Search

In this paper, we present a case study of continuous reconnection at the dayside magnetopause observed by the Cluster spacecraft. On 1 April 2003, the four Cluster spacecraft experienced multiple encounters with the Earth's dayside magnetopause under a fairly stable southwestward interplanetary magnetic field (IMF). Accelerated plasma flows, whose magnitude and direction are consistent with the predictions of the reconnection theory (the Walén relation), were observed at and around the magnetopause current layer for a prolonged interval of ~3 h at two types of magnetopause crossings, one with small magnetic shears and the other one with large magnetic shears. Reversals in the Y component of ion bulk flow between the magnetosheath and magnetopause current layer and acceleration of magnetosheath electrons were also observed. Kinetic signatures using electron and ion velocity distributions corroborate the interpretation of continuous magnetic reconnection. This event provides strong in-situ evidence that magnetic reconnection at the dayside magnetopause can be continuous for many hours. However, the reconnection process appeared to be very dynamic rather than steady, despite the steady nature of the IMF. Detailed analysis using multi-spacecraft magnetic field and plasma measurements shows that the dynamics and structure of the magnetopause current layer/boundary can be very complex. For example, highly variable magnetic and electric fields were observed in the magnetopause current layer. Minimum variance analysis shows that the magnetopause normal deviates from the model normal. Surface waves resulting from the reconnection process may be involved in the oscillation of the magnetopause. Keywords. Magnetospheric physics (Magnetopause, cusp and boundary layers; Solar wind-magnetosphere interactions) – Space plasma physics (magnetic reconnection)

We advance the achievements of Interball-1 and other contemporary missions in exploration of the magnetosheath-cusp interface. Extensive discussion of published results is accompanied by presentation of new data from a case study and a comparison of those data within the broader context of three-year magnetopause (MP) crossings by Interball-1. Multi-spacecraft boundary layer studies reveal that in ∼80% of the cases the interaction of the magnetosheath (MSH) flow with the high latitude MP produces a layer containing strong nonlinear turbulence, called the turbulent boundary layer (TBL). The TBL contains wave trains with flows at approximately the Alfvén speed along field lines and "diamagnetic bubbles" with small magnetic fields inside. A comparison of the multi-point measurements obtained on 29 May 1996 with a global MHD model indicates that three types of populating processes should be operative: large-scale (∼few RE) anti-parallel merging at sites remote from the cusp; medium-scale (few thousandkm) local TBL-merging of fields that are anti-parallel on average; small-scale (few hundredkm) bursty reconnection of fluctuating magnetic fields, representing a continuous mechanism for MSH plasma inflow into the magnetosphere, which could dominate in quasi-steady cases. The lowest frequency (∼1–2mHz) TBL fluctuations are traced throughout the magnetosheath from the post-bow shock region up to the inner magnetopause border. The resonance of these fluctuations with dayside flux tubes might provide an effective correlative link for the entire dayside region of the solar wind interaction with the magnetopause and cusp ionosphere. The TBL disturbances are characterized by kinked, double-sloped wave power spectra and, most probably, three-wave cascading. Both elliptical polarization and nearly Alfvénic phase velocities with characteristic dispersion indicate the kinetic Alfvénic nature of the TBL waves. The three-wave phase coupling could effectively support the self-organization of the TBL plasma by means of coherent resonant-like structures. The estimated characteristic scale of the "resonator" is of the order of the TBL dimension over the cusps. Inverse cascades of kinetic Alfvén waves are proposed for forming the larger scale "organizing" structures, which in turn synchronize all nonlinear cascades within the TBL in a self-consistent manner. This infers a qualitative difference from the traditional approach, wherein the MSH/cusp interaction is regarded as a linear superposition of magnetospheric responses on the solar wind or MSH disturbances. Key words. Magnetospheric physics (magnetopause, cusp, and boundary layers) – Space plasma physics (turbulence; nonlinear phenomena)

