Rip current types, circulation and hazard

AbstractRip currents are narrow and concentrated seaward-directed flows that extend from close to the shoreline, through the surf zone, and varying distances beyond. Rip currents are ubiquitous on wave-exposed coasts. Each year they cause hundreds of drowning deaths and tens of thousands of rescues on beaches worldwide and are therefore the leading deadly hazard to recreational beach users. The broad definition above masks considerable natural variability in terms of rip current occurrence in time and space, flow characteristics and behaviour. In particular, surf-zone rip currents have long been perceived as narrow flows extending well beyond the breakers, flushing out the surf zone at a high rate (‘exit flow’ circulation regime), while more recent studies have shown that rip flow patterns can consist of quasi-steady semi-enclosed vortices retaining most of the floating material within the surf zone (‘circulatory flow’ circulation regime). Building upon a growing body of rip current literature involving numerical modelling and theory together with emergence of dense Lagrangian field measurements, we develop a robust rip current type classification that provides a relevant framework to understand the primary morphological and hydrodynamic parameters controlling surf-zone rip current occurrence and dynamics. Three broad categories of rip current types are described based on the dominant controlling forcing mechanism. Each category is further divided into two types owing to different physical driving mechanisms for a total of six fundamentally different rip current types: hydrodynamically-controlled (1) shear instability rips and (2) flash rips, which are transient in both time and space and occur on alongshore-uniform beaches; bathymetrically-controlled (3) channel rips and (4) focused rips, which occur at relatively fixed locations and are driven by hydrodynamic processes forced by natural alongshore variability of the morphology in both the surf zone and inner shelf zone; and boundary-controlled (5) deflection rips and (6) shadow rips, which flow against rigid lateral boundaries such as natural headlands or anthropogenic structures. For each rip current type, flow response to changes in hydrodynamic and morphologic forcing magnitude is examined in regard to velocity modulation and changes in circulation regime, providing key force-response relationships of rip currents. We also demonstrate that in the real world, rip currents form through a mixture of driving mechanisms and the discrete rip types defined in fact form key elements in a wide and complex spectrum of rip currents on natural beaches. It is anticipated that this rip current type classification will serve as a resource for coastal scientists and non-specialists with an interest in the rip current hazard, and as a platform for future rip current studies. Finally, we suggest some important future research directions highlighting the need for coastal and beach safety communities to collaborate in order to improve rip current education and awareness

Awareness without learning: A preliminary study exploring the effects of beachgoer's experiences on risk taking behaviours

Most drowning deaths on Australian beaches occur in locations not patrolled by lifeguards. At patrolled locations, where lifeguards supervise flagged areas in which beachgoers are encouraged to swim between, the incidence of drowning is reduced. To date, risk prevention practices on coasts focus on patrolled beaches, deploying warning signs at unpatrolled locations with the aim of raising public awareness of risk. What remains unexplored is the potential for learning and behaviour change that can transfer from patrolled to unpatrolled beaches through beachgoer's experiences and interactions with lifeguards. The aim of this preliminary study is to explore the risk perceptions of beachgoers at a patrolled beach to establish if and how their experiences of beach risk and interactions with lifeguards affect their behaviours. Data was collected in Gerroa, Australia by engaging 49 beachgoers using a mixed survey-interview methodology. Results show that beachgoers are aware that they should ‘swim between the flags’, but many did not know the basis for the positioning of safety flags. A key finding is that beachgoer's express a clear desire for a skills-based model of community engagement that enables learning with lifeguards. This demonstrates a reflective public that desires skill-development, which may transfer from patrolled to unpatrolled beaches to affect broader risk reduction on the Australian coast. Learning how to avoid site-specific rip hazards with lifeguards at the beach presents a promising, and previously unexplored model for beach drowning risk prevention that has the potential to affect behaviour at unpatrolled beaches, providing an empirically-supported alternative to prevailing deficit-based awareness raising methods

Modelling the alongshore variability of optimum rip current escape strategies on a multiple rip-channelled beach

