Marcelo Rocha - Academia.edu (original) (raw)

Papers by Marcelo Rocha

Research paper thumbnail of Intraplate seismicity in SE Brazil: stress concentration in lithospheric thin spots

Geophysical Journal International, 2004

Intraplate seismicity has generally poor correlation with surface geological patterns. Except for... more Intraplate seismicity has generally poor correlation with surface geological patterns. Except for major extensional features, such as aborted continental rifts, which may act as weak zones, it is usually difficult to find simple geology based models to explain differences in seismic activity in stable continental regions. Seismicity in Brazil is clearly not uniform and a few areas of higher activity have been identified. However, the seismic areas show almost no correlation with the main geological provinces, which is typical of other intraplate settings. A recent uppermantle tomography study in SE and central Brazil, using approximately 8500 P-wave and 2000 PKP-wave arrivals recorded in 59 sites since 1992, has mapped P-wave velocity anomalies from lithospheric depths down to 1300 km. In this region, higher seismic activity occurs preferentially in areas with low P-wave velocities at 150-250 km depth. The low P-wave velocities are interpreted as shallower asthenosphere. In such areas, a hotter geotherm will reduce the strength of the lithospheric upper mantle causing most of the intraplate forces to be concentrated in the brittle upper crust. The low-velocity anomalies coincide with Late Cretaceous provinces of alkaline intrusions. The proposed ponding of the Trindade plume head beneath lithospheric thin spots is consistent with our tomography results, suggesting that plume effects may have helped to preserve lithosphere/asthenosphere topography. Although other factors are also important, the present data show that stress concentrations resulting from lithosphere/asthenosphere topography should play an important role in explaining the intraplate seismicity in the Brazilian platform.

Research paper thumbnail of Seismic studies of the Brasília fold belt at the western border of the São Francisco Craton, Central Brazil, using receiver function, surface-wave dispersion and teleseismic tomography

Tectonophysics, 2004

The Tocantins Province in Central Brazil is composed of a series of SSW-NNE trending terranes of ... more The Tocantins Province in Central Brazil is composed of a series of SSW-NNE trending terranes of mainly Proterozoic ages, which stabilized in the Neoproterozoic in the final collision between the Amazon and São Francisco cratons. No previous information on crustal seismic properties was available for this region. Several broadband stations were used to study the regional patterns of crustal and upper mantle structure, extending the results of a recent E-W seismic refraction profile. Receiver functions and surface wave dispersion showed a thin crust (33-37 km) in the Neoproterozoic Magmatic Arc terrane. High average crustal Vp/Vs ratios (1.74-1.76) were consistently observed in this unit. The foreland domain of the Brasília foldbelt, on the other hand, is characterized by thicker crust (42-43 km). Low Vp/Vs ratios (1.70-1.72) were observed in the low-grade foreland fold and thrust zone of the Brasília belt adjacent to the São Francisco craton. Teleseismic P-wave tomography shows that the lithospheric upper mantle has lower velocities beneath the Magmatic Arc and Goiás Massif compared with the foreland zone of the belt and São Francisco craton. The variations in crustal thickness and upper mantle velocities observed with the broadband stations correlate well with the measurements along the seismic refraction profile. The integration of all seismic observations and gravity data indicates a strong lithospheric contrast between the Goiás Massif and the foreland domain of the Brasília belt, whereas little variation was found across the foldbelt/craton surface boundary. These results support the hypothesis that the Brasília foreland domain and the São Francisco craton were part of a larger São Francisco-Congo continental plate in the final collision with the Amazon plate. D

Research paper thumbnail of Delirium epidemiology in critical care (DECCA): an international study

Critical Care, 2010

Introduction Delirium is a frequent source of morbidity in intensive care units (ICUs). Most data... more Introduction Delirium is a frequent source of morbidity in intensive care units (ICUs). Most data on its epidemiology is from single-center studies. Our aim was to conduct a multicenter study to evaluate the epidemiology of delirium in the ICU. Methods A 1-day point-prevalence study was undertaken in 104 ICUs from 11 countries in South and North America and Spain. Results In total, 975 patients were screened, and 497 fulfilled inclusion criteria and were enrolled (median age, 62 years; 52.5% men; 16.7% and 19.9% for ICU and hospital mortality); 64% were admitted to the ICU because of medical causes, and sepsis was the main diagnosis (n = 76; 15.3%). In total, 265 patients were sedated with the Richmond agitation and sedation scale (RASS) deeper than -3, and only 232 (46.6%) patients could be evaluated with the confusion-assessment method for the ICU. The prevalence of delirium was 32.3%. Compared with patients without delirium, those with the diagnosis of delirium had a greater severity of illness at admission, demonstrated by higher sequential organ-failure assessment (SOFA (P = 0.004)) and simplified acute physiology score 3 (SAPS3) scores (P < 0.0001). Delirium was associated with increased ICU (20% versus 5.7%; P = 0.002) and hospital mortality (24 versus 8.3%; P = 0.0017), and longer ICU (P < 0.0001) and hospital length of stay (LOS) (22 (11 to 40) versus 7 (4 to 18) days; P < 0.0001). Previous use of midazolam (P = 0.009) was more frequent in patients with delirium. On multivariate analysis, delirium was independently associated with increased ICU mortality (OR = 3.14 (1.26 to 7.86); CI, 95%) and hospital mortality (OR = 2.5 (1.1 to 5.7); CI, 95%). Conclusions In this 1-day international study, delirium was frequent and associated with increased mortality and ICU LOS. The main modifiable risk factors associated with the diagnosis of delirium were the use of invasive devices and sedatives (midazolam).

