601 metal-on-metal total hip replacements with 36 mm heads a 5 minimum year follow up: Levels of ARMD remain low despite a comprehensive screening program

BACKGROUND: We conducted a retrospective study to assess the clinical outcome, failure rate, and reason for failure of a large consecutive series of 36 mm MoM Corail/Pinnacle total hip replacements (THRs). METHODS: Between 2006 and 2011, 601 consecutive 36 mm MoM THRs were performed (585 patients). Patients were followed according to the UK Medicines and Healthcare Products Regulatory Agency (MHRA) guidelines. All patients were accounted for and 469 patients (78%) were clinically and radiographically assessed. 328 females and 141 males with a median age of 73 (range 36-94 years) and a median follow up of 7.2 years (range 5.2-9.7 years) were followed. Clinical data included blood cobalt and chromium, Oxford Hip Score (OHS), plain radiograph, ultrasound of hip and intra-operative findings in those patients who had revision surgery. RESULTS: 56 patients died of causes unrelated to their hip replacement. The mean survivorship of the implant was 92.8% (range 91.6-94%, 95% CI) at a median time to follow up of 84 months (62-113 months). The functional outcome was good with a median OHS of 38 out of 48 (23-44). The dislocation rate was 0.99%, with all these 6 cases requiring revision. 476 patients had blood tests. 100 patients (21%) had elevated levels of either cobalt above MHRA guidelines of 7 parts per billion (120 and 135 nmol/L respectively for cobalt and chromium). Cobalt was elevated independently of chromium in 75% of the cases (but never vice versa). The mean cup inclination angle was 42°. Each incremental stem size increase resulted in a decrease in cobalt by 11 nmol/L. The most common reason for revision was adverse reaction to metal debris (ARMD) (12 cases). CONCLUSION: This paper is the largest and longest follow up of 36 mm MoM THRs. Using the MHRA guidelines for follow up, the revision rates of this cohort has remained low compared to other studies, but unacceptably higher than that of other bearing surfaces. LEVEL OF EVIDENCE: III

Discovery of heavy negative ions in Titan's ionosphere

Titan's ionosphere contains a rich positive ion population including organic molecules. Here, using CAPS electron spectrometer data from sixteen Titan encounters, we reveal the existence of negative ions. These ions, with densities up to similar to 100 cm similar to 3, are in mass groups of 10-30, 30-50, 50-80, 80-110, 110-200 and 200+ amu/charge. During one low encounter, negative ions with mass per charge as high as 10,000 amu/q are seen. Due to their unexpectedly high densities at similar to 950 km altitude, these negative ions must play a key role in the ion chemistry and they may be important in the formation of organic-rich aerosols (tholins) eventually falling to the surface

Survey of pickup ion signatures in the vicinity of Titan using CAPS/IMS

Pickup ion detection at Titan is challenging because ion cyclotron waves are rarely detected in the vicinity of the moon. In this work, signatures left by freshly produced pickup heavy ions (m/q ∼ 16 to m/q ∼ 28) as detected in the plasma data by the Cassini Plasma Spectrometer/Ion Mass Spectrometer (CAPS/IMS) instrument on board Cassini are analyzed. In order to discern whether these correspond to ions of exospheric origin, one of the flybys during which the reported signatures were observed is investigated in detail. For this purpose, ion composition data from time-of-flight measurements and test particle simulations to constrain the ions' origin are used. After being validated, the detection method is applied to all the flybys for which the CAPS/IMS instrument gathered valid data, constraining the region around the moon where the signatures are observed. The results reveal an escape region located in the anti-Saturn direction as expected from the nominal corotation electric field direction. These findings provide new constraints for the area of freshly produced pickup ion escape, giving an approximate escape rate of inline image ions· s−1

A new upper limit to the field-aligned potential near Titan

Neutral particles dominate regions of the Saturn magnetosphere and locations near several of Saturn's moons. Sunlight ionizes neutrals, producing photoelectrons with characteristic energy spectra. The Cassini plasma spectrometer electron spectrometer has detected photoelectrons throughout these regions, where photoelectrons may be used as tracers of magnetic field morphology. They also enhance plasma escape by setting up an ambipolar electric field, since the relatively energetic electrons move easily along the magnetic field. A similar mechanism is seen in the Earth's polar wind and at Mars and Venus. Here we present a new analysis of Titan photoelectron data, comparing spectra measured in the sunlit ionosphere at ~1.4 Titan radii (RT) and at up to 6.8 RT away. This results in an upper limit on the potential of 2.95 V along magnetic field lines associated with Titan at up to 6.8 RT, which is comparable to some similar estimates for photoelectrons seen in Earth's magnetosphere

Two fundamentally different drivers of dipolarizations at Saturn

Solar wind energy is transferred to planetary magnetospheres via magnetopause reconnection, driving magnetospheric dynamics. At giant planets like Saturn, rapid rotation and internal plasma sources from geologically active moons also drive magnetospheric dynamics. In both cases, magnetic energy is regularly released via magnetospheric current redistributions that usually result in a change of the global magnetic field topology (named substorm dipolarization at Earth). Besides this substorm dipolarization, the front boundary of the reconnection outflow can also lead to a strong but localized magnetic dipolarization, named a reconnection front. The enhancement of the north-south magnetic component is usually adopted as the indicator of magnetic dipolarization. However, this field increase alone cannot distinguish between the two fundamentally different mechanisms. Using measurements from Cassini, we present multiple cases whereby we identify the two distinct types of dipolarization at Saturn. A comparison between Earth and Saturn provides new insight to revealing the energy dissipation in planetary magnetospheres

