13 research outputs found

    Microbiological characterization of Streptococcus pneumoniae and non-typeable Haemophilus influenzae isolates as primary causes of acute otitis media in Bulgarian children before the introduction of conjugate vaccines

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    BACKGROUND: Pneumococcal and Haemophilus influenzae type b (Hib) vaccines were introduced in our national immunisation program in April 2010. The aims of this retrospective, laboratory-based study were to determine the serotypes and antibiotic resistance of Streptococcus pneumoniae and H. influenzae isolates from middle ear fluid (MEF) collected before the introduction of immunization. METHODS: S. pneumoniae (n = 128) and H. influenzae (n = 40) strains isolated from MEF of children with AOM between 1994 and 2011 were studied. MICs were determined by a microdilution assay. Serotyping of S. pneumoniae was done by Quellung method and PCR capsular typing was used for H. influenzae. Macrolide resistance genes were detected by PCR for erythromycin resistant S. pneumoniae (ERSP). DNA sequencing of ftsI gene was performed for ampicillin nonsusceptible H. influenzae. RESULTS: The most common serotypes found among children with pneumococcal AOM were 19 F (20.3%), 6B (15.6%), and 19A (10.9%). The potential coverage rates by the PCV7, PCV10 and PCV13 of children aged < 5 years were 63.6%, 66.4% and 85.5%, respectively. Reduced susceptibility to oral penicillin was seen in 68.1%; resistance to erythromycin was 46.9%. We found erm(B) gene in 56.7% of the ERSP, mef(E) gene in 25%; 15% harbored both genes erm(B) + mef(E) and 3.3% had mutations of L4 ribosomal protein. Of the 40 H. influenzae isolates 97.5% were nontypeable. Nonsusceptibility to ampicillin occurred in 25%. Ampicillin resistance groups were: ÎČ-lactamase-positive ampicillin resistant (BLPAR) strains (10%), ÎČ-lactamase-negative ampicillin resistant (BLNAR) strains (12.5%) and ÎČ-lactamase-positive amoxicillin-clavulanate resistant (BLPACR) strains (2.5%). Among BLNAR and BLPACR most of the isolates (5/6) belonged to group II, defined by the Asn526Lys substitution. CONCLUSIONS: The levels of antibiotic resistance among S. pneumoniae and H. influenzae causing severe AOM in children are high in our settings. The existence of multidrug-resistant S. pneumoniae serotype 19A is of particular concern. The rate of BLNAR and BLPACR strains among H. influenzae isolates was 15%

    Magnetotail Current Sheet Prior to Magnetic Reconnection

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    International audienceThe onset of magnetic reconnection is one of the crucial and still poorly understood problems. The Magnetospheric Multiscale (MMS) mission provides a unique opportunity for the long-term monitoring the Earth's magnetotail current sheet prior to and during reconnection activity. Using MMS observations of a number of reconnection events in the magnetotail we investigate how the spatial current density profile across the current sheet varies in time before reconnection is initiated. In addition, we study waves in the current sheet on different scales. These waves may help us understand the role of MHD and kinetic instabilities during current sheet breaking

    Analysis of a fast flow series associated with a substorm event detected by MMS

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    International audienceIn July 2017, the MMS constellation was evolving in the magnetotail with an apogee of 25 Earth radii and an average inter-satellite distance of 10 km (i.e. at electron scales). On 23rd of July around 16:19 UT, MMS was located at the edge of the current sheet which was in a quasi-static state. Then, MMS suddenly entered in the central plasma sheet and detected the local onset of a small substorm as indicated by the AE index (&#8764;400 nT). Fast earthward plasma flows were measured during about 1 hour starting with a period of quasi-steady flow and followed by a saw-tooth like series of plasma jets. This plasma transport sequence ended up by a flow reversal still occurring close to the magnetic equator. Thanks to the unprecedented MMS measurement capability, these different phases are analyzed in terms of wave activity, current signatures, particle acceleration and heating. The origin of these two phases of plasma transport is discussed

    Diffusion Region's Structure at the Subsolar Magnetopause with MMS Data

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    International audienceMagnetic reconnection occurs in the magnetosphere in thin current sheets, where a change in the magneticfield topology leads to rapid conversion of magnetic energy into ion and electron energy. To allow for magneticfield reconfiguration, both ions and electrons have to become demagnetized in the ion and electron diffusionregions, respectively. MMS spacecraft observations at inter-spacecraft separation 10 km (correspondingto 5 dₑ at the magnetopause) allow, for the first time, to make multi-point studies of the structure of theelectron diffusion region (EDR). We present MMS observations on January,27th 2017 of one magnetopausecrossing close to the subsolar point showing several signatures consistent with an EDR encounter nearbya magnetic field minimum. The proximity to the reconnection site is further substantiated by the FirstOrder Taylor Expansion (FOTE) method applied to the magnetic field data. Observations suggest that allspacecraft passed through the EDR. Despite of the small inter-spacecraft separation (7 km), the observationsshow important differences among spacecraft. We focus on the comparison between MMS3 and MMS4 sincethey show the most striking differences. MMS3 measures a stronger parallel electron heating and highercurrent densities than MMS4. Both satellites observe crescent-shaped electron distribution functions on themagnetospheric side but MMS4 observes them over a longer time interval. These observations suggest thatMMS3 is passing closer to the reconnection site than MMS4. The differences between the observations by thetwo spacecraft indicate that the EDR is rather structured over scales of a few electron inertial lengths. Wealso evaluate the Generalized Ohm's law and find that the electric field is mainly balanced by the divergenceof the electron pressure tensor while the electron inertia term is negligible