Research paper thumbnail of Dexmedetomidine vs Midazolam for Sedation of Critically Ill Patients

Research paper thumbnail of Intraplate seismicity in SE Brazil: stress concentration in lithospheric thin spots

Geophysical Journal International, 2004

Intraplate seismicity has generally poor correlation with surface geological patterns. Except for... more Intraplate seismicity has generally poor correlation with surface geological patterns. Except for major extensional features, such as aborted continental rifts, which may act as weak zones, it is usually difficult to find simple geology based models to explain differences in seismic activity in stable continental regions. Seismicity in Brazil is clearly not uniform and a few areas of higher activity have been identified. However, the seismic areas show almost no correlation with the main geological provinces, which is typical of other intraplate settings. A recent uppermantle tomography study in SE and central Brazil, using approximately 8500 P-wave and 2000 PKP-wave arrivals recorded in 59 sites since 1992, has mapped P-wave velocity anomalies from lithospheric depths down to 1300 km. In this region, higher seismic activity occurs preferentially in areas with low P-wave velocities at 150-250 km depth. The low P-wave velocities are interpreted as shallower asthenosphere. In such areas, a hotter geotherm will reduce the strength of the lithospheric upper mantle causing most of the intraplate forces to be concentrated in the brittle upper crust. The low-velocity anomalies coincide with Late Cretaceous provinces of alkaline intrusions. The proposed ponding of the Trindade plume head beneath lithospheric thin spots is consistent with our tomography results, suggesting that plume effects may have helped to preserve lithosphere/asthenosphere topography. Although other factors are also important, the present data show that stress concentrations resulting from lithosphere/asthenosphere topography should play an important role in explaining the intraplate seismicity in the Brazilian platform.

Research paper thumbnail of Seismic studies of the Brasília fold belt at the western border of the São Francisco Craton, Central Brazil, using receiver function, surface-wave dispersion and teleseismic tomography

Tectonophysics, 2004

The Tocantins Province in Central Brazil is composed of a series of SSW-NNE trending terranes of ... more The Tocantins Province in Central Brazil is composed of a series of SSW-NNE trending terranes of mainly Proterozoic ages, which stabilized in the Neoproterozoic in the final collision between the Amazon and São Francisco cratons. No previous information on crustal seismic properties was available for this region. Several broadband stations were used to study the regional patterns of crustal and upper mantle structure, extending the results of a recent E-W seismic refraction profile. Receiver functions and surface wave dispersion showed a thin crust (33-37 km) in the Neoproterozoic Magmatic Arc terrane. High average crustal Vp/Vs ratios (1.74-1.76) were consistently observed in this unit. The foreland domain of the Brasília foldbelt, on the other hand, is characterized by thicker crust (42-43 km). Low Vp/Vs ratios (1.70-1.72) were observed in the low-grade foreland fold and thrust zone of the Brasília belt adjacent to the São Francisco craton. Teleseismic P-wave tomography shows that the lithospheric upper mantle has lower velocities beneath the Magmatic Arc and Goiás Massif compared with the foreland zone of the belt and São Francisco craton. The variations in crustal thickness and upper mantle velocities observed with the broadband stations correlate well with the measurements along the seismic refraction profile. The integration of all seismic observations and gravity data indicates a strong lithospheric contrast between the Goiás Massif and the foreland domain of the Brasília belt, whereas little variation was found across the foldbelt/craton surface boundary. These results support the hypothesis that the Brasília foreland domain and the São Francisco craton were part of a larger São Francisco-Congo continental plate in the final collision with the Amazon plate. D

Research paper thumbnail of Delirium epidemiology in critical care (DECCA): an international study

Critical Care, 2010

Introduction Delirium is a frequent source of morbidity in intensive care units (ICUs). Most data... more Introduction Delirium is a frequent source of morbidity in intensive care units (ICUs). Most data on its epidemiology is from single-center studies. Our aim was to conduct a multicenter study to evaluate the epidemiology of delirium in the ICU. Methods A 1-day point-prevalence study was undertaken in 104 ICUs from 11 countries in South and North America and Spain. Results In total, 975 patients were screened, and 497 fulfilled inclusion criteria and were enrolled (median age, 62 years; 52.5% men; 16.7% and 19.9% for ICU and hospital mortality); 64% were admitted to the ICU because of medical causes, and sepsis was the main diagnosis (n = 76; 15.3%). In total, 265 patients were sedated with the Richmond agitation and sedation scale (RASS) deeper than -3, and only 232 (46.6%) patients could be evaluated with the confusion-assessment method for the ICU. The prevalence of delirium was 32.3%. Compared with patients without delirium, those with the diagnosis of delirium had a greater severity of illness at admission, demonstrated by higher sequential organ-failure assessment (SOFA (P = 0.004)) and simplified acute physiology score 3 (SAPS3) scores (P < 0.0001). Delirium was associated with increased ICU (20% versus 5.7%; P = 0.002) and hospital mortality (24 versus 8.3%; P = 0.0017), and longer ICU (P < 0.0001) and hospital length of stay (LOS) (22 (11 to 40) versus 7 (4 to 18) days; P < 0.0001). Previous use of midazolam (P = 0.009) was more frequent in patients with delirium. On multivariate analysis, delirium was independently associated with increased ICU mortality (OR = 3.14 (1.26 to 7.86); CI, 95%) and hospital mortality (OR = 2.5 (1.1 to 5.7); CI, 95%). Conclusions In this 1-day international study, delirium was frequent and associated with increased mortality and ICU LOS. The main modifiable risk factors associated with the diagnosis of delirium were the use of invasive devices and sedatives (midazolam).

Research paper thumbnail of Dexmedetomidine vs Midazolam for Sedation of Critically Ill Patients