Commentary: Compositional data call for complex interventions

AbstractThe Southern Andes are often viewed as a classic example for kinematic partitioning of oblique plate convergence into components of continental margin-parallel strike-slip and transverse shortening. In this regard, the Liquiñe-Ofqui Fault Zone, one of Earth’s most prominent intra-arc deformation zones, is believed to be the most important crustal discontinuity in the Southern Andes taking up margin-parallel dextral strike-slip. Recent structural studies, however, are at odds with this simple concept of kinematic partitioning, due to the presence of margin-oblique and a number of other margin-parallel intra-arc deformation zones. However, knowledge on the extent of such zones in the Southern Andes is still limited. Here, we document traces of prominent structural discontinuities (lineaments) from the Southern Andes between 39° S and 46° S. In combination with compiled low-temperature thermochronology data and interpolation of respective exhumation rates, we revisit the issue of kinematic partitioning in the Southern Andes. Exhumation rates are maximal in the central parts of the orogen and discontinuity traces, trending predominantly N–S, WNW–ESE and NE–SW, are distributed across the entire width of the orogen. Notably, discontinuities coincide spatially with large gradients in Neogene exhumation rates and separate crustal domains characterized by uniform exhumation. Collectively, these relationships point to significant components of vertical displacement on these discontinuities, in addition to horizontal displacements known from published structural studies. Our results agree with previously documented Neogene shortening in the Southern Andes and indicate orogen-scale transpression with maximal vertical extrusion of rocks in the center of the transpression zone. The lineament and thermochronology data call into question the traditional view of kinematic partitioning in the Southern Andes, in which deformation is focused on the Liquiñe-Ofqui Fault Zone.

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What methods and challenges for taking account of context when transferring complex interventions?

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.1071 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Villadsen ◽

S Dias

Keyword(s):

Public Health ◽

Health Care ◽

Reproductive Health ◽

Health Care Providers ◽

Complex Interventions ◽

Health Interventions ◽

Care Providers ◽

Public Health Interventions ◽

Reproductive Health Care

Abstract For complex public health interventions to be effective their implementation needs to adapt to the situation of those implementing and those receiving the intervention. While context matter for intervention implementation and effect, we still insist on learning from cross-country comparison of implementation. Next methodological challenges include how to increase learning from implementation of complex public health interventions from various context. The interventions presented in this workshop all aims to improve quality of reproductive health care for immigrants, however with different focus: contraceptive care in Sweden, group based antenatal care in France, and management of pregnancy complications in Denmark. What does these interventions have in common and are there cross cutting themes that help us to identify the larger challenges of reproductive health care for immigrant women in Europe? Issues shared across the interventions relate to improved interactional dynamics between women and the health care system, and theory around a woman-centered approach and cultural competence of health care providers and systems might enlighten shared learnings across the different interventions and context. Could the mechanisms of change be understood using theoretical underpinnings that allow us to better generalize the finding across context? What adaption would for example be needed, if the Swedish contraceptive intervention should work in a different European setting? Should we distinguish between adaption of function and form, where the latter might be less important for intervention fidelity? These issues will shortly be introduced during this presentation using insights from the three intervention presentations and thereafter we will open up for discussion with the audience.

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