Rivers can abruptly shift pathways in rare events called avulsions, which cause devastating floods. The controls on avulsion locations are poorly understood as a result of sparse data on such features. We analyzed nearly 50 years of satellite imagery and documented 113 avulsions across the globe that indicate three distinct controls on avulsion location. Avulsions on fans coincide with valley-confinement change, whereas avulsions on deltas are primarily clustered within the backwater zone, indicating a control by spatial flow deceleration or acceleration during floods. However, 38% of avulsions on deltas occurred upstream of backwater effects. These events occurred in steep, sediment-rich rivers in tropical and desert environments. Our results indicate that avulsion location on deltas is set by the upstream extent of flood-driven erosion, which is typically limited to the backwater zone but can extend far upstream in steep, sediment-laden rivers. Our findings elucidate how avulsion hazards might respond to land use and climate change.
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http://dx.doi.org/10.1126/science.abm1215 | DOI Listing |
Eur J Obstet Gynecol Reprod Biol
December 2024
Department of Gynaecology, Obstetrics and Neonatology, General University Hospital in Prague and First Faculty of Medicine, Charles University, Czech Republic.
Objective: To assess the prevalence of pelvic floor and anal sphincter trauma in women after assisted vaginal delivery.
Methods: Retrospective study on 201 primiparous women after assisted vaginal delivery, control group 43 women after normal vaginal delivery. 4D translabial ultrasound examination of the levator ani and the anal sphincter was performed according to standard methodology at least 3 months postpartum.
Background: Junctional hemorrhage is a leading cause of battlefield death. Multiple FDA-approved junctional tourniquet (JTQ) models demonstrate effective hemorrhage control in laboratory settings. However, there are few real-world use cases within the literature.
View Article and Find Full Text PDFJ Orthop Surg Res
December 2024
Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, No. 49, Huayuanbei Road, Haidian District, Beijing, China.
BJOG
December 2024
Department of Clinical Science, Intervention and Technology, Karolinska Institute, Stockholm, Sweden.
Objective: First, to assess whether levator ani deficiency (LAD) is associated with pelvic floor dysfunction 1 year postpartum, including urinary, vaginal and bowel symptoms; and second, to explore at what cut-off of LAD score such pelvic floor dysfunction arises.
Design: Nested case-control study.
Setting: Örebro University Hospital, Örebro, Sweden.
Oper Orthop Traumatol
November 2024
Klinik für Kinderchirurgie, Klinikum Dritter Orden, München, Deutschland.
Objective: The surgical goal is the arthroscopically assisted, closed reduction, and suture osteosynthesis of fractures of the tibial eminence in children and adolescents.
Indications: Fractures of the tibial eminence type (II)-III according to Meyers & McKeever or type IV according to Zaricznyj.
Contraindications: Fracture of the tibial eminence type I, conservatively treatable fracture type II according to Meyers & McKeever and ligamentous rupture of the anterior cruciate ligament.
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