6 research outputs found

    Photospheric and Subphotospheric Dynamics of Emerging Magnetic Flux

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    Magnetic fields emerging from the Sun's interior carry information about physical processes of magnetic field generation and transport in the convection zone. Soon after appearance on the solar surface the magnetic flux gets concentrated in sunspot regions and causes numerous active phenomena on the Sun. This paper discusses some properties of the emerging magnetic flux observed on the solar surface and in the interior. A statistical analysis of variations of the tilt angle of bipolar magnetic regions during the emergence shows that the systematic tilt with respect to the equator (the Joy's law) is most likely established below the surface. However, no evidence of the dependence of the tilt angle on the amount of emerging magnetic flux, predicted by the rising magnetic flux rope theories, is found. Analysis of surface plasma flows in a large emerging active region reveals strong localized upflows and downflows at the initial phase of emergence but finds no evidence for large-scale flows indicating future appearance a large-scale magnetic structure. Local helioseismology provides important tools for mapping perturbations of the wave speed and mass flows below the surface. Initial results from SOHO/MDI and GONG reveal strong diverging flows during the flux emergence, and also localized converging flows around stable sunspots. The wave speed images obtained during the process of formation of a large active region, NOAA 10488, indicate that the magnetic flux gets concentrated in strong field structures just below the surface. Further studies of magnetic flux emergence require systematic helioseismic observations from the ground and space, and realistic MHD simulations of the subsurface dynamics.Comment: 21 pages, 15 figures, to appear in Space Science Review

    Saccular Abdominal Aortic Aneurysms Patient Characteristics, Clinical Presentation, Treatment, and Outcomes in the Netherlands

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    Objective: The aim of this was to analyze differences between saccularshaped abdominal aortic aneurysms (SaAAAs) and fusiform abdominal aortic aneurysms (FuAAAs) regarding patient characteristics, treatment, and outcome, to advise a threshold for intervention for SaAAAs.Background: Based on the assumption that SaAAAs are more prone to rupture, guidelines suggest early elective treatment. However, little is known about the natural history of SaAAAs and the threshold for intervention is not substantiated.Methods: Observational study including primary repairs of degenerative AAAs in the Netherlands between 2016 and 2018 in which the shape was registered, registered in the Dutch Surgical Aneurysm Audit (DSAA). Patients were stratified by urgency of surgery; elective versus acute (symptomatic/ruptured). Patient characteristics, treatment, and outcome were compared between SaAAAs and FuAAAs.Results: A total of 7659 primary AAA-patients were included, 6.1% (n = 471) SaAAAs and 93.9% (n = 7188) FuAAAs. There were 5945 elective patients (6.5% SaAAA) and 1714 acute (4.8% SaAAA). Acute SaAAApatients were more often female (28.9% vs 17.2%, P = 0.007) compared with acute FuAAA-patients. SaAAAs had smaller diameters than FuAAAs, in elective (53.0mm vs 61 mm, P = 0.000) and acute (68mm vs 75 mm, P = 0.002) patients, even after adjusting for sex. In addition, 25.2% of acute SaAAA-patients presented with diameters <55mm and 8.4% <45 mm, versus 8.1% and 0.6% of acute FuAAA-patients (P = 0.000). Postoperative outcomes did not significantly differ between shapes in both elective and acute patients.Conclusions: SaAAAs become acute at smaller diameters than FuAAAs in DSAA patients. This study therefore supports the current idea that SaAAAs should be electively treated at smaller diameters than FuAAAs. The exact diameter threshold for elective treatment of SaAAAs is difficult to determine, but a diameter of 45mm seems to be an acceptable threshold.Vascular Surger

    Patients with a Ruptured Abdominal Aortic Aneurysm Are Better Informed in Hospitals with an “EVAR-preferred” Strategy: An Instrumental Variable Analysis of the Dutch Surgical Aneurysm Audit

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    Failure to Rescue – a Closer Look at Mortality Rates Has No Added Value for Hospital Comparisons but Is Useful for Team Quality Assessment in Abdominal Aortic Aneurysm Surgery in The Netherlands

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    Toward Optimizing Risk Adjustment in the Dutch Surgical Aneurysm Audit

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