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- Berthomier, M., et al.
(author)
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Alfven : magnetosphere-ionosphere connection explorers
- 2012
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In: Experimental astronomy. - Dordrecht : Springer. - 0922-6435 .- 1572-9508. ; 33:2-3, s. 445-489
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Journal article (peer-reviewed)abstract
- The aurorae are dynamic, luminous displays that grace the night skies of Earth's high latitude regions. The solar wind emanating from the Sun is their ultimate energy source, but the chain of plasma physical processes leading to auroral displays is complex. The special conditions at the interface between the solar wind-driven magnetosphere and the ionospheric environment at the top of Earth's atmosphere play a central role. In this Auroral Acceleration Region (AAR) persistent electric fields directed along the magnetic field accelerate magnetospheric electrons to the high energies needed to excite luminosity when they hit the atmosphere. The "ideal magnetohydrodynamics" description of space plasmas which is useful in much of the magnetosphere cannot be used to understand the AAR. The AAR has been studied by a small number of single spacecraft missions which revealed an environment rich in wave-particle interactions, plasma turbulence, and nonlinear acceleration processes, acting on a variety of spatio-temporal scales. The pioneering 4-spacecraft Cluster magnetospheric research mission is now fortuitously visiting the AAR, but its particle instruments are too slow to allow resolve many of the key plasma physics phenomena. The Alfv,n concept is designed specifically to take the next step in studying the aurora, by making the crucial high-time resolution, multi-scale measurements in the AAR, needed to address the key science questions of auroral plasma physics. The new knowledge that the mission will produce will find application in studies of the Sun, the processes that accelerate the solar wind and that produce aurora on other planets.
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| 2. |
- Ascione, F., et al.
(author)
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Experience-optimised fast track improves outcomes and decreases complications in total knee arthroplasty
- 2020
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In: Knee. - : Elsevier BV. - 0968-0160. ; 27, s. 500-508
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Journal article (peer-reviewed)abstract
- Purpose The aim of this study was to describe an advanced total knee arthroplasty (TKA) fast-track programme and determine discharge parameters during hospitalisation, as well as patient satisfaction, outcomes and complications within the first 12months after surgery. Methods This prospective study was based on patients selected consecutively for primary elective TKA, undergoing surgery between 2014 and 2017 in an established fast-track setting. Hospitalisation-related parameters were collected: demographics, body mass index (BMI), surgical time, ischaemia time, haemoglobin values, blood transfusions, length of stay, weight-bearing and stair-climbing time, opioid administration, preoperative and discharge loss of extension and maximum active flexion of the knee, visual analogue scale (VAS), 12-month follow-up satisfaction rate and range of motion, any complications, hospital re-admission and re-operation within the first 12months. Differences were determined using t-tests. Results A total of 704 total knee replacements implanted in 481 patients were included in the study and 223 patients had a bilateral TKA. Their mean age was 69.8years (range 57–88years). At the 12-month follow-up, 623 patients (88.5%) reported being satisfied or very satisfied and 15 (2.1%) were dissatisfied with their TKA, mean active flexion and loss of extension were 104.4° and 2.3°, respectively. A total of 15 complications occurred (two percent): five painful knees, three knee stiffness, three haematomas, two infections, one hospital re-admission and one deep venous thrombosis. No cases of pulmonary embolism and death related to surgery were reported. Conclusion The study reports on an advanced fast-track programme for TKA with a low incidence of surgery- and hospitalisation-related issues and complications and without any severe adverse events during the first year. On average, the fast-track programme had a short length of stay, an early recovery of weight-bearing, knee mobility, pain control and a high satisfaction rate, accompanied with an acceptable 12month range of motion.
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| 4. |
- Diermeier, T. A., et al.
(author)
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Treatment after ACL injury: Panther Symposium ACL Treatment Consensus Group
- 2021
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In: British Journal of Sports Medicine. - : BMJ. - 0306-3674 .- 1473-0480. ; 55:1, s. 14-22
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Journal article (peer-reviewed)abstract
- Treatment strategies for ACL injuries continue to evolve. Evidence supporting best practice guidelines to manage ACL injury is largely based on studies with low-level evidence. An international consensus group of experts was convened determine consensus regarding best available evidence on operative versus non-operative treatment for ACL injury. The purpose of this study is to report the consensus statements on operative versus non-operative treatment of ACL injuries developed at the ACL Consensus Meeting Panther Symposium 2019. Sixty-six international experts on the management of ACL injuries, representing 18 countries, convened and participated in a process based on the Delphi method of achieving consensus. Proposed consensus statements were drafted by the Scientific Organising Committee and Session Chairs. Panel participants reviewed preliminary statements prior to the meeting and provided initial agreement and comments on the statement via online survey. During the meeting, discussion and debate occurred for each statement, after which a final vote was then held. Eighty per cent agreement was defined a priori as consensus. A total of 11 of 13 statements on operative versus non-operative treatment of ACL injury reached consensus during the Symposium. Nine statements achieved unanimous support, two reached strong consensus, one did not achieve consensus, and one was removed due to redundancy in the information provided. In highly active patients engaged in jumping, cutting and pivoting sports, early anatomical ACL reconstruction is recommended due to the high risk of secondary meniscus and cartilage injuries with delayed surgery, although a period of progressive rehabilitation to resolve impairments and improve neuromuscular function is recommended. For patients who seek to return to straight plane activities, non-operative treatment with structured, progressive rehabilitation is an acceptable treatment option. However, with persistent functional instability, or when episodes of giving way occur, anatomical ACL reconstruction is indicated. The consensus statements derived from international leaders in the field may assist clinicians in deciding between operative and non-operative treatment with patients after an ACL injury.
