Acceleration and Expansion of a Coronal Mass Ejection in the High Corona: Role of Magnetic Reconnection

The important role played by magnetic reconnection in the early acceleration of coronal mass ejections (CMEs) has been widely discussed. However, as CMEs may have expansion speeds comparable to their propagation speeds in the corona, it is not clear whether and how reconnection contributes to the true acceleration and expansion separately. To address this question, we analyze the dynamics of a moderately fast CME on 2013 February 27, associated with a continuous acceleration of its front into the high corona, even though its speed had reached $\sim$700~km~s$^{-1}$ and larger than the solar wind speed. The apparent CME acceleration is found to be due to the CME expansion in the radial direction. The CME true acceleration, i.e., the acceleration of its center, is then estimated by taking into account the expected deceleration caused by the solar wind drag force acting on a fast CME. It is found that the true acceleration and the radial expansion have similar magnitudes. We find that magnetic reconnection occurs after the CME eruption and continues during the CME propagation in the high corona, which contributes to the CME dynamic evolution. Comparison between the apparent acceleration related to the expansion and the true acceleration that compensates the drag shows that, for this case, magnetic reconnection contributes almost equally to the CME expansion and to the CME acceleration. The consequences of these measurements for the evolution of CMEs as they transit from the corona to the heliosphere are discussed.Comment: Accepted by Ap

Evolution of the Radial Size and Expansion of Coronal Mass Ejections Investigated by Combining Remote and In-Situ Observations

A fundamental property of coronal mass ejections (CMEs) is their radial expansion, which determines the increase in the CME radial size and the decrease in the CME magnetic field strength as the CME propagates. CME radial expansion can be investigated either by using remote observations or by in-situ measurements based on multiple spacecraft in radial conjunction. However, there have been only few case studies combining both remote and in-situ observations. It is therefore unknown if the radial expansion estimated remotely in the corona is consistent with that estimated locally in the heliosphere. To address this question, we first select 22 CME events between the years 2010 and 2013, which were well observed by coronagraphs and by two or three spacecraft in radial conjunction. We use the graduated cylindrical shell model to estimate the radial size, radial expansion speed, and a measure of the dimensionless expansion parameter of CMEs in the corona. The same parameters and two additional measures of the radial-size increase and magnetic-field-strength decrease with heliocentric distance of CMEs based on in-situ measurements are also calculated. For most of the events, the CME radial size estimated by remote observations is inconsistent with the in-situ estimates. We further statistically analyze the correlations of these expansion parameters estimated using remote and in-situ observations, and discuss the potential reasons for the inconsistencies and their implications for the CME space weather forecasting.Comment: Accepted by Ap

The Width of Magnetic Ejecta Measured Near 1 au: Lessons from STEREO-A Measurements in 2021--2022

Coronal mass ejections (CMEs) are large-scale eruptions with a typical radial size at 1 au of 0.21 au but their angular width in interplanetary space is still mostly unknown, especially for the magnetic ejecta (ME) part of the CME. We take advantage of STEREO-A angular separation of 20$^\circ$-60$^\circ$ from the Sun-Earth line from October 2020 to August 2022, and perform a two-part study to constrain the angular width of MEs in the ecliptic plane: a) we study all CMEs that are observed remotely to propagate between the Sun-STEREO-A and the Sun-Earth lines and determine how many impact one or both spacecraft in situ, and b) we investigate all in situ measurements at STEREO-A or at L1 of CMEs during the same time period to quantify how many are measured by the two spacecraft. A key finding is that, out of 21 CMEs propagating within 30$^\circ$ of either spacecraft, only four impacted both spacecraft and none provided clean magnetic cloud-like signatures at both spacecraft. Combining the two approaches, we conclude that the typical angular width of a ME at 1 au is $\sim$ 20$^\circ$-30$^\circ$, or 2-3 times less than often assumed and consistent with a 2:1 elliptical cross-section of an ellipsoidal ME. We discuss the consequences of this finding for future multi-spacecraft mission designs and for the coherence of CMEs.Comment: 21 pages, revision submitted to Ap

Work-Life Balance Starts with Proper Deadlines and Exemplary Agencies

Diversity, equity and inclusion (DEI) programs can only be implemented successfully if proper work-life balance is possible in Heliophysics (and in STEM field in general). One of the core issues stems from the culture of "work-above-life" associated with mission concepts, development, and implementation but also the expectations that seem to originate from numerous announcements from NASA (and other agencies). The benefits of work-life balance are well documented; however, the entire system surrounding research in Heliophysics hinders or discourages proper work-life balance. For example, there does not seem to be attention paid by NASA Headquarters (HQ) on the timing of their announcements regarding how it will be perceived by researchers, and how the timing may promote a culture where work trumps personal life. The same is true for remarks by NASA HQ program officers during panels or informal discussions, where seemingly innocuous comments may give a perception that work is expected after "normal" work hours. In addition, we are calling for work-life balance plans and implementation to be one of the criteria used for down-selection and confirmation of missions (Key Decision Points: KDP-B, KDP-C).Comment: White paper submitted to the Decadal Survey for Solar and Space Physics (Heliophysics) 2024-2033; 6 page

New Observations Needed to Advance Our Understanding of Coronal Mass Ejections

Coronal mass ejections (CMEs) are large eruptions from the Sun that propagate through the heliosphere after launch. Observational studies of these transient phenomena are usually based on 2D images of the Sun, corona, and heliosphere (remote-sensing data), as well as magnetic field, plasma, and particle samples along a 1D spacecraft trajectory (in-situ data). Given the large scales involved and the 3D nature of CMEs, such measurements are generally insufficient to build a comprehensive picture, especially in terms of local variations and overall geometry of the whole structure. This White Paper aims to address this issue by identifying the data sets and observational priorities that are needed to effectively advance our current understanding of the structure and evolution of CMEs, in both the remote-sensing and in-situ regimes. It also provides an outlook of possible missions and instruments that may yield significant improvements into the subject.Comment: White Paper submitted to the Heliophysics 2024-2033 Decadal Survey, 9 pages, 4 figure