    MMS Observations of Protons and Heavy Ions Acceleration at Plasma Jet Fronts

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    International audiencePlasma jet fronts in the Earth's magnetotail are kinetic-scale boundaries separating hot fast plasma jets, generally attributed to reconnection outflows, from colder ambient plasma. Jet fronts are typically associated with a sharp increase of the vertical component of the magnetic field Bz, an increase of the plasma temperature and a drop of plasma density. Spacecraft observations and numerical simulations indicate that jet fronts are sites of major ion acceleration. The exact acceleration mechanisms as well as the dependence of such mechanisms on ion composition are not fully understood, yet. Recent high-resolution measurements of ion distribution functions in the magnetotail allow for the first time to study the acceleration mechanisms in detail. Here, we show several examples of jet fronts and discuss ion acceleration therein. We show fronts that propagate in the mid-tail magnetotail both as isolated laminar boundaries and as multiple boundaries embedded in strong magnetic fluctuations and turbulence. We also show fronts in the near-Earth jet braking region, where they interact with the dipolar magnetic field and are significantly decelerated/diverted. Finally, we study the acceleration of different ion species (H , He , O ) at different types of fronts and we discuss possible different acceleration mechanisms and how they depend on the ion species

    3D ion-scale dynamics of BBFs and their associated emissions in Earth's magnetotail using 3D hybrid simulations and MMS multi-spacecraft observations

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    International audienceTransient and localized jets of hot plasma, also known as Bursty Bulk Flows (BBFs), play a crucial role in Earth's magnetotail dynamics because the energy input from the solar wind is partly dissipated in their vicinity, notably in their embedded dipolarization front (DF). This dissipation is in the form of strong low-frequency waves that can heat and accelerate energetic particles up to the high-latitude plasma sheet. The ion-scale dynamics of BBFs have been revealed by the Cluster and THEMIS multi-spacecraft missions. However, the dynamics of BBF propagation in the magnetotail are still under debate due to instrumental limitations and spacecraft separation distances, as well as simulation limitations. The NASA/MMS fleet, which features unprecedented high time resolution instruments and four spacecraft separated by kinetic-scale distances, has also shown recently that the DF normal dynamics and its associated emissions are below the ion gyroradius scale in this region. Large variations in the dawn-dusk direction were also observed. However, most of large-scale simulations are using the MHD approach and are assumed 2D in the XZ plane. Thus, in this study we take advantage of both multi-spacecraft observations by MMS and large-scale 3D hybrid simulations to investigate the 3D dynamics of BBFs and their associated emissions at ion-scale in Earth's magnetotail, and their impact on particle heating and acceleration

    In situ spacecraft observations of a structured electron diffusion region during magnetopause reconnection

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    International audienceThe Electron Diffusion Region (EDR) is the region where magnetic reconnection is initiated and electrons are energized. Because of experimental difficulties, the structure of the EDR is still poorly understood. A key question is whether the EDR has a homogeneous or patchy structure. Here we report Magnetospheric MultiScale (MMS) novel spacecraft observations providing evidence of inhomogeneous current densities and energy conversion over a few electron inertial lengths within an EDR at the terrestrial magnetopause, suggesting that the EDR can be rather structured. These inhomogenenities are revealed through multi-point measurements because the spacecraft separation is comparable to a few electron inertial lengths, allowing the entire MMS tetrahedron to be within the EDR most of the time. These observations are consistent with recent high-resolution and low-noise kinetic simulations

    In situ evidence of ion acceleration between consecutive reconnection jet fronts

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    International audienceProcesses driven by unsteady reconnection can efficiently accelerate particles in many astrophysical plasmas. An example is the reconnection jet fronts in an outflow region. We present evidence of suprathermal ion acceleration between two consecutive reconnection jet fronts observed by the Magnetospheric Multiscale mission in the terrestrial magnetotail. An earthward propagating jet is approached by a second faster jet. Between the jets, the thermal ions are mostly perpendicular to magnetic field, are trapped, and are gradually accelerated in the parallel direction up to 150 keV. Observations suggest that ions are predominantly accelerated by a Fermi-like mechanism in the contracting magnetic bottle formed between the two jet fronts. The ion acceleration mechanism is presumably efficient in other environments where jet fronts produced by variable rates of reconnection are common and where the interaction of multiple jet fronts can also develop a turbulent environment, e.g., in stellar and solar eruptions

    Humane orientation, work–family conflict, and positive spillover across cultures

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    Although cross-national work–family research has made great strides in recent decades, knowledge accumulation on the impact of culture on the work–family interface has been hampered by a limited geographical and cultural scope that has excluded countries where cultural expectations regarding work, family, and support may differ. We advance this literature by investigating work–family relationships in a broad range of cultures, including understudied regions of the world (i.e., Sub-Saharan Africa, Southern Asia). We focus on humane orientation (HO), an overlooked cultural dimension that is however central to the study of social support and higher in those regions. We explore its moderating effect on relationships between work and family social support, work–family conflict, and work–family positive spillover. Building on the congruence and compensation perspectives of fit theory, we test alternative hypotheses on a sample of 10,307 participants from 30 countries/territories. We find HO has mostly a compensatory role in the relationships between workplace support and work-to-family conflict. Specifically, supervisor and coworker supports were most strongly and negatively related to conflict in cultures in which support is most needed (i.e., lower HO cultures). Regarding positive spillover, HO has mostly an amplifying role. Coworker (but not supervisor) support was most strongly and positively related to work-to-family positive spillover in higher HO cultures, where providing social support at work is consistent with the societal practice of providing support to one another. Likewise, instrumental (but not emotional) family support was most strongly and positively related to family-to-work positive spillover in higher HO cultures
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