Solitary waves with large electric fields (up to 100's of mV/m) have been observed throughout the magnetosphere and in the bow shock. We discuss observations by Polar at high altitudes ( ~ 4-8 RE ), during crossings of the plasma sheet boundary and cusp, and new measurements by Polar at the equatorial magnetopause and by Cluster near the bow shock, in the cusp and at the plasma sheet boundary. We describe the results of a statistical study of electron solitary waves observed by Polar at high altitudes. The mean solitary wave duration was ~ 2 ms. The waves have velocities from ~ 1000 km/s to > 2500 km/s. Observed scale sizes (parallel to the magnetic field) are on the order of 1-10lD, with eF/kTe from ~ 0.01 to O(1). The average speed of solitary waves at the plasma sheet boundary is faster than the average speed observed in the cusp and at cusp injections. The amplitude increases with both velocity and scale size. These observations are all consistent with the identification of the solitary waves as electron hole modes. We also report the discovery of solitary waves at the magnetopause, observed in Polar data obtained at the subsolar equatorial magnetopause. Both positive and negative potential structures have been observed with amplitudes up to ~ 25 mV/m. The velocities range from 150 km/s to >2500 km/s, with scale sizes the order of a kilometer (comparable to the Debye length). Initial observations of solitary waves by the four Cluster satellites are utilized to discuss the scale sizes and time variability of the regions where the solitary waves occur. Preliminary results from the four Cluster satellites have given a glimpse of the spatial and temporal variability of the occurrence of solitary waves and their association with other wave modes. In all the events studied, significant differences were observed in the waveforms observed simultaneously at the four locations separated by ~ 1000 km. When solitary waves were seen at one satellite, they were usually also seen at the other satellites within an interval of a few seconds. In association with an energetic electron injection and a highly compressed magnetosphere, Cluster has observed the largest amplitude solitary waves (>750 mV/m) ever reported in the outer magnetosphere.

AbstractObjective:Stroke is a prevalent condition found in elderly, rural populations. However, stroke education, which can be effective in addressing the risks, is often difficult to provide in these remote regions. The objective of this study is to evaluate the effectiveness of delivering stroke education to elderly individuals through telehealth versus in-person stroke prevention education methods.Materials and Methods:A quasi-experimental nonequivalent control group design was used in this study. A convenience sample of 11 elderly adults (36% men, 64% women) with a mean age of 70 was selected from an Appalachian Program for All Inclusive Care for the Elderly (day care) facility. Subjects completed preintervention surveys, received a 20-min group in-person or telehealth delivered education session, and then completed the postintervention surveys.Results:Satisfaction with delivery method and post-education knowledge was equivalent between the two groups. Knowledge increased in both groups after the educational programs. Likelihood of reducing risk factors showed no differences pre-posttest. However, there were significant improvements in the pre-post likelihood scores of the telehealth group in contrast to the in-person group.Conclusions:This project provided a rural, high-risk population access to telehealth stroke education, thus enabling these individuals to receive education at a distance from experts in the field. The telehealth program was found to be equivalent to in-person stroke education in regards to satisfaction, knowledge, and likelihood of making changes to decrease vascular risk factors. The study demonstrated feasibility in providing effective stroke education through telehealth, thus suggesting an often overlooked route for providing patient education at a distance. [ABSTRACT FROM AUTHOR]

