Lightning generated sferics: diagnostics tools to study upper atmosphere

Atmospherics or sferics that originate from lightning discharges on propagating large distances in the Earth-ionosphere waveguide or in the dispersive regions of ionosphere and magnetosphere form dispersed sferics called tweeks and whistlers respectively. Tweeks are novel diagnostic tool to monitor the nighttime D-region ionosphere. In this paper the lightning sferics (tweeks) recorded at a low latitude station, Suva (18.2o S,178.3oE, geomag. lat. 22.2o S, L = 1.17)) Fiji, in the South Pacific region and Allahabad (geomag. lat. 16.490 N, L=1.09) in India, will be presented and shown how they could be used to probe the night time D-region of the ionosphere. The computed D-region electron density is then compared with the electron density profile obtained from International Reference Ionosphere (IRI) 2007 model. Typical records of whistlers observed in Fiji and in India are presented

Coronal Mass Ejection-driven Shocks and the Associated Sudden Commencements-sudden Impulses

Interplanetary (IP) shocks are mainly responsible for the sudden compression of the magnetosphere, causing storm sudden commencement (SC) and sudden impulses (SIs) which are detected by ground-based magnetometers. On the basis of the list of 222 IP shocks compiled by Gopalswamy et al., we have investigated the dependence of SC/SIs amplitudes on the speed of the coronal mass ejections (CMEs) that drive the shocks near the Sun as well as in the interplanetary medium. We find that about 91% of the IP shocks were associated with SC/SIs. The average speed of the SC/SI-associated CMEs is 1015 km/s, which is almost a factor of 2 higher than the general CME speed. When the shocks were grouped according to their ability to produce type II radio burst in the interplanetary medium, we find that the radio-loud (RL) shocks produce a much larger SC/SI amplitude (average approx. 32 nT) compared to the radio-quiet (RQ) shocks (average approx. 19 nT). Clearly, RL shocks are more effective in producing SC/SIs than the RQ shocks. We also divided the IP shocks according to the type of IP counterpart of interplanetary CMEs (ICMEs): magnetic clouds (MCs) and nonmagnetic clouds. We find that the MC-associated shock speeds are better correlated with SC/SI amplitudes than those associated with non-MC ejecta. The SC/SI amplitudes are also higher for MCs than ejecta. Our results show that RL and RQ type of shocks are important parameters in producing the SC/SI amplitude

Rare observations of sprites and gravity waves supporting D, E, F-regions ionospheric coupling

We report rare simultaneous observations of columniform sprites and associated gravity waves (GWs) using the Transient Luminous Events (TLEs) camera and All-sky imager at Prayagraj (25.5° N, 81.9° E, geomag. lat. ~ 16.5° N), India. On 30 May 2014, a Mesoscale Convective System generated a group of sprites over the north horizon that reached the upper mesosphere. Just before this event, GWs (period ~ 14 min) were seen in OH broadband airglow (emission peak ~ 87 km) imaging that propagated in the direction of the sprite occurrence and dissipated in the background atmosphere thereby generating turbulence. About 9–14 min after the sprite event, another set of GWs (period ~ 11 min) was observed in OH imaging that arrived from the direction of the TLEs. At this site, we also record Very Low Frequency navigational transmitter signal JJI (22.2 kHz) from Japan. The amplitude of the JJI signal showed the presence of GWs with ~ 12.2 min periodicities and ~ 18 min period. The GWs of similar features were observed in the ionospheric Total Electron Content variations recorded at a nearby GPS site. The results presented here are important to understand the physical coupling of the troposphere with the lower and upper ionosphere through GWs

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)