Seasonal dependency of polar cap patches in the high-latitude nightside ionosphere

Observations and a computer simulation were used to investigate the seasonal dependency of the occurrence of polar cap patches in the high-latitude nightside ionosphere together with the relative importance of the driving processes. Measurements were conducted above northern Scandinavia around solar maximum (1999-2001) under conditions predicted to be favourable for observing patches with the EISCAT Svalbard Radar (ESR). The requirements were that the ESR was poleward of the convection reversal boundary, in antisunward cross polar cap flow and that IMF Bz was predominantly negative. The high latitude convection pattern was inferred from the Super Dual Auroral Radar Network (SuperDARN) and the IMF was taken from the Advanced Composition Explorer (ACE) spacecraft. In each study the patch-to-background ratio was calculated and, in most of the winter cases, this ratio was greater than two consistent with a polar cap patch. In summer clear electron density enhancements were seen in the nightside ionosphere, but the patch-to-background ratio was less than two. While these enhancements could not formally be called patches, it was clear that the high-latitude convection pattern was responsible for electron density enhancements. Using a computer simulation the relative importance of the physical processes driving the variation in the patch-to-background ratio was investigated. The dominant factor was changes in the thermospheric composition influencing plasma production and recombination rates

From NELA to EPOCH and beyond: enhancing the evidence base for emergency laparotomy.

Around 35,000 patients undergo emergency laparotomy surgery in the UK each year with an in-hospital 30-day mortality estimated as between 11 and 15 %. The recent publication of the First Patient Report of the National Emergency Laparotomy Audit (NELA) has provided a detailed description of individual hospital performance against national standards of care in emergency laparotomy in England and Wales. Although the standards used for audit purposes in NELA are based upon the best currently available evidence, none of the source data derives from randomised controlled studies. This commentary explores the evidence base for the standards evaluated by NELA and highlights recent and forthcoming studies that may substantially contribute to improving the evidence base in this area, thereby improving patient care and strengthening the validity of the NELA audit standards

Survival after postoperative morbidity: a longitudinal observational cohort study

Prolonged morbidity after surgery is associated with a risk of premature death for a longer duration than perhaps is commonly thought; however, this risk falls with time. We suggest that prolonged postoperative morbidity measured in this way may be a valid indicator of the quality of surgical healthcare. Our findings reinforce the importance of research and quality improvement initiatives aimed at reducing the duration and severity of postoperative complication

The influence of IMF clock angle timescales on the morphology of ionospheric convection

We exploit a database of high-latitude ionospheric electric potential patterns, derived from radar observations of plasma convection in the Northern Hemisphere from the years 2000–2006, to investigate the timescales of interplanetary magnetic field (IMF) control of ionospheric convection and associated magnetospheric dynamics. We parameterize the convection observations by IMF clock angle, θ (the angle between geocentric solar magnetic (GSM) north and the projection of the IMF vector onto the GSM Y-Z plane), and by an IMF timescale, τB (the length of time that a similar clock angle has been maintained prior to the convection observations being made). We find that the nature of the ionospheric convection changes with IMF clock angle, as expected from previous time-averaged studies, and that for τB∼30 min, the convection patterns closely resemble their time-averaged counterparts. However, as τB increases we find that the convection evolves away from the time-averaged patterns to reveal modified characteristic flow features. We discuss these findings in terms of solar wind-magnetosphere-ionosphere coupling and consider their implications for understanding the time-dependent nature of magnetospheric dynamics

High altitude-related hypertensive crisis and acute kidney injury in an asymptomatic healthy individual

BACKGROUND: High-altitude exposure causes a mild to moderate rise in systolic and diastolic blood pressure. This case report describes the first documented case of a hypertensive crisis at altitude, as well as the first report of the occurrence of acute kidney injury in the context of altitude-related hypertension. CASE PRESENTATION: A healthy, previously normotensive 30-year old, embarked on a trek to Everest Base Camp (5300 m). During his 11-day ascent the subject developed increasingly worsening hypertension. In the absence of symptoms, the individual initially elected to remain at altitude as had previously been the plan. However, an increase in the severity of his hypertension to a peak of 223/119 mmHg resulted in a decision to descend. On descent he was found to have an acute kidney injury that subsequently resolved spontaneously. His blood pressure reverted to normal at sea level and subsequent investigations including a transthoracic echocardiogram, cardiac magnetic resonance imaging, renal ultrasound, and urinary catecholamines were normal. CONCLUSION: This report challenges the view that transient rises in blood pressure at altitude are without immediate risk. We review the evidence that altitude induces hypertension and discuss the implications for the management of hypertension at altitude

Thermospheric density perturbations in response to substorms

We use 5 years (2001–2005) of CHAMP (Challenging Minisatellite Payload) satellite data to study average spatial and temporal mass density perturbations caused by magnetospheric substorms in the thermosphere. Using statistics from 2306 substorms to construct superposed epoch time series, we find that the largest average increase in mass density of about 6% occurs about 90 min after substorm expansion phase onset about 3 h of magnetic local time east of the onset region. Averaged over the entire polar auroral region, a mass density increase of about 4% is observed. Using a simple model to estimate the mass density increase at the satellite altitude, we find that an energy deposition rate of 30 GW applied for half an hour predominantly at an altitude of 110 km is able to produce mass density enhancements of the same magnitude. When taking into account previous work that has shown that 80% of the total energy input is due to Joule heating, i.e., enhanced electric fields, whereas 20% is due to precipitation of mainly electrons, our results suggest that the average substorm deposits about 6 GW in the polar thermosphere through particle precipitation. Our result is in good agreement with simultaneous measurements of the NOAA Polar-orbiting Operational Environmental Satellite (POES) Hemispheric Power Index; however, it is about 1 order of magnitude less than reported previously

Comparison of ionospheric electric currents and plasma convection patterns observed during substorms

Abstract. The effect of magnetospheric substorms on the global ionospheric convection pattern is widely debated. Discussed here, is a study made of ionospheric electric currents, co-incident with plasma convection at the time of substorm onset, using the HF radars of the Super Dual Auroral Radar Network (SuperDARN), and the global array of ground magnetometers. Preliminary results are presented, which utilise an ionospheric potential mapping model to produce plasma convection vectors and electric potential contours, with corresponding ionospheric currents being derived from magnetic perturbations. Clear indications of a relationship between the substorm current system and the plasma convection patterns are seen. 1

Downtown Providence Farmers Market Design

This market essentially combines a marketplace with an existing or new industrial building. The hybrid created results in space that has daily retail sales and hours, as well as other goods available at other times. The industrial aspect typically acts as the anchor, as the market’s activities help attract a different group of consumers at other business times. An example of this would be a seafood supply warehouse that also provides dining and entertainment as a nightlife destination