Evidence for the photospheric excitation of incompressible chromospheric waves

Observing the excitation mechanisms of incompressible transverse waves is vital for determining how energy propagates through the lower solar atmosphere. We aim to show the connection between convectively driven photospheric flows and incompressible chromospheric waves. The observations presented here show the propagation of incompressible motion through the quiet lower solar atmosphere, from the photosphere to the chromosphere. We determine photospheric flow vectors to search for signatures of vortex motion and compare results to photospheric flows present in convective simulations. Further, we search for the chromospheric response to vortex motions. Evidence is presented that suggests incompressible waves can be excited by the vortex motions of a strong magnetic flux concentration in the photosphere. A chromospheric counterpart to the photospheric vortex motion is also observed, presenting itself as a quasi-periodic torsional motion. Fine-scale, fibril structures that emanate from the chromospheric counterpart support transverse waves that are driven by the observed torsional motion. A new technique for obtaining details of transverse waves from time-distance diagrams is presented and the properties of transverse waves (e.g., amplitudes and periods) excited by the chromospheric torsional motion are measured

Pulmonary rehabilitation following exacerbations of chronic obstructive pulmonary disease.

BACKGROUND: Guidelines have provided positive recommendations for pulmonary rehabilitation after exacerbations of chronic obstructive pulmonary disease (COPD), but recent studies indicate that postexacerbation rehabilitation may not always be effective in patients with unstable COPD. OBJECTIVES: To assess effects of pulmonary rehabilitation after COPD exacerbations on hospital admissions (primary outcome) and other patient-important outcomes (mortality, health-related quality of life (HRQL) and exercise capacity). SEARCH METHODS: We identified studies through searches of the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, PEDro (Physiotherapy Evidence Database) and the Cochrane Airways Review Group Register of Trials. Searches were current as of 20 October 2015, and handsearches were run up to 5 April 2016. SELECTION CRITERIA: Randomised controlled trials (RCTs) comparing pulmonary rehabilitation of any duration after exacerbation of COPD versus conventional care. Pulmonary rehabilitation programmes had to include at least physical exercise (endurance or strength exercise, or both). We did not apply a criterion for the minimum number of exercise sessions a rehabilitation programme had to offer to be included in the review. Control groups received conventional community care without rehabilitation. DATA COLLECTION AND ANALYSIS: We expected substantial heterogeneity across trials in terms of how extensive rehabilitation programmes were (i.e. in terms of number of completed exercise sessions; type, intensity and supervision of exercise training; and patient education), duration of follow-up (< 3 months vs ≥ 3 months) and risk of bias (generation of random sequence, concealment of random allocation and blinding); therefore, we performed subgroup analyses that were defined before we carried them out. We used standard methods expected by Cochrane in preparing this update, and we used GRADE for assessing the quality of evidence. MAIN RESULTS: For this update, we added 11 studies and included a total of 20 studies (1477 participants). Rehabilitation programmes showed great diversity in terms of exercise training (number of completed exercise sessions; type, intensity and supervision), patient education (from none to extensive self-management programmes) and how they were organised (within one setting, e.g. pulmonary rehabilitation, to across several settings, e.g. hospital, outpatient centre and home). In eight studies, participants completed extensive pulmonary rehabilitation, and in 12 studies, participants completed pulmonary rehabilitation ranging from not extensive to moderately extensive.Eight studies involving 810 participants contributed data on hospital readmissions. Moderate-quality evidence indicates that pulmonary rehabilitation reduced hospital readmissions (pooled odds ratio (OR) 0.44, 95% confidence interval (CI) 0.21 to 0.91), but results were heterogenous (I(2) = 77%). Extensiveness of rehabilitation programmes and risk of bias may offer an explanation for the heterogeneity, but subgroup analyses were not statistically significant (P values for subgroup effects were between 0.07 and 0.11). Six studies including 670 participants contributed data on mortality. The quality of evidence was low, and the meta-analysis did not show a statistically significant effect of rehabilitation on mortality (pooled OR 0.68, 95% CI 0.28 to 1.67). Again, results were heterogenous (I(2) = 59%). Subgroup analyses showed statistically significant differences in subgroup effects between trials with more and less extensive rehabilitation programmes and between trials at low and high risk for bias, indicating possible explanations for the heterogeneity. Hospital readmissions and mortality studies newly included in this update showed, on average, significantly smaller effects of rehabilitation than were seen in earlier studies.High-quality evidence suggests that pulmonary rehabilitation after an exacerbation improves health-related quality of life. The eight studies that used St George's Respiratory Questionnaire (SGRQ) reported a statistically significant effect on SGRQ total score, which was above the minimal important difference (MID) of four points (mean difference (MD) -7.80, 95% CI -12.12 to -3.47; I(2) = 64%). Investigators also noted statistically significant and important effects (greater than MID) for the impact and activities domains of the SGRQ. Effects were not statistically significant for the SGRQ symptoms domain. Again, all of these analyses showed heterogeneity, but most studies showed positive effects of pulmonary rehabilitation, some studies showed large effects and others smaller but statistically significant effects. Trials at high risk of bias because of lack of concealment of random allocation showed statistically significantly larger effects on the SGRQ than trials at low risk of bias. High-quality evidence shows that six-minute walk distance (6MWD) improved, on average, by 62 meters (95% CI 38 to 86; I(2) = 87%). Heterogeneity was driven particularly by differences between studies showing very large effects and studies showing smaller but statistically significant effects. For both health-related quality of life and exercise capacity, studies newly included in this update showed, on average, smaller effects of rehabilitation than were seen in earlier studies, but the overall results of this review have not changed to an important extent compared with results reported in the earlier version of this review.Five studies involving 278 participants explicitly recorded adverse events, four studies reported no adverse events during rehabilitation programmes and one study reported one serious event. AUTHORS' CONCLUSIONS: Overall, evidence of high quality shows moderate to large effects of rehabilitation on health-related quality of life and exercise capacity in patients with COPD after an exacerbation. Some recent studies showed no benefit of rehabilitation on hospital readmissions and mortality and introduced heterogeneity as compared with the last update of this review. Such heterogeneity of effects on hospital readmissions and mortality may be explained to some extent by the extensiveness of rehabilitation programmes and by the methodological quality of the included studies. Future researchers must investigate how the extent of rehabilitation programmes in terms of exercise sessions, self-management education and other components affects the outcomes, and how the organisation of such programmes within specific healthcare systems determines their effects after COPD exacerbations on hospital readmissions and mortality