Rip currents are a leading cause of drowning on beaches worldwide. How bathers caught in a rip current should attempt to escape has been a subject of recent debate. A numerical model of human bathers escaping from a rip current flow field is applied to a 2-km long section of the open beach of Biscarrosse, SW France. The study area comprises 4 rip channels that visually appear similar from the beach, but exhibit different morphologies. Simulations are run for 2 representative hazardous summer wave conditions. Results show that small changes in the bar/rip morphology have a large impact on the rip flow field, and in turn on the alongshore variability of the optimal rip current escape strategy. The overall flow regime (dominant surf-zone exits versus dominant recirculation), which is found to be influenced by the alongshore dimensions of the sand bars adjacent to the rip channel, is more important to rip current escape strategy than rip velocity. Flow regime was found to dictate the success of the stay afloat strategy, with greater success for recirculating flow. By comparison, the dominant longshore feeder current and rip-neck orientation determined the best direction to swim parallel toward. For obliquely incident waves, swim parallel downdrift then swim onshore with breaking waves was highly successful and can become a simple safety message for beach safety practitioners to communicate to the general public. However, in SW France where rip spacing is large (∼400 m), surf-zone eddies have large spatial scales of the order of 100+ m, requiring a large distance (100+ m) to swim to reach safety, therefore requiring good swimming ability. This also shows that in addition to rip current intensity, rip flow regime and the depth of adjacent sand bars, rip spacing is important for defining rip current hazard and the best safety message. Our results also indicate that for normal to near-normal wave incidence, rip current hazard and best rip current escape strategy are highly variable alongshore due to subtle differences in bar/rip morphology from one rip system to another. These findings challenge the objective of developing a universal rip current escape strategy message on open rip-channelled beaches exposed to normal to near-normal wave incidence, even for seemingly similar rip channels

Effectiveness of physiotherapy exercise following hip arthroplasty for osteoarthritis: a systematic review of clinical trials

Background: Physiotherapy has long been a routine component of patient rehabilitation following hip joint replacement. The purpose of this systematic review was to evaluate the effectiveness of physiotherapy exercise after discharge from hospital on function, walking, range of motion, quality of life and muscle strength, for osteoarthritic patients following elective primary total hip arthroplasty. Methods: Design: Systematic review, using the Cochrane Collaboration Handbook for Systematic Reviews of Interventions and the Quorom Statement. Database searches: AMED, CINAHL, EMBASE, KingsFund, MEDLINE, Cochrane library (Cochrane reviews, Cochrane Central Register of Controlled Trials, DARE), PEDro, The Department of Health National Research Register. Handsearches: Physiotherapy, Physical Therapy, Journal of Bone and Joint Surgery (Britain) Conference Proceedings. No language restrictions were applied. Selection: Trials comparing physiotherapy exercise versus usual/standard care, or comparing two types of relevant exercise physiotherapy, following discharge from hospital after elective primary total hip replacement for osteoarthritis were reviewed. Outcomes: Functional activities of daily living, walking, quality of life, muscle strength and range of hip joint motion. Trial quality was extensively evaluated. Narrative synthesis plus meta-analytic summaries were performed to summarise the data. Results: 8 trials were identified. Trial quality was mixed. Generally poor trial quality, quantity and diversity prevented explanatory meta-analyses. The results were synthesised and meta-analytic summaries were used where possible to provide a formal summary of results. Results indicate that physiotherapy exercise after discharge following total hip replacement has the potential to benefit patients. Conclusion: Insufficient evidence exists to establish the effectiveness of physiotherapy exercise following primary hip replacement for osteoarthritis. Further well designed trials are required to determine the value of post discharge exercise following this increasingly common surgical procedure

Pathways between Primary Production and Fisheries Yields of Large Marine Ecosystems

The shift in marine resource management from a compartmentalized approach of dealing with resources on a species basis to an approach based on management of spatially defined ecosystems requires an accurate accounting of energy flow. The flow of energy from primary production through the food web will ultimately limit upper trophic-level fishery yields. In this work, we examine the relationship between yield and several metrics including net primary production, chlorophyll concentration, particle-export ratio, and the ratio of secondary to primary production. We also evaluate the relationship between yield and two additional rate measures that describe the export of energy from the pelagic food web, particle export flux and mesozooplankton productivity. We found primary production is a poor predictor of global fishery yields for a sample of 52 large marine ecosystems. However, chlorophyll concentration, particle-export ratio, and the ratio of secondary to primary production were positively associated with yields. The latter two measures provide greater mechanistic insight into factors controlling fishery production than chlorophyll concentration alone. Particle export flux and mesozooplankton productivity were also significantly related to yield on a global basis. Collectively, our analyses suggest that factors related to the export of energy from pelagic food webs are critical to defining patterns of fishery yields. Such trophic patterns are associated with temperature and latitude and hence greater yields are associated with colder, high latitude ecosystems