Long-standing Small-scale Reconnection Processes at Saturn Revealed by Cassini

The internal mass source from the icy moon Enceladus in Saturn’s rapidly rotating magnetosphere drives electromagnetic dynamics in multiple spatial and temporal scales. The distribution and circulation of the internal plasma and associated energy are thus crucial in understanding Saturn’s magnetospheric environment. Magnetic reconnection is one of the key processes in driving plasma and energy transport in the magnetosphere, and also a fundamental plasma process in energizing charged particles. Recent works suggested that reconnection driven by Saturn’s rapid rotation might appear as a chain of microscale structures, named drizzle-like reconnection. The drizzle-like reconnection could exist not only in the nightside magnetodisk, but also in the dayside magnetodisk. Here, using in situ measurements from the Cassini spacecraft, we report multiple reconnection sites that were successively detected during a time interval longer than one rotation period. The time separation between two adjacently detected reconnection sites can be much less than one rotation period, implying that the reconnection processes are likely small-scale, or frequently repetitive. The spatial distribution of the identified long-standing multiple small reconnection site sequences shows no significant preference on local times. We propose that the small reconnection sites discussed in this Letter are rotationally driven and rotate with the magnetosphere. Since the reconnection process on Saturn can be long-durational, the rotational regime can cause these smallscale reconnection sites to spread to all local times, resulting in global release of energy and mass from the magnetosphere

A Rotating Azimuthally Distributed Auroral Current System on Saturn Revealed by the Cassini Spacecraft

Stunning aurorae are mainly produced when accelerated electrons travel along magnetic field lines to collide with the atmosphere. The motion of electrons often corresponds to the evolution of a magnetic field-aligned current system. In the terrestrial magnetosphere, the current system is formed at the night-side sector, and thus produces an auroral bulge at night. Due to the different energy sources between Saturn and the Earth, it is expected that their auroral current systems are fundamentally different, although the specific auroral driver at Saturn is poorly understood. Using simultaneous measurements of the aurora, particles, magnetic fields, and energetic neutral atoms, we reveal that a chain of paired currents, each of which includes a downward and an upward current branch, is formed in Saturn's magnetosphere, which generates separated auroral patches. These findings inform similar auroral current structures between the Earth and Saturn, while the difference is that Saturn's unique mass and energy sources lead to a rotational characteristic

Estimating magnetic filling factors from Zeeman-Doppler magnetograms

This is the author accepted manuscript. The final version is available from American Astronomical Society via the DOI in this record.Low-mass stars are known to have magnetic fields that are believed to be of dynamo origin. Two complementary techniques are principally used to characterise them. Zeeman-Doppler imaging (ZDI) can determine the geometry of the large-scale magnetic field while Zeeman broadening can assess the total unsigned flux including that associated with small-scale structures such as spots. In this work, we study a sample of stars that have been previously mapped with ZDI. We show that the average unsigned magnetic flux follows an activity-rotation relation separating into saturated and unsaturated regimes. We also compare the average photospheric magnetic flux recovered by ZDI, hBV i, with that recovered by Zeeman broadening studies, hBI i. In line with previous studies, hBV i ranges from a few % to ∼20% of hBI i. We show that a power law relationship between hBV i and hBI i exists and that ZDI recovers a larger fraction of the magnetic flux in more active stars. Using this relation, we improve on previous attempts to estimate filling factors, i.e. the fraction of the stellar surface covered with magnetic field, for stars mapped only with ZDI. Our estimated filling factors follow the well-known activity-rotation relation which is in agreement with filling factors obtained directly from Zeeman broadening studies. We discuss the possible implications of these results for flux tube expansion above the stellar surface and stellar wind models.European CommissionAustrian Space Application Programm

Understanding Marine Mussel Adhesion

In addition to identifying the proteins that have a role in underwater adhesion by marine mussels, research efforts have focused on identifying the genes responsible for the adhesive proteins, environmental factors that may influence protein production, and strategies for producing natural adhesives similar to the native mussel adhesive proteins. The production-scale availability of recombinant mussel adhesive proteins will enable researchers to formulate adhesives that are water-impervious and ecologically safe and can bind materials ranging from glass, plastics, metals, and wood to materials, such as bone or teeth, biological organisms, and other chemicals or molecules. Unfortunately, as of yet scientists have been unable to duplicate the processes that marine mussels use to create adhesive structures. This study provides a background on adhesive proteins identified in the blue mussel, Mytilus edulis, and introduces our research interests and discusses the future for continued research related to mussel adhesion

Upper atmospheres and ionospheres of planets and satellites

The upper atmospheres of the planets and their satellites are more directly exposed to sunlight and solar wind particles than the surface or the deeper atmospheric layers. At the altitudes where the associated energy is deposited, the atmospheres may become ionized and are referred to as ionospheres. The details of the photon and particle interactions with the upper atmosphere depend strongly on whether the object has anintrinsic magnetic field that may channel the precipitating particles into the atmosphere or drive the atmospheric gas out to space. Important implications of these interactions include atmospheric loss over diverse timescales, photochemistry and the formation of aerosols, which affect the evolution, composition and remote sensing of the planets (satellites). The upper atmosphere connects the planet (satellite) bulk composition to the near-planet (-satellite) environment. Understanding the relevant physics and chemistry provides insight to the past and future conditions of these objects, which is critical for understanding their evolution. This chapter introduces the basic concepts of upper atmospheres and ionospheres in our solar system, and discusses aspects of their neutral and ion composition, wind dynamics and energy budget. This knowledge is key to putting in context the observations of upper atmospheres and haze on exoplanets, and to devise a theory that explains exoplanet demographics.Comment: Invited Revie