Mortality of babies enrolled in a community-based support programme: CONI PLUS (Care of Next Infant Plus).

OBJECTIVE: To report mortality in babies enrolled on a community-based programme, Care of Next Infant Plus (CONI PLUS), which primarily supports parents anxious because of previous sudden unexpected death in infancy (SUDI) in their extended family or following an apparent life threatening event (ALTE) in their baby. DESIGN: Prospective observational study from 1996 to 2010 in the UK. RESULTS: Of 6487 babies enrolled, 37 died (5.7 per 1000). There were 2789 (43.0%) SUDI related babies of whom, six died suddenly and unexpectedly (2.15 per 1000). Four babies were sharing a sofa at night or a bed with parent(s) who smoked or had consumed alcohol. Of the 1882 (29.0%) babies enrolled following an ALTE, five died suddenly and unexpectedly (2.66 per 1000): four unexplained and one due to infection. None occurred while sharing a sleep surface, and at least three died during the day. The remaining 1816 (28%) babies were enrolled for other reasons. Seven died suddenly and unexpectedly (3.85 per 1000), two were unexplained and none associated with bed sharing. CONCLUSIONS: The number of SUDI deaths in babies enrolled on CONI PLUS is higher than expected from UK averages. Deaths in babies enrolled because of family history of SUDI were mostly associated with inappropriate sharing of a sleep surface at night and mostly outside the peak age range for sudden infant death. The opposite is true for those enrolled following an ALTE. The number of deaths is small but findings suggest a different mechanism for death in these two groups

Access of energetic particles to Titan's exobase: a study of Cassini's T9 flyby

We study how the local electromagnetic disturbances introduced by Titan affect the ionization rates of the atmosphere. For this, we model the precipitation of energetic particles, specifically hydrogen and oxygen ions with energies between 1 keV and 1 MeV, into Titan's exobase for the specific magnetospheric configuration of the T9 flyby. For the study, a particle tracing software package is used which consists of an integration of the single particle Lorentz force equation using a 4th order Runge-Kutta numerical method. For the electromagnetic disturbances, the output of the A.I.K.E.F. hybrid code (kinetic ions, fluid electrons) is used, allowing the possibility of analyzing the disturbances and asymmetries in the access of energetic particles originated by their large gyroradii. By combining these methods, 2D maps showing the access of each set of particles were produced. We show that the access of different particles is largely dominated by their gyroradii, with the complexity of the maps increasing with decreasing gyroradius, due to the larger effect that local disturbances introduced by the presence of the moon have in the trajectory of the particles with lower energies. We also show that for particles with gyroradii much larger than the moon's radius, simpler descriptions of the electromagnetic environment can reproduce similar results to those obtained when using the full hybrid simulation description, with simple north-south fields being sufficient to reproduce the hybrid code results for O+ ions with energies larger than 10 keV but not enough to reproduce those for H+H+ ions at any of the energies covered in the present study. Finally, by combining the maps created with upstream plasma flow measurements by the MIMI/CHEMS instrument, we are able to estimate normalized fluxes arriving at different selected positions of the moon's exobase. We then use these fluxes to calculate energy deposition and non-dissociative N2 ionization rates for precipitating O+O+ and H+H+ ions and find differences in the ion production rates of up to almost 80% at the selected positions. All these results combined show that the electromagnetic field disturbances present in the vicinity of Titan significantly affect the contribution of energetic ions to local ionization profiles

Rotationally driven magnetic reconnection in Saturn's dayside

Magnetic reconnection is a key process that explosively accelerates charged particles, generating phenomena such as nebular flares, solar flares and stunning aurorae. In planetary magnetospheres, magnetic reconnection has often been identified on the dayside magnetopause and in the nightside magnetodisc, where thin-current-sheet conditions are conducive to reconnection. The dayside magnetodisc is usually considered thicker than the nightside due to the compression of solar wind, and is therefore not an ideal environment for reconnection. In contrast, a recent statistical study of magnetic flux circulation strongly suggests that magnetic reconnection must occur throughout Saturn’s dayside magnetosphere. Additionally, the source of energetic plasma can be present in the noon sector of giant planetary magnetospheres. However, so far, dayside magnetic reconnection has only been identified at the magnetopause. Here, we report direct evidence of near-noon reconnection within Saturn’s magnetodisc using measurements from the Cassini spacecraft. The measured energetic electrons and ions (ranging from tens to hundreds of keV) and the estimated energy flux of ~2.6 mW m–2 within the reconnection region are sufficient to power aurorae. We suggest that dayside magnetodisc reconnection can explain bursty phenomena in the dayside magnetospheres of giant planets, which can potentially advance our understanding of quasi-periodic injections of relativistic electrons6 and auroral pulsations

Reconnection acceleration in Saturn's dayside magnetodisc:a multicase study with Cassini

Recently, rotationally driven magnetic reconnection was firstly discovered in Saturn’s dayside magnetosphere (Guo et al. 2018). This newly confirmed process could potentially drive bursty phenomena at Saturn, i.e., pulsating energetic particles and auroral emissions. Using Cassini’s measurements of magnetic fields and charged particles, we investigate particle acceleration features during three magnetic reconnection events observed in Saturn’s dayside magnetodisc. The results suggest that the rotationally driven reconnection process plays a key role in producing energetic electrons (up to 100 keV) and ions (several hundreds of keV). In particular, we find that energetic oxygen ions are locally accelerated at all three reconnection sites. Isolated, multiple reconnection sites were recorded in succession during an interval lasting for much less than one Saturn rotation period. Moreover, a secondary magnetic island is reported for the first time at the dayside, collectively suggesting that the reconnection process is not steady and could be ‘drizzle-like’. This study demonstrates the fundamental importance of internally driven magnetic reconnection in accelerating particles in Saturn’s dayside magnetosphere, and likewise in the rapidly rotating Jovian magnetosphere and beyond

The Influence of Age and Sex on Genetic Associations with Adult Body Size and Shape : A Large-Scale Genome-Wide Interaction Study

Genome-wide association studies (GWAS) have identified more than 100 genetic variants contributing to BMI, a measure of body size, or waist-to-hip ratio (adjusted for BMI, WHRadjBMI), a measure of body shape. Body size and shape change as people grow older and these changes differ substantially between men and women. To systematically screen for age-and/or sex-specific effects of genetic variants on BMI and WHRadjBMI, we performed meta-analyses of 114 studies (up to 320,485 individuals of European descent) with genome-wide chip and/or Metabochip data by the Genetic Investigation of Anthropometric Traits (GIANT) Consortium. Each study tested the association of up to similar to 2.8M SNPs with BMI and WHRadjBMI in four strata (men 50y, women 50y) and summary statistics were combined in stratum-specific meta-analyses. We then screened for variants that showed age-specific effects (G x AGE), sex-specific effects (G x SEX) or age-specific effects that differed between men and women (G x AGE x SEX). For BMI, we identified 15 loci (11 previously established for main effects, four novel) that showed significant (FDR= 50y). No sex-dependent effects were identified for BMI. For WHRadjBMI, we identified 44 loci (27 previously established for main effects, 17 novel) with sex-specific effects, of which 28 showed larger effects in women than in men, five showed larger effects in men than in women, and 11 showed opposite effects between sexes. No age-dependent effects were identified for WHRadjBMI. This is the first genome-wide interaction meta-analysis to report convincing evidence of age-dependent genetic effects on BMI. In addition, we confirm the sex-specificity of genetic effects on WHRadjBMI. These results may providefurther insights into the biology that underlies weight change with age or the sexually dimorphism of body shape.Peer reviewe