A first approach to model the low-frequency wave activity in the plasmasphere

International audienceA comprehensive empirical model of waves is developed in the objective to simulate wave-particle interactions involved in the loss and acceleration of radiation belt electrons. Three years of measured magnetic wave field components from the Plasma Wave Instrument on board the DE-1 satellite are used to model the amplitude spectral density of the magnetic wave field of each type of emission observed in the equatorial regions of the plasmasphere: VLF transmitter emissions, chorus emissions, plasmaspheric hiss emissions and equatorial emissions below ~ 200 Hz. Each model is a function of the wave frequency f , the MLT, L and Mlat parameters, and the Kp values. The performances of the plasmaspheric hiss and chorus models are tested on amplitude spectra recorded on board the OGO-5 and GEOS-1 satellites

Bilateral Pneumothoraces Following Central Venous Cannulation

We report the occurrence of a bilateral pneumothoraces after unilateral central venous catheterization of the right subclavian vein in a 70-year-old patient. The patient had no history of pulmonary or pleural disease and no history of cardiothoracic surgery. Two days earlier, she had a median laparotomy under general and epidural anaesthesia. Prior to the procedure, the patient was hemodynamically stable and her transcutaneous oxygen saturation was 97% in room air. We punctured the right pleural space before cannulation of the right subclavian vein. After the procedure, the patient slowly became hemodynamically instable with respiratory distress. A chest radiograph revealed a complete left-side pneumothorax and a mild right-side pneumothorax. The right-side pneumothorax became under tension after left chest tube insertion. The symptoms finally resolved after insertion of a right chest tube. After a diagnostic work-up, we suspect a congenital “Buffalo chests” explaining bilateral pneumothoraces and a secondary tension pneumothorax

Laparoscopic versus open resection for appendix carcinoid

Background: Since an increasing number of appendectomies are performed via laparoscopy, it is crucial to determine the impact of this approach on appendix carcinoid (AC) outcome. The goal of this study was to compare results of laparoscopic (LAP) versus open (OP) appendectomy for AC according to intend to treat approach. Methods: A retrospective review (1991-2003) identified 39 patients (median age, 36 years; range, 12-83) treated by laparoscopy (LAP) or laparotomy (OP) for AC in a single institution. Follow-up was complete for all patients (median, 67 months; range, 4-132). Results: Most cases had associated acute appendicitis (64%). Median carcinoid size was 1.1 cm (range, 0.3-5) and 0.4 cm (range, 0.2-3) in the LAP and OP groups, respectively. LAP and OP were performed in 21 (54%) and 18 (46%) patients, respectively. Surgical margins were positive in two patients in the LAP group and one patient in the OP group (p = 0.6). Right colectomies were performed for AC >2 cm in five patients after LAP and in four patients after OP (p = 0.9). Actuarial 5-year survival rates were 100 and 94% in the LAP and OP groups, respectively (p = 0.2). Two patients died in the OP group, one due to metastatic carcinoid and the other due to metachronous colorectal cancer. Synchronous or metachronous colorectal carcinomas developed in six patients (15%). Conclusion: Laparoscopic appendectomy is a safe procedure for AC, with carcinologic and long-term results similar to those of conventional appendectomy. Thus, pre- or per-operative suspicion of AC is not a contraindication to LAP. Prognosis of AC appears more dependent on carcinoid malignant potential or associated tumors. Risk for developing colorectal adenocarcinoma is high in AC patients and warrants follow-up of all patients with colonoscopic screenin

Evidence for continuing current in sprite-producing cloud-to-ground lightning

Includes bibliographical references (page 3642).Radio atmospherics launched by sprite producing positive cloud-to-ground lightning flashes and observed at Palmer Station, Antarctica, exhibit large ELF slow tails following the initial VLF portion, indicating the presence of continuing currents in the source lightning flashes. One-to-one correlation of sferics with NLDN lightning data in both time and arrival azimuth, measured with an accuracy of ±1° at ~12,000 km range, allows unambiguous identification of lightning flashes originating in the storm of interest. Slow-tail measurements at Palmer can potentially be used to measure continuing currents in lightning flashes over nearly half of the Earth's surface

Mechanism of ELF radiation from sprites

Includes bibliographical references (page 3496).Charge and current systems associated with sprites constitute a part of the large scale atmospheric electric circuit, providing a context for physical understanding of recently discovered ELF radiation originating from currents flowing within the body of sprites. It is shown that the impulse of the electric current driven in the conducting body of the sprite by lightning generated transient quasi-electrostatic fields produces significant electromagnetic radiation in the ELF range of frequencies, comparable to that radiated by the causative lightning discharge

Childhood obesity- diagnostic methods, prevalence and etiology

Çocukluk çağı obezitesi de erişkin obezitesi gibi artan bir prevalansa sahiptir. Bu artan prevalansın nedeni olarak diyet kompozisyonundaki değişiklik ve hareket miktarındaki azalma sorumlu tutulmaktadır.Ayrıca hem ailelerin ve hem de hekimlerin obeziteyi tedavi etme gereğini göz ardı etmekte olmaları ve değişen yaşam şartları obeziteyi yaygın bir sağlık sorunu haline getirmektedir. Obezite önümüzdeki yılların önemli bir halk sağlığı problemi olmaya devam edecek gibi görünmektedir.Just like increase in adult obesity, the prevalence of childhood obesity is also on the rise. Changes in dietary composition and a decrease in the amount of motion are held responsible for this increase in prevalence. Apart from these, obesity is becoming a common health problem because of changing life styles and the lack of treatment due to the ignorence of both parents and physicians. Obesity seems to continue to be an important public health problem in future

Human fascioliasis

ABSTRACTFasciola hepatica, a zoonotic liver fluke, can also cause disease in humans. Common symptoms are epigastric pain, upper abdominal pain and malaise. Fever and arthralgia are common in acute fascioliasis. Eosinophilia is the predominant laboratory finding, especially in patients with the acute form of the disease. Diagnosis and treatment is not easy, as physicians rarely encounter this disease, and effective drugs are not available in many countries. Human fascioliasis may be underestimated. Patients with eosinophilia and abdominal pain should be evaluated for F. hepatica infestation by parasitological, radiological and serological tests