Objective: The overall objective of the study was to describe the disposition status of children presenting with a burn injury to five emergency departments (ED) across New South Wales (NSW), Australia., Design: A retrospective study design was used to review routinely collected ED data., Setting: Study sites included five acute hospitals across NSW, Australia., Participants: During the 5-year study period between 1 January 2015 to 31 December 2020, there were 5213 paediatric burn injury presentations., Results: The mean age of burn injury presentations was 24 months (Inter-Quartile-Range (IQR) 12-84), of which 57% (2951/5213) were males. The most common presentation time was between 16:00 and 23:59 hours (63%, 3297/5213), and the median time spent in the ED was 3 hours (IQR 1-4). The majority (80%, 4196/5213) of the burn injuries presentations did not require hospital admission. The most common principal diagnoses were 'Burn body region unspecified' (n=1916) and 'Burn of wrist and hand' (n=1060)., Conclusion: Most children who presented to the hospital with a burn injury were not admitted. Often the details of these burns were poorly recorded and a complete picture of the true burden of burn injury in children, especially the ongoing care given outside the acute hospital setting, is missing. This information is crucial, as it would inform future models of care as the paradigm shifts rapidly towards primary, ambulatory and outpatient models of care., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Context: Periodicities have frequently been reported across many wavelengths in the solar corona. Correlated periods of ~5 min, comparable to solar p -modes, are suggestive of coupling between the photosphere and the corona., Aims: Our study investigates whether there are correlations in the periodic behavior of Type III radio bursts which are indicative of nonthermal electron acceleration processes, and coronal extreme ultraviolet (EUV) emission used to assess heating and cooling in an active region when there are no large flares., Methods: We used coordinated observations of Type III radio bursts from the FIELDS instrument on Parker Solar Probe (PSP), of EUV emissions by the Solar Dynamics Observatory (SDO) Atmospheric Imaging Assembly (AIA) and white light observations by SDO Helioseismic and Magnetic Image (HMI), and of solar flare X-rays by Nuclear Spectroscopic Telescope Array (NuSTAR) on April 12, 2019. Several methods for assessing periodicities are utilized and compared to validate periods obtained., Results: Periodicities of ~5 min in the EUV in several areas of an active region are well correlated with the repetition rate of the Type III radio bursts observed on both PSP and Wind. Detrended 211 and 171 Å light curves show periodic profiles in multiple locations, with 171 Å peaks sometimes lagging those seen in 211 Å. This is suggestive of impulsive events that result in heating and then cooling in the lower corona. NuSTAR X-rays provide evidence for at least one microflare during the interval of Type III bursts, but there is not a one-to-one correspondence between the X-rays and the Type III bursts. Our study provides evidence for periodic acceleration of nonthermal electrons (required to generate Type III radio bursts) when there were no observable flares either in the X-ray data or the EUV. The acceleration process, therefore, must be associated with small impulsive events, perhaps nanoflares.

Observations from Magnetospheric MultiScale (~8 Re) and Van Allen Probes (~5 and 4 Re) show that the initial dayside response to a small interplanetary shock is a double-peaked dawnward electric field, which is distinctly different from the usual bipolar (dawnward and then duskward) signature reported for large shocks. The associated E × B flow is radially inward. The shock compressed the magnetopause to inside 8 Re, as observed by Magnetospheric MultiScale (MMS), with a speed that is comparable to the E × B flow. The magnetopause speed and the E × B speeds were significantly less than the propagation speed of the pulse from MMS to the Van Allen Probes and GOES-13, which is consistent with the MHD fast mode. There were increased fluxes of energetic electrons up to several MeV. Signatures of drift echoes and response to ULF waves also were seen. These observations demonstrate that even very weak shocks can have significant impact on the radiation belts.

We describe results from the first statistical study of waveform capture data during 67 interplanetary (IP) shocks with Mach numbers ranging from approximately 1-6. Most of the waveform captures and nearly 100% of the large amplitude waves were in the ramp region. Although solitary waves, Langmuir waves, and ion acoustic waves (IAWs) are all observed in the ramp region of the IP shocks, large amplitude IAWs dominate. The wave amplitude is correlated with the fast mode Mach number and with the shock strength. The observed waves produced anomalous resistivities from approximately 1-856 Omega.m (approximately 10(7) times greater than classical estimates.) The results are consistent with theory suggesting IAWs provide the primary dissipation for low Mach number shocks.

Three-dimensional particle simulations of magnetic reconnection reveal the development of turbulence driven by intense electron beams that form near the magnetic x-line and separatrices. The turbulence collapses into localized three-dimensional nonlinear structures in which the electron density is depleted. The predicted structure of these electron holes compares favorably with satellite observations at Earth's magnetopause. The birth and death of these electron holes and their associated intense electric fields lead to strong electron scattering and energization, whose understanding is critical to explaining why magnetic explosions in space release energy so quickly and produce such a large number of energetic electrons.

Ectopic pregnancy represents an increasing proportion of direct maternal deaths which has reached 10%. Between 1950 and 1974 there were 102 deaths from early ectopic pregnancy reviewed by the Michigan Maternal Mortality Committee. These cases were analyzed by status on admission and compared to a control series treated at a medical center. Patients with ectopic pregnancy were older than women delivering live infants. There were no differences in age, gravidity, or parity between the study patients and controls. The study patients were slightly further advanced in pregnancy. Pain was the major presenting symptom. Marked delays occurred between first symptom, first consultation, and diagnosis. Seventy-five percent of the deaths were considered preventable. Hemorrhage was the leading cause of death. The estimated mortality of ectopic pregnancy is between 2 and 4/1000.