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| 5. |
- Diermeier, T., et al.
(author)
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Treatment after anterior cruciate ligament injury: Panther Symposium ACL Treatment Consensus Group
- 2021
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In: Journal of Isakos Joint Disorders & Orthopaedic Sports Medicine. - : Elsevier BV. - 2059-7754. ; 6:3, s. 129-137
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Journal article (peer-reviewed)abstract
- Treatment strategies for anterior cruciate ligament (ACL) injuries continue to evolve. Evidence supporting best practice guidelines for the management of ACL injury is to a large extent based on studies with low-level evidence. An international consensus group of experts was convened to collaboratively advance towards consensus opinions regarding the best available evidence on operative versus non-operative treatment for ACL injury. The purpose of this study was to report the consensus statements on operative versus non-operative treatment of ACL injuries developed at the ACL Consensus Meeting Panther Symposium 2019. Sixty-six international experts on the management of ACL injuries, representing 18 countries, convened and participated in a process based on the Delphi method of achieving consensus. Proposed consensus statements were drafted by the Scientific Organising Committee and Session Chairs for the three working groups. Panel participants reviewed preliminary statements prior to the meeting and provided initial agreement and comments on the statement via online survey. During the meeting, discussion and debate occurred for each statement, after which a final vote was then held. Eighty per cent agreement was defined a priori as consensus. A total of 11 of 13 statements on operative veresus non-operative treatment of ACL injury reached consensus during the symposium. Nine statements achieved unanimous support; two reached strong consensus; one did not achieve consensus; and one was removed due to redundancy in the information provided. In highly active patients engaged in jumping, cutting and pivoting sports, early anatomical anterior cruciate ligament reconstruction (ACLR) is recommended due to the high risk of secondary meniscus and cartilage injuries with delayed surgery, although a period of progressive rehabilitation to resolve impairments and improve neuromuscular function is recommended. For patients who seek to return to straight plane activities, non-operative treatment with structured, progressive rehabilitation is an acceptable treatment option. However, with persistent functional instability or when episodes of giving way occur, anatomical ACLR is indicated. The consensus statements derived from international leaders in the field will assist clinicians in deciding between operative and non-operative treatment with patients after an ACL injury. Level of evidence: V
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| 6. |
- Fu, H. S., et al.
(author)
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Dipolarization fronts as a consequence of transient reconnection : in situ evidence
- 2013
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In: Geophysical Research Letters. - : American Geophysical Union. - 0094-8276 .- 1944-8007. ; 40:23, s. 6023-6027
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Journal article (peer-reviewed)abstract
- Dipolarization fronts (DFs) are frequently detected in the Earth's magnetotail from X-GSM=-30 R-E to X-GSM=-7 R-E. How these DFs are formed is still poorly understood. Three possible mechanisms have been suggested in previous simulations: (1) jet braking, (2) transient reconnection, and (3) spontaneous formation. Among these three mechanisms, the first has been verified by using spacecraft observation, while the second and third have not. In this study, we show Cluster observation of DFs inside reconnection diffusion region. This observation provides in situ evidence of the second mechanism: Transient reconnection can produce DFs. We suggest that the DFs detected in the near-Earth region (X-GSM>-10 R-E) are primarily attributed to jet braking, while the DFs detected in the mid- or far-tail region (X-GSM<-15 R-E) are primarily attributed to transient reconnection or spontaneous formation. In the jet-braking mechanism, the high-speed flow pushes the preexisting plasmas to produce the DF so that there is causality between high-speed flow and DF. In the transient-reconnection mechanism, there is no causality between high-speed flow and DF, because the frozen-in condition is violated.
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| 10. |
- Pitkänen, Timo, 1979-, et al.
(author)
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Statistical Survey of Magnetic Forces Associated With Earthward Bursty Bulk Flows Measured by MMS 2017-2021
- 2023
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In: Journal of Geophysical Research - Space Physics. - : American Geophysical Union (AGU). - 2169-9380 .- 2169-9402. ; 128:5
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Journal article (peer-reviewed)abstract
- We investigate the magnetic forces (the magnetic pressure gradient force, the curvature force, and their sum the j x B-force) associated with earthward bursty bulk flows (BBFs) using Magnetospheric Multiscale (MMS) data from five tail seasons (2017-2021). For the first time, the magnetic forces are inferred downtail of XGSM = -20 R-E and in the GSM XY and YZ planes. The results suggest that BBFs tend to be accelerated earthward by the magnetic pressure gradient force tailward of similar to 19 R-E and decelerated closer to that distance in the 2017-2018 data. The force magnitudes increase with distance. This is in accordance with earlier Cluster results. In the 2019-2021 data, the pressure gradient force magnitudes are generally smaller and no clear distance for the acceleration reversal can be determined. The curvature forces for both 2017-2018 and 2019-2021 BBFs indicate earthward acceleration independent of distance, consistent with the Cluster measurements. The sum, the j x B-force, suggests for the 2017-2018 BBFs earthward acceleration tailward of XGSM similar to 15 R-E and deceleration within that distance, also consistent with Cluster. In contrast, the 2019-2021 BBFs show general earthward acceleration by j x B independent of distance. In the GSM XY plane, the average (j x B)(xy) vectors are earthward, and in the premidnight and postmidnight dawnward for the 2017-2018 BBFs. For 2019-2021, the average (j x B)(xy) vectors have components toward the tail center. In the GSM YZ plane, the average (j x B)(yz) vectors are toward the neutral sheet.
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