A Photosphere-Internal Shock Model of Gamma-Ray Bursts: Case Studies of Fermi/LAT Bursts

Radially inhomogeneous gamma-ray burst (GRB) jets release variable photospheric emission and can have internal shocks occurring above the photosphere. We generically formulate a photospheric emission model of GRBs including Compton up-scattered photospheric (UP) emission off the electrons (and positrons) in the internal shocks, and find that the photospheric emission may correspond to the traditional (Band) component at <~1 MeV and the UP emission to the high-energy emission observed by Fermi/LAT for some GRBs at >~ 10 MeV. The two components can be separate in the spectrum in some cases or can mimic a smooth broad Band spectrum in other cases. We apply our formulation to the well-studied long and short LAT GRBs, GRB 080916C, GRB 090902B, and GRB 090510, and typically find reasonable parameters for fitting the time-binned spectra, although fine tuning of several parameters is required. The observed delays of the high-energy emission with respect to the MeV emission which are large compared to the variability times are unlikely to be due to simple kinematic effects of a non-evolving jet. These delays may be attributed to the temporal evolution of the physical parameters of the jet, and thus the delay timescales could provide a potential tool for investigating the structures of GRB jets themselves and their progenitors. The difference of the delay timescales of long and short GRBs inferred from the Fermi data might be due to the differences in the progenitors of long and short GRBs. Some other properties and consequences of this model are discussed, including temporal correlations among the prompt optical, the soft X-ray, and the distinct high-energy component as well as the Band component.Comment: 21 pages, 7 figures, 2 tables; accepted for publication in MNRA

Prospects for Detecting Gamma-Ray Bursts at Very High Energies with the Cherenkov Telescope Array

We discuss the prospects for the detection of gamma-ray bursts (GRBs) by the Cherenkov Telescope Array (CTA), the next generation, ground-based facility of imaging atmospheric Cherenkov telescopes (IACTs) operating above a few tens of GeV. By virtue of its fast slewing capabilities, the lower energy threshold compared to current IACTs, and the much larger effective area compared to satellite instruments, CTA can measure the spectra and variability of GRBs with excellent photon statistics at multi-GeV energies. Employing a model of the GRB population whose properties are broadly consistent with observations by the Gamma-ray Burst Monitor (GBM) and Large Area Telescope (LAT) onboard Fermi, we simulate follow-up observations of GRBs with the Large Size Telescopes (LSTs), the component of CTA with the fastest slew speed and the best sensitivity at energies below a few hundred GeV. For our fiducial assumptions, we foresee that the LSTs can detect ~0.1 GRBs per year during the prompt phase and ~0.5 per year in the afterglow phase, considering only one array site and both GBM and the Space-based multi-band astronomical Variable Object Monitor (SVOM) as the alert instruments. The detection rates can be enhanced by a factor of about 5 and 6 for the prompt emission and the afterglow, respectively, assuming two array sites with the same sensitivity and that the GBM localization error can be reduced to less than 1 deg. The expected distribution of redshift and photon counts are presented, showing that despite the modest event rate, hundreds or more multi-GeV photons can be anticipated from a single burst once they are detected. We also study how the detection rate depends on the intrinsic GRB properties and the delay time between the burst trigger and the follow-up observation.Comment: 15 pages, 9 figures, accepted for publication in MNRA

Multiwavelength studies of MHD waves in the solar chromosphere: An overview of recent results

The chromosphere is a thin layer of the solar atmosphere that bridges the relatively cool photosphere and the intensely heated transition region and corona. Compressible and incompressible waves propagating through the chromosphere can supply significant amounts of energy to the interface region and corona. In recent years an abundance of high-resolution observations from state-of-the-art facilities have provided new and exciting ways of disentangling the characteristics of oscillatory phenomena propagating through the dynamic chromosphere. Coupled with rapid advancements in magnetohydrodynamic wave theory, we are now in an ideal position to thoroughly investigate the role waves play in supplying energy to sustain chromospheric and coronal heating. Here, we review the recent progress made in characterising, categorising and interpreting oscillations manifesting in the solar chromosphere, with an impetus placed on their intrinsic energetics.Comment: 48 pages, 25 figures, accepted into Space Science Review

Proton, Electron, and Ion Heating in the Fast Solar Wind from Nonlinear Coupling Between Alfvenic and Fast-Mode Turbulence

In the parts of the solar corona and solar wind that experience the fewest Coulomb collisions, the component proton, electron, and heavy ion populations are not in thermal equilibrium with one another. Observed differences in temperatures, outflow speeds, and velocity distribution anisotropies are useful constraints on proposed explanations for how the plasma is heated and accelerated. This paper presents new predictions of the rates of collisionless heating for each particle species, in which the energy input is assumed to come from magnetohydrodynamic (MHD) turbulence. We first created an empirical description of the radial evolution of Alfven, fast-mode, and slow-mode MHD waves. This model provides the total wave power in each mode as a function of distance along an expanding flux tube in the high-speed solar wind. Next we solved a set of cascade advection-diffusion equations that give the time-steady wavenumber spectra at each distance. An approximate term for nonlinear coupling between the Alfven and fast-mode fluctuations is included. For reasonable choices of the parameters, our model contains enough energy transfer from the fast mode to the Alfven mode to excite the high-frequency ion cyclotron resonance. This resonance is efficient at heating protons and other ions in the direction perpendicular to the background magnetic field, and our model predicts heating rates for these species that agree well with both spectroscopic and in situ measurements. Nonetheless, the high-frequency waves comprise only a small part of the total Alfvenic fluctuation spectrum, which remains highly two-dimensional as is observed in interplanetary space.Comment: Accepted for publication in the Astrophysical Journal. 30 pages (emulateapj style), 18 figure

