flood. We also use high-resolution stereo digital elevation models (DEMs) to complete a detailed analysis of the event's glacial and geomorphic effects. Finally, we use discharge records at a stream gauge 4 km downstream to refine our interpretation of the chronology and magnitude of the outburst. We infer largely subsurface drainage through both of the glaciers located on its flow path, and efficient drainage through the lower portion of Khumbu Glacier. The drainage and subsequent outburst of 1.36±0.19×106 m3 of impounded water had a clear geomorphic impact on glacial and proglacial topography, including deep incision and landsliding along the Changri Nup proglacial stream, the collapse of shallow englacial conduits near the Khumbu terminus and extensive, enhanced bank erosion at least as far as 11 km downstream below Khumbu Glacier. These sudden changes destroyed major trails in three locations, demonstrating the potential hazard that short-lived, relatively small glacial lakes pose.

THE CHARACTERISTICS OF THE GEODYNAMIC ENVIRONMENT AND ELEMENTS OF STRUCTURAL-MATERIAL COMPLEXES OF THE CENTRAL CAUCASUS AT A DEEP INCISION HEALTHSCOPE PROFILE

В статье рассматривается возможность выделения наследственных признаков геодинамической обстановки и элементов структурно-вещественных комплексов, участвующих в геологическом развитии Кавказа, на глубинных геоэлектрических и сейсмологических разрезах для создания геолого-геофизической моделей земной коры вдоль региональных профилей. Современные структурно-тектонические и структурно-вещественные комплексы восточной части Центрального Кавказа интерполируются с основными структурами консолидированной коры и низов коры. Обосновывается научный и практический интерес корреляционной увязки глубинных коровых и мантийных структур с месторождениями твердых полезных ископаемых и углеводородов, роль границы Мохоровичича в локализации месторождений. Субширотная структура реликтового рубца (геосутуры), уверенно выделяемая по минимумам напряженности полного вектора магнитного поля по структурно-вещественным элементам (олистостромы, офиолиты, микститы) представляется убедительным наследственным признаком субдукции. Реликтовый рубец представляется выполненным тектонизированным терригенным материалом, содержащим разного размера глыбы и блоки вулканогенно-осадочных пород и ремобилизованные олистостромы пород офиолитового комплекса, что является формационным признаком геодинамической обстановки, фиксируемой в развитии структуры Кавказа. The article deals with the possibility of identifying hereditary features of the geodynamic situation and elements of structural and material complexes involved in the geological development of the Caucasus, in deep geoelectric and seismological sections to create geological and geophysical models of the earth's crust along the regional profiles. Modern structural-tectonic and structural-material complexes of the Eastern part of the Central Caucasus are interpolated with the main structures of the consolidated crust and the lower crust. The scientific and practical interest of correlation linking of deep crustal and mantle structures with deposits of solid minerals and hydrocarbons, the role of the boundary of Mokhorovichych in the localization of deposits is substantiated. Latitudinal structure of the relic scar (geostructure), confidently allocated to the minimum of the tension of magnetic field full vector on structural-material elements (olistostromes, ophiolites, mixtite) persuasive inherited character of subduction. Relict scar is represented by tectonized terrigenous material containing different size blocks and blocks of volcanogenic-sedimentary rocks and remobilized olistostromes of rocks of the ophiolite complex, which is a formative sign of geodynamic situation, recorded in the development of the structure of the Caucasus.

Ablative and geomorphic effects of a supraglacial lake drainage and outburst event, Nepal Himalaya

A set of supraglacial ponds rapidly filled between April and July 2017 on Changri Shar Glacier in the Everest region of Nepal, coalescing into a ~ 180,000 m2 lake before sudden and complete drainage through Changri Shar and Khumbu Glaciers 15–17 July. We use a suite of PlanetScope and Pléiades satellite orthoimagery to document the system's evolution over its very short filling period and to assess the glacial and proglacial effects of the outburst flood. We additionally use high resolution stereo digital elevation models (DEMs) to complete a detailed analysis of the event's ablative and geomorphic effects. Finally, measurement of the flood’s passage at a stream gauge 4 km downstream enables a refined interpretation of the chronology and overall magnitude of the outburst. We infer largely subsurface drainage through both glaciers located on its flowpath, and efficent drainage through Khumbu Glacier. The drainage and subsequent outburst of 1.36 ± 0.19 x 106 m3 impounded water had a clear geomorphic impact on glacial and proglacial topography at least as far as 11 km downstream, including deep incision and landsliding along the Changri Nup proglacial stream, the collapse of shallow englacial conduits near the Khumbu terminus and extensive, enhanced bank erosion below Khumbu Glacier. These sudden changes led to the rerouting of major trails in three locations, demonstrating the potential hazard that short-lived, relatively small glacial lakes pose.

Femto Circular Keratotomy to Halt the Progression of Keratoconus I and II

ABSTRACT Aim To simplify and enhance safety in the generation of a stabilizing intracorneal scar by circular keratotomy (CKT). A femtosecond laser was used to perform individually sized intraparenchymal cuts. Materials and methods As equipped, the Ziemer Z6 femto-second laser cuts a 400-µm-deep incision with a diameter of 7.0 mm around the optical axis. The epithelium, Bowmann's membrane, the internal borders of Descemet's membrane, and the endothelium are not affected. The 3-, 6-, and 12-month postoperative values were compared with the 1-month postoperative keratometric readings and astigmatism. The preoperative best corrected visual acuity (BCVA) with glasses was compared with the values found at the same time points as noted above. Results Statistical evaluation indicated that keratometry within ±1.5D remained in 96.6, 93.1, and 96.6% of cases at the 3-, 6-, and 12-month time points respectively. Astigmatism was stable at the same time points in 100, 95.8, and 92.3%. The BCVA improved in 12 cases throughout the first post-operative year (48%, n = 25); however, 11 cases did not change (44%) and 2 cases lost at least one line (8.0%). Conclusion Femto CKT halts the progression of keratoconus for at least 1 year in 96.6% of cases. This treatment provides keratometric and refractive stability for over 1 year. This result, in conjunction with the significant improvement in BCVA, demonstrates the potential of this method for patients with stage I and II keratoconus. How to cite this article Krumeich JH, Hirnschall N, Breyer D, Laufer F. Femto Circular Keratotomy to Halt the Progression of Keratoconus I and II. Int J Kerat Ect Cor Dis 2016;5(3):109-113.