The most common Chinese rhesus macaque MHC class I molecule shares peptide binding repertoire with the HLA-B7 supertype

Of the two rhesus macaque subspecies used for AIDS studies, the Simian immunodeficiency virus-infected Indian rhesus macaque (Macaca mulatta) is the most established model of HIV infection, providing both insight into pathogenesis and a system for testing novel vaccines. Despite the Chinese rhesus macaque potentially being a more relevant model for AIDS outcomes than the Indian rhesus macaque, the Chinese-origin rhesus macaques have not been well-characterized for their major histocompatibility complex (MHC) composition and function, reducing their greater utilization. In this study, we characterized a total of 50 unique Chinese rhesus macaques from several varying origins for their entire MHC class I allele composition and identified a total of 58 unique complete MHC class I sequences. Only nine of the sequences had been associated with Indian rhesus macaques, and 28/58 (48.3%) of the sequences identified were novel. From all MHC alleles detected, we prioritized Mamu-A1*02201 for functional characterization based on its higher frequency of expression. Upon the development of MHC/peptide binding assays and definition of its associated motif, we revealed that this allele shares peptide binding characteristics with the HLA-B7 supertype, the most frequent supertype in human populations. These studies provide the first functional characterization of an MHC class I molecule in the context of Chinese rhesus macaques and the first instance of HLA-B7 analogy for rhesus macaques

The controversy of patellar resurfacing in total knee arthroplasty: Ibisne in medio tutissimus?

Early arthroplasty designs were associated with a high level of anterior knee pain as they failed to cater for the patello-femoral joint. Patellar resurfacing was heralded as the saviour safeguarding patient satisfaction and success but opinion on its necessity has since deeply divided the scientific community and has become synonymous to topics of religion or politics. Opponents of resurfacing contend that the native patella provides better patellar tracking, improved clinical function, and avoids implant-related complications, whilst proponents argue that patients have less pain, are overall more satisfied, and avert the need for secondary resurfacing. The question remains whether complications associated with patellar resurfacing including those arising from future component revision outweigh the somewhat increased incidence of anterior knee pain recorded in unresurfaced patients. The current scientific literature, which is often affected by methodological limitations and observer bias, remains confusing as it provides evidence in support of both sides of the argument, whilst blinded satisfaction studies comparing resurfaced and non-resurfaced knees generally reveal equivalent results. Even national arthroplasty register data show wide variations in the proportion of patellar resurfacing between countries that cannot be explained by cultural differences alone. Advocates who always resurface or never resurface indiscriminately expose the patella to a random choice. Selective resurfacing offers a compromise by providing a decision algorithm based on a propensity for improved clinical success, whilst avoiding potential complications associated with unnecessary resurfacing. Evidence regarding the validity of selection criteria, however, is missing, and the decision when to resurface is often based on intuitive reasoning. Our lack of understanding why, irrespective of pre-operative symptoms and patellar resurfacing, some patients may suffer pain following TKA and others may not have so far stifled our efforts to make the strategy of selective resurfacing succeed. We should hence devote our efforts in defining predictive criteria and indicators that will enable us to reliably identify those individuals who might benefit from a resurfacing procedure. Level of evidence V

"Dye in the Water": A Visual Approach to Communicating the Rip Current Hazard

Many beaches are characterized by rip currents—strong, narrow flows that can quickly carry bathers offshore, often against their will. However, despite long-standing efforts at community education and awareness strategies, people continue to drown in rip currents at high rates. Here we describe a simple, but powerful visual-based risk communication approach involving imagery associated with releases of colored dye into rip currents that has been used as an outreach tool with success in Australia. This approach has the potential to transcend limitations of traditional education approaches and bring the rip current hazard to life for a largely unaware public