Open Data for Global Science

The global science system stands at a critical juncture. On the one hand, it is overwhelmed by a hidden avalanche of ephemeral bits that are central components of modern research and of the emerging ‘cyberinfrastructure’4 for e-Science.5 The rational management and exploitation of this cascade of digital assets offers boundless opportunities for research and applications. On the other hand, the ability to access and use this rising flood of data seems to lag behind, despite the rapidly growing capabilities of information and communication technologies (ICTs) to make much more effective use of those data. As long as the attention for data policies and data management by researchers, their organisations and their funders does not catch up with the rapidly changing research environment, the research policy and funding entities in many cases will perpetuate the systemic inefficiencies, and the resulting loss or underutilisation of valuable data resources derived from public investments. There is thus an urgent need for rationalised national strategies and more coherent international arrangements for sustainable access to public research data, both to data produced directly by government entities and to data generated in academic and not-for-profit institutions with public funding. In this chapter, we examine some of the implications of the ‘data driven’ research and possible ways to overcome existing barriers to accessibility of public research data. Our perspective is framed in the context of the predominantly publicly funded global science system. We begin by reviewing the growing role of digital data in research and outlining the roles of stakeholders in the research community in developing data access regimes. We then discuss the hidden costs of closed data systems, the benefits and limitations of openness as the default principle for data access, and the emerging open access models that are beginning to form digitally networked commons. We conclude by examining the rationale and requirements for developing overarching international principles from the top down, as well as flexible, common-use contractual templates from the bottom up, to establish data access regimes founded on a presumption of openness, with the goal of better capturing the benefits from the existing and future scientific data assets. The ‘Principles and Guidelines for Access to Research Data from Public Funding’ from the Organisation for Economic Cooperation and Development (OECD), reported on in another article by Pilat and Fukasaku,6 are the most important recent example of the high-level (inter)governmental approach. The common-use licenses promoted by the Science Commons are a leading example of flexible arrangements originating within the community. Finally, we should emphasise that we focus almost exclusively on the policy—the institutional, socioeconomic, and legal aspects of data access—rather than on the technical and management practicalities that are also important, but beyond the scope of this article

Outcome measures used in pulmonary rehabilitation in patients with acute exacerbation of chronic obstructive pulmonary disease: a systematic review

Conflicting results about the effects of community-based pulmonary rehabilitation in acute exacerbations of chronic obstructive pulmonary disease (AECOPD) exist, possibly because the variety of outcome measures used and the lack of appropriate measurement properties hinder the development of pulmonary rehabilitation guidelines. PURPOSE: The purpose of this study was to identify and review the measurement properties of patient-reported outcome measures (PROMs) and clinical outcome measures of AECOPD that are used in pulmonary rehabilitation and that can be easily applied in a community setting. DATA SOURCES: PubMed, Web of Science, Scopus, and CINAHL were searched up to July 1, 2016. STUDY SELECTION: Phase 1 identified outcome measures used in pulmonary rehabilitation for AECOPD. Phase 2 reviewed the measurement properties of the identified outcome measures. DATA EXTRACTION: One reviewer extracted the data and 2 reviewers independently assessed the methodological quality of the studies and the measurement properties of the outcome measures by using the Consensus-Based Standards for the Selection of Health Status Measurement Instruments (COSMIN) recommendations. DATA SYNTHESIS: Twenty-three PROMs and 18 clinical outcome measures were found. The outcome measures most used were the St George Respiratory Questionnaire (n = 15/37 studies) and the 6-minute walk test (n = 21/37 studies). Thirty-two studies described the measurement properties of 22 PROMs and 7 clinical outcome measures. The methodological quality of the studies was mostly poor, and the measurement properties were mostly indeterminate. The outcome measure exhibiting more robust properties was the COPD Assessment Test. LIMITATIONS: A number of studies were published without the validated search strategy used and were included a posteriori ; the fact that 3 studies presented combined results for patients who were stable and patients with exacerbation, affected the conclusions that can be drawn. CONCLUSIONS: A large variety of outcome measures have been used; however, studies on their measurement properties are needed to enhance the understanding of community pulmonary rehabilitation for AECOPD

Effects of a community-based pulmonary rehabilitation programme during acute exacerbations of chronic obstructive pulmonary disease - A quasi-experimental pilot study. Authors' reply

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