Redefining flux ropes in heliophysics

Magnetic flux ropes manifest as twisted bundles of magnetic field lines. They carry significant amounts of solar mass in the heliosphere. This paper underlines the need to advance our understanding of the fundamental physics of heliospheric flux ropes and provides the motivation to significantly improve the status quo of flux rope research through novel and requisite approaches. It briefly discusses the current understanding of flux rope formation and evolution, and summarizes the strategies that have been undertaken to understand the dynamics of heliospheric structures. The challenges and recommendations put forward to address them are expected to broaden the in-depth knowledge of our nearest star, its dynamics, and its role in its region of influence, the heliosphere.Fil: Nieves Chinchilla, Teresa. National Aeronautics and Space Administration; Estados UnidosFil: Pal, Sanchita. George Mason University. School Of Physics. Astronomy And Computational Sciences; Estados Unidos. National Aeronautics and Space Administration; Estados UnidosFil: Salman, Tarik M.. George Mason University. School Of Physics. Astronomy And Computational Sciences; Estados Unidos. National Aeronautics and Space Administration; Estados UnidosFil: Carcaboso, Fernando. Catholic University Of America; Estados Unidos. National Aeronautics and Space Administration; Estados UnidosFil: Guidoni, Silvina E.. American University. College Of Arts & Sciences. Physics Departament.; Estados Unidos. National Aeronautics and Space Administration; Estados UnidosFil: Cremades Fernandez, Maria Hebe. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Mendoza. Facultad de Ingenieria; ArgentinaFil: Narock, Ayris. National Aeronautics and Space Administration; Estados UnidosFil: Balmaceda, Laura Antonia. George Mason University. School Of Physics. Astronomy And Computational Sciences; Estados Unidos. National Aeronautics and Space Administration; Estados Unidos. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Lynch, Benjamin J.. University of California at Berkeley; Estados UnidosFil: Al Haddad, Nada. University Of New Hampshire; Estados UnidosFil: Rodríguez García, Laura. Universidad de Alcalá; EspañaFil: Narock, Thomas W.. Goucher College; Estados UnidosFil: Dos Santos, Luiz F. G.. Shell Global Solutions; Estados UnidosFil: Regnault, Florian. University Of New Hampshire; Estados UnidosFil: Kay, Christina. Catholic University Of America; Estados Unidos. National Aeronautics and Space Administration; Estados UnidosFil: Winslow, Réka M.. University Of New Hampshire; Estados UnidosFil: Palmerio, Erika. Predictive Science Inc.; Estados UnidosFil: Davies, Emma E.. University Of New Hampshire; Estados UnidosFil: Scolini, Camilla. University Of New Hampshire; Estados UnidosFil: Weiss, Andreas J.. National Aeronautics and Space Administration; Estados UnidosFil: Alzate, Nathalia. National Aeronautics and Space Administration; Estados UnidosFil: Jeunon, Mariana. Catholic University Of America; Estados Unidos. National Aeronautics and Space Administration; Estados UnidosFil: Pujadas, Roger. Universidad Politécnica de Catalunya; España. National Aeronautics and Space Administration; Estados Unido

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

On the importance of investigating CME complexity evolution during interplanetary propagation

This perspective paper brings to light the need for comprehensive studies on the evolution of interplanetary coronal mass ejection (ICME) complexity during propagation. To date, few studies of ICME complexity exist. Here, we define ICME complexity and associated changes in complexity, describe recent works and their limitations, and outline key science questions that need to be tackled. Fundamental research on ICME complexity changes from the solar corona to 1 AU and beyond is critical to our physical understanding of the evolution and interaction of transients in the inner heliosphere. Furthermore, a comprehensive understanding of such changes is required to understand the space weather impact of ICMEs at different heliospheric locations and to improve on predictive space weather models

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Association of respiratory symptoms and lung function with occupation in the multinational Burden of Obstructive Lung Disease (BOLD) study

Background Chronic obstructive pulmonary disease has been associated with exposures in the workplace. We aimed to assess the association of respiratory symptoms and lung function with occupation in the Burden of Obstructive Lung Disease study. Methods We analysed cross-sectional data from 28 823 adults (≥40 years) in 34 countries. We considered 11 occupations and grouped them by likelihood of exposure to organic dusts, inorganic dusts and fumes. The association of chronic cough, chronic phlegm, wheeze, dyspnoea, forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV1)/FVC with occupation was assessed, per study site, using multivariable regression. These estimates were then meta-analysed. Sensitivity analyses explored differences between sexes and gross national income. Results Overall, working in settings with potentially high exposure to dusts or fumes was associated with respiratory symptoms but not lung function differences. The most common occupation was farming. Compared to people not working in any of the 11 considered occupations, those who were farmers for ≥20 years were more likely to have chronic cough (OR 1.52, 95% CI 1.19–1.94), wheeze (OR 1.37, 95% CI 1.16–1.63) and dyspnoea (OR 1.83, 95% CI 1.53–2.20), but not lower FVC (β=0.02 L, 95% CI −0.02–0.06 L) or lower FEV1/FVC (β=0.04%, 95% CI −0.49–0.58%). Some findings differed by sex and gross national income. Conclusion At a population level, the occupational exposures considered in this study do not appear to be major determinants of differences in lung function, although they are associated with more respiratory symptoms. Because not all work settings were included in this study, respiratory surveillance should still be encouraged among high-risk dusty and fume job workers, especially in low- and middle-income countries.publishedVersio