Statistical Study of the Relationship Between Ion Upflow and Field-Aligned Current in the Topside Ionosphere for Both Hemispheres During Geomagnetic Disturbed and Quiet Time

A statistical study of ion upflow and field‐aligned currents (FACs) has been performed in the topside ionosphere of both hemispheres for magnetic quiet and disturbed times by using DMSP satellite observations from 2010–2013. Distributions in MLT/MLat reveal that ion upflow occurrence shows a dawn‐dusk asymmetry distribution that matches well with the Region 1 FACs. In addition, there are highest occurrence regions near noon and within the midnight auroral disturbance area, corresponding to dayside cusp and nightside auroral disturbance regions, respectively. Both the ion upflow occurrence and FAC regions expand equatorward to a wider area during disturbed times.publishedVersio

Direct observation of the space hurricane disturbed polar thermosphere

The space hurricane is a three‐dimensional magnetic vortex structure with strong flow shears and electron precipitation in the polar cap. This study investigates for the first time how a space hurricane disturbs the polar thermosphere. During the formation and development of the space hurricane, the directional reversal of the horizontal neutral wind and the plasma convection will both be relocated from the poleward auroral oval boundary to the edge of the space hurricane, but the neutral wind responds slower compared to the plasma convection. Strong flow shears in the space hurricane causes enhanced Joule heating in the polar cap, which heats the thermosphere and triggers Atmospheric Gravity Waves (AGWs). Statistical results reveal that significant AGWs mainly are located on the dawnside of the space hurricane, suggesting that the space hurricane plays a significant role in ion‐neutral coupling and generation of polar cap AGWs

Unusual shrinkage and reshaping of Earth’s magnetosphere under a strong northward interplanetary magnetic field

The Earth’s magnetosphere is the region of space where plasma behavior is dominated by the geomagnetic field. It has a long tail typically extending hundreds of Earth radii (RE) with plentiful open magnetic fluxes threading the magnetopause associated with magnetic reconnection and momentum transfer from the solar wind. The open-flux is greatly reduced when the interplanetary magnetic field points northward, but the extent of the magnetotail remains unknown. Here we report direct observations of an almost complete disappearance of the open-flux polar cap characterized by merging poleward edges of a conjugate horse-collar aurora (HCA) in both hemispheres’ polar ionosphere. The conjugate HCA is generated by particle precipitation due to Kelvin-Helmholtz instability in the dawn and dusk cold dense plasma sheets (CDPS). These CDPS are consist of solar wind plasma captured by a continuous dual-lobe magnetic reconnections, which is further squeezed into the central magnetotail, resulting in a short “calabash-shaped” magnetotail

A space hurricane over the Earth’s polar ionosphere

In Earth’s low atmosphere, hurricanes are destructive due to their great size, strong spiral winds with shears, and intense rain/precipitation. However, disturbances resembling hurricanes have not been detected in Earth’s upper atmosphere. Here, we report a long-lasting space hurricane in the polar ionosphere and magnetosphere during low solar and otherwise low geomagnetic activity. This hurricane shows strong circular horizontal plasma flow with shears, a nearly zero-flow center, and a coincident cyclone-shaped aurora caused by strong electron precipitation associated with intense upward magnetic field-aligned currents. Near the center, precipitating electrons were substantially accelerated to ~10 keV. The hurricane imparted large energy and momentum deposition into the ionosphere despite otherwise extremely quiet conditions. The observations and simulations reveal that the space hurricane is generated by steady high-latitude lobe magnetic reconnection and current continuity during a several hour period of northward interplanetary magnetic field and very low solar wind density and speed

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake