Magneto--Acoustic Energetics Study of the Seismically Active Flare of 15 February 2011

Multi--wavelength studies of energetic solar flares with seismic emissions have revealed interesting common features between them. We studied the first GOES X--class flare of the 24th solar cycle, as detected by the Solar Dynamics Observatory (SDO). For context, seismic activity from this flare (SOL2011-02-15T01:55-X2.2, in NOAA AR 11158) has been reported in the literature (Kosovichev, 2011; Zharkov et al., 2011). Based on Dopplergram data from the Helioseismic and Magnetic Imager (HMI), we applied standard methods of local helioseismology in order to identify the seismic sources in this event. RHESSI hard X-ray data are used to check the correlation between the location of the seismic sources and the particle precipitation sites in during the flare. Using HMI magnetogram data, the temporal profile of fluctuations in the photospheric line-of-sight magnetic field is used to estimate the magnetic field change in the region where the seismic signal was observed. This leads to an estimate of the work done by the Lorentz-force transient on the photosphere of the source region. In this instance this is found to be a significant fraction of the acoustic energy in the attendant seismic emission, suggesting that Lorentz forces can contribute significantly to the generation of sunquakes. However, there are regions in which the signature of the Lorentz-force is much stronger, but from which no significant acoustic emission emanates.Comment: Submitted to Solar Physic

A statistical correlation of sunquakes based on their seismic and white-light emission

Several mechanisms have been proposed to explain the transient seismic emission, i.e. “sunquakes,” from some solar flares. Some theories associate high-energy electrons and/or white-light emission with sunquakes. High-energy charged particles and their subsequent heating of the photosphere and/or chromosphere could induce acoustic waves in the solar interior. We carried out a correlative study of solar flares with emission in hard X-rays, enhanced continuum emission at 6173 Å, and transient seismic emission. We selected those flares observed by the Reuven Ramaty High Energy Solar Spectroscopic Imager (RHESSI) with a considerable flux above 50 keV between 1 January 2010 and 26 June 2014. We then used data from the Helioseismic and Magnetic Imager onboard the Solar Dynamic Observatory to search for excess visible-continuum emission and new sunquakes not previously reported. We found a total of 18 sunquakes out of 75 flares investigated. All of the sunquakes were associated with an enhancement of the visible continuum during the flare. Finally, we calculated a coefficient of correlation for a set of dichotomic variables related to these observations. We found a strong correlation between two of the standard helioseismic detection techniques, and between sunquakes and visible-continuum enhancements. We discuss the phenomenological connectivity between these physical quantities and the observational difficulties of detecting seismic signals and excess continuum radiation

Trends and outcome of neoadjuvant treatment for rectal cancer: A retrospective analysis and critical assessment of a 10-year prospective national registry on behalf of the Spanish Rectal Cancer Project

Introduction: Preoperative treatment and adequate surgery increase local control in rectal cancer. However, modalities and indications for neoadjuvant treatment may be controversial. Aim of this study was to assess the trends of preoperative treatment and outcomes in patients with rectal cancer included in the Rectal Cancer Registry of the Spanish Associations of Surgeons. Method: This is a STROBE-compliant retrospective analysis of a prospective database. All patients operated on with curative intention included in the Rectal Cancer Registry were included. Analyses were performed to compare the use of neoadjuvant/adjuvant treatment in three timeframes: I)2006–2009; II)2010–2013; III)2014–2017. Survival analyses were run for 3-year survival in timeframes I-II. Results: Out of 14, 391 patients, 8871 (61.6%) received neoadjuvant treatment. Long-course chemo/radiotherapy was the most used approach (79.9%), followed by short-course radiotherapy ± chemotherapy (7.6%). The use of neoadjuvant treatment for cancer of the upper third (15-11 cm) increased over time (31.5%vs 34.5%vs 38.6%, p = 0.0018). The complete regression rate slightly increased over time (15.6% vs 16% vs 18.5%; p = 0.0093); the proportion of patients with involved circumferential resection margins (CRM) went down from 8.2% to 7.3%and 5.5% (p = 0.0004). Neoadjuvant treatment significantly decreased positive CRM in lower third tumors (OR 0.71, 0.59–0.87, Cochrane-Mantel-Haenszel P = 0.0008). Most ypN0 patients also received adjuvant therapy. In MR-defined stage III patients, preoperative treatment was associated with significantly longer local-recurrence-free survival (p < 0.0001), and cancer-specific survival (p < 0.0001). The survival benefit was smaller in upper third cancers. Conclusion: There was an increasing trend and a potential overuse of neoadjuvant treatment in cancer of the upper rectum. Most ypN0 patients received postoperative treatment. Involvement of CRM in lower third tumors was reduced after neoadjuvant treatment. Stage III and MRcN + benefited the most

The impact of insect herbivory on biogeochemical cycling in broadleaved forests varies with temperature

Herbivorous insects alter biogeochemical cycling within forests, but the magnitude of these impacts, their global variation, and drivers of this variation remain poorly understood. To address this knowledge gap and help improve biogeochemical models, we established a global network of 74 plots within 40 mature, undisturbed broadleaved forests. We analyzed freshly senesced and green leaves for carbon, nitrogen, phosphorus and silica concentrations, foliar production and herbivory, and stand-level nutrient fluxes. We show more nutrient release by insect herbivores at non-outbreak levels in tropical forests than temperate and boreal forests, that these fluxes increase strongly with mean annual temperature, and that they exceed atmospheric deposition inputs in some localities. Thus, background levels of insect herbivory are sufficiently large to both alter ecosystem element cycling and influence terrestrial carbon cycling. Further, climate can affect interactions between natural populations of plants and herbivores with important consequences for global biogeochemical cycles across broadleaved forests

International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module

•We report INICC device-associated module data of 50 countries from 2010-2015.•We collected prospective data from 861,284 patients in 703 ICUs for 3,506,562 days.•DA-HAI rates and bacterial resistance were higher in the INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's. Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs. Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically