Deciphering Fluvial-Capture-Induced Erosional Patterns at the Continental Scale on the Iberian Peninsula

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Anton, L.; Munoz Martin, A.; De Vicente, G.; Finnegan, N. J.

2017-12-01

The process of river incision into bedrock dictates the landscape response to changes in climate and bedrock uplift in most unglaciated settings. Hence, understanding processes of river incision into bedrock and their topographic signatures are a basic goal of geomorphology. Formerly closed drainage basins provide an exceptional setting for the quantification of long term fluvial dissection and landscape change, making them valuable natural laboratories. Internally drained basins are peculiar because they trap all the sediment eroded within the watershed; as closed systems they do not respond to the base level of the global ocean and deposition is the dominant process. In that context, the opening of an outward drainage involves a sudden lowering of the base level, which is transmitted upstream along fluvial channels in the form of erosional waves, leading to high incision and denudation rates within the intrabasinal areas. Through digital topographic analysis and paleolandscape reconstruction based on relict deposits and landscapes on the Iberian Peninsula, we quantify the volume of sediments eroded from formerly internally drained basins since capture. Mapping of fluvial dissection patterns reveals how, and how far, regional waves of incision have propagated upstream. In our analysis, erosional patterns are consistent with the progressive establishment of an outward drainage system, providing a relative capture chronology for the different studied basins. Divide migration inferred from chi maps supports the interpretations based on fluvial dissection patterns and volumes, providing clues on how landscaped changed and how drainage integration occurred within the studied watersheds. [Funded by S2013/MAE-2739 and CGL2014-59516].

Fluvial archives, a valuable record of vertical crustal deformation

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Demoulin, A.; Mather, A.; Whittaker, A.

2017-06-01

The study of drainage network response to uplift is important not only for understanding river system dynamics and associated channel properties and fluvial landforms, but also for identifying the nature of crustal deformation and its history. In recent decades, geomorphic analysis of rivers has proved powerful in elucidating the tectonic evolution of actively uplifting and eroding orogens. Here, we review the main recent developments that have improved and expanded qualitative and quantitative information about vertical tectonic motions (the effects of horizontal deformation are not addressed). Channel long profiles have received considerable attention in the literature, and we briefly introduce basic aspects of the behaviour of bedrock rivers from field and numerical modelling perspectives, before describing the various metrics that have been proposed to identify the information on crustal deformation contained within their steady-state characteristics. Then, we review the literature dealing with the transient response of rivers to tectonic perturbation, through the production of knickpoints propagating through the drainage network. Inverse modelling of river profiles for uplift in time and space is also shown to be very effective in reconstructing regional tectonic histories. Finally, we present a synthetic morphometric approach for deducing the tectonic record of fluvial landscapes. As well as the erosional imprint of tectonic forcing, sedimentary deposits, such as fluvial terrace staircases, are also considered as a classical component of tectonic geomorphology. We show that these studies have recently benefited from rapid advances in dating techniques, allowing more reliable reconstruction of incision histories and estimation of incision rates. The combination of progress in the understanding of transient river profiles and larger, more rigorous data sets of terrace ages has led to improved understanding of river erosion and the implications for terrace

Analytically based forward and inverse models of fluvial landscape evolution during temporally continuous climatic and tectonic variations

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Goren, Liran; Petit, Carole

2017-04-01

Fluvial channels respond to changing tectonic and climatic conditions by adjusting their patterns of erosion and relief. It is therefore expected that by examining these patterns, we can infer the tectonic and climatic conditions that shaped the channels. However, the potential interference between climatic and tectonic signals complicates this inference. Within the framework of the stream power model that describes incision rate of mountainous bedrock rivers, climate variability has two effects: it influences the erosive power of the river, causing local slope change, and it changes the fluvial response time that controls the rate at which tectonically and climatically induced slope breaks are communicated upstream. Because of this dual role, the fluvial response time during continuous climate change has so far been elusive, which hinders our understanding of environmental signal propagation and preservation in the fluvial topography. An analytic solution of the stream power model during general tectonic and climatic histories gives rise to a new definition of the fluvial response time. The analytic solution offers accurate predictions for landscape evolution that are hard to achieve with classical numerical schemes and thus can be used to validate and evaluate the accuracy of numerical landscape evolution models. The analytic solution together with the new definition of the fluvial response time allow inferring either the tectonic history or the climatic history from river long profiles by using simple linear inversion schemes. Analytic study of landscape evolution during periodic climate change reveals that high frequency (10-100 kyr) climatic oscillations with respect to the response time, such as Milankovitch cycles, are not expected to leave significant fingerprints in the upstream reaches of fluvial channels. Linear inversion schemes are applied to the Tinee river tributaries in the southern French Alps, where tributary long profiles are used to recover the

Recent, climate-driven river incision rate fluctuations in the Mercantour crystalline massif, southern French Alps

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Petit, C.; Goren, L.; Rolland, Y.; Bourlès, D.; Braucher, R.; Saillard, M.; Cassol, D.

2017-06-01

We present a new geomorphological analysis of the Tinée River tributaries in the southern French Alps based on numerical inverse and forward modelling of their longitudinal profiles. We model their relative uplift history with respect to the main channel, hence the incision rate history of this channel. Inverse models show that all tributaries have consistent incision rate histories with alternating high and low values. A comparison with global temperature curves shows that these variations correlate with quaternary climate changes. We suggest that during warm periods, a wave of regressive erosion propagates in the Tinée River, while its tributaries deeply incise their substratum to catch up with the falling base-level. We also show that the post 140 ka history of this landscape evolution is dominated by fluvial incision. We then perform forward models of river incision and simulate the incision of the Tinée River system over a time span of 600 ka. This model allows us to extract time and space incision rate variations of the Tinée River. With a background of a few mm.yr-1, incision rate can increase up to more than 1 cm yr-1 during short periods of time due to climatic oscillations. This result is compatible with published cosmogenic nuclide based dating, which evidenced incision rates from 0.2 to 24 mm yr-1. The part of the channel located between 12 and 20 km downstream from the source has undergone several periods of rapid incision rates, which could explain the steep hillslopes and the triggering of a landslide ∼10 ka ago.

Strong feedbacks between hillslope sediment production and channel incision by saltation-abrasion

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Lundbek Egholm, David; Faurschou Knudsen, Mads; Sandiford, Mike

2013-04-01

While it is well understood that rivers erode mountain ranges by incising the bedrock and by transporting sediments away from the ranges, the basic physical mechanisms that drive long-term bedrock erosion and control the lifespan of mountain ranges remain uncertain. A particularly challenging paradox is reconciling the dichotomy associated with the high incision rates observed in active mountain belts, and the long-term (108 years) preservation of significant topographic reliefs in inactive orogenic belts (e.g. von Blankenburg, 2005). We have performed three-dimensional computational experiments with a landscape evolution model that couples bedrock landslides and sediment flux-dependent river erosion by saltation-abrasion (Sklar & Dietrich, 2004). The coupled model experiments show strong feedbacks between the channel erosion and the hillslope delivery of sediments. The feedbacks point to hillslope sediment production rate as the main control on channel erosion rates where saltation-abrasion dominates over other fluvial erosion processes. Our models results thus highlight the importance of hillslope sediment production controlled by climate and tectonic activity for scaling erosion rates in fluvial systems. Because of variations in landslide frequency, the feedbacks make tectonic activity a primary driver of fluvial erosion and help clarifying the long-standing paradox associated with the persistence of significant relief in old orogenic belts, up to several hundred-million-years after tectonic activity has effectively ceased. References F. von Blankenburg. The control mechanisms of erosion and weathering at basin scale from cosmogenic nuclides in river sediment. Earth Planet. Sci. Lett. 237, 462-479 (2005). L. S. Sklar, W. E. Dietrich. A mechanistic model for river incision into bedrock by saltating bed load. Water Resour. Res. 40, W06301 (2004).

Transgressive systems tract development and incised-valley fills within a quaternary estuary-shelf system: Virginia inner shelf, USA

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Foyle, A.M.; Oertel, G.F.

1997-01-01

High-frequency Quaternary glacioeustasy resulted in the incision of six moderate- to high-relief fluvial erosion surfaces beneath the Virginia inner shelf and coastal zone along the updip edges of the Atlantic continental margin. Fluvial valleys up to 5 km wide, with up to 37 m of relief and thalweg depths of up to 72 m below modern mean sea level, cut through underlying Pleistocene and Mio-Pliocene strata in response to drops in baselevel on the order of 100 m. Fluvially incised valleys were significantly modified during subsequent marine transgressions as fluvial drainage basins evolved into estuarine embayments (ancestral generations of the Chesapeake Bay). Complex incised-valley fill successions are bounded by, or contain, up to four stacked erosional surfaces (basal fluvial erosion surface, bay ravinement, tidal ravinement, and ebb-flood channel-base diastem) in vertical succession. These surfaces, combined with the transgressive oceanic ravinement that generally caps incised-valley fills, control the lateral and vertical development of intervening seismic facies (depositional systems). Transgressive stratigraphy characterizes the Quaternary section beneath the Virginia inner shelf where six depositional sequences (Sequences I-VI) are identified. Depositional sequences consist primarily of estuarine depositional systems (subjacent to the transgressive oceanic ravinement) and shoreface-shelf depositional systems; highstand systems tract coastal systems are thinly developed. The Quaternary section can be broadly subdivided into two parts. The upper part contains sequences consisting predominantly of inner shelf facies, whereas sequences in the lower part of the section consist predominantly of estuarine facies. Three styles of sequence preservation are identified. Style 1, represented by Sequences VI and V, is characterized by large estuarine systems (ancestral generations of the Chesapeake Bay) that are up to 40 m thick, have hemicylindrical wedge geometries

Beaver damming, fluvial geomorphology, and climate in Yellowstone National Park, Wyoming

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Persico, L.; Meyer, G.

2008-12-01

Beaver habitation is an important component of many fluvial landscapes that can impact a variety of hydrologic, geomorphic, and ecologic processes. Beaver damming, via long term valley aggradation, is thought to be important to the postglacial geomorphic evolution of many smaller mountain stream networks in the western United States. Loss of beaver dams can also cause rapid channel incision. Although several studies have documented rapid short-term aggradation of channels behind single beaver dams, there is little actual data on the long-term cumulative effect of beaver damming. In Yellowstone''s Northern Range, field surveys and stratigraphic section along six streams in the Northern Range reveal net thickness of mostly beaver-pond deposits. We estimate that reaches with clear morphologic and stratigraphic evidence for beaver-related aggradation constitute about 19% of the total stream network length. Reaches with probable and possible beaver-related aggradation make up an additional 8% and 2% of the network, respectively. The remaining 71% of the network has no clear evidence for beaver-related aggradation. Thirty-nine radiocarbon ages on beaver-pond deposits in northern Yellowstone fall primarily within the last 4000 yr, but gaps in dated beaver occupation from 2200-1800 and 950-750 cal yr BP correspond with severe and persistent droughts that likely caused low to ephemeral discharges in smaller streams. In the last two decades, severe drought has also caused streams that were occupied by beaver in the 1920s to become ephemeral. Beaver have been largely absent from the Northern Range since the mid-20th century, probably due to multiple ecological and climatic factors. This loss of beaver is thought to have led to widespread degradation of stream and riparian habitat via channel incision. Although 20th-century beaver loss has caused significant channel incision at some former dam sites, downcutting elsewhere in northern Yellowstone is unrelated to beaver dams or

Rapid fluvial aggradation in response to climate change in northwestern Argentina

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Wickert, Andrew; Schildgen, Taylor; Strecker, Manfred

2015-04-01

River channels near the edge of the northwestern Argentine Andes are rapidly aggrading at present, with preliminary estimates suggesting rates of ~20 cm yr-1. This mirrors cycles of extensive aggradation over the past 100,000 years that formed pronounced fill terraces along regional valley networks and record periods in which in which climate-driven sediment supply overcame uplift-driven river incision (Robinson et al, 2005). Here we use the new SedFlow model (Heimann et al., 2014) to help us understand the causes and spread of aggradation across these basins in the modern system, with the additional eventual goal to better interpret the geologic record. We provide field-derived grain-size distributions, field-measured and remotely-sensed channel widths and valley slopes, and a variety of possible sediment source locations and amounts as inputs to SedFlow, which routes sediment through the fluvial channel network to produce time-evolving predictions of aggradation and incision. We compare these predictions against changes in topography measured by IceSAT (Zwally et al., 2014) and field surveys. We initially test the system response to a series of isolated sediment inputs to observe interactions between tributary systems and the mainstem river. Recent observations indicate that debris-flow induced landslides are important contributors to aggradation in these rivers (Cencetti and Rivelli, 2011). These and other sediment production and transport processes are likely driven by variations in the El Niño Southern Oscillation (ENSO) (Bookhagen and Strecker, 2009). Therefore, we then run SedFlow with sediment inputs distributed across the landscape based on locations where ENSO influences may trigger enhanced landsliding. These model experiments help us towards our end goal of providing a more quantitative basis to interpret field observations of landscape response to changing patterns of precipitation. References: Bookhagen, B. and Strecker, M.: Amazonia: Landscape and

Fluvial response to the last Holocene rapid climate change in the Northwestern Mediterranean coastlands

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Degeai, Jean-Philippe; Devillers, Benoît; Blanchemanche, Philippe; Dezileau, Laurent; Oueslati, Hamza; Tillier, Margaux; Bohbot, Hervé

2017-05-01

The variability of fluvial activity in the Northwestern Mediterranean coastal lowlands and its relationship with modes of climate change were analysed from the late 9th to the 18th centuries CE. Geochemical analyses were undertaken from a lagoonal sequence and surrounding sediments in order to track the fluvial inputs into the lagoon. An index based on the K/S and Rb/S ratios was used to evidence the main periods of fluvial activity. This index reveals that the Medieval Climate Anomaly (MCA) was a drier period characterized by a lower fluvial activity, while the Little Ice Age (LIA) was a wetter period with an increase of the river dynamics. Three periods of higher than average fluvial activity were evidenced at the end of the first millennium CE (ca. 900-950 cal yr CE), in the first half of the second millennium CE (ca. 1150-1550 cal yr CE), and during the 1600s-1700s CE (ca. 1650-1800 cal yr CE). The comparison of these fluvial periods with other records of riverine or lacustrine floods in Spain, Italy, and South of France seems to indicate a general increase in fluvial and flood patterns in the Northwestern Mediterranean in response to the climate change from the MCA to the LIA, although some episodes of flooding are not found in all records. Besides, the phases of higher than average fluvial dynamics are in good agreement with the North Atlantic cold events evidenced from records of ice-rafted debris. The evolution of fluvial activity in the Northwestern Mediterranean coastlands during the last millennium could have been driven by atmospheric and oceanic circulation patterns.

The evolution of a colluvial hollow to a fluvial channel with periodic steps following two transformational disturbances: A wildfire and a historic flood

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Rengers, Francis K.; McGuire, Luke; Ebel, Brian A.; Tucker, G. E.

2018-01-01

The transition of a colluvial hollow to a fluvial channel with discrete steps was observed after two landscape-scale disturbances. The first disturbance, a high-severity wildfire, changed the catchment hydrology to favor overland flow, which incised a colluvial hollow, creating a channel in the same location. This incised channel became armored with cobbles and boulders following repeated post-wildfire overland flow events. Three years after the fire, a record rainstorm produced regional flooding and generated sufficient fluvial erosion and sorting to produce a fluvial channel with periodically spaced steps. An analysis of the step spacing shows that after the flood, newly formed steps retained a similar spacing to the topographic roughness spacing in the original colluvial hollow (prior to channelization). This suggests that despite a distinct change in channel form roughness and bedform morphology, the endogenous roughness periodicity was conserved. Variations in sediment erodibility helped to create the emergent steps as the largest particles ( >D84) remained immobile, becoming step features, and downstream soil was easily winnowed away.

The evolution of a colluvial hollow to a fluvial channel with periodic steps following two transformational disturbances: A wildfire and a historic flood

Science.gov (United States)

Rengers, F. K.; McGuire, L. A.; Ebel, B. A.; Tucker, G. E.

2018-05-01

The transition of a colluvial hollow to a fluvial channel with discrete steps was observed after two landscape-scale disturbances. The first disturbance, a high-severity wildfire, changed the catchment hydrology to favor overland flow, which incised a colluvial hollow, creating a channel in the same location. This incised channel became armored with cobbles and boulders following repeated post-wildfire overland flow events. Three years after the fire, a record rainstorm produced regional flooding and generated sufficient fluvial erosion and sorting to produce a fluvial channel with periodically spaced steps. An analysis of the step spacing shows that after the flood, newly formed steps retained a similar spacing to the topographic roughness spacing in the original colluvial hollow (prior to channelization). This suggests that despite a distinct change in channel form roughness and bedform morphology, the endogenous roughness periodicity was conserved. Variations in sediment erodibility helped to create the emergent steps as the largest particles (>D84) remained immobile, becoming step features, and downstream soil was easily winnowed away.

Rapid channel incision of the lower Pearl River (China since the 1990s as a consequence of sediment depletion

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X. X. Lu

2007-12-01

Full Text Available This paper reported a dramatic channel incision (>10 m in the deepest cut during the past 10 y or so in the lower Pearl River, the second largest river in terms of water discharge in China. The channel incision had caused changes both in the channel geometry as well as in the river hydraulics. Also, the water exchange between the two major tributaries of the Pearl River, the Xijiang and Beijiang, had been significantly changed due to the channel incision. The rapid channel incision was principally the result of extensive sand mining in the lower Pearl River and the delta region due to the booming economy in the Pearl Delta region. Slight increase of water discharge and significant decrease of sediment load since the early 1990s in both the Xijiang and Beijiang also likely contributed to the observed dramatic river bed downcutting to some extent. This has important implications for river management, as the large Chinese rivers have seen a dramatic depletion of sediment fluxes due to the combined effects of declining rainfall, dam constructions, water diversion, reforestation and afforestation, and sediment mining over the recent decades.

External controls on Quaternary fluvial incision and terrace formation at the Segre River, Southern Pyrenees

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Stange, K.M.; van Balen, R.T.; Vandenberghe, J.; Peña, J.L.; Sancho, C.

2013-01-01

Focusing on climatic- and structural (tectonic) controls, we aim to determine their relative importance for the (Pliocene to Quaternary) fluvial landscape evolution in the Southern Pyrenees foreland. We investigate the Segre River, which is one of the major streams of the Southern Pyrenees that

Quaternary Morphodynamics of Fluvial Dispersal Systems Revealed: The Fly River, PNG, and the Sunda Shelf, SE Asia, simulated with the Massively Parallel GPU-based Model 'GULLEM'

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Aalto, R. E.; Lauer, J. W.; Darby, S. E.; Best, J.; Dietrich, W. E.

2015-12-01

During glacial-marine transgressions vast volumes of sediment are deposited due to the infilling of lowland fluvial systems and shallow shelves, material that is removed during ensuing regressions. Modelling these processes would illuminate system morphodynamics, fluxes, and 'complexity' in response to base level change, yet such problems are computationally formidable. Environmental systems are characterized by strong interconnectivity, yet traditional supercomputers have slow inter-node communication -- whereas rapidly advancing Graphics Processing Unit (GPU) technology offers vastly higher (>100x) bandwidths. GULLEM (GpU-accelerated Lowland Landscape Evolution Model) employs massively parallel code to simulate coupled fluvial-landscape evolution for complex lowland river systems over large temporal and spatial scales. GULLEM models the accommodation space carved/infilled by representing a range of geomorphic processes, including: river & tributary incision within a multi-directional flow regime, non-linear diffusion, glacial-isostatic flexure, hydraulic geometry, tectonic deformation, sediment production, transport & deposition, and full 3D tracking of all resulting stratigraphy. Model results concur with the Holocene dynamics of the Fly River, PNG -- as documented with dated cores, sonar imaging of floodbasin stratigraphy, and the observations of topographic remnants from LGM conditions. Other supporting research was conducted along the Mekong River, the largest fluvial system of the Sunda Shelf. These and other field data provide tantalizing empirical glimpses into the lowland landscapes of large rivers during glacial-interglacial transitions, observations that can be explored with this powerful numerical model. GULLEM affords estimates for the timing and flux budgets within the Fly and Sunda Systems, illustrating complex internal system responses to the external forcing of sea level and climate. Furthermore, GULLEM can be applied to most ANY fluvial system to

Drainage development and incision rates in an Upper Pleistocene Basalt-Limestone Boundary Channel: The Sa'ar Stream, Golan Heights, Israel

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Shtober-Zisu, N.; Inbar, M.; Mor, D.; Jicha, B. R.; Singer, B. S.

2018-02-01

Long-term fluvial incision processes and corresponding geomorphic evolution are difficult to quantify, especially in complex systems affected by lithological and tectonic factors. Volcanic landscapes offer the most appropriate environment for the study of landscape evolution, as there is a clear starting time of formation and the lithology is homogenous. In the present study we aim to: (1) analyse the interplay of construction and incision processes throughout eruptive activity; (2) study fluvial erosion processes; (3) analyse sedimentary and volcanic lithological responses to channel erosion; and (4) calculate the incision rates in young basaltic bedrock. We have integrated existing and new 40Ar/39Ar ages of lava flows with estimates of channel geometry and tectonic activity, and considered process geomorphology concepts, to fully understand evolution of a bedrock channel incised at the boundary between basalts and sedimentary rocks with coeval active volcanic processes forcing drainage evolution. Our findings indicate that the Sa'ar basin evolution is controlled by: (1) rock strength of the mixed lithology; (2) alternating cycles of volcanic activity followed by erosion and incision; and (3) the Plio-Pleistocene uplift of Mt. Hermon. The carbonate slopes composing the southern flank of Mt. Hermon are moderate (18-26%) while the basalt slopes deriving from the Golan Heights are much steeper (26-51%). The highly erodible sedimentary rocks at Mt. Hermon's piedmont accelerated river incision, shaping a 650 m wide by 100 m deep canyon. Inside the canyon, the steep channel slope (8.6%) enables downstream movement of large boulders, including autochthonous mega-blocks (D90 size > 2.5 m); 24 knickpoints were identified using DS plots, developed within a knick zone over a distance of 6 km. The brittle and porous structure of the rubbly and blocky interflow layers (clinkers), interbedded between two massive basalt flows, enhances erosion and accelerates scouring of the

The inverted Batman incision: a new incision in transcolumellar incision for open rhinoplasty.

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Nakanishi, Yuji; Nagasao, Tomohisa; Shimizu, Yusuke; Miyamoto, Junpei; Fukuta, Keizo; Kishi, Kazuo

2013-12-01

Columellar and nostril shapes often present irregularity after transcolumellar incision for open rhinoplasty, because of the contracture of the incised wound. The present study introduces a new technique to prevent this complication, and verifies its efficacy in improving cosmetic appearance. In our new method, a zig-zag incision with three small triangular flaps is made on the columella and in the pericolumellar regions of the bilateral nostril rims. Since the shape of the incision resembles the contour of an inverted "batman", we term our new method the "Inverted Batman" incision. To verify the effectiveness of the Inverted Batman incision, aesthetic evaluation was conducted for 21 patients operated on using the conventional transcolumellar incision (Conventional Group) and 19 patients operated on using the Inverted Batman incision (Inverted Batman Group). The evaluation was performed by three plastic surgeons, using a four-grade scale to assess three separate items: symmetry of bilateral soft triangles, symmetry of bilateral margins of the columella, and evenness of the columellar surface. The scores of the two groups for these three items were compared using a non-parametric test (Mann-Whitney U-test). With all three items, the Inverted Batman group patients present higher scores than Conventional Group patients. The Inverted Batman incision is effective in preserving the correct anatomical structure of the columella, soft triangle, and nostril rims. Hence, we recommend the Inverted Batman incision as a useful technique for open rhinoplasty.

Fluvial diffluence episodes reflected in the Pleistocene tufa deposits of the River Piedra (Iberian Range, NE Spain)

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Vázquez-Urbez, M.; Pardo, G.; Arenas, C.; Sancho, C.

2011-01-01

The Pleistocene deposits of the valley of the River Piedra (NE Spain) are represented by thick tufas with small amounts of detrital material; the development of these deposits correlates with marine isotopic stages 9, 7, 6, and 5. The sedimentary scenario in which they formed mostly corresponded to stepped fluvial systems with barrage-cascade and associated dammed areas separated by low gradient fluvial stretches. Mapping and determining the sedimentology and chronology of these deposits distinguished two main episodes of fluvial diffluence that originated as a result of the temporary blockage of the river — a consequence of the vertical growth of tufa barrages in the main channel. In both episodes, water spilt out toward a secondary course from areas upstream of barrages where the water level surpassed the height of the divide between the main and secondary course. As a consequence, extensive and distinct tufa deposits with very varied facies formed over a gently inclined area toward and, indeed, within the secondary course. The hydrology of this secondary course was episodic, fed only by surface water. The two diffluence episodes detected occurred during MIS 7 and 7-6 and were interrupted by incision events, reflected by detrital deposits at the base of each tufa sedimentation stage in the main channel. Incision, which caused the breakage of the barrages, allowed water to again flow through the main channel. No evidence of diffluence was seen in any younger (MIS 5 to present-day) tufa deposits. The proposed diffluence model might help explain other carbonate fluvial systems in which (1) tufas appear in areas with no permanent water supply, and (2) tufas are absent over extensive areas despite conditions favourable to their formation.

Canyon incision chronology based on ignimbrite stratigraphy and cut-and-fill sediment sequences in SW Peru documents intermittent uplift of the western Central Andes

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Thouret, Jean-Claude; Gunnell, Yanni; Jicha, Brian R.; Paquette, Jean-Louis; Braucher, Régis

2017-12-01

Based on an 40Ar/39Ar- and U/Pb-based chronostratigraphy of ignimbrite sheets and the geomorphological features of watersheds, river profiles and slope deposits in the Ocoña-Cotahuasi-Marán (OCM) and Colca valleys of southwest Peru, we reconstruct the valley incision history of the western Central Andes over the last c. 25 Myr. We further document the Pleistocene and Holocene evolution of deep valleys on the basis of 14 10Be surface-exposure ages obtained on debris-avalanche deposits and river straths. The data suggest that uplift was gradual over the past 25 Myr, but accelerated after c. 9 Ma. Valley incision started around 11-9 Ma and accelerated between 5 and 4 Ma. Incision was followed by several pulses of valley cut-and-fill after 2.3 Ma. Evidence presented suggest that the post-5 Ma sequence of accelerated canyon incision probably resulted from a combination of drainage piracy from the Cordilleran drainage divide towards the Altiplano, accentuated flexural tilting of the Western Cordillera towards the SE, and increased rainfall on the Altiplano after late Miocene uplift of the Eastern Cordillera. The valley deepening and slope steepening driven by tectonic uplift gave rise to large occurrences of rockslope failure. The collapsed rock masses periodically obstructed the canyons, thus causing abrupt changes in local base levels and interfering with the steadiness of fluvial incision. As a result, channel aggradation has prevailed in the lower-gradient, U-shaped Pacific-rim canyons, whereas re-incision through landslide deposits has occurred more rapidly across the steeper V-shaped, upper valleys. Existing canyon knickpoints are currently arrested at the boundary between the plutonic bedrock and widespread outcrops of middle Miocene ignimbritic caprock, where groundwater sapping favouring rock collapse may be the dominant process driving headward erosion.

Controls on valley spacing in landscapes subject to rapid base-level fall

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McGuire, Luke; Pelletier, John D.

2015-01-01

What controls the architecture of drainage networks is a fundamental question in geomorphology. Recent work has elucidated the mechanisms of drainage network development in steadily uplifting landscapes, but the controls on drainage-network morphology in transient landscapes are relatively unknown. In this paper we exploit natural experiments in drainage network development in incised Plio-Quaternary alluvial fan surfaces in order to understand and quantify drainage network development in highly transient landscapes, i.e. initially unincised low-relief surfaces that experience a pulse of rapid base-level drop followed by relative base-level stasis. Parallel drainage networks formed on incised alluvial-fan surfaces tend to have a drainage spacing that is approximately proportional to the magnitude of the base-level drop. Numerical experiments suggest that this observed relationship between the magnitude of base-level drop and mean drainage spacing is the result of feedbacks among the depth of valley incision, mass wasting and nonlinear increases in the rate of colluvial sediment transport with slope gradient on steep valley side slopes that lead to increasingly wide valleys in cases of larger base-level drop. We identify a threshold magnitude of base-level drop above which side slopes lengthen sufficiently to promote increases in contributing area and fluvial incision rates that lead to branching and encourage drainage networks to transition from systems of first-order valleys to systems of higher-order, branching valleys. The headward growth of these branching tributaries prevents the development of adjacent, ephemeral drainages and promotes a higher mean valley spacing relative to cases in which tributaries do not form. Model results offer additional insights into the response of initially unincised landscapes to rapid base-level drop and provide a preliminary basis for understanding how varying amounts of base-level change influence valley network morphology.

Morphology of the last subaerial unconformity on a shelf: insights into transgressive ravinement and incised valley occurrence in the Gulf of Cádiz

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Lobo, F. J.; García, M.; Luján, M.; Mendes, I.; Reguera, M. I.; Van Rooij, D.

2018-02-01

The main aim of this study is to explore the spatial patterns of the shelf-scale erosional unconformity related to the last glacial maximum (LGM), particularly in terms of the role of underlying geology and the presumed primary influence of sea-level changes. This involved a detailed mapping of the most recent and widespread erosional shelf surface in a sector of the northern margin of the Gulf of Cádiz (northeast Atlantic Ocean) located adjacent to a major fluvial source. A dense network of high-resolution seismic profiles collected in the 1990s and 2013 off the Guadiana River revealed two distinct geomorphological domains on the LGM shelf-scale subaerial surface. The outer domain exhibits a widespread occurrence of erosional truncations, with a rugged, erosional pattern over the most distal shelf setting that evolves landward into a planar unconformity. The inner domain is more extensive and is characterized by the common occurrence of highly reflective, localized mounded seismic facies that laterally evolve into an irregular surface and in places may develop a channelized morphology. Significant fluvial incision is limited to a major straight valley and a secondary distributary channel. A distinct partition of the lowstand surface is documented, and attributed to a well-marked lithological change. A coarse-grained inner shelf comprises underlying lithified coastal deposits, whereas a fine-grained outer shelf is regarded as the uppermost expression of regressive prodeltaic wedges. The influence of regional indurated surfaces is also expressed in (1) the pattern of erosion, this being more patchy on the inner shelf due to lateral changes of erodibility, whereas on the outer shelf it shows laterally continuous bands, owing to different modes of transgressive ravinement; (2) the spatial and temporal variability of fluvial incision. Inner shelf armoring by indurated deposits prevents reoccupation of previously incised valleys.

The fourth incision: a cosmetic autopsy incision technique.

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Patowary, Amarjyoti

2010-03-01

Autopsy procedure includes thorough external examination as well as internal examination including opening of all the body cavities for proper visualization of all the visceral organs. As such, there remains incision marks with stitches which harts the sentiment of the already traumatized relatives of the deceased. Moreover, it looks odd especially in cases of otherwise healthy dead bodies. So, autopsy incisions should be such that, we can get maximum possible visualization of the body cavities, particularly the thorax and abdomen, and at the same time the incision as well as the stitch marks are also hidden. This article is aimed to describe few modifications in the autopsy incisions for opening the thorax and abdomen and also proper visualization of the neck structures during autopsy where the incisions and the stitches are kept hidden.

The ‘Grand Canyon’ of the Da'an River, Taiwan - Influences on Ultra-Rapid Incision and Knickpoint Propagation

Science.gov (United States)

Cook, K. L.; Suppe, J.

2009-12-01

The 1999 magnitude 7.6 Chi-Chi earthquake resulted in significant surface uplift along the rupture zone in western Taiwan. At northeastern-most end of the rupture zone, near the town of Cholan, motion on the Chelungpu fault was accommodated by growth of the Tungshi Anticline, resulting in up to 10m of surface uplift in the channel of the Da’an River. Where the river crosses the anticline, the zone of uplift is approximately 1 km wide, with a gently sloping downstream (western) limb about 400 m long and an abrupt upstream (eastern) limb less than 50 m long. The bedrock consists of the Pliocene Cholan Formation, composed of alternating sandstone, siltstone, and mudstone beds. The bedrock is quite weak and is also pervasively fractured, making it extremely easy to erode. In response to the 1999 uplift, the Da’an River has cut a dramatic gorge, with more than 20 m of incision over a very short period. The rapid pace of incision allows us to directly observe how factors such as lithology, structure, and discharge influence the evolution of an actively incising gorge. We use a series of aerial photographs to map out the development of the gorge since 1999. We monitor the more recent evolution of the system with RTK GPS surveys to measure channel profiles, laser rangefinder measurements of channel width, and terrestrial LIDAR surveys to quantify changes in the gorge walls. The channel can currently be divided into four segments: 1) A broad network of braided alluvial channels upstream of the gorge with an average slope of 1.5 cm/km, 2) A steep knickzone about 600 m long with an average slope of 2.7 cm/km, about 8 meters of ‘excess’ incision, and abundant bedrock in the channel, 3) A lower gorge zone with low slopes, averaging between 0.6 and 1.1 cm/km, a significant amount of aggradation, and relatively narrow width, as flow is confined to the incised gorge, and 4) A broad network of braided alluvial channels downstream of the gorge with an average slope of 1.5 cm

10Be and 26Al dating of river terraces and quaternary incision rates in the Ardenne massif (eastern Belgium)

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Rixhon, G.; Braucher, R.; Siame, L.; Bourlès, D.; Demoulin, A.

2009-04-01

Because of the lack of reliable chronological data, the Quaternary evolution of the hydrographic network of the Ardennes (western continuation of the Rhenish shield, western Europe) remains still poorly known. Therefore, we measured the cosmogenic nuclides content (10Be and 26Al) of terrace sediments of Ardennian rivers (Meuse, Ourthe & Amblève) in order to date several terrace levels and to better constrain the Quaternary incision of the network. Though these dating methods are successfully used to determine ages of superficial (e.g., glacial) deposits, dating of fluvial terraces remains difficult. Possible predepositional exposures of the sampled material (inherited 10Be and 26Al) may indeed bias the measurements towards higher nuclide concentrations while several postdepositional processes (burial, erosion) may cause a lowering of the 10Be and 26Al concentrations. In an attempt to overcome these difficulties, the selected fluvial deposits (six locations) were sampled using a profiling technique on as thick as possible sections (more than 3 m). While previous studies assigned an early middle Pleistocene age (around 800 ka) to the main terrace level in the Rhine-Meuse system, our 10Be dates for the same terrace level (according to geometrical correlation) in the Amblève River, a Meuse subtributary, are much younger (upper Pleistocene). To explain this age discrepancy, we suggest that the incision was strongly diachronous from the Meuse valley towards its Ardennian headwaters, as a result of a delayed upstream propagation of the incision wave when it passes tributary junctions.

Fluvial Responses to Holocene sea Level Variations Along the Macdonald River, New South Wales, Australia

Science.gov (United States)

Rustomji, P.; Chappell, J.; Olley, J.

2003-12-01

some 35km of river, mostly upstream of the tidal limit, and meanders were cut off. The bed aggraded by 3m and the point of intersection of the river bed with MSL shifted 7.6km down valley. The channel has contracted since these floods and is building a new floodplain below the post-1500 BP inset floodplain. The late Holocene fluvial history of the Macdonald River is one of rapid adjustment to falling base level. The formation of the major fluvial landforms of the valley coinciding with late Holocene sea level at +1 to +2m, followed by subsequent abandonment of this surface with associated bed incision and channel straightening, may be a common phenomenon along river systems of eastern Australia. If so it may explain the propensity for instability of rivers along the New South Wales coast.

Late Cenozoic fluvial successions in northern and western India: an overview and synthesis

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Sinha, R.; Kumar, R.; Sinha, S.; Tandon, S. K.; Gibling, M. R.

2007-11-01

Late Cenozoic fluvial successions are widespread in India. They include the deposits of the Siwalik basin which represent the accumulations of the ancient river systems of the Himalayan foreland basin. Palaeomagnetic studies reveal that fluvial architecture and styles of deposition were controlled by Himalayan tectonics as well as by major climatic fluctuations during the long (∼13 Ma) span of formation. The Indo-Gangetic plains form the world's most extensive Quaternary alluvial plains, and display spatially variable controls on sedimentation: Himalayan tectonics in the frontal parts, climate in the middle reaches, and eustasy in the lower reaches close to the Ganga-Brahmaputra delta. Climatic effects were mediated by strong fluctuations in the SW Indian Monsoon, and Himalayan rivers occupy deep valleys in the western Ganga plains where stream power is high, cut in part during early Holocene monsoon intensification; the broad interfluves record the simultaneous aggradation of plains-fed rivers since ∼100 ka. The eastward increase in precipitation across the Ganga Plains results in rivers with low stream power and a very high sediment flux, resulting in an aggradational mode and little incision. The river deposits of semi-arid to arid western India form important archives of Quaternary climate change through their intercalation with the eolian deposits of the Thar Desert. Although the synthesis documents strong variability-both spatial and temporal-in fluvial stratigraphy, climatic events such as the decline in precipitation during the Last Glacial Maximum and monsoon intensification in the early Holocene have influenced fluvial dynamics throughout the region.

Ridge Orientations of the Ridge-Forming Unit, Sinus Meridiani, Mars-A Fluvial Explanation

Science.gov (United States)

Wilkinson, M. Justin; Herridge, A.

2013-01-01

Imagery and MOLA data were used in an analysis of the ridge-forming rock unit (RFU) exposed in Sinus Meridiani (SM). This unit shows parallels at different scales with fluvial sedimentary bodies. We propose the terrestrial megafan as the prime analog for the RFU, and likely for other members of the layered units. Megafans are partial cones of fluvial sediment, with radii up to hundreds of km. Although recent reviews of hypotheses for the RFU units exclude fluvial hypotheses [1], inverted ridges in the deserts of Oman have been suggested as putative analogs for some ridges [2], apparently without appreciating The wider context in which these ridges have formed is a series of megafans [3], a relatively unappreciated geomorphic feature. It has been argued that these units conform to the megafan model at the regional, subregional and local scales [4]. At the regional scale suites of terrestrial megafans are known to cover large areas at the foot of uplands on all continents - a close parallel with the setting of the Meridiani sediments at the foot of the southern uplands of Mars, with its incised fluvial systems leading down the regional NW slope [2, 3] towards the sedimentary units. At the subregional scale the layering and internal discontinuities of the Meridiani rocks are consistent, inter alia, with stacked fluvial units [4]. Although poorly recognized as such, the prime geomorphic environment in which stream channel networks cover large areas, without intervening hillslopes, is the megafan [see e.g. 4]. Single megafans can reach 200,000 km2 [5]. Megafans thus supply an analog for areas where channel-like ridges (as a palimpsest of a prior landscape) cover the intercrater plains of Meridiani [6]. At the local, or river-reach scale, the numerous sinuous features of the RFU are suggestive of fluvial channels. Cross-cutting relationships, a common feature of channels on terrestrial megafans, are ubiquitous. Desert megafans show cemented paleo-channels as inverted

Transconjunctival incision for total maxillectomy--an alternative for subciliary incision.

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Goyal, Amit; Tyagi, Isha; Jain, Shilpa; Syal, Rajan; Singh, Alok Pratap; Kapila, Rajeev

2011-09-01

A subciliary incision may be associated with various complications of the lower eyelid when it is used during a total maxillectomy. The use of the transconjunctival incision instead is an alternative in suitable patients. The records of 17 patients were reviewed in whom a transconjunctival incision was used during total maxillectomy. These included 13 in whom the Weber-Ferguson incision was used, and 4 who had a sublabial incision. There was mild conjunctival oedema in all the cases during the immediate postoperative period but it did not last for more than two days. Four patients had mild to moderate oedema of the lid that resolved within two days. One had mild ectropion with transient epiphora, which was caused by early removal of the medial canthal sutures. We found the approach to be cosmetically acceptable as it avoids a scar in the subciliary region. The transconjunctival incision can be used in place of the subciliary incision for lateral exposure during total maxillectomy. There are few complications associated with the lower lid, and it has good cosmetic results; if it is combined with a sublabial incision in suitable patients, the maxillectomy is virtually scar-free. Copyright © 2010 British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

100 kyr fluvial cut-and-fill terrace cycles since the Middle Pleistocene in the southern Central Andes, NW Argentina

Science.gov (United States)

Tofelde, Stefanie; Schildgen, Taylor F.; Savi, Sara; Pingel, Heiko; Wickert, Andrew D.; Bookhagen, Bodo; Wittmann, Hella; Alonso, Ricardo N.; Cottle, John; Strecker, Manfred R.

2017-09-01

Fluvial fill terraces in intermontane basins are valuable geomorphic archives that can record tectonically and/or climatically driven changes of the Earth-surface process system. However, often the preservation of fill terrace sequences is incomplete and/or they may form far away from their source areas, complicating the identification of causal links between forcing mechanisms and landscape response, especially over multi-millennial timescales. The intermontane Toro Basin in the southern Central Andes exhibits at least five generations of fluvial terraces that have been sculpted into several-hundred-meter-thick Quaternary valley-fill conglomerates. New surface-exposure dating using nine cosmogenic 10Be depth profiles reveals the successive abandonment of these terraces with a 100 kyr cyclicity between 75 ± 7 and 487 ± 34 ka. Depositional ages of the conglomerates, determined by four 26Al/10Be burial samples and U-Pb zircon ages of three intercalated volcanic ash beds, range from 18 ± 141 to 936 ± 170 ka, indicating that there were multiple cut-and-fill episodes. Although the initial onset of aggradation at ∼1 Ma and the overall net incision since ca. 500 ka can be linked to tectonic processes at the narrow basin outlet, the superimposed 100 kyr cycles of aggradation and incision are best explained by eccentricity-driven climate change. Within these cycles, the onset of river incision can be correlated with global cold periods and enhanced humid phases recorded in paleoclimate archives on the adjacent Bolivian Altiplano, whereas deposition occurred mainly during more arid phases on the Altiplano and global interglacial periods. We suggest that enhanced runoff during global cold phases - due to increased regional precipitation rates, reduced evapotranspiration, or both - resulted in an increased sediment-transport capacity in the Toro Basin, which outweighed any possible increases in upstream sediment supply and thus triggered incision. Compared with two

Plio-Quaternary river incision rates inferred from burial dating (Al-26/Be-10) of in cave-deposited alluvium in the Meuse catchment (E Belgium): new insights into the uplift history of the Ardennes massif

Science.gov (United States)

Rixhon, Gilles; Bourlès, Didier; Braucher, Régis; Peeters, Alexandre; Demoulin, Alain

2017-04-01

Although the Late Cenozoic uplift of the intraplate Variscan Ardennes/Rhenish massif (N Europe) has been long studied, its causes, shape and timing are still under debate (Demoulin & Hallot, 2009). This is mainly due to the scarcity of reliable ages for uplift markers, such as Quaternary terrace staircases along the deeply-incised valleys or Late Tertiary planation surfaces. In parallel, multi-level cave systems in limestone rocks, wherein abandoned phreatic passages filled with alluvium represent former phases of fluvial base-level stability, record the history of regional river incision (Anthony & Granger, 2007). Here, we present new burial ages (Al-26/Be-10) from fluvial gravels washed in a multi-level cave system developed in Devonian limestones of the lower Ourthe valley (main Ardennian tributary of the Meuse). Our results highlight a significant increase of incision rates from the Middle Pleistocene on, and allow reconstructing the incision history in the northern part of the Ardennes over the last 3.4 Ma. These long-term incision rates derived from burial ages are then discussed in relation to the existing studies dealing with river incision and/or tectonic uplift of the Ardennes/Rhenish massif (e.g. Demoulin & Hallot, 2009; Rixhon et al., 2011). Our cosmogenic nuclide ages thus enlarge the data pool required to explore the spatio-temporal characteristics of the drainage system's incision response to combined tectonic and climatic signals. References Anthony, D., Granger, D.E., 2007. A new chronology for the age of Appalachian erosional surfaces determined by cosmogenic nuclides in cave sediments. Earth Surf. Process. Landforms 32, 874-887 Demoulin, A., Hallot, E., 2009. Shape and amount of the Quaternary uplift of the western Rhenish shield and the Ardennes (western Europe). Tectonophysics 474, 696-708. Rixhon, G., et al., 2011. Quaternary river incision in NE Ardennes (Belgium): Insights from Be-10/Al-26 dating of rive terraces. Quaternary Geochronology 6

Tectonic and lithological controls on fluvial landscape development in central-eastern Portugal: Insights from long profile tributary stream analyses

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Martins, António A.; Cabral, João; Cunha, Pedro P.; Stokes, Martin; Borges, José; Caldeira, Bento; Martins, A. Cardoso

2017-01-01

This study examines the long profiles of tributaries of the Tagus and Zêzere rivers in Portugal (West Iberia) in order to provide new insights into patterns, timing, and controls on drainage development during the Quaternary incision stage. The studied streams are incised into a relict culminant fluvial surface, abandoned at the beginning of the incision stage. The streams flow through a landscape with bedrock variations in lithology (mainly granites and metasediments) and faulted blocks with distinct uplift rates. The long profiles of the analyzed streams record an older transitory knickpoint/knickzone separating (1) an upstream relict graded profile, with lower steepness and higher concavity, that reflects a long period of quasi-equilibrium conditions reached after the beginning of the incision stage, and (2) a downstream rejuvenated long profile, with steeper gradient and lower concavity, particularly for the final reach, which is often convex. The rejuvenated reaches testify to the upstream propagation of several incision waves, interpreted as the response of each stream to increasing crustal uplift and prolonged periods of base-level lowering by the trunk drainages, coeval with low sea level conditions. The morphological configurations of the long profiles enabled spatial and relative temporal patterns of incisions to be quantified. The incision values of streams flowing on the Portuguese Central Range (PCR; ca. 380-150 m) are variable but generally higher than the incision values of streams flowing on the adjacent South Portugal Planation Surface (SPPS; ca. 220-110 m), corroborating differential uplift of the PCR relative to the SPPS. Owing to the fact that the relict graded profiles can be correlated with the Tagus River T1 terrace (1.1-0.9 My) present in the study area, incision rates can be estimated (1) for the streams located in the PCR, 0.38-0.15 m/ky and (2) for the streams flowing on the SPPS, 0.22-0.12 m/ky. The differential uplift inferred in the

Quaternary river incision in the uplifted Rhenish massif (Ardennes, Belgium) - Insights from 10Be/26Al dating of river terraces

Science.gov (United States)

Rixhon, Gilles; Bourlès, Didier; Braucher, Régis; Siame, Lionel; Bovy, Benoît.; Demoulin, Alain

2010-05-01

Although it constitutes the main tool to unravel the regional recent tectonics, the chronology of the Pleistocene river incision is still poorly constrained within the uplifted Rhenish-Ardennes massif (Belgium, western Europe). Here, we measure cosmogenic nuclides concentrations (10Be and 26Al) in terrace quartz or quartzite sediments of several Ardennian rivers (Meuse, Ourthe and Amblève) in order to date the so-called Younger Main Terrace (YMT), a key-level in the network evolution. Though these dating methods are successfully used to determine ages of superficial (e.g., glacial) deposits, dating of fluvial terraces remains difficult. Possible predepositional exposures of the sampled material (inherited 10Be and 26Al) may indeed bias the measurements towards higher nuclide concentrations while several postdepositional processes (burial, erosion) may cause a lowering of the 10Be and 26Al concentrations. In an attempt to overcome these difficulties, the selected fluvial deposits (five locations) were sampled using a profiling technique on as thick as possible sections (more than 3 m). We present the first absolute dating of the YMT in the lower Meuse valley (nearby the Dutch boundary), where we obtained an age of 630 ka for a terrace deposit buried beneath 3 m of Weichselian loess. This age is consistent with some previously published estimates based on paleomagnetic data and MIS correlations. However, our ages for the same terrace level within the Ardennes are significantly younger: >400 ka in the lower Ourthe, and only ~220 ka still farther upstream, in the lower Amblève. We thus demonstrate that the post-YMT incision occurred diachronically in NE Ardennes. The ~0.5 Ma timespan needed by the erosion wave to propagate from the lower Meuse towards the Ardennian headwaters contradicts the long-held statement of a climatically driven incision that would have been synchronous throughout the catchment.

Do river channels decrease in width downstream on Distributive Fluvial Systems? An evaluation of modern mega-fans

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Espinoza, T. N.; Scuderi, L. A.; Weissmann, G. S.; Hartley, A. J.

2014-12-01

Recent studies on aggradational continental sedimentary basins globally show that fluvial deposits in most modern sedimentary basins are dominated Distributive Fluvial Systems (DFS). DFS's are identified by: (1) pattern of channels and floodplain deposits that radiate outward from an apex located where the river enters the sedimentary basin, (2) deposition where an alluvial system becomes unconfined upon entering the sedimentary basin, (3) broadly fan shaped deposit that is convex upward across the DFS and concave upward down-fan, and (4) if the DFS is incised, an intersection point above which the alluvial system is held in an incised valley and below which it distributes sediment across an active depositional lobe. Several papers about DFS hypothesized that rivers on DFS decrease in size down-fan. We are testing this hypothesis through evaluation of LANDSAT and STRM data from large DFS described by Hartley et al (2010). We use ArcGIS to: (1) open the images and merge them together if there are more than one image corresponding to the DFS being studied, (2) use a Maximum Likelihood Analysis in six classes to segment different features on the DFS (e.g. exposed sands, water, vegetation, and other fan environments), (3) isolate the classes that correspond to the active channel belt (e.g., exposed sand bars and water), (4) divide the active channel belt into 1000 m long sections, (5) determine the area of active channel belt in each section, and (6) calculate the average width of the river in each section (e.g., W = area/1000m). We present our result for each DFS river on a graph that shows the change in width downstream. Our final product will be a dataset that contains width versus distance down-fan from the apex for as many of the large DFS from Hartley et al (2010) as possible. If the hypothesis is supported, the decrease in width could have a substantial predictive significance on sandstone geometry in fluvial successions.

Glacial vs. Interglacial Period Contrasts in Midlatitude Fluvial Systems, with Examples from Western Europe and the Texas Coastal Plain

Science.gov (United States)

Blum, M.

2001-12-01

Mixed bedrock-alluvial valleys are the conveyor belts for sediment delivery to passive continental margins. Mapping, stratigraphic and sedimentologic investigations, and development of geochronological frameworks for large midlatitude rivers of this type, in Western Europe and the Texas Coastal Plain, provide for evaluation of fluvial responses to climate change over the last glacial-interglacial period, and the foundations for future quantitative evaluation of long profile evolution, changes through time in flood magnitude, and changes in storage and flux of sediments. This paper focuses on two issues. First, glacial vs. interglacial period fluvial systems are fundamentally different in terms of channel geometry, depositional style, and patterns of sediment storage. Glacial-period systems were dominated by coarse-grained channel belts (braided channels in Europe, large-wavelength meandering in Texas), and lacked fine-grained flood-plain deposits, whereas Holocene units, especially those of late Holocene age, contain appreciable thicknesses of flood-plain facies. Hence, extreme overbank flooding was not significant during the long glacial period, most flood events were contained within bankfull channel perimeters, and fine sediments were bypassed through the system to marine basins. By contrast, extreme overbank floods have been increasingly important during the relatively short Holocene, and a significant volume of fine sediment is sequestered in flood-plain settings. Second, glacial vs. interglacial systems exhibit different amplitudes and frequencies of fluvial adjustment to climate change. High-amplitude but low-frequency adjustments characterized the long glacial period, with 2-3 extended periods of lateral migration and sediment storage puncuated by episodes of valley incision. Low-amplitude but high-frequency adjustments have been more typical of the short Holocene, when there has been little net valley incision or net changes in sediment storage, but

Morphology of fluvial levee series along a river under human influence, Maros River, Hungary

Science.gov (United States)

Kiss, Tímea; Balogh, Márton; Fiala, Károly; Sipos, György

2018-02-01

The development and morphometry of fluvial levees reflect the connection between channel and overbank processes, which can be altered by various human activities. The aims of this study are to investigate the morphology and spatial characteristics of fluvial levees and evaluate the role of some local- and catchment-scale human activities on their medium-term (150 years) development. This study applies LiDAR data along a 53-km-long reach of the Maros River in Hungary. Six fluvial levee types are identified based on the beginning and end of their evolution. These levee types were generated by local nineteenth century channel regulation works (cutoffs) and mid-twentieth century channel narrowing, which was caused by gravel mining and water impoundment in the upstream sections. However, other human activities also influenced the development of active fluvial levees because their horizontal evolution could have been limited by embanked flood-protection levees or the widening of low-lying floodplain benches that were generated by channel narrowing. Additionally, revetment constructions influenced their vertical parameters as higher fluvial levees developed along the fixed banks. Generally, the older active fluvial levees are wider, while the younger active levees are narrower with steeper slopes but not always lower. On the low-lying floodplain levels (benches), the youngest fluvial levees evolved quite rapidly and consist of coarser material. Currently, only 9.8- to 38-year return-period floods could cover the fluvial levees, contributing to their evolution. This fact and the development of fluvial levee series with two-three members reflect a gradual decoupling of the channel from the floodplain.

Comparison of surgically induced astigmatism in various incisions in manual small incision cataract surgery.

Science.gov (United States)

Jauhari, Nidhi; Chopra, Deepak; Chaurasia, Rajan Kumar; Agarwal, Ashutosh

2014-01-01

To determine the surgically induced astigmatism (SIA) in Straight, Frown and Inverted V shape (Chevron) incisions in manual small incision cataract surgery (SICS). A prospective cross sectional study was done on a total of 75 patients aged 40y and above with senile cataract. The patients were randomly divided into three groups (25 each). Each group received a particular type of incision (Straight, Frown or Inverted V shape incisions). Manual SICS with intraocular lens (IOL) implantation was performed. The patients were compared 4wk post operatively for uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA) and SIA. All calculations were performed using the SIA calculator version 2.1, a free software program. The study was analyzed using SPSS version 15.0 statistical analysis software. The study found that 89.5% of patients in Straight incision group, 94.2% in Frown incision group and 95.7% in Inverted V group attained BCVA post-operatively in the range of 6/6 to 6/18. Mean SIA was minimum (-0.88±0.61D×90 degrees) with Inverted V incision which was statistically significant. Inverted V (Chevron) incision gives minimal SIA.

Fluvial Connectivity and Sediment Dispersal within Continental Extensional Basins; Assessment of Controlling Factors using Numerical Modelling

Science.gov (United States)

Geurts, A., Jr.; Cowie, P. A.; Gawthorpe, R.; Huismans, R. S.; Pedersen, V. K.

2017-12-01

Progressive integration of drainage networks has been documented in many regional-scale studies of extensional continental systems. While endorheic drainage and lake sedimentation are common features observed in basin stratigraphy, they often disappear from the record due to the development of a through-going river network. Because changes in the fluvial connectivity of extensional basins have profound impact on erosion and sediment dispersal, and thus the feedback between surface processes and tectonics, it is of great importance to understand what controls them. Headward erosion (also called headward capture or river piracy) is often suggested to be the main mechanism causing basins to become interconnected over time with one another and with the regional/coastal drainage network. We show that overspill mechanisms (basin over-filling or lake over-spilling) play a key role in the actively extending central Italian Apennines, even though this area is theoretically favorable for headward erosion (short distances to the coast in combination with rapid surface uplift). In other tectonic settings (e.g. contractional basins and high plateaux) the role of headward erosion in transverse drainage development and integrating endorheic basins has also been increasingly questioned. These two mechanisms predict very different spatio-temporal patterns of sediment dispersal and thus timing of sediment loading (or erosional unloading) along active normal faults, which in turn may influence the locus of subsequent extensional deformation. By means of surface process modelling we develop a process-based understanding of the controls on fluvial connectivity between extensional basins in the central Italian Apennines. We focus on which conditions (tectonic and erosional) favour headward erosion versus overspill and compare our model results with published field evidence for drainage integration and the timing of basin sedimentation/incision.

Ephemeral-fluvial sediments as potential hydrocarbon reservoirs. Vol. 1: Sedimentology

Energy Technology Data Exchange (ETDEWEB)

Taylor, K.S.

1994-12-31

Although reservoirs formed from ephemeral-fluvial sandstones have previously been considered relatively simple, unresolved problems of sandbody correlation and production anomalies demonstrate the need for improved understanding of their internal complexity. Outcropping ephemeral-fluvial systems have been studied in order to determine the main features and processes occurring in sand-rich ephemeral systems and to identify which features will be of importance in a hydrocarbon reservoir. The Lower Jurassic Upper Moenave and Kayenta Formations of south-eastern Utah and northern Arizona comprise series of stacked, sand-dominated sheet-like palaeochannels suggestive of low sinuosity, braided systems. Low subsidence rates and rapid lateral migration rates enabled channels to significantly modify their widths during high discharge. (author)

Quantifying Quaternary Deformation in the Eastern Cordillera of the Colombian Andes Using Cosmogenic Nuclide Geochronology and Fluvial Geomorphology

Science.gov (United States)

Dalman, E.; Taylor, M. H.; Veloza-fajardo, G.; Mora, A.

2014-12-01

Northwest South America is actively deforming through the interaction between the Nazca, South American, and Caribbean plates. Though the Colombian Andes are well studied, much uncertainty remains in the rate of Quaternary deformation along the east directed frontal thrust faults hundreds of kilometers in board from the subduction zones. The eastern foothills of the Eastern Cordillera (EC) preserve deformed landforms, allowing us to quantify incision rates. Using 10Be in-situ terrestrial cosmogenic nuclide (TCN) geochronology, we dated 2 deformed fluvial terraces in the hanging wall of the Guaicaramo thrust fault. From the 10Be concentration and terrace profile relative to local base level, we calculated incision rates. We present a reconstructed slip history of the Guaicaramo thrust fault and its Quaternary slip rate. Furthermore, to quantify the regional Quaternary deformation, we look at the fluvial response to tectonic uplift. Approximately 20 streams along the eastern foothills of the Eastern Cordillera (EC) were studied using a digital elevation model (DEM). From the DEM, longitudinal profiles were created and normalized channel steepness (Ksn) values calculated from plots of drainage area vs. slope. Knickpoints in the longitudinal profiles can record transient perturbations or differential uplift. Calculated Ksn values indicate that the EC is experiencing high rates of uplift, with the highest mean Ksn values occurring in the Cocuy region. Mean channel steepness values along strike of the foothills are related to increasing uplift rates from south to north. In contrast, we suggest that high channel steepness values in the south appear to be controlled by high rates of annual precipitation.

COMPARISON OF POSTOP SIA IN MSICS WITH STRAIGHT INCISION VERSUS FROWN INCISION

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Shayana Bhumbla

2017-05-01

Full Text Available BACKGROUND Surgically-Induced Astigmatism (SIA is one of the commonest causes of poor postoperative vision even after uneventful cataract surgery. Recent advances have led to a newer concept of “refractive cataract surgery.” The aim of the study is to study the comparison of postop SIA in Manual Small Incision Cataract Surgery (MSICS with straight versus frown incision. MATERIALS AND METHODS 50 patients of cataract were divided into 2 groups (25 each - group A underwent MSICS with 6 mm straight incision, group B underwent MSICS with 6 mm frown incision. BCVA, keratometry readings were recorded with auto kerato-refractometer preop, at 1 week, 1 month, 3 months and SIA was calculated with SIA calculator version 2.1, a free software program. RESULTS Mean SIA in group A and B were - 1.14D versus 0.92D at 1 week; 1.26D versus 0.97D at 1 month; 1.29D versus 0.95D at 3 months. The difference was statistically significant at each follow up visit (p<0.05. CONCLUSION Frown incision gives lesser SIA than straight incision in MSICS.

Mast Quadrant-assisted Minimally Invasive Modified Transforaminal Lumbar Interbody Fusion: Single Incision Versus Double Incision

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Xin-Lei Xia

2015-01-01

Full Text Available Background: The concept of minimally invasive techniques is to make every effort to reduce tissue damage. Certainly, reducing skin incision is an important part of these techniques. This study aimed to investigate the clinical feasibility of Mast Quadrant-assisted modified transforaminal lumbar interbody fusion (TLIF with a small single posterior median incision. Methods: During the period of March 2011 to March 2012, 34 patients with single-segment degenerative lumbar disease underwent the minimally invasive modified TLIF assisted by Mast Quadrant with a small single posterior median incision (single incision group. The cases in this group were compared to 37 patients with single-segment degenerative lumbar disease in the double incision group. The perioperative conditions of patients in these two groups were statistically analyzed and compared. The Oswestry Disability Index (ODI scores, Visual Analog Scale (VAS scores, and sacrospinalis muscle damage evaluation indicators before operation and 3, 12 months postoperation were compared. Results: A total of 31 and 35 cases in the single incision and double incision groups, respectively, completed at least 12 months of systemic follow-up. The differences in perioperative conditions between the two groups were not statistically significant. The incision length of the single incision group was significantly shorter than that of the double incision group (P < 0.01. The ODI and VAS scores of patients in both groups improved significantly at 3 and 12 months postoperation. However, these two indicators at 3 and 12 months postoperation and the sacrospinalis muscle damage evaluation indicators at 3 months postoperation did not differ significantly between the two groups (P ≥ 0.05. Conclusions: Mast Quadrant-assisted modified TLIF with a small single posterior median incision has excellent clinical feasibility compared to minimally invasive TLIF with a double paramedian incision.

Comparison of electrocautery incision with scalpel incision in midline abdominal surgery - A double blind randomized controlled trial.

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Prakash, Lalgudi Dorairajan; Balaji, Nitesh; Kumar, Sathasivam Suresh; Kate, Vikram

2015-07-01

To compare the electrocautery incision with scalpel incision in patients undergoing abdominal surgery using a midline incision with respect to incision time, blood loss during incision, postoperative incision site pain and wound infection. Patients undergoing midline abdominal surgery were randomized into electrocautery and scalpel groups. The incision dimensions, incision time and blood loss during incision were noted intraoperatively. Postoperative pain and wound infection were recorded on every postoperative day for one week. 41 patients in each of the two groups were analyzed. Gender and age distribution was similar in both the groups. The mean incision time per unit wound area in the electrocautery group and scalpel group was 9.40 ± 3.37 s/cm(2) and 9.07 ± 3.40 s/cm(2) (p = 0.87) respectively. The mean blood loss per unit wound area was significantly lower in the electrocautery group at 6.46 ± 3.94 ml when compared to that of 23.40 ± 15.28 ml in the scalpel group (p= electrocautery and scalpel groups (14.63% vs. 12.19%; p = 0.347). With a comparable Postoperative incision site pain, wound infection rate and significantly lower blood loss with the equal time taken for the incision, electrocautery can be considered safe and effective in making skin incision in midline laparotomy compared to scalpel incision. Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved.

Craniosynostosis incision: scalpel or cautery?

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Wood, Jeyhan S; Kittinger, Benjamin J; Perry, Victor L; Adenola, Adeyemi; van Aalst, John A

2014-07-01

There is an ongoing debate regarding the optimal instrument for scalp incisions: the scalpel or electrocautery. The argument generally focuses on improved healing after an incision made with a knife and decreased bleeding when using electrocautery. This study compares the use of scalpel and electrocautery in making coronal incisions for patients undergoing surgical correction of craniosynostosis. The outcome metric used is wound healing within 6 months after surgery. All patients presenting to the University of North Carolina Children's Hospital with craniosynostosis between July 1, 2007 and January 1, 2010 requiring a coronal incision for surgical correction were prospectively enrolled. In all of these patients, half of the coronal incision was made with knife; the other half, with needle tip cautery. Side of the incision was specified at the time of surgery in the operative report. Patients were excluded from the study if the instrument for incision was not specified or if only 1 modality was used for the entire incision. Sixty-eight patients underwent cranial vault reconstruction, of which 58 met inclusion criteria. Of the 58 matched pairs, 55 were analyzed statistically. The 3 excluded cases were those who had midline complications. There were 17 wound complications (15%): 8 in the knife group, 6 in the cautery group, and 3 at midline (with indeterminate side for the problem). We found no statistically significant difference in wound healing between incisions made with a knife or with electrocautery.

Fluvial geomorphology and river engineering: future roles utilizing a fluvial hydrosystems framework

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Gilvear, David J.

1999-12-01

River engineering is coming under increasing public scrutiny given failures to prevent flood hazards and economic and environmental concerns. This paper reviews the contribution that fluvial geomorphology can make in the future to river engineering. In particular, it highlights the need for fluvial geomorphology to be an integral part in engineering projects, that is, to be integral to the planning, implementation, and post-project appraisal stages of engineering projects. It should be proactive rather than reactive. Areas in which geomorphologists will increasingly be able to complement engineers in river management include risk and environmental impact assessment, floodplain planning, river audits, determination of instream flow needs, river restoration, and design of ecologically acceptable channels and structures. There are four key contributions that fluvial geomorphology can make to the engineering profession with regard to river and floodplain management: to promote recognition of lateral, vertical, and downstream connectivity in the fluvial system and the inter-relationships between river planform, profile, and cross-section; to stress the importance of understanding fluvial history and chronology over a range of time scales, and recognizing the significance of both palaeo and active landforms and deposits as indicators of levels of landscape stability; to highlight the sensitivity of geomorphic systems to environmental disturbances and change, especially when close to geomorphic thresholds, and the dynamics of the natural systems; and to demonstrate the importance of landforms and processes in controlling and defining fluvial biotopes and to thus promote ecologically acceptable engineering. Challenges facing fluvial geomorphology include: gaining full acceptance by the engineering profession; widespread utilization of new technologies including GPS, GIS, image analysis of satellite and airborne remote sensing data, computer-based hydraulic modeling and

Fluvial Apophenia

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Coulthard, Tom; Armitage, John

2017-04-01

Apophenia describes the experience of seeing meaningful patterns or connections in random or meaningless data. Francis Bacon was one of the first to identify its role as a "human understanding is of its own nature prone to suppose the existence of more order and regularity in the world than it finds". Examples include pareidolia (seeing shapes in random patterns), gamblers fallacy (feeling past events alter probability), confirmation bias (bias to supporting a hypothesis rather than disproving), and he clustering illusion (an inability to recognise actual random data, instead believing there are patterns). Increasingly, researchers use records of past floods stored in sedimentary archives to make inferences about past environments, and to describe how climate and flooding may have changed. However, it is a seductive conclusion, to infer that drivers of landscape change can lead to changes in fluvial behaviour. Using past studies and computer simulations of river morphodynamics we explore how meaningful the link between drivers and fluvial changes is. Simple linear numerical models would suggest a direct relation between cause and effect, despite the potential for thresholds, phase changes, time-lags and damping. However, a comparatively small increase in model complexity (e.g. the Stream Power law) introducing non-linear behaviour and Increasing the complexity further can lead to the generation of time-dependent outputs despite constant forcing. We will use this range of findings to explore how apophenia may manifest itself in studies of fluvial systems, what this can mean and how we can try to account for it. Whilst discussed in the context of fluvial systems the concepts and inferences from this presentation are highly relevant to many other studies/disciplines.

Incision integrity and postoperative outcomes after microcoaxial phacoemulsification performed using 2 incision-dependent systems.

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Vasavada, Vaishali; Vasavada, Abhay R; Vasavada, Viraj A; Srivastava, Samaresh; Gajjar, Devarshi U; Mehta, Siddharth

2013-04-01

To compare incision integrity and clinical outcomes of 2 microcoaxial phacoemulsification systems. Iladevi Cataract & IOL Research Centre, Ahmedabad, India. Prospective randomized clinical trial. Eyes were randomized to have phacoemulsification using a 1.8 mm clear corneal incision (CCI) system (Group 1, Stellaris system) or a 2.2 mm CCI system (Group 2, Intrepid Infiniti system). Incision enlargement at end of surgery was measured. At the conclusion of surgery, trypan blue was applied over the conjunctival surface, anterior chamber aspirate withdrawn, and ingress into anterior chamber measured. Postoperative observations included evaluation of the CCI using anterior segment optical coherence tomography (AS-OCT), change in central corneal thickness (CCT), and anterior segment inflammation at 1 day, 1 week, and 1 month and endothelial cell loss and surgically induced astigmatism (SIA) at 3 months. Incision enlargement (P.05). At the end of surgery, it is not the initial incision size alone but also the distortion of the incision during subsequent stages of surgery that determine the integrity of the CCI. Copyright © 2013 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Fluvial systems and their sedimentary models

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Dragomir Skabeme

1995-12-01

Full Text Available The Slovenian géomorphologie and sedimentologie terminology for fluvial depositional environments is not established yet. Therefore a classification and the proposal for Slovenian names of fluvial sedimentary and erosional forms and influences controlling them are discussed. Attention is given to the problems of recognition of sedimentary environments in sedimentary rocks, and to fluvial sedimentary models.

Incision and Landsliding Lead to Coupled Increase in Sediment Flux and Grain Size Export

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Roda-Boluda, D. C.; Brooke, S.; D'Arcy, M. K.; Whittaker, A. C.; Armitage, J. J.

2017-12-01

The rates and grain sizes of sediment fluxes modulate the dynamics and timing of landscape response to tectonics, and dictate the depositional patterns of sediment in basins. Over the last decades, we have gained a good quantitative understanding on how sediment flux and grain size may affect incision and basin stratigraphy. However, we comparably still have limited knowledge on how these variables change with varying tectonic rates. To address this question, we have studied 152 catchments along 8 normal fault-bounded ranges in southern Italy, which are affected by varying fault slip rates and experiencing a transient response to tectonics. Using a data set of 38 new and published 10Be erosion rates, we calibrate a sediment flux predictive equation (BQART), in order to estimate catchment sediment fluxes. We demonstrate that long-term sediment flux is governed by fault slip rates and the tectonically-controlled transient incision, and that sediment flux estimates from the BQART, steady-state assumptions, and incised volumes are highly correlated. This is supported by our 10Be erosion rates, which are controlled by fault slip and incision rates, and the associated landsliding. Based on a new landslide inventory, we show that erosion rate differences are likely due to differences in incision-related landslide activity across these catchments, and that landslides are a major component of sediment fluxes. From a data set of >13000 grain size counts on hillslope grain size supply and fluvial sediment at catchment outlets, we observe that landslides deliver material 20-200% coarser than other sediment sources, and that this coarse supply has an impact on the grain size distributions being exported from the catchments. Combining our sediment flux and grain size data sets, we are able to show that for our catchments, and potentially also for any areas that respond to changes in climate or tectonics via enhanced landsliding, sediment flux and grain size export increase

Which DEM is best for analyzing fluvial landscape development in mountainous terrains?

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Boulton, Sarah J.; Stokes, Martin

2018-06-01

Regional studies of fluvial landforms and long-term (Quaternary) landscape development in remote mountain landscapes routinely use satellite-derived DEM data sets. The SRTM and ASTER DEMs are the most commonly utilised because of their longer availability, free cost, and ease of access. However, rapid technological developments mean that newer and higher resolution DEM data sets such as ALOS World 3D (AW3D) and TanDEM-X are being released to the scientific community. Geomorphologists are thus faced with an increasingly problematic challenge of selecting an appropriate DEM for their landscape analyses. Here, we test the application of four medium resolution DEM products (30 m = SRTM, ASTER, AW3D; 12 m = TanDEM-X) for qualitative and quantitative analysis of a fluvial mountain landscape using the Dades River catchment (High Atlas Mountains, Morocco). This landscape comprises significant DEM remote sensing challenges, notably a high mountain relief, steep slopes, and a deeply incised high sinuosity drainage network with narrow canyon/gorge reaches. Our goal was to see which DEM produced the most representative best fit drainage network and meaningful quantification. To achieve this, we used ArcGIS and Stream Profiler platforms to generate catchment hillshade and slope rasters and to extract drainage network, channel long profile and channel slope, and area data. TanDEM-X produces the clearest landscape representation but with channel routing errors in localised high relief areas. Thirty-metre DEMs are smoother and less detailed, but the AW3D shows the closest fit to the real drainage network configuration. The TanDEM-X elevation values are the closest to field-derived GPS measurements. Long profiles exhibit similar shapes but with minor differences in length, elevation, and the degree of noise/smoothing, with AW3D producing the best representation. Slope-area plots display similarly positioned slope-break knickpoints with modest differences in steepness and concavity

Sedimentary architecture and chronostratigraphy of a late Quaternary incised-valley fill: A case study of the late Middle and Late Pleistocene Rhine system in the Netherlands

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Peeters, J.; Busschers, F. S.; Stouthamer, E.; Bosch, J. H. A.; Van den Berg, M. W.; Wallinga, J.; Versendaal, A. J.; Bunnik, F. P. M.; Middelkoop, H.

2016-01-01

This paper describes the sedimentary architecture, chronostratigraphy and palaeogeography of the late Middle and Late Pleistocene (Marine Isotope Stage/MIS 6-2) incised Rhine-valley fill in the central Netherlands based on six geological transects, luminescence dating, biostratigraphical data and a 3D geological model. The incised-valley fill consists of a ca. 50 m thick and 10-20 km wide sand-dominated succession and includes a well-developed sequence dating from the Last Interglacial: known as the Eemian in northwest Europe. The lower part of the valley fill contains coarse-grained fluvio-glacial and fluvial Rhine sediments that were deposited under Late Saalian (MIS 6) cold-climatic periglacial conditions and during the transition into the warm Eemian interglacial (MIS 5e-d). This unit is overlain by fine-grained fresh-water flood-basin deposits, which are transgressed by a fine-grained estuarine unit that formed during marine high-stand. This ca. 10 m thick sequence reflects gradual drowning of the Eemian interglacial fluvial Rhine system and transformation into an estuary due to relative sea-level rise. The chronological data suggests a delay in timing of regional Eemian interglacial transgression and sea-level high-stand of several thousand years, when compared to eustatic sea-level. As a result of this glacio-isostatic controlled delay, formation of the interglacial lower deltaic system took only place for a relative short period of time: progradation was therefore limited. During the cooler Weichselian Early Glacial period (MIS 5d-a) deposition of deltaic sediments continued and extensive westward progradation of the Rhine system occurred. Major parts of the Eemian and Weichselian Early Glacial deposits were eroded and buried as a result of sea-level lowering and climate cooling during the early Middle Weichselian (MIS 4-3). Near complete sedimentary preservation occurred along the margins of the incised valley allowing the detailed reconstruction presented

Single-incision total laparoscopic hysterectomy

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Sinha Rakesh

2011-01-01

Full Text Available Single-incision laparoscopic surgery is an alternative to conventional multiport laparoscopy. Single-access laparoscopy using a transumbilical port affords maximum cosmetic benefits because the surgical incision is hidden in the umbilicus. The advantages of single-access laparoscopic surgery may include less bleeding, infection, and hernia formation and better cosmetic outcome and less pain. The disadvantages and limitations include longer surgery time, difficulty in learning the technique, and the need for specialized instruments. Ongoing refinement of the surgical technique and instrumentation is likely to expand its role in gynecologic surgery in the future. We perform single-incision total laparoscopic hysterectomy using three ports in the single transumbilical incision.

Postoperative Granulomas at Liposuction Incision Sites.

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Weniger, Frederick G; White, Peter F; Barrero Castedo, Carlos E

2016-02-01

Since most liposuction incisions heal uneventfully, difficult healing in such incisions must be investigated. In the cases of two gynecomastia liposuction patients in which a water-based lubricating gel was used on the liposuction incisions, the incisions failed to heal. For both patients, workup uncovered palisading granulomas at the lateral inframammary fold incision sites several months after otherwise successful surgeries. These two cases are presented and the previous literature is reviewed, with consideration given to the etiology and prevention of such granulomas. LEVEL OF EVIDENCE 5: Risk. © 2015 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com.

The Gediz River fluvial archive

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Maddy, D.; Veldkamp, A.; Demir, T.; Gorp, van W.; Wijbrans, J.R.; Hinsbergen, van D.J.J.; Dekkers, M.J.; Schreve, D.; Schoorl, J.M.; Scaife, R.

2017-01-01

The Gediz River, one of the principal rivers of Western Anatolia, has an extensive Pleistocene fluvial archive that potentially offers a unique window into fluvial system behaviour on the western margins of Asia during the Quaternary. In this paper we review our work on the Quaternary Gediz River

Single incision pediatric endoscopic surgery: advantages of relatively large incision

International Nuclear Information System (INIS)

Yilmaz, E.; Afsarlar, E.; Karaman, I.

2015-01-01

To describe Single Incision Pediatric Endoscopic Surgery (SIPES) performed on children with various diagnoses, emphasizing its advantages. Study Design: An observational case series. Place and Duration of Study: Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Child Health Hospital, Ankara, Turkey, from January 2011 to November 2014. Methodology: A review of patient charts was conducted in which SIPES was preferred as the surgical procedure. Patient demographics, operative details, operative time, clinical outcomes, postoperative pain and cosmesis were analyzed. Results: SIPES was performed on 45 patients (21 girls, 24 boys). Thirty-three appendectomies, 5 varicocelectomies, 3 oophorectomies, 2 ovarian and one paratubal cyst excision, and one fallopian tube excision were performed. All except one procedures were performed through our standard 2cm umbilical vertical or smile incision. In 18 cases, abdominal irrigation/aspiration was easily performed through the existing larger incision, as is done with open surgical technique. None of the patients had early postoperative shoulder/back pain since complete disinflation of CO/sub 2/ could be ensured. All of the patients/parents were satisfied with the cosmesis. Conclusion: SIPES has the advantages of limiting the surgical scar to within the umbilicus and providing easy disinflation of CO/sub 2/, allowing intraabdominal cleaning and extraction of large volume tissue samples through a single large umbilical incision. (author)

Assessment of corneal astigmatism following frown and straight incision forms in sutureless manual small incision cataract surgery

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Amedo AO

2016-04-01

Full Text Available Angela Ofeibea Amedo, Kwadwo Amoah, Nana Yaa Koomson, David Ben Kumah, Eugene Appenteng Osae Department of Optometry and Visual Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana Abstract: To investigate which of two tunnel incision forms (frown versus straight in sutureless manual small incision cataract surgery creates more corneal astigmatism. Sixty eyes of 60 patients who had consented to undergo cataract surgery and to partake in this study were followed from baseline through >12-week postoperative period. Values of preoperative and postoperative corneal astigmatism for the 60 eyes, measured with a Bausch and Lomb keratometer, were extracted from the patients’ cataract surgery records. Residual astigmatism was computed as the difference between preoperative and postoperative keratometry readings. Visual acuity was assessed during the preoperative period and at each postoperative visit with a Snellen chart at 6 m. Fifty eyes of 50 patients were successfully followed-up on. Overall, the mean residual astigmatism was 0.75±0.12 diopters. The differences in mean residual astigmatism between the two different incision groups were statistically significant (t [48]=6.33, P<0.05; frown incision group recorded 1.00±0.12 diopters, whereas the straight incision group recorded 0.50±0.12 diopters. No significant difference was observed between male and female groups (t [48]=0.24, P>0.05. Residual corneal astigmatism in the frown incision group was significantly higher than in the straight incision group. Fisher’s exact test did not reveal a significant association between incision forms and visual acuity during the entire postoperative period (P>0.05. Keywords: cataract, residual corneal astigmatism, frown incision, straight incision

Human FAN1 promotes strand incision in 5'-flapped DNA complexed with RPA.

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Takahashi, Daisuke; Sato, Koichi; Hirayama, Emiko; Takata, Minoru; Kurumizaka, Hitoshi

2015-09-01

Fanconi anaemia (FA) is a human infantile recessive disorder. Seventeen FA causal proteins cooperatively function in the DNA interstrand crosslink (ICL) repair pathway. Dual DNA strand incisions around the crosslink are critical steps in ICL repair. FA-associated nuclease 1 (FAN1) is a DNA structure-specific endonuclease that is considered to be involved in DNA incision at the stalled replication fork. Replication protein A (RPA) rapidly assembles on the single-stranded DNA region of the stalled fork. However, the effect of RPA on the FAN1-mediated DNA incision has not been determined. In this study, we purified human FAN1, as a bacterially expressed recombinant protein. FAN1 exhibited robust endonuclease activity with 5'-flapped DNA, which is formed at the stalled replication fork. We found that FAN1 efficiently promoted DNA incision at the proper site of RPA-coated 5'-flapped DNA. Therefore, FAN1 possesses the ability to promote the ICL repair of 5'-flapped DNA covered by RPA. © The Authors 2015. Published by Oxford University Press on behalf of the Japanese Biochemical Society. All rights reserved.

Minimal abdominal incisions

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João Carlos Magi

2017-04-01

Full Text Available Minimally invasive procedures aim to resolve the disease with minimal trauma to the body, resulting in a rapid return to activities and in reductions of infection, complications, costs and pain. Minimally incised laparotomy, sometimes referred to as minilaparotomy, is an example of such minimally invasive procedures. The aim of this study is to demonstrate the feasibility and utility of laparotomy with minimal incision based on the literature and exemplifying with a case. The case in question describes reconstruction of the intestinal transit with the use of this incision. Male, young, HIV-positive patient in a late postoperative of ileotiflectomy, terminal ileostomy and closing of the ascending colon by an acute perforating abdomen, due to ileocolonic tuberculosis. The barium enema showed a proximal stump of the right colon near the ileostomy. The access to the cavity was made through the orifice resulting from the release of the stoma, with a lateral-lateral ileo-colonic anastomosis with a 25 mm circular stapler and manual closure of the ileal stump. These surgeries require their own tactics, such as rigor in the lysis of adhesions, tissue traction, and hemostasis, in addition to requiring surgeon dexterity – but without the need for investments in technology; moreover, the learning curve is reported as being lower than that for videolaparoscopy. Laparotomy with minimal incision should be considered as a valid and viable option in the treatment of surgical conditions. Resumo: Procedimentos minimamente invasivos visam resolver a doença com o mínimo de trauma ao organismo, resultando em retorno rápido às atividades, reduções nas infecções, complicações, custos e na dor. A laparotomia com incisão mínima, algumas vezes referida como minilaparotomia, é um exemplo desses procedimentos minimamente invasivos. O objetivo deste trabalho é demonstrar a viabilidade e utilidade das laparotomias com incisão mínima com base na literatura e

Small Incision Cataract Surgery (SICS with Clear Corneal Incision and SICS with Scleral Incision – A Comparative Study

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Md Shafiqul Alam

2014-01-01

Full Text Available Background: Age related cataract is the leading cause of blindness and visual impairment throughout the world. With the advent of microsurgical facilities simple cataract extraction surgery has been replaced by small incision cataract surgery (SICS with posterior chamber intra ocular lens implant, which can be done either with clear corneal incision or scleral incision. Objective: To compare the post operative visual outcome in these two procedures of cataract surgery. Materials and method: This comparative study was carried out in the department of Ophthalmology, Delta Medical College & Hospital, Dhaka, Bangladesh, during the period of January 2010 to December 2012. Total 60 subjects indicated for age related cataract surgery irrespective of sex with the age range of 40-80 years with predefined inclusion and exclusion criteria were enrolled in the study. Subjects were randomly and equally distributed in 2 groups; Group A for SICS with clear corneal incision and group B for SICS with scleral incision. Post operative visual out come was evaluated by determining visual acuity and astigmatism in different occasions and was compared between groups. Statistical analysis was done by SPSS for windows version12. Results: The highest age incidence (43.3% was found between 61 to 70 years of age group. Among study subjects 40 were male and 20 were female. Preoperative visual acuity and astigmatism were evenly distributed between groups. Regarding postoperative unaided visual outcome, 6/12 or better visual acuity was found in 19.98% cases in group A and 39.6% cases in group B at 1st week. At 6th week 6/6 vision was found in 36.3% in Group A and 56.1% in Group B and 46.2% in group A and 66% in group B without and with correction respectively. With refractive correction, 6/6 vision was attained in 60% subjects of group A and 86.67% of group B at 8th week. Post operative visual acuity was statistically significant in all occasions. Postoperative astigmatism of

Climatic-eustatic control of Holocene nearshore parasequence development, southeastern Texas coast

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Morton, Robert A.; Kindinger, Jack G.; Flocks, James G.; Stewart, Laura B.

1999-01-01

Sediment cores, seismic profiles, radiocarbon dates, and faunal assemblages were used to interpret the depositional setting and geological evolution of the southeastern Texas coast during the last glacio-eustatic cycle. Discrete lithofacies and biofacies zones in the ebb-dominated Sabine Lake estuary and adjacent chenier plain record alternating periods of rapid marine flooding and gradual shoaling related to linked climatic/eustatic fluctuations. Monospecific zones of the mollusks Rangia cuneata and Crassostrea virginica, respectively, indicate high fresh water outflow followed by invasion of marine water, whereas intervening organic-rich zones record bayhead delta deposition. High-frequency parasequence stacking patterns within the valley fill and across the adjacent interfluve reflect an initial rapid rise in sea level about 9 ka that flooded abandoned alluvial terraces and caused onlap of Holocene marsh in the incised valley. The rapid rise was followed by slowly rising and oscillating sea level that filled the deepest portions of the incised valleys with fluvially dominated estuarine deposits, and then a maximum highstand (+1 m msl) about 5 ka that flooded the former subaerial coastal plain between the incised valleys and constructed the highest beach ridges. Between 3.5 and 1.5 ka, sea level oscillated and gradually fell, causing a forced regression and rapid progradation of both the chenier plain and accretionary barrier islands. The only significant sands in the valley fill are (1) falling-stage and lowstand-fluvial sediments between the basal sequence boundary and transgressive surface unconformity, and (2) highstand beach-ridge sediments of the chenier plain.

Modified incision for maxillectomy: our experience.

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Bhavana, Kranti; Tyagi, Isha; Ramani, Mukesh Kumar

2012-06-01

Radical maxillectomy has usually been done by the classical Weber Ferguson incision since age old times and still is being used widely due to its advantage of excellent exposure and minimal scarring as the incision follows the natural skin crease. In our modification of radical maxillectomy incision we avoid a scar on the midface by performing a midface degloving and combining it with a subconjunctival eye incision thus avoiding any cosmetic deformity and associated eye complication. It also avoids the late complication of cutaneous fistula following radiotherapy to these areas and due to early healing of the wound, early radiotherapy can be started.

Penetrating and Intrastromal Corneal Arcuate Incisions in Rabbit and Human Cadaver Eyes: Manual Diamond Blade and Femtosecond Laser-Created Incisions.

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Gray, Brad; Binder, Perry S; Huang, Ling C; Hill, Jim; Salvador-Silva, Mercedes; Gwon, Arlene

2016-07-01

To compare morphologic differences between freehand diamond or femtosecond laser-assisted penetrating and intrastromal arcuate incisions. Freehand diamond blade, corneal arcuate incisions (180° apart, 60° arc lengths) and 150 kHz femtosecond laser (80% scheimpflug pachymetry depth corneal thickness) arcuate incisions were performed in rabbits. Intrastromal arcuate incisions (100 μm above Descemet's membrane, 100 μm below epithelium) were performed in rabbit corneas (energy 1.2 μJ, spot line separation 3 × 3 μm, 90° side cut angle). Eyes were examined by slit lamp and light microscopy up to 47 days post-procedure. Freehand diamond blade penetrating incisions, and femtosecond laser penetrating and intrastromal arcuate incisions (energy 1.8 μJ, spot line separation 2 × 2 μm) were performed in cadaver eyes. Optical coherence tomography was performed immediately after surgery and the corneas were fixed for light scanning and transmission electron microscopy. The rabbit model showed anterior stromal inflammation with epithelial hyperplasia in penetrating blade and laser penetrating wounds. The laser intrastromal and penetrating incisions showed localized constriction of the stromal layers of the cornea near the wound. In cadaver eyes, penetrating wound morphology was similar between blade and laser whereas intrastromal wounds did not affect the cornea above or below incisions. Penetrating femtosecond laser arcuate incisions have more predictable and controlled outcomes shown by less post-operative scarring than incisions performed with a diamond blade. Intrastromal incisions do not affect uncut corneal layers as demonstrated by histopathology. The femtosecond laser has significant advantages in its ability to make intrastromal incisions which are not achievable by traditional freehand or mechanical diamond blades.

Influence of Incision Location on Transmitter Loss, Healing, Incision Lengths, Suture Retention, and Growth of Juvenile Chinook Salmon

Energy Technology Data Exchange (ETDEWEB)

Panther, Jennifer L.; Brown, Richard S.; Gaulke, Greggory L.; Woodley, Christa M.; Deters, Katherine A.

2010-05-11

In this study, conducted by Pacific Northwest National Laboratory for the U.S. Army Corps of Engineers, Portland District, we measured differences in survival and growth, incision openness, transmitter loss, wound healing, and erythema among abdominal incisions on the linea alba, lateral and parallel to the linea alba (muscle-cutting), and following the underlying muscle fibers (muscle-sparing). A total of 936 juvenile Chinook salmon were implanted with both Juvenile Salmon Acoustic Tracking System transmitters (0.43 g dry) and passive integrated transponder tags. Fish were held at 12°C (n = 468) or 20°C (n = 468) and examined once weekly over 98 days. We found survival and growth did not differ among incision groups or between temperature treatment groups. Incisions on the linea alba had less openness than muscle-cutting and muscle-sparing incisions during the first 14 days when fish were held at 12°C or 20°C. Transmitter loss was not different among incision locations by day 28 when fish were held at 12°C or 20°C. However, incisions on the linea alba had greater transmitter loss than muscle-cutting and muscle-sparing incisions by day 98 at 12°C. Results for wound closure and erythema differed among temperature groups. Results from our study will be used to improve fish-tagging procedures for future studies using acoustic or radio transmitters.

A Late Pleistocene linear dune dam record of aeolian-fluvial dynamics at the fringes of the northwestern Negev dunefield

Science.gov (United States)

Roskin, Joel; Bookman, Revital; Friesem, David; Vardi, Jacob

2017-04-01

maintenance by smaller sand mobilization events. Wetter climates increased flood events boosting LFFD buildup rates but shortened dune dam longevity. The abundance and recurrence of water bodies in middle and large basins deteriorated after Harifian times when reduced wind power during the post-Younger Dryas constrained dune dam maintenance. Eventually, dune dam incision began as a result of overland flow after accommodation space dissipated due to LFFD accretion. Altogether, fluctuating high wind power and precipitation during a glacial-interglacial time window and high availability of fine-grained fluvial sediment yield from eroded middle to late Pleistocene upstream highlands loess mantles, combined to create a trio of aeolian-fluvial forcing factors supporting short-term but amplified dune-dammed fluvial depositional conditions.

Current Status of Single-incision Laparoscopic Surgery

DEFF Research Database (Denmark)

Ahmed, Irfan; Ciancio, Fabio; Ferrara, Vincenzo

2012-01-01

Recent advances in minimally invasive surgery have centered on reducing the number of incisions required, which has led to the development of the single-incision laparoscopic technique. A panel of European single-incision laparoscopy experts met to discuss the current status of, and the future...

Electrocautery skin incision for neurosurgery procedures--technical note.

Science.gov (United States)

Nitta, Naoki; Fukami, Tadateru; Nozaki, Kazuhiko

2011-01-01

The reluctance to incise skin with electrocautery is partly attributable to concerns about excessive scarring and poor wound healing. However, recently no difference was reported in wound complications between the cold scalpel and electrocautery scalpel. We assessed the safety and efficacy of electrocautery skin incision in 22 scalp incisions, including 4 cases of reoperation. Electrocautery skin incisions were created using a sharp needle electrode. The generator unit was set on cutting mode, with power of 6 W and 330 kHz sinusoid waveform. Subcutaneous dissections also used the sharp needle electrode, set on coagulating mode, with power of 10 W and 1 MHz pulse-modulated waveform. Galea incisions used a standard blade tip, set on coagulating mode, with power of 20 W and 1 MHz pulse-modulated waveform. Skin incision with the sharp needle electrode caused no charring of the wound. Little bleeding or oozing were observed and skin clips were not necessary. No wound complication such as necrosis or infection occurred. Electrocautery skin incisions for re-operations were also performed safely without complications. Electrocautery skin incision is sufficiently safe procedure not only for first operation but also for re-operation. Electrocautery skin incision is efficacious, especially for extended operation times, because of little blood loss from the edges of skin incision and possible avoidance of skin edge necrosis or alopecia caused by skin clips.

Comparison of the Keratometric Corneal Astigmatic Power after Phacoemulsification: Clear Temporal Corneal Incision versus Superior Scleral Tunnel Incision

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Yongqi He

2009-01-01

Full Text Available Objective. This is prospective randomized control trial to compare the mean keratometric corneal astigmatism diopter power (not surgical induced astigmatism among preop and one-month and three-month postop phacoemulcification of either a clear temporal corneal incision or a superior scleral tunnel Incision, using only keratometric astigmatic power reading to evaluate the difference between the two cataract surgery incisions. Methods. 120 patients (134 eyes underwent phacoemulcification were randomly assigned to two groups: Group A, the clear temporal corneal incision group, and Group B, the superior scleral tunnel incision group. SPSS11.5 Software was used for statistical analysis to compare the postsurgical changes of cornea astigmatism on keratometry. Results. The changes of corneal astigmatic diopter in Groups A and B after 3 month postop from keratometric reading were 1.04 + 0.76 and 0.94 + 0.27, respectively (=.84>.05, which showed no statistic significance difference. Conclusion. The incision through either temporal clear cornea or superior scleral tunnel in phacoemulcification shows no statistic difference in astigmatism change on keratometry 3-month postop.

Single scrotal incision orchiopexy - a systematic review

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Hugo Fabiano Fernandes Novaes

2013-06-01

Full Text Available Objective To conduct a systematic review on single scrotal incision orchiopexy. Materials and Methods A search was performed using Pubmed, through which 16 articles were selected out of a total of 133. The following conditions were considered exclusion criteria: other surgical methods such as an inguinal procedure or a laparoscopic approach, retractile testes, or patients with previous testicular or inguinal surgery. Results A total of 1558 orchiopexy surgeries initiated with a transcrotal incision were analyzed. Patients' ages ranged between 5 months and 21 years. Thirteen studies used high scrotal incisions, and low scrotal incisions were performed in the remainder of the studies. In 55 cases (3.53%, there was a need for inguinal incision. Recurrence was observed in 9 cases, testicular atrophy in 3, testicular hypotrophy in 2, and surgical site infections in 13 cases. High efficacy rates were observed, varying between 88% and 100%. Conclusions Single scrotal incision orchiopexy proved to be an effective technique and is associated with low rates of complications.

Flexible single-incision surgery: a fusion technique.

Science.gov (United States)

Noguera, José F; Dolz, Carlos; Cuadrado, Angel; Olea, José; García, Juan

2013-06-01

The development of natural orifice transluminal endoscopic surgery has led to other techniques, such as single-incision surgery. The use of the flexible endoscope for single-incision surgery paves the way for further refinement of both surgical methods. To describe a new, single-incision surgical technique, namely, flexible single-incision surgery. Assessment of the safety and effectiveness of endoscopic cholecystectomy in a series of 30 patients. This technique consists of a single umbilical incision through which a flexible endoscope is introduced and consists of 2 parallel entry ports that provide access to nonarticulated laparoscopic instruments. The technique was applied in all patients for whom it was prescribed. No general or surgical wound complications were noted. Surgical time was no longer than usual for single-port surgery. Flexible single-incision surgery is a new single-site surgical technique offering the same level of patient safety, with additional advantages for the surgeon at minimal cost.

Rapid post-seismic landslide evacuation boosted by dynamic river width

Science.gov (United States)

Croissant, Thomas; Lague, Dimitri; Steer, Philippe; Davy, Philippe

2017-09-01

Mass wasting caused by large-magnitude earthquakes chokes mountain rivers with several cubic kilometres of sediment. The timescale and mechanisms by which rivers evacuate small to gigantic landslide deposits are poorly known, but are critical for predicting post-seismic geomorphic hazards, interpreting the signature of earthquakes in sedimentary archives and deciphering the coupling between erosion and tectonics. Here, we use a new 2D hydro-sedimentary evolution model to demonstrate that river self-organization into a narrower alluvial channel overlying the bedrock valley dramatically increases sediment transport capacity and reduces export time of gigantic landslides by orders of magnitude compared with existing theory. Predicted export times obey a universal non-linear relationship of landslide volume and pre-landslide valley transport capacity. Upscaling these results to realistic populations of landslides shows that removing half of the total coarse sediment volume introduced by large earthquakes in the fluvial network would typically take 5 to 25 years in various tectonically active mountain belts, with little impact of earthquake magnitude and climate. Dynamic alluvial channel narrowing is therefore a key, previously unrecognized mechanism by which mountain rivers rapidly digest extreme events and maintain their capacity to incise uplifted rocks.

A History of Pebbles and Silt – Fluvial Sediment Transport, Hydropower and Technical Expertise at the Austrian Danube and its Tributaries

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Schoder Angelika

2016-08-01

Full Text Available The paper investigates experts’ perceptions of hydropower, sediment regime, and their interaction in the 20th century with an environmental historical approach, based on various case studies at both the Danube River and one of its tributaries, and on a review of contemporary literature authored by engineers. Results show that questions of sediment continuity have engaged planners of hydropower plants since the advent of this technology, and decisions were at any time influenced by multiple interests (navigation, electricity demand, nature conservation. In such an intricate fluvial landscape, phenomena like reservoir sedimentation and riverbed incision can be approached as “legacies” of past technical interventions, which limit the options of current and future river management.

European Hernia Society guidelines on the closure of abdominal wall incisions

DEFF Research Database (Denmark)

Muysoms, F E; Antoniou, S A; Bury, K

2015-01-01

using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach and methodological guidance was taken from Scottish Intercollegiate Guidelines Network (SIGN). The literature search included publications up to April 2014. The guidelines were written using the AGREE II...... of rapidly absorbable sutures. It is suggested using a slowly absorbable monofilament suture in a single layer aponeurotic closure technique without separate closure of the peritoneum. A small bites technique with a suture to wound length (SL/WL) ratio at least 4/1 is the current recommended method......, it is suggested using the smallest trocar size adequate for the procedure and closure of the fascial defect if trocars larger or equal to 10 mm are used. For single incision laparoscopic surgery, we suggest meticulous closure of the fascial incision to avoid an increased risk of incisional hernias....

Fluvial geomorphology on Earth-like planetary surfaces: A review.

Science.gov (United States)

Baker, Victor R; Hamilton, Christopher W; Burr, Devon M; Gulick, Virginia C; Komatsu, Goro; Luo, Wei; Rice, James W; Rodriguez, J A P

2015-09-15

Morphological evidence for ancient channelized flows (fluvial and fluvial-like landforms) exists on the surfaces of all of the inner planets and on some of the satellites of the Solar System. In some cases, the relevant fluid flows are related to a planetary evolution that involves the global cycling of a volatile component (water for Earth and Mars; methane for Saturn's moon Titan). In other cases, as on Mercury, Venus, Earth's moon, and Jupiter's moon Io, the flows were of highly fluid lava. The discovery, in 1972, of what are now known to be fluvial channels and valleys on Mars sparked a major controversy over the role of water in shaping the surface of that planet. The recognition of the fluvial character of these features has opened unresolved fundamental questions about the geological history of water on Mars, including the presence of an ancient ocean and the operation of a hydrological cycle during the earliest phases of planetary history. Other fundamental questions posed by fluvial and fluvial-like features on planetary bodies include the possible erosive action of large-scale outpourings of very fluid lavas, such as those that may have produced the remarkable canali forms on Venus; the ability of exotic fluids, such as methane, to create fluvial-like landforms, as observed on Saturn's moon, Titan; and the nature of sedimentation and erosion under different conditions of planetary surface gravity. Planetary fluvial geomorphology also illustrates fundamental epistemological and methodological issues, including the role of analogy in geomorphological/geological inquiry.

Titan's fluvial valleys: Morphology, distribution, and spectral properties

Science.gov (United States)

Langhans, M.H.; Jaumann, R.; Stephan, K.; Brown, R.H.; Buratti, B.J.; Clark, R.N.; Baines, K.H.; Nicholson, P.D.; Lorenz, R.D.; Soderblom, L.A.; Soderblom, J.M.; Sotin, Christophe; Barnes, J.W.; Nelson, R.

2012-01-01

Titan's fluvial channels have been investigated based on data obtained by the Synthetic Aperture Radar (SAR) instrument and the Visible and Infrared Mapping Spectrometer (VIMS) onboard the Cassini spacecraft. In this paper, a database of fluvial features is created based on radar-SAR data aiming to unveil the distribution and the morphologic and spectral characteristics of valleys on Titan on a global scale. It will also study the spatial relations between fluvial valleys and Titan's geologic units and spectral surface units which have become accessible thanks to Cassini-VIMS data. Several distinct morphologic types of fluvial valleys can be discerned by SAR-images. Dendritic valley networks appear to have much in common with terrestrial dendritic systems owing to a hierarchical and tree-shaped arrangement of the tributaries which is indicative of an origin from precipitation. Dry valleys constitute another class of valleys resembling terrestrial wadis, an indication of episodic and strong flow events. Other valley types, such as putative canyons, cannot be correlated with rainfall based on their morphology alone, since it cannot be ruled out that they may have originated from volcanic/tectonic action or groundwater sapping. Highly developed and complex fluvial networks with channel lengths of up to 1200 km and widths of up to 10 km are concentrated only at a few locations whereas single valleys are scattered over all latitudes. Fluvial valleys are frequently found in mountainous areas. Some terrains, such as equatorial dune fields and undifferentiated plains at mid-latitudes, are almost entirely free of valleys. Spectrally, fluvial terrains are often characterized by a high reflectance in each of Titan's atmospheric windows, as most of them are located on Titan's bright 'continents'. Nevertheless, valleys are spatially associated with a surface unit appearing blue due to its higher reflection at 1.3??m in a VIMS false color RGB composite with R: 1.59/1.27??m, G: 2

Degradation of the Mitchell River fluvial megafan by alluvial gully erosion increased by post-European land use change, Queensland, Australia

Science.gov (United States)

Shellberg, J. G.; Spencer, J.; Brooks, A. P.; Pietsch, T. J.

2016-08-01

Along low gradient rivers in northern Australia, there is widespread gully erosion into unconfined alluvial deposits of active and inactive floodplains. On the Mitchell River fluvial megafan in northern Queensland, river incision and fan-head trenching into Pleistocene and Holocene megafan units with sodic soils created the potential energy for a secondary cycle of erosion. In this study, rates of alluvial gully erosion into incipiently-unstable channel banks and/or pre-existing floodplain features were quantified to assess the influence of land use change following European settlement. Alluvial gully scarp retreat rates were quantified at 18 sites across the megafan using recent GPS surveys and historic air photos, demonstrating rapid increases in gully area of 1.2 to 10 times their 1949 values. Extrapolation of gully area growth trends backward in time suggested that the current widespread phase of gullying initiated between 1880 and 1950, which is post-European settlement. This is supported by young optically stimulated luminescence (OSL) dates of gully inset-floodplain deposits, LiDAR terrain analysis, historic explorer accounts of earlier gully types, and archival records of cattle numbers and land management. It is deduced that intense cattle grazing and associated disturbance concentrated in the riparian zones during the dry season promoted gully erosion in the wet season along steep banks, adjacent floodplain hollows and precursor gullies. This is a result of reduced native grass cover, increased physical disturbance of soils, and the concentration of water runoff along cattle tracks, in addition to fire regime modifications, episodic drought, and the establishment of exotic weed and grass species. Geomorphic processes operating over geologic time across the fluvial megafan predisposed the landscape to being pushed by land used change across an intrinsically close geomorphic threshold towards instability. The evolution of these alluvial gullies is discussed

Vertical compared with transverse incisions in abdominal surgery

DEFF Research Database (Denmark)

Grantcharov, T P; Rosenberg, J

2001-01-01

, and late complications (incisional hernia). RESULTS: Eleven randomised controlled trials and seven retrospective studies were identified. The transverse incision offers as good an access to most intra-abdominal structures as a vertical incision. The transverse incision results in significantly less......OBJECTIVE: To reach an evidence-based consensus on the relative merits of vertical and transverse laparotomy incisions. DESIGN: Review of all published randomised controlled trials that compared the postoperative complications after the two main types of abdominal incisions, vertical and transverse....... SETTING: Teaching hospital, Denmark. SUBJECTS: Patients undergoing open abdominal operations. INTERVENTIONS: For some of the variables (burst abdomen and incisional hernia) it was considered adequate to include retrospective studies. Studies were identified through Medline, Cochrane library, Embase...

Vision for a worldwide fluvial-sediment information network

Science.gov (United States)

Gray, J.R.; Osterkamp, W.R.

2007-01-01

The nations of the world suffer both from the deleterious effects of some natural and human-altered fluxes of fluvial sediment and a lack of consistent and reliable information on the temporal and spatial occurrence of fluvial sediments. Decades ago, this difficulty was unavoidable due to a lack of understanding of the magnitude and scope of environmental influences exerted by fluvial sediment coupled with a dearth of tools for monitoring and studying the data. Such is no longer the case.

Two-Step Incision for Periarterial Sympathectomy of the Hand

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Seung Bae Jeon

2015-11-01

Full Text Available BackgroundSurgical scars on the palmar surface of the hand may lead to functional and also aesthetic and psychological consequences. The objective of this study was to introduce a new incision technique for periarterial sympathectomy of the hand and to compare the results of the new two-step incision technique with those of a Koman incision by using an objective questionnaire.MethodsA total of 40 patients (17 men and 23 women with intractable Raynaud's disease or syndrome underwent surgery in our hospital, conducted by a single surgeon, between January 2008 and January 2013. Patients who had undergone extended sympathectomy or vessel graft were excluded. Clinical evaluation of postoperative scars was performed in both groups one year after surgery using the patient and observer scar assessment scale (POSAS and the Wake Forest University rating scale.ResultsThe total patient score was 8.59 (range, 6-15 in the two-step incision group and 9.62 (range, 7-18 in the Koman incision group. A significant difference was found between the groups in the total PS score (P-value=0.034 but not in the total observer score. Our analysis found no significant difference in preoperative and postoperative Wake Forest University rating scale scores between the two-step and Koman incision groups. The time required for recovery prior to returning to work after surgery was shorter in the two-step incision group, with a mean of 29.48 days in the two-step incision group and 34.15 days in the Koman incision group (P=0.03.ConclusionsCompared to the Koman incision, the new two-step incision technique provides better aesthetic results, similar symptom improvement, and a reduction in the recovery time required before returning to work. Furthermore, this incision allows the surgeon to access a wide surgical field and a sufficient exposure of anatomical structures.

Liquid in the major incision

International Nuclear Information System (INIS)

Herrera Jaramillo, Diego Alberto; Ortega Jaramillo, Hector

2003-01-01

We present the case of a patient with spill pleural extending in the left major incision. In the chest thorax PA, we could observe one of the complex radiographic appearances that take the reconfiguration of fluid in this localization, being this appearance dependent of the patient's position. Some points are also discussed on the anatomy of the major incisions and some of their radiographic characteristics

Effects of post-treatment incubation on recombinogenesis in incision-proficient and incision-deficient strains of saccharomyces cerevisiae, 2

International Nuclear Information System (INIS)

Saeki, Tetsuya; Machida, Isamu

1991-01-01

After the photoaddition of mono- and bifunctional furocoumarins to G1 phase cells, most gene conversion and crossing-over occurred without post-irradiation incubation of these cells in incision-proficient strains. In contrast, incision-deficient cells showed marked induction of both recombinational events only after treated cells had been incubated for several hours before selection. These results indicate that when furocoumarins are photoadded to G1 cells, initiation of recombinational events occurs during the same G1 phase in the incision-proficient cells; whereas, it occurs only after post-irradiation DNA replication in incision-deficient cells. The action of the PSO2 gene product specific for the repair of DNA crosslinks in recombination induction is discussed and compared to the actions of the excision repair genes RAD1 and RAD2. (author)

Large-scale coastal and fluvial models constrain the late Holocene evolution of the Ebro Delta

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J. H. Nienhuis

2017-09-01

Full Text Available The distinctive plan-view shape of the Ebro Delta coast reveals a rich morphologic history. The degree to which the form and depositional history of the Ebro and other deltas represent autogenic (internal dynamics or allogenic (external forcing remains a prominent challenge for paleo-environmental reconstructions. Here we use simple coastal and fluvial morphodynamic models to quantify paleo-environmental changes affecting the Ebro Delta over the late Holocene. Our findings show that these models are able to broadly reproduce the Ebro Delta morphology, with simple fluvial and wave climate histories. Based on numerical model experiments and the preserved and modern shape of the Ebro Delta plain, we estimate that a phase of rapid shoreline progradation began approximately 2100 years BP, requiring approximately a doubling in coarse-grained fluvial sediment supply to the delta. River profile simulations suggest that an instantaneous and sustained increase in coarse-grained sediment supply to the delta requires a combined increase in both flood discharge and sediment supply from the drainage basin. The persistence of rapid delta progradation throughout the last 2100 years suggests an anthropogenic control on sediment supply and flood intensity. Using proxy records of the North Atlantic Oscillation, we do not find evidence that changes in wave climate aided this delta expansion. Our findings highlight how scenario-based investigations of deltaic systems using simple models can assist first-order quantitative paleo-environmental reconstructions, elucidating the effects of past human influence and climate change, and allowing a better understanding of the future of deltaic landforms.

DNA Methylation Modulates Nociceptive Sensitization after Incision.

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Yuan Sun

Full Text Available DNA methylation is a key epigenetic mechanism controlling DNA accessibility and gene expression. Blockade of DNA methylation can significantly affect pain behaviors implicated in neuropathic and inflammatory pain. However, the role of DNA methylation with regard to postoperative pain has not yet been explored. In this study we sought to investigate the role of DNA methylation in modulating incisional pain and identify possible targets under DNA methylation and contributing to incisional pain. DNA methyltranferase (DNMT inhibitor 5-Aza-2'-deoxycytidine significantly reduced incision-induced mechanical allodynia and thermal sensitivity. Aza-2'-deoxycytidine also reduced hindpaw swelling after incision, suggesting an anti-inflammatory effect. Global DNA methylation and DNMT3b expression were increased in skin after incision, but none of DNMT1, DNMT3a or DNMT3b was altered in spinal cord or DRG. The expression of proopiomelanocortin Pomc encoding β-endorphin and Oprm1 encoding the mu-opioid receptor were upregulated peripherally after incision; moreover, Oprm1 expression was further increased under DNMT inhibitor treatment. Finally, local peripheral injection of the opioid receptor antagonist naloxone significantly exacerbated incision-induced mechanical hypersensitivity. These results suggest that DNA methylation is functionally relevant to incisional nociceptive sensitization, and that mu-opioid receptor signaling might be one methylation regulated pathway controlling sensitization after incision.

Unraveling the Quaternary river incision in the Moselle valley (Rhenish Massif, Germany): new insights from cosmogenic nuclide dating (10Be/26Al) of the Main Terrace complex

Science.gov (United States)

Rixhon, Gilles; Cordier, Stéphane; Harmand, Dominique; May, Simon Matthias; Kelterbaum, Daniel; Dunai, Tibor; Binnie, Steven; Brückner, Helmut

2014-05-01

Throughout the whole river network of the Rhenish Massif, the terrace complex of the so-called Main Terrace forms the morphological transition between a wide upper palaeovalley (plateau valley) and a deeply incised lower valley. The youngest level of this Main Terrace complex (YMT), directly located at the edge of the incised valley, represents a dominant geomorphic feature in the terrace flight; it is often used as a reference level to identify the start of the main middle Pleistocene incision episode (Demoulin & Hallot, 2009). The latter probably reflects the major tectonic pulse that affected the whole Massif and was related to an acceleration of the uplift rates (Demoulin & Hallot, 2009). The Main terraces are particularly well preserved in the lower Moselle valley and are characterized by a constant absolute elevation of their base along a 150 km-long reach. Despite that various hypotheses have been proposed to explain this horizontality (updoming, faulting...), all studies assumed an age of ca. 800 ka for the YMT, mainly based on the questionable extrapolation of palaeomagnetic data obtained in the Rhine valley. Therefore, a reliable chronological framework is still required to unravel the spatio-temporal characteristics of the Pleistocene evolution of the Moselle valley. In this study, we apply cosmogenic nuclide dating (10Be/26Al) to fluvial sediments pertaining to the Main Terrace complex or to the upper Middle Terraces. Several sites along the lower Moselle were sampled following two distinct sampling strategies: (i) depth profiles where the original terrace (palaeo-)surface is well preserved and did not experience much postdepositional burial (e.g., loess cover); and (ii) the isochron technique where the sediment thickness exceeds 3 m. Cosmogenic nuclide ages recently obtained for three rivers in the Meuse catchment in the western Rhenish Massif demonstrated that the Main Terraces were younger than expected and their abandonment was diachronic along the

Morphodynamic Model of Submarine Canyon Incision by Sandblasting

Science.gov (United States)

Zhang, L.; Parker, G.; Izumi, N.; Cartigny, M.; Li, T.; Wang, G.

2017-12-01

Submarine canyons are carved by turbidity currents under the deep sea. As opposed to subaerial canyons, the relevant processes are not easy to observe directly. Turbidity currents are bottom-hugging sediment gravity flows of that can incise or deposit on the seafloor to create submarine canyons or fans. The triggers of turbidity currents can be storms, edge waves, internal waves, canyon wall sapping, delta failure, breaching and hyperpycnal flows. The formation and evolution mechanisms of submarine canyons are similar to those of subaerial canyons, but have substantial differences. For example, sandblasting, rather than wear due to colliding gravel clasts is more likely to be the mechanism of bedrock incision. Submarine canyons incise downward, and often develop meander bends and levees within the canyon, so defining "fairways". Here we propose a simple model for canyon incision. The starting point of our model is the Macro Roughness Saltation Abrasion Alluviation model of Zhang et al. [2015], designed for bedrock incision by gravel clasts in mixed bedrock-alluvial rivers. We adapt this formulation to consider sandblasting as a means of wear. We use a layer-averaged model for turbidity current dynamics. The current contains a mixture of mud, which helps drive the flow but which does not cause incision, and sand, which is the agent of incision. We show that the model can successfully model channel downcutting, and indeed illustrate the early formation of net incisional cyclic steps, i.e. upstream-migrating undulations on the bed associated with transcritical (in the Froude sense) flow. These steps can be expected to abet the process of incision.

Primary closure of equine laryngotomy incisions

DEFF Research Database (Denmark)

Lindegaard, C.; Karlsson, L.; Ekstrøm, Claus Thorn

2016-01-01

incision between January 1995 and June 2012 were reviewed. Horses with a laryngotomy incision closed in three layers for primary healing were included. Descriptive data on healing characteristics and complications of laryngotomy wounds were collected from the medical records and via follow......The objective was to report healing characteristics and complications after primary closure of equine laryngotomies and analyse factors potentially associated with complications. This retrospective case series of the medical records of horses (n = 180) undergoing laryngoplasty and laryngotomy...... after primary closure of equine laryngotomy incisions are infrequent and considered of minimal severity and can be performed safely when paying careful attention to the closure of the cricothyroid membrane....

A fluvial mercury budget for Lake Ontario.

Science.gov (United States)

Denkenberger, Joseph S; Driscoll, Charles T; Mason, Edward; Branfireun, Brian; Warnock, Ashley

2014-06-03

Watershed mercury (Hg) flux was calculated for ten inflowing rivers and the outlet for Lake Ontario using empirical measurements from two independent field-sampling programs. Total Hg (THg) flux for nine study watersheds that directly drain into the lake ranged from 0.2 kg/yr to 13 kg/yr, with the dominant fluvial THg load from the Niagara River at 154 kg/yr. THg loss at the outlet (St. Lawrence River) was 68 kg/yr and has declined approximately 40% over the past decade. Fluvial Hg inputs largely (62%) occur in the dissolved fraction and are similar to estimates of atmospheric Hg inputs. Fluvial mass balances suggest strong in-lake retention of particulate Hg inputs (99%), compared to dissolved total Hg (45%) and methyl Hg (22%) fractions. Wetland land cover is a good predictor of methyl Hg yield for Lake Ontario watersheds. Sediment deposition studies, coupled atmospheric and fluvial Hg fluxes, and a comparison of this work with previous measurements indicate that Lake Ontario is a net sink of Hg inputs and not at steady state likely because of recent decreases in point source inputs and atmospheric Hg deposition.

Mini transverse versus longitudinal incision in carpal tunnel syndrome

International Nuclear Information System (INIS)

Korkmaz, M.; Cepoglu, M.C.

2013-01-01

Objective: To evaluate the effectiveness of mini-transverse compared with mini-longitudinal incision for carpal tunnel release (CTR) with reference to postoperative functional capacity, symptom severity and complication rate. Study Design: Analytical study. Place and Duration of Study: Cumhuriyet University Medical Faculty, Department of Orthopaedics, Tokat State Hospital, Department of Orthopaedics and Medical Park Tokat Hospital, Department of Neurosurgery, from January 2007 to January 2009. Methodology: This study included 93 hands of 79 patients with carpal tunnel syndrome (CTS), which were operated between 2007 and 2009. Patients were divided according to incision types into Group-1 (undergoing mini-longitudinal incision) and Group-2 (undergoing mini-transverse incision). Patients were evaluated initially and at 3 weeks after treatment according to symptom severity and functional status of Boston Questionnaire (BQ). Demographic and clinical data were analyzed and compared statistically between two groups. Results: Statistically significant differences were observed in BQ symptom and functional scores between the pre- and postoperative period (p < 0.0001). BQ symptom and functional scores at postoperative period were better in Group-1 than Group-2 (p = 0.044 and p = 0.023 respectively). The scar hypersensitivity (p = 0.258) and tenderness (p = 1.00) associated with the incision sites were not statistically different. Conclusion: Longitudinal incision is more effective on symptom and functional conditions than transverse incision. However, there was less scar formation with transverse incision. (author)

Beaver ponds' impact on fluvial processes (Beskid Niski Mts., SE Poland).

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Giriat, Dorota; Gorczyca, Elżbieta; Sobucki, Mateusz

2016-02-15

Beaver (Castor sp.) can change the riverine environment through dam-building and other activities. The European beaver (Castor fiber) was extirpated in Poland by the nineteenth century, but populations are again present as a result of reintroductions that began in 1974. The goal of this paper is to assess the impact of beaver activity on montane fluvial system development by identifying and analysing changes in channel and valley morphology following expansion of beaver into a 7.5 km-long headwater reach of the upper Wisłoka River in southeast Poland. We document the distribution of beaver in the reach, the change in river profile, sedimentation type and storage in beaver ponds, and assess how beaver dams and ponds have altered channel and valley bottom morphology. The upper Wisłoka River fluvial system underwent a series of anthropogenic disturbances during the last few centuries. The rapid spread of C. fiber in the upper Wisłoka River valley was promoted by the valley's morphology, including a low-gradient channel and silty-sand deposits in the valley bottom. At the time of our survey (2011), beaver ponds occupied 17% of the length of the study reach channel. Two types of beaver dams were noted: in-channel dams and valley-wide dams. The primary effect of dams, investigated in an intensively studied 300-m long subreach (Radocyna Pond), was a change in the longitudinal profile from smooth to stepped, a local reduction of the water surface slope, and an increase in the variability of both the thalweg profile and surface water depths. We estimate the current rate of sedimentation in beaver ponds to be about 14 cm per year. A three-stage scheme of fluvial processes in the longitudinal and transverse profile of the river channel is proposed. C. fiber reintroduction may be considered as another important stage of the upper Wisłoka fluvial system development. Copyright © 2015 Elsevier B.V. All rights reserved.

Single Incision Laparoscopic Splenectomy: Our First Experiences

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Umut Barbaros

2011-06-01

Full Text Available Objective: Most laparoscopic surgeons have attempted to reduce incisional morbidity and improve cosmetic outcomes by using less and smaller trocars. Single incision laparoscopic splenectomy is a new laparoscopic procedure. Herein we would like to present our experiences.Material and Methods: Between January 2009 and June 2009, data of the 7 patients who underwent single incision laparoscopic splenectomy were evaluated retrospectively.Results: There were 7 patients (5 females and 2 males with a mean age of 29.9 years. The most common splenectomy indication was idiopathic thrombocytopenic purpura. Single incision laparoscopic splenectomy was performed successfully in 6 patients. In one patient the operation was converted to an open procedure.Conclusion: With surgeons experienced in minimally invasive surgery, single incision laparoscopic splenectomy could be performed successfully. However, in order to demonstrate the differneces between standard laparoscopic splenectomy and SILS splenetomy, prospective randomized comparative studies are required.

River profile response to normal fault growth and linkage: an example from the Hellenic forearc of south-central Crete, Greece

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Gallen, Sean F.; Wegmann, Karl W.

2017-02-01

Topography is a reflection of the tectonic and geodynamic processes that act to uplift the Earth's surface and the erosional processes that work to return it to base level. Numerous studies have shown that topography is a sensitive recorder of tectonic signals. A quasi-physical understanding of the relationship between river incision and rock uplift has made the analysis of fluvial topography a popular technique for deciphering relative, and some argue absolute, histories of rock uplift. Here we present results from a study of the fluvial topography from south-central Crete, demonstrating that river longitudinal profiles indeed record the relative history of uplift, but several other processes make it difficult to recover quantitative uplift histories. Prior research demonstrates that the south-central coastline of Crete is bound by a large ( ˜ 100 km long) E-W striking composite normal fault system. Marine terraces reveal that it is uplifting between 0.1 and 1.0 mm yr-1. These studies suggest that two normal fault systems, the offshore Ptolemy and onshore South-Central Crete faults, linked together in the recent geologic past (ca. 0.4-1 My BP). Fault mechanics predict that when adjacent faults link into a single fault the uplift rate in footwalls of the linkage zone will increase rapidly. We use this natural experiment to assess the response of river profiles to a temporal jump in uplift rate and to assess the applicability of the stream power incision model to this setting. Using river profile analysis we show that rivers in south-central Crete record the relative uplift history of fault growth and linkage as theory predicts that they should. Calibration of the commonly used stream power incision model shows that the slope exponent, n, is ˜ 0.5, contrary to most studies that find n ≥ 1. Analysis of fluvial knickpoints shows that migration distances are not proportional to upstream contributing drainage area, as predicted by the stream power incision model

Slip slidin' away: A post-glacial environmental history of the Waipaoa River basin

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Gomez, Basil; Rosser, Brenda J.

2018-04-01

The dramatic changes that occurred to the post-glacial landscape in the headwaters of the Waipaoa River basin are a consequence of perturbations about the equilibrium that exists between the rate of tectonic uplift and fluvial incision. At times when the amount of coarse sediment delivered to channels exceeds the capacity of streams to remove it, the channel bed rises at the rate of tectonic uplift. Once bedload overcapacity is replaced by undercapacity and the alluvial cover is depleted, streams reestablish contact with bedrock and recuperate the time lost to fluvial incision. The first major perturbation occurred during the final phase of the last glaciation (ca. 33-17.5 cal. ka), when aggradation was driven by a climate-forced variation in the relative supplies of sediment and water. We suggest that the subsequent transformation of channels in the headwaters of the Waipaoa River basin, from alluvial to bedrock, occurred as the atmospheric and oceanic circulation converged on their contemporary patterns ca. 12 cal. ka. A second major perturbation that continues to the present began ca. 1910-1912 CE, when a massive increase in sediment load was accompanied by a modest increase in water discharge after the native vegetation cover in the headwaters was replaced by pasture. The processes of terrace creation and incision are inherently unsteady, and in five interim cases incision was arrested by a transient increase in the thickness of the alluvial cover that was a response to climatic forcing. Events that disrupted the native vegetation cover in the headwaters also modulated patterns of sediment dispersal and accumulation in other parts of the fluvial system and caused rapid, storm-driven infilling of the Poverty Bay Flats. Tectonic subsidence dictates the course of the Waipaoa River across Poverty Bay Flats which, because the modern rate of floodplain construction by vertical accretion is rapid relative to the amount of destruction by lateral channel migration, has

Incisiones verticales en SARPE Vertical incisions in SARPE

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J. Gonzalez Lagunas

2005-06-01

Full Text Available La expansión rápida de paladar asistida quirúrgicamente (SARPE es una de las opciones terapeuticas de los transtornos transversales del maxilar superior. Presentamos nuestra experiencia inicial con una variante técnica consistente en una corticotomía de la pared lateral del maxilar combinada con una osteotomía palatina media transincisal, y efectuadas a través de tres pequeñas incisiones verticales.Surgically assisted rapid palatal expansion (SARPE is one of the therapeutic options for the correction of transverse maxillary collapse. We present our initial experience with a technique consisting in a lateral corticotomy of the maxilla plus a transincisal midpalatal osteotomy, both performed through minimal vertical incisions.

High-power diode laser in the circumvestibular incision for Le Fort I osteotomy in orthognathic surgery: a prospective case series study.

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Jaeger, Filipe; Chiavaioli, Gustavo Marques; de Toledo, Guilherme Lacerda; Freire-Maia, Belini; Amaral, Marcio Bruno Figueiredo; Mesquita, Ricardo Alves

2018-01-01

The incisions during orthognathic surgery are classically performed with conventional scalpel or electrocautery. Considering that the high-power diode laser surgery may provide advantages when compared to conventional incision techniques, the current study aimed to present a prospective case series of patients submitted to circumvestibular incision for Le Fort I osteotomy. Ten patients with dentofacial deformities who underwent to rapid assisted maxillary expansion or bimaxillary orthognathic surgery were enrolled in the study. All incisions were performed by a single surgeon using an 808-nm diode laser, with an optical fiber of 600 μm, at a power of 2.5 W, in a continuous-wave mode. The performance of the incision was evaluated by incision velocity, bleeding, edema, secondary infection, clinical healing, and pain. The velocity of the incision ranged from 0.10 to 0.20 mm/s (mean 0.13 ± 0.03 mm/s). Considering bleeding during the soft tissue incision, all surgeries were classified as absent bleeding. All patients presented a clinical healing of the surgical wound in a period that range from 3 to 5 weeks and experienced swelling during the follow-up period. On average, approximately 50% of the swelling had resolved after the third postoperative week, and 28.8% of swelling remained after 2 months after the surgery. The pain decreased after 2 and 3 days, and 90.0% of the patients reported no pain after 7 postoperative days. High-power diode laser is effective and safety during circumvestibular incisions for Le Fort I osteotomy in orthognathic surgery decreasing bleeding, surgery time, pain, and edema after orthognathic surgery.

Lifespan of mountain ranges scaled by feedbacks between landsliding and erosion by rivers.

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Egholm, David L; Knudsen, Mads F; Sandiford, Mike

2013-06-27

An important challenge in geomorphology is the reconciliation of the high fluvial incision rates observed in tectonically active mountain ranges with the long-term preservation of significant mountain-range relief in ancient, tectonically inactive orogenic belts. River bedrock erosion and sediment transport are widely recognized to be the principal controls on the lifespan of mountain ranges. But the factors controlling the rate of erosion and the reasons why they seem to vary significantly as a function of tectonic activity remain controversial. Here we use computational simulations to show that the key to understanding variations in the rate of erosion between tectonically active and inactive mountain ranges may relate to a bidirectional coupling between bedrock river incision and landslides. Whereas fluvial incision steepens surrounding hillslopes and increases landslide frequency, landsliding affects fluvial erosion rates in two fundamentally distinct ways. On the one hand, large landslides overwhelm the river transport capacity and cause upstream build up of sediment that protects the river bed from further erosion. On the other hand, in delivering abrasive agents to the streams, landslides help accelerate fluvial erosion. Our models illustrate how this coupling has fundamentally different implications for rates of fluvial incision in active and inactive mountain ranges. The coupling therefore provides a plausible physical explanation for the preservation of significant mountain-range relief in old orogenic belts, up to several hundred million years after tectonic activity has effectively ceased.

Temporal correlation of fluvial and alluvial sequences in the Makran Range, SE-Iran

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Kober, F.; Zeilinger, G.; Ivy-Ochs, S.; Dolati, A.; Smit, J.; Burg, J.-P.; Bahroudi, A.; Kubik, P. W.; Baur, H.; Wieler, R.; Haghipour, N.

2009-04-01

fluvial sequences to coastal terraces and wave-cut platforms is problematic due to ambiguous ages and obscured stratigraphic linkage. Our data suggest that events of terrace formation are roughly coeval between basins, but do not indicate a distinct climate forcing, though there is some tendency that terraces were formed during interglacial periods. Preliminary incision rates derived from strath terraces are on the order of 0.1-3 mm/yr with non-steady intervals. This in turn is well in the range of uplift rates deduced from coastal terraces. Further investigations are on the way, especially resolving complex exposure histories based on combining cosmogenic radionuclides and 21Ne.

Incisive canal deflation for correct implant placement: case report.

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Spin-Neto, Rubens; Bedran, Telma Blanca Lombardo; de Paula, Wagner Nunes; de Freitas, Rubens Moreno; de Oliveira Ramalho, Lizeti Toledo; Marcantonio, Elcio

2009-12-01

This article is a case report of a patient in whom the prosthetic planning indicated the necessity of an incisive canal deflation for the correct installation of an implant that is to be osseointegrated. In the reopening phase after the bone graft installation, the incisive canal deflation (biopsy of its content) was done and titanium implants were installed with one of them invading the anatomical space occupied previously by the incisive canal. The biopsy analysis showed fragments of the incisive artery and nerve, which are responsible for the anterior upper-tooth pulp, the periodontium vascularization and the innervation. From the anastomosis present along with other structures allied with the absence of teeth in the region, there was no detriment to the patient caused by the deflation. Incisive canal deflation is a viable technique in implantology. It can permit ideal prosthetic planning with no detriment to the patient.

Field migration rates of tidal meanders recapitulate fluvial morphodynamics

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Finotello, Alvise; Lanzoni, Stefano; Ghinassi, Massimiliano; Marani, Marco; Rinaldo, Andrea; D'Alpaos, Andrea

2018-02-01

The majority of tidal channels display marked meandering features. Despite their importance in oil-reservoir formation and tidal landscape morphology, questions remain on whether tidal-meander dynamics could be understood in terms of fluvial processes and theory. Key differences suggest otherwise, like the periodic reversal of landscape-forming tidal flows and the widely accepted empirical notion that tidal meanders are stable landscape features, in stark contrast with their migrating fluvial counterparts. On the contrary, here we show that, once properly normalized, observed migration rates of tidal and fluvial meanders are remarkably similar. Key to normalization is the role of tidal channel width that responds to the strong spatial gradients of landscape-forming flow rates and tidal prisms. We find that migration dynamics of tidal meanders agree with nonlinear theories for river meander evolution. Our results challenge the conventional view of tidal channels as stable landscape features and suggest that meandering tidal channels recapitulate many fluvial counterparts owing to large gradients of tidal prisms across meander wavelengths.

Rapid anthropogenic response to short-term aeolian-fluvial palaeoenvironmental changes during the Late Pleistocene-Holocene transition in the northern Negev Desert, Israel

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Roskin, Joel; Katra, Itzhak; Agha, Nuha; Goring-Morris, A. Nigel; Porat, Naomi; Barzilai, Omry

2014-09-01

Archaeological investigations along Nahal Sekher on the eastern edge of Israel's northwestern Negev Desert dunefield revealed concentrations of Epipalaeolithic campsites associated respectively with ancient water bodies. This study, aimed at better understanding the connections between these camps and the water bodies, is concerned with a cluster of Natufian sites. A comprehensive geomorphological study integrating field mapping, stratigraphic sections, sedimentological analysis and optically stimulated luminescence (OSL) ages was conducted in the vicinity of a recently excavated Natufian campsite of Nahal Sekher VI whose artifacts directly overlay aeolian sand dated by OSL to 12.4 ± 0.7 and 11.7 ± 0.5 ka. Residual sequences of diagnostic silty sediments, defined here as low-energy fluvial fine-grained deposits (LFFDs), were identified within the drainage system of central Nahal Sekher around the Nahal Sekher VI site. LFFD sections were found to represent both shoreline and mid-water deposits. The thicker mid-water LFFD deposits (15.7 ± 0.7-10.7 ± 0.5 ka) date within the range of the Epipalaeolithic campsites, while the upper and shoreline LFFD units that thin out into the sands adjacent to the Nahal Sekher VI site display slightly younger ages (10.8 ± 0.4 ka-7.6 ± 0.4 ka). LFFD sedimentation by low-energy concentrated flow and standing-water developed as a result of proximal downstream dune-damming. These water bodies developed as a result of encroaching sand that initially crossed central Nahal Sekher by 15.7 ± 0.7 ka and probably intermittently blocked the course of the wadi. LFFD deposition was therefore a response to a unique combination of regional sand supply due to frequent powerful winds and does not represent climate change in the form of increased precipitation or temperature change. The chronostratigraphies affiliate the Natufian sites to the adjacent ancient water bodies. These relations reflect a rapid, but temporary anthropogenic response to a

Channel Incision Driven by Suburbanization: Impacts to Riparian Groundwater Flow and Overbank Flow Frequency

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Bowles, C. J.; Lawrence, R. L.; Noll, C.; Hancock, G. S.

2005-12-01

Channel incision is a widely observed response to increased flow in urbanized watersheds, but the effects of channel lowering on riparian water tables is not well documented. In a rapidly incising suburban stream in the Virginia Coastal Plain, we hypothesize that stream incision has lowered floodplain water tables and decreased the overbank flow frequency. The monitored stream is a tributary to the James River draining 1.3 km2 of which 15% is impervious cover. Incision has occurred largely through upstream migration of a one meter high knickpoint at a rate of ~1.5 m/yr, primarily during high flow events. We installed 63 wells in six stream-perpendicular transects as well as a cluster of wells around the knickpoint to assess water table elevations beneath the floodplain adjacent to the incising stream. Two transects are located 30 and 50 m upstream of the knickpoint in the unincised floodplain, and the remainder are 5, 30, 70, and 100 m downstream in the incised floodplain. In one transect above and two below, pressure transducers attached to dataloggers provide a high-resolution record of water table changes. Erosion pins were installed and channel cross-sections surveyed to determine streambed stability. Significant differences are observed in bank morphology and groundwater flow above vs. below the knickpoint. Above the knickpoint, the banks are stable, ~3 m wide, and ~0.3 m deep, and widen and deepen slightly toward the knickpoint. The water table is relatively flat and is 0.2-0.4 m below the floodplain surface, and groundwater contours suggest flow is parallel to the stream direction. The water table responds immediately to precipitation events, and rises to the floodplain surface in significant rainfall events. Immediately downstream of the knickpoint, channel width increases by about a meter, and stream depth increases to ~1.5 meters. The water table immediately below the knickpoint possesses a steep gradient, and is up to one meter below the floodplain

Landform evolution modeling of fine-grained sedimentation on alluvial fans on Mars and Earth

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Morgan, A. M.; Howard, A. D.; Moore, J. M.; Swander, Z. J.; Fink, D.; Korup, O.; Hesse, P. P.; Singh, T.; Srivastava, P.

2017-12-01

Reconstructing how rivers respond to changes in runoff or sediment supply by incising or aggrading has been pivotal in gauging the role of the Indian Summer Monsoon (ISM) as a geomorphic driver in the Himalayas. Here we present new data on how the fluvial systems of the Lesser Himalaya of India has responded to late Quaternary climate change. Our study is based on new chronological data for fluvial aggradation and incision from the Donga alluvial fan and several reaches of the upper Alaknanda River, as well as a meta-analysis of previous work. Fluvial sediments in the Himalayas in general, and quartz from the region in particular, have been previously noted for a number of unsuitable OSL properties including large recuperation and the existence of unremovable feldspar signals, leading to controversial discussions with regard to the reliability of existing OSL chronologies in this region. In order to improve the applicability and validity of OSL in the Lesser Himalaya, we have tested and applied pulsed OSL signals (POSL) to quartz grains from alluvial terrace and fan sediments, and propose a new chronology of regional fluvial aggradation. For previously dated terraces and alluvial fan sections, our POSL ages are systematically older than previously reported OSL ages. These results suggest periods of aggradation in the Alaknanda and Dehradun Valleys mainly between 20 and 50 ka. This most likely reflects decreased stream power during periods of weakened monsoon. The concentration of in-situ cosmogenic beryllium-10 from fluvial bedrock surfaces was also used to infer bedrock surface exposure ages, which should inform about episodes of active fluvial erosion. Resulting exposure ages span between 1.3 and 9.0 ka, suggesting that strath terraces were exposed relatively recently, and incision was dominant through most of the Holocene. In combination, our results support a precipitation-driven climatic control on fluvial dynamics, which regulates the balance between stream

Higher Incision at Upper Part of Lower Segment Caesarean Section

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Yong Shao

2014-06-01

Conclusions: An incision at the upper part of the lower segment reduces blood loss, enhances uterine retraction, predisposes to fewer complications, is easier to repair, precludes bladder adhesion to the suture line and reduces operation time. Keywords: caesarean section; higher incision technique; traditional uterine incision technique.

Clear corneal incision leakage after phacoemulsification--detection using povidone iodine 5%.

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Chee, Soon-Phaik

2005-01-01

The purpose of this work was to study the incidence of clear corneal wound leakage at the conclusion of standard co-axial phacoemulsification in a prospective observational series of 100 consecutive cataract cases in a single surgeon's institutional practice. At the conclusion of standard co-axial phacoemulsification using a 2.75 mm temporal single plane clear corneal incision with a 1 mm clear corneal side-port incision, the wounds were hydrated and checked for water-tightness. Povidone iodine 5% (P-I) was then evenly dripped over the cornea and the wounds were inspected visually. Any leakage of aqueous observed was recorded. The amount of leakage was graded as small or large from each wound. Leaky wounds were further hydrated and retested with P-I until sealed. Wound integrity was reassessed on the first postoperative day by use of fluorescein. Of the 100 cases, wound leakage was observed for 31 eyes (31%)-ten main incisions, nineteen side-port incisions, and both incisions in two cases. Wound leakage was easily detected as a ribbon of clear fluid streaming from the incision amid a pool of brown solution. Povidone iodine was not observed within the tract in any incision. All wound leakage was small except for one from the main incision and two from the side-port incision. None of the eyes developed wound leakage the day after surgery and none developed endophthalmitis. In conclusion, leakage from clear corneal incisions at the conclusion of phacoemulsification occurs in almost a third of cases, predominantly from the side incision. It is easily detected by use of the P-I test.

Effects of two different incision phacoemulsification on corneal astigmatism

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Lu Huo

2014-12-01

Full Text Available AIM:To compare the effect of different incision in corneal astigmatism after phacoemulsification. METHODS: Totally 88 cases(122 eyeswith pure cataract were randomly divided into two groups. Forty cases(60 eyeswere clarity corneal incision in group A, and 48 cases(62 eyeswere sclera tunnel incision in group B. Mean corneal astigmatism, surgically induced astigmatism(SIA, uncorrected visual acuity(UCVAand best correct vision acuity(BCVAwere observed in pre- and post-operation at 1d; 1wk; 1mo.RESULTS: The mean astigmatism had statistically significant difference between two groups at 1d; 1wk; 1mo after operation(PPP>0.05. UCVA≥0.5 and BCVA≥0.8 had statistically significant difference at 1d; 1wk(PP>0.05.CONCLUSION: Phacoemulsification with scleral tunnel incision remove combined intraocular lens(IOLimplantation has small changes to corneal astigmatism. By selecting personalized corneal incision according to the corneal topography might be more beneficial.

The contribution of bank and surface sediments to fluvial sediment ...

African Journals Online (AJOL)

The contribution of bank and surface sediments to fluvial sediment transport of the Pra River. ... the relative contribution of surface and bank sediments to the fluvial sediment transport. ... EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT

Single incision laparoscopic colorectal resection: Our experience

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Chinnusamy Palanivelu

2012-01-01

Full Text Available Background: A prospective case series of single incision multiport laparoscopic colorectal resections for malignancy using conventional laparoscopic trocars and instruments is described. Materials and Methods: Eleven patients (seven men and four women with colonic or rectal pathology underwent single incision multiport laparoscopic colectomy/rectal resection from July till December 2010. Four trocars were placed in a single transumblical incision. The bowel was mobilized laparoscopically and vessels controlled intracorporeally with either intra or extracorporeal anastomosis. Results: Three patients had carcinoma in the caecum, one in the hepatic flexure, two in the rectosigmoid, one in the descending colon, two in the rectum and two had ulcerative pancolitis (one with high grade dysplasia and another with carcinoma rectum. There was no conversion to standard multiport laparoscopy or open surgery. The median age was 52 years (range 24-78 years. The average operating time was 130 min (range 90-210 min. The average incision length was 3.2 cm (2.5-4.0 cm. There were no postoperative complications. The average length of stay was 4.5 days (range 3-8 days. Histopathology showed adequate proximal and distal resection margins with an average lymph node yield of 25 nodes (range 16-30 nodes. Conclusion: Single incision multiport laparoscopic colorectal surgery for malignancy is feasible without extra cost or specialized ports/instrumentation. It does not compromise the oncological radicality of resection. Short-term results are encouraging. Long-term results are awaited.

Diathermy versus scalpel incisions for open cholecystectomy comparative study

International Nuclear Information System (INIS)

Ali, M.A.; Niazi, W.A.K.

2014-01-01

The aim of the study was to make a comparison between skin incisions made with electrocautery versus scalpel in terms of their safety, efficacy and post-operative complications. Design: A randomized controlled study. Setting: The study was conducted in Combined Military Hospital (CMH) Kharian, Pakistan airforce (PAF) Hospital Sargodha. Duration of Study: May 2008 to August 2011. Patients and Methods: Ninety seven patients who underwent open cholecystectomy were randomly divided into two groups on the basis of the use of electrocautery versus steel scalpel for making skin incision and sub-cutaneous tissue dissection. Parameters recorded were, time taken from skin incision to full incising of the peritoneum, length of the wound, amount of blood loss during this step of surgery in each group. Post-operative pain scoring using visual analogue scale was done. Wound complications such as infection, haematoma/seroma and dehiscence were noted too. One month of follow up was recorded in each group. Subsequently a comparison of these findings was done. Results: Incision time (sec/cm/sub 2/) was longer in scalpel group than in diathermy group (p = 0.001), whereas, incision blood loss (ml/cm/sub 2/) was significantly less in diathermy group than in scalpel group (p = 0.03). There was no difference in post-operative pain perception as delineated by visual pain analogue scoring system between the two groups (p = 0.57). Post-operative wound complications and the final healing of wound at 01 month of follow-up were almost similar in both groups. Conclusion: Electrocautery may be used safely without any untoward complication in making skin incision and sub-cutaneous tissue dissection with an advantage of reduced incision time and and less blood loss. (author)

Fluvial to Lacustrine Facies Transitions in Gale Crater, Mars

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Sumner, Dawn Y.; Williams, Rebecca M. E.; Schieber, Juergen; Palucis, Marisa C.; Oehler, Dorothy Z.; Mangold, Nicolas; Kah, Linda C.; Gupta, Sanjeev; Grotzinger, John P.; Grant, John A., III;

Field migration rates of tidal meanders recapitulate fluvial morphodynamics.

Science.gov (United States)

Finotello, Alvise; Lanzoni, Stefano; Ghinassi, Massimiliano; Marani, Marco; Rinaldo, Andrea; D'Alpaos, Andrea

2018-02-13

The majority of tidal channels display marked meandering features. Despite their importance in oil-reservoir formation and tidal landscape morphology, questions remain on whether tidal-meander dynamics could be understood in terms of fluvial processes and theory. Key differences suggest otherwise, like the periodic reversal of landscape-forming tidal flows and the widely accepted empirical notion that tidal meanders are stable landscape features, in stark contrast with their migrating fluvial counterparts. On the contrary, here we show that, once properly normalized, observed migration rates of tidal and fluvial meanders are remarkably similar. Key to normalization is the role of tidal channel width that responds to the strong spatial gradients of landscape-forming flow rates and tidal prisms. We find that migration dynamics of tidal meanders agree with nonlinear theories for river meander evolution. Our results challenge the conventional view of tidal channels as stable landscape features and suggest that meandering tidal channels recapitulate many fluvial counterparts owing to large gradients of tidal prisms across meander wavelengths. Copyright © 2018 the Author(s). Published by PNAS.

Fluvial hydrology and geomorphology of Monsoon-dominated Indian rivers

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Vishwas S. Kale

2005-11-01

Full Text Available The Indian rivers are dominantly monsoon rainfed. As a result, their regime characteristics are dictated by the spatio-temporal variations in the monsoon rainfall. Although the rivers carry out most of the geomorphic work during 4-5 months of the monsoon season, the nature and magnitude of response to variations in the discharge and sediment load varies with the basin size and relief characteristics. Large monsoon floods play a role of great importance on all the rivers. This paper describes the hydrological and geomorphological characteristics of the two major fluvial systems of the Indian region, namely the Himalayan fluvial system and the Peninsular fluvial system. Large number of studies published so far indicate that there are noteworthy differences between the two river systems, with respect to river hydrology, channel morphology, sediment load and behaviour. The nature of alterations in the fluvial system due to increased human interference is also briefly mentioned. This short review demonstrates that there is immense variety of rivers in India. This makes India one of the best places to study rivers and their forms and processes.

Single-incision laparoscopic cholecystectomy with needle graspers.

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Sumiyoshi, Kinjiro; Sato, Norihiro; Akagawa, Shin; Hirano, Tatsuya; Koikawa, Kazuhiro; Horioka, Kohei; Ozono, Keigo; Fujiwara, Kenji; Tanaka, Masao; Sada, Masayuki

2012-01-01

Single-incision laparoscopic cholecystectomy (SILC) is a promising alternative to standard multi-incision laparoscopic cholecystectomy (LC). However, generalization of SILC is still hampered by technical difficulties mainly associated with the lack of trocars used for retraction of the gallbladder. We therefore developed a modified method of SILC with the use of needle graspers (SILC-N) for optimal retraction and exposure. In addition to two trocars inserted through a single transumbilical incision, two needle ports were placed on the right subcostal and lateral abdominal wall, through which needle graspers were used for retraction of the gallbladder. Since December, 2009, 12 patients with symptomatic cholelithiasis were treated by SILC-N. SILC-N was successfully performed in all but one patient requiring a conversion to the 4-port LC with a mean operative time of 71.5 (48-107) minutes. None of the patients experienced intraoperative or postoperative complications. The transumbilical incision and pinholes for needle graspers were almost invisible on discharge. Our preliminary results suggest that SILC-N is a simple, safe and feasible technique of cholecystectomy offering similar postoperative recovery and better cosmetic outcome as compared to conventional LC.

Single-incision laparoscopic surgery for pyloric stenosis.

Science.gov (United States)

Kozlov, Yury; Novogilov, Vladimir; Podkamenev, Alexey; Rasputin, Andrey; Weber, Irina; Solovjev, Alexey; Yurkov, Pavel

2012-04-01

Laparoscopy is the most common procedure for correction of congenital pyloric stenosis. The standard laparoscopic approach is based on the three-port technique. In contrast to the standard laparoscopic technique, the single-incision laparoscopic surgery (SILS) requires only one incision. We report on our experience with this surgical approach. Between September 2009 and August 2010 a total of 24 children underwent a laparoscopic pyloromyotomy, 12 in SILS technique. The single incision was carried through the center of the umbilicus. The working instruments were introduced in a two-dimensional direction into the peritoneal cavity via the same umbilical incision. The two groups were compared for patients' demographics, operative report and early postoperative outcomes. All SILS procedures were performed successfully with no conversion rate. There were no differences in the preoperative parameters between the two groups regarding age before surgery and body weight at operation. Operative time and time of full enteral intake was similar to comparable procedures with usage of a standard laparoscopic approach. There were no operative or postoperative complications. The early experience described in this study confirms that SILS can be applied for treatment of pyloric stenosis with outcomes similar to the standard laparoscopic surgery.

Water table and overbank flow frequency changes due to suburbanization-induced channel incision, Virginia Coastal Plain, USA

Science.gov (United States)

Hancock, G.; Mattell, N.; Christianson, E.; Wacksman, J.

2004-12-01

Channel incision is a widely observed response to increased flow in urbanized watersheds, but the effects of channel lowering on riparian water tables is not well documented. In a rapidly incising suburban stream in the Virginia Coastal Plain, we hypothesize that incision has lowered floodplain water tables and decreased the overbank flow frequency, and suggest these changes impact vegetation distribution in a diverse, protected riparian habitat. The monitored stream is a tributary to the James River draining 1.3 km2, of which 15% is impervious cover. Incision has occurred largely through upstream migration of a one m high knickpoint at a rate of 1-2 m/yr, primarily during high flow events. We installed 33 wells in six floodplain transects to assess water table elevations beneath the floodplain adjacent to the incising stream. To document the impacts of incision, two transects are located 30 and 50 m upstream of the knickpoint in unincised floodplain, and the remainder are 5, 30, 70, and 100 m downstream of the knickpoint in incised floodplain. In one transect above and two below, pressure transducers attached to dataloggers provide a high-resolution record of water table response to storm events. Significant differences have been observed in the water table above and below the knickpoint. Above the knickpoint, the water table is relatively flat and is 0.2-0.4 m below the floodplain surface. Water table response to precipitation events is nearly immediate, with the water table rising to the floodplain surface in significant rainfall events. In the transect immediately downstream of the knickpoint, the water table possesses a steep gradient, rising from ~1 m below the floodplain at the stream to 0.3 m below the surface within 20 m. In the most downstream transects, the water table is relatively flat, but is one m below the floodplain surface, equivalent to the depth of incision generated by knickpoint passage. Upstream of the knickpoint, overbank flooding occurs

Late Pleistocene sea-level changes recorded in tidal and fluvial deposits from Itaubal Formation, onshore portion of the Foz do Amazonas Basin, Brazil

Directory of Open Access Journals (Sweden)

Isaac Salém Alves Azevedo Bezerra

Full Text Available ABSTRACTThe Pleistocene deposits exposed in the Amapá Coastal Plain (onshore portion of the Foz do Amazonas Basin, northeastern South America were previously interpreted as Miocene in age. In this work, they were named as "Itaubal Formation" and were included in the quaternary coastal history of Amazonia. The study, through facies and stratigraphic analyses in combination with optically stimulated luminescence (single and multiple aliquot regeneration, allowed interpreting this unit as Late Pleistocene tidal and fluvial deposits. The Itaubal Formation, which unconformably overlies strongly weathered basement rocks of the Guianas Shield, was subdivided into two progradational units, separated by an unconformity related to sea-level fall, here named as Lower and Upper Units. The Lower Unit yielded ages between 120,600 (± 12,000 and 70,850 (± 6,700 years BP and consists of subtidal flat, tide-influenced meandering stream and floodplain deposits, during highstand conditions. The Upper Unit spans between 69,150 (± 7,200 and 58,150 (± 6,800 years BP and is characterized by braided fluvial deposits incised in the Lower Unit, related to base-level fall; lowstand conditions remained until 23,500 (± 3,000 years BP. The studied region was likely exposed during the Last Glacial Maximum and then during Holocene, covered by tidal deposits influenced by the Amazon River.

Transurethral incision of urethral diverticulum in the female

DEFF Research Database (Denmark)

Miskowiak, J; Honnens de Lichtenberg, M

1989-01-01

A new technique of transurethral incision of urethral diverticulum was successfully used in two women. The method described is safe, simple and shortens operating time.......A new technique of transurethral incision of urethral diverticulum was successfully used in two women. The method described is safe, simple and shortens operating time....

Evaluating process origins of sand-dominated fluvial stratigraphy

Science.gov (United States)

Chamberlin, E.; Hajek, E. A.

2015-12-01

Sand-dominated fluvial stratigraphy is often interpreted as indicating times of relatively slow subsidence because of the assumption that fine sediment (silt and clay) is reworked or bypassed during periods of low accommodation. However, sand-dominated successions may instead represent proximal, coarse-grained reaches of paleo-river basins and/or fluvial systems with a sandy sediment supply. Differentiating between these cases is critical for accurately interpreting mass-extraction profiles, basin-subsidence rates, and paleo-river avulsion and migration behavior from ancient fluvial deposits. We explore the degree to which sand-rich accumulations reflect supply-driven progradation or accommodation-limited reworking, by re-evaluating the Castlegate Sandstone (Utah, USA) and the upper Williams Fork Formation (Colorado, USA) - two Upper Cretaceous sandy fluvial deposits previously interpreted as having formed during periods of relatively low accommodation. Both units comprise amalgamated channel and bar deposits with minor intra-channel and overbank mudstones. To constrain relative reworking, we quantify the preservation of bar deposits in each unit using detailed facies and channel-deposit mapping, and compare bar-deposit preservation to expected preservation statistics generated with object-based models spanning a range of boundary conditions. To estimate the grain-size distribution of paleo-sediment input, we leverage results of experimental work that shows both bed-material deposits and accumulations on the downstream side of bars ("interbar fines") sample suspended and wash loads of active flows. We measure grain-size distributions of bar deposits and interbar fines to reconstruct the relative sandiness of paleo-sediment supplies for both systems. By using these novel approaches to test whether sand-rich fluvial deposits reflect river systems with accommodation-limited reworking and/or particularly sand-rich sediment loads, we can gain insight into large

In vitro conjunctival incision repair by temperature-controlled laser soldering.

Science.gov (United States)

Norman, Galia; Rabi, Yaron; Assia, Ehud; Katzir, Abraham

2009-01-01

The common method of closing conjunctival incisions is by suturing, which is associated with several disadvantages. It requires skill to apply and does not always provide a watertight closure, which is required in some operations (e.g., glaucoma filtration). The purpose of the present study was to evaluate laser soldering as an alternative method for closing conjunctival incisions. Conjunctival incisions of 20 ex vivo porcine eyes were laser soldered using a temperature-controlled fiberoptic laser system and an albumin mixed with indocyanine green as a solder. The control group consisted of five repaired incisions by a 10-0 nylon running suture. The leak pressure of the repaired incisions was measured. The mean leak pressure in the laser-soldered group was 132 mm Hg compared to 4 mm Hg in the sutured group. There was no statistically significant difference in both the incision's length and distance from the limbus between the groups, before and after the procedure, indicating that there was no severe thermal damage. These preliminary results clearly demonstrate that laser soldering may be a useful method for achieving an immediate watertight conjunctival wound closure. This procedure is faster and easier to apply than suturing.

Fluvial deposits as an archive of early human activity: Progress during the 20 years of the Fluvial Archives Group

Science.gov (United States)

Chauhan, Parth R.; Bridgland, David R.; Moncel, Marie-Hélène; Antoine, Pierre; Bahain, Jean-Jacques; Briant, Rebecca; Cunha, Pedro P.; Despriée, Jackie; Limondin-Lozouet, Nicole; Locht, Jean-Luc; Martins, Antonio A.; Schreve, Danielle C.; Shaw, Andrew D.; Voinchet, Pierre; Westaway, Rob; White, Mark J.; White, Tom S.

2017-06-01

Fluvial sedimentary archives are important repositories for Lower and Middle Palaeolithic artefacts throughout the 'Old World', especially in Europe, where the beginning of their study coincided with the realisation that early humans were of great antiquity. Now that many river terrace sequences can be reliably dated and correlated with the globally valid marine isotope record, potentially useful patterns can be recognized in the distribution of the find-spots of the artefacts that constitute the large collections that were assembled during the years of manual gravel extraction. This paper reviews the advances during the past two decades in knowledge of hominin occupation based on artefact occurrences in fluvial contexts, in Europe, Asia and Africa. As such it is an update of a comparable review in 2007, at the end of IGCP Project no. 449, which had instigated the compilation of fluvial records from around the world during 2000-2004, under the auspices of the Fluvial Archives Group. An overarching finding is the confirmation of the well-established view that in Europe there is a demarcation between handaxe making in the west and flake-core industries in the east, although on a wider scale that pattern is undermined by the increased numbers of Lower Palaeolithic bifaces now recognized in East Asia. It is also apparent that, although it seems to have appeared at different places and at different times in the later Lower Palaeolithic, the arrival of Levallois technology as a global phenomenon was similarly timed across the area occupied by Middle Pleistocene hominins, at around 0.3 Ma.

Martian Fluvial Conglomerates at Gale Crater

Science.gov (United States)

Williams, R. M. E.; Grotzinger, J. P.; Dietrich, W. E.; Gupta, S.; Sumner, D. Y.; Wiens, R. C.; Mangold, N.; Malin, M. C.; Edgett, K. S.; Maurice, S.; Forni, O.; Gasnault, O.; Ollila, A.; Newsom, H. E.; Dromart, G.; Palucis, M. C.; Yingst, R. A.; Anderson, R. B.; Herkenhoff, K. E.; Le Mouélic, S.; Goetz, W.; Madsen, M. B.; Koefoed, A.; Jensen, J. K.; Bridges, J. C.; Schwenzer, S. P.; Lewis, K. W.; Stack, K. M.; Rubin, D.; Kah, L. C.; Bell, J. F.; Farmer, J. D.; Sullivan, R.; Van Beek, T.; Blaney, D. L.; Pariser, O.; Deen, R. G.; Kemppinen, Osku; Bridges, Nathan; Johnson, Jeffrey R.; Minitti, Michelle; Cremers, David; Edgar, Lauren; Godber, Austin; Wadhwa, Meenakshi; Wellington, Danika; McEwan, Ian; Newman, Claire; Richardson, Mark; Charpentier, Antoine; Peret, Laurent; King, Penelope; Blank, Jennifer; Weigle, Gerald; Schmidt, Mariek; Li, Shuai; Milliken, Ralph; Robertson, Kevin; Sun, Vivian; Baker, Michael; Edwards, Christopher; Ehlmann, Bethany; Farley, Kenneth; Griffes, Jennifer; Miller, Hayden; Newcombe, Megan; Pilorget, Cedric; Rice, Melissa; Siebach, Kirsten; Stolper, Edward; Brunet, Claude; Hipkin, Victoria; Léveillé, Richard; Marchand, Geneviève; Sobrón Sánchez, Pablo; Favot, Laurent; Cody, George; Steele, Andrew; Flückiger, Lorenzo; Lees, David; Nefian, Ara; Martin, Mildred; Gailhanou, Marc; Westall, Frances; Israël, Guy; Agard, Christophe; Baroukh, Julien; Donny, Christophe; Gaboriaud, Alain; Guillemot, Philippe; Lafaille, Vivian; Lorigny, Eric; Paillet, Alexis; Pérez, René; Saccoccio, Muriel; Yana, Charles; Aparicio, Carlos Armiens; Caride Rodríguez, Javier; Carrasco Blázquez, Isaías; Gómez Gómez, Felipe; Elvira, Javier Gómez; Hettrich, Sebastian; Lepinette Malvitte, Alain; Marín Jiménez, Mercedes; Frías, Jesús Martínez; Soler, Javier Martín; Torres, F. Javier Martín; Molina Jurado, Antonio; Sotomayor, Luis Mora; Muñoz Caro, Guillermo; Navarro López, Sara; González, Verónica Peinado; García, Jorge Pla; Rodriguez Manfredi, José Antonio; Planelló, Julio José Romeral; Alejandra Sans Fuentes, Sara; Sebastian Martinez, Eduardo; Torres Redondo, Josefina; O'Callaghan, Roser Urqui; Zorzano Mier, María-Paz; Chipera, Steve; Lacour, Jean-Luc; Mauchien, Patrick; Sirven, Jean-Baptiste; Manning, Heidi; Fairén, Alberto; Hayes, Alexander; Joseph, Jonathan; Squyres, Steven; Thomas, Peter; Dupont, Audrey; Lundberg, Angela; Melikechi, Noureddine; Mezzacappa, Alissa; DeMarines, Julia; Grinspoon, David; Reitz, Günther; Prats, Benito; Atlaskin, Evgeny; Genzer, Maria; Harri, Ari-Matti; Haukka, Harri; Kahanpää, Henrik; Kauhanen, Janne; Paton, Mark; Polkko, Jouni; Schmidt, Walter; Siili, Tero; Fabre, Cécile; Wray, James; Wilhelm, Mary Beth; Poitrasson, Franck; Patel, Kiran; Gorevan, Stephen; Indyk, Stephen; Paulsen, Gale; Bish, David; Schieber, Juergen; Gondet, Brigitte; Langevin, Yves; Geffroy, Claude; Baratoux, David; Berger, Gilles; Cros, Alain; Uston, Claude d.; Lasue, Jérémie; Lee, Qiu-Mei; Meslin, Pierre-Yves; Pallier, Etienne; Parot, Yann; Pinet, Patrick; Schröder, Susanne; Toplis, Mike; Lewin, Éric; Brunner, Will; Heydari, Ezat; Achilles, Cherie; Oehler, Dorothy; Sutter, Brad; Cabane, Michel; Coscia, David; Szopa, Cyril; Robert, François; Sautter, Violaine; Nachon, Marion; Buch, Arnaud; Stalport, Fabien; Coll, Patrice; François, Pascaline; Raulin, François; Teinturier, Samuel; Cameron, James; Clegg, Sam; Cousin, Agnès; DeLapp, Dorothea; Dingler, Robert; Jackson, Ryan Steele; Johnstone, Stephen; Lanza, Nina; Little, Cynthia; Nelson, Tony; Williams, Richard B.; Jones, Andrea; Kirkland, Laurel; Treiman, Allan; Baker, Burt; Cantor, Bruce; Caplinger, Michael; Davis, Scott; Duston, Brian; Fay, Donald; Hardgrove, Craig; Harker, David; Herrera, Paul; Jensen, Elsa; Kennedy, Megan R.; Krezoski, Gillian; Krysak, Daniel; Lipkaman, Leslie; McCartney, Elaina; McNair, Sean; Nixon, Brian; Posiolova, Liliya; Ravine, Michael; Salamon, Andrew; Saper, Lee; Stoiber, Kevin; Supulver, Kimberley; Van Beek, Jason; Zimdar, Robert; French, Katherine Louise; Iagnemma, Karl; Miller, Kristen; Summons, Roger; Goesmann, Fred; Hviid, Stubbe; Johnson, Micah; Lefavor, Matthew; Lyness, Eric; Breves, Elly; Dyar, M. Darby; Fassett, Caleb; Blake, David F.; Bristow, Thomas; DesMarais, David; Edwards, Laurence; Haberle, Robert; Hoehler, Tori; Hollingsworth, Jeff; Kahre, Melinda; Keely, Leslie; McKay, Christopher; Bleacher, Lora; Brinckerhoff, William; Choi, David; Conrad, Pamela; Dworkin, Jason P.; Eigenbrode, Jennifer; Floyd, Melissa; Freissinet, Caroline; Garvin, James; Glavin, Daniel; Harpold, Daniel; Mahaffy, Paul; Martin, David K.; McAdam, Amy; Pavlov, Alexander; Raaen, Eric; Smith, Michael D.; Stern, Jennifer; Tan, Florence; Trainer, Melissa; Meyer, Michael; Posner, Arik; Voytek, Mary; Anderson, Robert C.; Aubrey, Andrew; Beegle, Luther W.; Behar, Alberto; Brinza, David; Calef, Fred; Christensen, Lance; Crisp, Joy A.; DeFlores, Lauren; Feldman, Jason; Feldman, Sabrina; Flesch, Gregory; Hurowitz, Joel; Jun, Insoo; Keymeulen, Didier; Maki, Justin; Mischna, Michael; Morookian, John Michael; Parker, Timothy; Pavri, Betina; Schoppers, Marcel; Sengstacken, Aaron; Simmonds, John J.; Spanovich, Nicole; de la Torre Juarez, Manuel; Vasavada, Ashwin R.; Webster, Christopher R.; Yen, Albert; Archer, Paul Douglas; Cucinotta, Francis; Jones, John H.; Ming, Douglas; Morris, Richard V.; Niles, Paul; Rampe, Elizabeth; Nolan, Thomas; Fisk, Martin; Radziemski, Leon; Barraclough, Bruce; Bender, Steve; Berman, Daniel; Dobrea, Eldar Noe; Tokar, Robert; Vaniman, David; Leshin, Laurie; Cleghorn, Timothy; Huntress, Wesley; Manhès, Gérard; Hudgins, Judy; Olson, Timothy; Stewart, Noel; Sarrazin, Philippe; Grant, John; Vicenzi, Edward; Wilson, Sharon A.; Bullock, Mark; Ehresmann, Bent; Hamilton, Victoria; Hassler, Donald; Peterson, Joseph; Rafkin, Scot; Zeitlin, Cary; Fedosov, Fedor; Golovin, Dmitry; Karpushkina, Natalya; Kozyrev, Alexander; Litvak, Maxim; Malakhov, Alexey; Mitrofanov, Igor; Mokrousov, Maxim; Nikiforov, Sergey; Prokhorov, Vasily; Sanin, Anton; Tretyakov, Vladislav; Varenikov, Alexey; Vostrukhin, Andrey; Kuzmin, Ruslan; Clark, Benton; Wolff, Michael; McLennan, Scott; Botta, Oliver; Drake, Darrell; Bean, Keri; Lemmon, Mark; Lee, Ella Mae; Sucharski, Robert; Hernández, Miguel Ángel de Pablo; Blanco Ávalos, Juan José; Ramos, Miguel; Kim, Myung-Hee; Malespin, Charles; Plante, Ianik; Muller, Jan-Peter; González, Rafael Navarro; Ewing, Ryan; Boynton, William; Downs, Robert; Fitzgibbon, Mike; Harshman, Karl; Morrison, Shaunna; Kortmann, Onno; Williams, Amy; Lugmair, Günter; Wilson, Michael A.; Jakosky, Bruce; Zunic, Tonci Balic; Frydenvang, Jens; Kinch, Kjartan; Stipp, Susan Louise Svane; Boyd, Nick; Campbell, John L.; Gellert, Ralf; Perrett, Glynis; Pradler, Irina; VanBommel, Scott; Jacob, Samantha; Owen, Tobias; Rowland, Scott; Savijärvi, Hannu; Boehm, Eckart; Böttcher, Stephan; Burmeister, Sönke; Guo, Jingnan; Köhler, Jan; García, César Martín; Mellin, Reinhold Mueller; Schweingruber, Robert Wimmer; McConnochie, Timothy; Benna, Mehdi; Franz, Heather; Bower, Hannah; Brunner, Anna; Blau, Hannah; Boucher, Thomas; Carmosino, Marco; Atreya, Sushil; Elliott, Harvey; Halleaux, Douglas; Rennó, Nilton; Wong, Michael; Pepin, Robert; Elliott, Beverley; Spray, John; Thompson, Lucy; Gordon, Suzanne; Williams, Joshua; Vasconcelos, Paulo; Bentz, Jennifer; Nealson, Kenneth; Popa, Radu; Moersch, Jeffrey; Tate, Christopher; Day, Mackenzie; Kocurek, Gary; Hallet, Bernard; Sletten, Ronald; Francis, Raymond; McCullough, Emily; Cloutis, Ed; ten Kate, Inge Loes; Arvidson, Raymond; Fraeman, Abigail; Scholes, Daniel; Slavney, Susan; Stein, Thomas; Ward, Jennifer; Berger, Jeffrey; Moores, John E.

2013-05-01

Observations by the Mars Science Laboratory Mast Camera (Mastcam) in Gale crater reveal isolated outcrops of cemented pebbles (2 to 40 millimeters in diameter) and sand grains with textures typical of fluvial sedimentary conglomerates. Rounded pebbles in the conglomerates indicate substantial fluvial abrasion. ChemCam emission spectra at one outcrop show a predominantly feldspathic composition, consistent with minimal aqueous alteration of sediments. Sediment was mobilized in ancient water flows that likely exceeded the threshold conditions (depth 0.03 to 0.9 meter, average velocity 0.20 to 0.75 meter per second) required to transport the pebbles. Climate conditions at the time sediment was transported must have differed substantially from the cold, hyper-arid modern environment to permit aqueous flows across several kilometers.

Long-Term Incisal Relationships After Palatoplasty in Patients With Isolated Cleft Palate.

Science.gov (United States)

Odom, Elizabeth B; Woo, Albert S; Mendonca, Derick A; Huebener, Donald V; Nissen, Richard J; Skolnick, Gary B; Patel, Kamlesh B

2016-06-01

Various palatoplasty techniques have limited incisions in the hard palate due to concerns that these incisions may limit maxillary growth. There is little convincing long-term evidence to support this. Our purpose is to determine incisal relationships, an indicator for future orthognathic procedure, in patients after repair of an isolated cleft of the secondary palate. Our craniofacial database was used to identify patients aged 10 years or greater with an isolated cleft of the secondary palate who underwent palatoplasty between 1985 and 2002. Data collected included age at palatoplasty and follow-up, cleft type, associated syndrome, Robin sequence, surgeon, repair technique, number of operations, and occlusion. Incisal relationship was determined through clinical observation by a pediatric dentist and orthodontist. Seventy eligible patients operated on by 9 surgeons were identified. Class III incisal relationship was seen in 5 patients (7.1%). Palatoplasty techniques over the hard palate (63 of 70 patients) included 2-flap palatoplasty, VY-pushback, and Von Langenbeck repair. There was an association between class III incisal relationship and syndromic diagnosis (P <0.001). Other study variables were not associated with class III incisal relationships. In patients with an isolated cleft of the secondary palate, there was no association between class III incisal relationship and surgeon, age at repair, cleft type, palatoplasty technique, or number of operations. Increased likelihood of class III incisal relationship was associated primarily with syndromic diagnosis.

Utilization of alternatives fuels in a fluvial convoy; Utilizacao de combustiveis alternativos em um comboio fluvial

Energy Technology Data Exchange (ETDEWEB)

Padovezi, Carlos D; Giraldo, Arnaldo

1987-12-31

This work presents the results of tests performed with ethanol and methanol in a fluvial convoy in Tiete river, Sao Paulo State - Southeast Brazil. It also outlines a comparison and evaluation methodology. 9 figs., 3 tabs.

Utilization of alternatives fuels in a fluvial convoy; Utilizacao de combustiveis alternativos em um comboio fluvial

Energy Technology Data Exchange (ETDEWEB)

Padovezi, Carlos D.; Giraldo, Arnaldo

1986-12-31

This work presents the results of tests performed with ethanol and methanol in a fluvial convoy in Tiete river, Sao Paulo State - Southeast Brazil. It also outlines a comparison and evaluation methodology. 9 figs., 3 tabs.

Midline versus transverse incision for cesarean delivery in low-income countries

DEFF Research Database (Denmark)

Maaløe, Nanna; Aabakke, Anna J M; Secher, Niels J

2014-01-01

While transverse incision is the recommended entry technique for cesarean delivery in high-income countries, it is our experience that midline incision is still used routinely in many low-income settings. Accordingly, international guidelines lack uniformity on this matter. Although evidence...... is limited, the literature suggests important advantages of the transverse incision, with lower risk of long-term disabilities such as wound disruption and hernia. Also, potential extra time spent on this incision appears not to impact neonatal outcome. Therefore, we suggest that it is time for a change...

Cosmetic effects of skin-crease camouflage incision versus longitudinal incision following carotid endarterectomy.

Science.gov (United States)

Kazimierczak, Arkadiusz; Rybicka, Anita; Rynio, Pawel; Gutowski, Piotr; Wiernicki, Ireneusz

2018-03-01

Despite the increasing use of carotid angioplasty and stenting (CAS), carotid endarterectomy (CEA) nonetheless remains a more medically beneficial method of treatment for carotid artery stenosis. Therefore, one possibility for progress within this procedure may be to use minimally invasive carotid surgery, especially when the scar is in plain sight: the use of the natural wrinkles (skin crease) as a camouflage of the skin incision provides significant cosmetic improvements. To compare the cosmetic effects of classic and trans-wrinkle CEA. To assess the distance between the carotid artery bifurcation (CAB) and the skin-crease incision whilst attempting CEA. It was a randomized prospective study with two groups: patients undergoing classic surgery (control group; n = 100) and skin-crease trans-wrinkle camouflaged CEA (study group; n = 100). Follow-up was at 2 months and 1 year. The medical results of the treatment were similar in both groups. The cumulative count of strokes and myocardial infarctions was 0.5% within 30 days, and after one year 3.5% (and 5.5% including cases of death). The superiority of the transverse crease being hidden compared to the conventional longitudinal technique was proven in the Patient and Observer Scar Assessment Scale (POSAS) score, respectively 11.4 ±1.0 vs. 14.1 ±3.4 (p = 0.0001) after 2 months and 13.5 ±2.8 vs. 14.1 ±3.4 (p = 0.039) after a year. Trans-wrinkle incision gives better cosmetic results, can be safely performed in most cases, and offers a comfortable approach during CEA.

In vivo architectural analysis of clear corneal incisions using anterior segment optical coherence tomography.

Science.gov (United States)

Dupont-Monod, Sylvère; Labbé, Antoine; Fayol, Nicolas; Chassignol, Alexis; Bourges, Jean-Louis; Baudouin, Christophe

2009-03-01

To use anterior segment optical coherence tomography (AS-OCT) to analyze the in vivo architecture of clear corneal incisions after phacoemulsification using different techniques. Department of Ophthalmology, Quinze-Vingts National Ophthalmology Hospital, Paris, France. This prospective observational study analyzed clear corneal incisions used in phacoemulsification. All wounds were evaluated 1 day and 8 days postoperatively by AS-OCT (Visante). Incision architecture and pachymetry at the wound level were analyzed. Thirty-five clear corneal incisions were analyzed. Six eyes had 2.75 mm coaxial phacoemulsification, 19 had 2.20 mm microincision coaxial phacoemulsification, and 10 had 1.30 mm bimanual microincision phacoemulsification. The 1.30 mm incision had a straight-line configuration. The 2.20 mm and 2.75 mm incisions had an arcuate configuration. The angles of incidence of 1.30 mm incisions were greater than those of 2.20 mm incisions (P<.001). All incisions had slight corneal edema limited to the incision area. The edema was slightly greater around 1.30 mm incisions (mean pachymetry 1143 microm +/- 140 [SD]) than around 2.20 mm incisions (mean 1012 +/- 101 microm) (P = .001). Bimanual procedures had satisfactory endothelial apposition in the enlarged areas, where stromal edema was less than that surrounding the unenlarged 1.30 mm incisions. The 3 phacoemulsification techniques induced gaping of the endothelial edge, minor inadequate endothelial apposition, and mild stromal edema in the area of the clear corneal incisions. Bimanual microincision sleeveless phacoemulsification may alter the wound slightly more than coaxial 2.75 mm and microcoaxial 2.20 mm sleeved-tip phacoemulsification.

Landform Evolution Modeling of Specific Fluvially Eroded Physiographic Units on Titan

Science.gov (United States)

Moore, J. M.; Howard, A. D.; Schenk, P. M.

2015-01-01

Several recent studies have proposed certain terrain types (i.e., physiographic units) on Titan thought to be formed by fluvial processes acting on local uplands of bedrock or in some cases sediment. We have earlier used our landform evolution models to make general comparisons between Titan and other ice world landscapes (principally those of the Galilean satellites) that we have modeled the action of fluvial processes. Here we give examples of specific landscapes that, subsequent to modeled fluvial work acting on the surfaces, produce landscapes which resemble mapped terrain types on Titan.

Radiological findings after endoscopic incision of ureterocele

International Nuclear Information System (INIS)

Cheon, Jung Eun; Kim, In One; Seok, Eul Hye; Cha, Joo Hee; Choi, Gook Myung; Kim, Woo Sun; Yeon, Kyung Mo; Kim, Kwang Myung; Choi, Hwang; Cheon, Jung Eun; Seok, Eul Hye; Cha, Joo Hee; Choi, Guk Myung

2001-01-01

Endoscopic incision of ureterocele is considered a simple and safe method for decompression of urinary tract obstruction above ureterocele. The purpose of this study was to evaluate the radiological findings after endoscopic incision of ureterocele. We retrospectively reviewed the radiological findings (ultrasonography (US), intravenous urography, and voiding cystourethrography(VCU)) in 16 patients with ureterocele who underwent endoscopic incision (mean age at surgery, 15 months; M:F 3:13; 18 ureteroceles). According to the postoperative results, treatment was classified as successful when medical treatment was still required, and second operation when additional surgical treatment was required. Postoperative US (n=10) showed that in all patients, urinary tract obstruction was relieved: the kidney parenchima was thicker and the ureterocele was smaller. Intravenous urography (n=8), demonstrated that in all patients, urinary tract obstruction and the excretory function of the kidney had improved. Postoperative VCU indicated that in 92% of patients (12 of 13), endoscopic incision of the ureterocele led to vesicoureteral reflux(VUR). Of these twelve, seven (58%) showed VUR of more than grade 3, while newly developed VUR was seen in five of eight patients (63%) who had preoperative VCU. Surgery was successful in four patients (25%), partially successful in three (19%), and a second operation-on account of recurrent urinary tract infection and VUR of more than grase 3 during the follow-up period-was required by nine (56%). Although endoscopic incision of a ureterocele is a useful way of relieving urinary tract obstruction, an ensuing complication may be VUR. Postoperative US and intravenous urography should be used to evaluate parenchymal change in the kidney and improvement of uronary tract obstructon, while to assess the extend of VUR during the follow-up period , postoperative VCU is required

Riparian shrub metal concentrations and growth in amended fluvial mine tailings

Science.gov (United States)

Fluvial mine tailing deposition has caused extensive riparian damage throughout the western United States. Willows are often used for fluvial mine tailing revegetation, but some species accumulate excessive metal concentrations which could be detrimental to browsers. In a greenhouse experiment, gr...

Characterization of a fluvial aquifer at a range of depths and scales: the Triassic St Bees Sandstone Formation, Cumbria, UK

Science.gov (United States)

Medici, Giacomo; West, L. J.; Mountney, N. P.

2018-03-01

Fluvial sedimentary successions represent porous media that host groundwater and geothermal resources. Additionally, they overlie crystalline rocks hosting nuclear waste repositories in rift settings. The permeability characteristics of an arenaceous fluvial succession, the Triassic St Bees Sandstone Formation in England (UK), are described, from core-plug to well-test scale up to 1 km depth. Within such lithified successions, dissolution associated with the circulation of meteoric water results in increased permeability ( K 10-1-100 m/day) to depths of at least 150 m below ground level (BGL) in aquifer systems that are subject to rapid groundwater circulation. Thus, contaminant transport is likely to occur at relatively high rates. In a deeper investigation (> 150 m depth), where the aquifer has not been subjected to rapid groundwater circulation, well-test-scale hydraulic conductivity is lower, decreasing from K 10-2 m/day at 150-400 m BGL to 10-3 m/day down-dip at 1 km BGL, where the pore fluid is hypersaline. Here, pore-scale permeability becomes progressively dominant with increasing lithostatic load. Notably, this work investigates a sandstone aquifer of fluvial origin at investigation depths consistent with highly enthalpy geothermal reservoirs ( 0.7-1.1 km). At such depths, intergranular flow dominates in unfaulted areas with only minor contribution by bedding plane fractures. However, extensional faults represent preferential flow pathways, due to presence of high connective open fractures. Therefore, such faults may (1) drive nuclear waste contaminants towards the highly permeable shallow (< 150 m BGL) zone of the aquifer, and (2) influence fluid recovery in geothermal fields.

Heavy mineral analyses as a powerful tool in fluvial geomorphology

Science.gov (United States)

von Suchodoletz, Hans; Gärtner, Andreas; Faust, Dominik

2014-05-01

The Marneuli depression is a tectonic sub-basin of the Transcaucasian depression in eastern Georgia, filled with several decametres of fluvial, lacustrine and aeolian Quaternary sediments. In order to reconstruct past landscape evolution of the region we studied Late Quaternary fluvial sediments found along several rivers that flow through that depression. Whereas Holocene river sediments could generally easily be assigned to corresponding rivers, this was not always the case for older fluvial sediments. For this reason, we studied the heavy mineral contents of five recent rivers and of four sedimentary deposits of potential precursors. A total of 4088 analysed heavy mineral grains enabled us to set up the characteristic heavy mineral distribution pattern for each sample. Using these data, we were able to reconstruct the most likely source areas of the Late Pleistocene fluvial sediments and to link them with the catchment areas of recent rivers. This allowed us to identify and to substantiate significant Late Quaternary river diversions that could at least partly be assigned to ongoing tectonic processes.

Lateral Erosion Encourages Vertical Incision in a Bimodal Alluvial River

Science.gov (United States)

Gran, K. B.

2015-12-01

Sand can have a strong impact on gravel transport, increasing gravel transport rates by orders of magnitude as sand content increases. Recent experimental work by others indicates that adding sand to an armored bed can even cause armor to break-up and mobilize. These two elements together help explain observations from a bimodal sand and gravel-bedded river, where lateral migration into sand-rich alluvium breaks up the armor layer, encouraging further incision into the bed. Detailed bedload measurements were coupled with surface and subsurface grain size analyses and cross-sectional surveys in a seasonally-incised channel carved into the upper alluvial fan of the Pasig-Potrero River at Mount Pinatubo, Philippines. Pinatubo erupted in 1991, filling valleys draining the flanks of the volcano with primarily sand-sized pyroclastic flow debris. Twenty years after the eruption, sand-rich sediment inputs are strongly seasonal, with most sediment input to the channel during the rainy season. During the dry season, flow condenses from a wide braided planform to a single-thread channel in most of the upper basin, extending several km onto the alluvial fan. This change in planform creates similar unit discharge ranges in summer and winter. Lower sediment loads in the dry season drive vertical incision until the bed is sufficiently armored. Incision proceeds downstream in a wave, with increasing sediment transport rates and decreasing grain size with distance downstream, eventually reaching a gravel-sand transition and return to a braided planform. Incision depths in the gravel-bedded section exceeded 3 meters in parts of a 4 km-long study reach, a depth too great to be explained by predictions from simple winnowing during incision. Instead, lateral migration into sand-rich alluvium provides sufficient fine sediment to break up the armor surface, allowing incision to start anew and increasing the total depth of the seasonally-incised valley. Lateral migration is recorded in a

The width of the incisive canal and labial alveolar bone of the incisive canal: an assessment on CT images

International Nuclear Information System (INIS)

Roh, Yang Gyun; Jang, Hyun Seon; Kim, Byung Ock; Kim, Jin Soo

2006-01-01

To assess the width of the labial alveolar bone of the incisive canal and the width of the incisive canal on spiral computed tomographic images of the anterior portion of the maxilla. Study materials included 38 CT scans taken for preoperative planning of implant placement. Axial cross-sectioned image entirely showing the incisive canal at an orifice to the oral cavity, middle portion, and an orifice to the nasal cavity and the diameter of the incisive canal at the middle portion were determined by two specialist using Digora for Windows 2.1. The statistical analyses were carried out using SPSS 12.0.1. When the maxillary central incisors remained, the mean labial alveolar bone width were 6.81±1.41 mm, 6.46±1.33 mm, and 7.91±1.33 mm. When the maxillary central incisors were missed the mean width were 5.42±2.20 mm, 6.23±2.29 mm, and 7.89±2.13 mm. The labial alveolar bone width at middle portion and an orifice to the nasal cavity were of no statistical significant difference according to presence of the maxillary central incisors (P>0.05). The width between oral cavity and nasal cavity, middle portion and to masal cavity revealed statistically significant difference (P<0.05)

Nuclear management in manual small incision cataract surgery by snare technique

Directory of Open Access Journals (Sweden)

Bhattacharya Debasish

2009-01-01

Full Text Available Manual small incision cataract surgery has evolved into a popular method of cataract surgery in India. However, in supra hard cataract, bringing out the whole nucleus through the sclerocorneal flap valve incision becomes difficult. A bigger incision required in such cataracts loses its value action, as the internal incision and corneal valve slips beyond the limbus into sclera. Struggling with the supra hard cataracts through a regular small incision. Phacofracture in the anterior chamber becomes a useful option in these cases. In the snare technique, a stainless steel wire loop when lassoed around the nucleus in the anterior chamber constricts from the equator, easily dividing the hardest of the nuclei into two halves. The wire loop constricts in a controlled way when the second cannula of snare is pulled. The divided halves can easily be brought out by serrated crocodile forceps. This nuclear management can be safely performed through a smaller sclerocorneal flap valve incision where the corneal valve action is retained within the limbus without sutures, and the endothelium or the incision is not disturbed. However, the technique requires space in the anterior chamber to maneuver the wire loop and anterior chamber depth more than 2.5 mm is recommended. Much evidence to this wonderful technique is not available in literature, as its popularity grew through live surgical workshops and small interactive conferences.

Tipping points in Anthropocene fluvial dynamics

Science.gov (United States)

Notebaert, Bastiaan; Broothaerts, Nils; Verstraeten, Gert; Berger, Jean-François; Houbrechts, Geoffrey

2016-04-01

Many rivers have undergone dramatic changes over the last millennia due to anthropogenic on- and offsite impacts. These changes have important implications for the geomorphic and hydrological functioning of the river. In this study we compare the influence of large-scaled off-site anthropogenic impact on three European river systems. We do this using traditional geomorphological methods, combined with palynological and archaeological data; for each catchment a Holocene sediment budget was constructed. The Dijle catchment is located in the central Belgian loess belt, and has undergone intense agriculture for at least the last 2000 year. Pre-Anthropocene floodplain are big marshes lacking a well-established river channel. Anthropogenic deforestation in the headwaters resulted in a sediment pulse from the Bronze Age on. In the main floodplain sediments gradually covered the peat layer, starting near a newly formed river channel and expanding over time towards the floodplain edges. In contrast, this transition is abrupt in the smaller tributary floodplains. Comparison with palynological data shows that this abrupt transition occurs when human impact reaches a certain threshold. The Valdaine region is located in the French Pre-Alps. Floodplain deposition increased over time since the Neolithic time period due to human induced and fire related soil erosion. This general aggradation trend is however interrupted by three major river incision phases which are caused by human land abandonment and dry periods. A second major change in floodplain geomorphology occurs during the High Roman Period and the last 800 year: the fine-grained meandering river changes to a gravel loaded braided river. During this period the upstream mountain reaches became a major sediment source due to deforestation, possibly combined with climate change. During the last century reforestation and land abandonment has led to a new incision phases, and floodplain are now a major source of gravel while

Watershed-scale modeling of streamflow change in incised montane meadows

Science.gov (United States)

Essaid, Hedeff I.; Hill, Barry R.

2014-01-01

Land use practices have caused stream channel incision and water table decline in many montane meadows of the Western United States. Incision changes the magnitude and timing of streamflow in water supply source watersheds, a concern to resource managers and downstream water users. The hydrology of montane meadows under natural and incised conditions was investigated using watershed simulation for a range of hydrologic conditions. The results illustrate the interdependence between: watershed and meadow hydrology; bedrock and meadow aquifers; and surface and groundwater flow through the meadow for the modeled scenarios. During the wet season, stream incision resulted in less overland flow and interflow and more meadow recharge causing a net decrease in streamflow and increase in groundwater storage relative to natural meadow conditions. During the dry season, incision resulted in less meadow evapotranspiration and more groundwater discharge to the stream causing a net increase in streamflow and a decrease in groundwater storage relative to natural meadow conditions. In general, for a given meadow setting, the magnitude of change in summer streamflow and long-term change in watershed groundwater storage due to incision will depend on the combined effect of: reduced evapotranspiration in the eroded meadow; induced groundwater recharge; replenishment of dry season groundwater storage depletion in meadow and bedrock aquifers by precipitation during wet years; and groundwater storage depletion that is not replenished by precipitation during wet years.

Temporal versus Superior Limbal Incision: Any difference in visual ...

African Journals Online (AJOL)

Aim: To compare the visual outcome of a superiorly placed limbal incision with a temporal limbal incision in extracapsular cataract surgery. The main outcome measures are visual acuity and the degree of stigmatism based on refraction. Method: A retrospective non randomized comparative study. Medical records of 40 ...

Influence of system controls on the Late Quaternary geomorphic evolution of a rapidly-infilled incised-valley system: The lower Manawatu valley, North Island New Zealand

Science.gov (United States)

Clement, Alastair J. H.; Fuller, Ian C.

2018-02-01

The Manawatu incised-valley estuary was rapidly infilled between 12,000-4700 cal. yr BP. A combination of empirical measurements of sedimentation rates, a reconstruction of relative sea-level (RSL) change, and digital elevation models of key surfaces within the Holocene sedimentary fill of the valley were integrated to produce a numerical model to investigate the influence of the system controls of sea-level change, sediment flux, and accommodation space on the rapid infilling history of the palaeo-estuary. The numerical model indicates that sediment flux into the palaeo-estuary was greatest during the Holocene marine transgression between 12,000-8000 years BP. The average rate of sediment deposition in the estuary during this period was 1.0 M m3 yr- 1. This rapid rate of sedimentation was controlled by the rate of accommodation space creation, as regulated by the rate of sea-level rise and the antecedent configuration of the valley. By the time sea levels stabilised c. 7500 cal. yr BP, the palaeo-estuary had been substantively infilled. Limited accommodation space resulted in rapid infilling of the central basin, though sediment flux into the estuary between 7100 and 4500 cal. yr BP was at a lower rate of 234,000 m3 yr- 1. The limited accommodation space also influenced hydrodynamic conditions in the estuarine central basin, driving export of fine-grained sediment from the estuary. Once the accommodation space of the estuarine basin was infilled sediment bypassed the system, with a consequent reduction in the sedimentation rate in the valley. More accurate partitioning of the sources of sediment driving the infilling is necessary to quantify sediment bypassing. Post-depositional lowering of RSL index points from the valley is driven by neotectonics and sediment compaction.

Meta-analysis of the effectiveness of surgical scalpel or diathermy in making abdominal skin incisions.

LENUS (Irish Health Repository)

Ahmad, Nasir Zaheer

2012-02-01

BACKGROUND: Surgical scalpels are traditionally used to make skin incisions. Diathermy incisions on contrary are less popular among the surgeons. The aim of this meta-analysis was to compare the effectiveness of both techniques and address the common fallacies about diathermy incisions. METHODS: A literature search of MEDLINE and Cochrane databases was done, using the keywords diathermy, cold scalpel, and incisions. Eleven clinical trials comparing both methods of making skin incisions were selected for meta-analysis. The end points compared included postoperative wound infection, pain in first 24 hours after surgery, time taken to complete the incisions, and incision-related blood loss. RESULTS: Postoperative wound infection rate was comparable in both techniques (P = 0.147, odds ratio = 1.257 and 95% CI = 0.923-1.711). Postoperative pain was significantly less with diathermy incisions in first 24 hours (P = 0.031, weighted mean difference = 0.852 and 95% CI = 0.076-1.628). Similarly, the time taken to complete the incision and incision-related blood loss was significantly less with diathermy incisions (95% CI = 0.245-0.502 and 0.548-1.020, respectively). CONCLUSION: Diathermy incisions are equally prone to get wound infection, as do the incisions made with scalpel. Furthermore, lower incidence of early postoperative pain, swiftness of the technique, and a reduced blood loss are the encouraging facts supporting routine use of diathermy for abdominal skin incisions after taking careful precautions.

Geomorphic Unit Tool (GUT): Applications of Fluvial Mapping

Science.gov (United States)

Kramer, N.; Bangen, S. G.; Wheaton, J. M.; Bouwes, N.; Wall, E.; Saunders, C.; Bennett, S.; Fortney, S.

2017-12-01

Geomorphic units are the building blocks of rivers and represent distinct habitat patches for many fluvial organisms. We present the Geomorphic Unit Toolkit (GUT), a flexible GIS geomorphic unit mapping tool, to generate maps of fluvial landforms from topography. GUT applies attributes to landforms based on flow stage (Tier 1), topographic signatures (Tier 2), geomorphic characteristics (Tier 3) and patch characteristics (Tier 4) to derive attributed maps at the level of detail required by analysts. We hypothesize that if more rigorous and consistent geomorphic mapping is conducted, better correlations between physical habitat units and ecohydraulic model results will be obtained compared to past work. Using output from GUT for coarse bed tributary streams in the Columbia River Basin, we explore relationships between salmonid habitat and geomorphic spatial metrics. We also highlight case studies of how GUT can be used to showcase geomorphic impact from large wood restoration efforts. Provided high resolution topography exists, this tool can be used to quickly assess changes in fluvial geomorphology in watersheds impacted by human activities.

Single scrotal incision orchidopexy for palpable undescended

International Nuclear Information System (INIS)

Ahmad, A.; Safdar, C.A.; Yasir, U.; Rasool, N.; Kanwal, S.; Boota, M.; Rehman, J.U.

2014-01-01

To retrospectively asses the results of single scrotal incision orchidopexy (SSIO) performed at our centre with ligation of the patent processus vaginalis in children having palpable undescended testes (UDT). Study Design: Quasi-experimental with retrospective data. Place and Duration of Study: Department of Paediatric surgery Military Hospital Rawalpindi, from April 2007 to December 2011. Patients and Methods: After making a single transverse incision at superior scrotal border, the testis was identified; gubernaculums and the sac were dissected to the highest level and divided. The testis was placed into the scrotum and fixed to the scrotal fascia/skin. All patients were assessed at 2 weeks, 2 months and 6 months post operatively, and then yearly. Results: A total of 38 orchidopexies were performed in 33 patients. The patients age ranged from 14 months to 7 years (mean:2.1 years). Bilateral UDT were found in 5 patients (15.1%). Operative time ranged from 20 to 45 minutes (mean: 36 minutes). The single scrotal incision technique was successful in all 38 cases (100%). All testes were easily fixed in the scrotum. Two patients (5.2%) developed scrotal haematoma and one patient (2.6%) developed stitch abscess. All showed good an atomical and cosmetic results up to a minimum of six months of follow-up. Conclusion: Single scrotal incision orchidopexy for palpable undescended testis is a simple and safe technique. It has shown to consume shorter time and give good cosmetic results. (author)

Modeling plan-form deltaic response to changes in fluvial sediment supply

NARCIS (Netherlands)

Nienhuis, J.H.; Ashton, A.D.; Roos, Pieter C.; Hulscher, Suzanne J.M.H.; Giosan, L.; Kranenburg, W.M.; Horstman, E.M.; Wijnberg, K.M.

2012-01-01

This study focuses on the effects of changes in fluvial sediment supply on the plan-form shape of wave-dominated deltas. We apply a one-line numerical shoreline model to calculate shoreline evolution after (I) elimination and (II) time-periodic variation of fluvial input. Model results suggest four

Shaler: in situ analysis of a fluvial sedimentary deposit on Mars

Science.gov (United States)

Edgar, Lauren; Gupta, Sanjeev; Rubin, David M.; Lewis, Kevin W.; Kocurek, Gary A.; Anderson, Ryan; Bell, James F.; Dromart, Gilles; Edgett, Kenneth S.; Grotzinger, John P.; Hardgrove, Craig; Kah, Linda C.; LeVeille, Richard A.; Malin, Michael C.; Mangold, Nicholas; Milliken, Ralph E.; Minitti, Michelle; Palucis, Marisa C.; Rice, Melissa; Rowland, Scott K.; Schieber, Juergen; Stack, Kathryn M.; Sumner, Dawn Y.; Wiens, Roger C.; Williams, Rebecca M.E.; Williams, Amy J.

2018-01-01

This paper characterizes the detailed sedimentology of a fluvial sandbody on Mars for the first time, and interprets its depositional processes and palaeoenvironmental setting. Despite numerous orbital observations of fluvial landforms on the surface of Mars, ground-based characterization of the sedimentology of such fluvial deposits has not previously been possible. Results from the NASA Mars Science Laboratory Curiosity rover provide an opportunity to reconstruct at fine scale the sedimentary architecture and palaeomorphology of a fluvial environment on Mars. This work describes the grain size, texture, and sedimentary facies of the Shaler outcrop, reconstructs the bedding architecture, and analyses cross-stratification to determine palaeocurrents. On the basis of bedset geometry and inclination, grain-size distribution, and bedform migration direction, this study concludes that the Shaler outcrop likely records the accretion of a fluvial barform. The majority of the outcrop consists of large-scale trough cross-bedding of coarse sand and granules. Palaeocurrent analyses and bedform reconstruction indicate that the beds were deposited by bedforms that migrated towards the northeast, across the surface of a bar that migrated southeast. Stacked cosets of dune cross-bedding suggest aggradation of multiple bedforms, which provides evidence for short periods of sustained flow during Shaler deposition. However, local evidence for aeolian reworking and the presence of potential desiccation cracks within the outcrop suggests that fluvial deposition may have been intermittent. The uppermost strata at Shaler are distinct in terms of texture and chemistry, and are inferred to record deposition from a different sediment dispersal system with a contrasting provenance. The outcrop as a whole is a testament to the availability of liquid water on the surface of Mars in its early history.

Laparoscopic surgery for esophageal achalasia: Multiport vs single-incision approach.

Science.gov (United States)

Fukuda, Shuichi; Nakajima, Kiyokazu; Miyazaki, Yasuhiro; Takahashi, Tsuyoshi; Makino, Tomoki; Kurokawa, Yukinori; Yamasaki, Makoto; Miyata, Hiroshi; Takiguchi, Shuji; Mori, Masaki; Doki, Yuichiro

2016-02-01

SILS can potentially improve aesthetic outcomes without adversely affecting treatment outcomes, but these outcomes are uncertain in laparoscopic Heller-Dor surgery. We determined if the degree of patient satisfaction with aesthetic outcomes progressed with the equivalent treatment outcomes after the introduction of a single-incision approach to laparoscopic Heller-Dor surgery. We retrospectively reviewed 20 consecutive esophageal achalasia patients (multiport approach, n = 10; single-incision approach, n = 10) and assessed the treatment outcomes and patient satisfaction with the aesthetic outcomes. In the single-incision approach, thin supportive devices were routinely used to gain exposure to the esophageal hiatus. No statistically significant differences in the operating time (210.2 ± 28.8 vs 223.5 ± 46.3 min; P = 0.4503) or blood loss (14.0 ± 31.7 vs 16.0 ± 17.8 mL; P = 0.8637) were detected between the multiport and single-incision approaches. We experienced no intraoperative complications. Mild dysphagia, which resolved spontaneously, was noted postoperatively in one patient treated with the multiport approach. The reduction rate of the maximum lower esophageal sphincter pressure was 25.1 ± 34.4% for the multiport approach and 21.8 ± 19.2% for the single-incision approach (P = 0.8266). Patient satisfaction with aesthetic outcomes was greater for the single-incision approach than for the multiport approach. When single-incision laparoscopic Heller-Dor surgery was performed adequately and combined with the use of thin supportive devices, patient satisfaction with the aesthetic outcomes was higher and treatment outcomes were equivalent to those of the multiport approach. © 2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.

Small incision guarded hydroaspiration of iris lesions.

Science.gov (United States)

Singh, Arun D

2017-11-01

To describe the technique and results of a minimally invasive surgical technique for resection of small iris lesions. Consecutive case series of 22 patients with localised, small iris lesions that were resected using the described surgical technique that composed of multiple, small corneal incisions created to allow for internal iris resection with 23-gauge horizontal vitrectomy scissors, followed by guarded tumour aspiration through a clear plastic tubing (diameter 3.5 mm) primed with viscoelastic agent. The mean largest basal diameter was 3.0 mm (range 1.5-5.0 mm; median 3.0 mm) and mean thickness was 1.3 mm (range 0.5-2.5 mm; median 1.0 mm). Use of multiple (2-4) small corneal incisions (range 2.0-3.0 mm; mean 2.8 mm) allowed reduced postoperative morbidity (significant hyphema (0%), hypotony (0%), wound leak (0%), >2 line change in best corrected visual acuity at postoperative 1 week (4.5%) and mean corneal astigmatism of 1.0 D (range 0.14-2.99 D; median 0.8 D) at postoperative 4-12 weeks. The tumour could be resected with clear surgical margins in all neoplastic cases (benign (2), borderline (1) and malignant (16)). Local recurrence or metastases were not observed in any melanoma case over a mean follow-up of 33.0 months (range 1.0-90.0 months; median 33.5 months). Small incision guarded hydroaspiration is a minimally invasive surgical technique for resection of select small iris lesions. Use of multiple small corneal incisions avoids morbidity associated with a single large corneoscleral incision, and use of guarded aspiration may eliminate the risk of wound contamination by the malignant tumour. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Single incision laparoscopic cholecystectomy using the one-incision three-trocar technique with all straight instruments: how I do it?

Institute of Scientific and Technical Information of China (English)

Hongyi Cui

2011-01-01

Single incision laparoscopic surgery (SILS) is a novel minimally invasive surgical technique that is gaining popularity around the world.One of the most commonly performed procedures is single incision laparoscopic cholecystectomy (SILC).Most reported techniques utilize special purpose-made access port and articulating instruments,rendering the procedure costly and difficult to learn.This article provides a stepwise description of SILC technique using all straight instruments without the need for a special port.It aims to shorten the learning curve for surgeons wishing to adopt a safe and cost-effective SILC technique to their practice.

Laser incising of wood: Impregnation of columns with water-soluble dye

International Nuclear Information System (INIS)

Hattori, N.; Ando, K.; Kitayama, S.; Nakamura, Y.

1994-01-01

To know whether or not laser incising is a useful pre-treatment technique in impregnating a chemical fluid into lumber, pin holes were made in columns of hinoki (Chamaecyparis obtusa Endl.), sugi (Cryptomeria japonica D. Don), karamatsu (Larix leptolepis Gordon) and douglas-fir (Pseudo-tsuga menziesii Franco) with 1.7 kW CO2 laser, and a water-soluble dye was impregnated into these columns with a local pressure impregnation device. Retentions, and lengths and widths of penetrations from each hole were measured quantitatively. Referring to the results of the preparatory experiment mentioned above, incising patterns for sugi and douglas-fir were designed, and the same water-soluble dye was impregnated into the laser-incised columns as well as into non-incised ones with the vacuum-pressure method to obtain penetrated layers with the target depths completely. As a result, a retention of 200 kg/m3 of dye could be achieved for a column of douglas-fir even if it is a species difficult to impregnate. The penetrated layer also could be formed completely at the depth of the laser incision. Therefore, it is concluded that laser incising can be used for the pre-treatment before impregnation of wood columns. (author)

Diathermy vs. scalpel skin incisions in general surgery: double-blind, randomized, clinical trial.

Science.gov (United States)

Shamim, Muhammad

2009-08-01

This prospective, double-blind, randomized, controlled trial was designed to compare the outcome of diathermy incisions versus scalpel incisions in general surgery. A total of 369 patients who underwent diathermy incision (group A: 185 patients) or scalpel incision (group B: 184 patients) were analyzed. Variables analyzed were: surgical wound classification, length and depth of incision, incision time, duration of operation, incisional blood loss, postoperative pain, duration of hospital stay, duration of healing, and postoperative complications. The inclusion criteria were all patients who underwent elective or emergency general surgery. The exclusion criteria were only cases with incomplete patients' data and patients who were lost to follow-up. This study was conducted at Fatima Hospital-Baqai Medical University and Shamsi Hospital (Karachi), from January 2006 to December 2007. Incision time was significantly longer for patients in group B (p = 0.001). Incisional blood loss also was more for patients in group B (p = 0.000). Pain perception was found to be markedly reduced during the first 48 h in group A (p = 0.000). Total period of hospital stay (p = 0.129) and time for complete wound healing (p = 0.683) were almost the same for both groups. Postoperative complication rate by wound classification did not differ markedly between the two groups (p = 0.002 vs. p = 0.000). Diathermy incision has significant advantages compared with the scalpel because of reduced incision time, less blood loss, & reduced early postoperative pain.

Channel incision and suspended sediment delivery at Caspar Creek, Mendocino County, California

Science.gov (United States)

Nicholas J. Dewey; Thomas E. Lisle; Leslie M. Reid

2003-01-01

Tributary and headwater valleys in the Caspar Creek watershed,in coastal Mendocino County, California,show signs of incision along much of their lengths.An episode of incision followed initial-entry logging which took place between 1860 and 1906. Another episode of incision cut into skid-trails created for second-entry logging in the 1970's.

A study of incisive canal using a cone beam computed tomography

International Nuclear Information System (INIS)

Kim, Gyu Tae; Hwang, Eui Hwan; Lee, Sang Rae

2004-01-01

To investigate the anatomical structure of the incisive canal radiographically by a cone beam computed tomography. 38 persons (male 26, female 12) were chosen to take images of maxillary anterior region in dental CT mode using a cone beam computed tomography. The tube voltage were 65, 67, and 70 kVp, the tube current was 7 mA, and the exposure time was 13.3 seconds. The FH plane of each person was parallel to the floor. The images were analysed on the CRT display. The mean length of incisive canal was 15.87 mm ± 2.92. The mean diameter at the side of palate and nasal fossa were 3.49 mm ± 0.76 and 3.89 mm ± 1.06, respectively. In the cross-sectional shape of incisive canal, 50% were round, 34.2% were ovoid, and 15.8% were lobulated. 87% of incisive canal at the side of nasal fossa have one canal, 10.4% have two canals, and 2.6% have three canals, but these canals were merged into one canal in the middle portion of palate. The mean angles of the long axis of incisive canal and central incisor to the FH plane were 110.3 ± 6.96 and 117.45 ± 7.41, respectively. The angles of the long axis of incisive canal and central incisor to the FH plane were least correlated (r 0.258). This experiment suggests that a cone beam computed radiography will be helpful in surgery or implantation on the maxillary incisive area.

A study of incisive canal using a cone beam computed tomography

Energy Technology Data Exchange (ETDEWEB)

Kim, Gyu Tae; Hwang, Eui Hwan; Lee, Sang Rae [Kyunghee University College of Medicine, Seoul (Korea, Republic of)

2004-03-15

To investigate the anatomical structure of the incisive canal radiographically by a cone beam computed tomography. 38 persons (male 26, female 12) were chosen to take images of maxillary anterior region in dental CT mode using a cone beam computed tomography. The tube voltage were 65, 67, and 70 kVp, the tube current was 7 mA, and the exposure time was 13.3 seconds. The FH plane of each person was parallel to the floor. The images were analysed on the CRT display. The mean length of incisive canal was 15.87 mm {+-} 2.92. The mean diameter at the side of palate and nasal fossa were 3.49 mm {+-} 0.76 and 3.89 mm {+-} 1.06, respectively. In the cross-sectional shape of incisive canal, 50% were round, 34.2% were ovoid, and 15.8% were lobulated. 87% of incisive canal at the side of nasal fossa have one canal, 10.4% have two canals, and 2.6% have three canals, but these canals were merged into one canal in the middle portion of palate. The mean angles of the long axis of incisive canal and central incisor to the FH plane were 110.3 {+-} 6.96 and 117.45 {+-} 7.41, respectively. The angles of the long axis of incisive canal and central incisor to the FH plane were least correlated (r 0.258). This experiment suggests that a cone beam computed radiography will be helpful in surgery or implantation on the maxillary incisive area.

Contemporary Conceptual Approaches in Fluvial Geomorphology

Directory of Open Access Journals (Sweden)

Mônica dos Santos Marçal

2016-06-01

Full Text Available Contemporary fluvial geomorphology faces challenging questions, especially as it goes by understanding the Late Holocene/Anthropocene period, which has repercussions today and are intrinsically important to understand the human river disturbance. Given the scale that physical rates operate in complex river systems, two conceptual paths were developed to analyze the spatial and temporal organization. The network view emphasizes controls on catchment-scale and a reach approach focuses on discontinuity and local controls. Fluvial geomorphology has seek to understand the organization of complex river systems from the integrated view of the continuity and discontinuity paradigm. This integrated approach has stimulated within the geomorphology, the emergence of new theoretical-methodological instruments. It is recognized that rivers management is an ongoing process, part of the socio-cultural development, which refers to both a social movement and scientific exercise.

A skin abscess model for teaching incision and drainage procedures.

Science.gov (United States)

Fitch, Michael T; Manthey, David E; McGinnis, Henderson D; Nicks, Bret A; Pariyadath, Manoj

2008-07-03

Skin and soft tissue infections are increasingly prevalent clinical problems, and it is important for health care practitioners to be well trained in how to treat skin abscesses. A realistic model of abscess incision and drainage will allow trainees to learn and practice this basic physician procedure. We developed a realistic model of skin abscess formation to demonstrate the technique of incision and drainage for educational purposes. The creation of this model is described in detail in this report. This model has been successfully used to develop and disseminate a multimedia video production for teaching this medical procedure. Clinical faculty and resident physicians find this model to be a realistic method for demonstrating abscess incision and drainage. This manuscript provides a detailed description of our model of abscess incision and drainage for medical education. Clinical educators can incorporate this model into skills labs or demonstrations for teaching this basic procedure.

Modification of the Nuss Procedure: The Single-incision Technique

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Tetsushi Aizawa, MD

2014-11-01

Full Text Available Summary: The Nuss procedure is a prevalent minimally invasive surgery for pectus excavatum. Although the Nuss procedure has the advantage of leaving less obtrusive scars, the standard technique requires at least 3 skin incisions to insert several instruments. We experienced 7 cases of the modified Nuss procedure using a single incision during a 7-year period. To facilitate passing of the bar, a traction guide was created according to our unique method. There was no need for a bar stabilizer, and no severe intraoperative complications occurred. All patients exhibited satisfactory short-term results; however, 1 patient suffered from bar rotation and required repeat surgery for fixation. Two patients underwent bar removal via the same single incision without any difficulties.

Superficial parotidectomy via facelift incision

NARCIS (Netherlands)

Lohuis, Peter J. F. M.; Tan, M. Liane; Bonte, Katrien; van den Brekel, Michiel W. M.; Balm, Alfons J. M.; Vermeersch, Hubert B.

2009-01-01

The stigma of a visually prominent facial scar following parotid surgery can be distressing to a young patient. The surgical technique of parotidectomy via a facelift incision is described and evaluated. Thirty patients with a benign lesion of the parotid gland underwent a partial superficial

A laser profilometry technique for monitoring fluvial dike breaching in laboratory experiments

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Dewals, Benjamin; Rifai, Ismail; Erpicum, Sébastien; Archambeau, Pierre; Violeau, Damien; Pirotton, Michel; El kadi Abderrezzak, Kamal

2017-04-01

laser are merged to generate a cloud of points. The DLT-based image processing method uses control points and reference axes, so that no prior knowledge is needed on the position, orientation and intrinsic characteristics of the camera, nor on the laser position. Refraction of the light and laser rays across the water surface needs to be taken into account, because the dike is partially submerged during the experiments. An ad hoc correction is therefore applied using the Snell-Descartes law. For this purpose, planar approximations are used to describe the shape of the water surface. In the presentation, we will discuss the resulting uncertainty and will detail the validation of the developed method based on configurations of known geometry with various complexity. The presented laser profilometry technique allows for a rapid non-intrusive measurement of the dike geometry evolution. It is readily available for laboratory experiments and has proven its performance (Rifai et al. 2017). Further adjustments are needed for its application to cohesive dike material due to the reduced visibility resulting from the higher turbidity of water. References Frank, P.-J., Hager, W.H. (2014). Spatial dike breach: Accuracy of photogrammetric measurement system. Proc. of the International Conference on Fluvial Hydraulics, River Flow 2014, 1647-1654. Pickert, G., Weitbrecht, V., Bieberstein A. (2011). Beaching of overtopped river embankments controlled by apparent cohesion. Journal of Hydraulic Research 49:143-156. Rifai, I., Erpicum, S., Archambeau, P., Violeau, D., Pirotton, M., El kadi Abderrezzak, K., Dewals, B. (2016). Monitoring topography of laboratory fluvial dike models subjected to breaching based on a laser profilometry technique. Proc. of the International Symposium on River Sedimentation (ISRS): Stuttgart, 19-22 September 2016. Rifai, I., Erpicum, S., Archambeau, P., Violeau, D., Pirotton, M., El kadi Abderrezzak, K., Dewals, B. (2017). Overtopping induced failure of non

De Qeurvian Tenosynovitis: Clinical Outcomes of Surgical Treatment with Longitudinal and Transverse Incision

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Arefah Dehghani Tafti

2011-03-01

Full Text Available AbstractObjectives: De Quervain disease is a mechanical tenosynovitis due to inadequacy volume between abductor pollicis longus, extensor pollicis brevis and their tunnel. Treatment methods include immobilization, steroid injections, and operation. For the first time Fritz De Quervain described surgical treatment of this disease. Since then, various ways of treatment have been reported. The purpose of this study is to compare the clinical outcomes of a longitudinal incision with a transverse incision in De Quervain disease.Methods: This was a randomized controlled clinical trial conducted in three hospitals in Iran, Yazd from March 2003 to September 2008. One hundred-twenty patients with De Quervain disease who did not respond to conservative treatment were operated with two different incisions. The patients were followed for three months to compare the surgical outcomes.Results: During a three month follow-up, a significant difference was shown between the two methods (p=0.03. Results of surgical treatment with longitudinal incision were excellent (only 5 hypertrophic scars, but there were 13 postoperative complaints with transverse incision.Conclusion: According to our findings, longitudinal incision in surgical treatment of De Quervain disease is better than transverse incision.

Does pilonidal abscess heal quicker with off-midline incision and drainage?

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Webb, P M; Wysocki, A P

2011-06-01

No clinical trials have been done to guide the surgeon in the optimal technique of draining a pilonidal abscess. The aim of our study was to investigate whether the location of the incision influences wound healing. Electronic records from the surgical database at our 200-bed district general hospital were reviewed for operative technique (midline vs. lateral) for patients who underwent incision and drainage for acute pilonidal abscess between January 2003 and February 2010. These patients were admitted from the Emergency Department with a pilonidal abscess, underwent operative drainage, and returned for follow-up. The main outcome measure was wound healing time. Two hundred and forty-three pilonidal abscesses were drained, 134 with a lateral and 74 with a midline incision. All patients underwent simple longitudinal incision. No patient underwent de-roofing, marsupialisation, or closure. Forty-eight patients with midline drainage who returned for follow-up were matched for gender, age, and microbiology culture results with patients who underwent lateral drainage. Almost all were drained under general anesthesia with a median postoperative stay of 1 day. The overall length of follow-up was the same in both groups (P = 0.13). Abscesses that did not heal were followed-up for the same period of time irrespective of incision type (P = 0.48). Abscesses that healed after midline incision took approximately 3 weeks longer than those drained via a lateral incision (P = 0.02). Our study has limitations since it was a retrospective study that did not capture patients whose abscess drained spontaneously or were drained in the emergency department. Pilonidal abscess should be drained away from the midline.

Mountain rivers may need centuries to adjust to earthquake-triggered sediment pulses, Pokhara, Nepal

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Stolle, Amelie; Korup, Oliver; Schwanghart, Wolfgang; Bernhardt, Anne; Adhikari, Basanta Raj; Andermann, Christoff; Wittmann, Hella; Merchel, Silke

2017-04-01

Mountain rivers respond to strong earthquakes by not only adjusting to changes in local base level, but also by rapidly aggrading to accommodate excess sediment delivered by co- and post-seismic landslides. A growing number of detailed sediment budgets suggests that it takes rivers several years to decades to recover from such seismic disturbances, depending on how recovery is defined. We test this notion and study how rivers adjusted to catastrophic sedimentation triggered by at least three medieval earthquakes in the central Nepal Himalaya. In the vicinity of Pokhara, the nation's second largest city, rapid aggradation formed a large fan covering 150 km2 of mountainous terrain over a length of some 70 km. The fan prograded into several tributary valleys, rapidly infilling their lower reaches with several tens of meters of sediment from a major point source tens of kilometers away. A robust radiocarbon chronology of these valley fills provides an ideal framework for gauging average rates of fluvial incision and adjustment. We use high-resolution digital elevation data, geodetic field surveys, aerial photos documenting historic channel changes, and several re-exhumed tree trunks in growth position to define dated geomorphic marker surfaces. We compare various methods of computing the volumes lost from these surfaces to arrive at net sediment yields averaged over decades to centuries. We find that contemporary rates of river incision into the medieval earthquake debris are between 160 and 220 mm yr-1, with corresponding sediment yields of 103 to 105 t km-2 yr-1, several hundred years after the last traceable seismic disturbance. These rates greatly exceed the density-adjusted background rates of catchment-wide denudation inferred from concentrations of cosmogenic 10Be in river sands sampled in different tributaries. The lithological composition of active channel-bed load differs largely from local bedrock and confirms that rivers are still busy with excavating

Systematic review and meta-analysis of electrocautery versus scalpel for surgical skin incisions.

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Aird, Lisa N F; Brown, Carl J

2012-08-01

The creation of surgical skin incisions has historically been performed using a cold scalpel. The use of electrocautery for this purpose has been controversial with respect to patient safety and surgical efficacy. A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted to compare skin incisions made by electrocautery and a scalpel. A systematic electronic literature search was performed using 2 electronic databases (MEDLINE and PubMed), and the methodological quality of included publications was evaluated. Six RCTs were identified comparing electrocautery (n = 606) and a scalpel (n = 628) for skin incisions. No significant difference in wound infection rates or scar cosmesis was identified between the treatment groups. Electrocautery significantly reduced the incision time and postoperative wound pain. A trend toward less incisional blood loss from skin incisions made with electrocautery was noted. Electrocautery is a safe and effective method for performing surgical skin incisions. Copyright © 2012 Elsevier Inc. All rights reserved.

Thermal study of bare tips with various system parameters and incision sizes.

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Osher, Robert H; Injev, Valentine P

2006-05-01

To identify major and minor surgeon-controlled parameters that affect incision temperature when performing microincision lens removal using the Alcon Infiniti Vision System. In vitro research and development laboratory, Alcon Research, Irvine, California, USA. Phacoemulsification was performed in eye-bank cadaver eyes and the following parameters evaluated: incision, duty cycle, ultrasound (US) power, aspiration flow rate (AFR), vacuum, pulse, bottle height and balanced salt solution temperature, and tip design/size. Each parameter was varied while the others remained constant. The resulting temperature of the incision and US tip was measured using a thermal camera. Major contributors to elevated incision temperature included incision size, US power, duty cycle, AFR, vacuum setting, tip design, and presence of an ophthalmic viscosurgical device (OVD). Minor contributors included pulse frequency, bottle height, and temperature of the infusate. Microincision lens removal can be performed at safe temperatures with the knowledgeable selection of surgeon-controlled parameters.

Minimizing surgical skin incision scars with a latex surgical glove.

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Han, So-Eun; Ryoo, Suk-Tae; Lim, So Young; Pyon, Jai-Kyung; Bang, Sa-Ik; Oh, Kap-Sung; Mun, Goo-Hyun

2013-04-01

The current trend in minimally invasive surgery is to make a small surgical incision. However, the excessive tensile stress applied by the retractors to the skin surrounding the incision often results in a long wound healing time and extensive scarring. To minimize these types of wound problems, the authors evaluated a simple and cost-effective method to minimize surgical incision scars based on the use of a latex surgical glove. The tunnel-shaped part of a powder-free latex surgical glove was applied to the incision and the dissection plane. It was fixed to the full layer of the dissection plane with sutures. The glove on the skin surface then was sealed with Ioban (3 M Health Care, St. Paul, MN, USA) to prevent movement. The operation proceeded as usual, with the retractor running through the tunnel of the latex glove. It was possible to complete the operation without any disturbance of the visual field by the surgical glove, and the glove was neither torn nor separated by the retractors. The retractors caused traction and friction during the operation, but the extent of damage to the postoperative skin incision margin was remarkably less than when the operation was performed without a glove. This simple and cost-effective method is based on the use of a latex surgical glove to protect the surgical skin incision site and improve the appearance of the postoperative scar. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Modified tubularized incised plate urethroplasty

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Shivaji Mane

2013-01-01

Full Text Available Aim: To share our experience of doing tubularized incised plate urethroplasty with modifications. Materials and Methods: This is a single surgeon personal series from 2004 to 2009. One hundred patients of distal hypospadias were subjected for Snodgrass urethroplasty with preputioplasty. The age range was 1 to 5 year with mean age of 2.7 years. Selection criteria were good urethral plate, without chordee and torsion needing complete degloving. Main technical modification from original Snodgrass procedure was spongioplasty, preputioplasty, and dorsal slit when inability to retract prepuce during surgery. Results: Average follow-up period is 23 months. Seven (7% patients developed fistula and one patient had complete preputial dehiscence. Phimosis developed in three (3% patients and required circumcision. Dorsal slit was required in seven patients. One patient developed meatal stenosis in postoperative period. All other patients are passing single urinary stream and have cosmesis that is acceptable. Conclusions: Modified tubularized incised plate urethroplasty with preputioplasty effectively gives cosmetically normal looking penis with low complications.

Experimental investigation of fluvial dike breaching due to flow overtopping

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El Kadi Abderrezzak, K.; Rifai, I.; Erpicum, S.; Archambeau, P.; Violeau, D.; Pirotton, M.; Dewals, B.

2017-12-01

The failure of fluvial dikes (levees) often leads to devastating floods that cause loss of life and damages to public infrastructure. Overtopping flows have been recognized as one of the most frequent cause of dike erosion and breaching. Fluvial dike breaching is different from frontal dike (embankments) breaching, because of specific geometry and boundary conditions. The current knowledge on the physical processes underpinning fluvial dike failure due to overtopping remains limited. In addition, there is a lack of a continuous monitoring of the 3D breach formation, limiting the analysis of the key mechanisms governing the breach development and the validation of conceptual or physically-based models. Laboratory tests on breach growth in homogeneous, non-cohesive sandy fluvial dikes due to flow overtopping have been performed. Two experimental setups have been constructed, permitting the investigation of various hydraulic and geometric parameters. Each experimental setup includes a main channel, separated from a floodplain by a dike. A rectangular initial notch is cut in the crest to initiate dike breaching. The breach development is monitored continuously using a specific developed laser profilometry technique. The observations have shown that the breach develops in two stages: first the breach deepens and widens with the breach centerline being gradually shifted toward the downstream side of the main channel. This behavior underlines the influence of the flow momentum component parallel to the dike crest. Second, the dike geometry upstream of the breach stops evolving and the breach widening continues only toward the downstream side of the main channel. The breach evolution has been found strongly affected by the flow conditions (i.e. inflow discharge in the main channel, downstream boundary condition) and floodplain confinement. The findings of this work shed light on key mechanisms of fluvial dike breaching, which differ substantially from those of dam

Characterizing fluvial heavy metal pollutions under different rainfall conditions: Implication for aquatic environment protection.

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Zhang, Lixun; Zhao, Bo; Xu, Gang; Guan, Yuntao

2018-09-01

Globally, fluvial heavy metal (HM) pollution has recently become an increasingly severe problem. However, few studies have investigated the variational characteristics of fluvial HMs after rain over long periods (≥1 year). The Dakan River in Xili Reservoir watershed (China) was selected as a case study to investigate pollution levels, influencing factors, and sources of HMs under different rainfall conditions during 2015 and 2016. Fluvial HMs showed evident spatiotemporal variations attributable to the coupled effects of pollution generation and rainfall diffusion. Fluvial HM concentrations were significantly associated with rainfall characteristics (e.g., rainfall intensity, rainfall amount, and antecedent dry period) and river flow, which influenced the generation and the transmission of fluvial HMs in various ways. Moreover, this interrelationship depended considerably on the HM type and particle size distribution. Mn, Pb, Cr, and Ni were major contributors to high values of the comprehensive pollution index; therefore, they should be afforded special attention. Additionally, quantitative source apportionment of fluvial HMs was conducted by combining principal component analysis with multiple linear regression and chemical mass balance models to obtain comprehensive source profiles. Finally, an environment-friendly control strategy coupling "source elimination" and "transport barriers" was proposed for aquatic environment protection. Copyright © 2018 Elsevier B.V. All rights reserved.

Cochlear implantation with Pulsar Med El: a novel small incision technique.

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Cuda, D

2009-04-01

Although still widely implanted, Pulsar Med-El is rarely considered for small incision approach. Overall, 30 teen-age and adult patients were operated upon with a novel small incision (4-5 cm). Full insertion of the electrode array was achieved in all cases. No major intra-operative complications occurred. At follow-up, no flap-related complications and no migration of the receiver-stimulator were observed in the "device suture" (14 patients) or "no device suture" groups (16 patients). All patients are full-time users of the device. In conclusion, a small incision for the Pulsar Med-El cochlear implant is feasible, safe and reproducible. Ligature fixation of the device is not critical with this operation. Also with this device, in adult and teen-age patients, it is, therefore, possible to retain several typical advantages of small incision approaches.

Aeolian and fluvial processes in dryland regions: the need for integrated studies

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Belnap, Jayne; Munson, Seth M.; Field, Jason P.

2011-01-01

Aeolian and fluvial processes play a fundamental role in dryland regions of the world and have important environmental and ecological consequences from local to global scales. Although both processes operate over similar spatial and temporal scales and are likely strongly coupled in many dryland systems, aeolian and fluvial processes have traditionally been studied separately, making it difficult to assess their relative importance in drylands, as well as their potential for synergistic interaction. Land degradation by accelerated wind and water erosion is a major problem throughout the world's drylands, and although recent studies suggest that these processes likely interact across broad spatial and temporal scales to amplify the transport of soil resources from and within drylands, many researchers and land managers continue to view them as separate and unrelated processes. Here, we illustrate how aeolian and fluvial sediment transport is coupled at multiple spatial and temporal scales and highlight the need for these interrelated processes to be studied from a more integrated perspective that crosses traditional disciplinary boundaries. Special attention is given to how the growing threat of climate change and land-use disturbance will influence linkages between aeolian and fluvial processes in the future. We also present emerging directions for interdisciplinary needs within the aeolian and fluvial research communities that call for better integration across a broad range of traditional disciplines such as ecology, biogeochemistry, agronomy, and soil conservation.

Monitoring fluvial erosion of the Oso landslide, Washington, using repeat Structure-from-Motion photogrammetry

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Anderson, S. W.; Magirl, C. S.; Keith, M. K.

2015-12-01

On March 22, 2014, the Oso landslide, located in northwestern Washington State, catastrophically mobilized about 8 million m3 of mixed glacial sediment, creating a valley-wide blockage that impounded the North Fork Stillaguamish River to a height of 8 m. The river overtopped the landslide blockage within several days and incised a new channel through predominately fine-grained, cohesive glaciolacustrine sediment in the center of the deposit. Our research focuses on the evolution of this new channel. Using a consumer-grade digital camera mounted on a fixed wing-aircraft, we used structure-from-motion (SfM) photogrammetry to produce 25 cm digital elevation models (DEMs) of the channel at one-month intervals between November 2014 and July 2015. A large RTK GPS validation dataset and inter-survey comparisons documents sub-decimeter vertical and horizontal accuracies. In combination with aerial lidar surveys acquired in March and April 2014, this dataset provides a uniquely resolved look at the erosion of a landslide dam. The newly-formed channel incised rapidly, lowering to within a meter of its pre-slide elevation by May 2014 despite modest flows. During high flows of the 2014-2015 winter flood season, erosion was dominated by channel widening of tens of meters with an overall stable planform. Incision fully returned the channel to pre-slide elevations by December 2014. A total of 510,000 +/- 50,000 m3 of material was eroded between March 2014 and July 2015, split evenly between the initial period of incision and the later period of widening. Sediment yield and channel morphology showed asymptotic trends towards stability. Measurements of deposit bulk density and grain size allowed conversion of volumetric sediment yields to mass yields by size classes. Over the 16 months after the slide, the river eroded about 0.82 +/- 0.1 Mt of sediment, of which 0.78 Mt was finer than 2mm. This yield agrees within 15% of an independent estimate based on concurrent sediment gaging

Evolution of Early Pleistocene fluvial systems in central Poland prior to the first ice sheet advance – a case study from the Bełchatów lignite mine

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Goździk Jan

2017-06-01

Full Text Available Deposits formed between the Neogene/Pleistocene transition and into the Early Pleistocene have been studied, mainly on the basis of drillings and at rare, small outcrops in the lowland part of Polish territory. At the Bełchatów lignite mine (Kleszczów Graben, central Poland, one of the largest opencast pits in Europe, strata of this age have long been exposed in extensive outcrops. The present paper is based on our field studies and laboratory analyses, as well as on research data presented by other authors. For that reason, it can be seen as an overview of current knowledge of lowermost Pleistocene deposits at Bełchatów, where exploitation of the Quaternary overburden has just been completed. The results of cartographic work, sedimentological, mineralogical and palynological analyses as well as assessment of sand grain morphology have been considered. All of these studies have allowed the distinction of three Lower Pleistocene series, i.e., the Łękińsko, Faustynów and Krzaki series. These were laid down in fluvial environments between the end of the Pliocene up to the advance of the first Scandinavian ice sheet on central Poland. The following environmental features have been interpreted: phases of river incision and aggradation, changes of river channel patterns, source sediments for alluvia, rates of aeolian supply to rivers and roles of fluvial systems in morphological and geological development of the area. The two older series studied, i.e., Łękińsko and Faustynów, share common characteristics. They were formed by sinuous rivers in boreal forest and open forest environments. The Neogene substratum was the source of the alluvium. The younger series (Krzaki formed mainly in a braided river setting, under conditions of progressive climatic cooling. Over time, a gradual increase of aeolian supply to the fluvial system can be noted; initially, silt and sand were laid down, followed by sand only during cold desert conditions. These

Temperature-controlled laser-soldering system and its clinical application for bonding skin incisions

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Simhon, David; Gabay, Ilan; Shpolyansky, Gregory; Vasilyev, Tamar; Nur, Israel; Meidler, Roberto; Hatoum, Ossama Abu; Katzir, Abraham; Hashmonai, Moshe; Kopelman, Doron

2015-12-01

Laser tissue soldering is a method of repairing incisions. It involves the application of a biological solder to the approximated edges of the incision and heating it with a laser beam. A pilot clinical study was carried out on 10 patients who underwent laparoscopic cholecystectomy. Of the four abdominal incisions in each patient, two were sutured and two were laser soldered. Cicatrization, esthetical appearance, degree of pain, and pruritus in the incisions were examined on postoperative days 1, 7, and 30. The soldered wounds were watertight and healed well, with no discharge from these wounds or infection. The total closure time was equal in both methods, but the net soldering time was much shorter than suturing. There was no difference between the two types of wound closure with respect to the pain and pruritus on a follow-up of one month. Esthetically, the soldered incisions were estimated as good as the sutured ones. The present study confirmed that temperature-controlled laser soldering of human skin incisions is clinically feasible, and the results obtained were at least equivalent to those of standard suturing.

How to find the sedimentary archive of fluvial pollution in a bedrock-confined river reach

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Elznicova, Jitka; Matys Grygar, Tomas; Kiss, Timea; Lelkova, Tereza; Balogh, Marton; Sikora, Martin

2016-04-01

The Ohre River springs in the Eastern Germany and it is a tributary of the Labe (Elbe) River in Northwest Bohemia. The river received pollution from several sources during the last five centuries. Most of the pollution sources located along the upper and middle reaches, where the depositional and erosional pattern of the river is highly variable. The upper part of the catchment consists of mainly felsic rocks and the river has a broad floodplain. The middle reach and its right-bank tributaries are deeply incised into the Doupovske Hory Mts., which consists of mafic volcanic rocks; whereas the left-bank tributaries are incised into intrusive and metamorphic rocks of the Krusne Hory Mts. (Ore mountains) with several local ore mines (Ag, Pb and U) in particular in around Olovi and Jachymov. Due to the geologic and geomorphologic complexity, deposition of historical sediments in the middle reach has been spatially limited and uneven, and anomalous background concentrations of risk elements are expected. As a consequence, in the middle reach of the Ohre River it is difficult to find a useful sedimentary archive of historical pollution, though it is desired for two main reasons: (1) to decipher the undocumented and poorly described pollution history from the Krusne Hory Mts. and (2) to better understand the retention of pollutants in the transport zones of a confined river system. Based on historical maps we identified a side-bar (35x320 m) in the middle reach of the river near Straz on Ohre and aimed to describe its formation, its recent erosion/deposition history and to evaluate its sedimentary archive value. In the first half of the 19th century it was an island separated from the valley edge by a side channel. Since then there has been no apparent lateral accretion of the bar (its shape has not been changed), but the upstream part of the side channel aggraded by a sediment plug. We evaluated the current bar topography and geomorphology by a detailed field survey

Fluvial-deltaic sedimentation and stratigraphy of the ferron sandstone

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Anderson, P.B.; Chidsey, T.C.; Ryer, T.A.

1997-01-01

East-central Utah has world-class outcrops of dominantly fluvial-deltaic Turonian to Coniacian aged strata deposited in the Cretaceous foreland basin. The Ferron Sandstone Member of the Mancos Shale records the influences of both tidal and wave energy on fluvial-dominated deltas on the western margin of the Cretaceous western interior seaway. Revisions of the stratigraphy are proposed for the Ferron Sandstone. Facies representing a variety of environments of deposition are well exposed, including delta-front, strandline, marginal marine, and coastal-plain. Some of these facies are described in detail for use in petroleum reservoir characterization and include permeability structure.

Sediment dynamics in the Rhine catchment : Quantification of fluvial response to climate change and human impact

NARCIS (Netherlands)

Erkens, G.

2009-01-01

Fluvial systems are strongly responsive to changes in climate and land use — but take their time to show it. Accurate prediction of the timing and degree of future fluvial response requires comprehensive understanding of fluvial response in the past. This PhD-thesis studied the response of the river

Mouse preferential incising force orientation changes during jaw closing muscle hyperalgesia and is sex dependent.

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Widmer, C G; Morris-Wiman, J

2016-12-01

Mouse incising is controlled by a central pattern generator and this activity can change in the presence of pain. The incising frequency and maximum force generation decreases with pain. In this study, we used repetitive acidic injections in the left masseter muscle of male and female mice to determine differences between baseline and jaw muscle pain conditions and the effect of sex on preferential incising direction. A within subject design was used to evaluate data previously acquired using multi-axis force data (X, Y and Z) from the 4th baseline recording day and day 7 post-injection (day of maximal pain response) for each mouse of each sex. A total of 34 female and male (age 3-9months) CD-1 mice were evaluated. After mathematically rotating the X and Y axes to align the Y axis to be parallel to the wire struts of the cage top, data were analyzed to determine incising direction preference during baseline (non-pain) and pain (day 7) conditions and between sex. Radar plots of X-Y, X-Z and Y-Z axes depicted the average direction of incising preference between baseline and pain conditions for each sex. Statistical differences among groups were tested using a mixed model ANOVA. Similar to previous findings, female mice had a more robust difference in incising direction preference when comparing male and female pain conditions and this was most evident in the X-Z axes. The incising frequencies most commonly affected were 5.3, 6.2 and 7.6Hz. Male mice varied little in their incising direction preference between the baseline and pain conditions. In addition, statistical comparison of ratios of the percent of time spent incising in the Z versus X axes for each incising frequency found that the incising preference was not different when comparing 5.3 and 7.6Hz frequencies. Finally, female mice used a novel approach to minimize pain while incising by rotating their head and body nearly 180 degrees while males did not use this strategy as frequently. The preferred incising

Relaxation incisions of venomous snake "Japanese mamushi" bites to the hand

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Sugamata A

2011-12-01

Full Text Available Akira Sugamata, Naoki Yoshizawa, Takahiro OkadaDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University Hachioji Medical Center, Tokyo, JapanAbstract: Gloydius blomhoffii, commonly known as Japanese mamushi, is a venomous viper species found widely in Japan. The most frequently bitten regions are the fingers and toes, and severe swelling causes compression of peripheral arteries and/or compartment syndrome of the extremities. We experienced four cases of mamushi bites to the hand, and undertook relaxation incision in the hands of three of these patients. As a result, the patients who underwent relaxation incision did not show any skin necrosis or permanent sensory disturbance in the affected fingers. Relaxation incision can be useful to not only decompress subcutaneous and compartment pressure of the hand, but also to wash out the venom from the bitten region by improving venous and lymphatic drainage.Keywords: mamushi, snakebite, viper, relaxation incision

Fluvial response to abrupt global warming at the Palaeocene/Eocene boundary.

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Foreman, Brady Z; Heller, Paul L; Clementz, Mark T

2012-11-01

Climate strongly affects the production of sediment from mountain catchments as well as its transport and deposition within adjacent sedimentary basins. However, identifying climatic influences on basin stratigraphy is complicated by nonlinearities, feedback loops, lag times, buffering and convergence among processes within the sediment routeing system. The Palaeocene/Eocene thermal maximum (PETM) arguably represents the most abrupt and dramatic instance of global warming in the Cenozoic era and has been proposed to be a geologic analogue for anthropogenic climate change. Here we evaluate the fluvial response in western Colorado to the PETM. Concomitant with the carbon isotope excursion marking the PETM we document a basin-wide shift to thick, multistoried, sheets of sandstone characterized by variable channel dimensions, dominance of upper flow regime sedimentary structures, and prevalent crevasse splay deposits. This progradation of coarse-grained lithofacies matches model predictions for rapid increases in sediment flux and discharge, instigated by regional vegetation overturn and enhanced monsoon precipitation. Yet the change in fluvial deposition persisted long after the approximately 200,000-year-long PETM with its increased carbon dioxide levels in the atmosphere, emphasizing the strong role the protracted transmission of catchment responses to distant depositional systems has in constructing large-scale basin stratigraphy. Our results, combined with evidence for increased dissolved loads and terrestrial clay export to world oceans, indicate that the transient hyper-greenhouse climate of the PETM may represent a major geomorphic 'system-clearing event', involving a global mobilization of dissolved and solid sediment loads on Earth's surface.

GOEMORFOLOGIA FLUVIAL DA BACIA HIDROGRÁFICA DO RIO DE ONDAS

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Ossifleres Silva Damasceno

2011-10-01

Full Text Available Os estudos de Geomorfologia Fluvial para analise de Bacias Hidrográficas vêm tendo nos últimos tempos grande importância, tanto para se conhecer as características de determinadas bacias como para se planejar o uso de tais recursos. Neste sentido, este trabalho foi efetuado no intuito de somar aos estudos anteriormente executados nessa bacia, levantando algumas características geomorfológicas, o uso e ocupação atual. Palavras-chaves: geomorfologia fluvial, hidrografia, agricultura irrigada.

Towards achieving small-incision cataract surgery 99.8% of the time.

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Thomas R

2000-01-01

Full Text Available A surgical approach designed to reliably attain the modern goal of small incision cataract surgery 99.8% of the time is described. Phacoemulsification as well as a manual small incision technique is utilised to achieve the desired outcome as often as possible and for all types of cataracts. The logic, and required surgical steps are described and illustrated. This surgical technique allows the advantages of small incision surgery to be reliably achieved. The method is flexible and allows decisions and steps to be modified depending on the skill and comfort zone of the individual surgeon.

Circumareolar incision-subdermal tunneling dissection for excision of multiple breast fibroadenomata

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S O Agodirin

2017-01-01

Full Text Available Excision of multiple fibroadenomas (MF in separate breast quadrants presents difficulties of number and location of incision(s and extent of tissue dissection and may be associated with more complications and poorer cosmetic outcome. This is a report of excision of MF in multiple quadrants of the breast using a modification of subcutaneous dissection technique dubbed the circumareolar incision and subdermal tunneling (CAST dissection. After exposure of the superficial fascia with circumareolar incision, subdermal cone-wise dissection was made to allow mobilization of the segment bearing the lump(s. The lump(s were enucleated and removed. MF were removed from four breasts in three young unmarried females. The first patient had multiple adenomas removed from three quadrants of both breasts: 14 on the right and six on the left. The second patient had excision of three lumps in three separate quadrants, and the third patient had excision of two lumps in two separate quadrants. All patients had edema and bruising. One breast had wound infection and dehiscence. There were no skin necrosis, no nipple loss, and no breast distortion. All ensuing scars were camouflaged. CAST dissection was used for excision of MF in multiple quadrants of the breast with preservation of excellent cosmetic outcome of a single circumareolar incision.

Surficial geological tools in fluvial geomorphology: Chapter 2

Science.gov (United States)

Jacobson, Robert B.; O'Connor, James E.; Oguchi, Takashi

2016-01-01

Increasingly, environmental scientists are being asked to develop an understanding of how rivers and streams have been altered by environmental stresses, whether rivers are subject to physical or chemical hazards, how they can be restored, and how they will respond to future environmental change. These questions present substantive challenges to the discipline of fluvial geomorphology, especially since decades of geomorphologic research have demonstrated the general complexity of fluvial systems. It follows from the concept of complex response that synoptic and short-term historical views of rivers will often give misleading understanding of future behavior. Nevertheless, broadly trained geomorphologists can address questions involving complex natural systems by drawing from a tool box that commonly includes the principles and methods of geology, hydrology, hydraulics, engineering, and ecology.

Fluvial system response to Late Devensian (Weichselian) aridity, Baston, Lincolnshire, England

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Briant, Rebecca M.; Coope, G. Russell; Preece, Richard C.; Keen, David H.; Boreham, Steve; Griffiths, Huw I.; Seddon, Mary B.; Gibbard, Philip L.

2004-07-01

Little is known about the impact of Late Devensian (Weichselian) aridity on lowland British landscapes, largely because they lack the widespread coversand deposits of the adjacent continent. The concentration of large interformational ice-wedge casts in the upper part of many Devensian fluvial sequences suggests that fluvial activity may have decreased considerably during this time. The development of optically stimulated luminescence (OSL) dating enables this period of ice-wedge cast formation to be constrained for the first time in eastern England, where a marked horizon of ice-wedge casts is found between two distinctive dateable facies associations. Contrasts between this horizon and adjacent sediments show clear changes in environment and fluvial system behaviour in response to changing water supply, in line with palaeontological evidence. In addition to providing chronological control on the period of ice-wedge formation, the study shows good agreement of the radiocarbon and OSL dating techniques during the Middle and Late Devensian, with direct comparison of these techniques beyond 15 000 yr for the first time in Britain. It is suggested that aridity during the Late Devensian forced a significant decrease in fluvial activity compared with preceding and following periods, initiating a system with low peak flows and widespread permafrost development. Copyright

Lacustrine-fluvial interactions in Australia's Riverine Plains

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Kemp, Justine; Pietsch, Timothy; Gontz, Allen; Olley, Jon

2017-06-01

Climatic forcing of fluvial systems has been a pre-occupation of geomorphological studies in Australia since the 1940s. In the Riverine Plain, southeastern Australia, the stable tectonic setting and absence of glaciation have combined to produce sediment loads that are amongst the lowest in the world. Surficial sediments and landforms exceed 140,000 yr in age, and geomorphological change recorded in the fluvial, fluvio-lacustrine and aeolian features have provided a well-studied record of Quaternary environmental change over the last glacial cycle. The region includes the Willandra Lakes, whose distinctive lunette lakes preserve a history of water-level variations and ecological change that is the cornerstone of Australian Quaternary chronostratigraphy. The lunette sediments also contain an ancient record of human occupation that includes the earliest human fossils yet found on the Australian continent. To date, the lake-level and palaeochannel records in the Lachlan-Willandra system have not been fully integrated, making it difficult to establish the regional significance of hydrological change. Here, we compare the Willandra Lakes environmental record with the morphology and location of fluvial systems in the lower Lachlan. An ancient channel belt of the Lachlan, Willandra Creek, acted as the main feeder channel to Willandra Lakes before channel avulsion caused the lakes to dry out in the late Pleistocene. Electromagnetic surveys, geomorphological and sedimentary evidence are used to reconstruct the evolution of the first new channel belt following the avulsion. Single grain optical dating of floodplain sediments indicates that sedimentation in the new Middle Billabong Palaeochannel had commenced before 18.4 ± 1.1 ka. A second avulsion shifted its upper reaches to the location of the present Lachlan River by 16.2 ± 0.9 ka. The timing of these events is consistent with palaeohydrological records reconstructed from Willandra Lakes and with the record of

Incision extension is the optimal method of difficult gallbladder extraction at laparoscopic cholecystectomy.

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Bordelon, B M; Hobday, K A; Hunter, J G

1992-01-01

An unsolved problem of laparoscopic cholecystectomy is the optimal method of removing the gallbladder with thick walls and a large stone burden. Proposed solutions include fascial dilatation, stone crushing, and ultrasonic, high-speed rotary, or laser lithotripsy. Our observation was that extension of the fascial incision to remove the impacted gallbladder was time efficient and did not increase postoperative pain. We reviewed the narcotic requirements of 107 consecutive patients undergoing laparoscopic cholecystectomy. Fifty-two patients required extension of the umbilical incision, and 55 patients did not have their fascial incision enlarged. Parenteral meperidine use was 39.5 +/- 63.6 mg in the patients requiring fascial incision extension and 66.3 +/- 79.2 mg in those not requiring fascial incision extension (mean +/- standard deviation). Oral narcotic requirements were 1.1 +/- 1.5 doses vs 1.3 +/- 1.7 doses in patients with and without incision extension, respectively. The wide range of narcotic use in both groups makes these apparent differences not statistically significant. We conclude that protracted attempts at stone crushing or expensive stone fragmentation devices are unnecessary for the extraction of a difficult gallbladder during laparoscopic cholecystectomy.

Transverse versus Longitudinal Incisions for Femoral Artery Exposure in Treating Patients with Peripheral Vascular Disease.

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Parikh, Punam P; Rubio, Gustavo A; Patel, Kunal; Gupta, Kapil; Jones, Keith; Rey, Jorge; Robinson, Handel

2018-02-01

This study evaluates differences in wound complication rate when transverse versus longitudinal incision is utilized to expose femoral vessels in managing patients with peripheral vascular disease. A retrospective review from 2013 to 2015 was conducted of 150 patients undergoing 156 lower extremity revascularizations with femoral artery exposure through a groin incision. Patients were stratified into 2 groups, transverse versus longitudinal groin incision. Data were reviewed for 3 surgeons that utilize either transverse or longitudinal groin incision in patients undergoing common or iliofemoral endarterectomies, or where femoral artery was used as inflow and/or outflow vessel for limb revascularization. Each group had a comparative outcomes analysis based on incision type. The primary outcome was wound complication, defined as any wound infection, lymphocele, hematoma, dehiscence, pseudoaneurysm, or necrosis. Other outcomes studied included unplanned return to operating room for wound complication, wound vacuum therapy, and soft-tissue flap closure. Data were analyzed using 2-tailed chi-squared test and Student's t-test. Patients in the transverse (n = 85 cases) versus longitudinal (n = 71 cases) cohorts were similar in relation to demographics and comorbidities. Overall mean follow-up was 220 days. Patients with a transverse as compared to longitudinal incision had a significantly lower overall wound complication rate, 7% vs. 42%, respectively (P transverse incisions were associated with lower incidence of unplanned return to the operating room to manage wound complications than patients with a longitudinal incision (5% vs. 23%, respectively; P Transverse versus longitudinal incisions were also associated with significantly lower need for wound vacuum therapy (6% vs. 15%, respectively; P Transverse groin incisions for femoral artery exposure may offer a lower risk of wound complications for open procedures as compared to a longitudinal incision

Discussion on the Relevant Factors of General Surgery Incision Infection and Prevention Methods

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Jin Baotao

2017-01-01

Full Text Available There are many reasons that can lead to incision infection of general surgical patients. The main reasons include weight, age, body albumin level, surgical time, observation ward, etc. This paper analyzes the clinic data of patients with incision infection after general surgery based on clinic practice and study on the reasons that have impact on general surgical incision infection and gives relevant prevention countermeasures.

The Gediz River fluvial archive : A benchmark for Quaternary research in Western Anatolia

NARCIS (Netherlands)

Maddy, D.; Veldkamp, A.; Demir, T.; van Gorp, W.; Wijbrans, J.R.; van Hinsbergen, D.J.J.; Dekkers, M.J.; Schreve, D.; Schoorl, J.M.; Scaife, R.; Stemerdink, C.; van der Schriek, T.; Bridgland, D.R.; Aytaç, A.S.

2017-01-01

The Gediz River, one of the principal rivers of Western Anatolia, has an extensive Pleistocene fluvial archive that potentially offers a unique window into fluvial system behaviour on the western margins of Asia during the Quaternary. In this paper we review our work on the Quaternary Gediz River

[External periareolar incision for subdermal mastectomy in men with gynecomastia].

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Montiel-Jarquín, Alvaro; Reyes-Páramo, Pedro; Ramos-Alvarez, Gloria; López-Colombo, Aurelio; Tinajero-Esquivel, Magdalena; Ruiz-León, Betzabé

2007-01-01

Gynecomastia describes a benign increase of the mammary gland in men. When medical treatment fails, symptoms and psychological alterations persist. Subdermal mastectomy is the definitive treatment and can be achieved by different incisions, each with potential complications. We undertook this study to present clinical characteristics of 11 patients with gynecomastia and the results obtained with subdermal mastectomy by means of external periareolar incision. A descriptive cohort study in male patients with gynecomastia was carried out in a third-level medical care hospital. Patients were treated with subdermal mastectomy by means of external periareolar incision. There were 11 male patients with an average age of 19 years (range: 11-60 years), 3 patients (27.2%) with bilateral gynecomastia and 8 patients (72.7%) with unilateral gynecomastia. Average time of evolution was 22 months (range: 16-48 months), 9 patients (81.8%) reported pain, 11 patients (100%) reported psychological alterations with cutaneous alteration, 11 patients (100%) had normal secondary sexual characteristics, 1 patient (9%) had supernumerary nipple development, and 11 patients (100%) had well-defined lesions. According to Simon's classification: seven patients (63.6%) were classified as grade 1, three patients (27.2%) as grade 2 and one patient (9.09%) as grade 3. Each patient had a subdermal mastectomy with external periareolar incision, 11 patients (100%) had a histopathological report of gynecomastia; 1 patient (9.09%) displayed keloid healing and none displayed complications inherent to the surgical procedure. Mastectomy by means of external periareolar incision is useful in the treatment of gynecomastia.

Force modeling for incisions into various tissues with MRF haptic master

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Kim, Pyunghwa; Kim, Soomin; Park, Young-Dai; Choi, Seung-Bok

2016-03-01

This study proposes a new model to predict the reaction force that occurs in incisions during robot-assisted minimally invasive surgery. The reaction force is fed back to the manipulator by a magneto-rheological fluid (MRF) haptic master, which is featured by a bi-directional clutch actuator. The reaction force feedback provides similar sensations to laparotomy that cannot be provided by a conventional master for surgery. This advantage shortens the training period for robot-assisted minimally invasive surgery and can improve the accuracy of operations. The reaction force modeling of incisions can be utilized in a surgical simulator that provides a virtual reaction force. In this work, in order to model the reaction force during incisions, the energy aspect of the incision process is adopted and analyzed. Each mode of the incision process is classified by the tendency of the energy change, and modeled for realistic real-time application. The reaction force model uses actual reaction force information with three types of actual tissues: hard tissue, medium tissue, and soft tissue. This modeled force is realized by the MRF haptic master through an algorithm based on the position and velocity of a scalpel using two different control methods: an open-loop algorithm and a closed-loop algorithm. The reaction forces obtained from the proposed model are compared with a desired force in time domain.

Force modeling for incisions into various tissues with MRF haptic master

International Nuclear Information System (INIS)

Kim, Pyunghwa; Kim, Soomin; Park, Young-Dai; Choi, Seung-Bok

2016-01-01

This study proposes a new model to predict the reaction force that occurs in incisions during robot-assisted minimally invasive surgery. The reaction force is fed back to the manipulator by a magneto-rheological fluid (MRF) haptic master, which is featured by a bi-directional clutch actuator. The reaction force feedback provides similar sensations to laparotomy that cannot be provided by a conventional master for surgery. This advantage shortens the training period for robot-assisted minimally invasive surgery and can improve the accuracy of operations. The reaction force modeling of incisions can be utilized in a surgical simulator that provides a virtual reaction force. In this work, in order to model the reaction force during incisions, the energy aspect of the incision process is adopted and analyzed. Each mode of the incision process is classified by the tendency of the energy change, and modeled for realistic real-time application. The reaction force model uses actual reaction force information with three types of actual tissues: hard tissue, medium tissue, and soft tissue. This modeled force is realized by the MRF haptic master through an algorithm based on the position and velocity of a scalpel using two different control methods: an open-loop algorithm and a closed-loop algorithm. The reaction forces obtained from the proposed model are compared with a desired force in time domain. (paper)

Single incision laparoscopic pancreas resection for pancreatic metastasis of renal cell carcinoma.

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Barbaros, Umut; Sümer, Aziz; Demirel, Tugrul; Karakullukçu, Nazlı; Batman, Burçin; Içscan, Yalın; Sarıçam, Gülay; Serin, Kürçsat; Loh, Wei-Liang; Dinççağ, Ahmet; Mercan, Selçuk

2010-01-01

Transumbilical single incision laparoscopic surgery (SILS) offers excellent cosmetic results and may be associated with decreased postoperative pain, reduced need for analgesia, and thus accelerated recovery. Herein, we report the first transumbilical single incision laparoscopic pancreatectomy case in a patient who had renal cell cancer metastasis on her pancreatic corpus and tail. A 59-year-old female who had metastatic lesions on her pancreas underwent laparoscopic subtotal pancreatectomy through a 2-cm umbilical incision. Single incision pancreatectomy was performed with a special port (SILS port) and articulated equipment. The procedure lasted 330 minutes. Estimated blood loss was 100mL. No perioperative complications occurred. The patient was discharged on the seventh postoperative day with a low-volume (20mL/day) pancreatic fistula that ceased spontaneously. Pathology result of the specimen was renal cell cancer metastases. This is the first reported SILS pancreatectomy case, demonstrating that even advanced surgical procedures can be performed using the SILS technique in well-experienced centers. Transumbilical single incision laparoscopic pancreatectomy is feasible and can be performed safely in experienced centers. SILS may improve cosmetic results and allow accelerated recovery for patients even with malignancy requiring advanced laparoscopic interventions.

Geological aspects of paleoseismicity and archaeosismology in the fluvial alluvial Rimac valley

OpenAIRE

Jacay, Javier

2017-01-01

The sedimentary fill of the Rimac River fluvial-alluvial plain (Upper Miocene-Quaternary) consists of a thick sequence of unconsolidated material that corresponds to fluvial deposits. A record of seismotectonic activity is presentedin the sedimentary levels of fine facie within numerous paleoseismic structures such as contoured layers, pseudonodules, load figures, and material injections. Additionally, wall inclination and collapse, as well as displacement and partialfracturing, and pavement ...

Recent formation of arroyos in the Little Missouri Badlands of southwestern North Dakota

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Gonzalez, M.A.

2001-01-01

In the Little Missouri Badlands of southwestern North Dakota, the channels of ephemeral streams are incised 2 to 10 m or more into mid-to-late Holocene alluvium. The objectives of this study were to determine the timing and cause(s) of the most recent episodes of fluvial incision and to develop a process-response model that illustrates the formation and evolution of arroyos in this region. The purpose was to distinguish natural from anthropogenic changes to the landscape and to discriminate allogenic from autogenic causes of incision, thereby gaining a greater sense of how steep, relatively small, ephemeral streams evolve. Dendrochronologic and dendrogeomorphic analyses of riparian cottonwoods provide an inexpensive, high-resolution dating method to constrain the time of incision, thereby permitting determination of the cause(s) of incision by evaluating environmental conditions prior to and at the onset of fluvial incision. An examination of seven small (10 to 100 km2) drainage basins indicated ephemeral streams have undergone a four-stage cycle of change within the past 200 years, comprising(i) an initial period of relative geomorphic stability with pedogenesis on the flood plain and low rates of lateral channel migration, (ii) a period of channel incision with subsequent widening of the flood plain through lateral corrasion along middle and upstream reaches, (iii) a concomitant period of aggradation along downstream reaches and, finally, (iv) a period of downstream incision. Dendrochronologic data and dendrogeomorphic relations indicate there have been three distinct periods of fluvial incision in the past 200 years. The first period of incision began in the 1860s and 1870s prior to the onset of European settlement and intensive grazing by domesticated cattle in the area. This period of incision occurred along the middle reaches of all seven of the streams examined and coincided with a severe, protracted drought, suggesting an allogenic cause. The second period

Natural radionuclide behaviour in the fluvial environment

International Nuclear Information System (INIS)

Murray, A.S.; Olley, J.M.; Wallbrink, P.J.

1992-01-01

Variable concentrations of uranium and thorium series nuclides and 7 Be have been measured in soils and sediments. Strong correlations between 226 Ra and thorium series nuclides were found in sediments but not in soils. Laboratory measurements suggest the correlations arise from particle size and density dependent transport, and transport-related abrasion of iron oxide coatings. These correlations are characteristic of the sampled location, and provide a method for identifying the source areas which dominate the fluvial nuclide flux, and by implication, the associated sediment flux. Cosmogenic 7 Be (half-life 53 d) also contributes to nuclide fluxes. Over an 18 month period, individual rainstorms increased the 7 Be soil inventory by 10% on average. Dry precipitation contributed less than 10% to the total. Most 7 Be was retained within the top few millimetres of soil. It is deduced that 7 Be presence in fluvial sediments indicates a significant surface source contribution to the overall nuclide and sediment flux. (author)

The influence of fluvial reservoir architecture on geothermal energy production in Hot Sedimentary Aquifers

NARCIS (Netherlands)

Willems, C.J.L.

2014-01-01

Currently six geothermal doublets are realized in the WNB. Five of these doublets target the same Lower Cretaceous fluvial sandstone interval, the Nieuwerkerk Formation. About 40 exploration licences are granted. Many of them also have sandstones in the same fluvial interval, the Nieuwerkerk

Manual small incision extracapsular cataract surgery in Australia.

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van Zyl, Lourens; Kahawita, Shyalle; Goggin, Michael

2014-11-01

Examination of the results and describing the technique of manual small incision extracapsular cataract extraction on patients with advanced cataracts in urban Australia. A descriptive case series. Thirty-eight patients at three public hospitals, one tertiary and two secondary ophthalmic units in urban Australia. Forty eyes with dense mature cataracts with hand movement vision or worse underwent a planned manual small incision extracapsular cataract extraction instead of traditional phaco-emulsification. Postoperative visual aquity, surgically induced astigmatism and complications. Seventy-eight per cent of patients had an uncorrected visual acuity of 6/12 or better on the first postoperative day. Eighty-three per cent of patients had a distance corrected visual acuity of 6/9 or better 3 months postoperatively. One case was complicated by a posterior capsule rupture. No cases of endophthalmitis were reported. The summated vector mean of the surgically induced astigmatism was 0.089D at 93°. Manual small incision extracapsular cataract extraction is an efficacious cataract surgery technique with good visual outcome and is a safe alternative to phaco-emulsification in suitable cases in a first-world setting. © 2014 Royal Australian and New Zealand College of Ophthalmologists.

Surgically induced astigmatism after 3.0 mm temporal and nasal clear corneal incisions in bilateral cataract surgery

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Je Hwan Yoon

2013-01-01

Full Text Available Aims: To compare the corneal refractive changes induced after 3.0 mm temporal and nasal corneal incisions in bilateral cataract surgery. Materials and Methods: This prospective study comprised a consecutive case series of 60 eyes from 30 patients with bilateral phacoemulsification that were implanted with a 6.0 mm foldable intraocular lens through a 3.0 mm horizontal clear corneal incision (temporal in the right eyes, nasal in the left eyes. The outcome measures were surgically induced astigmatism (SIA and uncorrected visual acuity (UCVA 1 and 3 months, post-operatively. Results: At 1 month, the mean SIA was 0.81 diopter (D for the temporal incisions and 0.92 D for nasal incisions (P = 0.139. At 3 months, the mean SIA were 0.53 D for temporal incisions and 0.62 D for nasal incisions (P = 0.309. The UCVA was similar in the 2 incision groups before surgery, and at 1 and 3 months post-operatively. Conclusion: After bilateral cataract surgery using 3.0 mm temporal and nasal horizontal corneal incisions, the induced corneal astigmatic change was similar in both incision groups. Especially in Asian eyes, both temporal and nasal incisions (3.0 mm or less would be favorable for astigmatism-neutral cataract surgery.

Aorta-atria-septum combined incision for aortic valve re-replacement

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Xu, Yiwei; Ye, Xiaofeng; Li, Zhaolong

2018-01-01

This case report illustrates a patient who underwent supra-annular mechanical aortic valve replacement then suffered from prosthesis dysfunction, increasing pressure gradient with aortic valve. She was successfully underwent aortic valve re-replacement, sub-annular pannus removing and aortic annulus enlargement procedures through combined cardiac incision passing through aortic root, right atrium (RA), and upper atrial septum. This incision provides optimal visual operative field and simplifies dissection. PMID:29850170

Downstream mixing of sediment and tracers in agricultural catchments: Evidence of changing sediment sources and fluvial processes?

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Ralph, Timothy; Wethered, Adam; Smith, Hugh; Heijnis, Henk

2014-05-01

Land clearance, soil tillage and grazing in agricultural catchments have liberated sediment and altered hydrological connectivity between hillslopes and channels, leading to increased sediment availability, mobilisation and delivery to rivers. The type and amount of sediment supplied to rivers is critical for fluvial geomorphology and aquatic ecosystem health. Contemporary sediment dynamics are routinely investigated using environmental radionuclides such as caesium-137 (Cs-137) and excess lead-210 (Pb-210ex), which can provide information regarding sediment source types and fluvial processes if sediment sources can be distinguished from one another and mixing models applied to representative samples. However, downstream transport, mixing and dilution of radionuclide-labelled sediment (especially from sources with low initial concentrations) can obliterate the tracer signal; sometimes before anything of geomorphological importance happens in the catchment. Can these findings be used as evidence of sediment source variations and fluvial processes when the limits of detection (of Cs-137 in particular) are being exceeded so rapidly downstream? Sediment sources and downstream sediment dynamics were investigated in Coolbaggie Creek, a major supplier of sediment to the Macquarie River in an agricultural catchment with temperate to semi-arid climate in Australia. Radionuclides were used to discriminate between the banks and gullies (Cs-137 1.45 +/- 0.47 Bq/kg; Pb-210ex 4.67 +/- 1.93 Bq/kg). Within the trunk stream, suspended sediment, organic matter and Cs-137 and Pb-210ex concentrations declined downstream. Results from a mixing model suggest that agricultural topsoils account for 95% of fine sediment entering the channel in the upper reach (200 m2) downstream, with channel expansion and gullies contributing fine sediment to the system. A lack of topsoil being supplied to the channel suggests minimal lateral connectivity between the catchment and the trunk stream in all

A Field Exercise in Fluvial Sediment Transport.

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Tharp, Thomas M.

1983-01-01

Describes an investigation which introduces the mathematical principles of stream hydraulics and fluvial sediment in a practical context. The investigation has four stages: defining hydrology of the stream; defining channel hydraulics in a study reach; measuring grain size; and calculating transportable grain size and comparing measure stream-bed…

Minimal incision surgery in strabismus: Modified fornix-based approach.

Science.gov (United States)

Pérez-Flores, I

2016-07-01

To evaluate the modified fornix-based technique as an approach for minimal incision surgery in strabismus. The medical records of all consecutive patients that underwent strabismus surgery with fornix-based conjunctival incision between 2007 and 2012 were retrospectively reviewed. As a primary variable, an analysis was made of the wound size depending on the number of stitches. A descriptive study was performed on the variables related to patients and to the type of strabismus and surgery. Out of 153patients identified, 138 with 294 surgeries were included. In 200 (68%) interventions, the incision was sutured with one stitch, in 77 (26.2%) with 2, in 13 (4.4%) with 3, and in 4 (1.4%) with 4, with the mean number of stitches being 1.39±0.64. The mean age of the patients was 39years (2-80), and 36 (26.1%) had previous strabismus surgery, with topical anaesthesia being used in 35 (25.4%) cases. At 3months after surgery deviation was ≤10DP in 114 (82.6%) patients. There were no wound-related complications. The modified fornix-based technique is an effective and safe approach for minimal incision surgery in strabismus, in patients at all ages, with previous history of strabismus surgery and with topical anaesthesia. Copyright © 2015 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

Outcomes of single-stage total arch replacement via clamshell incision

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Ishizaka Toru

2011-09-01

Full Text Available Abstract Background Treatment of complex aortic pathologies involving the transverse arch with extensive involvement of the descending aorta remains a surgical challenge. Since clamshell incision provides superior exposure of the entire thoracic aorta, we evaluated the use of this technique for single-stage total arch replacement by arch vessel reconstruction. Methods The arch-first technique combined with clamshell incision was used in 38 cases of aneurysm and aortic disease in 2008 and 2009. Extensive total arch replacement was used with clamshell incision for reconstruction of arch vessels under deep hypothermic circulatory arrest. Results Overall 30-day mortality was 13%. The mean operating time was approximately 8 hours. Deep hypothermia resulted in mean CPB time exceeding 4.5 hours and mean duration of circulatory arrest was 25 minutes. The overall postoperative temporary and permanent neurologic dysfunction rates were 3% and 3% for elective and 3% and 0% for emergency surgery, respectively. All patients except the five who died in hospital were discharged without nursing care after an average post-operative hospital stay of 35 days. Conclusions The arch-first technique, combined with clamshell incision, provides expeditious replacement of the thoracic aorta with an acceptable duration of hypothermic circulatory arrest and minimizes the risk of retrograde atheroembolism by using antegrade perfusion.

In patients with extensive subcutaneous emphysema, which technique achieves maximal clinical resolution: infraclavicular incisions, subcutaneous drain insertion or suction on in situ chest drain?

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Johnson, Charles H N; Lang, Sommer A; Bilal, Haris; Rammohan, Kandadai S

2014-06-01

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: 'In patients with extensive subcutaneous emphysema, which technique achieves maximal clinical resolution: infraclavicular incisions, subcutaneous drain insertion or suction on in situ chest drain?'. Altogether more than 200 papers were found using the reported search, of which 14 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Subcutaneous emphysema is usually a benign, self-limiting condition only requiring conservative management. Interventions are useful in the context of severe patient discomfort, respiratory distress or persistent air leak. In the absence of any comparative study, it is not possible to choose definitively between infraclavicular incisions, drain insertion and increasing suction on an in situ drain as the best method for managing severe subcutaneous emphysema. All the three techniques described have been shown to provide effective relief. Increasing suction on a chest tube already in situ provided rapid relief in patients developing SE following pulmonary resection. A retrospective study showed resolution in 66%, increasing to 98% in those who underwent video-assisted thoracic surgery with identification and closure of the leak. Insertion of a drain into the subcutaneous tissue also provided rapid sustained relief. Several studies aided drainage by using regular compressive massage. Infraclavicular incisions were also shown to provide rapid relief, but were noted to be more invasive and carried the potential for cosmetic defect. No major complications were illustrated. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Evaluation of a new disposable silicon limbal relaxing incision knife by experienced users.

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Albanese, John; Dugue, Geoffrey; Parvu, Valentin; Bajart, Ann M; Lee, Edwin

2009-12-21

Previous research has suggested that the silicon BD Atomic Edge knife has superior performance characteristics when compared to a metal knife and performance similar to diamond knife when making various incisions. This study was designed to determine whether a silicon accurate depth knife has equivalent performance characteristics when compared to a diamond limbal relaxing incision (LRI) knife and superior performance characteristics when compared to a steel accurate depth knife when creating limbal relaxing incision. Sixty-five ophthalmic surgeons with limbal relaxing incision experience created limbal relaxing incisions in ex-vivo porcine eyes with silicon and steel accurate depth knives and diamond LRI knives. The ophthalmic surgeons rated multiple performance characteristics of the knives on Visual Analog Scales. The observed differences between the silicon knife and diamond knife were found to be insignificant. The mean ratio between the performance of the silicon knife and the diamond knife was shown to be greater than 90% (with 95% confidence). The silicon knife's mean performance was significantly higher than the performance of the steel knife for all characteristics. (p-value knife was found to be equivalent in performance to the diamond LRI knife and superior to the steel accurate depth knife when making limbal relaxing incisions in ex vivo porcine eyes. Disposable silicon LRI knives may be an alternative to diamond LRI knives.

A Pleistocene coastal alluvial fan complex produced by Middle Pleistocene glacio-fluvial processes

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Adamson, Kathryn; Woodward, Jamie; Hughes, Philip; Giglio, Federico; Del Bianco, Fabrizio

2014-05-01

contains deeply incised (up to 10 m) channels which are similar in morphology to those exposed onshore. It is likely that strong cementation of the fan sediments, and associated channel forms, has protected them from coastal erosion during several regression-transgression cycles. These records provide important opportunities to correlate the Pleistocene terrestrial glacial and fluvial records with the marine archive.

Comparison of the effects of 23-gauge and 25-gauge microincision vitrectomy blade designs on incision architecture

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Inoue M

2014-11-01

Full Text Available Makoto Inoue,1 Dina Joy K Abulon,2 Akito Hirakata1 1Kyorin Eye Center, School of Medicine, Kyorin University, Tokyo, Japan; 2Alcon Research, Ltd., Irvine, CA, USA Purpose: To compare the effects of different 23- and 25-gauge microincision vitrectomy trocar cannula entry systems on incision architecture.Methods: We tested one ridged microvitreoretinal (MVR, one non-ridged MVR, one pointed beveled, and one round-tipped beveled blade (n=10 per blade design per incision type. Each blade’s straight and oblique incision architecture was assessed in a silicone disc simulating the sclera. Wound leakage under pressure and endoscopic observations were conducted on sclerotomy sites of isolated porcine eyes (n=4 per blade design after simulated vitrectomy.Results: Differences in blade design created distinct incision architecture. Incisions were linear with the ridged MVR blade, flattened “M-shaped” with the non-ridged MVR blade, asymmetrical chevron-shaped with the pointed beveled blade, and curved with the round-tipped beveled blade. With the exception of oblique entry incision thickness, both MVR blade designs created thinner incisions than the beveled blades at entry and exit sites. Only the ridged MVR blade created incisions with no leakage. Vitreous incarceration was observed with all trocar cannula systems.Conclusion: Wound closure in porcine eyes was similar with all blades despite differences in incision architecture. Wound leakage occurred at low to moderate infusion pressures with most blades; no wound leakage was observed with ridged MVR blades. Keywords: entry system, incision closure, leakage, pars plana incision, sclerotomy, trocar blade 

Influence of different phacoemulsification incision on postoperative corneal astigmatism for cataract patients

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Zhao-Rong Zeng

2014-05-01

Full Text Available AIM: To compare the effect of different phacoemulsification incision on postoperative corneal astigmatism for cataract patients. METHODS: The cataract patients were selected in our hospital. The patients were divided into control group(corneal limbus opposite curved scleral tunnel incision groupand observation group(above the top of cornea or temporal transparent corneal incision grouprandomly. At 1wk; 1 and 3mo after surgery, the change of corneal astigmatism and vision of the patients in two groups were compared and analyzed. RESULTS:Compared with control group, 1wk; 1 and 3mo after surgery, the average corneal astigmatism and surgically induced corneal astigmatism of the patients in observation group were decreased significantly. The visual acuity and corrected visual acuity were increased significantly. There was statistically significant(PPCONCLUSION: Center distance and small incision corneal phacoemulsification can reduce postoperative astigmatism and improve postoperative visual acuity for cataract patients. It provides guarantee for further strengthen the clinical treated effect for cataract patients.

Fluvial facies reservoir productivity prediction method based on principal component analysis and artificial neural network

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Pengyu Gao

2016-03-01

Full Text Available It is difficult to forecast the well productivity because of the complexity of vertical and horizontal developments in fluvial facies reservoir. This paper proposes a method based on Principal Component Analysis and Artificial Neural Network to predict well productivity of fluvial facies reservoir. The method summarizes the statistical reservoir factors and engineering factors that affect the well productivity, extracts information by applying the principal component analysis method and approximates arbitrary functions of the neural network to realize an accurate and efficient prediction on the fluvial facies reservoir well productivity. This method provides an effective way for forecasting the productivity of fluvial facies reservoir which is affected by multi-factors and complex mechanism. The study result shows that this method is a practical, effective, accurate and indirect productivity forecast method and is suitable for field application.

Gold-bearing fluvial and associated tidal marine sediments of Proterozoic age in the Mporokoso Basin, northern Zambia

Science.gov (United States)

Andrews-Speed, C. P.

1986-07-01

The structurally defined Mporokoso Basin contains up to 5000 m of continental and marine clastic sediments and minor silicic volcanics which together form the Mporokoso Group. These rocks overlie unconformably a basement of silicic-intermediate igneous rocks and accumulated within the interval 1830-1130 Ma. This sedimentological study was restricted to the eastern end of the basin and was part of an assessment of the potential for palaeoplacer gold in the Mporokoso Group. At the base of the Mporokoso Group, the Mbala Formation consists of 1000-1500 m of purple sandstones and conglomerates deposited in a braided-stream system overlain by 500-1000 m of mature quartz arenites deposited in a tidal marine setting. A general coarsening-upward trend exists within the fluvial sediments. Sandy, distal braided-stream facies passes upwards into more proximal conglomeratic facies. In proximal sections, poorly sorted conglomerates form the top of the coarsening-up sequence which is 500-700 m thick. The overlying fluvial sediments fine upwards. The tidal marine sandstones at the top of the Mbala Formation resulted from reworking of fluvial sediments during a marine transgression. Well-exposed sections with fluvial conglomerates were studied in detail. Individual conglomerate bodies form sheets extending for hundreds of metres downstream and at least one hundred metres across stream, with little sign of deep scouring or channelling. They are generally matrix-supported. The whole fluvial sequence is characterised by a paucity of mud or silt. These conglomerates were deposited by large velocity, sheet flows of water which transported a bed-load of pebbles and sand. Most fine material settling out from suspension was eroded by the next flow. The great lateral and vertical extent and the uniformity of the fluvial sediments suggest that the sediments accumulated over an unconfined alluvial plain and that the tectonic evolution of the source area was relatively continuous and not

Kualitas Pengeringan Kayu Mahoni pada Berbagai Variasi Kerapatan Incising dengan Dua Skedul Pengeringan Suhu tinggi

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Tomy Listyanto

2016-11-01

Full Text Available Tujuan dari penelitian ini adalah untuk mengetahui pengaruh interaksi variasi kerapatan incising dan dua skedul pengeringan terhadap kecepatan dan cacat-cacat pengeringan kayu mahoni, serta mengetahui pengaruh variasi kerapatan incising terhadap kekuatan lengkung statik kayu mahoni yang telah dikeringkan. Tiga pohon mahoni (Swietenia mahagony berdiameter 300-350 mm ditebang dan selanjutnya dibelah dan dibuat menjadi balok dengan ukuran 60 mm × 100 mm dengan panjang 500 mm untuk dijadikan sampel pengeringan. Di antara masing-masing bagian tersebut, dibuat sampel ukuran 20 mm × 20 mm × 25 mm, yang digunakan untuk penentu kadar air awal dan distribusinya. Sampel pengeringan selanjutnya dibagi menjadi 5 variasi kerapatan incising, yaitu 0 lubang/m2 (tanpa incising, 1000 lubang/m2, 2000 lubang/m2, 3000 lubang/m2, dan 4000 lubang/m2. Setiap variasi kerapatan incising selanjutnya akan dikeringkan dengan 2 skedul pengeringan, yaitu suhu pengeringan 100°C sampai tercapai kadar air akhir 12% dan suhu 60°C pada 8 jam pertama dan selanjutnya dilanjutkan 100°C, sampai tercapai kadar air akhir 12%. Paramater yang diamati adalah kecepatan pengeringan, cacat retak permukaan, dan distribusi kadar air akhir. Hasil analisis menunjukkan bahwa kerapatan incising 3000-4000 lubang/m2 memberikan pengaruh yang cukup nyata di dalam mempercepat proses pengeringan dan distribusi kadar air akhir. Skedul pengeringan dan variasi kerapatan incising tidak berpengaruh pada retak permukaan. Pra perlakuan incising sampai batas 4000 lubang/m2 ini dapat diterapkan untuk mempercepat proses pengeringan dengan penurunan nilai modulus elastisitas dan modulus patah yang tidak berbeda nyata. Kata kunci: incising, pengeringan suhu tinggi, mahoni, lengkung statik, skedul pengeringan   Drying Quality of Mahoni Wood in Various Incising Densities and Two High Temperature-Drying Schedules Abstract The aims of this research were to investigate the effects of interaction

Rapid Gorge Formation in an Artificially Created Waterfall

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Anton, L.; Mather, A. E.; Stokes, M.; Munoz Martin, A.

2014-12-01

A number of studies have examined rates of gorge formation, nick point retreat, and the controls on those rates via bedrock erodibility, the effectiveness of bedrock erosion mechanisms and the role of hillslope processes. Most findings are based on conceptual / empirical models or long term landscape analysis; but studies of recent quantifiable events are scarce yet highly valuable. Here we present expert eye witness account and quantitative survey of large and rapid fluvial erosion events that occurred over an artificially created waterfall at a spillway mouth. In 6 years a ~270 m long, ~100 m deep and ~100 to 160 m wide canyon was carved, and ~1.58 x106 m3 of granite bedrock was removed from the spillway site. Available flow data indicates that the erosion took place under unremarkable flood discharge conditions. The analysis of historic topographic maps enables the reconstruction of the former topography and successive erosion events, enabling the quantification of bedrock erosion amounts, and rates. Analysis of bedrock erodibility and discontinuity patterns demonstrates that the bedrock is mechanically strong, and that similar rock strength and fracture patterns are found throughout the region. It is apparent that structural pre-conditioning through fracture density and orientation in relation to flow and slope direction is of paramount importance in the gorge development. The presented example provides an exceptional opportunity for studying the evolution process of a bedrock canyon and to precisely measure the rate of bedrock channel erosion over a six year period. Results illustrate the highly episodic nature of the erosion and highlight several key observations for the adjustability of bedrock rivers. The observations have implications for the efficiency of bedrock erosion and raise important questions about incision rates, driving mechanisms and timescale assumptions' in models of landscape change.

La géoarchéologie fluviale

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Gilles Arnaud-Fassetta

2008-03-01

Full Text Available Les recherches des hydrogéomorphologues ont des applications nombreuses dans le vaste champ des sciences géoarchéologiques. Elles fournissent des réponses précises sur la façon dont l’environnement des anciens lieux de passage et de vie humaine a évolué. Le propos n’est pas seulement de définir les causes des grands changements environnementaux, mais aussi de juger de la vulnérabilité sociétale face aux contraintes hydroclimatiques. Pour cela, les méthodes d’étude doivent nécessairement prendre en compte les trois facettes de la géomorphologie fluviale : la paléohydrographie, la paléohydrologie et la paléohydraulique. La pertinence de cette approche est montrée en milieu rural et urbain dans les plaines deltaïques du Rhône (France du Sud et de l’Isonzo (Italie du Nord.Current research led by hydrogeomorphologists has numerous applications in the vast field of geoarchaeological sciences. It brings precise answers on environmental characteristics around the ancient places of passage and human life. The goal is not only to define the causes of global environmental changes, but also to precise the links between river dynamics and human societies in terms of fluvial risk. Therefore, the studied methods should simultaneously take into account the three facets of the fluvial geomorphology, i.e., the palaeohydrography, the palaeohydrology, and the palaeohydraulics. The pertinence of this combinatorial approach is deduced from the work of the author led both in rural and urban areas of the deltaic plains of the Rhône (South of France and Isonzo (northern Italy rivers.

Fluvial processes and channel morphometry of the upper Orashi ...

African Journals Online (AJOL)

Fluvial processes and channel morphometry of the upper Orashi basin in ... of channel equilibrium between morphology and hydrology, the Orashi channel is not well ... Drainage basins, watershed morphology, morphometric analysis, Nigeria ...

Evaluation of a new disposable silicon limbal relaxing incision knife by experienced users

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Parvu Valentin

2009-12-01

Full Text Available Abstract Background Previous research has suggested that the silicon BD Atomic Edge™ knife has superior performance characteristics when compared to a metal knife and performance similar to diamond knife when making various incisions. This study was designed to determine whether a silicon accurate depth knife has equivalent performance characteristics when compared to a diamond limbal relaxing incision (LRI knife and superior performance characteristics when compared to a steel accurate depth knife when creating limbal relaxing incision. Methods Sixty-five ophthalmic surgeons with limbal relaxing incision experience created limbal relaxing incisions in ex-vivo porcine eyes with silicon and steel accurate depth knives and diamond LRI knives. The ophthalmic surgeons rated multiple performance characteristics of the knives on Visual Analog Scales. Results The observed differences between the silicon knife and diamond knife were found to be insignificant. The mean ratio between the performance of the silicon knife and the diamond knife was shown to be greater than 90% (with 95% confidence. The silicon knife's mean performance was significantly higher than the performance of the steel knife for all characteristics. (p-value Conclusions For experienced users, the silicon accurate depth knife was found to be equivalent in performance to the diamond LRI knife and superior to the steel accurate depth knife when making limbal relaxing incisions in ex vivo porcine eyes. Disposable silicon LRI knives may be an alternative to diamond LRI knives.

Uptake of gallium-67 citrate in clean surgical incisions after colorectal surgery

International Nuclear Information System (INIS)

Lin Wanyu; Wang Shyhjen; Tsai Shihchuan; Chao Tehsin

2001-01-01

Non-specific accumulation of gallium-67 citrate (gallium) in uncomplicated surgical incisions is not uncommon. It is important to know the normal pattern of gallium uptake at surgical incision sites in order to properly interpret the gallium scan when investigating possible wound infection in patients who have undergone abdominal surgery. We studied 42 patients without wound infection after colorectal surgery and performed gallium scans within 40 days after surgery. Patients were divided into three groups according to the interval between the operation and the scan. In group A (26 patients) gallium scan was performed within 7 days after surgery, in group B (8 patients) between 8 and 14 days after surgery, and in group C (8 patients) between 15 and 40 days after surgery. Our data showed that in group A, 61.5% had gallium accumulation at the surgical incision site. In group B, 50% had accumulation of gallium at the surgical incision site, while in group C only one patient (12.5%) showed gallium uptake. It is concluded that the incidence of increased gallium uptake at clean surgical incision sites is high after colorectal surgery. Nuclear medicine physicians should bear in mind the high incidence of non-specific gallium uptake at such sites during the interpretation of possible wound infection in patients after colorectal surgery. (orig.)

Linking bedrock exhumation, fluvial terraces, and geomorphic indices to constrain deformation rates at multiple timescales across the Himalayan deformation front in the Kashmir Himalaya, northwest India.

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Gavillot, Y. G.

2017-12-01

In Kashmir, the Himalayan Frontal thrust (HFT) is blind, characterized by a broad fold, the Suruin-Mastargh anticline, and displays no major emergent faults cutting either limb. A lack of knowledge of the rate of shortening and structural framework of the Suruin-Mastargh anticline hampers quantifying the earthquake potential for the deformation front. Our study combines bedrock exhumation, folded fluvial terraces, long-river profiles and river incision (specific stream power) analyses across the deformation front. At the core of the frontal fold, Apatite (U-Th)/He (AHe) cooling ages of detrital grains from the Siwalik foreland sediments indicate significant resetting. AHe data and thermal modeling reveal rapid cooling and exhumation initiated ca. 4 Ma for the deformation front, at least 3 Ma earlier than is indicated from previously available data. Exhumation rates over the last 1 m.y. and 4 m.y. range from 0.5 - 2.4 mm/yr, and 0.5 - 1 mm/yr, respectively. Four fluvial terraces yield multiple OSL and depth profiles Be10 TCN ages between 53 ka and 0.4 ka. Vector fold restoration of long terrace profiles, calculated specific stream power values, bedrock dip data, and stratigraphic thickness indicate a deformation pattern controlled by a duplex structure emplaced at depth along the basal décollement, folding the overlying roof thrust and foreland strata into a detachment-like fold. Dated terraces across the frontal fold yield rock uplift and shortening rates that range between 1.8-2.5 mm/yr, and 3.8-5.4 mm/yr, respectively, since 53 ka. Similarly, a balanced cross section yields a long-term shortening rate of 5mm mm/yr since 4 Ma. Geodetic data indicate that an 11-12 mm/yr arc-normal shortening rate characterizes the interseismic strain accumulation across the plate boundary due to India-Tibet convergence. These data combined with rates of other active internal faults in the Kashmir Himalaya indicate that shortening occurs roughly at an equal rate between folding at

Fluvial Channel Networks as Analogs for the Ridge-Forming Unit, Sinus Meridiani, Mars

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Wilkinson, M. J.; du Bois, J. B.

2010-01-01

Fluvial models have been generally discounted as analogs for the younger layered rock units of Sinus Meridiani. A fluvial model based on the large fluvial fan provides a possibly close analog for various features of the sinuous ridges of the etched, ridge-forming unit (RFU) in particular. The close spacing of the RFU ridges, their apparently chaotic orientations, and their organization in dense networks all appear unlike classical stream channel patterns. However, drainage patterns on large fluvial fans low-angle, fluvial aggradational features, 100s of km long, documented worldwide by us provide parallels. Some large fan characteristics resemble those of classical floodplains, but many differences have been demonstrated. One major distinction relevant to the RFU is that channel landscapes of large fans can dominate large areas (1.2 million km2 in one S. American study area). We compare channel morphologies on large fans in the southern Sahara Desert with ridge patterns in Sinus Meridiani (fig 1). Stream channels are the dominant landform on large terrestrial fans: they may equate to the ubiquitous, sinuous, elongated ridges of the RFU that cover areas region wide. Networks of convergent/divergent and crossing channels may equate to similar features in the ridge networks. Downslope divergence is absent in channels of terrestrial upland erosional landscapes (fig. 1, left), whereas it is common to both large fans (fig. 1, center) and RFU ridge patterns (fig 1, right downslope defined as the regional NW slope of Sinus Meridiani). RFU ridge orientation, judged from those areas apparently devoid of impact crater control, is broadly parallel with the regional slope (arrow, fig. 1, right), as is mean orientation of major channels on large fans (arrow, fig. 1, center). High densities per unit area characterize fan channels and martian ridges reaching an order of magnitude higher than those in uplands just upstream of the terrestrial study areas fig. 1. In concert with

Single-incision laparoscopic surgery through an ostomy site: a natural approach by an unnatural orifice.

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Lopez, Nicole E; Peterson, Carrie Y; Ramamoorthy, Sonia L; McLemore, Elisabeth C; Sedrak, Michael F; Lowy, Andrew M; Horgan, Santiago; Talamini, Mark A; Sicklick, Jason K

2015-02-01

Single-incision laparoscopic surgery (SILS) is gaining popularity for a wide variety of surgical operations and capitalizes on the benefits of traditional laparoscopic surgery without incurring multiple incision sites. Traditionally, SILS is performed by a midline periumbilical approach. However, such a minimally invasive approach may be utilized in patients who already have an abdominal incision. Our series retrospectively reviews 7 cases in which we utilized the fascial defect at the time of after ostomy reversal as our SILS incision site. In turn, we performed a variety of concurrent intra-abdominal procedures with excellent technical success and outcomes. Our study is the largest single-institution case series of this novel approach and suggests that utilizing an existing ostomy-site abdominal incision is a safe and effective location for SILS port placement and should be considered in patients undergoing concurrent procedures.

Steady incision of Grand Canyon at the million year timeframe: a case for mantle-driven differential uplift

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Crow, Ryan S.; Karl Karlstrom,; Laura Crossey,; Richard Young,; Michael Ort,; Yemane Asmerom,; Victor Polyak,; Andrew Darling,

2014-01-01

The Grand Canyon region provides an excellent laboratory to examine the interplay between river incision, magmatism, and the geomorphic and tectonic processes that shape landscapes. Here we apply U-series, Ar–Ar, and cosmogenic burial dating of river terraces to examine spatial variations in incision rates along the 445 km length of the Colorado River through Grand Canyon. We also analyze strath terrace sequences that extend to heights of several hundred meters above the river, and integrate these with speleothem constrained maximum incision rates in several reaches to examine any temporal incision variations at the million-year time frame. This new high-resolution geochronology shows temporally steady long-term incision in any given reach of Grand Canyon but significant variations along its length from 160 m/Ma in the east to 101 m/Ma in the west. Spatial and temporal patterns of incision, and the long timescale of steady incision rule out models where geomorphic controls such as climate oscillations, bedrock strength, sediment load effects, or isostatic response to differential denudation are the first order drivers of canyon incision. The incision pattern is best explained by a model of Neogene and ongoing epeirogenic uplift due to an eastward propagating zone of increased upper mantle buoyancy that we infer from propagation of Neogene basaltic volcanism and a strong lateral gradient in modern upper mantle seismic structure.

A model of plant strategies in fluvial hydrosystems

NARCIS (Netherlands)

Bornette, G.; Tabacchi, E.; Hupp, C.; Puijalon, S.; Rostan, J.C.

2008-01-01

1. We propose a model of plant strategies in temperate fluvial hydrosystems that considers the hydraulic and geomorphic features that control plant recruitment, establishment and growth in river floodplains. 2. The model describes first how the disturbance gradient and the grain-size of the river

The origin of dose distributions in fluvial sediments, and the prospect of dating single grains from fluvial deposits using optically stimulated luminescence

International Nuclear Information System (INIS)

Olley, J.M.; Caitcheon, G.G.; Roberts, R.G.

1999-01-01

We examine the causes of the asymmetric distributions of dose observed from measurements of the optically stimulated luminescence emitted by small aliquots of fluvial quartz, and deduce that the asymmetry arises as a result of samples being composed of a mix of mainly well bleached grains with grains that were effectively unbleached at the time of deposition. We demonstrate that the shapes of the dose distributions can be used to assess the likelihood that aliquots consist only of grains that were well-bleached at the time of deposition. The more asymmetric the distribution, the greater the probability that the aliquots with the lowest dose most closely represent the true burial dose. Single grains with differing doses are present in each of the samples examined, and the population with the lowest dose gives an optical age consistent with the expected burial age. This result implies that the beta-dose heterogeneity in these deposits is small, and that the effects of micro-dosimetric variations on optical dating of individual grains are not significant for these samples. We demonstrate that single-grain dating of fluvial material is possible and practicable using standard Risoe optical dating equipment, and we conclude that application of a new regenerative-dose protocol to single grains of quartz, using the lowest dose population to estimate the burial dose, is the best available means of obtaining reliable luminescence ages for heterogeneously bleached fluvial sediments

Fluvial responses to land-use changes and climatic variations within the Drury Creek watershed, southern Illinois

Science.gov (United States)

Miller, Suzanne Orbock; Ritter, Dale F.; Kochel, R. Craig; Miller, Jerry R.

1993-04-01

Fluvial responses to climatic variation and Anglo-American settlement were documented for the Drury Creek watershed, southern Illinois by examining stratigraphic, geomorphic, climatic, and historical data. Regional analyses of long-term precipitation records document a period of decreasing mean annual precipitation from 1904 to about 1945, and an increasing trend in annual precipitation from 1952 to the present. The period between 1945 and 1951 experienced a large number of intense storms that resulted in high annual precipitation totals. Statistical relationships illustrate that changes in precipitation totals are transferred to the hydrologic system as fluctuations in stream discharge. Historical records of southern Illinois show that a maximum period of settlement and deforestation occurred between the 1860s and 1920s. This era ended in the 1940s when large tracts of land were revegetated in an attempt to curtail erosion which had caused extensive upland degradation. In response to hillslope erosion at least two meters of fine-grained sediments were deposited on valley floors. Average sedimentation rates, determined using decdrochronologic techniques, are estimated to be 2.11 cm/yr for the period between 1890 and 1988; rates that are 1 to 2 orders of magnitude greater than pre-settlement values calculated for other areas of the midwest. However, botanical data suggest that aggradation was episodic, possibly occurring during three periods characterized by greater annual precipitation. Since the 1940s, sedimentation rates have declined. Reduced rates of sedimentation are related to an episode of channel entrenchment that reduced overbank flooding. Entrenchment coincided with a period of: (1) reduced sediment yields associated with watershed revegetation and the introduction of soil conservation practices, and (2) intense storm activity that resulted in long periods of high discharge. As a result of channel incision and hillslope erosion, newly exposed bedrock in

A geologic approach to field methods in fluvial geomorphology

Science.gov (United States)

Fitzpatrick, Faith A.; Thornbush, Mary J; Allen, Casey D; Fitzpatrick, Faith A.

2014-01-01

A geologic approach to field methods in fluvial geomorphology is useful for understanding causes and consequences of past, present, and possible future perturbations in river behavior and floodplain dynamics. Field methods include characterizing river planform and morphology changes and floodplain sedimentary sequences over long periods of time along a longitudinal river continuum. Techniques include topographic and bathymetric surveying of fluvial landforms in valley bottoms and describing floodplain sedimentary sequences through coring, trenching, and examining pits and exposures. Historical sediment budgets that include floodplain sedimentary records can characterize past and present sources and sinks of sediment along a longitudinal river continuum. Describing paleochannels and floodplain vertical accretion deposits, estimating long-term sedimentation rates, and constructing historical sediment budgets can assist in management of aquatic resources, habitat, sedimentation, and flooding issues.

Efficiency of soft tissue incision with a novel 445-nm semiconductor laser.

Science.gov (United States)

Braun, Andreas; Kettner, Moritz; Berthold, Michael; Wenzler, Johannes-Simon; Heymann, Paul Günther Baptist; Frankenberger, Roland

2018-01-01

Using a 445-nm semiconductor laser for tissue incision, an effective cut is expected due to the special absorption properties of blue laser light in soft tissues. The aim of the present study was the histological evaluation of tissue samples after incision with a 445-nm diode laser. Forty soft tissue specimens were obtained from pork oral mucosa and mounted on a motorized linear translation stage. The handpiece of a high-frequency surgery device, a 970-nm semiconductor laser, and a 445-nm semiconductor laser were connected to the slide, allowing a constant linear movement (2 mm/s) and the same distance of the working tip to the soft tissue's surface. Four incisions were made each: (I) 970-nm laser with conditioned fiber tip, contact mode at 3-W cw; (II-III): 445-nm laser with non-conditioned fiber tip, contact mode at 2-W cw, and non-contact mode (1 mm) at 2 W; and (IV): high-frequency surgery device with straight working tip, 90° angulation, contact mode at 50 W. Histological analysis was performed after H&E staining of the embedded specimens at 35-fold magnification. The comparison of the incision depths showed a significant difference depending on the laser wavelength and the selected laser parameters. The highest incision depth was achieved with the 445-nm laser contact mode (median depth 0.61 mm, min 0.26, max 1.17, interquartile range 0.58) (p laser, a higher cutting efficiency can be expected when compared with a 970-nm diode laser and high-frequency surgery. Even the 445-nm laser application in non-contact mode shows clinically acceptable incision depths without signs of extensive soft tissue denaturation.

Implications from Sedimentary records in Fluvial Terraces for Geomorphological Evolution in the Puli Basin, Taiwan

NARCIS (Netherlands)

Tseng, C.H.; Wenske, D.; Böse, M.; Reimann, T.; Lüthgens, C.; Frechen, Manfred

2013-01-01

Fluvial terraces play an important role for research on previous geomorphic processes as their sediments can record various sedimentation stages. In the mountains of central Taiwan, however, the formation time of sediments in the Puli Basin is still unclear. In this study, we investigate the fluvial

Incision and stress regulation in borderline personality disorder: neurobiological mechanisms of self-injurious behaviour.

Science.gov (United States)

Reitz, Sarah; Kluetsch, Rosemarie; Niedtfeld, Inga; Knorz, Teresa; Lis, Stefanie; Paret, Christian; Kirsch, Peter; Meyer-Lindenberg, Andreas; Treede, Rolf-Detlef; Baumgärtner, Ulf; Bohus, Martin; Schmahl, Christian

2015-08-01

Patients with borderline personality disorder frequently show non-suicidal self-injury (NSSI). In these patients, NSSI often serves to reduce high levels of stress. Investigation of neurobiological mechanisms of NSSI in borderline personality disorder. In total, 21 women with borderline personality disorder and 17 healthy controls underwent a stress induction, followed by either an incision into the forearm or a sham treatment. Afterwards participants underwent resting-state functional magnetic resonance imaging while aversive tension, heart rate and heart rate variability were assessed. We found a significant influence of incision on subjective and objective stress levels with a stronger decrease of aversive tension in the borderline personality disorder group following incision than sham. Amygdala activity decreased more and functional connectivity with superior frontal gyrus normalised after incision in the borderline personality disorder group. Decreased stress levels and amygdala activity after incision support the assumption of an influence of NSSI on emotion regulation in individuals with borderline personality disorder and aids in understanding why these patients use self-inflicted pain to reduce inner tension. © The Royal College of Psychiatrists 2015.

Combined fluvial and pluvial urban flood hazard analysis: concept development and application to Can Tho city, Mekong Delta, Vietnam

Science.gov (United States)

Apel, Heiko; Martínez Trepat, Oriol; Nghia Hung, Nguyen; Thi Chinh, Do; Merz, Bruno; Viet Dung, Nguyen

2016-04-01

Many urban areas experience both fluvial and pluvial floods, because locations next to rivers are preferred settlement areas and the predominantly sealed urban surface prevents infiltration and facilitates surface inundation. The latter problem is enhanced in cities with insufficient or non-existent sewer systems. While there are a number of approaches to analyse either a fluvial or pluvial flood hazard, studies of a combined fluvial and pluvial flood hazard are hardly available. Thus this study aims to analyse a fluvial and a pluvial flood hazard individually, but also to develop a method for the analysis of a combined pluvial and fluvial flood hazard. This combined fluvial-pluvial flood hazard analysis is performed taking Can Tho city, the largest city in the Vietnamese part of the Mekong Delta, as an example. In this tropical environment the annual monsoon triggered floods of the Mekong River, which can coincide with heavy local convective precipitation events, causing both fluvial and pluvial flooding at the same time. The fluvial flood hazard was estimated with a copula-based bivariate extreme value statistic for the gauge Kratie at the upper boundary of the Mekong Delta and a large-scale hydrodynamic model of the Mekong Delta. This provided the boundaries for 2-dimensional hydrodynamic inundation simulation for Can Tho city. The pluvial hazard was estimated by a peak-over-threshold frequency estimation based on local rain gauge data and a stochastic rainstorm generator. Inundation for all flood scenarios was simulated by a 2-dimensional hydrodynamic model implemented on a Graphics Processing Unit (GPU) for time-efficient flood propagation modelling. The combined fluvial-pluvial flood scenarios were derived by adding rainstorms to the fluvial flood events during the highest fluvial water levels. The probabilities of occurrence of the combined events were determined assuming independence of the two flood types and taking the seasonality and probability of

A single incision transaxillary thoracoscopic sympathectomy

Directory of Open Access Journals (Sweden)

Marić Nebojša

2014-01-01

Full Text Available Background/Aim. Primary hyperhidrosis causes are unknown. The disorder begins in early childhood. It intensifies in puberty and maturity. It is equally present in both sexes. The symptoms exacerbate when the body temperature rises and due to emotional stimuli affecting the sympathetic nerve system. The aim of this study was to demonstrate that videoassisted thoracoscopic surgery (VATS sympathectomy is a method for primary focal hyperhidrosis permanent treatment. The single incision method in properly selected patients maximizes the intervention effectiveness and minimizes aesthetic side effects. Methods. This prospective study analysed the findings in patients who had been operated on due to primary focal hyperhidrosis (face, palms, and armpits using a single small transaxilarry incision in the third inter-rib space at the level of the anterior axillary line with two 5 mm flexible ports. All the patients, with T2-T5 thoracoscopic sympathectomy of the sympathetic chain using a single small incision in the third inter-rib space in the anterior axillary line, were analysed in the period from September 2009 to November 2010 regarding the postoperative morbidity and outcomes of the operation (clinical evaluation and visual analogue scale with a view to assessing the effectiveness of the surgery conducted in this manner. Results. A total of 47 patients (18 men, 29 women, 18 to 48 years old (29 on average had underwent 94 bilateral video-assisted thoracoscopic sympathectomies. The sympathectomy was indicated in cases of facial blushing and sweating (6.38%, palmary sweating (34.04%, axillary sweating (14.89% or both palmary and axillary sweating (44.68%. The largest percentage of patients (98.6% had left the hospital the following day. The postoperative 30 day’s mortality was 0 and the conversion into open surgery was not necessary. As for complications, there had been an occurrence of partial pneumothorax in two patients treated by means of

Ultrasonographic evaluation of the healing of ventral midline abdominal incisions in the horse.

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Wilson, D A; Badertscher, R R; Boero, M J; Baker, G J; Foreman, J H

1989-06-01

Ultrasonography was used to evaluate the ventral midline incisions of 21 ponies following exploratory laparotomy. The incisions were evaluated before surgery and at weekly intervals from one to seven weeks after surgery. Both 5.0 and 7.5 MHz linear array and 7.5 MHz sector transducers were used for the evaluations. The incisional complications observed were drainage, oedema, suture sinus formation, suture abscess, superficial dehiscence and incisional hernia. Ultrasonographic imaging of the ventral midline incision was an easy, reliable and objective method for detecting and monitoring the progression of incisional complications in a non-invasive manner.

Panoramic radiographs underestimate extensions of the anterior loop and mandibular incisive canal

International Nuclear Information System (INIS)

De Brito, Ana Caroline Ramos; Nejaim, Yuri; De Freitas, Deborah Queiroz; De Oliveira Santos, Christiano

2016-01-01

The purpose of this study was to detect the anterior loop of the mental nerve and the mandibular incisive canal in panoramic radiographs (PAN) and cone-beam computed tomography (CBCT) images, as well as to determine the anterior/mesial extension of these structures in panoramic and cross-sectional reconstructions using PAN and CBCT images. Images (both PAN and CBCT) from 90 patients were evaluated by 2 independent observers. Detection of the anterior loop and the incisive canal were compared between PAN and CBCT. The anterior/mesial extension of these structures was compared between PAN and both cross-sectional and panoramic CBCT reconstructions. In CBCT, the anterior loop and the incisive canal were observed in 7.7% and 24.4% of the hemimandibles, respectively. In PAN, the anterior loop and the incisive canal were detected in 15% and 5.5% of cases, respectively. PAN presented more difficulties in the visualization of structures. The anterior/mesial extensions ranged from 0.0 mm to 19.0 mm on CBCT. PAN underestimated the measurements by approximately 2.0 mm. CBCT appears to be a more reliable imaging modality than PAN for preoperative workups of the anterior mandible. Individual variations in the anterior/mesial extensions of the anterior loop of the mental nerve and the mandibular incisive canal mean that is not prudent to rely on a general safe zone for implant placement or bone surgery in the interforaminal region

Panoramic radiographs underestimate extensions of the anterior loop and mandibular incisive canal

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De Brito, Ana Caroline Ramos; Nejaim, Yuri; De Freitas, Deborah Queiroz [Dept. of Oral Diagnosis, Division of Oral Radiology, Piracicaba Dental School, University of Campinas, Sao Paulo (Brazil); De Oliveira Santos, Christiano [Dept. of Stomatology, Public Oral Health and Forensic Dentistry, School of Dentistry of Ribeirao Preto, University of Sao Paulo, Sao Paulo (Brazil)

2016-09-15

The purpose of this study was to detect the anterior loop of the mental nerve and the mandibular incisive canal in panoramic radiographs (PAN) and cone-beam computed tomography (CBCT) images, as well as to determine the anterior/mesial extension of these structures in panoramic and cross-sectional reconstructions using PAN and CBCT images. Images (both PAN and CBCT) from 90 patients were evaluated by 2 independent observers. Detection of the anterior loop and the incisive canal were compared between PAN and CBCT. The anterior/mesial extension of these structures was compared between PAN and both cross-sectional and panoramic CBCT reconstructions. In CBCT, the anterior loop and the incisive canal were observed in 7.7% and 24.4% of the hemimandibles, respectively. In PAN, the anterior loop and the incisive canal were detected in 15% and 5.5% of cases, respectively. PAN presented more difficulties in the visualization of structures. The anterior/mesial extensions ranged from 0.0 mm to 19.0 mm on CBCT. PAN underestimated the measurements by approximately 2.0 mm. CBCT appears to be a more reliable imaging modality than PAN for preoperative workups of the anterior mandible. Individual variations in the anterior/mesial extensions of the anterior loop of the mental nerve and the mandibular incisive canal mean that is not prudent to rely on a general safe zone for implant placement or bone surgery in the interforaminal region.

Better outcome from arthroscopic partial meniscectomy than skin incisions only?

DEFF Research Database (Denmark)

Roos, Ewa M; Hare, Kristoffer Borbjerg; Nielsen, Sabrina Mai

2018-01-01

. In total, nine participants experienced 11 adverse events; six in the surgery group and three in the skin-incisions-only group. CONCLUSION: We found greater improvement from arthroscopic partial meniscectomy compared with skin incisions only at 2 years, with the statistical uncertainty of the between......-group difference including what could be considered clinically relevant. Because of the study being underpowered, nearly half in the sham group being non-blinded and one-third crossing over to surgery, the results cannot be generalised to the greater patient population. TRIAL REGISTRATION NUMBER: NCT01264991....

The "Propeller" incision for transpalatal advancement pharyngoplasty: a new approach to reduce post-operative oronasal fistulae.

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Shine, Neville Patrick; Lewis, Richard Hamilton

2008-09-01

To present a new soft tissue approach for transpalatal advancement pharyngoplasty (TPA), the propeller incision, and to compare the rates of post-operative oronasal fistula in those undergoing TPA with the traditional "Gothic Arch" incision described by Woodson and those with the propeller incision. A prospectively maintained adult sleep apnoea surgery database was used to identify those patients undergoing TPA, either alone or in combination with other procedures, for obstructive sleep apnoea syndrome (OSAS) between February 2001 and September 2006 in a tertiary referral centre by a single surgeon (RHL). In addition to the incision used during TPA, patient demographic data, previous surgery of the upper airways, smoking history, pre-operative body mass index, respiratory disturbance index, oxygen saturation index and the occurrence of oronasal fistula post-operatively, were recorded. The propeller incision technique is described. A total of 89 patients who underwent TPA were identified. A total of 49 patients had a "Gothic Arch" incision and 40 had a "Propeller" incision. The two groups of patients were comparable in age, sex, previous tonsillar and uvulopalatopharyngoplasty surgery, smoking histories and pre-operative disease severity. In the "Gothic Arch" group, eight patients (16%) developed oronasal fistulae in the post-operative period versus only one patient (2.5%) in the "Propeller" group. The difference between the two groups was statistically significant (P=0.038, Fisher's exact test). Of the total cases with post-operative oronasal fistula (n=9), only one patient (from the Gothic Arch incision group) required operative closure which was performed under local anesthesia and healed without complication. The propeller incision provides an anatomically sensible axial-based flap that provides adequate access to perform TPA. It is associated with a lower incidence of oronasal fistula and is recommended by the authors.

Global effects of agriculture on fluvial dissolved organic matter

DEFF Research Database (Denmark)

Graeber, Daniel; Boëchat, Iola; Encina, Francisco

2015-01-01

Agricultural land covers approximately 40% of Earth’s land surface and affects hydromorphological, biogeochemical and ecological characteristics of fluvial networks. In the northern temperate region, agriculture also strongly affects the amount and molecular composition of dissolved organic matter...

Fluvial processes on Mars: Erosion and sedimentation

Science.gov (United States)

Squyres, Steven W.

1988-01-01

One of the most important discoveries of the Mariner 9 and Viking missions to Mars was evidence of change of the Martian surface by the action of liquid water. From the standpoint of a Mars Rover/Sample Return Mission, fluvial activity on Mars is important in two ways: (1) channel formation has deeply eroded the Martian crust, providing access to relatively undisturbed subsurface units; and (2) much of the material eroded from channels may have been deposited in standing bodies of liquid water. The most striking fluvial erosion features on Mars are the outflow channels. A second type of channel apparently caused by flow of liquid water is the valley systems. These are similar to terrestial drainage systems. The sedimentary deposits of outflow channels are often difficult to identfy. No obvious deposits such as deltaic accumulations are visible in Viking images. Another set of deposits that may be water lain and that date approx. from the epoch of outflow channels are the layered deposits in the Valles Marineris. From the standpoint of a Mars Rover/Sample Return mission, the problem with all of these water-lain sediments is their age, or rather the lack of it.

Single-incision laparoscopic bariatric surgery

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Huang Chih-Kun

2011-01-01

Full Text Available Background: Bariatric surgery has been established as the best option of treatment for morbid obesity. In recent years single-incision laparoscopic surgery (SILS has emerged as another modality of carrying out the bariatric procedures. While SILS represents an advance, its application in morbid obesity at present is limited. In this article, we review the technique and results of SILS in bariatric surgery. Methods: The PubMed database was searched and totally 11 series reporting SILS in bariatric surgery were identified and analyzed. The case reports were excluded. Since 2008, 114 morbidly obese patients receiving SILS bariatric surgeries were reported. Results: The procedures performed included SILS gastric banding, sleeve gastrectomy and gastric bypass. No mortality was reported in the literatures. Sixteen patients (14.05% needed an additional incision for a liver retractor, a trocar or for conversion. Only one complication of wound infection was reported in these series. All the surgeons reported that the patients were highly satisfied with the scar. Conclusion: Because of abundant visceral and subcutaneous fat and multiple comorbidities in morbid obesity, it is more challenging for surgeons to perform the procedures with SILS. It is clear that extensive development of new instruments and technical aspects of these procedures as well as randomized studies to compare them with traditional laparoscopy are essential before these procedures can be utilized in day-to-day clinical practice.

Treatment for incarcerated indirect hernia with "Cross-Internal Ring" inguinal oblique incision in children.

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Yan, Xue-Qiang; Yang, Jun; Zheng, Nan-Nan; Kuang, Hou-Fang; Duan, Xu-Fei; Bian, Hong-Qiang

2017-01-01

This study aims to evaluate the utility of the "Cross-Internal Ring" inguinal oblique incision for the surgical treatment of incarcerated indirect hernia (IIH) complicated with severe abdominal distension. Patients of IIH complicated with severe abdominal distension were reviewed retrospectively. All patients received operation through the "Cross-Internal Ring" inguinal oblique incision. There were totally 13 patients were included, male to female ratio was 9-4. The time for patients to resume oral feeding varying from 2 to 5 days after operation, no complications include delayed intestinal perforation, intra-abdominal abscess, and incision infection happened. Average postoperative hospital stay was 5.2 days. All cases were followed up for 6-18 months. No recurrence or iatrogenic cryptorchidism happened. "Cross-Internal Ring" inguinal oblique incision is a simple, safe, and reliable surgical method to treat pediatric IIH complicated with severe abdominal distension.

Fluvial geomorphology: where do we go from here?

Science.gov (United States)

Smith, Derald G.

1993-07-01

The evolution of geomorphology and in particular, fluvial geomorphology, is at a crossroads. Currently, the discipline is dismally organized, without focus or direction, and is practised by individualists who rarely collaborate in numbers significant enough to generate major research initiatives. If the discipline is to mature and to prosper, we must make some very difficult decisions that will require major changes in our ways of thinking and operating. Either the field stays in its current operational mode and becomes a backwater science, or it moves forward and adopts the ways of the more competitive sectors of the earth and biosciences. For the discipline to evolve, fluvial geomorphologists must first organize an association within North America or at the international level. The 3rd International Geomorphology Conference may be a start, but within that organization we must develop our own divisional and/or regional organizations. Within the Quaternary geology/geomorphology divisions of the Geological Socieity of America (GSA), Association of American Geographers (AAG), American Geophysical Union (AGU) and British Geomorphology Research Group (BGRG) the voice of fluvial geomorphology is lost in a sea of diverse and competitive interests, though there is reason for hope resulting from some recent initiatives. In Canada, we have no national geomorphology organization per se; our closest organization is Canqua (Canadian Quaternary Association). Next, fluvial researchers must collaborate, by whatever means, to develop "scientific critical mass" in order to generate ideas and long-range goals of modest and major scientific importance. These projects will help secure major research funding without which, research opportunities will diminish and initiating major new research will become nearly impossible. Currently, we are being surpassed by the glaciologists, remote sensors, ecologists, oceanographers, climatologists-atmospheric researchers and some Quaternary

Transverse Skin Crease versus Vertical Midline Incision versus Laparoscopy for Right Hemicolectomy: A Systematic Review—Current Status of Right Hemicolectomy

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Alberto Santoro

2014-01-01

Full Text Available Purpose. The right hemicolectomy may be conducted through laparoscopic or laparotomic surgery, transverse or midline incisions. The transverse laparotomy offers some advantages compared to the midline laparotomy and laparoscopy. A literature review was performed to evaluate the possible advantages of the transverse incision versus midline incision or laparoscopic right hemicolectomy. Methods. A systematic research was performed in Medline, Embase, Cochrane Central Register of Controlled Trials, CINAHL, BioMed Central, and the Science Citation Index. Results. Laparotomic right hemicolectomy with transverse incision is preferable to laparotomic hemicolectomy with midline incision. A transverse incision offers a lessened postoperative pain following physical activity, a lessened need to administer analgesic therapy during the post-operative time, better aesthetic results, and a better post-operative pulmonary function. Open surgery with transverse or midline incision ensured a shorter operative time, lower costs and a greater length of the incision compared to the laparoscopic. However, there are no differences in the oncological outcomes. Conclusions. It was not possible to identify significant differences between the open right hemicolectomy with transverse incision versus the open right hemicolectomy with midline incision or laparoscopic hemicolectomy.

Minimal Nasolabial Incision Technique for Nasolabial Fold Modification in Patients With Facial Paralysis.

Science.gov (United States)

Faris, Callum; Heiser, Alyssa; Jowett, Nate; Hadlock, Tessa

2018-03-01

Creation of symmetrical nasolabial folds (NLFs) is important in the management of the paralyzed face. Established techniques use a linear incision in the NLF, and technical refinements now allow the linear incision to be omitted. This retrospective case series was conducted in a tertiary care setting from February 2, 2017, to June 7, 2017. Participants were all patients (N = 21) with peripheral facial paralysis who underwent NLF modification that used the minimal nasolabial incision technique at the Massachusetts Eye and Ear Infirmary Facial Nerve Center from February 1, 2015, through August 31, 2016. Patient-reported outcome measures using the validated, quality-of-life Facial Clinimetric Evaluation (FaCE) Scale; clinician-reported facial function outcomes using a validated electronic clinician-graded facial paralysis assessment (eFACE); layperson assessment of the overall aesthetic outcome of the NLF; and expert-clinician scar assessment of the NLF. Of the 21 patients who underwent NLF modification that used the minimal nasolabial incision technique, 9 patients (43%) were female and 12 (57%) were male. The mean age was 41 (range, 9-90) years; 17 patients (81%) were adults (≥18 years) and 4 (19%) were children (<18 years). Overall, significant improvements were observed after NLF modification in all outcome measures as graded by both clinicians and patients. The mean (SD) scores for total eFACE were 60.7 (14.9) before the operation and 77.2 (8.9) after the operation (mean difference, 16.5 [95% CI, 8.5-24.2]; P < .001). The mean (SD) static eFACE scores were 61.4 (20.6) before the operation and 82.7 (12.4) after the operation (mean difference, 21.3 [95% CI, 10.7-31.9]; P < .001). The mean (SD) FaCE quality-of-life scores were 51.3 (20.1) before the operation and 70.3 (12.6) after the operation (mean difference, 19.0 [95% CI, 6.5-31.6]; P  =  .001). The layperson self-assessment of the overall aesthetic outcome of the NLF modification was

Dominant mechanisms for the delivery of fine sediment and phosphorus to fluvial networks draining grassland dominated headwater catchments.

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Perks, M T; Owen, G J; Benskin, C McW H; Jonczyk, J; Deasy, C; Burke, S; Reaney, S M; Haygarth, P M

2015-08-01

Recent advances in monitoring technology have enabled high frequency, in-situ measurements of total phosphorus and total reactive phosphorus to be undertaken with high precision, whilst turbidity can provide an excellent surrogate for suspended sediment. Despite these measurements being fundamental to understanding the mechanisms and flow paths that deliver these constituents to river networks, there is a paucity of such data for headwater agricultural catchments. The aim of this paper is to deduce the dominant mechanisms for the delivery of fine sediment and phosphorus to an upland river network in the UK through characterisation of the temporal variability of hydrological fluxes, and associated soluble and particulate concentrations for the period spanning March 2012-February 2013. An assessment of the factors producing constituent hysteresis is undertaken following factor analysis (FA) on a suite of measured environmental variables representing the fluvial and wider catchment conditions prior to, and during catchment-wide hydrological events. Analysis indicates that suspended sediment is delivered to the fluvial system predominantly via rapidly responding pathways driven by event hydrology. However, evidence of complex, figure-of-eight hysteresis is observed following periods of hydrological quiescence, highlighting the importance of preparatory processes. Sediment delivery via a slow moving, probably sub-surface pathway does occur, albeit infrequently and during low magnitude events at the catchment outlet. Phosphorus is revealed to have a distinct hysteretic response to that of suspended sediment, with sub-surface pathways dominating. However, high magnitude events were observed to exhibit threshold-like behaviour, whereby activation and connection of usually disconnected depositional zones to the fluvial networks results in the movement of vast phosphorus fluxes. Multiple pathways are observed for particulate and soluble constituents, highlighting the

Model Projections of Future Fluvial Sediment Delivery to Major Deltas Under Environmental Change

Science.gov (United States)

Darby, S. E.; Dunn, F.; Nicholls, R. J.; Cohen, S.; Zarfl, C.

2017-12-01

Deltas are important hot spots for climate change impacts on which over half a billion people live worldwide. Most of the world's deltas are sinking as a result of natural and anthropogenic subsidence and due to eustatic sea level rise. The ability to predict rates of delta aggradation is therefore critical to assessments of the extent to which sedimentation can potentially offset sea level rise, but our ability to make such predictions is severely hindered by a lack of insight into future trends of the fluvial sediment load supplied to their deltas by feeder watersheds. To address this gap we investigate fluvial sediment fluxes under future environmental change for a selection (47) of the world's major river deltas. Specifically, we employed the numerical model WBMsed to project future variations in mean annual fluvial sediment loads under a range of environmental change scenarios that account for changes in climate, socio-economics and dam construction. Our projections indicate a clear decrease (by 34 to 41% on average, depending on the specific scenario) in future fluvial sediment supply to most of the 47 deltas. These reductions in sediment delivery are driven primarily by anthropogenic disturbances, with reservoir construction being the most influential factor globally. Our results indicate the importance of developing new management strategies for reservoir construction and operation.

Influence of fluvial sandstone architecture on geothermal energy production

NARCIS (Netherlands)

Willems, C.J.L.; Maghami Nick, Hamidreza M.; Weltje, G.J.; Donselaar, M.E.; Bruhn, D.F.

2015-01-01

Fluvial sandstone reservoirs composed of stacked meander belts are considered as potential geothermal resources in the Netherlands. Net-to-gross, orientation and stacking pattern of the channel belts is of major importance for the connectivity between the injection and production well in such

Reservoirs as hotspots of fluvial carbon cycling in peatland catchments.

Science.gov (United States)

Stimson, A G; Allott, T E H; Boult, S; Evans, M G

2017-02-15

Inland water bodies are recognised as dynamic sites of carbon processing, and lakes and reservoirs draining peatland soils are particularly important, due to the potential for high carbon inputs combined with long water residence times. A carbon budget is presented here for a water supply reservoir (catchment area~9km 2 ) draining an area of heavily eroded upland peat in the South Pennines, UK. It encompasses a two year dataset and quantifies reservoir dissolved organic carbon (DOC), particulate organic carbon (POC) and aqueous carbon dioxide (CO 2 (aq)) inputs and outputs. The budget shows the reservoir to be a hotspot of fluvial carbon cycling, as with high levels of POC influx it acts as a net sink of fluvial carbon and has the potential for significant gaseous carbon export. The reservoir alternates between acting as a producer and consumer of DOC (a pattern linked to rainfall and temperature) which provides evidence for transformations between different carbon species. In particular, the budget data accompanied by 14 C (radiocarbon) analyses provide evidence that POC-DOC transformations are a key process, occurring at rates which could represent at least ~10% of the fluvial carbon sink. To enable informed catchment management further research is needed to produce carbon cycle models more applicable to these environments, and on the implications of high POC levels for DOC composition. Copyright © 2016 Elsevier B.V. All rights reserved.

Cutting electrocautery versus scalpel for surgical incisions: a systematic review and meta-analysis.

Science.gov (United States)

Ismail, Ammar; Abushouk, Abdelrahman Ibrahim; Elmaraezy, Ahmed; Menshawy, Amr; Menshawy, Esraa; Ismail, Mahmoud; Samir, Esraa; Khaled, Anas; Zakarya, Hagar; El-Tonoby, Abdelrahman; Ghanem, Esraa

2017-12-01

Although cutting electrocautery can be superior to the scalpel in reducing blood loss and incisional time, several reports associated electrocautery with higher rates of wound infection, impaired healing, and worse cosmesis. We performed this systematic review and meta-analysis to compare cutting electrocautery versus scalpel for surgical incisions. We conducted a computerized literature search of five electronic databases and included all published original studies comparing cutting electrocautery and scalpel surgical incisions. Relevant data were extracted from eligible studies and pooled as odds ratios (ORs) or standardized mean difference (SMD) values in a meta-analysis model, using RevMan and Comprehensive Meta-analysis software. Forty-one studies (36 randomized trials, four observational, and one quasirandom study) were included in the pooled analysis (6422 participants). Compared with the scalpel incision, cutting electrocautery resulted in significantly less blood loss (SMD = -1.16, 95% CI [-1.60 to -0.72]), shorter incisional (SMD = -0.63, 95% CI [-0.96 to -0.29]) and operative times (SMD = -0.59, 95% CI [-1.12 to -0.05]), and lower pain scores (SMD = -0.91, 95% CI [-1.27 to -0.55]) with no significant differences in terms of wound infection rates (OR = 0.92, 95% CI [0.74-1.15]) or overall subjective scar score (SMD = -0.49, 95% CI [-1.72 to 0.75]). Surgical incision using electrocautery can be quicker with less blood loss and postoperative pain scores than the scalpel incision. No statistically significant difference was found between both techniques in terms of postoperative wound complications, hospital stay duration, and wound cosmetic characteristics. Therefore, we recommend routine use of cutting electrocautery for surgical incisions. Copyright © 2017 Elsevier Inc. All rights reserved.

DNA polymerase. beta. reaction with ultraviolet-irradiated DNA incised by correndonuclease

Energy Technology Data Exchange (ETDEWEB)

Nowak, R; Zarebska, Z [Instytut Onkologii, Warsaw (Poland); Zmudzka, B [Polska Akademia Nauk, Warsaw. Inst. Biochemii i Biofizyki

1980-09-19

Covalently closed circular Col E1 DNA was ultraviolet-irradiated with a dose of 60 J/m/sup 2/, thus introducing about 3.2 pyrimidine dimers per DNA molecule. Treatment of irradiated Col E1 DNA with Micrococcus luteus correndonuclease resulted, in the vicinity of pyrimidine dimers, in an average of 3.3 incisions per DNA molecule, and converted DNA to the open circular form. Incised Col E1 DNA stimulated no reaction with calf thymus DNA polymerase ..cap alpha.. but was recognized as a template by DNA polymerase ..beta... The latter enzyme incorporated about 1.6 molecules of dTMP (corresponding to 6 molecules of dNMP) per one correndonuclease incision. The length of the DNA polymerase ..beta.. product was comparable to the anticipated length of the DNA region within which the hydrogen bonds were disrupted owing to dimer formation. The enzyme required Mg/sup 2 +/ and four dNTPs for reaction and was resistant to N-ethylmaleimide or p-mercuribenzoate.

Variability in fluvial geomorphic response to anthropogenic disturbance

Science.gov (United States)

Verstraeten, Gert; Broothaerts, Nils; Van Loo, Maarten; Notebaert, Bastiaan; D'Haen, Koen; Dusar, Bert; De Brue, Hanne

2017-10-01

Humans have greatly impacted the processes and intensities of erosion, sediment transport and storage since the introduction of agriculture. In many regions around the world, accelerated floodplain sedimentation can be related to increases in human pressure on the environment. However, the relation between the intensity of anthropogenic disturbance and the magnitude of change in fluvial sediment dynamics is not straightforward and often non-linear. Here, we review a number of case studies from contrasting environmental settings in the European loess belt, the Eastern Mediterranean mountain ranges and the eastern USA. Detailed field-based sediment archive studies and sediment budgets covering time periods ranging from 200 to over 5000 year, as well as the use of pollen and sediment provenance techniques, show that no overarching concept of changes in floodplain sedimentation following anthropogenic disturbance can be established. Slope-channel (dis)connectivity controls the existence of thresholds or tipping points that need to be crossed before significant changes in downstream sediment dynamics are recorded following human impact. This coupling can be related to characteristics of human pressure such as its duration, intensity and spatial patterns, but also to the geomorphic and tectonic setting. Furthermore, internal feedback mechanisms, such as those between erosion and soil thickness, further complicate the story. All these factors controlling the propagation of sediment from eroding hillslopes to river channels vary between regions. Hence, only unique patterns of fluvial geomorphic response can be identified. As a result, unravelling the human impact from current-day sediment archives and predicting the impact of future human disturbances on fluvial sediment dynamics remain a major challenge. This has important implications for interpreting contemporary sediment yields as well as downstream sediment records in large floodplains, deltas and the marine

SISTEMA FLUVIAL E PLANEJAMENTO LOCAL NO SEMIÁRIDO

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Jonas Otaviano Praça de Souza

2012-01-01

Full Text Available El presente estudio analiza un sistema fluvial semiárido y sus características físicas, centrándose en los procesos geomorfológicos y las formas resultantes, sino también en las relaciones con las actividades humanas, con el fin de utilizar dichos datos en la planificación local. La encuesta se llevó a cabo en el municipio de Belém do São Francisco, en Pernambuco, mesorregión del São Francisco en la cuenca del arroyo Mulungu, lugar expuesto a un clima semi-árido con lluvias de verano, y la cobertura del suelo con un predominio de la caatinga arbustiva abierta. Se tomó como procedimiento metodológico la cartografía geomorfológica a diferentes escalas y con diferentes énfasis, para evaluar la relación jerárquica entre los distintos compartimentos, sustratos geológicos y formas de uso de la tierra. De la información espacial obtenida en los distintos niveles de la cartografía detallada del sistema fluvial, se realizó una evaluación ambiental de la zona, teniendo como base la dinámica erosiva/deposicional a lo largo del canal y su relación con sus bancos. Se concluyó que las formas de acumulación en la llanura aluvial exhiben controles de origen antropogénico, vinculados a los tipos tradicionales de uso del suelo en la cuenca. Estos controles, como la construcción de represas a lo largo del canal, actúan cambiando a los procesos de creación de nuevas morfologías de depósito en el sistema fluvial, que a su vez comienzan a redefinir los tipos usos de la zona.

Femtosecond laser effect on the self-sealing properties of the corneal incision of various lengths and profile (experimental trial

Directory of Open Access Journals (Sweden)

Yulduz Shavkatovna Nizametdinova

2015-06-01

Full Text Available An experimental investigation was carried out to study self-sealing properties of corneal incisions of different profile and length carried out with femtosecond laser Victus (Technolas Perfect Vision/Bausch&Lomb. Using femtosecond laser for this purpose allows creating corneal incisions of high precision and predictability. Reproducibility and standardization of the incision profile and length are an advantage of this technology. Obtained results showed that single-profile incisions are less stable and safe when compared to multi-profile ones. It was noted that incision length increase promotes its self-sealing properties.

Combined fluvial and pluvial urban flood hazard analysis: method development and application to Can Tho City, Mekong Delta, Vietnam

Science.gov (United States)

Apel, H.; Trepat, O. M.; Hung, N. N.; Chinh, D. T.; Merz, B.; Dung, N. V.

2015-08-01

Many urban areas experience both fluvial and pluvial floods, because locations next to rivers are preferred settlement areas, and the predominantly sealed urban surface prevents infiltration and facilitates surface inundation. The latter problem is enhanced in cities with insufficient or non-existent sewer systems. While there are a number of approaches to analyse either fluvial or pluvial flood hazard, studies of combined fluvial and pluvial flood hazard are hardly available. Thus this study aims at the analysis of fluvial and pluvial flood hazard individually, but also at developing a method for the analysis of combined pluvial and fluvial flood hazard. This combined fluvial-pluvial flood hazard analysis is performed taking Can Tho city, the largest city in the Vietnamese part of the Mekong Delta, as example. In this tropical environment the annual monsoon triggered floods of the Mekong River can coincide with heavy local convective precipitation events causing both fluvial and pluvial flooding at the same time. Fluvial flood hazard was estimated with a copula based bivariate extreme value statistic for the gauge Kratie at the upper boundary of the Mekong Delta and a large-scale hydrodynamic model of the Mekong Delta. This provided the boundaries for 2-dimensional hydrodynamic inundation simulation for Can Tho city. Pluvial hazard was estimated by a peak-over-threshold frequency estimation based on local rain gauge data, and a stochastic rain storm generator. Inundation was simulated by a 2-dimensional hydrodynamic model implemented on a Graphical Processor Unit (GPU) for time-efficient flood propagation modelling. All hazards - fluvial, pluvial and combined - were accompanied by an uncertainty estimation considering the natural variability of the flood events. This resulted in probabilistic flood hazard maps showing the maximum inundation depths for a selected set of probabilities of occurrence, with maps showing the expectation (median) and the uncertainty by

Suspended sediment transport trough a large fluvial-tidal channel network

Science.gov (United States)

Wright, Scott A.; Morgan-King, Tara L.

2015-01-01

The confluence of the Sacramento and San Joaquin Rivers, CA, forms a large network of interconnected channels, referred to as the Sacramento-San Joaquin Delta (the Delta). The Delta comprises the transition zone from the fluvial influences of the upstream rivers and tidal influences of San Francisco Bay downstream. Formerly an extensive tidal marsh, the hydrodynamics and geomorphology of Delta have been substantially modified by humans to support agriculture, navigation, and water supply. These modifications, including construction of new channels, diking and draining of tidal wetlands, dredging of navigation channels, and the operation of large pumping facilities for distribution of freshwater from the Delta to other parts of the state, have had a dramatic impact on the physical and ecological processes within the Delta. To better understand the current physical processes, and their linkages to ecological processes, the USGS maintains an extensive network of flow, sediment, and water quality gages in the Delta. Flow gaging is accomplished through use of the index-velocity method, and sediment monitoring uses turbidity as a surrogate for suspended-sediment concentration. Herein, we present analyses of the transport and dispersal of suspended sediment through the complex network of channels in the Delta. The primary source of sediment to the Delta is the Sacramento River, which delivers pulses of sediment primarily during winter and spring runoff events. Upon reaching the Delta, the sediment pulses move through the fluvial-tidal transition while also encountering numerous channel junctions as the Sacramento River branches into several distributary channels. The monitoring network allows us to track these pulses through the network and document the dominant transport pathways for suspended sediment. Further, the flow gaging allows for an assessment of the relative effects of advection (the fluvial signal) and dispersion (from the tides) on the sediment pulses as they

An Assessment of Hydrology, Fluvial Geomorphology, and Stream Ecology in the Cardwell Branch Watershed, Nebraska, 2003-04

Science.gov (United States)

Rus, David L.; Dietsch, Benjamin J.; Woodward, Brenda K.; Fry, Beth E.; Wilson, Richard C.

2007-01-01

An assessment of the 16.3-square-mile Cardwell Branch watershed characterized the hydrology, fluvial geomorphology, and stream ecology in 2003-04. The study - performed by the U.S. Geological Survey in cooperation with the City of Lincoln, Nebraska, and the Lower Platte South Natural Resources District - focused on the 7.7-square-mile drainage downstream from Yankee Hill Reservoir. Hydrologic and hydraulic models were developed using the Hydrologic Modeling System (HEC-HMS) and River Analysis System (HEC-RAS) of the U.S. Army Corps of Engineers Hydraulic Engineering Center. Estimates of streamflow and water-surface elevation were simulated for 24-hour-duration design rainstorms ranging from a 50-percent frequency to a 0.2-percent frequency. An initial HEC-HMS model was developed using the standardized parameter estimation techniques associated with the Soil Conservation Service curve number technique. An adjusted HEC-HMS model also was developed in which parameters were adjusted in order for the model output to better correspond to peak streamflows estimated from regional regression equations. Comparisons of peak streamflow from the two HEC-HMS models indicate that the initial HEC-HMS model may better agree with the regional regression equations for higher frequency storms, and the adjusted HEC-HMS model may perform more closely to regional regression equations for larger, rarer events. However, a lack of observed streamflow data, coupled with conflicting results from regional regression equations and local high-water marks, introduced considerable uncertainty into the model simulations. Using the HEC-RAS model to estimate water-surface elevations associated with the peak streamflow, the adjusted HEC-HMS model produced average increases in water-surface elevation of 0.2, 1.1, and 1.4 feet for the 50-, 1-, and 0.2-percent-frequency rainstorms, respectively, when compared to the initial HEC-HMS model. Cross-sectional surveys and field assessments conducted between

A new technique, combined plication-incision (CPI, for correction of penile curvature

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Hamed Abdalla Hamed

Full Text Available ABSTRACT Introduction Penile curvature (PC can be surgically corrected by either corporoplasty or plication techniques. These techniques can be complicated by post-operative: penile shortening, recurrent PC, painful/palpable suture knots and erectile dysfunction. Objective To avoid the complications of corporoplasty and plication techniques using a new technique: combined plication-incision (CPI. Materials and Methods Two groups (1&2 were operated upon: group 1 using CPI and group 2 using the 16-dot technique. In CPI, dots were first marked as in 16 dot technique. In each group of 4 dots the superficial layer of tunica albuginea was transversely incised (3-6mm at the first and last dots. Ethibond 2/0, passed through the interior edge of the first incision plicating the intermediate 2 dots and passed out of the interior edge of the last incision, was tightened and ligated. Vicryle 4/0, passed through the exterior edges of the incisions, was tightened and ligated to cover the ethibond knot. Results Twelve (57.1 % participants in group 2 complained of a bothering palpable knot compared to none in group 1 with statistically significant difference (P=0.005. Postoperative shortening (5mm of erect penis, encountered in 9 participants, was doubled in group 2 but with insignificant difference (P>0.05. Post-operative recurrence of PC, was encountered in only 1 (4.8% participant in group 2, compared to none in group 1, with insignificant difference (P>0.05. Post-operative erectile rigidity was normally maintained in all participants. Conclusion The new technique was superior to the 16-dot technique for correction of PC.

The success of headwater rehabilitation towards gully erosion control

Science.gov (United States)

Frankl, Amaury; Poesen, Jean; Nyssen, Jan

2017-04-01

The ill-management of headwaters has frequently shown to have adverse effects on both humans and the environment. Historical examples often refer to altered hydrological conditions and stream incision resulting from deforestation. Agricultural expansion and intensification - often accompanied with land reforms in the 20th century - also showed to severely impact the fluvial environment, with stream incision and gully erosion hazards increasingly affecting many headwater areas around the world. To counter this, many regions have adopted improved management schemes aiming at restoring the physical, biological and hydrological integrity of the soil- and landscape. In terms of hydrogeomorpology, the objective was to minimize dynamics to a lower level so that runoff, sediment and pollutant transfers do not cause danger to human life, environmental/natural resources deterioration or economic stress. Therefore, much attention was given to the rehabilitation and re-naturalization of headwater streams and gullies, which are the conduits of these transfers. This is done in both indirect and direct ways, i.e. reducing the delivery of runoff and sediment to the gullies and interventions in the incised channels. Although much has been published on gully erosion development and control, few studies assess the success of gully rehabilitation on the mid- to long term or confront results against the gully life-cycle. The latter refers to the rate law in fluvial geomorphology, whereby gully morphological changes (increases in length, area, volume) are initially rapid, followed by a much slower development towards a new equilibrium state. Here, we present a review of headwater rehabilitation measures and their success towards gully erosion control. By confronting this to the life-cycle of a gully, we also want to shed light on our understanding of when and where gully erosion control needs to be applied; making land management more efficient and effective. Keywords: land

Full-Thickness Retinochoroidal Incision in the Management of Central Retinal Vein Occlusion

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San-Ni Chen

2015-01-01

Full Text Available Purpose. To evaluate the clinical outcomes in patients with central retinal vein occlusion (CRVO treated with full-thickness retinochoroidal incisions and to compare whether there is difference in treatment response in ischemic and nonischemic CRVO. Methods. Retrospective study of patients of CRVO receiving full-thickness retinochoroidal incisions in Changhua Christian Hospital. Fluorescein angiography (FA, slit-lamp biomicroscopy, indirect funduscopy, best corrected visual acuity, and central macular thickness (CMT measured by optical coherence tomography were performed pre- and postoperatively. Patients were divided into an ischemic and nonischemic group according to the findings of FA. Patients were followed up for at least 1 year. Results. Twenty-eight eyes (14 ischemic and 14 nonischemic CRVO were included. Functional retinochoroidal venous anastomosis (RCVA was achieved in 48 of the 65 retinochoroidal incisions (73.8%. Central macular thickness (CMT and retinal hemorrhage decreased significantly after the surgery. Significant visual gain was observed postoperatively in the nonischemic group, but not in the ischemic group. Postoperative complications included vitreous hemorrhage (17.8%, neovascular glaucoma (7.1%, and preretinal fibrovasular membrane (10.7%, all of which were in the ischemic group. Conclusions. RCVA formation induced by retinochoroidal incisions could improve venous flow, and decrease CMT and retinal hemorrhage. However, only eyes with nonischemic CRVO showed visual improvement.

The Evolution of the Appendectomy: From Open to Laparoscopic to Single Incision

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Noah J. Switzer

2012-01-01

Full Text Available Beginning with its initial description by Fitz in the 19th century, acute appendicitis has been a significant long-standing medical challenge; today it remains the most common gastrointestinal emergency in adults. Already in 1894, McBurney advocated for the surgical removal of the inflamed appendix and is credited with the initial description of an Open Appendectomy (OA. With the introduction of minimally invasive surgery, this classic approach evolved into a procedure with multiple, smaller incisions; a technique termed Laparoscopic Appendectomy (LA. There is much literature describing the advantages of this newer approach. To name a few, patients have significantly less wound infections, reduced pain, and a reduction in ileus compared with the OA. In the past few years, Single Incision Laparoscopic Appendectomy (SILA has gained popularity as the next major evolutionary advancement in the removal of the appendix. Described as a pioneer in the era of “scarless surgery,” it involves only one transumbilical incision. Patients are postulated to have reduced post-operative complications such as infection, hernias, and hematomas, as well as a quicker recovery time and less post-operative pain scores, in comparison to its predecessors. In this review, we explore the advancement of the appendectomy from open to laparoscopic to single incision.

Mapping Variability in the Medusae Fossae Formation: Yardang Morphologies, Fluvial Reworking, and Crater Depth to Diameter Ratios

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Khuller, A. R.; Kerber, L.

2017-12-01

The Medusae Fossae Formation (MFF) is a voluminous, fine-grained deposit thought to be of pyroclastic origin. While it contains widespread, well-preserved inverted fluvial features, its pervasive cover of dust means that little is known about its composition, and indirect means must be used to characterize its material properties. This project aims to correlate fluvial features in the Western MFF with other indicators of material strength: yardang morphology and crater depth-to-diameter ratios. For this work, Context Camera (CTX) images were used to map features of fluvial origin (inverted channels, sinuous ridges, alluvial fans). The presence of rounded, meso-yardangs in close proximity to fluvial features was also mapped. Crater depth-diameter (d/D) ratios (for craters 1-512km) were analyzed using a global Mars crater database (Robbins and Hynek, 2012) as a proxy for material strength. Approximately 1400 fluvial segments were mapped, with the most populous cluster located in Aeolis and Zephyria Plana. Rounded meso-yardangs were found to be common in areas that also have fluvial features. In agreement with previous work (Barlow, 1993), MFF craters were found to have a greater d/D ratio (0.0523) than the global mean (0.0511). Ratios between MFF lobes differ significantly, providing insight into the heterogeneity of induration within the formation. The deepest craters are found in Eumenides Dorsum and the shallowest in Aeolis Planum, consistent with a greater degree of induration and reworking in the western part of the formation where the fluvial features and "salt-playa" meso-yardangs are found. It also suggests that Eumenides, which is the tallest MFF outcrop, could also be the least compacted. The presence of long, complex, and sometimes overlapping branching networks imply multiple relative episodes of channel formation. Rounded meso-yardangs, which are associated with salt playa surfaces on Earth, provide additional evidence for the presence of liquid water

Techniques for creating inconspicuous face-lift scars: avoiding visible incisions and loss of temporal hair.

Science.gov (United States)

Kridel, Russell W H; Liu, Edmund S

2003-01-01

Patients seeking rhytidectomy desire an improved neckline, jawline, and midface, but rarely at the price of signs that betray a face-lift, namely, visible incisions. We describe our face-lift incisional planning and the rationale behind specific surgical maneuvers for preventing unwanted sequelae. The telltale signs of poorly placed incisions include temporal hair loss, conspicuous scars, an unnatural appearance to the tragus, and a posterior hairline distorsion. Special considerations are given to the male patient and to the salvage of readily visible incision lines from previous surgery.

Volcanogenic Fluvial-Lacustrine Environments in Iceland and Their Utility for Identifying Past Habitability on Mars

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Claire Cousins

2015-02-01

Full Text Available The search for once-habitable locations on Mars is increasingly focused on environments dominated by fluvial and lacustrine processes, such as those investigated by the Mars Science Laboratory Curiosity rover. The availability of liquid water coupled with the potential longevity of such systems renders these localities prime targets for the future exploration of Martian biosignatures. Fluvial-lacustrine environments associated with basaltic volcanism are highly relevant to Mars, but their terrestrial counterparts have been largely overlooked as a field analogue. Such environments are common in Iceland, where basaltic volcanism interacts with glacial ice and surface snow to produce large volumes of meltwater within an otherwise cold and dry environment. This meltwater can be stored to create subglacial, englacial, and proglacial lakes, or be released as catastrophic floods and proglacial fluvial systems. Sedimentary deposits produced by the resulting fluvial-lacustrine activity are extensive, with lithologies dominated by basaltic minerals, low-temperature alteration assemblages (e.g., smectite clays, calcite, and amorphous, poorly crystalline phases (basaltic glass, palagonite, nanophase iron oxides. This paper reviews examples of these environments, including their sedimentary deposits and microbiology, within the context of utilising these localities for future Mars analogue studies and instrument testing.

Volcanogenic fluvial-lacustrine environments in iceland and their utility for identifying past habitability on Mars.

Science.gov (United States)

Cousins, Claire

2015-02-16

The search for once-habitable locations on Mars is increasingly focused on environments dominated by fluvial and lacustrine processes, such as those investigated by the Mars Science Laboratory Curiosity rover. The availability of liquid water coupled with the potential longevity of such systems renders these localities prime targets for the future exploration of Martian biosignatures. Fluvial-lacustrine environments associated with basaltic volcanism are highly relevant to Mars, but their terrestrial counterparts have been largely overlooked as a field analogue. Such environments are common in Iceland, where basaltic volcanism interacts with glacial ice and surface snow to produce large volumes of meltwater within an otherwise cold and dry environment. This meltwater can be stored to create subglacial, englacial, and proglacial lakes, or be released as catastrophic floods and proglacial fluvial systems. Sedimentary deposits produced by the resulting fluvial-lacustrine activity are extensive, with lithologies dominated by basaltic minerals, low-temperature alteration assemblages (e.g., smectite clays, calcite), and amorphous, poorly crystalline phases (basaltic glass, palagonite, nanophase iron oxides). This paper reviews examples of these environments, including their sedimentary deposits and microbiology, within the context of utilising these localities for future Mars analogue studies and instrument testing.

Performance of fast-absorbable suture and histo-glue in closing incisions in Brown trout

DEFF Research Database (Denmark)

Jepsen, Niels; Larsen, Martin Hage; Aarestrup, Kim

2017-01-01

, growth, tag expulsion rate and incision healing was compared among three groups of dummy transmitter-tagged wild brown trout Salmo trutta where incisions were closed with two types of suture material (absorbable vs. fast absorbable) and Histo-glue. The tagged fish were kept in semi-natural ponds for 20...

Study on detailed geological modelling for fluvial sandstone reservoir in Daqing oil field

Energy Technology Data Exchange (ETDEWEB)

Zhao Hanqing; Fu Zhiguo; Lu Xiaoguang [Institute of Petroleum Exploration and Development, Daqing (China)

1997-08-01

Guided by the sedimentation theory and knowledge of modern and ancient fluvial deposition and utilizing the abundant information of sedimentary series, microfacies type and petrophysical parameters from well logging curves of close spaced thousands of wells located in a large area. A new method for establishing detailed sedimentation and permeability distribution models for fluvial reservoirs have been developed successfully. This study aimed at the geometry and internal architecture of sandbodies, in accordance to their hierarchical levels of heterogeneity and building up sedimentation and permeability distribution models of fluvial reservoirs, describing the reservoir heterogeneity on the light of the river sedimentary rules. The results and methods obtained in outcrop and modem sedimentation studies have successfully supported the study. Taking advantage of this method, the major producing layers (PI{sub 1-2}), which have been considered as heterogeneous and thick fluvial reservoirs extending widely in lateral are researched in detail. These layers are subdivided into single sedimentary units vertically and the microfacies are identified horizontally. Furthermore, a complex system is recognized according to their hierarchical levels from large to small, meander belt, single channel sandbody, meander scroll, point bar, and lateral accretion bodies of point bar. The achieved results improved the description of areal distribution of point bar sandbodies, provide an accurate and detailed framework model for establishing high resolution predicting model. By using geostatistic technique, it also plays an important role in searching for enriched zone of residual oil distribution.

Variables and potential models for the bleaching of luminescence signals in fluvial environments

Science.gov (United States)

Gray, Harrison J.; Mahan, Shannon

2015-01-01

Luminescence dating of fluvial sediments rests on the assumption that sufficient sunlight is available to remove a previously obtained signal in a process deemed bleaching. However, luminescence signals obtained from sediment in the active channels of rivers often contain residual signals. This paper explores and attempts to build theoretical models for the bleaching of luminescence signals in fluvial settings. We present two models, one for sediment transported in an episodic manner, such as flood-driven washes in arid environments, and one for sediment transported in a continuous manner, such as in large continental scale rivers. The episodic flow model assumes that the majority of sediment is bleached while exposed to sunlight at the near surface between flood events and predicts a power-law decay in luminescence signal with downstream transport distance. The continuous flow model is developed by combining the Beer–Lambert law for the attenuation of light through a water column with a general-order kinetics equation to produce an equation with the form of a double negative exponential. The inflection point of this equation is compared with the sediment concentration from a Rouse profile to derive a non-dimensional number capable of assessing the likely extent of bleaching for a given set of luminescence and fluvial parameters. Although these models are theoretically based and not yet necessarily applicable to real-world fluvial systems, we introduce these ideas to stimulate discussion and encourage the development of comprehensive bleaching models with predictive power.

The formation of double-strand breaks at multiply damaged sites is driven by the kinetics of excision/incision at base damage in eukaryotic cells

International Nuclear Information System (INIS)

Kozmin, S.G.; Sedletska, Y.; Reynaud-Angelin, A.; Sage, E.; Kozmin, S.G.; Sedletska, Y.; Reynaud-Angelin, A.; Sage, E.; Gasparutto, D.

2009-01-01

It has been stipulated that repair of clustered DNA lesions may be compromised, possibly leading to the formation of double-strand breaks (DSB) and, thus, to deleterious events. Using a variety of model multiply damaged sites (MDS), we investigated parameters that govern the formation of DSB during the processing of MDS. Duplexes carrying MDS were inserted into replicative or integrative vectors, and used to transform yeast Saccharomyces cerevisiae. Formation of DSB was assessed by a relevant plasmid survival assay. Kinetics of excision/incision and DSB formation at MDS was explored using yeast cell extracts. We show that MDS composed of two uracils or abasic sites, were rapidly incised and readily converted into DSB in yeast cells. In marked contrast, none of the MDS carrying opposed oG and hU separated by 38 bp gave rise to DSB, despite the fact that some of them contained preexisting single-strand break (a 1-nt gap). Interestingly, the absence of DSB formation in this case correlated with slow excision/incision rates of lesions. We propose that the kinetics of the initial repair steps at MDS is a major parameter that direct towards the conversion of MDS into DSB. Data provides clues to the biological consequences of MDS in eukaryotic cells. (authors)

The boomerang incision for periareolar breast malignancies.

Science.gov (United States)

Tan, Mona P

2007-11-01

Breast-conservation surgery has been shown to be equivalent to mastectomy in terms of long-term survival for the treatment of breast cancer. Various techniques have been described on how to achieve clear margins and good cosmetic outcomes and therefore expand the indications for breast conservation. A novel incision is detailed to augment the options already available.

Incisional hernia after upper abdominal surgery: A randomised controlled trial of midline versus transverse incision

NARCIS (Netherlands)

J.A. Halm (Jens); H. Lip (Harm); P.I.M. Schmitz (Paul); J. Jeekel (Hans)

2009-01-01

textabstractObjectives: To determine whether a transverse incision is an alternative to a midline incision in terms of incisional hernia incidence, surgical site infection, postoperative pain, hospital stay and cosmetics in cholecystectomy. Summary background data: Incisional hernias after midline

Phenomenon of mucous retention in the incisive canal.

Science.gov (United States)

Keith, D A

1979-11-01

Mucous glands are rarely found in the anterior palate but may be observed in the incisive canal. A case history is presented of a lesion that resembled a nasopalatine cyst both clinically and radiographically but which was in fact an intra-bony extravasation phenomenon.

Comparison of first-intention healing of carbon dioxide laser, 4.0-MHz radiosurgery, and scalpel incisions in ball pythons (Python regius).

Science.gov (United States)

Hodshon, Rebecca T; Sura, Patricia A; Schumacher, Juergen P; Odoi, Agricola; Steeil, James C; Newkirk, Kim M

2013-03-01

To evaluate first-intention healing of CO(2) laser, 4.0-MHz radiowave radiosurgery (RWRS), and scalpel incisions in ball pythons (Python regius). 6 healthy adult ball pythons. A skin biopsy sample was collected, and 2-cm skin incisions (4/modality) were made in each snake under anesthesia and closed with surgical staples on day 0. Incision sites were grossly evaluated and scored daily. One skin biopsy sample per incision type per snake was obtained on days 2, 7, 14, and 30. Necrotic and fibroplastic tissue was measured in histologic sections; samples were assessed and scored for total inflammation, histologic response (based on the measurement of necrotic and fibroplastic tissues and total inflammation score), and other variables. Frequency distributions of gross and histologic variables associated with wound healing were calculated. Gross wound scores were significantly greater (indicating greater separation of wound edges) for laser incisions than for RWRS and scalpel incisions at all evaluated time points. Necrosis was significantly greater in laser and RWRS incisions than in scalpel incision sites on days 2 and 14 and days 2 and 7, respectively; fibroplasia was significantly greater in laser than in scalpel incision sites on day 30. Histologic response scores were significantly lower for scalpel than for other incision modalities on days 2, 14, and 30. In snakes, skin incisions made with a scalpel generally had less necrotic tissue than did CO(2) laser and RWRS incisions. Comparison of the 3 modalities on the basis of histologic response scores indicated that use of a scalpel was preferable, followed by RWRS and then laser.

A multi-scale approach of fluvial biogeomorphic dynamics using photogrammetry.

Science.gov (United States)

Hortobágyi, Borbála; Corenblit, Dov; Vautier, Franck; Steiger, Johannes; Roussel, Erwan; Burkart, Andreas; Peiry, Jean-Luc

2017-11-01

Over the last twenty years, significant technical advances turned photogrammetry into a relevant tool for the integrated analysis of biogeomorphic cross-scale interactions within vegetated fluvial corridors, which will largely contribute to the development and improvement of self-sustainable river restoration efforts. Here, we propose a cost-effective, easily reproducible approach based on stereophotogrammetry and Structure from Motion (SfM) technique to study feedbacks between fluvial geomorphology and riparian vegetation at different nested spatiotemporal scales. We combined different photogrammetric methods and thus were able to investigate biogeomorphic feedbacks at all three spatial scales (i.e., corridor, alluvial bar and micro-site) and at three different temporal scales, i.e., present, recent past and long term evolution on a diversified riparian landscape mosaic. We evaluate the performance and the limits of photogrammetric methods by targeting a set of fundamental parameters necessary to study biogeomorphic feedbacks at each of the three nested spatial scales and, when possible, propose appropriate solutions. The RMSE varies between 0.01 and 2 m depending on spatial scale and photogrammetric methods. Despite some remaining difficulties to properly apply them with current technologies under all circumstances in fluvial biogeomorphic studies, e.g. the detection of vegetation density or landform topography under a dense vegetation canopy, we suggest that photogrammetry is a promising instrument for the quantification of biogeomorphic feedbacks at nested spatial scales within river systems and for developing appropriate river management tools and strategies. Copyright © 2016 Elsevier Ltd. All rights reserved.

Environmental changes in the central Po Plain (northern Italy) due to fluvial modifications and anthropogenic activities

Science.gov (United States)

Marchetti, Mauro

2002-05-01

The fluvial environment of the central Po Plain, the largest plain in Italy, is discussed in this paper. Bounded by the mountain chains of the Alps and the Apennines, this plain is a link between the Mediterranean environment and the cultural and continental influences of both western and eastern Europe. In the past decades, economic development has been responsible for many changes in the fluvial environment of the area. This paper discusses the changes in fluvial dynamics that started from Late Pleistocene and Early Holocene due to distinct climatic changes. The discussion is based on geomorphological, pedological, and archaeological evidences and radiocarbon dating. In the northern foothills, Late Pleistocene palaeochannels indicate several cases of underfit streams among the northern tributaries of the River Po. On the other hand, on the southern side of the Po Plain, no geomorphological evidence of similar discharge reduction has been found. Here, stratigraphic sections, together with archaeological remains buried under the fluvial deposits, show a reduction in the size of fluvial sediments after the 10th millennium BC. During the Holocene, fluvial sedimentation became finer, and was characterised by minor fluctuations in the rate of deposition, probably related to short and less intense climatic fluctuations. Given the high rate of population growth and the development of human activities since the Neolithic Age, human influence on fluvial dynamics, especially since the Roman Age, prevailed over other factors (i.e., climate, tectonics, vegetation, etc.). During the Holocene, the most important changes in the Po Plain were not modifications in water discharge but in sediment. From the 1st to 3rd Century AD, land grants to war veterans caused almost complete deforestation, generalised soil erosion, and maximum progradation of the River Po delta. At present, land abandonment in the mountainous region has led to reafforestation. Artificial channel control in the

Smaller incision size leads to higher predictability in microcoaxial cataract surgery.

Science.gov (United States)

Klamann, Matthias K J; Gonnermann, Johannes; Maier, Anna-Karina B; Torun, Necip; Bertelmann, Eckart

2013-01-01

The aim of the study was to compare the clinical outcomes of a 1.8 mm, 2.2 mm, and 2.75 mm microcoaxial cataract surgery system. METHODS. In this retrospective study, 129 eyes of 129 patients were included. Patients underwent phacoemulsification using a Stellaris system or an Infiniti system. The incision size was 1.8 mm, 2.2 mm, or 2.75 mm, respectively. Subjects were examined before surgery and 4 weeks after. The surgically induced astigmatism (SIA) was examined. The SIA in the 1.8 mm group was statistically lower compared to the 2.2 mm group (p=0.046) and the 2.75 mm group (p=0.017). There was no significant difference between the 2.2 mm group and the 2.75 mm group. With the use of appropriate support systems, 1.8 mm incisions appear to result in less SIA than 2.2 mm and 2.75 mm incisions. Advantages may arise from this, especially in the implantation of aspheric, toric, or multifocal lenses.

Does deposition depth control the OSL bleaching of fluvial sediment?

NARCIS (Netherlands)

Cunningham, A. C.; Wallinga, J.; Hobo, N.; Versendaal, A. J.; Makaske, B.; Middelkoop, H.

2014-01-01

The Optically Stimulated Luminescence (OSL) signal from fluvial sediment often contains a remnant from the previous deposition cycle, leading to a partially bleached equivalent-dose distribution. Although identification of the burial dose is of primary concern, the degree of bleaching could

Stability of Fluvial and Gravity-flow Antidunes

Science.gov (United States)

Fedele, J. J.; Hoyal, D. C. J. D.; Demko, T. M.

2017-12-01

Antidunes develop as a consequence of interface (free surface) deformation and sediment transport feedback in supercritical flows. Fluvial (open-channel flow) antidunes have been studied extensively in the laboratory and the field, and recognized in ancient sedimentary deposits. Experiments on gravity flow (turbidity and density currents) antidunes indicate that they are more stable and long-lived than their fluvial counterpart but the mechanism controlling this stability is poorly understood. Sea floor bathymetric and subsurface data suggest that large-scale, antidune-like sediment waves are extremely common in deep-water, found in a wide range of settings and sediment characteristics. While most of these large features have been interpreted as cyclic steps, the term has been most likely overused due to the lack of recognition criteria and basic understanding on the differences between antidunes and cyclic steps formed under gravity flows. In principle, cyclic steps should be more common in confined or channel-lobe transition settings where flows tend to be more energetic or focused, while antidunes should prevail in regions of less confinement, under sheet-like or expanding flows. Using published, fluvial stable-antidune data, we show that the simplified 1D, mechanical-energy based analysis of flow over a localized fixed obstacle (Long, 1954; Baines, 1995; Kubo and Yokokawa, 2001) is inaccurate for representing flow over antidunes and their stability. Instead, a more detailed analysis of a flow along a long-wavelength (in relation to flow thickness) wavy bed that also considers the interactions between flow and sediment transport is used to infer conditions of antidune stability and the breaking of surface waves. In particular, the position of the surface wave crest in relation to the bedform crest, along with the role of average flow velocity, surface velocity, and surface wave celerity appear relevant in determining antidune instability. The analysis is

A STUDY ON EFFICACY OF MANUAL SMALL INCISION CATARACT SURGERY BY TEMPORAL APPROACH

Directory of Open Access Journals (Sweden)

Vinodhini Kannan

2018-01-01

Full Text Available BACKGROUND Manual Small Incision Cataract Surgery (MSICS is a well-known technique of cataract surgery owing to its advantage of a selfsealing suture less incision with least surgically induced astigmatism at a low cost. It is a safe, simple, consistent, stable and cost-effective technique with various modifications that involve site, size, type of incision and method of nucleus delivery. One such modification is Temporal Incision MSICS, where the cataract surgery is done by a temporal approach, which is equally good compared to the superior incision. This study was done retrospectively to analyse the visual outcome of patients operated by Manual SICS - Temporal Approach, using the WHO criteria and to establish its efficacy as a good surgical technique. MATERIALS AND METHODS Records of patients operated for senile cataract by a single surgeon by Temporal MSICS using a temporal sclerocorneal incision of 6-6.5 mm, during a 1-year period, were analysed retrospectively. Post-operative followup records of POD-1 and subsequent follow-ups at 1 st week and 6 th week were recorded for visual outcome. RESULTS Out of the 83 cases analysed retrospectively, majority of them were found to be between 61-70 years with a female Preponderance. Most of the cases were found to have senile immature cataract (55 patients, with Grade III nuclear sclerosis (52 cases. The pre-operative visual acuity was poor <6/60 in 72 cases (86.7% and borderline in 11 cases (14.5%. 55 cases (66.3% had a 6.5 mm scleral incision and the remaining 28 cases (33.7% had a 6 mm incision. Average duration of surgery noted was 8.35 minutes. Striate Keratopathy was the most common 1 st POD complication followed by corneal oedema. Striate keratopathy was the most common complication at the 1 st week followup followed by pigment dispersion. Majority of cases (76 cases were found to have been complication free at the end of 6 weeks. At the end of 6 weeks post-operatively as per records, 80 cases

Nove interpretacije fluvialnih sedimentov na krasu = New interpretations of fluvial sediments from the Kras

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Andrej Mihevc

2007-01-01

Full Text Available Important unroofed caves with fluvial sediments from Divaški kras, Matarsko podoljePodgorski kras are presented. Extend of the phenomena and relation to the existingand karst surface and geomorphological meaning of them are described. Sedimentsthem were analysed and dated with different methods. The largest age of the sedimentfound in the unroofed cave excavated in Črnotiče quarry. In the cave wall fossil remainsstygobiont Marifugia cavatica were covered by 3.2-4.1 Ma old fluvial sediments.

Geomorphic controls on fluvial carbon exports and emissions from upland swamps in eastern Australia.

Science.gov (United States)

Cowley, Kirsten; Looman, Arun; Maher, Damien T; Fryirs, Kirstie

2018-03-15

Temperate Highland Peat Swamps on Sandstone (THPSS) are upland wetlands, similar to fens in the Northern Hemisphere and are found at the headwaters of low-order streams on the plateaus of Eastern Australia. They are classified as endangered ecological communities under State and National legislation. Previous works have identified particular geomorphic characteristics that are important to carbon storage in these low energy sediment accumulation zones. Changes in the geomorphic structure of THPSS, such as channelisation, may have profound implications for carbon storage. To assess the effect of channelisation on carbon budgets in these ecosystems it is essential to identify and quantify differences in carbon export, emissions and stocks of carbon of intact swamps and those that have become channelised. We undertook seasonal sampling of the perched swamp aquifers and surface waters of two intact swamps and two channelised fills in the Blue Mountains of New South Wales, Australia, to investigate differences in carbon exports and emissions between the two swamp types. We found that channelised fills' mean CO 2 emissions were almost four times higher than intact swamps with mean CH 4 emissions up to five times higher. Annual fluvial carbon exports for channelised fills were up to 18 times that of intact swamps. Channelised fill exports and emissions can represent up to 2% of the total swamp carbon stocks per annum which is 40 times higher than the intact swamps. This work clearly demonstrates that changes in geomorphic structure brought about by incision and channelisation results in profound changes to the carbon storage function of THPSS. Copyright © 2017 Elsevier B.V. All rights reserved.

Precambrian fluvial deposits: Enigmatic palaeohydrological data from the c. 2 1.9 Ga Waterberg Group, South Africa

Science.gov (United States)

Eriksson, Patrick G.; Bumby, Adam J.; Brümer, Jacobus J.; van der Neut, Markus

2006-08-01

Precambrian fluvial systems, lacking the influence of rooted vegetation, probably were characterised by flashy surface runoff, low bank stability, broad channels with abundant bedload, and faster rates of channel migration; consequently, a braided fluvial style is generally accepted. Pre-vegetational braided river systems, active under highly variable palaeoclimatic conditions, may have been more widespread than are modern, ephemeral dry-land braided systems. Aeolian deflation of fine fluvial detritus does not appear to have been prevalent. With the onset of large cratons by the Neoarchaean-Palaeoproterozoic, very large, perennial braided river systems became typical. The c. 2.06-1.88 Ga Waterberg Group, preserved within a Main and a smaller Middelburg basin on the Kaapvaal craton, was deposited largely by alluvial/braided-fluvial and subordinate palaeo-desert environments, within fault-bounded, possibly pull-apart type depositories. Palaeohydrological data obtained from earlier work in the Middelburg basin (Wilgerivier Formation) are compared to such data derived from the correlated Blouberg Formation, situated along the NE margin of the Main basin. Within the preserved Blouberg depository, palaeohydrological parameters estimated from clast size and cross-bed set thickness data, exhibit rational changes in their values, either in a down-palaeocurrent direction, or from inferred basin margin to palaeo-basin centre. In both the Wilgerivier and Blouberg Formations, calculated palaeoslope values (derived from two separate formulae) plot within the gap separating typical alluvial fan gradients from those which characterise rivers (cf. [Blair, T.C., McPherson, J.G., 1994. Alluvial fans and their natural distinction from rivers based on morphology, hydraulic processes, sedimentary processes, and facies assemblages. J. Sediment. Res. A64, 450-489.]). Although it may be argued that such data support possibly unique fluvial styles within the Precambrian, perhaps related to

Oral subcutaneous midline leiomyomatous hamartoma presenting as congenital incisive papilla overgrowth in a toddler

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Ashish Loomba

2017-01-01

Full Text Available Congenital soft-tissue tumors of oral cavity are mostly hyperplastic and benign in nature. This article presents an unusual case of congenital subcutaneous hamartoma of incisive papilla in a 2-year-old female child causing feeding and breathing difficulty. Total excisional biopsy was done under local anesthesia. Histopathology of tissue in reticulin-stained slide showed the presence of immature muscle fibers whereas Masson's trichrome stain revealed collagen fibers and smooth muscles confirming the diagnosis of oral midline subcutaneous smooth muscle (leiomyomatous hamartoma of incisive papilla. It is important for dental professionals to be aware of this oral lesion present from birth mimicking overgrowth of incisive papilla, by its presentation, differential diagnosis, histopathology, and management.

Fluvial landscape development in the southwestern Kalahari during the Holocene - Chronology and provenance of fluvial deposits in the Molopo Canyon

DEFF Research Database (Denmark)

Ramisch, Arne; Bens, Oliver; Buylaert, Jan-Pieter

2017-01-01

are sparse and often discontinuous. Hence, little is known about Holocene environmental change in this region. This study focuses on reconstructing paleoenvironmental change from the timing and provenance of fluvial deposits located within the Molopo Canyon, which connects the southern Kalahari drainage...... to the deposition of alluvial fills. These results suggest that the southern Kalahari Drainage remained endorheic and therefore disconnected from the Orange River throughout the Holocene....

High transverse skin incisions may reduce wound complications in obese women having cesarean sections: a pilot study.

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Walton, Robert B; Shnaekel, Kelsey L; Ounpraseuth, Songthip T; Napolitano, Peter G; Magann, Everett F

2017-11-01

Women having cesarean section have a high risk of wound complications. Our objective was to determine whether high transverse skin incisions are associated with a reduced risk of cesarean wound complications in women with BMI greater than 40. A retrospective cohort study was undertaken of parturients ages 18-45 with BMI greater than 40 having high transverse skin incisions from January 2010 to April 2015 at a tertiary maternity hospital. Temporally matched controls had low transverse skin incisions along with a BMI greater than 40. The primary outcome, wound complication, was defined as any seroma, hematoma, dehiscence, or infection requiring opening and evacuating/debriding the wound. Secondary outcomes included rates of endometritis, number of hospital days, NICU admission, Apgar scores, birth weight, and gestational age at delivery. Analysis of outcomes was performed using two-sample t-test or Wilcoxon rank-sum test for continuous variables and Fisher's exact test for categorical variables. Thirty-two women had high transverse incisions and were temporally matched with 96 controls (low transverse incisions). The mean BMI was 49 for both groups. There was a trend toward reduced wound complications in those having high transverse skin incisions, but this did not reach statistical significance (15.63% versus 27.08%, p = .2379). Those having high transverse skin incisions had lower five minute median Apgar scores (8.0 versus 9.0, p = .0021), but no difference in umbilical artery pH values. The high transverse group also had increased NICU admissions (28.13% versus 5.21%, p = .0011), and early gestational age at delivery (36.8 versus 38.0, p = .0272). High transverse skin incisions may reduce the risk of wound complications in parturients with obesity. A study with more power should be considered.

S-shaped versus conventional straight skin incision: Impact on primary functional maturation, stenosis and thrombosis of autogenous radiocephalic arteriovenous fistula: Impact of incision on maturation, stenosis & failure of RCAVF. Study design: Prospective observational comparative.

Science.gov (United States)

Kordzadeh, Ali; Panayiotopolous, Yiannis

2017-10-01

The objective of this study is to test the null hypothesis that an S-shaped surgical incision versus conventional (straight) skin incision in the creation of autogenous radiocephalic arteriovenous fistulas (RCAVFs) have no impact on the primary end-point of primary functional maturation and secondary end points of stenosis and thrombosis. A prospective observational comparative consecutive study with intention-to-treat on individuals undergoing only radiocephalic arteriovenous fistula (RCAVFs) over a period of 12 months was conducted. Variables on patient's demographics, comorbidities, anesthesia type, mean arterial blood pressure, thrill, laterality, cephalic vein and radial artery diameter were collated. The test of probability was assessed through Chi-Square, Kaplan-Meier survival estimator and Log-Rank analysis. Total of n = 83 individuals with median age of 67 years (IQR, 20-89) and male predominance 83% during this period were subjected to RCAVF formation. Total of n = 45 patients in straight skin incision were compared to n = 38 individuals in S-shaped group. Despite equal prevalence of demographics, comorbidities, anesthesia type, mean arterial blood pressure (MAP), thrill, laterality, cephalic vein and radial artery diameter ( p  > 0.05) higher incidence of juxta-anastomotic stenosis was noted in the straight skin incision group ( p  = 0.029) in comparative and survival analysis (Log-Rank, p  = 0.036). The maturation of the entire cohort was 69% (S-shaped 76% vs. straight group 62%) (p > 0.05). The outcome of this study demonstrates that S-shaped surgical skin incision is associated with a lower incidence of stenosis in comparison to straight incision type in RCAVF formation.

"The Waters of Meridiani" - Further Support for a Fluvial Interpretation of the Ridged, Layered Units

Science.gov (United States)

Wilkinson, Justin; Kreslavsky, Misha

2009-01-01

A relatively unknown terrestrial fluvial environment, the mesoscale megafan, provides analogs for various Martian landscapes, including the etched unit (etched unit, Unite E of Arvidson et al., 2003; ridge-forming unit R of Edgett, 2005) of the Sinus Meridiani region on Mars. A global survey of Earth shows that megafans are very large partial cones of dominantly fluvial sediment with radii on the order of hundreds of km, and very low slopes. Responsible fluvial processes are sufficiently different from those of classical arid alluvial fans and deltas that it is useful to class megafans as separate features. The megafan model calls into question two commonly held ideas. 1. Earth examples prove that topographic basins per se are unnecessary for the accumulation of large sedimentary bodies. 2. River channels are by no means restricted to valleys (Meridiani sediments are termed a "valley-ed volume" of Edgett). These perspectives reveal unexpected parallels with features at Meridiani-several channel-like features that are widespread, mostly as ridges inverted by eolian erosion; channel networks covering thousands of sq km, especially on intercrater plains; and regional relationships of sediment bodies situated immediately downstream of highland masses. These all suggest that fluvial explanations are at least part of the Meridiani story.

Evaluation of a new disposable silicon limbal relaxing incision knife by experienced users

OpenAIRE

Parvu Valentin; Dugue Geoffrey; Albanese John; Bajart Ann M; Lee Edwin

2009-01-01

Abstract Background Previous research has suggested that the silicon BD Atomic Edge™ knife has superior performance characteristics when compared to a metal knife and performance similar to diamond knife when making various incisions. This study was designed to determine whether a silicon accurate depth knife has equivalent performance characteristics when compared to a diamond limbal relaxing incision (LRI) knife and superior performance characteristics when compared to a steel accurate dept...

Characteristics of Bone Injuries Resulting from Knife Wounds Incised with Different Forces.

Science.gov (United States)

Humphrey, Caitlin; Kumaratilake, Jaliya; Henneberg, Maciej

2017-11-01

The aim of this research was to experimentally determine the characteristics of incised bone wounds, which are commonly found in defense injuries. A specially constructed pivoting arm device was used to inflict wounds with controlled forces and direction. Five knives were selected to inflict the wounds on porcine forelimbs. Eight incised wounds were made per knife per force. A larger knife and a greater force caused longer and wider bone wounds. Comparisons of individual knives at the two forces produced varying results in the bone wounds. A correlation was seen between the force and the length (r = 0.69), width (r = 0.63), and depth (r = 0.57) of bone wounds. Serrated-edge and nonserrated knives can be distinguished from the appearance of the wound. The outcomes may be applicable in forensic investigations to ascertain the forces associated with incised wounds and identify the specific knife used. © 2017 American Academy of Forensic Sciences.

Small-incision lenticule extraction (SMILE)

DEFF Research Database (Denmark)

Hansen, Rasmus Søgaard; Lyhne, Niels; Grauslund, Jakob

2016-01-01

surgery was 0.07 ± 0.03 (logMAR). However, 12 eyes (1.6 %) lost 2 or more lines of CDVA from before surgery to 3 months postoperatively. Simultaneous treatment of up to 3.00 D of astigmatism was not associated with less predictable refractive outcomes. CONCLUSIONS: In the short term, SMILE seemed......PURPOSE: To study the outcomes of small-incision lenticule extraction (SMILE) for treatment of myopia and myopic astigmatism. METHODS: Retrospective study of patients treated for myopia or myopic astigmatism with SMILE, using a VisuMax(®) femtosecond laser (Carl Zeiss Meditec, Jena, Germany...

Single incision thoracoscopic sympathectomy for palmar and axillary hyperhidrosis

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Aram Baram

2014-02-01

Full Text Available Background: Primary hyperhidrosis is characterized by excessive sweating beyond physiological needs. It is a common disease (incidence 2.8% that causes intense discomfort for patients. In the last decade, advantages of Single-Incision Thoracoscopic Sympathectomy have become clear, particularly in decreasing morbidity of sympathectomy. Patients and methods: From January 2010 to December 2012, 39 patients (29 females and 10 males with primary palmar or axillary hyperhidrosis were treated by thoracoscopic sympathectomy. The age ranged from 18 to 40 years with a mean of 26.28 years. We used single incision thoracoscopic electrocoagulation through 10 mm incision for thoracic sympathetic chain (T2–T4. Results: The mean follow-up was 23.6 ± 14.2 months (range = 4–24 months. A total of 97.42% of patients were satisfied with the results. A total of 72.5% of patients had cure, one patient (2.5% and another patient (2.5% presented with recurrent axillary hyperhidrosis. The morbidity was 10.2% with no mortality. Percentage of compensatory sweating and gustatory sweating were 5.1% (p = .353 and 2.5% (p = .552, respectively. The result of sympathectomy in patients with both palmar and axillary hyperhidrosis was significantly better (17, 43.58% compared to palmar type (14, 35.89% or axillary type (7, 17.94%. Conclusion: Thoracoscopic sympathectomy is a simple, safe, and cost-effective therapy with good results and low complications.

Treatment for incarcerated indirect hernia with “Cross-Internal Ring” inguinal oblique incision in children

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Xue-Qiang Yan

2017-01-01

Full Text Available Background: This study aims to evaluate the utility of the “Cross-Internal Ring” inguinal oblique incision for the surgical treatment of incarcerated indirect hernia (IIH complicated with severe abdominal distension. Materials and Methods: Patients of IIH complicated with severe abdominal distension were reviewed retrospectively. All patients received operation through the “Cross-Internal Ring” inguinal oblique incision. Results: There were totally 13 patients were included, male to female ratio was 9-4. The time for patients to resume oral feeding varying from 2 to 5 days after operation, no complications include delayed intestinal perforation, intra-abdominal abscess, and incision infection happened. Average postoperative hospital stay was 5.2 days. All cases were followed up for 6–18 months. No recurrence or iatrogenic cryptorchidism happened. Conclusion: “Cross-Internal Ring” inguinal oblique incision is a simple, safe, and reliable surgical method to treat pediatric IIH complicated with severe abdominal distension.

A Hot Knife Through Ice-Cream: Earthflow Response to Channel Incision (Or Channel Response to Earthflows?), Eel River Canyon, California

Science.gov (United States)

Mackey, B. H.; Roering, J. J.; McKean, J. A.

2007-12-01

Abundant glacier-like earthflow features are recognized as a primary erosional process in the highly erodable Franciscan Melange of the Eel River Basin, CA. Despite their prominence in this "melting ice-cream" topography, many questions regarding their effects on the long term sediment flux from this rapidly eroding basin remain unresolved. For example, does an earthflow's basal shear zone propagate vertically downwards with vertical river incision? What controls the upslope and lateral extent of individual earthflows? How does the erosive power of a river influence the rate of earthflow movement, or conversely do earthflow toe deposits regulate the rate of river incision? Here we present preliminary findings derived from study of 200km2 of lidar data (1m resolution) covering hillslopes adjacent to 30km of the Eel River. Lidar allows detailed analysis of the interaction between earthflows and the drainage network, and we document how inferred changes in local base level are propagated throughout adjacent hillslopes via earthflow movement. The most active earthflows (determined by field surveying and analysis of aerial photos rectified using lidar- generated digital topography) coincide with locally steep sections of channel, while downstream of the most active flows we frequently observe less-active or dormant earthflows. This observation supports the idea that the locations of the most active earthflows coincide with headward propagating knickpoints in the channel. The rate of earthflow movement appears to slow when an earthflow exhausts the upslope area of easily mobilized sediment. Earthflow toes can protrude directly into the channel, causing the channel to narrow and steepen, and even undercut the opposite bank. Large resistant boulders (>2m diameter) transported by the earthflow accumulate in the streambed and appear to both act as a check on further channel incision and earthflow movement. In contrast, areas adjacent to active earthflows exhibit smooth

Fluvial sediment inputs to upland gravel bed rivers draining forested catchments: potential ecological impacts

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S. D. Marks

1997-01-01

Full Text Available As identified by the detailed long-term monitoring networks at Plynlimon, increased sediment supply to upland fluvial systems is often associated with forestry land-use and practice. Literature is reviewed, in the light of recent results from Plynlimon sediment studies, to enable identification of the potential ecological impacts of fluvial particulate inputs to upland gravel bed rivers draining forested catchments similar to the headwaters of the River Severn. Both sediment transport and deposition can have significant impacts upon aquatic vertebrates, invertebrates and plants.

Tubularized incised plate technique for recurrent hypospadias: a ...

African Journals Online (AJOL)

management of recurrent hypospadias. Summary background ... The potential advantages of tubularized incised plate .... after a mean duration of 4.9 ± 3.1 years from the previous repair (Table 2). .... erection and the risk of infection, especially in patients older than 15 .... However, previous surgery often limits the availability ...

Effects of Bank Vegetation and Incision on Erosion Rates in an Urban Stream

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Emily Arnold

2018-04-01

Full Text Available Changing land-use associated with urbanization has resulted in shifts in riparian assemblages, stream hydraulics, and sediment dynamics leading to the degradation of waterways. To combat degradation, restoration and management of riparian zones is becoming increasingly common. However, the relationship between flora, especially the influence of invasive species, on sediment dynamics is poorly understood. Bank erosion and turbidity were monitored in the Tookany Creek and its tributary Mill Run in the greater Philadelphia, PA region. To evaluate the influence of the invasive species Reynoutria japonica (Japanese knotweed on erosion, reaches were chosen based on their riparian vegetation and degree of incision. Bank pins and turbidity loggers were used to estimate sediment erosion. Erosion calculations based on bank pins suggest greater erosion in reaches dominated by knotweed than those dominated by trees. For a 9.5-month monitoring period, there was 29 cm more erosion on banks that were also incised, and 9 cm more erosion in banks with little incision. Turbidity responses to storm events were also higher (77 vs. 54 NTU (nephelometric turbidity unit in reaches with knotweed, although this increase was found when the reach dominated by knotweed was also incised. Thus, this study linked knotweed to increased erosion using multiple methods.

Implications of the fluvial history of the Wacheqsa River for hydrologic engineering and water use at Chavín de Húntar, Peru

Science.gov (United States)

Contreras, Daniel A.; Keefer, David K.

2009-01-01

Channeling of water through a variety of architectural features represents a significant engineering investment at the first millennium B.C. ceremonial center of Chavín de Huántar in the Peruvian Central Andes. The site contains extensive evidence of the manipulation of water, apparently for diverse purposes. The present configuration of the two local rivers, however, keeps available water approximately 9m below the highest level of water-bearing infrastructure in the site. Geomorphic and archaeological investigation of the fluvial history of the Wacheqsa River has revealed evidence that the Chavín-era configuration of the Wacheqsa River was different. A substantially higher water level, likely the result of a local impoundment of river water caused by a landslide dam, made the provision of water for the hydrologic system within the site a more readily practical possibility. We review what is known of that system and argue that the fluvial history of the Wacheqsa River is critical to understanding this aspect of hydrologic engineering and ritual practice at Chavín. This study demonstrates the relative rapidity and archaeological relevance of landscape change in a dynamic environment.

Dose response of artificial irradiation of fluvial sediment sample for ESR dating

International Nuclear Information System (INIS)

Liu Chunru; Yin Gongming; Gao Lu; Li Jianping; Han Fei; Lin Min

2011-01-01

ESR dating samples need be irradiated to obtain dose response curve and the equivalent dose. The artificial dose rate is about 1 x 10 -1 -1 x 10 2 Gy/min, whereas the natural dose rate is about 3 Gy/ka. Therefore, one must be sure whether the much higher artificial dose rate is suitable for the ESR dating study. In this paper, we use different artificial dose rate to irradiate the same fluvial sample and measure the quartz Al centre ESR signal under the same conditions. The dose response curves are compared, in an attempt to gain a preliminary knowledge on that problem and build a good foundation for our ESR dating studies on fluvial samples. (authors)

Hydrodynamic and sedimentological controls governing formation of fluvial levees

Science.gov (United States)

Johnston, G. H.; Edmonds, D. A.; David, S. R.; Czuba, J. A.

2017-12-01

Fluvial levees are familiar features found on the margins of river channels, yet we know little about what controls their presence, height, and shape. These attributes of levees are important because they control sediment transfer from channel to floodplain and flooding patterns along a river system. Despite the familiarity and importance of levees, there is a surprising lack of basic geomorphic data on fluvial levees. Because of this we seek to understand: 1) where along rivers do levees tend to occur?; 2) what geomorphic and hydrodynamic variables control cross-sectional shape of levees? We address these questions by extracting levee shape from LiDAR data and by collecting hydrodynamic and sedimentological data from reaches of the Tippecanoe River, the White River, and the Muscatatuck River, Indiana, USA. Fluvial levees are extracted from a 1.5-m resolution LiDAR bare surface model and compared to hydrological, sedimentological, and geomorphological data from USGS stream gages. We digitized banklines and extracted levee cross-sections to calculate levee slope, taper, height, e-folding length, and e-folding width. To answer the research questions, we performed a multivariable regression between the independent variables—channel geometry, sediment grain size and concentration, flooding conditions, and slope—and the dependent levee variables. We find considerable variation in levee presence and shape in our field data. On the Muscatatuck River levees occur on 30% of the banks compared to 10% on the White River. Moreover, levees on the Muscatatuck are on average 3 times wider than the White River. This is consistent with the observation that the Muscatatuck is finer-grained compared to the White River and points to sedimentology being an important control on levee geomorphology. Future work includes building a morphodynamic model to understand how different hydrodynamic and geomorphic conditions control levee geometry.

Single incision laparoscopic surgery (SILS) inguinal hernia repair - recent clinical experiences of this novel technique.

Science.gov (United States)

Yussra, Y; Sutton, P A; Kosai, N R; Razman, J; Mishra, R K; Harunarashid, H; Das, S

2013-01-01

Inguinal hernia remains the most commonly encountered surgical problem. Various methods of repair have been described, and the most suitable one debated. Single port access (SPA) surgery is a rapidly evolving field, and has the advantage of affording 'scarless' surgery. Single incision laparoscopic surgery (SILS) for inguinal hernia repair is seen to be feasible in both total extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) approaches. Data and peri-operative information on both of these however are limited. We aimed to review the clinical experience, feasibility and short term complications related to laparoscopic inguinal hernia repair via single port access. A literature search was performed using Google Scholar, Springerlink Library, Highwire Press, Surgical Endoscopy Journal, World Journal of Surgery and Medscape. The following search terms were used: laparoscopic hernia repair, TAPP, TEP, single incision laparoscopic surgery (SILS). Fourteen articles in English language related to SILS inguinal hernia repair were identified. Nine articles were related to TEP repair and the remaining 5 to TAPP. A total of 340 patients were reported within these studies: 294 patients having a TEP repair and 46 a TAPP. Only two cases of recurrence were reported. Various ports have been utilized, including the SILS port, Tri-Port and a custom- made port using conventional laparoscopic instruments. The duration of surgery was 40-100 minutes and the average length of hospital stay was one day. Early outcomes of this novel technique show it to be feasible, safe and with potentially better cosmetic outcome.

Two depositional models for Pliocene coastal plain fluvial systems, Goliad Formation, south Texas Gulf Coastal plain

International Nuclear Information System (INIS)

Hoel, H.D.; Galloway, W.E.

1983-01-01

The Goliad Formation consists of four depositional systems-the Realitos and Mathis bed-load fluvial systems in the southwest and the Cuero and Eagle Lake mixed-load fluvial systems in the northeast. Five facies are recognized in the Realitos and Mathis bed-load fluvial systems: (1) primary channel-fill facies, (2) chaotic flood channel-fill facies, (3) complex splay facies, (4) flood plain facies, and (5) playa facies. A model for Realitos-Mathis depositional environments shows arid-climate braided stream complexes with extremely coarse sediment load, highly variable discharge, and marked channel instability. Broad, shallow, straight to slightly sinuous primary channels were flanked by wide flood channels. Flood channels passed laterally into broad, low-relief flood plains. Small playas occupied topographic lows near large channel axes. Three facies are recognized in the Cuero and Eagle Lake mixed-load fluvial systems: (1) channel-fill facies, (2) crevasse splay facies, and (3) flood plain facies. A model for Cuero-Eagle Lake depositional environments shows coarse-grained meander belts in a semi-arid climate. Slightly to moderately sinuous meandering streams were flanked by low, poorly developed natural levees. Crevasse splays were common, but tended to be broad and ill-defined. Extensive, low-relief flood plains occupied interaxial areas. The model proposed for the Realitos and Mathis fluvial systems may aid in recognition of analogous ancient depositional systems. In addition, since facies characteristics exercise broad controls on Goliad uranium mineralization, the proposed depositional models aid in defining target zones for Goliad uranium exploration

Salmon habitat use, tidal-fluvial estuary - Columbia River Estuary Tidal Habitats

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The goal of the tidal-fluvial estuary study is to determine the estuary's contribution to the spatial structure and life history diversity of Columbia River salmon...

Latest Pleistocene and Holocene surficial deposits and landforms of Yosemite Valley, California

Science.gov (United States)

Haddon, E. K.; Stock, G. M.; Booth, D. B.

2016-12-01

Field studies on the surficial geology and geomorphology of Yosemite Valley since the 1870's formed an early basis for our understanding of Quaternary landscape evolution in the central Sierra Nevada. These landmark studies described the erosional origin of Yosemite's iconic scenery, but left details of the latest Pleistocene and Holocene sedimentary record for later investigation. We combined mapping of deposits and landforms with geochronology to reconstruct the geomorphic evolution of Yosemite Valley since the 15 ka retreat of the Last Glacial Maximum (LGM) valley glacier. We document a sustained period of relative landscape stability, characterized by valley-bottom aggradation of glacial till, fluvial sediments, and lacustrine silts, as well as valley-margin accumulation of talus and fan alluvium. Recessional moraines, episodically emplaced rock avalanches, and alluvial fans impeded surface flow and controlled the local base level. This predominantly aggradational regime then shifted to incision in the earliest Holocene, likely due to a diminishing supply of glacial sediment, and created a flight of fluvial terraces inset by up to 9 m. The volume of fringing talus and fan alluvium in comparison with fluvial terrace sequences emphasizes the importance of valley-wall erosion as a sediment source. Cosmogenic 10Be exposure ages from rock avalanche boulders and 14C charcoal ages from deltaic sequences and inset fluvial gravels suggest variable rates of Holocene river incision. Although some incision events likely record local base level changes at the El Capitan LGM recessional moraine, the presence of perched, well-developed outwash terraces downstream indicates a more regional climatic forcing. These findings, including the depositional record of land-use disturbances over the past two centuries, help illuminate the geologic evolution of this celebrated landscape and inform ongoing river-restoration work.

Integration of fluvial erosion factors for predicting landslides along meandering rivers

Science.gov (United States)

Chen, Yi-chin; Chang, Kang-tsung; Ho, Jui-yi

2015-04-01

River incision and lateral erosion are important geomorphologic processes in mountainous areas of Taiwan. During a typhoon or storm event, the increase of water discharge, flow velocity, and sediment discharge enhances the power of river erosion on channel bank. After the materials on toe of hillslope were removed by river erosion, landslides were triggered at outer meander bends. Although it has been long expected that river erosion can trigger landslide, studies quantifying the effects of river erosion on landslide and the application of river erosion index in landslide prediction are still overlooked. In this study, we investigated the effect of river erosion on landslide in a particular meanders landscape of the Jhoukou River, southern Taiwan. We developed a semi-automatic model to separate meandering lines into several reach segments based on the inflection points and to calculate river erosion indexes, e.g. sinuosity of meander, stream power, and stream order, for each reach segment. This model, then, built the spatial relationship between the reaches and its corresponding hillslopes, of which the toe was eroded by the reach. Based on the spatial relationship, we quantified the correlations between these indexes and landslides triggered by Typhoon Morakot in 2009 to examine the effects of river erosion on landslide. The correlated indexes were then used as landslide predictors in logistic regression model. Results of the study showed that there is no significant correlation between landslide density and meander sinuosity. This may be a result of wider channel dispersing the erosion at a meandering reach. On the other hand, landslide density at concave bank is significantly higher than that at convex bank in the downstream (stream order > 3), but that is almost the same in the upstream (stream order bank. In contrast, river sediment in the downstream is an erosion agent eroding the concave bank laterally, but also depositing on the concave side and protecting

Cost assessment of instruments for single-incision laparoscopic cholecystectomy

DEFF Research Database (Denmark)

Henriksen, Nadia A; Al-Tayar, Haytham; Rosenberg, Jacob

2012-01-01

Specially designed surgical instruments have been developed for single-incision laparoscopic surgery, but high instrument costs may impede the implementation of these procedures. The aim of this study was to compare the cost of operative implements used for elective cholecystectomy performed...

River Network Reorganization along the Upper Yangzte, Eastern Tibet: Insights from Thermochronology and Sedimentology.

Science.gov (United States)

Gourbet, L.; Yang, R.; Fellin, M. G.; Maden, C.; Gong, J.; Jean-Louis, P.

2017-12-01

The high relief and high elevation of the southeastern margin of the Tibetan Plateau are related to tectonic uplift and the fluvial incision of the Salween, Mekong, and Yangtze rivers. The upper Yangtze is the subject of numerous debates on the evolution of its drainage area, particularly in regards to the timing and geodynamic processes, and therefore has an impact on models of the Tibetan plateau evolution. Today, portions of the course of the Yangtze are controlled by active strike-slip faults. In order to study the evolution of the Cenozoic paleoriver network, we use low-temperature thermochronometry to estimate fluvial incision and palaeoenvironmental information derived from the detrital record. The Jianchuan basin, between the Yangtze and the Red River, contains late Eocene fluvial sediments that may correspond to an ancient connection between these rivers. Sediments located further north (DongWang formation, Yunnan-Sichuan boundary) consist of unsorted conglomerates and sandstones. They are exposed on the flanks of deep valleys. These sediments do not correspond to a large riverbed such as the Yangtze but rather indicate an episode of intense sedimentation with a significant contribution from talus, followed by a >1.2 km incision by a tributary of the upper Yangtze. In the same area, we performed apatite and zircon (U-Th)/He dating on a granitic pluton that is offset by an active sinistral strike-slip fault. Mean ZHe cooling ages range from 50 to 70 Ma. Samples located above 3870 m yield mean apatite (U-Th)/He ages ranging from 30 to 40 Ma. AHe ages for samples at lower elevation range from 8 to 15 Ma. Given the crystallization age of the pluton (83 Ma, U/Pb, zircon), cooling ages reflect exhumation, not post-intrusion cooling. Further research will use thermal modeling to infer incision rates and compare results with published data.

Microincision versus small-incision coaxial cataract surgery using different power modes for hard nuclear cataract.

Science.gov (United States)

Kim, Eun Chul; Byun, Yong Soo; Kim, Man Soo

2011-10-01

To compare the efficacy of microincision and small-incision coaxial phacoemulsification in treating hard cataracts using different ultrasound power modes. Department of Ophthalmology, Seoul St. Mary's Hospital, College of Medicine, Catholic University of Korea, Seoul, Korea. Randomized clinical trial. Eyes with hard cataract were randomized to have an initial incision of 1.80 mm, 2.20 mm, or 2.75 mm. The eyes in each group were equally randomized to treatment with burst, pulse, or continuous mode. Ultrasound time (UST), mean cumulative dissipated energy (CDE), corrected distance visual acuity (CDVA), surgically induced corneal astigmatism, incisional and central corneal thickness (CCT), and endothelial cell counts were evaluated. The study enrolled 180 eyes, 60 in each group. Two months postoperatively, there were no statistically significant differences in UST, CDE, CDVA, CCT, or percentage endothelial cell loss between the 3 incision groups. The 2.75 mm incision induced more astigmatism at 2 months and less incisional corneal edema at 1 week than the 1.80 mm or 2.20 mm incision (Phard cataract. The intraoperative energy use and ocular damage was less with the pulse and burst modes than with the continuous mode. No author has a financial or proprietary interest in any material or method mentioned. Copyright © 2011 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Comparison of incision and drainage against needle aspiration for the treatment of breast abscess.

Science.gov (United States)

Naeem, Muhammad; Rahimnajjad, Muhammad Kazim; Rahimnajjad, Nasir Ali; Ahmed, Qazi Jalaluddin; Fazel, Pyar Ali; Owais, Muhammad

2012-11-01

We aim to compare the incision and drainage against ultrasound-guided aspiration for the treatment of breast abscesses. Sixty-four patients were randomly allocated to Group A (incision and drainage) and Group B (needle aspiration). Incision and drainage was done under general, whereas aspiration was done under local anesthesia with antibiotic coverage after the pus sample was taken for cultures. Time taken to resolve symptoms including point tenderness, erythema and hyperthermia, recurrence of breast abscess, and healing time was recorded. Patients were followed until 8 weeks. Culture and sensitivity of the pus were done. Data were analyzed in SPSS 16.0. The mean difference of healing time was significant (P = 0.001). A total of 93.3 per cent were healed in Group B and 76.6 per cent in Group A (P = 0.033). Twenty-two samples (34.37%) had no bacterial yield and the remaining 42 samples (65.6%) yielded 11 anaerobic cultures (17.18%) and 31 aerobic cultures (48.4%). Ultrasound-guided aspiration of breast abscesses with the judicious use of antibiotics is a better treatment modality than incision and drainage.

Coastal knickpoints and the competition between fluvial and wave-driven erosion on rocky coastlines

Science.gov (United States)

Limber, Patrick; Barnard, Patrick

2018-01-01

Active margin coastlines are distinguished by rock erosion that acts in two different directions: waves erode the coast horizontally or landwards, a process that creates sea cliffs; and rivers and streams erode the landscape vertically via channel incision. The relative rates of each process exert a dominant control on coastline morphology. Using a model of river channel incision and sea-cliff retreat, we explore how terrestrial and marine erosion compete to shape coastal topography, and specifically what conditions encourage the development of coastal knickpoints (i.e., a river or stream channels that end at a raised sea-cliff edge). We then compare results to actual landscapes. Model results and observations show that coastal knickpoint development is strongly dependent on drainage basin area, where knickpoints typically occur in drainage basins smaller than 5 × 105–6 × 106 m2, as well as channel geometry and sea-cliff retreat rate. In our study area, coastal knickpoints with persistent flow (waterfalls) are uncommon and form only within a small morphological window when 1) drainage basin area is large enough to sustain steady stream discharge, but not large enough to out-compete sea-cliff formation, 2) sea-cliff retreat is rapid, and 3) channel concavity is low so that channel slopes at the coast are high. This particular geomorphic combination can sustain sea-cliff formation even when streams tap into larger drainage basins with greater discharge and more stream power, and provides an initial explanation of why persistent coastal waterfalls are, along many coastlines, relatively rare features.

Coastal knickpoints and the competition between fluvial and wave-driven erosion on rocky coastlines

Science.gov (United States)

Limber, Patrick W.; Barnard, Patrick L.

2018-04-01

Active margin coastlines are distinguished by rock erosion that acts in two different directions: waves erode the coast horizontally or landwards, a process that creates sea cliffs; and rivers and streams erode the landscape vertically via channel incision. The relative rates of each process exert a dominant control on coastline morphology. Using a model of river channel incision and sea-cliff retreat, we explore how terrestrial and marine erosion compete to shape coastal topography, and specifically what conditions encourage the development of coastal knickpoints (i.e., a river or stream channels that end at a raised sea-cliff edge). We then compare results to actual landscapes. Model results and observations show that coastal knickpoint development is strongly dependent on drainage basin area, where knickpoints typically occur in drainage basins smaller than 5 × 105-6 × 106 m2, as well as channel geometry and sea-cliff retreat rate. In our study area, coastal knickpoints with persistent flow (waterfalls) are uncommon and form only within a small morphological window when 1) drainage basin area is large enough to sustain steady stream discharge, but not large enough to out-compete sea-cliff formation, 2) sea-cliff retreat is rapid, and 3) channel concavity is low so that channel slopes at the coast are high. This particular geomorphic combination can sustain sea-cliff formation even when streams tap into larger drainage basins with greater discharge and more stream power, and provides an initial explanation of why persistent coastal waterfalls are, along many coastlines, relatively rare features.

Reconstructing paleo-discharge from geometries of fluvial sinuous ridges on Earth and Mars

Science.gov (United States)

Hayden, A.; Lamb, M. P.; Mohrig, D. C.; Williams, R. M. E.; Myrow, P.; Ewing, R. C.; Cardenas, B. T.; Findlay, C. P., III

2017-12-01

Sinuous, branching networks of topographic ridges resembling river networks are common across Mars, and show promise for quantifying ancient martian surface hydrology. There are two leading formation mechanisms for ridges with a fluvial origin. Inverted channels are ridges that represent casts (e.g., due to lava fill) of relict river channel topography, whereas exhumed channel deposits are eroded remnants of a more extensive fluvial deposit, such as a channel belt. The inverted channel model is often assumed on Mars; however, we currently lack the ability to distinguish these ridge formation mechanisms, motivating the need for Earth-analog study. To address this issue, we studied the extensive networks of sinuous ridges in the Ebro basin of northeast Spain. The Ebro ridges stand 3-15 meters above the surrounding plains and are capped by a cliff-forming sandstone unit 3-10 meters thick and 20-50 meters in breadth. The caprock sandstone bodies contain bar-scale cross stratification, point-bar deposits, levee deposits, and lenses of mudstone, indicating that these are channel-belt deposits, rather than casts of channels formed from lateral channel migration, avulsion and reoccupation. In plan view, ridges form segments branching outward to the north resembling a distributary network; however, crosscutting relationships indicate that ridges cross at different stratigraphic levels. Thus, the apparent network in planview reflects non-uniform exhumation of channel-belt deposits from multiple stratigraphic positions, rather than an inverted coeval river network. As compared to the inverted channel model, exhumed fluvial deposits indicate persistent fluvial activity over geologic timescales, indicating the potential for long-lived surface water on ancient Mars.

Ultrasonic diagnosis and transurethral incision of ureterocele with hydronephrosis

DEFF Research Database (Denmark)

Waaddegaard, P; Miskowiak, J; Stage, P

1991-01-01

In a 65-year-old woman with right-sided loin pain, ultrasonography revealed a grossly dilated and obstructed right pyelogram due to a 50-mm ureterocele. After transurethral lateral incision of the ureterocele, there was complete recovery without vesicoureteric reflux. Ultrasonography is advantage...

Anguilles estuariennes et fluviales : apports de l'otolithométrie

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MOUNAIX B.

1994-10-01

La zonation de l'otolithe, interprétée par rapport à la croissance des poissons, décrit deux écotypes dans la population d'anguilles de la Vilaine : un écotype fluvial dont la croissance est perturbée et ralentie, et un écotype estuarien dont la croissance est plus régulière. Cette partition de la population est cohérente avec les caractéristiques environnementales des deux milieux. Elle pourrait par ailleurs constituer un indice de l'impact des aménagements des bassins versants sur la croissance, la durée du cycle biologique et la dynamique des populations d'anguilles. Il apparaît alors nécessaire de considérer séparément les sous-unités estuariennes et fluviales des stocks d'anguilles des bassins versants de la Vilaine et de la Loire, en particulier pour étudier la diminution des abondances.

Histomorphological and immunofluorescence evaluation of clear corneal incisions after microcoaxial phacoemulsification with 2.2 mm and 1.8 mm systems.

Science.gov (United States)

Vasavada, Abhay R; Johar, Kaid; Praveen, Mamidipudi R; Vasavada, Viraj A; Arora, Anshul I

2013-04-01

To compare changes in the incision's histomorphology and denaturation of collagen I in rabbit eyes having microcoaxial phacoemulsification through 2.2 mm and 1.8 mm incision-compatible systems. Randomized experimental trial. Iladevi Cataract & IOL Research Centre, Ahmedabad, India. Thirty rabbit eyes were randomized into Group 1 (microcoaxial phacoemulsification through 2.2 mm incisions using Infiniti system [torsional ultrasound]) and Group 2 (microcoaxial phacoemulsification through 1.8 mm incisions using Stellaris system [longitudinal ultrasound]). Each group was then divided into 3 subgroups of 5 eyes each based on 1 of the 3 intervention options: phacoemulsification only, intraocular lens (IOL) insertion only, and phacoemulsification with IOL insertion. Left eyes were randomized for microcoaxial phacoemulsification, and right eyes were treated as controls. After phacoemulsification, eyes in Group 1 showed loss of epithelium at the roof of the incisions and Descemet membrane detachment at the floor of the incisions. These findings did not change after IOL insertion. After phacoemulsification, eyes in Group 2 showed loss of epithelium, but Descemet membrane remained attached. There was a longitudinal split in the incision's stroma in the direction of internal entry. The stromal damage increased after IOL implantation. Immunofluorescence studies showed no obvious irregularities in the arrangement of collagen I in either group. A dot blot analysis showed significant denaturation of collagen I in Group 2. The histomorphology of the 2.2 mm system incision showed localized Descemet membrane detachment and endothelial cell loss. The 1.8 mm system incision showed exaggerated stromal damage after IOL insertion. Copyright © 2013 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Geomorphic Response to Spatial and Temporal Tectonic uplift on the Kenya Rift of East African Rift System

Science.gov (United States)

Xue, L.; Abdelsalam, M. G.

2017-12-01

Tectonic uplifts of the shoulders of the East Africa Rift System (EARS) have significant impact on the geological record by reorganizing drainage systems, increasing sediment supply, and changing climate and biogeography. Recent studies in geochronology, geomorphology and geophysics have provided some understanding of the timing of tectonic uplift and its distribution pattern of the (EARS). We do not know how the vertical motion is localized along the rift axis and the relative roles of upwelling of magma and rift extensional processes play in tectonic uplift history. This work presents detailed morphometric study of the fluvial landscape response to the tectonic uplift and climate shifting of the Kenya Rift shoulders in order to reconstruct their incision history, with special attention to timing, location, and intensity of uplift episodes. This work compiles the Shuttle Radar Topography Mission (SRTM) Digital Elevation Model (DEM) and Sentinel-2A data, summarized previous 39Ar-40Ar and thermochronology data, and calculates long-term incision rate and geomorphic proxies (normalized steepness and chi-integral) along the Kenya Rift. It also models the age of tectonic/climatic events by using knickpoint celerity model and R/SR integrative approach. It found that the maximum long-term incision rates of 300 mm/kyr to be at the central Kenya Rift, possibly related to the mantle-driven process and rapid tectonic uplift. The geomorphic proxies indicate southward decreasing pattern of the short-term incision rate, possibly related to the migration of the mantle plume.

The effect of kidney morcellation on operative time, incision complications, and postoperative analgesia after laparoscopic nephrectomy

Directory of Open Access Journals (Sweden)

Affonso H. Camargo

2006-06-01

Full Text Available INTRODUCTION: Compare the outcomes between kidney morcellation and two types of open specimen extraction incisions, several covariates need to be taken into consideration that have not yet been studied. MATERIALS AND METHODS: We retrospectively reviewed 153 consecutive patients who underwent laparoscopic nephrectomy at our institution, 107 who underwent specimen morcellation and 46 with intact specimen removal, either those with connected port sites with a muscle-cutting incision and those with a remote, muscle-splitting incision. Operative time, postoperative analgesia requirements, and incisional complications were evaluated using univariate and multivariate analysis, comparing variables such as patient age, gender, body mass index (BMI, laterality, benign versus cancerous renal conditions, estimated blood loss, specimen weight, overall complications, and length of stay. RESULTS: There was no significant difference for operative time between the 2 treatment groups (p = 0.65. Incision related complications occurred in 2 patients (4.4% from the intact specimen group but none in the morcellation group (p = 0.03. Overall narcotic requirement was lower in patients with morcellated (41 mg compared to intact specimen retrieval (66 mg on univariate (p = 0.03 and multivariate analysis (p = 0.049. Upon further stratification, however, there was no significant difference in mean narcotic requirement between the morcellation and muscle-splitting incision subgroup (p = 0.14. CONCLUSION: Morcellation does not extend operative time, and is associated with significantly less postoperative pain compared to intact specimen retrieval overall, although this is not statistically significant if a remote, muscle-splitting incision is made. Morcellation markedly reduces the risk of incisional-related complications.

Three-dimensional observations of the incisive canal and the surrounding bone using cone-beam computed tomography

International Nuclear Information System (INIS)

Asaumi, Rieko; Kawai, Taisuke; Sato, Iwao; Yoshida, Shunji; Yosue, Takashi

2010-01-01

The shape of the anterior region of the maxilla is critical when planning implant treatment. The purpose of the present study was to assess the typical morphology of the incisive canal and surrounding bone. In total, 70 maxillae of Japanese dry skulls were used after being divided into dentate and edentulous groups. Cone-beam computed tomography (CBCT) images of the maxilla were acquired by using standardized methods. Using the anterior nasal spine as a reference point, the change in position was measured and analyzed statistically. Also, three-dimensional (3-D) images of the incisive canal were classified into five subsets: cylinder, groove, penetration, bifurcation at the superior portion, and bifurcation at the inferior portion. The quantity of alveolar bone in the incisor region was greatly reduced from the alveolar ridge and labial surface. Moreover, the vertical position of the incisive foramen was significantly (P<0.05) superior in the edentulous groups. Regarding the classification of maxillae by the 3-D shape of the incisive canal, many canals were cylindrical. Horizontal bone reduction from the labial side and vertical bone reduction from the alveolar crest were conspicuous; thus, the angle of the anterior alveolar bone changed after the loss of teeth. The incisive canal diameter in the edentulous group was larger than in the dentate group. The nondestructive assessment of the incisive canals and surrounding bone with CBCT showed two typical shapes for the presence or absence of the incisors. These findings indicate the importance of image diagnosis before esthetic restoration. (author)

Late Holocene lowland fluvial archives and geoarchaeology : Utrecht's case study of Rhine river abandonment under Roman and Medieval settlement

NARCIS (Netherlands)

van Dinter, M.; Cohen, K.M.; Hoek, W.Z.; Stouthamer, E.; Jansma, E.; Middelkoop, H.

2017-01-01

Fluvial lowlands have become attractive human settling areas all around the world over the last few millennia. Because rivers kept changing their course and networks due to avulsion, the sedimentary sequences in these areas are archives of both fluvial geomorphological and archaeological

Pre- and post-remediation characterization of acid-generating fluvial tailings material

Science.gov (United States)

Smith, Kathleen S.; Walton-Day, Katherine; Hoal, Karin O.; Driscoll, Rhonda L.; Pietersen, K.

2012-01-01

The upper Arkansas River south of Leadville, Colorado, USA, contains deposits of fluvial tailings from historical mining operations in the Leadville area. These deposits are potential non-point sources of acid and metal contamination to surface- and groundwater systems. We are investigating a site that recently underwent in situ remediation treatment with lime, fertilizer, and compost. Pre- and post-remediation fluvial tailings material was collected from a variety of depths to examine changes in mineralogy, acid generation, and extractable nutrients. Results indicate sufficient nutrient availability in the post-remediation near-surface material, but pyrite and acid generation persist below the depth of lime and fertilizer addition. Mineralogical characterization performed using semi-quantitative X-ray diffraction and quantitative SEM-based micro-mineralogy (Mineral Liberation Analysis, MLA) reveal formation of gypsum, jarosite, and complex coatings surrounding mineral grains in post-remediation samples.

Heterotopic ossification in abdominal incision : a case report

Energy Technology Data Exchange (ETDEWEB)

Yoo, Yoon Sik; Nam, Kung Sook; Hwang, Im Kyung; Kim, Heung Chul [College of Medicine, Hallym Univ., Chuncheon (Korea, Republic of)

2001-08-01

Heterotopic ossification in abdominal incision is a rare post-surgical sequala and a subtype of myositis ossificans traumatica. Recognition of this rare condition is important because it may be misinterpreted as a retained foreign body or incisional neoplastic recurrence. We report a case involving a 59-year-old man who presented with a palpable epigastric mass and pronounced fatigability.

Introduction to the special issue on discontinuity of fluvial systems

Science.gov (United States)

Burchsted, Denise; Daniels, Melinda; Wohl, Ellen E.

2014-01-01

Fluvial systems include natural and human-created barriers that modify local base level; as such, these discontinuities alter the longitudinal flux of water and sediment by storing, releasing, or changing the flow path of those materials. Even in the absence of distinct barriers, fluvial systems are typically discontinuous and patchy. The size of fluvial discontinuities ranges across scales from 100 m, such as riffles, to 104 m, such as lava dams or major landslides. The frequency of occurrence appears to be inversely related to size, with creation and failure of the small features, such as beaver dams, occurring on a time scale of 100 to 101 years and a frequency of occurrence at scales as low as 101 m. In contrast, larger scale discontinuities, such as lava dams, can last for time scales up to 105 years and have a frequency of occurrence of approximately 104 m. The heterogeneity generated by features is an essential part of river networks and should be considered as part of river management. Therefore, we suggest that "natural" dams are a useful analog for human dams when evaluating options for river restoration. This collection of papers on the studies of natural dams includes bedrock barriers, log jams and beaver dams. The collection also addresses the discontinuity generated by a floodplain — in the absence of an obvious barrier in the channel — and tools for evaluation of riverbed heterogeneity. It is completed with a study of impact of human dams on floodplain sedimentation. These papers will help geomorphologists and river managers understand the factors that control river heterogeneity across scales and around the world.

Examining fluvial fish range loss with SDMs

Science.gov (United States)

Taylor, Andrew T.; Papeş, Monica; Long, James M.

2018-01-01

Fluvial fishes face increased imperilment from anthropogenic activities, but the specific factors contributing most to range declines are often poorly understood. For example, the range of the fluvial‐specialist shoal bass (Micropterus cataractae) continues to decrease, yet how perceived threats have contributed to range loss is largely unknown. We used species distribution models to determine which factors contributed most to shoal bass range loss. We estimated a potential distribution based on natural abiotic factors and a series of currently occupied distributions that incorporated variables characterizing land cover, non‐native species, and river fragmentation intensity (no fragmentation, dams only, and dams and large impoundments). We allowed interspecific relationships between non‐native congeners and shoal bass to vary across fragmentation intensities. Results from the potential distribution model estimated shoal bass presence throughout much of their native basin, whereas models of currently occupied distribution showed that range loss increased as fragmentation intensified. Response curves from models of currently occupied distribution indicated a potential interaction between fragmentation intensity and the relationship between shoal bass and non‐native congeners, wherein non‐natives may be favored at the highest fragmentation intensity. Response curves also suggested that >100 km of interconnected, free‐flowing stream fragments were necessary to support shoal bass presence. Model evaluation, including an independent validation, suggested that models had favorable predictive and discriminative abilities. Similar approaches that use readily available, diverse, geospatial data sets may deliver insights into the biology and conservation needs of other fluvial species facing similar threats.

Lateral Nail Fold Incision Technique for Venous Anastomosis in Fingertip Replantation.

Science.gov (United States)

Jeon, Byung-Joon; Yang, Jae-Won; Roh, Si Young; Ki, Sae Hwi; Lee, Dong Chul; Kim, Jin Soo

2016-01-01

Successful venous anastomosis is one of the most important factors in fingertip replantation. Volar veins in the fingertip course proximally in a random pattern, which makes it difficult to find out the exact locations. Although dorsal veins in the lateral nail fold have constant location and adequate diameter for anastomosis, they have been known as hard to dissect from the immobile subcutaneous tissue. The authors present a new lateral nail fold incision technique for venous anastomosis in the fingertip amputations. From February 2010 to October 2010, 9 replantations using the new incision and venous anastomosis technique were performed in 9 patients. The levels of amputations were from the nail base to half of the nail bed. After repairing the proper digital arteries, a skin incision was made along the junction between the lateral nail fold and nail bed. Careful dissection was performed to isolate the veins in the lateral nail fold. After evaluation of the suitability of the vessel, venous anastomosis was performed. Seven male and 2 female patients were enrolled in this study. Appropriate dorsal veins for anastomosis could be found in 8 of 9 patients. All the replanted stumps survived without venous congestion and following additional procedures. A sizable volar or dorsal vein could not be found in 1 patient. The salvage technique was required in this patient. Dorsal veins in the lateral nail fold can be found easily because of the constant anatomical location. The new incision on the lateral nail fold provides not only sufficient operative field for anastomosis but also additional opportunity of successful venous anastomosis in the selected cases. The authors, therefore, propose this technique as an effective method for an alternative venous anastomosis in the zone I replantation.

Post-tectonic landscape evolution in NE Iberia using staircase terraces: Combined effects of uplift and climate

Science.gov (United States)

Lewis, Claudia J.; Sancho, Carlos; McDonald, Eric V.; Peña-Monné, José Luis; Pueyo, Emilio L.; Rhodes, Edward; Calle, Mikel; Soto, Ruth

2017-09-01

River incision into bedrock resulting from the combined effects of tectonic uplift and climate governs long-term regional landscape evolution. We determined spatial and temporal patterns of post-orogenic stream incision from a sequence of well-preserved staircase terraces developed over the last 1 Ma in the Central Pyrenees and its southern foreland Ebro basin (NE Spain). Extensive remnants of ten vertically separated terraces (Qt1 to Qt10, from oldest to youngest) were mapped along 170 km of the Cinca River valley, transverse to the Pyrenean mountain belt. Multiple outcrops appear in the upper reach of the valley (Ainsa sector, 50 km from headwaters) as well as in the lower reach (Albalate sector, 125 km from headwaters). Fluvial incision into bedrock was calculated using (i) differentially corrected GPS measurements of the altitude of straths and (ii) numerical dating of alluvial sediments from the lower terraces (Qt5 to Qt9) by Optically Stimulated Luminescence, previously reported by Lewis et al. (2009), and supplemented with new dates for the upper terraces (Qt1, Qt2 and Qt3) based on paleomagnetism and supported by soil development. Considering altitude differences and the elapsed time between successive well preserved terrace couples (Qt3-Qt7, Qt7-Qt9 and Qt9-Active channel), mean bedrock incision rates ranged from 0.76 to 0.38 m ka- 1, at the upper reach of the valley (Ainsa section), and from 0.61 to 0.20 m ka- 1, at the lower reach (Albalate section). River incision along the valley produced vertically separated, near-parallel longitudinal terrace profiles evidencing a rapid near-uniform regional uplift as response to (i) the tectonic lithospheric thickening in NE Iberia and (ii) the erosional download rebound related to the Ebro basin exorheism. Moreover, a subtle upstream divergence of strath profiles may have been a consequence of an increase in uplift rate toward the head of the valley. Additionally, incision rates changed over time as indicate

Minimal Incision Scar-Less Open Umbilical Hernia Repair in Adults - Technical Aspects and Short Term Results

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Sanoop Koshy Zachariah

2014-09-01

Full Text Available Background: There is no gold standard technique for umbilical hernia repair .Conventional open umbilical hernia repair often produces an undesirable scar. Laparoscopic umbilical hernia repair requires multiple incisions beyond the umbilicus, specialized equipments, and expensive tissue separating mesh. We describe our technique of open umbilical hernia repair utilizing a small incision. The technique was derived from our experience with single incision laparoscopy. We report the technical details and short term results. Methods: This is a retrospective analysis of the first 20 patients who underwent minimal incision scar-less open umbilical hernia repair, from June 2011 to February 2014. A single intra-umbilical curved incision was used to gain access to the hernia sac. Primary suture repair was performed for defects upto 2cm.Larger defects were repaired using an onlay mesh. In patients with a BMI of 30 kg/m2 or greater, onlay mesh hernioplasty was performed irrespective of the defect size.Results: A total of 20 patients, 12 males and 8 females underwent the procedure. Mean age was 50 (range 29 - 82 years. Mean BMI was 26.27 (range 20. -33.1 kg/m2. Average size of the incision was 1.96 range (1.5 to 2.5 cm. Mesh hernioplasty was done in 9 patients. 11 patients underwent primary suture repair alone. There were no postoperative complications associated with his technique. Average post operative length of hospital stay was 3.9 (range 2-10 days. Mean follow-up was 29.94 months, (2 weeks to 2.78 years. On follow up there was no externally visible scar in any of the patients. There were no recurrences on final follow up. Conclusion: This technique provides a similar cosmetic effect as obtained from single port laparoscopy. It is easy to perform safe, offers good cosmesis, does not require incisions beyond the umbilicus and cost effective, with encouraging results on short term follow up. Further research is needed to assess the true potential of the

Chemical weathering as a mechanism for the climatic control of bedrock river incision

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Murphy, Brendan P.; Johnson, Joel P. L.; Gasparini, Nicole M.; Sklar, Leonard S.

2016-04-01

Feedbacks between climate, erosion and tectonics influence the rates of chemical weathering reactions, which can consume atmospheric CO2 and modulate global climate. However, quantitative predictions for the coupling of these feedbacks are limited because the specific mechanisms by which climate controls erosion are poorly understood. Here we show that climate-dependent chemical weathering controls the erodibility of bedrock-floored rivers across a rainfall gradient on the Big Island of Hawai‘i. Field data demonstrate that the physical strength of bedrock in streambeds varies with the degree of chemical weathering, which increases systematically with local rainfall rate. We find that incorporating the quantified relationships between local rainfall and erodibility into a commonly used river incision model is necessary to predict the rates and patterns of downcutting of these rivers. In contrast to using only precipitation-dependent river discharge to explain the climatic control of bedrock river incision, the mechanism of chemical weathering can explain strong coupling between local climate and river incision.

Heterogeneity in a Suburban River Network: Understanding the Impact of Fluvial Wetlands on Dissolved Oxygen and Metabolism in Headwater Streams

Science.gov (United States)

Cain, J. S.; Wollheim, W. M.; Sheehan, K.; Lightbody, A.

2014-12-01

Low dissolved oxygen content in rivers threatens fish populations, aquatic organisms, and the health of entire ecosystems. River systems with high fluvial wetland abundance and organic matter, may result in high metabolism that in conjunction with low re-aeration rates, lead to low oxygen conditions. Increasing abundance of beaver ponds in many areas may exacerbate this phenomenon. This research aims to understand the impact of fluvial wetlands, including beaver ponds, on dissolved oxygen (D.O.) and metabolism throughout the headwaters of the Ipswich R. watershed, MA, USA. In several fluvial wetland dominated systems, we measured diel D.O. and metabolism in the upstream inflow, the surface water transient storage zones of fluvial wetland sidepools, and at the outflow to understand how the wetlands modify dissolved oxygen. D.O. was also measured longitudinally along entire surface water flow paths (x-y km long) to determine how low levels of D.O. propagate downstream. Nutrient samples were also collected to understand how their behavior was related to D.O. behavior. Results show that D.O. in fluvial wetlands has large swings with periods of very low D.O. at night. D.O. swings were also seen in downstream outflow, though lagged and somewhat attenuated. Flow conditions affect the level of inundation and the subsequent effects of fluvial wetlands on main channel D.O.. Understanding the D.O. behavior throughout river systems has important implications for the ability of river systems to remove anthropogenic nitrogen.

Small incision corneal refractive surgery using the small incision lenticule extraction (SMILE) procedure for the correction of myopia and myopic astigmatism: results of a 6 month prospective study.

Science.gov (United States)

Sekundo, Walter; Kunert, Kathleen S; Blum, Marcus

2011-03-01

This 6 month prospective multi-centre study evaluated the feasibility of performing myopic femtosecond lenticule extraction (FLEx) through a small incision using the small incision lenticule extraction (SMILE) procedure. Prospective, non-randomised clinical trial. PARTICIPANTS; Ninety-one eyes of 48 patients with myopia with and without astigmatism completed the final 6 month follow-up. The patients' mean age was 35.3 years. Their preoperative mean spherical equivalent (SE) was −4.75±1.56 D. A refractive lenticule of intrastromal corneal tissue was cut utilising a prototype of the Carl Zeiss Meditec AG VisuMax femtosecond laser system. Simultaneously two opposite small ‘pocket’ incisions were created by the laser system. Thereafter, the lenticule was manually dissected with a spatula and removed through one of incisions using modified McPherson forceps. Uncorrected visual acuity (UCVA) and best spectacle corrected visual acuity (BSCVA) after 6 months, objective and manifest refraction as well as slit-lamp examination, side effects and a questionnaire. Six months postoperatively the mean SE was −0.01 D±0.49 D. Most treated eyes (95.6%) were within ±1.0 D, and 80.2% were within ±0.5 D of intended correction. Of the eyes treated, 83.5% had an UCVA of 1.0 (20/20) or better, 53% remained unchanged, 32.3% gained one line, 3.3% gained two lines of BSCVA, 8.8% lost one line and 1.1% lost ≥2 lines of BSCVA. When answering a standardised questionnaire, 93.3% of patients were satisfied with the results obtained and would undergo the procedure again. SMILE is a promising new flapless minimally invasive refractive procedure to correct myopia.

A method of posterior fossa dural incision to minimize hemorrhage from the occipital sinus: the "mosquito" method.

Science.gov (United States)

Lee, Hee Chang; Lee, Ji Yeoun; Ryu, Seul Ki; Lim, Jang Mi; Chong, Sangjoon; Phi, Ji Hoon; Kim, Seung-Ki; Wang, Kyu-Chang

2016-12-01

The posterior fossa dural opening requires the ligation of the occipital sinus to gain successful exposure. However, there could be a prominent occipital sinus which is functioning as the main drainage route and is harboring the risk of unpredictable massive hemorrhage during the dural opening. We introduce a safe method of posterior fossa dural incision to minimize hemorrhage from the occipital sinus using four curved hemostat clamps. For the dural incision at the midline part of the posterior cranial fossa, we used four curved hemostat clamps to occlude the prominent occipital sinus: one pair of clamps at the proximal part and the other pair at the distal part to occlude the occipital sinus. Dural incision was made between the two pairs of the curved hemostat clamps. By clamping of the sinus, it allows observation of possible brain swelling after occlusion of the occipital sinus as well as minimizes hemorrhage during incision of the midline dura of the posterior fossa. This method allows observation of brain swelling after occipital sinus occlusion and is an easy and safe incision of the midline dura minimizing hemorrhage in selected cases with a prominent occipital sinus.

Advantages of the modified double ring areolar incision over the traditional areolar incision in multicentric breast fibroadenoma surgery.

Science.gov (United States)

Zhang, Mingliang; Shen, Gongjin; Zhang, Song; Cui, Zhen; Qian, Jun

2017-09-01

This study was conducted to investigate the clinical advantages of modified double ring areola incision (MDRAI) compared to ordinary areola incision (OAI) in multicentric breast fibroadenoma in women. Sixty cases of multicentric benign breast tumor were recruited from the First Affiliated Hospital of Bengbu Medical College from January to December 2016. The cases were divided into two groups according to surgical approach: MDRAI (n = 20) and OAI (n = 40). The operation duration, intraoperative blood loss, drainage time, and postoperative recurrence rate in the first six months were compared. The mean age and tumor locations were not statistically different between the groups (P > 0.05). However, more lesions and larger tumor diameter were found in the MDRAI group than in the OAI group, with statistical difference (P  0.05). However, the intraoperative blood loss was statistically different between the two groups (P < 0.05). All 60 cases received six months of follow-up. Eight recurrent cases were found in the OAI group, but none in the MDRAI group. The recurrence rate was significantly different (χ 2  = 4.62, P < 0.05). Compared with OAI, MDRAI offers greater advantages in the aspects of blood loss and recurrence for the treatment of breast benign tumor, especially for multicentric larger lesions. © 2017 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.

Experimental insights into organic carbon oxidation potential during fluvial transport without floodplain storage

Science.gov (United States)

Scheingross, J. S.; Hovius, N.; Sachse, D.; Vieth-Hillebrand, A.; Turowski, J. M.; Hilton, R. G.

2016-12-01

Over geologic timescales, the exchange of organic carbon (OC) between the atmosphere, rock, and biosphere is thought to be a major control on global climate. CO2 flux estimates from oxidation of rock-derived OC and sequestration of biospheric OC during fluvial transit from source to sink are approximately the same order of magnitude or larger than those from silicate weathering. Despite field data showing loss of OC moving downstream in lowland rivers, it is unclear if losses occur primarily during active fluvial transport within the river, where OC is in continual motion within an aerated environment, or during longer periods when OC is temporarily stored in river floodplains which may be anoxic. This represents a major knowledge gap, as the unknown location of OC oxidation (i.e., river vs. floodplain) limits our ability to develop process-based models that can be employed to predict OC losses, constrain carbon budgets, and unravel links between climate, tectonics, and erosion. To fill this gap, we investigated the potential for OC oxidation in laboratory experiments simulating fluvial transport without floodplain storage. Mixtures of OC-rich and siliciclastic sediment were transported for distances of 2000 km in annular flumes while making time-series measurements of sediment TOC and water DOC concentrations. Initial results for transport of OC-rich soil show increasing DOC with transport distance to levels that represent a transfer of 2% of the total OC from the solid to the dissolved phase; however, we observed no detectable change in the solid-phase TOC. Similar results were obtained in a control experiment with identical sediment in still water. These preliminary results suggest minimal OC oxidation within our experiment, and, to the extent that such experiments represent natural transport through river systems, are consistent with the hypothesis that OC losses may occur primarily during floodplain storage rather than fluvial transport.

The Problem of the Pannus: Physician Preference Survey and a Review of the Literature on Cesarean Skin Incision in Morbidly Obese Women.

Science.gov (United States)

Smid, Marcela C; Smiley, Sarah G; Schulkin, Jay; Stamilio, David M; Edwards, Rodney K; Stuebe, Alison M

2016-04-01

This study aims to determine preferences of a nationally representative sample of obstetrician/gynecologists (OB/GYNs) regarding cesarean delivery (CD) incision practices for women with morbid obesity (body mass index ≥ 40 kg/m(2)). We conducted an online survey using the American College of Obstetricians and Gynecologists database. We compared physician demographics, practice characteristics, and CD incision type preference. After exclusion of ineligible participants, 247 OB/GYNs completed the survey (42% response rate). In nonemergency CD of morbidly obese women, 84% of physicians preferred a Pfannenstiel skin incision (67% preferring taping the pannus; 17% without taping the pannus). In emergency CD, 66% preferred a Pfannenstiel incision (46% without taping the pannus; 20% with taping the pannus) and 20% a vertical incision. For both emergency and nonemergency CD, there was no difference in incision type preferences by provider years in practice, practice scope, or number of CD performed each year. Given the preference of a Pfannenstiel incision with taping the pannus during CD of morbidly obese women, further investigation is needed to assess the risks and benefits of this incision and the practice of elevating the pannus. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Impact of selective pituitary gland incision or resection on hormonal function after adenoma or cyst resection.

Science.gov (United States)

Barkhoudarian, Garni; Cutler, Aaron R; Yost, Sam; Lobo, Bjorn; Eisenberg, Amalia; Kelly, Daniel F

2015-12-01

With the resection of pituitary lesions, the anterior pituitary gland often obstructs transsphenoidal access to the lesion. In such cases, a gland incision and/or partial gland resection may be required to obtain adequate exposure. We investigate this technique and determine the associated risk of post-operative hypopituitarism. All patients who underwent surgical resection of a pituitary adenoma or Rathke cleft cyst (RCC) between July 2007 and January 2013 were analyzed for pre- and post-operative hormone function. The cohort of patients with gland incision/resection were compared to a case-matched control cohort of pituitary surgery patients. Total hypophysectomy patients were excluded from outcome analysis. Of 372 operations over this period, an anterior pituitary gland incision or partial gland resection was performed in 79 cases (21.2 %). These include 53 gland incisions, 12 partial hemi-hypophysectomies and 14 resections of thinned/attenuated anterior gland. Diagnoses included 64 adenomas and 15 RCCs. New permanent hypopituitarism occurred in three patients (3.8 %), including permanent DI (3) and growth hormone deficiency (1). There was no significant difference in the rate of worsening gland dysfunction nor gain of function. Compared to a control cohort, there was a significantly lower incidence of transient DI (1.25 vs. 11.1 %, p = 0.009) but no significant difference in permanent DI (3.8 vs. 4.0 %) in the gland incision group. Selective gland incisions and gland resections were performed in over 20 % of our cases. This technique appears to minimize traction on compressed normal pituitary gland during removal of large lesions and facilitates better visualization and removal of cysts, microadenomas and macroadenomas.

Incision of the heart during meat inspection of fattening pigs - A risk-profile approach.

Science.gov (United States)

Leps, J; Fries, R

2009-01-01

Meat inspection in the EU is based on Regulation (EC) 854/2004. Accordingly a risk based meat inspection should be implemented. In this paper, the incision of the heart in pig meat inspection is discussed with respect to efficacy. The incision especially can reveal the presence of endocarditis. Here, Erysipelothrixrhusiopathiae (E. rhusiopathiae) and/or Streptococcussuis (S. suis) are of particular concern. Both agents are regarded to be zoonotic agents. There is some evidence for infection of humans via an alimentary pathway. Hence, the occurrence of E. rhusiopathiae and S. suis is a concern of public health (PH) as well as veterinary public health (VPH). However, other measures, including on-farm disease prevention and diagnosis, seem to be more important for food safety. It is concluded that the incision and inspection of the heart is not justifiable with respect to PH aspects.

A Simple Method for Closure of Urethrocutaneous Fistula after Tubularized Incised Plate Repair: Preliminary Results.

Science.gov (United States)

Shirazi, Mehdi; Ariafar, Ali; Babaei, Amir Hossein; Ashrafzadeh, Abdosamad; Adib, Ali

2016-11-01

Urethrocutaneous fistula (UCF) is the most prevalent complication after hypospadias repair surgery. Many methods have been developed for UCF correction, and the best technique for UCF repair is determined based on the size, location, and number of fistulas, as well as the status of the surrounding skin. In this study, we introduced and evaluated a simple method for UCF correction after tubularized incised plate (TIP) repair. This clinical study was conducted on children with UCFs ≤ 4 mm that developed after TIP surgery for hypospadias repair. The skin was incised around the fistula and the tract was released from the surrounding tissues and the dartos fascia, then ligated with 5 - 0 polydioxanone (PDS) sutures. The dartos fascia, as the second layer, was covered on the fistula tract with PDS thread (gauge 5 - 0) by the continuous suture method. The skin was closed with 6 - 0 Vicryl sutures. After six months of follow-up, surgical outcomes were evaluated based on fistula relapse and other complications. After six months, relapse occurred in only one patient, a six-year-old boy with a single 4-mm distal opening, who had undergone no previous fistula repairs. Therefore, in 97.5% of the cases, relapse was non-existent. Other complications, such as urethral stenosis, intraurethral obstruction, and epidermal inclusion cysts, were not seen in the other patients during the six-month follow-up period. This repair method, which is simple, rapid, and easily learned, is highly applicable, with a high success rate for the closure of UCFs measuring up to 4 mm in any location.

No-Drain Single Incision Liposuction Pull-Through Technique for Gynecomastia.

Science.gov (United States)

Khalil, Ashraf A; Ibrahim, Amr; Afifi, Ahmed M

2017-04-01

Several different methods have been proposed for treatment of gynecomastia, depending on the amount of breast enlargement and skin redundancy. The liposuction pull-through technique has been proposed as an efficacious treatment for many gynecomastia cases. This work aims to study the outcome of this technique when applied as an outpatient procedure, without the use of drains and through a single incision. Fifty-two patients with bilateral gynecomastia without significant skin excess were included in this study. The liposuction pull-through technique was performed through a single incision just above the inframammary fold and without the use of drains. Patients were followed up for 6 months. The proposed technique was able to treat the gynecomastia in all patients, with a revision rate of 1.9% to remove residual glandular tissues. There were no seromas, hematomas, nipple distortion, permanent affection of nipple sensation or wound healing problems. The liposuction pull-through technique is an effective treatment for gynecomastia without significant skin redundancy. It combines the benefits of the direct excision of glandular tissues, with the minimally invasive nature of liposuction. Performing the procedure through a single incision without the use of drains and without general anesthesia is a safe alternative. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266 .

Gynecomastia: glandular-liposculpture through a single transaxillary one hole incision.

Science.gov (United States)

Lee, Yung Ki; Lee, Jun Hee; Kang, Sang Yoon

2018-04-01

Gynecomastia is characterized by the benign proliferation of breast tissue in men. Herein, we present a new method for the treatment of gynecomastia, using ultrasound-assisted liposuction with both conventional and reverse-cutting edge tip cannulas in combination with a pull-through lipectomy technique with pituitary forceps through a single transaxillary incision. Thirty patients were treated with this technique at the author's institution from January 2010 to January 2015. Ten patients were treated with conventional surgical excision of the glandular/fibrous breast tissue combined with liposuction through a periareolar incision before January 2010. Medical records, clinical photographs and linear analog scale scores were analyzed to compare the surgical results and complications. The patients were required to rate their cosmetic outcomes based on the linear analog scale with which they rated their own surgical results; the mean overall average score indicated a good or high level of satisfaction. There were no incidences of skin necrosis, hematoma, infection and scar contracture; however, one case each of seroma and nipple inversion did occur. Operative time was reduced overall using the new technique since it is relatively simple and straightforward. According to the evaluation by the four independent researchers, the patients treated with this new technique showed statistically significant improvements in scar and nipple-areolar complex (NAC) deformity compared to those who were treated using the conventional method. Glandular liposculpture through a single transaxillary incision is an efficient and safe technique that can provide aesthetically satisfying and consistent results.

Glacial lake outburst floods and fluvial erosion in the Himalaya - insights from the 2016 Bhote Koshi GLOF

Science.gov (United States)

Cook, K. L.; Gimbert, F.; Andermann, C.; Hovius, N.; Adhikari, B. R.

2017-12-01

The Himalaya is a region of rapid erosion where fluvial processes are assumed to be driven by precipitation delivered during the annual Indian Summer Monsoon. However, the rivers in this region are also subject to catastrophic floods caused by the failure of glacial lake and landslide dams. Because these floods are rarely observed, it has been difficult to isolate their impact on the rivers and adjacent hillslopes, and their importance for the long-term evolution of Himalayan valleys is largely unknown. In July 2016, the Bhotekoshi/Sunkoshi River in central Nepal was hit by a glacial lake outburst flood (GLOF) that caused substantial changes to the channel bed, banks, and adjacent hillslopes, causing at least 26 landslides and an average of 11 m of channel widening. The flood passed through a seismic and hydrological observatory installed along the river in June 2015, and we have used the resulting data to constrain the timing, duration, and bedload transport properties of the outburst flood. The impact of the flood on the river can be further observed with hourly time-lapse photographs, daily measurements of suspended sediment load, repeat lidar surveys, and satellite imagery. The outburst flood affected the river on several timescales. In the short term, it transported large amounts of coarse sediment and restructured the river bed during the hours of the flood pulse itself. Over intermediate timescales it resulted in elevated bedload and suspended load transport for several weeks following the flood. Over longer timescales the flood undercut and destabilized the river banks and hillslopes in a number of locations, leading to bank collapses, slumps, and landslides. Our data indicate that impacts of the GLOF far exceed those driven by the annual summer monsoon, likely due to extremely coarse sediment that armors much of the channel. The relatively frequent occurrence of GLOFs and the extremely high discharges relative to monsoon floods suggest that GLOFs may

Triple pelvic osteotomy in Legg-Calve-Perthes disease using a single anterolateral incision: a 4-year review.

LENUS (Irish Health Repository)

Conroy, Eimear

2010-07-01

Femoral head incongruency at skeletal maturity is associated with the development of osteoarthritis in early adulthood. Containment of the femoral head provides a larger surface area for remodelling of the collapsed femoral head and the development of spherical congruency. Triple pelvic osteotomy has a role to play in Legg-Calve-Perthes\\' disease by improving femoral head containment and preventing subluxation. This is traditionally a two-incision approach with significant associated morbidity. In our unit we perform triple osteotomies through a single anterolateral incision. To retrospectively review the clinical and radiographic outcome of children who had triple osteotomies performed through a single incision over a 4-year period. In our unit from 2003 to 2006 we performed eight triple osteotomies through a single incision in children aged between 6 and 12 years with Legg-Calve-Perthes\\' disease. The procedure was performed through a single anterolateral incision made beneath the middle of the iliac crest and carried forward according to Salter\\'s osteotomy. Image intensification was used to confirm iliac, pubic and ischial cuts. After performing a standard Salter\\'s osteotomy the acetabular fragment was free to rotate anteriorly and laterally. None of the children were casted and all were allowed immediate mobilization nonweight bearing with crutches for 6 weeks. Clinical results and hip function were measured preoperatively and postoperatively using the modified Harris hip score. The average length of hospital stay was 4.7 days. None of the children had a nonunion. The centre edge angle of Wiberg was measured on all preoperative and postoperative anteroposterior pelvic radiographs. In all our patients there was an improvement in the centre edge angle of Wiberg and in the modified Harris hip score. The preoperative modified Harris hip scores ranged from 38 to 60 and postoperatively ranged from 77 to 92. The preoperative centre edge angle of Wiberg ranged

Utilization of ancient permafrost carbon in headwaters of Arctic fluvial networks

NARCIS (Netherlands)

Mann, Paul J.; Eglinton, Timothy I.; McIntyre, Cameron P.; Zimov, Nikita; Davydova, Anna; Vonk, Jorien E.; Holmes, Robert M.; Spencer, Robert G M

2015-01-01

Northern high-latitude rivers are major conduits of carbon from land to coastal seas and the Arctic Ocean. Arctic warming is promoting terrestrial permafrost thaw and shifting hydrologic flowpaths, leading to fluvial mobilization of ancient carbon stores. Here we describe 14 C and 13 C

Architectural elements and bounding surfaces in fluvial deposits: anatomy of the Kayenta formation (lower jurassic), Southwest Colorado

Science.gov (United States)

Miall, Andrew D.

1988-03-01

Three well-exposed outcrops in the Kayenta Formation (Lower Jurassic), near Dove Creek in southwestern Colorado, were studied using lateral profiles, in order to test recent regarding architectural-element analysis and the classification and interpretation of internal bounding surfaces. Examination of bounding surfaces within and between elements in the Kayenta outcrops raises problems in applying the three-fold classification of Allen (1983). Enlarging this classification to a six-fold hierarchy permits the discrimination of surfaces intermediate between Allen's second- and third-order types, corresponding to the upper bounding surfaces of macroforms, and internal erosional "reactivation" surfaces within the macroforms. Examples of the first five types of surface occur in the Kayenta outcrops at Dove Creek. The new classifications is offered as a general solution to the problem of description of complex, three-dimensional fluvial sandstone bodies. The Kayenta Formation at Dove Creek consists of a multistorey sandstone body, including the deposits of lateral- and downstream-accreted macroforms. The storeys show no internal cyclicity, neither within individual elements nor through the overall vertical thickness of the formation. Low paleocurrent variance indicates low sinuosity flow, whereas macroform geometry and orientation suggest low to moderate sinuosity. The many internal minor erosion surfaces draped with mud and followed by intraclast breccias imply frequent rapid stage fluctuation, consistent with variable (seasonal? monsonal? ephemmeral?) flow. The results suggest a fluvial architecture similar to that of the South Saskatchewan River, through with a three-dimensional geometry unlike that interpreted from surface studies of that river.

When do plants modify fluvial processes? Plant-hydraulic interactions under variable flow and sediment supply rates

Science.gov (United States)

Manners, Rebecca B.; Wilcox, Andrew C.; Kui, Li; Lightbody, Anne F.; Stella, John C.; Sklar, Leonard S.

2015-02-01

Flow and sediment regimes shape alluvial river channels; yet the influence of these abiotic drivers can be strongly mediated by biotic factors such as the size and density of riparian vegetation. We present results from an experiment designed to identify when plants control fluvial processes and to investigate the sensitivity of fluvial processes to changes in plant characteristics versus changes in flow rate or sediment supply. Live seedlings of two species with distinct morphologies, tamarisk (Tamarix spp.) and cottonwood (Populus fremontii), were placed in different configurations in a mobile sand-bed flume. We measured the hydraulic and sediment flux responses of the channel at different flow rates and sediment supply conditions representing equilibrium (sediment supply = transport rate) and deficit (sediment supply plant species and configuration. Species-specific traits controlled the hydraulic response: compared to cottonwood, which has a more tree-like morphology, the shrubby morphology of tamarisk resulted in less pronation and greater reductions in near-bed velocities, Reynolds stress, and sediment flux rates. Under sediment-deficit conditions, on the other hand, abiotic factors dampened the effect of variations in plant characteristics on the hydraulic response. We identified scenarios for which the highest stem-density patch, independent of abiotic factors, dominated the fluvial response. These results provide insight into how and when plants influence fluvial processes in natural systems.

Fluvial organic carbon losses from oil palm plantations on tropical peat, Sarawak, Southeast Asia

Science.gov (United States)

Cook, Sarah; Page, Susan; Evans, Chris; Whelan, Mick; Gauci, Vincent; Lip Khoon, Kho

2017-04-01

Tropical peatlands are valuable stores of carbon. However, tropical peat swamp forests (TPSFs) in Southeast Asia have increasingly been converted to other land-uses. For example, more than 25% of TPSFs are now under oil palm plantations. This conversion - requiring felling and burning of trees and drainage of the peat - can enhance carbon mineralization, dissolved organic carbon (DOC) losses and can contribute significantly to global anthropogenic greenhouse gas emissions, changing these natural carbon sinks into carbon sources. At present, relatively few scientifically sound studies provide dependable estimates of gaseous and fluvial carbon losses from oil palm plantations or from drained tropical peat in general. Here we present an annual (54 week) estimate of the export of dissolved and particulate organic carbon in water draining two oil palm estates and nearby stands of TPSF in Sarawak, Malaysia, subjected to varying degrees of past anthropogenic disturbance. Spectrophotometric techniques including SUVA254 (Specific Ultra-Violet Absorption) were used to gain insight into the aromaticity and subsequent bioavailability of the exported DOC. Water draining plantation and deforested land had a higher proportion of labile carbon compared to water draining forested areas. Preliminary data suggest a total fluvial DOC flux from plantations of ca. 190 g C m-2 year-1; nearly three times estimates from intact TPSFs (63 g C m-2 year-1). DOC accounted for between 86 % - 94 % of the total organic carbon lost (most of which was bioavailable). Wit et al. (2015) estimates that an average of 53 % of peat-derived DOC is decomposed and emitted as CO2, on a monthly basis. Based on these estimates our data suggests an additional 101 g CO2 m-2 may be emitted indirectly from fluvial organic carbon in degraded TPSFs per year. Overall, these findings emphasize the importance of including fluvial organic carbon fluxes when quantifying the impact of anthropogenic disturbance on the

The Brahmaputra River: a stratigraphic analysis of Holocene avulsion and fluvial valley reoccupation history

Science.gov (United States)

Hartzog, T. R.; Goodbred, S. L.

2011-12-01

The Brahmaputra River, one of the world's largest braided streams, is a major component of commerce, agriculture, and transportation in India and Bangladesh. Hence any significant change in course, morphology, or behavior would be likely to influence the regional culture and economy that relies on this major river system. The history of such changes is recorded in the stratigraphy deposited by the Brahmaputra River during the Holocene. Here we present stratigraphic analysis of sediment samples from the boring of 41 tube wells over a 120 km transect in the upper Bengal Basin of northern Bangladesh. The transect crosses both the modern fluvial valley and an abandoned fluvial valley about 60 km downstream of a major avulsion node. Although the modern Brahmaputra does not transport gravel, gravel strata are common below 20 m with fluvial sand deposits dominating most of the stratigraphy. Furthermore, the stratigraphy preserves very few floodplain mud strata below the modern floodplain mud cap. These preliminary findings will be assessed to determine their importance in defining past channel migration, avulsion frequency, and the reoccupation of abandoned fluvial valleys. Understanding the avulsion and valley reoccupation history of the Brahmaputra River is important to assess the risk involved with developing agriculture, business, and infrastructure on the banks of modern and abandoned channels. Based on the correlation of stratigraphy and digital surface elevation data, we hypothesize that the towns of Jamalpur and Sherpur in northern Bangladesh were once major ports on the Brahmaputra River even though they now lie on the banks of small underfit stream channels. If Jamalpur and Sherpur represent the outer extent of the Brahmaputra River braid-belt before the last major avulsion, these cities and any communities developed in the abandoned braid-belt assume a high risk of devastation if the next major avulsion reoccupies this fluvial valley. It is important to

Two Late Pleistocene climate-driven incision/aggradation rhythms in the middle Dnieper River basin, west-central Russian Plain

Science.gov (United States)

Panin, Andrei; Adamiec, Grzegorz; Buylaert, Jan-Pieter; Matlakhova, Ekaterina; Moska, Piotr; Novenko, Elena

2017-06-01

In valleys of the River Seim and its tributaries in the middle Dnieper basin (west-central Russian Plain), two low terraces (T1, 10-16 m, and T0, 5-7 m above the river) and a floodplain (2-4 m) with characteristic large and small palaeochannels exist. A range of field and laboratory techniques was applied and ∼30 new numerical ages (OSL and 14C dates) were obtained to establish a chronology of incision and aggradation events that resulted in the current valley morphology. Two full incision/aggradation rhythms and one additional aggradation phase from the previous rhythm were recognized in the Late Pleistocene - Holocene climate cycle. The following events were detected. (1) Late MIS 5 - early MIS 4: aggradation of Terrace T1 following the deep incision at the end of MIS 6. (2) Late MIS 4 (40-30 ka): incision into Terrace T1 below the present-day river, formation of the main scarp in the bottom of the valley between Terrace T1 and Terrace T0/Floodplain levels. (3) MIS 2: aggradation of Terrace T0, lateral migrations of a shallow braided channel located few meters above the present-day river since ∼25 ka through the LGM. (4) 18-13 ka: incision into Terrace T0 below the modern river. Multiple-thread channels concentrated in a single flow that at some places formed large meanders. In the period 15-13 ka, high floods that rose above the present-day floods left large levees and overbank loams on Terrace T0. (5) Younger Dryas - Holocene transition: aggradation up to the modern channel level, transformation of large Late Glacial to small Holocene meanders. The established incision/aggradation rhythms are believed to be manifested over the Central Russian Plain outside the influence of ice sheets in the north and base level changes in the south. The two-phase deepening of the valley occurred in the last quarter of the last glacial epoch but can not be attributed directly to the glacial-interglacial transition. Both the detected incision events correspond to relatively

In vivo architectural analysis of 3.2 mm clear corneal incisions for phacoemulsification using optical coherence tomography.

Science.gov (United States)

Torres, Luis F; Saez-Espinola, Fidelia; Colina, Juner M; Retchkiman, Myriam; Patel, Milan R; Agurto, Ricardo; Garcia, Gerardo; Diaz, Jose L; Huang, David; Schanzlin, David J; Chayet, Arturo S

2006-11-01

To analyze in vivo the architecture of clear corneal incisions (CCIs) for phacoemulsification using optical coherence tomography (OCT). Anterior Segment Department, Asociacion Para Evitar la Ceguera en Mexico, Hospital Dr Luis Sanchez Bulnes, Mexico. A prospective masked study analyzed 20 unsutured CCIs placed superiorly and created in a uniplanar fashion with a 3.2 mm slit-angled metal keratome. All wounds were evaluated with a retinal OCT model 1, 3, and 30 days postoperatively. Intraocular pressure (IOP) and incision leakage were checked. The architecture was described according to the angle of incidence, apposition of the epithelial and endothelial margins, and wound sealing. No leakage was detected. The angle varied from 33 to 85 degrees; angles greater than 75 degrees were done by a surgeon in training. Wound apposition at the epithelial margin was achieved in all cases. In contrast, imperfect apposition of the endothelial margin was seen in 45% of incisions on day 1 and in 15% on day 30. Incomplete sealing of the wound was seen by OCT in 25% of cases at 24 hours and persisted in 10% of all cases at 1 month. This gaping occurred on the endothelial side and never translated to the epithelial margin. No statistical correlation was found between gaping and the angle of the incision, IOP variations, or surgeon experience. Although in vivo CCIs caused minor anatomic imperfections, they were clinically stable independent of incision angle, IOP variation, and surgeon experience. Incision stability may be related to careful wound construction, epithelial viability, stromal edema, and efficient endothelial pumping.

Fluvial biogeomorphology in the Anthropocene: Managing rivers and managing landscapes.

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Viles, Heather

2015-04-01

Biogeomorphology considers the many, and often complex, interactions between ecological and geomorphological processes. The concept of the Anthropocene deserves greater attention by scientists working on biogeomorphology, as will be demonstrated in this talk though a focus on fluvial environments. Rivers and river systems have been the subject of long-term human interference and management across the world, often in the form of direct manipulation of biogeomorphic interactions. Up to the present three broadly-defined phases of the Anthropocene can be identified - the Palaeoanthropocene, the Industrial Revolution and the Great Acceleration. Each of these broad phases of the Anthropocene has different implications for fluvial biogeomorphology and river management. The nature and dynamics of tufa-depositing systems provide good examples of the differing Anthropocene situations and will be focused on in this talk. We may now be entering a fourth phase of the Anthropocene called 'Earth system stewardship'. In terms of better understanding and managing the biogeomorphic interactions within rivers in such a phase, an improved conceptualisation of the Anthropocene and the complex web of interactions between human, ecological and geomorphological processes is needed.

Quantitative analysis of the relationship between maxillary incisors and the incisive canal by cone-beam computed tomography in an adult Japanese population

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Tomonari Matsumura

2017-08-01

Full Text Available Abstract Background In setting goals for orthodontic treatment, determining the morphologies of the alveolar bone and maxillary incisor root is important for avoiding root resorption, dehiscence, and fenestration. This study aimed to analyze the configurational relationships among maxillary incisors, the alveolar border, and the incisive canal by cone-beam computed tomography (CBCT. Methods Cone-beam CT images of 93 orthodontic patients were evaluated for length of the incisive canal (L; angles between the palatal plane and the maxillary alveolar border (θ1, the incisive canal (θ2, and maxillary incisor (θ3; distance from the left maxillary incisor to the incisive canal (D; and cross-sectional areas of the incisive canal (CSAs at three vertical levels. Comparison of variables between male and female patients was performed with the two-sample t test. Correlations between parameters were examined by Pearson’s correlation analysis and Bonferroni correction for multiple comparisons. Results Male patients exhibited significantly greater values of L than female patients. There were significant positive correlations between θ1 and θ2, θ2 and θ3, and θ3 and θ1. While the value of D was the lowest at the oral opening, that of the cross-sectional area of the incisive canal (CSA was the greatest at the incisal root apex. Conclusions This study demonstrated that the incisive canal had large inter-individual variability, and the proximity between the incisive canal and the incisal root could not be precisely predicted by the conventional cephalograms. Therefore, pre-treatment CBCT examination should be recommended when a large amount of maxillary anterior retraction and/or intrusion is planned in orthodontic diagnosis.

Cervical and incisal marginal discrepancy in ceramic laminate veneering materials: A SEM analysis

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Hemalatha Ranganathan

2017-01-01

Full Text Available Context: Marginal discrepancy influenced by the choice of processing material used for the ceramic laminate veneers needs to be explored further for better clinical application. Aims: This study aimed to evaluate the amount of cervical and incisal marginal discrepancy associated with different ceramic laminate veneering materials. Settings and Design: This was an experimental, single-blinded, in vitro trial. Subjects and Methods: Ten central incisors were prepared for laminate veneers with 2 mm uniform reduction and heavy chamfer finish line. Ceramic laminate veneers fabricated over the prepared teeth using four different processing materials were categorized into four groups as Group I - aluminous porcelain veneers, Group II - lithium disilicate ceramic veneers, Group III - lithium disilicate-leucite-based veneers, Group IV - zirconia-based ceramic veneers. The cervical and incisal marginal discrepancy was measured using a scanning electron microscope. Statistical Analysis Used: ANOVA and post hoc Tukey honest significant difference (HSD tests were used for statistical analysis. Results: The cervical and incisal marginal discrepancy for four groups was Group I - 114.6 ± 4.3 μm, 132.5 ± 6.5 μm, Group II - 86.1 ± 6.3 μm, 105.4 ± 5.3 μm, Group III - 71.4 ± 4.4 μm, 91.3 ± 4.7 μm, and Group IV - 123.1 ± 4.1 μm, 142.0 ± 5.4 μm. ANOVA and post hoc Tukey HSD tests observed a statistically significant difference between the four test specimens with regard to cervical marginal discrepancy. The cervical and incisal marginal discrepancy scored F = 243.408, P < 0.001 and F = 180.844, P < 0.001, respectively. Conclusion: This study concluded veneers fabricated using leucite reinforced lithium disilicate exhibited the least marginal discrepancy followed by lithium disilicate ceramic, aluminous porcelain, and zirconia-based ceramics. The marginal discrepancy was more in the incisal region than in the cervical region in all the groups.

Relationship between peri-incisional dysesthesia and the vertical and oblique incisions on the hamstrings harvest in anterior cruciate ligament reconstruction

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Marcos Laube Leite

Full Text Available ABSTRACT OBJECTIVE: To compare the incidence of peri-incisional dysesthesia according to the skin incision technique for hamstring tendon graft harvest in anterior cruciate ligament reconstruction. METHODS: Thirty-three patients with ACL rupture were separated in two groups: group 1, with 19 patients submitted to the oblique skin incision to access the hamstrings and group 2-14 patients operated by vertical skin incision technique. The selected patients were assessed after surgery. Demographic data and prevalence of dysesthesia was measured by digital pressure around the skin incision and classified according to the Highet scale. RESULTS: The total rate of dysesthesia was 42% (14 patients. Five patients (26% on the oblique incision group reported dysesthesia symptoms. On the group submitted to the vertical incision technique, the involvement was 64% (nine patients. On the 33 knees evaluated, the superior lateral area was the most affected skin region, while the superior medial and inferior medial regions were affected in only one patient (7.1%. No statistical differences between both groups were observed regarding patients' weight, age, and height¸ as well as skin incision length. CONCLUSION: Patients who underwent reconstruction of the anterior cruciate ligament using the oblique access technique had five times lower incidence of peri-incisional dysesthesia when compared with those in whom the vertical access technique was used.

[Is there a relation between mammaplasties incisions and the final shape of the breast?].

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Moufarrège, R; Dionyssopoulos, A; Aymeric, A; Sauvageau, J

2010-04-01

The results of reduction mammoplasty and mastopexy demonstrate a great variety of shapes derived from the particularities inherent to each technique. More precisely, it has become apparent to us that the usage of an abnormally long vertical scar leads to a suboptimal final shape of the breast due to the excessive projection compared to its height. Although our clientele continually asks to minimize scars, we have noticed a resurgence in the literature of vertical incision mammoplasty techniques albeit with a scar of an excessive length. The multitude of publications leads to an evident and consistent conclusion: breasts reconstructed with an overly long vertical incision all suffer the same deformity characterized by a banana or squash-shaped breast. We studied the totality of publications on vertical incision technique mammoplasty from the last 15 years and realised they all presented the same problem: an abnormally low height/projection ratio. These numbers have been confronted by the golden ratio established by the first author (2005) [1]. The breast's golden ratio developed by Moufarrège is optimal at a number close to, or superior to 2. Results between 2 and 1.5 are acceptable. All height/projection ratios inferior to 1.5 correspond to suboptimal breast shapes. Furthermore, the totality of results in the vertical scar mammoplasty technique which displayed unsatisfying results had a height/projection ratio inferior to 1.5. Those who promote the vertical incision have the greatest drive to encourage other plastic surgeons to abandon the traditional mutilating boat anchor scar. Nevertheless, they should always remember the deforming effect caused by exaggerated vertical incisions which may be avoided by transforming it into an inverted T with short horizontal branches, a small price to pay to obtain a superior aesthetic result. Copyright 2009 Elsevier Masson SAS. All rights reserved.

River longitudinal profiles and bedrock incision models: Stream power and the influence of sediment supply

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Sklar, Leonard; Dietrich, William E.

The simplicity and apparent mechanistic basis of the stream power river incision law have led to its wide use in empirical and theoretical studies. Here we identify constraints on its calibration and application, and present a mechanistic theory for the effects of sediment supply on incision rates which spotlights additional limitations on the applicability of the stream power law. On channels steeper than about 20%, incision is probably dominated by episodic debris flows, and on sufficiently gentle slopes, sediment may bury the bedrock and prevent erosion. These two limits bound the application of the stream power law and strongly constrain the possible combination of parameters in the law. In order to avoid infinite slopes at the drainage divide in numerical models of river profiles using the stream power law it is commonly assumed that the first grid cell is unchanneled. We show, however, that the size of the grid may strongly influence the calculated equilibrium relief. Analysis of slope-drainage area relationships for a river network in a Northern California watershed using digital elevation data and review of data previously reported by Hack reveal that non-equilibrium profiles may produce well defined slope-area relationships (as expected in equilibrium channels), but large differences between tributaries may point to disequilibrium conditions. To explore the role of variations in sediment supply and transport capacity in bedrock incision we introduce a mechanistic model for abrasion of bedrock by saltating bedload. The model predicts that incision rates reach a maximum at intermediate levels of sediment supply and transport capacity. Incision rates decline away from the maximum with either decreasing supply (due to a shortage of tools) or increasing supply (due to gradual bed alluviation), and with either decreasing transport capacity (due to less energetic particle movement) or increasing transport capacity (due less frequent particle impacts per unit bed

CO2 temperature-controlled laser soldering of pig trachea incisions in vitro using flexible albumin bands

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Sharvit, Dan; Vasilyev, Tamar; Vasserman, Irena; Simhon, David; Kariv, Naam; DeRowe, Ari; Katzir, Abraham

2005-04-01

Resection of a segment of the trachea is a procedure applied for the removal of cervical tumors invading the trachea, or for the treatment of severe tracheal stenosis. The current method of anastomosis is based on multiple sutures. The main drawbacks of this method are: 1) A long procedure time, 2) An air leakage, and 3) An inflammatory response to the sutures. In this study we evaluated the feasibility and effectiveness of the use of temperature controlled CO2 laser soldering of incisions in pig tracheas in vitro. A transverse incision was made in a separated pig trachea. A flexible albumin band was prepared and was laser soldered with albumin solder to the outer surface of the trachea, covering the incision. The soldered trachea ends were sealed and the burst pressure was measured. In a series of in vitro experiments, the mean burst pressure was found to be 230 mm Hg. These preliminary results demonstrated that laser soldering using a flexible albumin band may be a useful method for sealing an incision in the trachea.

Single-incision laparoscopic distal gastrectomy for early gastric cancer through a homemade single port access device.

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Jiang, Zhi-Wei; Zhang, Shu; Wang, Gang; Zhao, Kun; Liu, Jiang; Ning, Li; Li, Jieshou

2015-01-01

We presented a series of single-incision laparoscopic distal gastrectomies for early gastric cancer patients through a type of homemade single port access device and some other conventional laparoscopic instruments. A single-incision laparoscopic distal gastrectomy with D1 + α lymph node dissection was performed on a 46 years old male patient who had an early gastric cancer. This single port access device has facilitated the conventional laparoscopic instruments to accomplish the surgery and we made in only 6 minutes. Total operating time for this surgery was 240 minutes. During the operation, there were about 100 milliliters of blood loss, and 17 lymph-nodes were retrieved. This homemade single port access device shows its superiority in economy and convenience for complex single-incision surgeries. Single-incision laparoscopic distal gastrectomy for early gastric cancer can be conducted by experienced laparoscopic surgeons. Fully take advantage of both SILS and fast track surgery plan can bring to successful surgeries with minimal postoperative pain, quicker mobilization, early recovery of intestinal function, and better cosmesis effect for the patients.

Tratamiento de los espacios fluviales urbanos andaluces en la planificación territorial y sectorial

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David González Rojas

2017-01-01

Full Text Available La recuperación y conservación de los espacios fluviales urbanos debe insertarse dentro de los procesos de planificación territorial y sectorial. El presente trabajo analiza la evolución y las transformaciones de los espacios fluviales urbanos en Andalucía durante las últimas décadas, a través del análisis de los distintos planes. Para el estudio de las relaciones entre el planeamiento territorial y sectorial y los espacios fluviales urbanos se ha realizado una recopilación de los documentos actualmente aprobados o en tramitación. En el artículo se destacan los avances durante el periodo estudiado, pero también las inercias, resistencias y nuevos problemas asociados. El esfuerzo realizado para la ordenación de los ríos a su paso por las ciudades no ha tenido su reflejo en los resultados obtenidos, siendo las interrelaciones entre la gestión del agua y del territorio (regional, subregional y municipal una cuestión no resuelta.

Optimizing sampling strategy for radiocarbon dating of Holocene fluvial systems in a vertically aggrading setting

International Nuclear Information System (INIS)

Toernqvist, T.E.; Dijk, G.J. Van

1993-01-01

The authors address the question of how to determine the period of activity (sedimentation) of fossil (Holocene) fluvial systems in vertically aggrading environments. The available data base consists of almost 100 14 C ages from the Rhine-Meuse delta. Radiocarbon samples from the tops of lithostratigraphically correlative organic beds underneath overbank deposits (sample type 1) yield consistent ages, indicating a synchronous onset of overbank deposition over distances of at least up to 20 km along channel belts. Similarly, 14 C ages from the base of organic residual channel fills (sample type 3) generally indicate a clear termination of within-channel sedimentation. In contrast, 14 C ages from the base of organic beds overlying overbank deposits (sample type 2), commonly assumed to represent the end of fluvial sedimentation, show a large scatter reaching up to 1000 14 C years. It is concluded that a combination of sample types 1 and 3 generally yields a satisfactory delimitation of the period of activity of a fossil fluvial system. 30 refs., 11 figs., 4 tabs

Normalized Urinary Flow at Puberty after Tubularized Incised Plate Urethroplasty for Hypospadias in Childhood.

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Andersson, Marie; Doroszkiewicz, Monika; Arfwidsson, Charlotte; Abrahamsson, Kate; Sillén, Ulla; Holmdahl, Gundela

2015-11-01

An obstructive urinary flow pattern is frequently seen after tubularized incised plate urethroplasty for hypospadias. However, the significance of this finding has not been determined and long-term results are few. We describe postoperative long-term uroflowmetry results after puberty in males who underwent tubularized incised plate urethroplasty in childhood. A total of 126 boys underwent tubularized incised plate urethroplasty for distal penile to mid shaft hypospadias at Queen Silvia Children's Hospital in Gothenburg between 1999 and 2003. Of the patients 48 were toilet trained at surgery. We report on 40 patients who had data available at 2 and 12 months postoperatively, 7 years postoperatively and at puberty (median age 15.0 years, range 13.7 to 17.1). Of the patients 31 had distal and 9 had mid penile hypospadias. Clinical examination, urinary medical history, uroflowmetry and ultrasound measuring residual urine were performed. Maximum urinary flow was correlated to age and voided volume, using Miskolc nomograms for comparison of percentiles. At 1 year postoperatively 15 boys (37.5%) had normal urinary flow (above 25th percentile), compared to 16 (40%) at 7 years and 38 (95%) at puberty (p puberty for boys with hypospadias treated with tubularized incised plate urethroplasty. Unless symptoms occur, a conservative approach seems preferable. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Fluvial-aeolian interactions in sediment routing and sedimentary signal buffering: an example from the Indus Basin and Thar Desert

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East, Amy E.; Clift, Peter D.; Carter, Andrew; Alizai, Anwar; VanLaningham, Sam

2015-01-01

Sediment production and its subsequent preservation in the marine stratigraphic record offshore of large rivers are linked by complex sediment-transfer systems. To interpret the stratigraphic record it is critical to understand how environmental signals transfer from sedimentary source regions to depositional sinks, and in particular to understand the role of buffering in obscuring climatic or tectonic signals. In dryland regions, signal buffering can include sediment cycling through linked fluvial and eolian systems. We investigate sediment-routing connectivity between the Indus River and the Thar Desert, where fluvial and eolian systems exchanged sediment over large spatial scales (hundreds of kilometers). Summer monsoon winds recycle sediment from the lower Indus River and delta northeastward, i.e., downwind and upstream, into the desert. Far-field eolian recycling of Indus sediment is important enough to control sediment provenance at the downwind end of the desert substantially, although the proportion of Indus sediment of various ages varies regionally within the desert; dune sands in the northwestern Thar Desert resemble the Late Holocene–Recent Indus delta, requiring short transport and reworking times. On smaller spatial scales (1–10 m) along fluvial channels in the northern Thar Desert, there is also stratigraphic evidence of fluvial and eolian sediment reworking from local rivers. In terms of sediment volume, we estimate that the Thar Desert could be a more substantial sedimentary store than all other known buffer regions in the Indus basin combined. Thus, since the mid-Holocene, when the desert expanded as the summer monsoon rainfall decreased, fluvial-eolian recycling has been an important but little recognized process buffering sediment flux to the ocean. Similar fluvial-eolian connectivity likely also affects sediment routing and signal transfer in other dryland regions globally.

Nd:YAG laser incision of the vesical neck in obstructive BPH

Science.gov (United States)

Gilbert, Peter T. O.

2003-06-01

From February, 1995 through June, 2002, 68 patients underwent laser incision of the prostate at our clinic. By means of a 23 F cytoscope and a 600 micrometer lateral firing quartz fiber the vesical neck was incised at the 5 and 7 o'clock position at 60 W power. Total energy averaged 13648 J. Operative time did not exceed 15 minutes. General anesthesia was employed in all but one patient. 38 patients remained catheter-free whereas 30 patients were catheterized for two hours. Except for three cases, all patients were discharged on the same day, usually after the first micturition. Anti-inflammatory treatment was administered for two weeks, Cotrimoxazole for 5 days. No serious complications were encountered. Minor side effects included urinary retention (1 pat.), urinary infection (3 pat.) and retrograde ejaculation (1 pat.). Considering a mean follow-up of 21 months, the average Qmax improved enormously (25.4 ml/s versus 10.9 ml/s), as did residual urine volume (35 ml versus 95 ml) and IPSS (7.1 versus 20.5). Three patients required TUR-P 2-3 years after laser surgery and one patient underwent radical retropubic prostatectomy for prostate cancer 2 years later. In conclusion, Nd:YAG laser incision of the prostate is a simple, safe, reliable and cost-effective outpatient procedure.

Infra Patellar Branch of Saphenous Nerve Injury during Hamstring Graft Harvest: Vertical versus Oblique Incisions.

Science.gov (United States)

Joshi, A; Kayasth, N; Shrestha, S; Kc, B R

2016-09-01

Autologous hamstring grafts are commonly used for anterior cruciate ligament reconstruction. The injury of infrapatellar branch of saphenous nerve is one of the concerns leading to various pattern of sensory loss in the operated leg. An oblique incision to harvest the graft has been reported to be better than the vertical one.The aim of this study was to compare the incidence, recovery of nerve injury and final outcome in patients with hamstring harvest of vertical or oblique incision. A total of 146 patients who underwent hamstring graft harvest for anterior cruciate ligament reconstruction, were included in the study. They were randomized into two (Vertical and Oblique) groups as per the incisions used. The sensory loss along the Infra Patellar Branch of Saphenous Nerve was documented on 3rd day. Recovery of the nerve injury was monitoredat three, six and 12 months follow-ups. At final follow up Tegner Lysholm score and scale was recorded to compare between two groups. The incidence of infrapatellar branch of saphenous nerve injury was 25% in vertical group and 16.36% in oblique group. Recovery of nerve injury started earlier in oblique group compared to vertical group. The mean TegnerLyshom score was not significantly different in both the groups. Oblique incision to harvest hamstring graft has lesser incidence of infrapatellar branch of saphenous nerve injury, recovers earlier and does not have any adverse effect on final outcome compared to the vertical incision.

Virtual Incision Pattern Planning using Three-Dimensional Images for Optimization of Syndactyly Surgery

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Inge A. Hoevenaren, MD

2018-03-01

Full Text Available Summary:. Syndactyly is a congenital condition characterized by fusion of the fingers. If not treated correctly during infancy, syndactyly may hinder the normal development of hand function. Many surgical techniques have been developed, with the main goal to create a functional hand with the smallest number of operative corrections. Therefore, exact preoperative planning of the reconstructive procedure is essential. An imaging method commonly used for preoperative planning is 3-dimensional (3D surface imaging. The goal of this study was to implement the use of this technique in hand surgery, by designing a virtual planning tool for a desyndactylization procedure based on 3D hand images. A 3D image of a silicon syndactyly model was made on which the incision pattern was virtually designed. A surgical template of this pattern was printed, placed onto the silicon model and delineated. The accuracy of the transfer from the virtual delineation toward the real delineation was calculated, resulting in a mean difference of 0.82 mm. This first step indicates that by using 3D images, a virtual incision pattern can be created and transferred back onto the patient successfully in an easy and accurate way by using a template. Thereafter, 3D hand images of 3 syndactyly patients were made, and individual virtual incision patterns were created. Each pattern was transferred onto the patient by using a 3D printed template. The resulting incision pattern needed minor modifications by the surgeon before the surgery was performed. Further research and validation are necessary to develop the virtual planning of desyndactylization procedures.

Quantifying incision rates since the early Miocene: novelties, potentialities and limitations

Science.gov (United States)

Sartégou, A.; Braucher, R.; Blard, P. H.; Bourlès, D. L.; Zimmermann, L.; Tibari, B.; Voinchet, P.; Bahain, J. J.; Sorriaux, P.; Leanni, L.; Team, A.

2017-12-01

The rates and chronologies of valley incision are closely modulated by the tectonic uplift of active mountain ranges and were controlled by repeated climate changes during the Quaternary. The Pyrenees are a continental collision between the Iberian and Eurasian plates induced a double vergence orogen, which has been considered as a mature mountain range in spite of significant seismicity and evidence of neotectonics. Nevertheless, recent studies indicate that the range may have never reached a steady state. One option for resolving this controversy is to quantify the incision rates since the Miocene by reconstructing the vertical movement of geometric markers. However, the few available ages from the Pyrenean terrace systems do not exceed the middle Pleistocene. To enlarge the time span of this dataset, we studied alluvium-filled horizontal epiphreatic passages in limestone karstic networks, which represent former valley floors. They record the transient position of former local base levels during the process of valley deepening. We used various suitable geochronological methods (26Al/10Be, 10Be/21Ne, ESR and OSL burial durations on quartz) on intrakarstic alluvial deposits from three valleys of the central and eastern Pyrenees, as well as on a recent analogue. In the Pyrenean context, under particular conditions, these geochronometers allow us to document incision processes since 16-13 Ma, and to study influences of external forcing and eustatism. In comparison with other studies, it appears that incision rates are higher in the central Pyrenees and for the Spanish slope. However, the density of horizontal levels on an altimetric range, the geodynamical and paleoclimatic contexts, the reorganization of the drainage networks can make the filling stories of the networks more complex than expected. Indeed, these radiometric approaches may be limited when some formations are reworked inside and/or outside the karst. The validity of dosimetric methods in a mountainous

Fluvial particle characterization using artificial neural network and spectral image processing

Science.gov (United States)

Shrestha, Bim Prasad; Gautam, Bijaya; Nagata, Masateru

2008-03-01

Sand, chemical waste, microbes and other solid materials flowing with the water bodies are of great significance to us as they cause substantial impact to different sectors including drinking water management, hydropower generation, irrigation, aquatic life preservation and various other socio-ecological factors. Such particles can't completely be avoided due to the high cost of construction and maintenance of the waste-treatment methods. A detailed understanding of solid particles in surface water system can have benefit in effective, economic, environmental and social management of water resources. This paper describes an automated system of fluvial particle characterization based on spectral image processing that lead to the development of devices for monitoring flowing particles in river. Previous research in coherent field has shown that it is possible to automatically classify shapes and sizes of solid particles ranging from 300-400 μm using artificial neural networks (ANN) and image processing. Computer facilitated with hyper spectral and multi spectral images using ANN can further classify fluvial materials into organic, inorganic, biodegradable, bio non degradable and microbes. This makes the method attractive for real time monitoring of particles, sand and microorganism in water bodies at strategic locations. Continuous monitoring can be used to determine the effect of socio-economic activities in upstream rivers, or to monitor solid waste disposal from treatment plants and industries or to monitor erosive characteristic of sand and its contribution to degradation of efficiency of hydropower plant or to identify microorganism, calculate their population and study the impact of their presence. Such system can also be used to characterize fluvial particles for planning effective utilization of water resources in micro-mega hydropower plant, irrigation, aquatic life preservation etc.

Insights into organic carbon oxidation potential during fluvial transport from laboratory and field experiments

Science.gov (United States)

Scheingross, J. S.; Dellinger, M.; Eglinton, T. I.; Fuchs, M. C.; Golombek, N.; Hilton, R. G.; Hovius, N.; Lupker, M.; Repasch, M. N.; Sachse, D.; Turowski, J. M.; Vieth-Hillebrand, A.; Wittmann, H.

2017-12-01

Over geologic timescales, the exchange of organic carbon (OC) between the atmosphere, hydropshere, biosphere and geosphere can be a major control on atmospheric carbon dioxide concentrations. The carbon fluxes from the oxidation of rock-derived OC (a CO2 source) and erosion, transport, and burial of biospheric OC (a potential CO2 sink) during fluvial transit are approximately the same order of magnitude or larger than those from silicate weathering. Despite field data showing increasing oxidation of OC moving downstream in lowland rivers, it is unclear if losses occur primarily during active fluvial transport, where OC is in continual motion within an aerated river, or during periods of temporary storage in river floodplains which may be anoxic. The unknown location of OC oxidation (i.e., river vs. floodplain) limits our ability to mechanistically link geochemical and geomorphic processes which are required to develop models capable of predicting OC losses, constrain carbon budgets, and unravel links between climate, tectonics, and erosion. To fill this knowledge gap, we investigated OC oxidation in controlled laboratory experiments and a simplified field setting. We performed experiments in annular flumes that simulate fluvial transport without floodplain storage, allowing mixtures of OC-rich and siliciclastic sediment to be transported for distances of 1000 km. Preliminary experiments exploring both rock-derived and biospheric OC sources show minimal OC oxidation during active river transport, consistent with the idea that the majority of OC loss occurs during transient floodplain storage. These results are also consistent with new field data collected in the Rio Bermejo, Argentina, a lowland river traversing 800 km with no tributary inputs, where aged floodplain deposits have 3 to 10 times lower OC concentrations compared to modern river sediments. Together our field data and experiments support the hypothesis that oxidation of OC occurs primarily during

Type of incision does not predict abdominal wall outcome after emergency surgery for colonic anastomotic leakage

DEFF Research Database (Denmark)

Jensen, Kristian Kiim; Oma, Erling; Harling, Henrik

2017-01-01

for anastomotic leakage were included with a median follow-up of 5.4 years. Incisional hernia occurred in 41 of 227 (15.3%) patients undergoing midline incision compared with 14 of 81 (14.7%) following transverse incision, P = 1.00. After adjusting for confounders, there was no association between the type...... not predict abdominal wall outcome after emergency surgery for colonic anastomotic leakage....

Can post-sternotomy mediastinitis be prevented by a closed incision management system?

Directory of Open Access Journals (Sweden)

Dohmen, Pascal M.

2014-09-01

Full Text Available [english] Post-sternotomy mediastinitis is a serious complication after cardiothoracic surgery and contribute significantly to post-operative morbidity, mortality, and healthcare costs. Negative pressure wound therapy is today’s golden standard for post-sternotomy mediastinitis treatment. A systematic literature search was conducted at PubMed until October 2012 to analyse whether vacuum-assisted closure technique prevents mediastinitis after clean surgical incisions closure. Today’s studies showed reduction of post-sternotomy mediastinitis including a beneficial socio-economic impact. Current studies, however included only high-risk patients, hence furthermore, larger randomised controlled trials are warranted to clarify the benefit for using surgical incision vacuum management systems in the general patient population undergoing sternotomy and clarify risk factor interaction.

Solo Single-Incision Laparoscopic Resectional Roux-en-Y Gastric Bypass for Morbid Obesity with Metabolic Syndrome.

Science.gov (United States)

Kang, So Hyun; Lee, Yoontaek; Park, Young Suk; Ahn, Sang-Hoon; Park, Do Joong; Kim, Hyung-Ho

2017-12-01

With the advancement of laparoscopic devices and surgical technology, the era of minimal invasive surgery has progressed to reduced-port surgery, and finally to single-incision laparoscopic surgery (SILS). Several reports show successful application of SILS to various types of bariatric surgery. Oftentimes, this requires a skilled and experienced scopist to perform the procedure. To overcome the technical difficulties of single-incision Roux-en-Y gastric bypass, a manual scope holder was used instead of an assistant scopist, greatly stabilizing the field of view. This allows the surgery to be performed at any time without being influenced by the need of a highly experienced scopist. In this report, we describe in detail the world's first solo single-incision laparoscopic resectional Roux-en-Y gastric bypass.

A fast, parallel algorithm to solve the basic fluvial erosion/transport equations

Science.gov (United States)

Braun, J.

2012-04-01

Quantitative models of landform evolution are commonly based on the solution of a set of equations representing the processes of fluvial erosion, transport and deposition, which leads to predict the geometry of a river channel network and its evolution through time. The river network is often regarded as the backbone of any surface processes model (SPM) that might include other physical processes acting at a range of spatial and temporal scales along hill slopes. The basic laws of fluvial erosion requires the computation of local (slope) and non-local (drainage area) quantities at every point of a given landscape, a computationally expensive operation which limits the resolution of most SPMs. I present here an algorithm to compute the various components required in the parameterization of fluvial erosion (and transport) and thus solve the basic fluvial geomorphic equation, that is very efficient because it is O(n) (the number of required arithmetic operations is linearly proportional to the number of nodes defining the landscape), and is fully parallelizable (the computation cost decreases in a direct inverse proportion to the number of processors used to solve the problem). The algorithm is ideally suited for use on latest multi-core processors. Using this new technique, geomorphic problems can be solved at an unprecedented resolution (typically of the order of 10,000 X 10,000 nodes) while keeping the computational cost reasonable (order 1 sec per time step). Furthermore, I will show that the algorithm is applicable to any regular or irregular representation of the landform, and is such that the temporal evolution of the landform can be discretized by a fully implicit time-marching algorithm, making it unconditionally stable. I will demonstrate that such an efficient algorithm is ideally suited to produce a fully predictive SPM that links observationally based parameterizations of small-scale processes to the evolution of large-scale features of the landscapes on

Maternal infection rates after cesarean delivery by Pfannenstiel or Joel-Cohen incision: a multicenter surveillance study.

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Dumas, Anne Marie; Girard, Raphaële; Ayzac, Louis; Caillat-Vallet, Emmanuelle; Tissot-Guerraz, Françoise; Vincent-Bouletreau, Agnès; Berland, Michel

2009-12-01

Our purpose was to evaluate maternal nosocomial infection rates according to the incision technique used for caesarean delivery, in a routine surveillance study. This was a prospective study of 5123 cesarean deliveries (43.2% Joel-Cohen, 56.8% Pfannenstiel incisions) in 35 maternity units (Mater Sud Est network). Data on routine surveillance variables, operative duration, and three additional variables (manual removal of the placenta, uterine exteriorization, and/or cleaning of the parieto-colic gutter) were collected. Multiple logistic regression analysis was used to identify independent risk factors for infection. The overall nosocomial infection and endometritis rates were higher for the Joel-Cohen than Pfannenstiel incision (4.5% vs. 3.3%, 0.8% vs. 0.3%, respectively). The higher rate of nosocomial infections with the Joel-Cohen incision was due to a greater proportion of patients presenting risk factors (i.e., emergency delivery, primary cesarean, blood loss > or =800 mL, no manual removal of the placenta and no uterine exteriorization). However, the Joel-Cohen technique was an independent risk factor for endometritis. The Joel-Cohen technique is faster than the Pfannenstiel technique but is associated with a higher incidence of endometritis.

Addition of rectus sheath relaxation incisions to emergency midline laparotomy for peritonitis to prevent fascial dehiscence.

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Marwah, Sanjay; Marwah, Nisha; Singh, Mandeep; Kapoor, Ajay; Karwasra, Rajender Kumar

2005-02-01

The incidence of fascial dehiscence and incisional hernia after two methods for abdominal wound closure (rectus sheath relaxation incisions and conventional mass closure) was studied in a randomized prospective clinical trial in a consecutive series of 100 patients undergoing midline laparotomy for peritonitis. The two groups were well matched for etiologies of peritonitis, the surgical procedures performed, and the presence of known risk factors for fascial dehiscence. Fifty patients each were randomized either to the conventional continuous mass closure procedure or the rectus sheath relaxation incision technique (designed to increase wound elasticity and decrease tension in the suture line) using identical polypropylene sutures. The incidence of postoperative complications such as duration of ileus, chest infection, and wound infection were not statistically different between the two groups. The intensity of postoperative pain in the rectus sheath relaxation incision group was significantly less. The incidence of wound hematoma was significantly increased in the rectus sheath relaxation incision group. The incidences of fascial dehiscence (16% vs,28%; p cases of peritonitis using the rectus sheath relaxation technique is safe and less painful, provides increased wound elasticity and decreased tension on the suture line, and significantly decreases the incidence of wound dehiscence.

Excursions in fluvial (dis)continuity

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Grant, Gordon E.; O'Connor, James E.; Safran, Elizabeth

2017-01-01

Lurking below the twin concepts of connectivity and disconnectivity are their first, and in some ways, richer cousins: continuity and discontinuity. In this paper we explore how continuity and discontinuity represent fundamental and complementary perspectives in fluvial geomorphology, and how these perspectives inform and underlie our conceptions of connectivity in landscapes and rivers. We examine the historical roots of continuum and discontinuum thinking, and how much of our understanding of geomorphology rests on contrasting views of continuity and discontinuity. By continuum thinking we refer to a conception of geomorphic processes as well as geomorphic features that are expressed along continuous gradients without abrupt changes, transitions, or thresholds. Balance of forces, graded streams, and hydraulic geometry are all examples of this perspective. The continuum view has played a prominent role in diverse disciplinary fields, including ecology, paleontology, and evolutionary biology, in large part because it allows us to treat complex phenomena as orderly progressions and invoke or assume equilibrium processes that introduce order and prediction into our sciences.In contrast the discontinuous view is a distinct though complementary conceptual framework that incorporates non-uniform, non-progressive, and non-equilibrium thinking into understanding geomorphic processes and landscapes. We distinguish and discuss examples of three different ways in which discontinuous thinking can be expressed: 1) discontinuous spatial arrangements or singular events; 2) specific process domains generally associated with thresholds, either intrinsic or extrinsic; and 3) physical dynamics or changes in state, again often threshold-linked. In moving beyond the continuous perspective, a fertile set of ideas comes into focus: thresholds, non-equilibrium states, heterogeneity, catastrophe. The range of phenomena that is thereby opened up to scientific exploration similarly expands

Feasibility of single-incision laparoscopic surgery for appendicitis in abnormal anatomical locations: A single surgeon′s initial experience

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Sanoop K Zachariah

2013-01-01

Full Text Available Background: Single-incision laparoscopic surgery is considered as a more technically demanding procedure than the standard laparoscopic surgery. Based on an initial and early experience, single-incision laparoscopic appendectomy (LA was found to be technically advantageous for dealing with appendicitis in unusual anatomical locations. This study aims to highlight the technical advantages of single-incision laparoscopic surgery in dealing with the abnormally located appendixes and furthermore report a case of acute appendicitis occurring in a sub-gastric position, which is probably the first such case to be reported in English literature. Materials and Methods: A retrospective analysis of the first 10 cases of single-incision LA which were performed by a single surgeon is presented here. Results: There were seven females and three males. The mean age of the patients was 30.6 (range 18-52 years, mean BMI was 22.7 (range 17-28 kg/m 2 and the mean operative time was 85.5 (range 45-150 min. The mean postoperative stay was 3.6 (range 1-7 days. The commonest position of the appendix was retro-caecal (50% followed by pelvic (30%. In three cases the appendix was found to be in abnormal locations namely sub-hepatic, sub-gastric and deep pelvic or para-vesical or para-rectal. All these cases could be managed with this technique without any conversions Conclusion: Single-incision laparoscopic surgery appears to be a feasible and safe technique for dealing with appendicitis in rare anatomical locations. Appendectomy may be a suitable procedure for the initial training in single-incision laparoscopic surgery.

[Surgical treatment for incisions fat colliquation or infections at early stage after operation of lumbar disc herniation].

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Guan, Ting-Jin; Zheng, Liang-Guo; Sun, Peng; Li, Xing-Xue

2014-05-01

To explore the reason, key diagnosic point and therapeutic method of the incisions fat colliquation or infections at early stage after operation of lumbar disc herniation. From July 2007 to May 2012, clinical data of 11 patients with incision fat liquefaction or early infection after lumbar discectomy were retrospectively analyzed. There were 5 males and 6 females with an average age of 43.1 years, and the mean time of incisions fat colliquation or infection was 5 days and a half after operation. The main clinical features included local wound pain aggravating, fervescence, fresh seepage in the wound, and blood inflammatory index increased, etc. The wound could heal at the first treatment stage or not was an evaluation standard of curative effect. All patients were followed up with an average period of 21 months. The wounds of 10 cases healed at the first stage without recurrence and complications. In 1 case infected by staphylococcus aureus, distal part of the wound present local red, swelling and with wave motion at 2 months after operation, staphylococcus aureus infection was confirmed after puncture and bacterial culture, and 1 thrum was found after local incision. The wound healed after change dressings for 1 week, without recurrence after followed up for 13 months. Preventing the risk factors before operation, minimizing invasive technique during operation reasonable antibiotics application for the lumbar operation reguiring placement objects, and correctly handling with wound after operation could prevent and reduce the incidence of incisions fat liquefaction or infection after operation of lumbar disc herniation. For incision fat liquefaction or infection, early diagnosis, debridement, VSD negative pressure irrigation and drainage, to choosing sensitive antibiotics according to the results of drug sensitivity, may contribute to wound early healing and decrease complication.

Feasibility of Performing Total Skin-Sparing Mastectomy in Patients With Prior Circumareolar Mastopexy or Reduction Mammoplasty Incisions.

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Vaughn, Carolyn J; Peled, Anne Warren; Esserman, Laura J; Foster, Robert D

2013-06-19

Total skin-sparing mastectomy (TSSM) techniques with preservation of the nipple-areolar complex (NAC) skin are becoming increasingly popular due to improved cosmesis without compromise in oncologic safety. However, these techniques are not routinely offered to patients who have undergone previous breast surgery involving circumareolar incisions due to concern for NAC viability. We reviewed the outcomes of TSSM in 11 patients who underwent 21 TSSM procedures at our institution between 2008 and 2011. All patients had undergone previous breast surgery including reduction mammaplasty (7 breasts), mastopexy (4 breasts), augmentation (3 breasts), and combined mastopexy-augmentation (7 breasts). Incisions from previous breast surgery included circumareolar (11 cases) and Wise pattern (10 cases) incisions. All patients underwent TSSM through an inframammary incision followed by immediate tissue expander reconstruction and subsequent implant exchange. Patient demographics, previous breast surgery details, tumor and treatment characteristics, and postoperative complications were reviewed. Mean patient age was 43 years (range, 35-53 years) and mean body mass index was 24 kg/m (range, 19-32 kg/m). Mean follow-up was 10.2 months (range, 3-20 months).Indications for TSSM included prophylactic risk reduction in 10 cases, in situ cancer in 2 cases, and invasive cancer in 9 cases. Mean time from previous breast surgery to mastectomy was 6.9 years (range, 6 months-26 years). Major complications requiring operative reintervention included 1 (4.8%) case of cellulitis requiring expander removal and 2 (9.5%) cases of wound breakdown requiring operative closure. There were no complications involving the NAC. Total skin-sparing mastectomy with immediate reconstruction can safely be performed in patients who have undergone previous breast surgery involving circumareolar incisions. Our preferred technique in this group of patients is to perform TSSM through an inframammary incision with 2

Cannabidiol Is a Potential Therapeutic for the Affective-Motivational Dimension of Incision Pain in Rats

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Karina Genaro

2017-06-01

Full Text Available Background: Pain involves different brain regions and is critically determined by emotional processing. Among other areas, the rostral anterior cingulate cortex (rACC is implicated in the processing of affective pain. Drugs that interfere with the endocannabinoid system are alternatives for the management of clinical pain. Cannabidiol (CBD, a phytocannabinoid found in Cannabis sativa, has been utilized in preclinical and clinical studies for the treatment of pain. Herein, we evaluate the effects of CBD, injected either systemically or locally into the rACC, on mechanical allodynia in a postoperative pain model and on the negative reinforcement produced by relief of spontaneous incision pain. Additionally, we explored whether CBD underlies the reward of pain relief after systemic or rACC injection.Methods and Results: Male Wistar rats were submitted to a model of incision pain. All rats had mechanical allodynia, which was less intense after intraperitoneal CBD (3 and 10 mg/kg. Conditioned place preference (CPP paradigm was used to assess negative reinforcement. Intraperitoneal CBD (1 and 3 mg/kg inverted the CPP produced by peripheral nerve block even at doses that do not change mechanical allodynia. CBD (10 to 40 nmol/0.25 μL injected into the rACC reduced mechanical allodynia in a dose-dependent manner. CBD (5 nmol/0.25 μL did not change mechanical allodynia, but reduced peripheral nerve block-induced CPP, and the higher doses inverted the CPP. Additionally, CBD injected systemically or into the rACC at doses that did not change the incision pain evoked by mechanical stimulation significantly produced CPP by itself. Therefore, a non-rewarding dose of CBD in sham-incised rats becomes rewarding in incised rats, presumably because of pain relief or reduction of pain aversiveness.Conclusion: The study provides evidence that CBD influences different dimensions of the response of rats to a surgical incision, and the results establish the rACC as a

Transient river response, captured by channel steepness and its concavity

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Vanacker, Veerle; von Blanckenburg, Friedhelm; Govers, Gerard; Molina, Armando; Campforts, Benjamin; Kubik, Peter W.

2015-01-01

Mountain rivers draining tropical regions are known to be great conveyor belts carrying efficiently more than half of the global sediment flux to the oceans. Many tropical mountain areas are located in tectonically active belts where the hillslope and stream channel morphology are rapidly evolving in response to changes in base level. Here, we report basin-wide denudation rates for an east-west transect through the tropical Andes. Hillslope and channel morphology vary systematically from east to west, reflecting the transition from high relief, strongly dissected topography in the escarpment zones into relatively low relief topography in the inter-Andean valley. The spatial pattern of differential denudation rates reflects the transient adjustment of the landscape to rapid river incision following tectonic uplift and river diversion. In the inter-Andean valley, upstream of the wave of incision, slopes and river channels display a relatively smooth, concave-up morphology and denudation rates (time scale of 104-105 a) are consistently low (3 to 200 mm/ka). In contrast, slopes and river channels of rejuvenated basins draining the eastern cordillera are steep to very steep; and the studied drainage basins show a wide range of denudation rate values (60 to 400 mm/ka) that increase systematically with increasing basin mean slope gradient, channel steepness, and channel convexity. Drainage basins that are characterised by strong convexities in their river longitudinal profiles systematically have higher denudation rates. As such, this is one of the first studies that provides field-based evidence of a correlation between channel concavity and basin mean denudation rates, consistent with process-based fluvial incision models.

Large Fluvial Fans: Aspects of the Attribute Array

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Wilkinson, Justin M.

2015-01-01

In arguing for a strict definition of the alluvial fan (coarse-grained with radii less than10 km, in mountain-front settings), Blair and McPherson (1994) proposed that there is no meaningful difference between large fluvial fans (LFF) and floodplains, because the building blocks of both are channel-levee-overbank deposits. Sediment bodies at the LFF scale (greater than 100 km long, fan-shaped in planform), are relatively unstudied although greater than 160 are now identified globally. The following perspectives suggest that the significance of LFF needs to be reconsidered.

Disposable skin staplers for closure of linear gastrointestinal incisions in dogs.

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Schwartz, Zeev; Coolman, Bradley R

2018-02-01

To report the clinical features and outcomes of linear gastrointestinal incisions closed with skin staples in dogs. Historical cohort study. 333 client-owned dogs. Medical records from 1 private referral hospital were searched for dogs that underwent gastrointestinal surgery between November 1999 and October 2015. Cases were included if skin staplers were used to close linear gastrointestinal incisions. Information regarding preoperative, surgical, and postoperative factors was collected. Complications were diagnosed in 8 of 245 (3.27%) dogs, including 3 of 245 (1.22%) dogs that died or were euthanized, 3 of 245 (1.22%) dogs with incisional dehiscence, and 2 of 245 (0.81%) dogs with attachment of a linear foreign body to the staples at the intestinal lumen. Dehiscence was noted at the enterotomy sites in 3 dogs at a mean time of 44 hours after surgery (SD ± 6.93). Two dogs presented with another linear foreign body that was attached to the staples in the intestinal lumen at postoperative days 24 and 42. The risk factors associated with incisional dehiscence included multiple gastrointestinal incisions performed in 1 surgery (χ 2 , P indication for surgical intervention, surgery location in the gastrointestinal tract, or surgeon experience and incisional dehiscence. Skin staplers provide safe and effective closure of gastrotomies, enterotomies, and colonotomies in dogs. This method is reliable, efficient, and affordable in the hands of veterinary surgeons with varying skill levels. © 2017 The American College of Veterinary Surgeons.

Pleistocene-Holocene sedimentation of Solimões-Amazon fluvial system between the tributaries Negro and Madeira, Central Amazon

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Eliezer Senna Gonçalves Júnior

Full Text Available ABSTRACT: In the scope of Solimões-Amazon fluvial system between the Negro and Madeira tributaries, three levels of Quaternary fluvial terraces overlie the Alter do Chão and Novo Remanso formations further than 100 km southward its current main channel. Smooth undulated topography presenting low drainages density formed by sparse secondary plain channels and rounded lakes characterizes these deposits. Internally, they show point bars morphology constituted by intercalated layers of mud (silt and clay and sand forming an inclined heterolithic stratification. The asymmetric distribution of fluvial terraces allied to the records of old scroll-bars features and paleochannels in many extensions of the Solimões River suggests the predominance of a meander pattern between 240 to 6 kyears. On the other hand, the development of the current anabranching pattern took place in the last six kyears due to the Holocene sea-level rise, besides the action of neotectonics and rainforest establishment related to the increase of humidity in Amazonia.

The influence of lip form on incisal display with lips in repose on the esthetic preferences of dentists and lay people.

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Kim, Jee; Topolski, Richard; Dickinson, Douglas; Ramos, Van

2017-09-01

Information is lacking for viewer preferences for incisal display with lips in repose. The purpose of this online survey was to establish measurement parameters to classify and define a lip form and to evaluate the influence of lip form on dentists' and laypersons' preferences for the amount of incisal display with lips in repose. Computer-generated male and female models were created using 3 different lip forms each, straight, moderate, and high. Three images of these models (frontal full face, zoomed-in frontal around the mouth, and oblique zoomed-in image of the mouth) were arranged in an interactive survey that was disseminated on the Websites Facebook, Instagram, DentalTown and by word-of-mouth. Respondents manipulated the incisal display of all 3 images in unison, using a slide bar, and the resulting incisal display was measured in millimeters and served as the primary dependent measure. Survey demographic data were obtained from an online survey site. Data were assessed for skewness, kurtosis, and outliers and analyzed with 5-way ANOVA: 2 sex levels for model, 2 levels for sex of respondent, 3 levels for lip height, 3 levels for occupation, and 5 levels of ethnicity, with multiple comparisons corrected with Bonferroni adjustments and post hoc comparisons performed using the Scheffé test (α=.05 for all comparisons). A total of 1039 individuals consented to the study. A final sample size of 687 respondents was obtained after excluding 352 who failed to complete the survey. The results indicated that lip form affected the esthetic perception of incisal display significantly (P<.001), with a preference for a greater amount of incisal display corresponding with increasing lip forms. Sex of the model was also significant, with greater incisal display being preferred for female faces. A significant difference was found for respondents' ethnicity, with African Americans generally preferring smaller incisal displays than other ethnic groups. No other main effects

[EFFECTIVENESS OF ADVANCED SKIN FLAP AND V-SHAPED VENTRAL INCISION ALONG THE ROOT OF PENILE SHAFT FOR CONCEALED PENIS].

Science.gov (United States)

Lin, Junshan; Li, Dumiao; Zhang, Jianxing; Wu, Qiang; Xu, Yali; Lin, Li

2015-09-01

To investigate effectiveness of advanced skin flap and V-shaped ventral incision along the root of penile shaft for concealed penis in children. Between July 2007 and January 2015, 121 boys with concealed penis were treated with advanced skin flap and V-shaped ventral incision along the root of penile shaft. The age varied from 18 months to 13 years (mean, 7.2 years). Repair was based on a vertical incision in median raphe, complete degloving of penis and tacking its base to the dermis of the skin. Advanced skin flap and a V-shaped ventral incision along the root of penile shaft were used to cover the penile shaft. The operation time ranged from 60 to 100 minutes (mean, 75 minutes). Disruption of wound occurred in 1 case, and was cured after dressing change; and primary healing of incision was obtained in the others. The follow-up period ranged from 3 months to 7 years (median, 24 months). All patients achieved good to excellent cosmetic results with a low incidence of complications. The results were satisfactory in exposure of penis and prepuce appearance. No obvious scar was observed. The penis had similar appearance to that after prepuce circumcision. A combination of advanced skin flap and V-shaped ventral incision along the root of penile shaft is a simple, safe, and effective procedure for concealed penis with a similar appearance result to the prepuce circumcision.

A new ‘superassemblage’ model explaining proximal-to-distal and lateral facies changes in fluvial environments, based on the Proterozoic Sanjauli Formation (Lesser Himalaya, India

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Ananya Mukhopadhyay

2016-09-01

Full Text Available Facies analysis of fluvial deposits of the Proterozoic Sanjauli Formation in the Lesser Himalaya was combined with an architectural analysis. On this basis, a model was developed that may be applied to other fluvial systems as well, whether old or recent. The new model, which might be considered as an assemblage of previous models, explains lateral variations in architecture and facies but is not in all respects consistent with the standard fluvial models. The Sanjauli fluvial model is unique in that it deals with lateral facies variations due to shifts of the base-level along with fluctuations in accommodation space owing to changes in palaeoclimate.

Incisive papilla and positions of maxillary anterior teeth among ...

African Journals Online (AJOL)

Results: One hundred and twelve maxillary casts generated from participants aged 18-35 years (mean age 22.39±2.00 years), with well aligned arches were studied. The maxillary central incisor exhibited a mean of 14.93±1.52mm from the posterior limit of the incisive papilla while the inter-canine line scored a mean of ...

Assessing the Effects of Climate on Global Fluvial Discharge Variability

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Hansford, M. R.; Plink-Bjorklund, P.

2017-12-01

Plink-Bjorklund (2015) established the link between precipitation seasonality and river discharge variability in the monsoon domain and subtropical rivers (see also Leier et al, 2005; Fielding et al., 2009), resulting in distinct morphodynamic processes and a sedimentary record distinct from perennial precipitation zone in tropical rainforest zone and mid latitudes. This study further develops our understanding of discharge variability using a modern global river database created with data from the Global Runoff Data Centre (GRDC). The database consists of daily discharge for 595 river stations and examines them using a series of discharge variability indexes (DVI) on different temporal scales to examine how discharge variability occurs in river systems around the globe. These indexes examine discharge of individual days and monthly averages that allows for comparison of river systems against each other, regardless of size of the river. Comparing river discharge patterns in seven climate zones (arid, cold, humid subtropics, monsoonal, polar, rainforest, and temperate) based off the Koppen-Geiger climate classifications reveals a first order climatic control on discharge patterns and correspondingly sediment transport. Four groupings of discharge patterns emerge when coming climate zones and DVI: persistent, moderate, seasonal, and erratic. This dataset has incredible predictive power about the nature of discharge in fluvial systems around the world. These seasonal effects on surface water supply affects river morphodynamics and sedimentation on a wide timeframe, ranging from large single events to an inter-annual or even decadal timeframe. The resulting sedimentary deposits lead to differences in fluvial architecture on a range of depositional scales from sedimentary structures and bedforms to channel complex systems. These differences are important to accurately model for several reasons, ranging from stratigraphic and paleoenviromental reconstructions to more

Anterograde axonal transport and intercellular transfer of WGA-HRP in trigeminal-innervated sensory receptors of rat incisive papilla.

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Chan, K Y; Byers, M R

1985-04-08

The ultrastructure and identification of WGA-HRP-labeled sensory receptors in the rat incisive papilla (the most anterior part of hard palate) were studied using semiserial thin sections. Various sensory receptors were organized according to three locations: dome region (ventral), chemosensory corpuscle region (medial to orifice of incisive canal), and lateral labium (apposing the incisive canal). In the dome region, the sensory receptors were localized in three sensory zones that were associated with surface ridges (one medial and two lateral). In each of these zones, intraepithelial receptor axons and Merkel receptors occurred in the epithelium, while simple unencapsulated corpuscles, glomerular-Meissner corpuscles, and incisive (encapsulated) corpuscles occurred in the lamina propria. In the chemosensory corpuscle region, chemosensory corpuscles and intraepithelial receptor axons were located in the epithelium, and incisive corpuscles were present in the lamina propria. In the lateral labium, only intraepithelial receptor axons were prominent. In all these sensory receptors, the preterminal axons and axon terminals were labeled with the tracer protein. In addition, some nonneuronal cells closely associated with the axon terminals were selectively labeled, e.g., terminal Schwann cells, lamellar Schwann cells, Merkel cells, corpuscular basal cells and chemosensory cells. Other adjacent cells were not labeled, e.g., unspecialized epithelial cells, capsular cells, corpuscular sustentacular cells, and fibroblasts. In both labeled axons and cells, WGA-HRP was incorporated into vesicles, tubules, and vacuolar organelles. The specific intercellular transfer of tracer protein may indicate trophic interactions between axon terminals and support cells in sensory receptors. The specific organization of multiple sensory receptors in the rat incisive papilla may provide a useful alternative system for studying somatosensory physiology.

Distinction of infected and non-infected post-surgical incisions with In-111-WBC scintigraphy

International Nuclear Information System (INIS)

Abdel-Nabi, H.; Hinkle, G.H.; Olsen, J.O.

1985-01-01

To determine if In-111-WBCs scintigraphy can distinguish between healing and infection in post-surgical wounds, a prospective study was performed in patients with 3-14 day old surgical incisions. Eighteen patients (11 males and 7 females) were scanned 24 hrs after injection of 0.5 mCi of In-111 labeled autologous leukocytes. The scan findings were correlated with blood and/wound cultures results and diagnosis at time of discharge. Incisional uptake of In-111-WBCs was noted in 9 patients with infected surgical wounds and was absent in those 9 patients with non-infected surgical wounds. The results of the authors' study show that In-111-WBCs do not accumulate in non-infected surgical incisions. This confirms their previous findings in rats. The high specificity of In-111 leukocytes imaging makes it a valuable study in the evaluation of post-operative patients with suspected surgical wound infections. In-111 WBCs scintigraphy can distinguish between normal healing and infection at the site of recent (3-14 days) surgical incisions

Reservoir architecture and tough gas reservoir potential of fluvial crevasse-splay deposits

NARCIS (Netherlands)

Van Toorenenburg, K.A.; Donselaar, M.E.; Weltje, G.J.

2015-01-01

Unconventional tough gas reservoirs in low-net-to-gross fluvial stratigraphic intervals may constitute a secondary source of fossil energy to prolong the gas supply in the future. To date, however, production from these thin-bedded, fine-grained reservoirs has been hampered by the economic risks

Rivers rapid assessment protocols and insertion of society in monitoring of water resources

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Guilherme Malafaia

2008-12-01

Full Text Available The degradation of water resources has been detected and changes both institutional and in the legislation have been demanded. The careless use of rivers has ecological changes as direct consequence, causing serious modifications in the landscape and fluvial regime, besides altering the availability of habitats and the trophic composition of the aquatic environment. Pressed by this scenario, scientists have been developing assessment methods that are efficient both for the evaluation itself and for supporting decision taking in the environmental management processes. In this perspective, the objective of this study is to present the Rapid River Assessment Protocols (RAPs and to emphasize how these protocols can promote the community participation in water resources monitoring. The RAPs can used to evaluate in an integrated form the characteristics of a river section according to the conservation or degradation condition of the fluvial environment and it is characterized by its economic viability and easy applicability. In regions with poor financial resources and serious problems of water quality, the RAPs can be used in environmental management programs. By using these protocols, the integration of the community in water resources monitoring generates data which represent the quality of fluvial ecosystems throughout time, without requesting high costs or specialized professionals. The RAPs in a simplified but not simplistic tool, which can be used in activities that aim at promoting a quick and reliable assessment of the “health” of a river.

Extreme Changes in Stream Geomorphic Conditions induced by Fluvial Scour in Bridges

Science.gov (United States)

Özcan, O.; Ozcan, O.

2016-12-01

The numerous complexities associated with bridge scour have caused scour to be one of the most active topics of stream geomorphic research. The assessment of local scouring mechanism around bridge piers provides information for decision-making regarding the pile footing design, predicting the safety of bridges under critical scoured conditions, and as a result, may help prevent unnecessary loses. In the study, bridge design plans and HEC-RAS modeling were used for the assessment of changes in stream geomorphic conditions. The derived fluvial scour depths were compared with the field measurements and the empirical formula which is based on stream flow discharge rate, streambed condition and shape of river. Preliminary results revealed that bridge damage resulting from the flood event in 2003 induced substantial scour around bridge piles. Afterwards, significant stream bed change was observed under the influence of fluvial scour in another flood occurred in 2009. Consequently, geomorphic conditions of the stream bed should be considered in the structural design of the bridges.

Results of radiocarbon dating of Holocene fluvial sediments from Northeastern Bohemia

International Nuclear Information System (INIS)

Silar, J.; Zeman, A.

1989-01-01

Samples of wood and charcoal from the latest Holocene fluvial sediments under the lowest surface of alluvial plains were dated by radiocarbon in order to check paleomagnetic data at four sites in northeastern Bohemia. The results are presented as funcorrected 14 C ages and dendrochronologically corrected ages. Two samples were recent. 4 figs., 1 tab., 3 refs

Climatic implications of correlated upper Pleistocene glacial and fluvial deposits on the Cinca and Gallego rivers, NE Spain

Energy Technology Data Exchange (ETDEWEB)

Lewis, Claudia J [Los Alamos National Laboratory; Mcdonald, Eric [NON LANL; Sancho, Carlos [NON LANL; Pena, Jose- Luis [NON LANL

2008-01-01

We correlate Upper Pleistocene glacial and fluvial deposits of the Cinca and Gallego River valleys (south central Pyrenees and Ebro basin, Spain) using geomorphic position, luminescence dates, and time-related trends in soil development. The ages obtained from glacial deposits indicate glacial periods at 85 {+-} 5 ka, 64 {+-} 11 ka, and 36 {+-} 3 ka (from glacial till) and 20 {+-} 3 ka (from loess). The fluvial drainage system, fed by glaciers in the headwaters, developed extensive terrace systems in the Cinca River valley at 178 {+-} 21 ka, 97 {+-} 16 ka, 61 {+-} 4 ka, 47 {+-} 4 ka, and 11 {+-} 1 ka, and in the Gallego River valley at 151 {+-} 11 ka, 68 {+-} 7 ka, and 45 {+-} 3 ka. The times of maximum geomorphic activity related to cold phases coincide with Late Pleistocene marine isotope stages and heinrich events. The maximum extent of glaciers during the last glacial occurred at 64 {+-} 11 ka, and the terraces correlated with this glacial phase are the most extensive in both the Cinca (61 {+-} 4 ka) and Gallego (68 {+-} 7 ka) valleys, indicating a strong increase in fluvial discharge and availability of sediments related to the transition to deglaciation. The global Last Glacial Maximum is scarcely represented in the south central Pyrenees owing to dominantly dry conditions at that time. Precipitation must be controlled by the position of the Iberian Peninsula with respect to the North Atlantic atmospheric circulation system. The glacial systems and the associated fluvial dynamic seem sensitive to (1) global climate changes controlled by insolation, (2) North Atlantic thermohaline circulation influenced by freshwater pulses into the North Atlantic, and (3) anomalies in atmospheric circulation in the North Atlantic controlling precipitation on the Iberian peninsula. The model of glacial and fluvial evolution during the Late Pleistocene in northern Spain could be extrapolated to other glaciated mountainous areas in southern Europe.

Reflexiones y enfoques en la conservación y restauración de ríos: georrestauración y pensamiento fluvial

OpenAIRE

Horacio, Jesús

2015-01-01

En los últimos años las sociedades más avanzadas se comienzan a replantear los principios y métodos aplicados para la gestión de los ríos. Este cambio de tendencia en la forma de pensar acerca de nuestro patrimonio fluvial es lo que se denomina en este trabajo: pensamiento fluvial. Este pensamiento implica derrocar ideas incompletas o erróneas sobre qué es un río y aceptarlo como un sistema natural dinámico. Pero el pensamiento fluvial invita también a discutir sobre la forma de conservar y r...

Computed tomography contrast media extravasation: treatment algorithm and immediate treatment by squeezing with multiple slit incisions.

Science.gov (United States)

Kim, Sue Min; Cook, Kyung Hoon; Lee, Il Jae; Park, Dong Ha; Park, Myong Chul

2017-04-01

In our hospital, an adverse event reporting system was initiated that alerts the plastic surgery department immediately after suspecting contrast media extravasation injury. This system is particularly important for a large volume of extravasation during power injector use. Between March 2011 and May 2015, a retrospective chart review was performed on all patients experiencing contrast media extravasation while being treated at our hospital. Immediate treatment by squeezing with multiple slit incisions was conducted for a portion of these patients. Eighty cases of extravasation were reported from approximately 218 000 computed tomography scans. The expected extravasation volume was larger than 50 ml, or severe pressure was felt on the affected limb in 23 patients. They were treated with multiple slit incisions followed by squeezing. Oedema of the affected limb disappeared after 1-2 hours after treatment, and the skin incisions healed within a week. We propose a set of guidelines for the initial management of contrast media extravasation injuries for a timely intervention. For large-volume extravasation cases, immediate management with multiple slit incisions is safe and effective in reducing the swelling quickly, preventing patient discomfort and decreasing skin and soft tissue problems. © 2016 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Postcataract endophthalmitis prophylaxis using irrigation, incision hydration, and eye pressurization with vancomycin

Directory of Open Access Journals (Sweden)

Schelonka LP

2015-07-01

Full Text Available Lee P Schelonka,1 Margaret A SaBell2 1Department of Opthalmology, Kaiser Permanente Lone Tree Medical Offices, Lone Tree, 2Department of Infection Control, Kaiser Permanente Lone Tree Medical Offices, Lone Tree, Denver, CO, USA Purpose: This study aimed to determine whether switching from balanced salt solution (BSS to vancomycin 20 g/mL BSS for incision hydration and eye pressurization reduces the rate of postcataract endophthalmitis.Methods: This was a patient safety/quality improvement project, including all patients undergoing cataract surgery at the Kaiser Permanente Colorado Ophthalmology Department from January 2002 to December 2014. Throughout the study, patients received vancomycin 20 µg/mL in the irrigating solution. During the baseline period from 2002 to 2005, surgeons pressurized eyes and hydrated incisions with plain BSS. During the intervention period from 2006 through 2014, surgeons switched from BSS to the vancomycin/BSS irrigating solution for eye pressurization and incision hydration.Results: A total of 57,263 cataract operations were performed by 24 surgeons at seven surgical centers: 12,400 in the baseline period and 44,863 in the intervention period. The rate of postcataract endophthalmitis declined significantly from 5/12,400 (rate: 0.4/1,000 in the baseline period to 1/44,863 (rate: 0.022/1,000 during the intervention period (odds ratio [OR]: 18.1, 95% confidence interval [CI]: 2.11–154.9; χ2=13.5, P=0.00024. Accounting for an estimated 2.05-fold risk reduction due to confounding variables, the risk reduction attributed to the intervention remained significant: (adjusted OR: 8.78, 95% CI: 1.73–44.5; χ2=10.06, P=0.0015. Since 2009, we have not experienced any cases of postcataract endophthalmitis after 32,753 operations.Conclusion: We experienced a significant reduction in postcataract endophthalmitis when we switched from BSS to the vancomycin/BSS irrigating solution for incision hydration and eye pressurization

Fluvial geomorphology and aquatic-to-terrestrial Hg export are weakly coupled in small urban streams of Columbus, Ohio

Science.gov (United States)

Sullivan, S. Mažeika P.; Boaz, Lindsey E.; Hossler, Katie

2016-04-01

Although mercury (Hg) contamination is common in stream ecosystems, mechanisms governing bioavailability and bioaccumulation in fluvial systems remain poorly resolved as compared to lentic systems. In particular, streams in urbanized catchments are subject to fluvial geomorphic alterations that may contribute to Hg distribution, bioaccumulation, and export across the aquatic-to-terrestrial boundary. In 12 streams of urban Columbus, Ohio, we investigated the influence of fluvial geomorphic characteristics related to channel geometry, streamflow, and sediment size and distribution on (1) Hg concentrations in sediment and body burdens in benthic larval and adult emergent aquatic insects and (2) aquatic-to-terrestrial contaminant transfer to common riparian spiders of the families Pisauridae and Tetragnathidae via changes in aquatic insect Hg body burdens as well as in aquatic insect density and community composition. Hydrogeomorphic characteristics were weakly related to Hg body burdens in emergent insects (channel geometry) and tetragnathid spiders (streamflow), but not to Hg concentrations in sediment or benthic insects. Streamflow characteristics were also related to emergent insect density, while wider channels were associated with benthic insect community shifts toward smaller-bodied and more tolerant taxa (e.g., Chironomidae). Thus, our results provide initial evidence that fluvial geomorphology may influence aquatic-to-terrestrial contaminant Hg transfer through the collective effects on emergent insect body burdens as well as on aquatic insect community composition and abundance.

Long-term entrenchment and consequences in present flood hazard in Garona River (Val d'Aran, central Pyrenees)

Science.gov (United States)

Victoriano-Lamariano, Ane; Garcia-Silvestre, Marta; Furdada-Bellavista, Gloria

2015-04-01

Flood risk is one of the most dangerous natural disasters in mountainous areas. Risk management and mitigation have to be based on exhaustive risk evaluation. Moreover, hazard analysis requires a multidisciplinary approach to achieve a complete understanding of the dynamics of the phenomena. The Val d'Aran valley is located in the axial part of the Pyrenees and is drained by the Garona River. Flooding events are relatively frequent there. The last extraordinary episode occurred in June 2013. Considering both the main effects of this flooding and the geomorphology, the long-term dynamics of the Garona River was studied in two different areas (Arties-Vielha and Era Bordeta-Les), which are representative of the whole length along the Val d'Aran. In fact, present short-term processes can be partly explained as a result of the long-term fluvial tendency. During the analysis of the 2013 flood effects, several entrenchment and incision indicators were found. Under the hypothesis that the fluvial network tends to incise, an entrenchment indicator analysis was carried out. Firstly, we considered the geomorphologic features, such as two generations of alluvial fans, two generations of alluvial terraces and, incisions on geomorphologic features and in Paleozoic bedrock. Secondly, we found out that erosion dominated over overflow and deposition during the 2013 flooding. Finally, great erosion was identified in engineering structures, for instance, in bridges, channelization dikes, gauging stations and dams. The geomorphologic analysis and the entrenchment indicators are essential to perform a post-glacial evolution interpretation. During the last Pleistocene glacial retreat, a fluvio-torrential network was developed at the bottom of the ancient glacial valley. An early post-glacial phase with a high sediment transport lead to the formation of first generation alluvial fans and alluvial terraces (nowadays located ≈15m above the channel). As sediment transport decreased

Modelling channel incision and alpine hillslope development using laser altimetry data

NARCIS (Netherlands)

Anders, N.S.; Seijmonsbergen, A.C.; Bouten, W.

2009-01-01

This paper presents a new approach to simulate drainage basin evolution and demonstrates that high resolution elevation data can be used as useful tool for a dynamic simulation of Alpine landscape development, in which channel incision is incorporated in high spatial detail. A vector channel

Muscle sparing lateral thoracotomy: the standard incision for thoracic procedures

Directory of Open Access Journals (Sweden)

Mihai Dumitrescu

2017-05-01

Full Text Available Lateral thoracotomy is a versatile approach with many variations and is currently the most widely used incision in thoracic surgery. In the current article we are presenting the muscle-sparing lateral thoracotomy in the lateral decubitus position which we consider to be the “standard” for lateral thoracotomies. Indications, surgical technique and pitfalls are described alongside our experience with thoracic drainage. Although there is no consensus regarding the name of this incision, some authors call it “axillary thoracotomy” while others call it a “modified lateral thoracotomy”, they all agree on one aspect – the importance of muscle sparing – which makes it the go-to thoracotomy for both small and large procedures involving the lung. Lateral muscle sparing thoracotomy allows for good exposure of the pulmonary hilum, fissures, apex and diaphragm. The approach is easy and quick to perform while at the same time ensuring faster postoperative recovery by sparing the latissimus dorsi muscle, better cosmetics and lower postoperative pain score when compared to the posterolateral or classical lateral thoracotomies.

Phosphorus and nitrogen loading depths in fluvial sediments following manure spill simulations

Science.gov (United States)

Manure spills that enter streams can devastate the aquatic ecosystem. The depth of nitrogen (N) and phosphorus (P) loading in fluvial sediments following a manure spill have not been documented. Thus, the objectives of this study were (i) to determine the depth of N and P contamination as a result o...

Vector analysis of high (≥3 diopters) astigmatism correction using small-incision lenticule extraction and laser in situ keratomileusis.

Science.gov (United States)

Chan, Tommy C Y; Wang, Yan; Ng, Alex L K; Zhang, Jiamei; Yu, Marco C Y; Jhanji, Vishal; Cheng, George P M

2018-06-13

To compare the astigmatic correction in high myopic astigmatism between small-incision lenticule extraction and laser in situ keratomileusis (LASIK) using vector analysis. Hong Kong Laser Eye Center, Hong Kong. Retrospective case series. Patients who had correction of myopic astigmatism of 3.0 diopters (D) or more and had either small-incision lenticule extraction or femtosecond laser-assisted LASIK were included. Only the left eye was included for analysis. Visual and refractive results were presented and compared between groups. The study comprised 105 patients (40 eyes in the small-incision lenticule extraction group and 65 eyes in the femtosecond laser-assisted LASIK group.) The mean preoperative manifest cylinder was -3.42 D ± 0.55 (SD) in the small-incision lenticule extraction group and -3.47 ± 0.49 D in the LASIK group (P = .655). At 3 months, there was no significant between-group difference in uncorrected distance visual acuity (P = .915) and manifest spherical equivalent (P = .145). Ninety percent and 95.4% of eyes were within ± 0.5 D of the attempted cylindrical correction for the small-incision lenticule extraction and LASIK group, respectively (P = .423). Vector analysis showed comparable target-induced astigmatism (P = .709), surgically induced astigmatism vector (P = .449), difference vector (P = .335), and magnitude of error (P = .413) between groups. The absolute angle of error was 1.88 ± 2.25 degrees in the small-incision lenticule extraction group and 1.37 ± 1.58 degrees in the LASIK group (P = .217). Small-incision lenticule extraction offered astigmatic correction comparable to LASIK in eyes with high myopic astigmatism. Copyright © 2018 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

Two Late Pleistocene climate-driven incision/aggradation rhythms in the middle Dnieper River basin, west-central Russian Plain

DEFF Research Database (Denmark)

Panin, Andrei; Adamiec, Grzegorz; Buylaert, Jan-Pieter

2017-01-01

Pleistocene - Holocene climate cycle. The following events were detected. (1) Late MIS 5 - early MIS 4: aggradation of Terrace T1 following the deep incision at the end of MIS 6. (2) Late MIS 4 (40-30 ka): incision into Terrace T1 below the present-day river, formation of the main scarp in the bottom...... of the valley between Terrace T1 and Terrace T0/Floodplain levels. (3) MIS 2: aggradation of Terrace T0, lateral migrations of a shallow braided channel located few meters above the present-day river since ∼25 ka through the LGM. (4) 18-13 ka: incision into Terrace T0 below the modern river. Multiple...

Middle Moscovian climate of eastern equatorial Pangea recorded in paleosols and fluvial architecture

Czech Academy of Sciences Publication Activity Database

Opluštil, S.; Lojka, R.; Rosenau, N.A.; Strnad, L.; Sýkorová, Ivana

2015-01-01

Roč. 440, DEC (2015), s. 328-352 ISSN 0031-0182 Institutional support: RVO:67985891 Keywords : Carboniferous paleoclimate * fluvial architectures * paleosols * geochemistry Subject RIV: DB - Geology ; Mineralogy Impact factor: 2.525, year: 2015 http://www.sciencedirect.com/science/article/pii/S0031018215004939

High temporal resolution in situ measurement of the effective particle size characteristics of fluvial suspended sediment.

Science.gov (United States)

Williams, N D; Walling, D E; Leeks, G J L

2007-03-01

This paper reports the use of a LISST-100 device to monitor the effective particle size characteristics of suspended sediment in situ, and at a quasi-continuous temporal resolution. The study site was located on the River Exe at Thorverton, Devon, UK. This device has not previously been utilized in studies of fluvial suspended sediment at the storm event scale, and existing studies of suspended sediment dynamics have not involved such a high temporal resolution for extended periods. An evaluation of the field performance of the instrument is presented, with respect to innovative data collection and analysis techniques. It was found that trends in the effective particle size distribution (EPSD) and degree of flocculation of suspended sediment at the study site were highly complex, and showed significant short-term variability that has not previously been documented in the fluvial environment. The collection of detailed records of EPSD facilitated interpretation of the dynamic evolution of the size characteristics of suspended sediment, in relation to its likely source and delivery and flocculation mechanisms. The influence of measurement frequency is considered in terms of its implications for future studies of the particle size of fluvial suspended sediment employing in situ data acquisition.

[One-stage Operation through the Same Skin Incision for Synchronous Double Primary Breast and Lung Cancer;Report of a Case].

Science.gov (United States)

Takahashi, Noriyuki; Kuga, Yoko; Uno, Satoko; Saito, Keita

2018-02-01

A 75-year-old woman noticed a small mass in the right side breast and consulted our hospital. The results of the detailed examination indicated the synchronous double primary right breast cancer and the same side lung cancer (rS5). One-stage operation from the same skin incision was scheduled. Volume rendering (VR) of computed tomography (CT)-scan was very useful in deciding the position and the length of the skin incision. The breast tumor resection and the right middle lobe resection were successfully performed through 6.5 cm skin incision.

Characterization and 3D reservoir modelling of fluvial sandstones of the Williams Fork Formation, Rulison Field, Piceance Basin, Colorado, USA

International Nuclear Information System (INIS)

Pranter, Matthew J; Vargas, Marielis F; Davis, Thomas L

2008-01-01

This study describes the stratigraphic characteristics and distribution of fluvial deposits of the Upper Cretaceous Williams Fork Formation in a portion of Rulison Field and addresses 3D geologic modelling of reservoir sand bodies and their associated connectivity. Fluvial deposits include isolated and stacked point-bar deposits, crevasse splays and overbank (floodplain) mudrock. Within the Williams Fork Formation, the distribution and connectivity of fluvial sandstones significantly impact reservoir productivity and ultimate recovery. The reservoir sandstones are primarily fluvial point-bar deposits interbedded with shales and coals. Because of the lenticular geometry and limited lateral extent of the reservoir sandstones (common apparent widths of ∼500–1000 ft; ∼150–300 m), relatively high well densities (e.g. 10 acre (660 ft; 200 m) spacing) are often required to deplete the reservoir. Heterogeneity of these fluvial deposits includes larger scale stratigraphic variability associated with vertical stacking patterns and structural heterogeneities associated with faults that exhibit lateral and reverse offsets. The discontinuous character of the fluvial sandstones and lack of distinct marker beds in the middle and upper parts of the Williams Fork Formation make correlation between wells tenuous, even at a 10 acre well spacing. Some intervals of thicker and amalgamated sandstones within the middle and upper Williams Fork Formation can be correlated across greater distances. To aid correlation and for 3D reservoir modelling, vertical lithology proportion curves were used to estimate stratigraphic trends and define the stratigraphic zonation within the reservoir interval. Object-based and indicator-based modelling methods have been applied to the same data and results from the models were compared. Results from the 3D modelling indicate that sandstone connectivity increases with net-to-gross ratio and, at lower net-to-gross ratios (<30%), differences exist in

Circuitous to single thread: post-dam geomorphic transformation of the Colorado River in its delta

Science.gov (United States)

Mueller, E. R.; Schmidt, J. C.

2017-12-01

The Colorado River in its delta has transformed from a maze of secondary and distributary channels to an intermittent or ephemeral stream largely disconnected from formerly active channels and floodplains. Periodic post-dam floods have demonstrated that channel migration and shifting during floods increased the extent and diversity of riparian vegetation, and suggested that restoration of fluvial processes that promote re-activation of these former channels may enhance ecosystem rehabilitation. But restoration efforts in the delta are complicated by the fact that the Colorado River has the largest reservoir size in relation to its mean annual flow of any large river in North America and most of its sediment supply is completely blocked in upstream reservoirs. As a result, small controlled floods intended to inundate formerly active channels and rejuvenate riparian vegetation must consider the new relationship between stream flow and the delta's transformed geomorphology. Post-dam channel change has been dominated by the abandonment of secondary and distributary channels, with 3 to 4 meters of bed incision in the upstream part of the delta that diminishes downstream. Initial bed incision of 2 to 3 meters occurred rapidly following completion of Hoover Dam in 1936, before further upstream water development reduced delta flows to near zero by the mid-1960s. The largest post-dam floods occurred in the 1980s, which resulted in 10s to 100s of meters of lateral migration, channel switching, and the reactivation of secondary channels and floodplains rarely inundated since dam completion. Smaller flow pulses in the 1990s and 2000s further incised the thalweg to its minimum elevation, resulting in a narrow single-thread channel inset within the multi-channel surface active during the 1980s. In 2014, an experimental pulse flow was released to the river channel with a peak discharge approximately 5% of the typical pre-dam flood peak. Topographic change was confined to the main

Efficacy of a Buffered 4% Lidocaine Formulation for Incision and Drainage: A Prospective, Randomized, Double-blind Study.

Science.gov (United States)

Harreld, Taryn Kratz; Fowler, Sara; Drum, Melissa; Reader, Al; Nusstein, John; Beck, Mike

2015-10-01

Incision and drainage of symptomatic emergency patients with facial swelling is painful even after local anesthetics are administered. The purpose of this prospective, randomized, double-blind study was to compare the pain of infiltration and the pain of an incision and drainage procedure of a buffered versus a nonbuffered 4% lidocaine formulation in symptomatic emergency patients presenting with a diagnosis of pulpal necrosis, associated periapical area, and an acute clinical swelling. Eighty-eight emergency patients were randomly divided into 2 groups to receive 2 intraoral infiltration injections (mesial and distal to the swelling) of either 4% lidocaine with 1:100,000 epinephrine buffered with 0.18 mL 8.4% sodium bicarbonate using the Onpharma (Los Gatos, CA) buffering system or 4% lidocaine with 1:100,000 epinephrine. Subjects rated the pain of needle insertion, needle placement, and solution deposition for each injection using a 170-mm visual analog scale. An incision and drainage procedure was performed, and subjects rated the pain of incision, drainage, and dissection on a 170-mm visual analog scale. No significant differences between the buffered and nonbuffered 4% lidocaine formulations were found for needle insertion, placement, and solution deposition of the infiltration injections or for the treatment phases of incision, drainage, and dissection. Buffering a 4% lidocaine formulation did not significantly decrease the pain of infiltrations or significantly decrease the pain of the incision and drainage procedure when compared with a nonbuffered 4% lidocaine formulation in symptomatic patients with a diagnosis of pulpal necrosis and associated acute swelling. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Transport and redistribution of Chernobyl fallout radionuclides by fluvial processes: some preliminary evidence

International Nuclear Information System (INIS)

Walling, D.E.; Bradley, S.B.

1988-01-01

Several measurements of 137 Cs concentrations in suspended sediment transported by the River Severn during the post-Chernobyl period and in recent channel and floodplain deposits along the river emphasise the potential significance of fluvial processes in the transport and concentration of fallout radionuclides. (author)

The impact of disturbance on the dynamics of fluvial processes in mountain landscapes

Czech Academy of Sciences Publication Activity Database

Langhammer, J.; Hartvich, Filip; Kliment, Z.; Jeníček, M.; Bernsteinová (Kaiglová), J.; Vlček, L.; Su, Y.; Štych, P.; Miřijovský, J.

2015-01-01

Roč. 21, č. 1 (2015), s. 105-116 ISSN 1211-7420 Institutional support: RVO:67985891 Keywords : runoff * fluvial dynamics * forest disturbance * climate change * Bohemian Forest Subject RIV: DE - Earth Magnetism, Geodesy, Geography http://www.npsumava.cz/gallery/31/9345-sg_21_1_langhammeretal.pdf

Modelling the impact of regional uplift and local tectonics on fluvial terrace preservation.

NARCIS (Netherlands)

Viveen, W.; Schoorl, J.M.; Veldkamp, A.; Balen, van R.T.

2014-01-01

A terrace formation model (TERRACE) combined with a longitudinal river profile model (FLUVER) was used to simulate fluvial terrace formation and preservation in the northwest Iberian lower Miño River basin under the influence of three tectonic conditions; namely regional vertical uplift, local basin

Resveratrol engages AMPK to attenuate ERK and mTOR signaling in sensory neurons and inhibits incision-induced acute and chronic pain

Directory of Open Access Journals (Sweden)

Tillu Dipti V

2012-01-01

Full Text Available Abstract Background Despite advances in our understanding of basic mechanisms driving post-surgical pain, treating incision-induced pain remains a major clinical challenge. Moreover, surgery has been implicated as a major cause of chronic pain conditions. Hence, more efficacious treatments are needed to inhibit incision-induced pain and prevent the transition to chronic pain following surgery. We reasoned that activators of AMP-activated protein kinase (AMPK may represent a novel treatment avenue for the local treatment of incision-induced pain because AMPK activators inhibit ERK and mTOR signaling, two important pathways involved in the sensitization of peripheral nociceptors. Results To test this hypothesis we used a potent and efficacious activator of AMPK, resveratrol. Our results demonstrate that resveratrol profoundly inhibits ERK and mTOR signaling in sensory neurons in a time- and concentration-dependent fashion and that these effects are mediated by AMPK activation and independent of sirtuin activity. Interleukin-6 (IL-6 is thought to play an important role in incision-induced pain and resveratrol potently inhibited IL-6-mediated signaling to ERK in sensory neurons and blocked IL-6-mediated allodynia in vivo through a local mechanism of action. Using a model of incision-induced allodynia in mice, we further demonstrate that local injection of resveratrol around the surgical wound strongly attenuates incision-induced allodynia. Intraplantar IL-6 injection and plantar incision induces persistent nociceptive sensitization to PGE2 injection into the affected paw after the resolution of allodynia to the initial stimulus. We further show that resveratrol treatment at the time of IL-6 injection or plantar incision completely blocks the development of persistent nociceptive sensitization consistent with the blockade of a transition to a chronic pain state by resveratrol treatment. Conclusions These results highlight the importance of signaling

Incisal tooth wear and self-reported TMD pain in children and adolescents.

Science.gov (United States)

Hirsch, Christian; John, Mike T; Lobbezoo, Frank; Setz, Juergen M; Schaller, Hans-Guenter

2004-01-01

Incisal tooth wear may be a sign of long-term bruxing behavior. Bruxism is purported to be a risk factor for temporomandibular disorders (TMD). The aim of this population-based cross-sectional study was to determine if anterior tooth wear is associated with the self-report of TMD pain in children and adolescents. In a population sample of 1,011 children and adolescents (mean age 13.1 years, range 10 to 18 years; female 52%; response rate 85%), TMD cases were defined as subjects reporting pain in the face, jaw muscles, and temporomandibular joint during the last month according to RDC/TMD. All other subjects were considered controls. Incisal tooth wear was assessed in the clinical examination using a 0 to 2 scale (no wear, enamel wear, dentin wear) for every anterior permanent tooth. The mean wear score for the individuals was categorized into 0, 0.01 to 0.20, 0.21 to 0.40, and 0.41+. A multiple logistic regression analysis, controlling for the effects of age and gender, analyzed the association between the categorized summary wear score and TMD. Specifically, the hypothesis of a trend between higher tooth wear scores and higher risk of TMD was tested. An odds ratio of 1.1 indicated, after adjusting for gender and age, no statistically significantly higher risk of TMD pain with higher tooth wear scores. Incisal tooth wear was not associated with self-reported TMD pain in 10- to 18-year-old subjects.

Bedrock river erosion measurements and modelling along a river of the Frontal Himalaya

Science.gov (United States)

Lave, Jerome; Dubille, Matthieu

2017-04-01

River incision is a key process in mountains denudation and therefore in landscape evolution models. Despite its importance, most incision models for mountain rivers rely on simplified, or quite empirical relations, and generally only consider annual average values for water discharge and sediment flux. In contrast, very few studies consider mechanistic models at the timescale of a flood, and try to bridge the gap between experimental or theoretical approaches and long term river incision studies. In this contribution, we present observations made during 7 monsoon seasons on fluvial bedrock erosion along the Bakeya river across the Frontal Himalaya in Central Nepal. Along its lower gorge, this river incises alternation of indurated sandstone and less resistant claystone, at Holocene rates larger than 10mm/yr. More importantly, its upper drainage mostly drains through non-cohesive conglomerate which allows, in this specific setting, estimating the bedload characteristics and instantaneous fluxes, i.e. a pre-requisite to test mechanistic models of fluvial erosion. During the study period, we monitored and documented the channel bank erosion in order to understand the amplitude of the erosion processes, their occurrence in relation with hydrology, in order to test time-integrated models of erosion. Besides hydrologic monitoring, erosion measurements were threefold: (1) at the scale of the whole monsoon, plucking and block removal by repeated photo surveys of a 400m long channel reach, (2) detailed microtopographic surveys of channel bedrock elevation along a few sandstone bars to document their abrasion, (3) real time measurement of fluvial bedrock wear to document erosion timing using a new erosion sensor. Results indicate that: 1. Erosion is highly dependent on rock resistance, but on average block detachment and removal is a more efficient process than bedrock attrition, and operates at a rate that permit channel banks downcutting to keep pace with Holocene uplift

Effects of Wildfire on Fluvial Sediment Regime through Perturbations in Dry-Ravel

Science.gov (United States)

Florsheim, J. L.; Chin, A.; Kinoshita, A. M.; Nourbakhshbeidokhti, S.; Storesund, R.; Keller, E. A.

2015-12-01

In steep chaparral ecosystems with Mediterranean climate, dry ravel is a natural process resulting from wildfire disturbance that supplies sediment to fluvial systems. When dense chaparral vegetation burns, sediment accumulated on steep hillslopes is released for dry-season transport (dry ravel) down steep hillslopes during or soon after the wildfire. Results of a field study in southern California's Transverse Ranges illustrate the effect of wildfire on fluvial sediment regime in an unregulated chaparral system. Big Sycamore Canyon in the steep Santa Monica Mountains burned during the May 2013 Springs Fire and experienced one small sediment-transporting stormflow during the following winter. We conducted pre- and post-storm field campaigns during the fall and winter following the fire to quantify the effect of wildfire on the fluvial sediment regime. We utilized a sediment mass balance approach in which: 1) sediment supply, consisting primarily of dry ravel-derived deposits composed of relatively fine grained-sediment, was measured in the upstream basin and in the hillslope-channel margin adjacent to the study reach; 2) changes in storage in the study reach were quantified by analyzing the difference between pre- and post-storm channel topography derived from Terrestrial LiDAR Scanning (TLS) and field surveys; and 3) transport from the study reach was estimated as the difference between supply and change in storage where uncertainty is estimated using calculated sediment transport as a comparison. Results demonstrate channel deposition caused by changes in the short-term post-wildfire sediment regime. The increased sediment supply and storage are associated with significant changes in morphology, channel bed-material characteristics, and ecology. These results suggest that dry-ravel processes are an important factor to consider in post-wildfire sediment management.

Facies architecture and high resolution sequence stratigraphy of an aeolian, fluvial and shallow marine system in the Pennsylvanian Piauí Formation, Parnaíba Basin, Brazil

Science.gov (United States)

Vieira, Lucas Valadares; Scherer, Claiton Marlon dos Santos

2017-07-01

The Pennsylvanian Piauí Formation records the deposition of aeolian, fluvial and shallow marine systems accumulated in the cratonic sag Parnaíba basin. Characterization of the facies associations and sequence stratigraphic framework was done by detailed description and logging of outcrops. Six facies associations were recognized: aeolian dunes and interdunes, aeolian sandsheets, fluvial channels, tidally-influenced fluvial channels, shoreface and shoreface-shelf transition. Through correlation of stratigraphic surfaces, the facies associations were organized in system tracts, which formed eight high frequency depositional sequences, bounded by subaerial unconformities. These sequences are composed of a lowstand system tract (LST), that is aeolian-dominated or fluvial-dominated, a transgressive system tract (TST) that is formed by tidally-influenced fluvial channels and/or shoreface and shoreface-shelf transition deposits with retrogradational stacking, and a highstand system tract (HST), which is formed by shoreface-shelf transition and shoreface deposits with progradational stacking. Two low frequency cycles were determined by observing the stacking of the high frequency cycles. The Lower Sequence is characterized by aeolian deposits of the LST and an aggradational base followed by a progressive transgression, defining a general TST. The Upper Sequence is characterized by fluvial deposits and interfluve pedogenesis concurring with the aeolian deposits of the LST and records a subtle regression followed by transgression. The main control on sedimentation in the Piauí Formation was glacioeustasy, which was responsible for the changes in relative sea level. Even though, climate changes were associated with glacioeustatic phases and influenced the aeolian and fluvial deposition.

Fluvial organic carbon flux from an eroding peatland catchment, southern Pennines, UK

Directory of Open Access Journals (Sweden)

R. R. Pawson

2008-03-01

Full Text Available This study investigates for the first time the relative importance of dissolved organic carbon (DOC and particulate organic carbon (POC in the fluvial carbon flux from an actively eroding peatland catchment in the southern Pennines, UK. Event scale variability in DOC and POC was examined and the annual flux of fluvial organic carbon was estimated for the catchment. At the event scale, both DOC and POC were found to increase with discharge, with event based POC export accounting for 95% of flux in only 8% of the time. On an annual cycle, exports of 35.14 t organic carbon (OC are estimated from the catchment, which represents an areal value of 92.47 g C m⁻² a⁻¹. POC was the most significant form of organic carbon export, accounting for 80% of the estimated flux. This suggests that more research is required on both the fate of POC and the rates of POC export in eroding peatland catchments.

The Amazonian Craton and its influence on past fluvial systems (Mesozoic-Cenozoic, Amazonia)

NARCIS (Netherlands)

Hoorn, C.; Roddaz, M.; Dino, R.; Soares, E.; Uba, C.; Ochoa-Lozano, D.; Mapes, R.; Hoorn, C.; Wesselingh, F.P.

2010-01-01

The Amazonian Craton is an old geological feature of Archaean/Proterozoic age that has determined the character of fluvial systems in Amazonia throughout most of its past. This situation radically changed during the Cenozoic, when uplift of the Andes reshaped the relief and drainage patterns of

New Mesoscale Fluvial Landscapes - Seismic Geomorphology and Exploration

Science.gov (United States)

Wilkinson, M. J.

2013-01-01

Megafans (100-600 km radius) are very large alluvial fans that cover significant areas on most continents, the surprising finding of recent global surveys. The number of such fans and patterns of sedimentation on them provides new mesoscale architectures that can now be applied on continental fluvial depositional systems, and therefore on. Megafan-scale reconstructions underground as yet have not been attempted. Seismic surveys offer new possibilities in identifying the following prospective situations at potentially unsuspected locations: (i) sand concentrations points, (ii) sand-mud continuums at the mesoscale, (iii) paleo-valley forms in these generally unvalleyed landscapes, (iv) stratigraphic traps, and (v) structural traps.

Results of computer assisted mini-incision subvastus approach for total knee arthroplasty.

Science.gov (United States)

Turajane, Thana; Larbpaiboonpong, Viroj; Kongtharvonskul, Jatupon; Maungsiri, Samart

2009-12-01

Mini-incision subvastus approach is soft tissue preservation of the knee. Advantages of the mini-incision subvastus approach included reduced blood loss, reduced pain, self rehabilitation and faster recovery. However, the improved visualization, component alignment, and more blood preservation have been debatable to achieve the better outcome and preventing early failure of the Total Knee Arthroplasty (TKA). The computer navigation has been introduced to improve alignment and blood loss. The purpose of this study was to evaluate the short term outcomes of the combination of computer assisted mini-incision subvastus approach for Total Knee Arthroplasty (CMS-TKA). A prospective case series of the initial 80 patients who underwent computer assisted mini-incision subvastus approach for CMS-TKA from January 2007 to October 2008 was carried out. The patients' conditions were classified into 2 groups, the simple OA knee (varus deformity was less than 15 degree, BMI was less than 20%, no associated deformities) and the complex deformity (varus deformity was more than 15 degrees, BMI more was than 20%, associated with flexion contractor). There were 59 patients in group 1 and 21 patients in group 2. Of the 80 knees, 38 were on the left and 42 on the right. The results of CMS-TKA [the mean (range)] in group 1: group 2 were respectively shown as the incision length [10.88 (8-13): 11.92 (10-14], the operation time [118 (111.88-125.12): 131 (119.29-143.71) minutes, lateral releases (0 in both groups), postoperative range of motion in flexion [94.5 (90-100): 95.25 (90-105) degree] and extension [1.75 (0-5): 1.5 (0-5) degree] Blood loss in 24 hours [489.09 (414.7-563.48): 520 (503.46-636.54) ml] and blood transfusion [1 (0-1) unit? in both groups], Tibiofemoral angle preoperative [Varus = 4 (varus 0-10): Varus = 17.14 (varus 15.7-18.5) degree, Tibiofemoral angle postoperative [Valgus = 1.38 (Valgus 0-4): Valgus = 2.85 (valgus 2.1-3.5) degree], Tibiofemoral angle outlier (85% both

Gully incision rates on the bedrock of a large dip-slope landslide revealed by multi-period LiDAR DEMs

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Chan, Y. C.; Hsieh, Y. C.

2017-12-01

Recent advances in airborne laser scanning (ALS) technology have provided a great opportunity for characterizing surface erosion through developing improved methods in multi-period DEM differencing and geomorphometry. This study uses three periods of ALS digital elevation model (DEM) data to analyze the short-term erosional features of the Tsaoling landslide triggered by the 1999 Chi-Chi earthquake in Taiwan. Two methods for calculating the bedrock incision rate, the equal-interval cross section selection method and the continuous swath profiles selection method, were used in the study after nearly ten years of gully incision following the earthquake-triggered dip-slope landslide. Multi-temporal gully incision rates were obtained using the continuous swath profiles selection method, which is considered a practical and convenient approach in terrain change studies. After error estimation and comparison of the multi-period ALS DEMs, the terrain change in different periods can be directly calculated, reducing time-consuming fieldwork such as installation of erosion pins and measurement of topographic cross sections on site. In this study, the gully bedrock incision rates ranged between 0.23 and 3.98 m/year, remarkably higher than the typical results from the previous studies. By comparing the DEM data, aerial photos, and precipitation records of this area, the effects of erosion could be observed from the retreat of the Chunqiu Cliff outline during August 2011 to September 2012. It was inferred that the change in the topographic elevation during 2011-2012 was mainly due to the torrential rain brought by Typhoon Soula, which occurred on 30 July 2012. The local gully incision rate in the lower part of the landslide surface was remarkably faster than that of the other regions, suggesting that the fast incision of the toe area possibly contributes to the occurrence of repeated landslides in the Tsaoling area.

Fingertip replantation using a single volar arteriovenous anastomosis and drainage with a transverse tip incision.

Science.gov (United States)

Yabe, T; Muraoka, M; Motomura, H; Ozawa, T

2001-11-01

Four cases of fingertip replantation using a single volar arteriovenous anastomosis and drainage with a transverse tip incision are reported. Because of lack of suitable arteries for anastomosis in the amputated finger, in each case a volar radial vein was anastomosed to the proximal digital artery and external drainage was performed through a transverse tip incision. In 3 cases the replanted fingertip survived completely; partial necrosis occurred in 1 case. Because veins are more superficial and larger than arteries, they are more available for anastomosis. The results indicate that this method is a useful alternative in fingertip replantation.

Transport and deposition of plutonium-contaminated sediments by fluvial processes, Los Alamos Canyon, New Mexico

International Nuclear Information System (INIS)

Graf, W.L.

1996-01-01

Between 1945 and 1952 the development of nuclear weapons at Los Alamos National Laboratory, New Mexico, resulted in the disposal of plutonium into the alluvium of nearby Acid and (to a lesser degree) DP Canyons. The purpose of this paper is to explore the connection between the disposal sites and the main river, a 20 km link formed by the fluvial system of Acid, Pueblo, DP, and Los Alamos Canyons. Empirical data from 15 yr of annual sediment sampling throughout the canyon system has produced 458 observations of plutonium concentration in fluvial sediments. These data show that, overall, mean plutonium concentrations in fluvial sediment decline from 10,000 fCi/g near the disposal area to 100 fCi/g at the confluence of the canyon system and the Rio Grande. Simulations using a computer model for water, sediment, and plutonium routing in the canyon system show that discharges as large as the 25 yr event would fail to develop enough transport capacity to completely remove the contaminated sediments from Pueblo Canyon. Lesser flows would move some materials to the Rio Grande by remobilization of stored sediments. The simulations also show that the deposits and their contaminants have a predictable geography because they occur where stream power is low, hydraulic resistance is high, and the geologic and/or geomorphic conditions provide enough space for storage. 38 refs., 13 figs., 1 tab

Re-evaluating luminescence burial doses and bleaching of fluvial deposits using Bayesian computational statistics.

NARCIS (Netherlands)

Cunningham, A.C.; Wallinga, J.; Versendaal, Alice; Makaske, A.; Middelkoop, H.; Hobo, N.

2015-01-01

The optically stimulated luminescence (OSL) signal from fluvial sediment often contains a remnant from the previous deposition cycle, leading to a partially bleached equivalent-dose distribution. Although identification of the burial dose is of primary concern, the degree of bleaching could

Re-evaluating luminescence burial doses and bleaching of fluvial deposits using Bayesian computational statistics

NARCIS (Netherlands)

Cunningham, A. C.; Wallinga, J.; Hobo, N.; Versendaal, A. J.; Makaske, B.; Middelkoop, H.

2015-01-01

The optically stimulated luminescence (OSL) signal from fluvial sediment often contains a remnant from the previous deposition cycle, leading to a partially bleached equivalent-dose distribution. Although identification of the burial dose is of primary concern, the degree of bleaching could

Study on fine geological modelling of the fluvial sandstone reservoir in Daqing oilfield

Energy Technology Data Exchange (ETDEWEB)

Zhoa Han-Qing [Daqing Research Institute, Helongjiang (China)

1997-08-01

These paper aims at developing a method for fine reservoir description in maturing oilfields by using close spaced well logging data. The main productive reservoirs in Daqing oilfield is a set of large fluvial-deltaic deposits in the Songliao Lake Basin, characterized by multi-layers and serious heterogeneities. Various fluvial channel sandstone reservoirs cover a fairly important proportion of reserves. After a long period of water flooding, most of them have turned into high water cut layers, but there are considerable residual reserves within them, which are difficult to find and tap. Making fine reservoir description and developing sound a geological model is essential for tapping residual oil and enhancing oil recovery. The principal reason for relative lower precision of predicting model developed by using geostatistics is incomplete recognition of complex distribution of fluvial reservoirs and their internal architecture`s. Tasking advantage of limited outcrop data from other regions (suppose no outcrop data available in oilfield) can only provide the knowledge of subtle changing of reservoir parameters and internal architecture. For the specific geometry distribution and internal architecture of subsurface reservoirs (such as in produced regions) can be gained only from continuous infilling logging well data available from studied areas. For developing a geological model, we think the first important thing is to characterize sandbodies geometries and their general architecture`s, which are the framework of models, and then the slight changing of interwell parameters and internal architecture`s, which are the contents and cells of the model. An excellent model should possess both of them, but the geometry is the key to model, because it controls the contents and cells distribution within a model.

On the Application of an Enthalpy Method to the Evolution of Fluvial Deltas Under Sea-Level Changes

Science.gov (United States)

Anderson, W.; Lorenzo-Trueba, J.; Voller, V. R.

2017-12-01

Fluvial deltas are composites of two primary sedimentary environments: a depositional fluvial region and an offshore region. The fluvial region is defined by two geomorphic moving boundaries: an alluvial-bedrock transition (ABT), which separates the sediment prism from the non-erodible bedrock basement, and the shoreline (SH), where the delta meets the ocean. The trajectories of these boundaries in time and space define the evolution of the shape of the sedimentary prism, and are often used as stratigraphic indicators, particularly in seismic studies, of changes in relative sea level and the identification of stratigraphic sequences. In order to better understand the relative role of sea-level variations, tectonics, and sediment supply on the evolution of these boundaries, we develop a forward stratigraphic model that captures the dynamic behavior of the fluvial surface and treats the SH and ABT as moving boundaries (i.e., internal boundaries whose location must be determined as part of the solution to the overall morphological evolution problem). This forward model extends a numerical technique from heat transfer (i.e., enthalpy method), previously applied to the evolution of sedimentary basins, to account for sea-level changes. The mathematics of the approach are verified by comparing predictions from the numerical model with both existing and newly developed closed form analytical solutions. Model results support previous work, which suggests that the migration of the ABT can respond very differently to the sea-level signal. This response depends on factors such as sediment supply and delta length, which can vary greatly between basins. These results can have important implications for the reconstruction of past sea-level changes from the stratigraphic record of sedimentary basins.

Single-incision, laparoscopic-assisted jejunal resection and anastomosis following a gunshot wound.

Science.gov (United States)

Rubin, Jacob A; Shigemoto, Reynsen; Reese, David J; Case, J Brad

2015-01-01

A 2 yr old castrated male Pomeranian was evaluated for a 6 wk history of chronic vomiting, intermittent anorexia, and lethargy. Physical examination revealed a palpable, nonpainful, soft-tissue mass in the midabdominal area. Abdominal radiographs and ultrasound revealed a focal, eccentric thickening of the jejunal wall with associated jejunal mural foreign body and partial mechanical obstruction. Following diagnosis of a partial intestinal obstruction as the cause of chronic vomiting, the patient underwent general anesthesia for a laparoscopic-assisted, midjejunal resection and anastomosis using a single-incision laparoscopic surgery port. The patient was discharged the day after surgery, and clinical signs abated according to information obtained during a telephone interview conducted 2 and 8 wk postoperatively. The dog described in this report is a unique case of partial intestinal obstruction treated by laparoscopic-assisted resection and anastomosis using a single-incision laparoscopic surgery port.

Marine intervals in Neogene fluvial deposits of western Amazonia

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Boonstra, Melanie; Troelstra, Simon; Lammertsma, Emmy; Hoorn, Carina

2014-05-01

Amazonia is one of the most species rich areas on Earth, but this high diversity is not homogeneous over the entire region. Highest mammal and tree-alpha diversity is found in the fluvio-lacustrine Pebas system, a Neogene wetland associated with rapid radiation of species. The estuarine to marine origin of various modern Amazonian fish, plants, and invertebrates has been associated with past marine ingressions into this freshwater Pebas system. The exact nature and age of these invasions is, however, debated. Here we present new evidence from fluvial and fluvio-lacustrine deposits of Neogene age in southeast Colombia, that point to periods of widespread marine conditions in western Amazonia. Our evidence is based on an analysis of marine palynomorphs, such as organic linings of foraminifera and dinoflagellate cysts, present in dark sandy clay sediments that outcrop along the Caqueta and Amazon rivers. Characteristically, the foraminiferal linings can be assigned to three benthic morphotypes only, e.g. Ammonia, Elphidium and Trochammina. This low diversity assemblage is associated with estuarine/marginal marine conditions. No distinct marine elements such as shelf or planktonic species were encountered. The observed foraminiferal linings and dinocyst assemblages are typical for a (eutrophic) shallow marine environment, suggesting that the Pebas freshwater wetland system occasionally changed to (marginal) marine. Although some reworked elements are found, a typical Neogene dinocyst taxon is commonly found supporting in situ deposition. Sedimentological features typical for tidal conditions that are reported for sites in Peru and northeastern Brazil likely relate to these marine ingressions. Sea level changes as well as foreland basin development related to Andes formation may have facilitated the entry of marine water during the Neogene.

Histological Study of Induced Incisions on Rabbits’ Tongues with Three Diode Lasers with Different Wavelengths in Continuous Mode

Directory of Open Access Journals (Sweden)

Salwa Yammine

2018-01-01

Full Text Available Objective. Diode lasers have multiple indications in everyday dental practice. They allow carrying out incisions, coagulation of soft tissue, and Low-Level Laser Therapy. The goal of this study is to compare histologically the tissue interaction zones and edges of an induced laser incision on rabbits’ tongues with three different wavelengths of 810, 940, and 980 nm in continuous mode. Methods. Fourteen male rabbits were divided into six groups. Each animal underwent three incisions of 10 mm length on the right ventral face of the tongue, carried out in continuous mode with three diode lasers with different wavelengths of 810, 940, and 980 nm. Rabbits were sacrificed at 0, 1, 2, 6, and 15 hours and 14 days. Five rabbits were sacrificed at 0 hours and 2 hours and one rabbit was sacrificed at 1, 6, and 15 hours and at 14 days. The appearance of neutrophils marked the onset time of the inflammatory reaction. Histological study of the incisions was chosen to evaluate the edges and to measure the depth and width of carbonization and necrotic and inflammatory zones. Healing was evaluated at 14 days. Friedman test was used to assess statistical differences between groups. Results. In the experimental adopted conditions, the carbonization zone was marked by degradation of vacuoles and an elongation of nuclei and was observed on the edges of incisions. Carbonization and necrotic and inflammatory zones were measured for rabbits sacrificed at 0, 1, 2, 6, and 15 hours but the onset of inflammation zone marked by the infiltration of neutrophils did not appear before 6 hours. The neutrophils infiltration was higher at 15 hours than at 6 hours. Complete healing was shown at 14 days. According to the time for the regularity of the edges, the interpretation was qualitative without a statistical test. The statistical analysis of the three different diode lasers in this study showed nonsignificant difference between the different groups for the depth (p=0

Assessing Potential Algal Blooms in a Shallow Fluvial Lake by Combining Hydrodynamic Modelling and Remote-Sensed Images

Directory of Open Access Journals (Sweden)

Monica Pinardi

2015-04-01

Full Text Available Shallow fluvial lakes are dynamic ecosystems shaped by physical and biological factors and characterized by the coexistence of phytoplankton and macrophytes. Due to multiple interplaying factors, understanding the distribution of phytoplankton in fluvial lakes is a complex but fundamental issue, in the context of increasing eutrophication, climate change, and multiple water uses. We analyze the distribution of phytoplankton by combining remotely sensed maps of chlorophyll-a with a hydrodynamic model in a dammed fluvial lake (Mantua Superior Lake, Northern Italy. The numerical simulation of different conditions shows that the main hydrodynamic effects which influence algal distribution are related to the combined effect of advection due to wind forces and local currents, as well as to the presence of large gyres which induce recirculation and stagnation regions, favoring phytoplankton accumulation. Therefore, the general characters of the phytoplankton horizontal patchiness can be inferred from the results of the hydrodynamic model. Conversely, hyperspectral remote-sensing products can be used to validate this model, as they provide chlorophyll-a distribution maps. The integration of ecological, hydraulic, and remote-sensing techniques may therefore help the monitoring and protection of inland water quality, with important improvements in management actions by policy makers.

Analysis of Fluvial Bed Sediments Along the Apalachicola River, Florida through Field Reconnaissance Studies

Science.gov (United States)

Passeri, D.; Hagen, S. C.; Daranpob, A.; Smar, D. E.

2011-12-01

River competence is an important parameter in understanding sediment transport in fluvial systems. Competence is defined as the measure of a stream's ability to transport a certain maximum grain size of sediment. Studies have shown that bed sediment particle size in rivers and streams tends to vary spatially along the direction of stream flow. Over a river section several reaches long, variability of sediment particle sizes can be seen, often becoming finer downstream. This phenomenon is attributed to mechanisms such as local control of stream gradient, coarse tributary sediment supply or particle breakdown. Average particle size may also be smaller in tributary sections of rivers due to river morphology. The relationship between river mean velocity and particle size that can be transported has also been explored. The Hjulstrom curve classifies this relationship by relating particle size to velocity, dividing the regions of sedimentation, transportation, and erosion. The curve can also be used to find values such as the critical erosion velocity (the velocity required to transport particles of various sizes in suspension) and settling velocity (the velocity at which particles of a given size become too heavy to be transported and fall out of suspension, consequently causing deposition). The purpose of this research is to explore the principles of river competence through field reconnaissance collection and laboratory analysis of fluvial sediment core samples along the Apalachicola River, FL and its distributaries. Sediment core samples were collected in the wetlands and estuarine regions of the Apalachicola River. Sieve and hydrometer analyses were performed to determine the spatial distribution of particle sizes along the river. An existing high resolution hydrodynamic model of the study domain was used to simulate tides and generate river velocities. The Hjulstrom curve and the generated river velocities were used to define whether sediment was being transported

Outcomes of small incision lenticule extraction (SMILE) in low myopia.

Science.gov (United States)

Reinstein, Dan Z; Carp, Glenn I; Archer, Timothy J; Gobbe, Marine

2014-12-01

To report the visual and refractive outcomes of small incision lenticule extraction for low myopia using the VisuMax femtosecond laser (Carl Zeiss Meditec, Jena, Germany). A retrospective analysis of 120 consecutive small incision lenticule extraction procedures was performed for low myopia. Inclusion criteria were preoperative spherical equivalent refraction up to -3.50 diopters (D), cylinder up to 1.50 D, and corrected distance visual acuity of 20/20 or better. Outcomes analysis was performed for all eyes with 1-year follow-up according to the Standard Graphs for Reporting Refractive Surgery, and also including mesopic contrast sensitivity. One-year data were available for 110 eyes (92%). Preoperatively, mean spherical equivalent refraction was -2.61 ± 0.54 D (range: -1.03 to -3.50 D) and mean cylinder was 0.55 ± 0.38 D (range: 0.00 to 1.50 D). Postoperatively, mean spherical equivalent refraction was -0.05 ± 0.36 D (range: -0.94 to +1.25 D) and mean cylinder was ± 0.50 D in 84% and ± 1.00 D in 99% of eyes. Uncorrected distance visual acuity was 20/20 or better in 96% of eyes and 20/25 or better in 100% of eyes. One line of corrected distance visual acuity was lost in 9%, but no eyes lost two or more lines. There was an initial overcorrection in mean spherical equivalent refraction on day 1 (+0.37 D) as expected, which regressed to +0.10 D at 1 month and -0.05 D at 3 months, after which stability was reached (mean spherical equivalent refraction was -0.05 D at 1 year). Contrast sensitivity at 1 year was slightly increased at 3, 6, 12, and 18 cycles per degree (P < .05). Small incision lenticule extraction for low myopia was found to be safe and effective with outcomes similar to those previously reported for LASIK. Copyright 2014, SLACK Incorporated.

Investigating fluvial pattern and delta-planform geometry based on varying intervals of flood and interflood

Science.gov (United States)

Rambo, J. E.; Kim, W.; Miller, K.

2017-12-01

Physical modeling of a delta's evolution can represent how changing the intervals of flood and interflood can alter a delta's fluvial pattern and geometry. Here we present a set of six experimental runs in which sediment and water were discharged at constant rates over each experiment. During the "flood" period, both sediment and water were discharged at rates of 0.25 cm3/s and 15 ml/s respectively, and during the "interflood" period, only water was discharged at 7.5 ml/s. The flood periods were only run for 30 minutes to keep the total volume of sediment constant. Run 0 did not have an interflood period and therefore ran with constant sediment and water discharge for the duration of the experiment.The other five runs had either 5, 10, or 15-min intervals of flood with 5, 10, or 15-min intervals of interflood. The experimental results show that Run 0 had the smallest topset area. This is due to a lack of surface reworking that takes place during interflood periods. Run 1 had 15-minute intervals of flood and 15-minute intervals of interflood, and it had the largest topset area. Additionally, the experiments that had longer intervals of interflood than flood had more elongated delta geometries. Wetted fraction color maps were also created to plot channel locations during each run. The maps show that the runs with longer interflood durations had channels occurring predominantly down the middle with stronger incisions; these runs produced deltas with more elongated geometries. When the interflood duration was even longer, however, strong channels started to occur at multiple locations. This increased interflood period allowed for the entire area over the delta's surface to be reworked, thus reducing the downstream slope and allowing channels to be more mobile laterally. Physical modeling of a delta allows us to predict a delta's resulting geometry given a set of conditions. This insight is needed especially with delta's being the home to many populations of people and

Evolution of the morphology of the river Dragonja (SW Slovenia) due to land-use changes

Science.gov (United States)

Keesstra, S. D.; van Huissteden, J.; Vandenberghe, J.; Van Dam, O.; de Gier, J.; Pleizier, I. D.

2005-07-01

The effects of increasing agricultural land use on fluvial morphology have received much attention in fluvial research. However, in several regions in Europe, a reversing trend of decreasing agricultural activity and land abandonment, followed by reforestation, is observed. The response of fluvial morphology deserves attention because of its large impacts on landscape and riverine habitats. With the help of geomorphological mapping, multi-date aerial photography and a range of dating techniques, we reconstructed the evolution of the morphology of the riverbed and the floodplain of the Dragonja river in southwestern Slovenia. The results of this study show that the fluvial morphology in this Mediterranean catchment has changed considerably as a result of shifts in agricultural land use, in particular large-scale land abandonment in the second half of the 20th century. Until the first half of the 19th century, floodplain aggradation prevailed. Probably around 1870, a large erosion event occurred from which the floodplain did not fully recover. A terrace standing 2.5 m above the present floodplain was formed. Natural reforestation, due to depopulation since World War II, caused a reduction in discharge and sediment supply to the river. The decreased intensity and frequency of floods allowed invasion of the riverbed by vegetation, causing narrowing and incision of the riverbed. This resulted in the formation of a terrace, which now stands 1.5 m above the present-day river. This terrace is about 60 years old. However, the largest increase in forest area occurred since 1975, which intensified this process of riverbed narrowing and incision, creating a local terrace at 0.5 m at 0.5 m above the presently meandering river.

Modified Lengthening Temporalis Myoplasty Involving an Extended Lazy-S Incision to Avoid Facial Scar Formation.

Science.gov (United States)

Oji, Tomito; Hayashi, Akiteru; Ogino, Akihiro; Onishi, Kiyoshi

2018-05-01

Lengthening temporalis myoplasty is a faster and less invasive alternative to free muscle transfer for smile reconstruction. However, it requires a nasolabial fold incision, which leaves a midfacial scar. Based on esthetic considerations, a modified approach, involving an extended lazy-S (parotidectomy) incision instead of a nasolabial fold incision, was developed. A cadaveric study involving 10 hemifaces was conducted. From February 2013 to March 2016, the modified lengthening temporalis myoplasty procedure was employed in 10 patients. The results were graded from 1 (poor) to 5 (excellent) according to the Terzis grading system. The excursion of the oral commissure was also measured. The extended lazy-S incision provides easy and safe access to the coronoid process and good visibility. The patients' mean age was 56.5 years, and the mean duration of the postoperative follow-up period was 22.2 months. The patients' underlying conditions included acoustic neuroma (n = 2), Bell palsy (n = 3), congenital conditions (n = 2), brain infarction (n = 1), Ramsay Hunt syndrome (n = 1), and malignant parotid lymphoma (n = 1). One patient suffered a surgical site infection, which was successfully treated with irrigation. All the patients achieved improvements in smile symmetry: 2, 5, and 3 patients obtained excellent, good, and moderate results, respectively. The excursion of the oral commissure ranged from 5 to 10 mm. The modified lengthening temporalis myoplasty procedure provides satisfactory functional outcomes without causing significant complications. It does not leave a facial scar and is a preferable option, especially for young and female patients, and patients who have undergone ablative surgery involving the parotid region.

Applying fluvial geomorphology to river channel management: Background for progress towards a palaeohydrology protocol

Science.gov (United States)

Gregory, K. J.; Benito, G.; Downs, P. W.

2008-06-01

Significant developments have been achieved in applicable and applied fluvial geomorphology as shown in publications of the last three decades, analyzed as the basis for using results of studies of environmental change as a basis for management. The range of types of publications and of activities are more pertinent to river channel management as a result of concern with sustainability, global climate change, environmental ethics, ecosystem health concepts and public participation. Possible applications, with particular reference to river channel changes, include those concerned with form and process, assessment of channel change, urbanization, channelization, extractive industries, impact of engineering works, historical changes in land use, and restoration with specific examples illustrated in Table 1. In order to achieve general significance for fluvial geomorphology, more theory and extension by modelling methods is needed, and examples related to morphology and process characteristics, integrated approaches, and changes of the fluvial system are collected in Table 2. The ways in which potential applications are communicated to decision-makers range from applicable outputs including publications ranging from review papers, book chapters, and books, to applied outputs which include interdisciplinary problem solving, educational outreach, and direct involvement, with examples summarized in Table 3. On the basis of results gained from investigations covering periods longer than continuous records, a protocol embracing palaeohydrological inputs for application to river channel management is illustrated and developed as a synopsis version (Table 4), demonstrating how conclusions from geomorphological research can be expressed in a format which can be considered by managers.

Tamarix, hydrology and fluvial geomorphology: Chapter 7

Science.gov (United States)

Auerbach, Daniel A.; Merritt, David M.; Shafroth, Patrick B.; Sher, Anna A; Quigley, Martin F.

2013-01-01

This chapter explores the impact of hydrology and fluvial geomorphology on the distribution and abundance of Tamarix as well as the reciprocal effects of Tamarix on hydrologic and geomorphic conditions. It examines whether flow-regime alteration favors Tamarix establishment over native species, and how Tamarix stands modify processes involved in the narrowing of river channels and the formation of floodplains. It begins with an overview of the basic geomorphic and hydrologic character of rivers in the western United States before analyzing how this setting has contributed to the regional success of Tamarix. It then considers the influence of Tamarix on the hydrogeomorphic form and function of rivers and concludes by discussing how a changing climate, vegetation management, and continued water-resource development affect the future role of Tamarix in these ecosystems.

A method of fingerprinting the sources of fluvial sediment using environmental radionuclides. A case study of Tsuzura river watershed

International Nuclear Information System (INIS)

Mizugaki, Shigeru; Onda, Yuichi; Fukuyama, Taijiro; Koga, Satoko; Hiramatsu, Shinya

2006-01-01

To study the fluvial sediment sources in forested watershed in Shikoku Island, Japan, the concentration of Cs-137 and Pb-210 ex and U decay series radionuclides were analyzed. The study area in the midstream of Shimanto River basin, located 700 km southwest of Tokyo. The 0.33 km 2 area watershed ranges in elevation from 170 m to 560 m above sea level. The soil sampling was conducted in hillslopes in various locations such as landslide scar, soil surface in unmanaged Hinoki (Chamacecyparis obtusa) plantation and unsealed forest road, and detailed sampling in the stream bed and bank was also conducted in several tributaries. Time-integrated suspended sediment sampler was adopted to obtain enough volume of sample to determine the radionuclides. The activities of Cs-137, Pb-210, Pb-214 and Bi-214 of soils and fluvial sediments were determined by gamma-ray spectrometry. Correction for the effect of particle size distribution and organic matter content on the radionuclides were conducted to compare the radionuclides concentration between the soils of potential suspended sediment sources and fluvial sediments. It was found that there were significant differences of Cs-137 and Pb-210 ex concentration between forest floor or runoff sediment and forest road or stream bank. The Cs-137 and Pb-210 ex concentration of suspended sediment varied among them, suggesting the possibility of fingerprinting the sources of fluvial sediment by Cs-137 and Pb-210 ex . (author)

Stable carbon isotope analysis of fluvial sediment fluxes over two contrasting C(4) -C(3) semi-arid vegetation transitions.

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Puttock, Alan; Dungait, Jennifer A J; Bol, Roland; Dixon, Elizabeth R; Macleod, Christopher J A; Brazier, Richard E

2012-10-30

Globally, many drylands are experiencing the encroachment of woody vegetation into grasslands. These changes in ecosystem structure and processes can result in increased sediment and nutrient fluxes due to fluvial erosion. As these changes are often accompanied by a shift from C(4) to C(3) vegetation with characteristic δ(13) C values, stable isotope analysis provides a promising mechanism for tracing these fluxes. Input vegetation, surface sediment and fluvially eroded sediment samples were collected across two contrasting C(4) -C(3) dryland vegetation transitions in New Mexico, USA. Isotope ratio mass spectrometric analyses were performed using a Carlo Erba NA2000 analyser interfaced to a SerCon 20-22 isotope ratio mass spectrometer to determine bulk δ(13) C values. Stable isotope analyses of contemporary input vegetation and surface sediments over the monitored transitions showed significant differences (p fluvially eroded sediment from each of the sites, with no significant variation between surface sediment and eroded sediment values. The significant differences in bulk δ(13) C values between sites were dependent on vegetation input. Importantly, these values were robustly expressed in fluvially eroded sediments, suggesting that stable isotope analysis is suitable for tracing sediment fluxes. Due to the prevalent nature of these dryland vegetation transitions in the USA and globally, further development of stable isotope ratio mass spectrometry has provided a valuable tool for enhanced understanding of functional changes in these ecosystems. Copyright © 2012 John Wiley & Sons, Ltd.

Influencia de tres tipos de vegetación riberena en el control de la erosión fluvial en Pantanos de Centla, México

NARCIS (Netherlands)

Sepúlveda, A.; Geissen, V.; Ochoa-Gaona, S.; Jarquin-Sanchez, A.; Hernandez de la Cruz, S.; Zamora-Cornelio, L.F.

2009-01-01

Influence of three types of riparian vegetation on fluvial erosion control in Pantanos de Centla, Mexico. Wetlands constitute very important ecological areas. The aim of this study was to quantify the soil losses due to fluvial erosion from 2006 to 2008 in two riverbanks under three types of vegetal

Transversal incision of the vagina favors the remaining of the tape in the middle-third urethra compared to longitudinal incision during transobturator sling procedures for stress urinary incontinence.

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Pirtea, L; Sas, I; Ilina, Razvan; Grigoraș, D; Mazilu, O

2015-07-17

To describe a new type of incision of the vagina during transobturator sling procedure and to evaluate by ultrasound the tape position at 3, 6 and 12 months after surgery. We conducted a prospective study including 51 patients with urinary stress incontinence who underwent sling procedure using the transversal vaginal incision. Tape position was evaluated by ultrasound at 3, 6 and 12 months after surgery and expressed as a percentage of the urethral length (the proximal third of the urethral length 0-39 %, the middle third 40-60 %, and the distal third 60-100 %). Informed consent was obtained from all patients prior to their inclusion in the study. All procedures have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments and were approved by the Institutional Review Board and Ethical Committee of "Victor Babeş" University of Medicine and Pharmacy Timisoara before the beginning of the study (no 7/17.04.2012). At 3 months after surgery, 3.92 % of the slings were located in the proximal third of the urethra, 88.23 % in the middle third of the urethra and 7.84 % in the distal third. At 6 and 12 months after surgery we obtained similar results: 9.81 % of the slings were located in the proximal third of the urethra, 82.35 % in the middle third and 7.84 % in the distal third of the urethra. The transversal incision of the vagina offers a minimal dissection along the long axis of the urethra favoring the remaining of the tape in the middle third of the urethra.

Climate evolution during the Pleniglacial and Late Glacial as recorded in quartz grain morphoscopy of fluvial to aeolian successions of the European Sand Belt

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Woronko Barbara

2015-06-01

Full Text Available We present results of research into fluvial to aeolian successions at four sites in the foreland of the Last Glacial Maximum, i.e., the central part of the “European Sand Belt”. These sites include dune fields on higher-lying river terraces and alluvial fans. Sediments were subjected to detailed lithofacies analyses and sampling for morphoscopic assessment of quartz grains. Based on these results, three units were identified in the sedimentary succession: fluvial, fluvio-aeolian and aeolian. Material with traces of aeolian origin predominate in these sediments and this enabled conclusions on the activity of aeolian processes during the Pleniglacial and Late Glacial, and the source of sediment supply to be drawn. Aeolian processes played a major role in the deposition of the lower portions of the fluvial and fluvio-aeolian units. Aeolian material in the fluvial unit stems from aeolian accumulation of fluvial sediments within the valley as well as particles transported by wind from beyond the valley. The fluvio-aeolian unit is composed mainly of fluvial sediments that were subject to multiple redeposition, and long-term, intensive processing in an aeolian environment. In spite of the asynchronous onset of deposition of the fluvio-aeolian unit, it is characterised by the greatest homogeneity of structural and textural characteristics. Although the aeolian unit was laid down simultaneously, it is typified by the widest range of variation in quartz morphoscopic traits. It reflects local factors, mainly the origin of the source material, rather than climate. The duration of dune-formation processes was too short to be reflected in the morphoscopy of quartz grains.

Chronology of fluvial terrace sequences for large Atlantic rivers in the Iberian Peninsula (Upper Tagus and Duero drainage basins, Central Spain)

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Silva, Pablo G.; Roquero, Elvira; López-Recio, Mario; Huerta, Pedro; Martínez-Graña, Antonio M.

2017-06-01

This work analyses the chronology of fluvial terrace sequences of the two most important fluvial basins from central Spain draining to the Atlantic Ocean (Upper Tagus and Duero drainage basins). Both basins evolved under similar Mediterranean climatic conditions throughout the Pleistocene and present comparable number of fluvial terraces (16-17) after excluding the higher terrace levels of the Tagus (T1-T5) entrenched in the Raña surface. These higher ;rañizo terraces; was formed in response to fan-head trenching in this high alluvial piedmont (+220 m) and therefore not properly controlled by Quaternary fluvial downcutting. The study accomplishes the implementation of multiple regression analyses for terrace height-age relationships. To transform relative terrace heights above the present river thalwegs (i.e. +100 m) in numerical ages a ;height-age transference function; has been developed on the basis of preliminary statistical geochronological approaches proposed for Central Spain. The resultant height-age transference function gather 73 published geochronological data for terrace sequences, featuring a 3rd Order Polynomial Function (R2 0.90). This function describes the overall trend of valley downcutting for the last c. 2.3 Ma in Central Spain and is used to assign numerical ages to terrace levels at different relative elevation.

Arsenic and fluvial biofilms: biogeochemistry, toxicity and biotic interactions

OpenAIRE

Barral Fraga, Laura

2017-01-01

Basándonos en los conocimientos actuales sobre la ecotoxicología del biofilm y la biogeoquímica del arsénico en ecosistemas dulceacuícolas, esta tesis estudió, bajo concentraciones ambientales realistas, i) el papel de los biofilms bentónicos en la biodisponibilidad y destoxificación del arsénico, ii) los efectos tóxicos del arsénico sobre la estructura y función de los biofilms bentónicos fluviales, prestando especial atención a las respuestas de las diatomeas, y iii) la interacción entre es...

Application on small incision extracapsular cataract extraction in large-scale vision recovery action in Shaanxi Province

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Juan Zhang

2014-09-01

Full Text Available AIM: To investigate the characteristics of scale cataract operations and the effects and experiences of small incision extracapsular cataract extraction with intraocular lens(IOLimplantation in large-scale vision recovery action. METHODS: Four thousand eight hundred ninety-two cases(4 892 eyesof cataract were treated by small incision non-phacoemulcification cataract extraction from March 2010 to November 2011 in our hospital(Fuming No.1 surgery car of Shaanxi Provincewhich were retrospectively analyzed. Visual acuity, intraoperative and postoperative complications, the recovery of postoperative inflammation were observed. RESULTS: Visual acuity reached 0.3 or more in 4 521 eyes(92.42%at 1d after the operation, at 3d after the operation in 4 571 eyes(93.44%, there were 4 887 eyes with IOL implantation, implantation rate was 99.90%. All the cases had lesser intraoperative and postoperative complications, and the postoperative inflammation recovered quickly. CONCLUSION: Small incision extracapsular cataract extraction with IOL implantation is simple, effective, economical, safe and adapting for large-scale vision recovery action.

Effects of ZnO nanoparticles and Zn"2"+ on fluvial biofilms and the related toxicity mechanisms

International Nuclear Information System (INIS)

Xu, Yi; Wang, Chao; Hou, Jun; Dai, Shanshan; Wang, Peifang; Miao, Lingzhan; Lv, Bowen; Yang, Yangyang; You, Guoxiang

2016-01-01

Zinc oxide nanoparticles (ZnO NPs) used in consumer products are largely released into the environment through the wastewater stream. The health hazard of ZnO NPs and the contribution of dissolved Zn"2"+ in toxicity of ZnO NPs has attracted extensive worldwide attention. In this study, the toxic effects of ZnO nanoparticles (ZnO NPs) and the effects of dissolved Zn"2"+ on fluvial biofilms were investigated. At the end of the exposure time (21 days), scanning electron microscopy (SEM) images and bioaccumulation experiments revealed that large quantities of ZnO NPs were adsorbed on the biofilm. The algal biomasses were significantly decreased by six- and eleven-fold compared with the control (1.43 μg/L) by exposure to concentrations of 100 mg/L ZnO NPs and 7.85 mg/L Zn"2"+, respectively. Moreover, under the same exposure conditions, the quantum yields presented contents of 53.33 and 33.33% relative to the control, and a shift in the community composition that manifested as a strong reduction in diatoms was observed from 7 days and reached 15.63 and 6.25% of the control after 21 days of exposure, respectively. The reductions in bacteria viability and reactive oxygen species (ROS) production were noticeably enhanced following exposure to 100 mg/L ZnO NPs and 7.85 mg/L Zn"2"+, respectively. Additionally, the acute and rapid toxicity of Zn"2"+ and the increasing toxicity of the ZnO NPs with increased bioaccumulation were noted in the exposure experiment. - Highlights: • Fluvial biofilm was exposed to ZnO NPs and the dissolved Zn"2"+. • Chl-a and Φ_M decreased at high doses (100 and 7.85 mg/L of ZnO NPs and Zn"2"+). • A shift in the algae community composition was observed at high dosage levels. • The enhanced production of ROS declined the bacteria viability. • Zn"2"+ was more toxic than that of the ZnO-NPs.

Contribution of radioactive tracers to sediment transport study in fluvial flows

International Nuclear Information System (INIS)

Wilson Junior, G.

1995-01-01

The uses of radioactive tracers in sediment transport studies are presented in this report to evidence the importance of: Open channel researches, to describe field applications in waterways; Simultaneous utilization of classical methods and radiotracer techniques, in fluvial and estuarine environments; Development of radiotracers techniques applied in dynamic sedimentology. The report illustrated with some experiments carried out in Brazil and France, in open channel and natural flows. (author). 5 refs, 4 figs

Gully annealing by fluvially-sourced Aeolian sand: remote sensing investigations of connectivity along the Fluvial-Aeolian-hillslope continuum on the Colorado River

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Sankey, Joel B.; East, Amy E.; Collins, Brian D.; Caster, Joshua J.

2015-01-01

Processes contributing to development of ephemeral gully channels are of great importance to landscapes worldwide, and particularly in dryland regions where soil loss and land degradation from gully erosion pose long-term, land-management problems. Whereas gully formation has been relatively well studied, much less is known of the processes that anneal gullies and impede their growth. This work investigates gully annealing by aeolian sediment, along the Colorado River downstream of Glen Canyon Dam in Glen, Marble, and Grand Canyons, Arizona, USA (Figure 1). In this segment of the Colorado River, gully erosion potentially affects the stability and preservation of archaeological sites that are located within valley margins. Gully erosion occurs as a function of ephemeral, rainfall-induced overland flow associated with intense episodes of seasonal precipitation. Measurements of sediment transport and topographic change have demonstrated that fluvial sand in some locations is transported inland and upslope by aeolian processes to areas affected by gully erosion, and aeolian sediment activity can be locally effective at counteracting gully erosion (Draut, 2012; Collins and others, 2009, 2012; Sankey and Draut, 2014). The degree to which specific locations are affected by upslope wind redistribution of sand from active channel sandbars to higher elevation valley margins is termed “connectivity”. Connectivity is controlled spatially throughout the river by (1) the presence of upwind sources of fluvial sand within the contemporary active river channel (e.g., sandbars), and (2) bio-physical barriers that include vegetation and topography that might impede aeolian sediment transport. The primary hypothesis of this work is that high degrees of connectivity lead to less gullying potential.

Single-incision video-assisted anatomical segmentectomy with handsewn bronchial closure for endobronchial lipoma.

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Galvez, Carlos; Sesma, Julio; Bolufer, Sergio; Lirio, Francisco; Navarro-Martinez, Jose; Galiana, Maria; Baschwitz, Benno; Rivera, Maria Jesus

2016-08-01

Endobronchial lipomas are rare benign tumors whose symptoms are usually confused with recurrent infections or even asthma diagnosis, and mostly caused by endobronquial obstructive component which also conditions severity. We report a case of a 60-year-old man with a right-lower lobe upper-segment endobronchial myxoid tumor with uncertain diagnosis. We performed a single incision video-assisted anatomical segmentectomy and wedge bronchoplasty with handsewn closure to achieve complete resection and definitive diagnosis. During the postoperative air leak was not observed and there was no complication, with low pain scores and complete recovery. Final pathological exam showed endobronchial lipoma. Single-incision (SI) anatomical segmentectomies are lung-sparing resections for benign or low-grade malignancies with diagnostic and therapeutic value, and the need for a wedge bronchoplasty is not a necessary indication for conversion to multiport or open thoracotomy.

Early response of local steroid injection versus mini incision technique in treatment of carpal tunnel syndrome

International Nuclear Information System (INIS)

Awan, A.S.; Khan, A.; Afridi, S.A.; Khan, R.S.

2015-01-01

Carpal tunnel syndrome Carpal tunnel syndrome (CTS) is one of the commonest peripheral neuropathies which effects mainly middle aged women. Different techniques are being tried to decrease the post-operative pain in patients operated for CTS. The objective of this study was to compare effectiveness of local injection of steroid and mini incision technique in the treatment of carpal tunnel syndrome. Methods: This randomized control trial was conducted at department of Orthopedics and department of Neurosurgery, Ayub Teaching Hospital, Abbottabad from Aug 2011 to Feb 2013. A total of 116 patients of CTS were randomly allocated to either of the two groups. Fifty-eight Patient in Group A were subjected to local steroid injection and the same number of patient in Group B underwent mini incision technique. All patients of were advised to report to the OPD after one month to determine intervention effectiveness in terms of improvement in at least one grade of pain. Results: In this study mean age of the patients was 32.8 ± 5.1 years. Female gender was in dominance with 99 (86.3%) cases. In this study we compared the effectiveness of local steroid injection and mini incision technique in the treatment of carpel tunnel syndrome. We found out that the steroid injection was effective in 69.0% cases while mini incision technique was effective in 56.9% cases. The difference being statistically insignificant with a p-value of 0.17. Conclusion: The difference in pain after 1 month of the intervention was not statistically significant. (author)

Characterizing Feedbacks Between Environmental Forcing and Sediment Characteristics in Fluvial and Coastal Systems

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Feehan, S.; Ruggiero, P.; Hempel, L. A.; Anderson, D. L.; Cohn, N.

2016-12-01

Characterizing Feedbacks Between Environmental Forcing and Sediment Characteristics in Fluvial and Coastal Systems American Geophysical Union, 2016 Fall Meeting: San Francisco, CA Authors: Scott Feehan, Peter Ruggiero, Laura Hempel, and Dylan Anderson Linking transport processes and sediment characteristics within different environments along the source to sink continuum provides critical insight into the dominant feedbacks between grain size distributions and morphological evolution. This research is focused on evaluating differences in sediment size distributions across both fluvial and coastal environments in the U.S. Pacific Northwest. The Cascades' high relief is characterized by diverse flow regimes with high peak/flashy flows and sub-threshold flows occurring in relative proximity and one of the most energetic wave climates in the world. Combining analyses of both fluvial and coastal environments provides a broader understanding of the dominant forces driving differences between each system's grain size distributions, sediment transport processes, and resultant evolution. We consider sediment samples taken during a large-scale flume experiment that simulated floods representative of both high/flashy peak flows analogous to runoff dominated rivers and sub-threshold flows, analogous to spring-fed rivers. High discharge flows resulted in narrower grain size distributions while low flows where less skewed. Relative sediment size showed clear dependence on distance from source and the environments' dominant fluid motion. Grain size distributions and sediment transport rates were also quantified in both wave dominated nearshore and aeolian dominated backshore portions of Long Beach Peninsula, Washington during SEDEX2, the Sandbar-aEolian-Dune EXchange Experiment of summer 2016. The distributions showed spatial patterns in mean grain size, skewness, and kurtosis dependent on the dominant sediment transport process. The feedback between these grain size

Local analgesic effect of tramadol is mediated by opioid receptors in late postoperative pain after plantar incision in rats.

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de Oliveira Junior, José Oswaldo; de Freitas, Milena Fernandes; Bullara de Andrade, Carolina; Chacur, Marucia; Ashmawi, Hazem Adel

2016-01-01

Tramadol is a drug used to treat moderate to severe pain. It is known to present a peripheral effect, but the local mechanisms underlying its actions remain unclear. The role of peripheral opioid receptors in postoperative pain is not well understood. In the present study, we examined the peripheral opioid receptors to determine the local effect of tramadol in a plantar incision pain model. Rats were subjected to plantar incision and divided into four groups on postoperative day (POD) 1: SF_SF, 0.9% NaCl injected into the right hindpaw; SF_TraI, 0.9% NaCl and tramadol injected into the right hindpaw; SF_TraC, 0.9% NaCl and tramadol injected into the contralateral hindpaw; and Nal_Tra, naloxone and tramadol injected into the ipsilateral hindpaw. To determine the animals' nociceptive threshold, mechanical hyperalgesia was measured before incision, on POD1 before treatment and at 15, 30, 45, and 60 minutes after the incision. The same procedure was repeated on the POD2. The expression levels of μ-opioid receptor (MOR) and δ-opioid receptor (DOR) were obtained through immunoblotting assays in the lumbar dorsal root ganglia (L3-L6) in naïve rats and 1, 2, 3, and 7 days after the incision. Our results showed that the plantar incision was able to cause an increase in mechanical hyperalgesia and that tramadol reversed this hyperalgesia on POD1 and POD2. Tramadol injections in the contralateral paw did not affect the animals' nociceptive threshold. Naloxone was able to antagonize the tramadol effect partially on POD1 and completely on POD2. The DOR expression increased on POD2, POD3, and POD7, whereas the MOR expression did not change. Together, our results show that tramadol promoted a local analgesic effect in the postoperative pain model that was antagonized by naloxone in POD2, alongside the increase of DOR expression.

Plantar Fascia Release Through a Single Lateral Incision in the Operative Management of a Cavovarus Foot: A Cadaver Model Analysis of the Operative Technique.

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Kiskaddon, Eric M; Meeks, Brett D; Roberts, Joseph G; Laughlin, Richard T

2018-04-04

Plantar fascia release and calcaneal slide osteotomy are often components of the surgical management for cavovarus deformities of the foot. In this setting, plantar fascia release has traditionally been performed through an incision over the medial calcaneal tuberosity, and the calcaneal osteotomy through a lateral incision. Two separate incisions can potentially increase the operative time and morbidity. The purpose of the present study was threefold: to describe the operative technique, use cadaveric dissection to analyze whether a full release of the plantar fascia was possible through the lateral incision, and examine the proximity of the medial neurovascular structures to both the plantar fascia release and calcaneal slide osteotomy when performed together. In our cadaveric dissections, we found that full release of the plantar fascia is possible through the lateral incision with no obvious damage to the medial neurovascular structures. We also found that the calcaneal branch of the tibial nerve reliably crossed the osteotomy in all specimens. We have concluded that both the plantar fascia release and the calcaneal osteotomy can be safely performed through a lateral incision, if care is taken when completing the calcaneal osteotomy to ensure that the medial neurovascular structures remain uninjured. Copyright © 2017 The American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Response of the Apodi-Mossoró estuary-incised valley system (NE Brazil to sea-level fluctuations

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Helenice Vital

2010-01-01

Full Text Available This study focuses on the Quaternary sea level changes in the Apodi-Mossoró Estuary and adjacent shelf, Northeastern Brazil, based on the analysis of high-resolution seismic profiles, integrated with echosounder, SRTM and satellite image data. We use these data to develop a relative stratigraphy. An incised-valley extending from the Apodi-Mossoró Estuary onto the shelf dominates the investigated area. In very shallow waters (down to 10 m depth the channel lies mainly in a NW-SE direction, changing to NE-SW in waters below10 m, in the form of a J-shaped valley. The southern flank of the shallow channel presents an abrupt morphology, probably determined by a residual scarp due to neotectonic reactivation of a pre-existing fault. This incised-valley can be correlated with a former river valley formed during the late Pleistocene fall in sea-level. The base-level change related to this drop in sea level can be regionally expressed on seismic lines as a laterally-continuous stratigraphic surface named Horizon I, interpreted as representing the sub-aerial exposure of the continental shelf. Many incised valleys were excavated on this exposed shelf, including that of the Apodi-Mossoró Estuary and its incised valley system. This incised valley has lain buried since the Holocene transgression. The Holocene sediments present sub-horizontal layers, or they have filled the incised valley with oblique features.Este estudo utiliza a integração de dados sísmicos de alta resolução, batimétricos, SRTM e imagens de satélite para desenvolvimento da estratigrafia relativa visando entender as variações do nível do mar durante o Quaternário no estuário do rio Apodi-Mossoró e plataforma adjacente, nordeste do Brasil. A principal feição identificada foi um canal submerso, na plataforma interna, parcialmente preenchido, provavelmente relacionado com o sistema de vales incisos formado durante o rebaixamento do nível do mar no Pleistoceno. O canal

Quantifying bleaching for zero-age fluvial sediment: A Bayesian approach

International Nuclear Information System (INIS)

Cunningham, Alastair C.; Evans, Mary; Knight, Jasper

2015-01-01

Luminescence dating of sediment requires the sand grains to have been exposed to sunlight prior to their most recent burial. Under fluvial transport, the amount of sunlight exposure may not always be sufficient to reset the luminescence signal, a phenomenon known as ‘partial bleaching'. The extent of bleaching is dependent on a combination of geomorphic, sedimentological and fluvial processes. If bleaching can be quantified, and the relationship with these processes understood, it could potentially be used as a new environmental proxy for changes in the dynamics of river systems. Here, we use a recently developed statistical model to evaluate the extent of bleaching, by inferring the proportion of well-bleached grains in the small-aliquot population. We sampled low-flow and flood deposits at a single site on the River Sabie, South Africa. We show that the low-flow sediment is almost perfectly bleached (>80% of grains well bleached), while sediment at flood elevations is partially bleached (20–70 % of grains well bleached). The degree of bleaching may show a relationship with flood magnitude as defined by elevation above normal river level, and we speculate on the causes of variability in bleaching between flood samples. - Highlights: • We sampled modern river sediment from low-flow and flood elevations. • The unbleached OSL dose was measured. • Bayesian methods can estimate the proportion of well-bleached grains. • Low-flow sediments are well bleached; flood deposits are poorly bleached.

Magnetic resonance imaging evaluation of incision healing after cesarean sections

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Dicle, O. [Department of Radiodiagnosis, Dokuz Eyluel University, Izmir (Turkey); Kuecuekler, C. [Department of Radiodiagnosis, Dokuz Eyluel University, Izmir (Turkey); Pirnar, T. [Department of Radiodiagnosis, Dokuz Eyluel University, Izmir (Turkey); Erata, Y. [Department of Gynecology and Obstetrics, Dokuz Eyluel University, Izmir (Turkey); Posaci, C. [Department of Gynecology and Obstetrics, Dokuz Eyluel University, Izmir (Turkey)

1997-02-01

The purpose of this study was to examine the healing period of incision scar in myometrial wall and the normal pelvis after cesarean sections by means of MRI. In this study 17 voluntary women were examined after their first delivery with cesarean section in the early postpartum period (first 5 days), and following this, three more times in 3-month intervals. The MRI examinations were performed on a 1.0-T system (Magnetom, Siemens, Erlangen, Germany), and sagittal T1-weighted (550/17 TR/TE) and T2-weighted (2000/80 TR/TE) spin-echo (SE) images of the pelvis were obtained. During follow-up examinations incision scar tissues lost their signals within the first 3 months on both SE sequences, and little alteration was observed in the subsequent tests. Zonal anatomy of the uterus reappeared completely 6 months after cesarean sections. The time for the involution of the uterus was independent of the zonal anatomy recovery, and the maximum involution was inspected within the first 3 months. In conclusion, the maturation time of myometrial scar tissue in uncomplicated cesarean sections, which can be evaluated by the signal alterations in MRI, is approximately 3 months, whereas the complete involution and the recovery of the zonal anatomy need at least 6 months. (orig.). With 6 figs.

Magnetic resonance imaging evaluation of incision healing after cesarean sections

International Nuclear Information System (INIS)

Dicle, O.; Kuecuekler, C.; Pirnar, T.; Erata, Y.; Posaci, C.

1997-01-01

The purpose of this study was to examine the healing period of incision scar in myometrial wall and the normal pelvis after cesarean sections by means of MRI. In this study 17 voluntary women were examined after their first delivery with cesarean section in the early postpartum period (first 5 days), and following this, three more times in 3-month intervals. The MRI examinations were performed on a 1.0-T system (Magnetom, Siemens, Erlangen, Germany), and sagittal T1-weighted (550/17 TR/TE) and T2-weighted (2000/80 TR/TE) spin-echo (SE) images of the pelvis were obtained. During follow-up examinations incision scar tissues lost their signals within the first 3 months on both SE sequences, and little alteration was observed in the subsequent tests. Zonal anatomy of the uterus reappeared completely 6 months after cesarean sections. The time for the involution of the uterus was independent of the zonal anatomy recovery, and the maximum involution was inspected within the first 3 months. In conclusion, the maturation time of myometrial scar tissue in uncomplicated cesarean sections, which can be evaluated by the signal alterations in MRI, is approximately 3 months, whereas the complete involution and the recovery of the zonal anatomy need at least 6 months. (orig.). With 6 figs

Optical coherence tomography of the effects of stromal hydration on clear corneal incision architecture.

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Calladine, Daniel; Tanner, Vaughan

2009-08-01

To evaluate the effects of stromal hydration on clear corneal incision (CCI) architecture immediately after surgery using anterior segment optical coherence tomography (AS-OCT). Department of Ophthalmology, Royal Berkshire Hospital, Reading, United Kingdom. Clear corneal incisions in adult eyes were examined using a Visante AS-OCT imaging system within 1 hour of surgery. Half the CCIs had stromal hydration with a balanced salt solution and half did not. Incisions were made with a 2.75 mm steel keratome. Intraocular pressure (IOP) was measured within 90 minutes after surgery. The CCI length and corneal thickness at the CCI site were measured using software built into the AS-OCT system. Thirty CCIs were evaluated. Stromal hydration significantly increased the measured CCI length (Pthe result of a trend toward increased corneal thickness at the CCI site with hydration (PThe mean CCI length was 1.69 mm +/- 0.27 (SD) (range 1.31 to 2.32 mm) with hydration and 1.51 +/- 0.23 mm (range 1.30 to 1.95 mm) without hydration. The mean IOP was 20.9 +/- 8.18 mm Hg and 15.8 +/- 8.20 mm Hg, respectively. The IOP tended to be higher with hydration (Pthe eye with a higher early postoperative IOP, showing the importance of taking stromal hydration into account when designing similar OCT studies of CCI architecture.

The microfauna assemblages as indicators of paleoenvironmental changes in the Miocene fluvial- lacustrine cycles (NE Duero Basin, Spain

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A. Herrero-Hernández

2016-11-01

Full Text Available The siliclastic and carbonate deposits are interbedded in the Villadiego area (Miocene, NE Duero Basin. They have been subdivided into two high-rank depositional sequences: DDS and CDS. The sedimentary analysis of these units and the study of the microfauna content, mainly ostracods, led to the identification of lacustrine-fluvial interaction systems. The sedimentary characteristics reveal the existence of fluvial systems of gravel, flood plains and lacustrine systems that were interconnected and intimately related in north-south direction. In the sedimentological analysis, thirteen types of fluvial and lacustrine lithofacies and six genetic facies associations were recognized. The top of DDS is the result of lake level risings. The CDS shows a deepening-shallowing cycle. The ostracod micropaleontological analysis of the sediments have been studied, with the aim of reconstructing the palaeoenvironmental evolution of this area. These microfauna assemblages integrated with the analysis of the sedimentary facies allowed to conclude the existence of lakes with a water-bearing level of few tens of meters. A change in the chemical conditions of the waters, which evolved from oligohaline and carbonated to mesohaline and sulphated is concluded.

The transverse colon cancer with the reversed rotation of the midgut treated with single incision laparoscopic colectomy.

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Hirano, Yasumitsu; Hattori, Masakazu; Fujita, Manami; Nishida, Youji; Douden, Kenji; Hashizume, Yasuo

2013-06-01

Reversed rotation of the midgut is a rare type of intestinal malrotation. Moreover, synchronous colon cancer has rarely been reported. Preliminary experience with single-incision laparoscopic colectomy (SILC) for colon cancer with reversed rotation of the midgut is reported. An 82-year-old woman was admitted because of a fecal occult blood. A colonoscopy revealed transverse colon cancer. An air-barium contrast enema showed the right-sided sigmoid colon and the left-sided cecum. A computed tomography revealed that the duodenum and the transverse colon were situated at the ventral side of the superior mesenteric artery, and a preoperative diagnosis of suspicion of reversed rotation of the midgut was made. First, a lap protector was inserted through a 4.0 cm transumbilical incision. Four 5 mm ports were placed in the lap protector. On the observation of laparoscopy, the cecum and the ascending colon were not fixed with the retroperitoneum and situated on the left, and the sigmoid colon was situated on the right. We successfully mobilized the transverse colon using a single-incision laparoscopic approach. Resection was achieved following extracorporealization, and the anastomosis was performed extracorporeally using staplers. The patient was discharged on the thirteenth postoperative day. Postoperative follow-up did not reveal any umbilical wound complications. SILC for colon cancer associated with malrotation of the midgut is feasible and a promising alternative method because of its less invasiveness and its adaptability to the malrotation without extending the skin incision.

Evidence for an early land use in the Rhône delta (Mediterranean France) as recorded by late Holocene fluvial paleoenvironments (1640-100 BC)

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Arnaud-Fassetta, Gilles; De Beaulieu, Jacques-Louis; Suc, Jean-Pierre; Provansal, Mireille; Williamson, David; Leveau, Philippe; Aloïsi, Jean-Claude; Gadel, François; Giresse, Pierre; Oberlin, Christine; Duzer, Danièle

The overall objective of this paper is to describe the late Holocene (1640-100 BC) sedimentary and biological evolution of the Rhône-delta-plain, to interpret the sedimentary facies and palynofacies as the result of the effects of fluvial dynamic fluctuations and relative sea level change and to evaluate the paleohydrological constraints in the development of the land use and settlements of the Camargue. Focus is made on the upper part of V III core drilled on NE of the Vaccarès lagoon. By combining sedimentology, palynology, magnetic susceptibility and archeological data, this study allowed to identify the superposition of three types of paleo-environments (marsh, fluvial floodplain, levee/crevasse splay). This sequence indicates a gradual extension of fluvial environments between the end of the second millennium BC and the 1st century BC. The variability of fluvial dynamic is evident during this period with important flood events which contrast with periods of low flow. Pollen record can be a good marker of the fluvial dynamic variability. The expression of the riparian tree pollen grains in the coarser floodplain deposits could correspond to increased fluvial influence and probably to erosion of riverbank during flood events. The local plants are associated to the low energy sedimentary environments. Focuses are made on the relations between the evolution of the environment and land use. The development of the cereal culture in the floodplain of the Rhône delta has been demonstrated between 1640-1410 and 100 BC. The last alluviation of the Rhône perturbs the research of the archaeological sites in the central part of the delta but the existence of the rural villages from the first part of the first millennium BC is highly possible.

Fluvial wood function downstream of beaver versus man-made dams in headwater streams in Massachusetts, USA

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David, G. C.; DeVito, L. F.; Munz, K. T.; Lisius, G.

2014-12-01

Fluvial wood is an essential component of stream ecosystems by providing habitat, increasing accumulation of organic matter, and increasing the processing of nutrients and other materials. However, years of channel alterations in Massachusetts have resulted in low wood loads despite the afforestation that has occurred since the early 1900s. Streams have also been impacted by a large density of dams, built during industrialization, and reduction of the beaver population. Beavers were reintroduced to Massachusetts in the 1940s and they have since migrated throughout the state. Beaver dams impound water, which traps sediment and results in the development of complex channel patterns and more ecologically productive and diverse habitats than those found adjacent to man-made dams. To develop better management practices for dam removal it is essential that we understand the geomorphic and ecologic function of wood in these channels and the interconnections with floodplain dynamics and stream water chemistry. We investigate the connections among fluvial wood, channel morphology, floodplain soil moisture dynamics, and stream water chemistry in six watersheds in Massachusetts that have been impacted by either beaver or man-made dams. We hypothesize that wood load will be significantly higher below beaver dams, subsequently altering channel morphology, water chemistry, and floodplain soil moisture. Reaches are surveyed up- and downstream of each type of dam to better understand the impact dams have on the fluvial system. Surveys include a longitudinal profile, paired with dissolved oxygen and ammonium measurements, cross-section and fluvial wood surveys, hydraulic measurements, and floodplain soil moisture mapping. We found that dissolved oxygen mirrored the channel morphology, but did not vary significantly between reaches. Wood loads were significantly larger downstream of beaver dams, which resulted in significant changes to the ammonium levels. Floodplain soil moisture

Mechanosensory based orienting behaviors in fluvial and lacustrine populations of mottled sculpin (Cottus bairdi)

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Sheryl Coombs; Gary D. Grossman

2006-01-01

We compared prey-orienting and rheotactic behaviors in a fluvial (Coweeta Creek) and lacustrine (Lake Michigan) population of mottled sculpin. Blinded sculpin from both populations exhibited unconditioned, mechanosensory based rheotaxis to low velocity flows. Whereas Lake Michigan sculpin generally showed increasing levels of positive rheotaxis to increasing velocities...

Calculation of paleohydraulic parameters of a fluvial system under spatially variable subsidence, of the Ericson sandstone, South western Wyoming

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Snyder, H.; Leva-Lopez, J.

2017-12-01

During the late Campanian age in North America fluvial systems drained the highlands of the Sevier orogenic belt and travelled east towards the Western Interior Seaway. One of such systems deposited the Canyon Creek Member (CCM) of the Ericson Formation in south-western Wyoming. At this time the fluvial system was being partially controlled by laterally variable subsidence caused by incipient Laramide uplifts. These uplifts rather than real topographic features were only areas of reduced subsidence at the time of deposition of the CCM. Surface expression at that time must have been minimum, only minute changes in slope and accommodation. Outcrops around these Laramide structures, in particular both flanks of the Rock Springs Uplift, the western side of the Rawlins uplift and the north flank of the Uinta Mountains, have been sampled to study the petrography, grain size, roundness and sorting of the CCM, which along with the cross-bed thickness and bar thickness allowed calculation of the hydraulic parameters of the rivers that deposited the CCM. This study reveals how the fluvial system evolved and responded to the very small changes in subsidence and slope. Furthermore, the petrography will shed light on the provenance of these sandstones and on the relative importance of Sevier sources versus Laramide sources. This work is framed in a larger study that shows how incipient Laramide structural highs modified the behavior, style and architecture of the fluvial system, affecting its thickness, facies characteristics and net-to-gross both down-dip and along strike across the basin.

Detrital shadows: estuarine food web connectivity depends on fluvial influence and consumer feeding mode.

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Howe, Emily; Simenstad, Charles A; Ogston, Andrea

2017-10-01

We measured the influence of landscape setting on estuarine food web connectivity in five macrotidal Pacific Northwest estuaries across a gradient of freshwater influence. We used stable isotopes (δ 13 C, δ 15 N, δ 34 S) in combination with a Bayesian mixing model to trace primary producer contributions to suspension- and deposit-feeding bivalve consumers (Mytilus trossulus and Macoma nasuta) transplanted into three estuarine vegetation zones: emergent marsh, mudflat, and eelgrass. Eelgrass includes both Japanese eelgrass (Zostera japonica) and native eelgrass (Zostera marina). Fluvial discharge and consumer feeding mode strongly influenced the strength and spatial scale of observed food web linkages, while season played a secondary role. Mussels displayed strong cross-ecosystem connectivity in all estuaries, with decreasing marine influence in the more fluvial estuaries. Mussel diets indicated homogenization of detrital sources within the water column of each estuary. In contrast, the diets of benthic deposit-feeding clams indicated stronger compartmentalization in food web connectivity, especially in the largest river delta where clam diets were trophically disconnected from marsh sources of detritus. This suggests detritus deposition is patchy across space, and less homogenous than the suspended detritus pool. In addition to fluvial setting, other estuary-specific environmental drivers, such as marsh area or particle transport speed, influenced the degree of food web linkages across space and time, often accounting for unexpected patterns in food web connectivity. Transformations of the estuarine landscape that alter river hydrology or availability of detritus sources can thus potentially disrupt natural food web connectivity at the landscape scale, especially for sedentary organisms, which cannot track their food sources through space. © 2017 by the Ecological Society of America.

Risk factors for an additional port in single-incision laparoscopic cholecystectomy in patients with cholecystitis.

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Araki, Kenichiro; Shirabe, Ken; Watanabe, Akira; Kubo, Norio; Sasaki, Shigeru; Suzuki, Hideki; Asao, Takayuki; Kuwano, Hiroyuki

2017-01-01

Although single-incision laparoscopic cholecystectomy is now widely performed in patients with cholecystitis, some cases require an additional port to complete the procedure. In this study, we focused on risk factor of additional port in this surgery. We performed single-incision cholecystectomy in 75 patients with acute cholecystitis or after cholecystitis between 2010 and 2014 at Gunma University Hospital. Surgical indications followed the TG13 guidelines. Our standard procedure for single-incision cholecystectomy routinely uses two needlescopic devices. We used logistic regression analysis to identify the risk factors associated with use of an additional full-size port (5 or 10 mm). Surgical outcome was acceptable without biliary injury. Nine patients (12.0%) required an additional port, and one patient (1.3%) required conversion to open cholecystectomy because of severe adhesions around the cystic duct and common bile duct. In multivariate analysis, high C-reactive protein (CRP) values (>7.0 mg/dl) during cholecystitis attacks were significantly correlated with the need for an additional port (P = 0.009), with a sensitivity of 55.6%, specificity of 98.5%, and accuracy of 93.3%. This study indicated that the severe inflammation indicated by high CRP values during cholecystitis attacks predicts the need for an additional port. J. Med. Invest. 64: 245-249, August, 2017.

Revisiting geochemical methods of distinguishing natural concentrations and pollution by risk elements in fluvial sediments

Czech Academy of Sciences Publication Activity Database

Matys Grygar, Tomáš; Popelka, J.

2016-01-01

Roč. 170, NOV (2016), s. 39-57 ISSN 0375-6742 R&D Projects: GA ČR(CZ) GA15-00340S Institutional support: RVO:61388980 Keywords : Enrichment * Fluvial sediments * Heavy metals Subject RIV: DD - Geochemistry Impact factor: 2.464, year: 2016

Denudation of the continental shelf between Britain and France at the glacial–interglacial timescale

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Mellett, Claire L.; Hodgson, David M.; Plater, Andrew J.; Mauz, Barbara; Selby, Ian; Lang, Andreas

2013-01-01

The erosional morphology preserved at the sea bed in the eastern English Channel dominantly records denudation of the continental shelf by fluvial processes over multiple glacial–interglacial sea-level cycles rather than by catastrophic flooding through the Straits of Dover during the mid-Quaternary. Here, through the integration of multibeam bathymetry and shallow sub-bottom 2D seismic reflection profiles calibrated with vibrocore records, the first stratigraphic model of erosion and deposition on the eastern English Channel continental shelf is presented. Published Optical Stimulated Luminescence (OSL) and 14C ages were used to chronometrically constrain the stratigraphy and allow correlation of the continental shelf record with major climatic/sea-level periods. Five major erosion surfaces overlain by discrete sediment packages have been identified. The continental shelf in the eastern English Channel preserves a record of processes operating from Marine Isotope Stage (MIS) 6 to MIS 1. Planar and channelised erosion surfaces were formed by fluvial incision during lowstands or relative sea-level fall. The depth and lateral extent of incision was partly conditioned by underlying geology (rock type and tectonic structure), climatic conditions and changes in water and sediment discharge coupled to ice sheet dynamics and the drainage configuration of major rivers in Northwest Europe. Evidence for major erosion during or prior to MIS 6 is preserved. Fluvial sediments of MIS 2 age were identified within the Northern Palaeovalley, providing insights into the scale of erosion by normal fluvial regimes. Seismic and sedimentary facies indicate that deposition predominantly occurred during transgression when accommodation was created in palaeovalleys to allow discrete sediment bodies to form. Sediment reworking over multiple sea-level cycles (Saalian–Eemian–early Weichselian) by fluvial, coastal and marine processes created a multi-lateral, multi-storey succession of

Denudation of the continental shelf between Britain and France at the glacial-interglacial timescale.

Science.gov (United States)

Mellett, Claire L; Hodgson, David M; Plater, Andrew J; Mauz, Barbara; Selby, Ian; Lang, Andreas

2013-12-01

The erosional morphology preserved at the sea bed in the eastern English Channel dominantly records denudation of the continental shelf by fluvial processes over multiple glacial-interglacial sea-level cycles rather than by catastrophic flooding through the Straits of Dover during the mid-Quaternary. Here, through the integration of multibeam bathymetry and shallow sub-bottom 2D seismic reflection profiles calibrated with vibrocore records, the first stratigraphic model of erosion and deposition on the eastern English Channel continental shelf is presented. Published Optical Stimulated Luminescence (OSL) and 14 C ages were used to chronometrically constrain the stratigraphy and allow correlation of the continental shelf record with major climatic/sea-level periods. Five major erosion surfaces overlain by discrete sediment packages have been identified. The continental shelf in the eastern English Channel preserves a record of processes operating from Marine Isotope Stage (MIS) 6 to MIS 1. Planar and channelised erosion surfaces were formed by fluvial incision during lowstands or relative sea-level fall. The depth and lateral extent of incision was partly conditioned by underlying geology (rock type and tectonic structure), climatic conditions and changes in water and sediment discharge coupled to ice sheet dynamics and the drainage configuration of major rivers in Northwest Europe. Evidence for major erosion during or prior to MIS 6 is preserved. Fluvial sediments of MIS 2 age were identified within the Northern Palaeovalley, providing insights into the scale of erosion by normal fluvial regimes. Seismic and sedimentary facies indicate that deposition predominantly occurred during transgression when accommodation was created in palaeovalleys to allow discrete sediment bodies to form. Sediment reworking over multiple sea-level cycles (Saalian-Eemian-early Weichselian) by fluvial, coastal and marine processes created a multi-lateral, multi-storey succession of

Impact of two telemetry transmitter implantation incision suturing methods on the physiological state and condition of perch (Perca fluviatilis

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Rożyński Maciej

2017-06-01

Full Text Available The aim of this work was to determine the impact on European perch, Perca fluviatilis L. (mean body weight – 78.33 g of the intraperitoneal implantation of telemetry transmitters using different suturing methods. In the first experiment silk sutures were used (experiment I – group ST, while in the second tissue adhesive was used (experiment II – group GT. Following the procedure, the fish were kept for 42 days in a recirculating system. Differences in growth and condition parameters were only noted in the first week of the experiment. Specimens from group GT had lower values for DGR (daily growth rate and SGR (specific growth rate, but a higher value for FCR (feed conversion ratio values. For the hematological parameters, lower values of MCV (mean corpuscular volume and PLT (blood platelets were noted in group GT, while for the biochemical parameters, lowered ALP (alkaline phosphatase activity and Mg (magnesium concentrations were noted in group ST. In group ST, 33.3% of the specimens loss their tags, while in group GT 77.8% did so. Differences in incision healing were only noted in the second week, when specimens in group ST were observed to have fully closed incisions, while in group GT 50% of the incisions were open. Despite the high percentage of implantation incision healing in both groups, because of the high values of tag loss rate, neither method can be recommended for perch. It might be more effective to use tag with external antennae in this species. The method use for closing implantation incisions also must be improved to eliminate tag shedding.