752 research outputs found

    Validation of Observed Bedload Transport Pathways Using Morphodynamic Modeling

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    Phenomena related to braiding, including local scour and fill, channel bar development, migration and avulsion, make numerical morphodynamic modeling of braided rivers challenging. This paper investigates the performance of a Delft3D model, in a 2D depth-averaged formulation, to simulate the morphodynamics of an anabranch of the Rees River (New Zealand). Model performance is evaluated using data from field surveys collected on the falling limb of a major high flow, and using several sediment transport formulas. Initial model results suggest that there is generally good agreement between observed and modeled bed levels. However, some discrepancies in the bed level estimations were noticed, leading to bed level, water depth and water velocity estimation errors

    Disjoint NP-pairs from propositional proof systems

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    For a proof system P we introduce the complexity class DNPP(P) of all disjoint NP-pairs for which the disjointness of the pair is efficiently provable in the proof system P. We exhibit structural properties of proof systems which make the previously defined canonical NP-pairs of these proof systems hard or complete for DNPP(P). Moreover we demonstrate that non-equivalent proof systems can have equivalent canonical pairs and that depending on the properties of the proof systems different scenarios for DNPP(P) and the reductions between the canonical pairs exist

    Parameterized bounded-depth Frege is not optimal

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    A general framework for parameterized proof complexity was introduced by Dantchev, Martin, and Szeider [9]. There the authors concentrate on tree-like Parameterized Resolution-a parameterized version of classical Resolution-and their gap complexity theorem implies lower bounds for that system. The main result of the present paper significantly improves upon this by showing optimal lower bounds for a parameterized version of bounded-depth Frege. More precisely, we prove that the pigeonhole principle requires proofs of size n in parameterized bounded-depth Frege, and, as a special case, in dag-like Parameterized Resolution. This answers an open question posed in [9]. In the opposite direction, we interpret a well-known technique for FPT algorithms as a DPLL procedure for Parameterized Resolution. Its generalization leads to a proof search algorithm for Parameterized Resolution that in particular shows that tree-like Parameterized Resolution allows short refutations of all parameterized contradictions given as bounded-width CNF's

    Patient reported outcome of adult perioperative anaesthesia in the United Kingdom: a cross-sectional observational study

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    Background. Understanding the patient perspective on healthcare is central to the evaluation of quality. This study measured selected patient-reported outcomes after anaesthesia in order to identify targets for research and quality improvement. Methods. This cross-sectional observational study in UK National Health Service hospitals, recruited adults undergoing non-obstetric surgery requiring anaesthesia care over a 48 h period. Within 24 h of surgery, patients completed the Bauer questionnaire (measuring postoperative discomfort and satisfaction with anaesthesia care), and a modified Brice questionnaire to elicit symptoms suggestive of accidental awareness during general anaesthesia (AAGA). Patient, procedural and pharmacological data were recorded to enable exploration of risk factors for these poor outcomes. Results. 257 hospitals in 171 NHS Trusts participated (97% of eligible organisations). Baseline characteristics were collected on 16,222 patients; 15,040 (93%) completed postoperative questionnaires. Anxiety was most frequently cited as the worst aspect of the perioperative experience. Thirty-five per cent of patients reported severe discomfort in at least one domain: thirst (18.5%; 95% CI 17.8-19.1), surgical pain (11.0%; 10.5-11.5) and drowsiness (10.1%; 9.6-10.5) were most common. Despite this, only 5% reported dissatisfaction with any aspect of anaesthesia-related care. Regional anaesthesia was associated with a reduced burden of side-effects. The incidence of reported AAGA was one in 800 general anaesthetics (0.12%) Conclusions. Anxiety and discomfort after surgery are common; despite this, satisfaction with anaesthesia care in the UK is high. The inconsistent relationship between patient-reported outcome, patient experience and patient satisfaction supports using all three of these domains to provide a comprehensive assessment of the quality of anaesthesia care

    Storm surge and ponding explain mangrove dieback in southwest Florida following Hurricane Irma

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    Mangroves buffer inland ecosystems from hurricane winds and storm surge. However, their ability to withstand harsh cyclone conditions depends on plant resilience traits and geomorphology. Using airborne lidar and satellite imagery collected before and after Hurricane Irma, we estimated that 62% of mangroves in southwest Florida suffered canopy damage, with largest impacts in tall forests (\u3e10 m). Mangroves on well-drained sites (83%) resprouted new leaves within one year after the storm. By contrast, in poorly-drained inland sites, we detected one of the largest mangrove diebacks on record (10,760 ha), triggered by Irma. We found evidence that the combination of low elevation (median = 9.4 cm asl), storm surge water levels (\u3e1.4 m above the ground surface), and hydrologic isolation drove coastal forest vulnerability and were independent of tree height or wind exposure. Our results indicated that storm surge and ponding caused dieback, not wind. Tidal restoration and hydrologic management in these vulnerable, low-lying coastal areas can reduce mangrove mortality and improve resilience to future cyclones

    Pelvic Pain in Transgender People Using Testosterone Therapy

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    Purpose: This descriptive study aimed to assess the characteristics of pelvic pain and explore predictive factors for pelvic pain in transgender (trans) individuals using testosterone therapy. Methods: An online cross-sectional survey was open between August 28, 2020, and December 31, 2020, to trans people presumed female at birth, using testosterone for gender affirmation, living in Australia, and >16 years of age. The survey explored characteristics of pelvic pain following initiation of testosterone therapy, type and length of testosterone therapy, menstruation history, and relevant sexual, gynecological, and mental health experiences. Logistic regression was applied to estimate the effect size of possible factors contributing to pain after starting testosterone. Results: Among 486 participants (median age = 27 years), 351 (72.2%)* reported experiencing pelvic pain following initiation of testosterone therapy, described most commonly as in the suprapubic region and as ‘‘cramping.’’ Median duration of testosterone therapy was 32 months. Persistent menstruation, current or previous history of post-traumatic stress disorder, and experiences of pain with orgasm were associated with higher odds of pelvic pain after testosterone therapy. No association was observed with genital dryness, intrauterine device use, previous pregnancy, penetrative sexual activities, touching external genitalia, or known diagnoses of endometriosis, vulvodynia, vaginismus, depression, anxiety, or obesity. Conclusions: Pelvic pain is frequently reported in trans people following initiation of testosterone therapy. Given the association with persistent menstruation and orgasm, as well as the known androgen sensitivity of the pelvic floor musculature, further research into pelvic floor muscle dysfunction as a contributor is warranted.Sav Zwickl, Laura Burchill, Alex Fang Qi Wong, Shalem Y. Leemaqz, Teddy Cook, Lachlan M. Angus, Kalen Eshin, Charlotte V. Elder, Sonia R. Grover, Jeffrey D. Zajac, and Ada S. Cheun

    Functional diversity of chemokines and chemokine receptors in response to viral infection of the central nervous system.

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    Encounters with neurotropic viruses result in varied outcomes ranging from encephalitis, paralytic poliomyelitis or other serious consequences to relatively benign infection. One of the principal factors that control the outcome of infection is the localized tissue response and subsequent immune response directed against the invading toxic agent. It is the role of the immune system to contain and control the spread of virus infection in the central nervous system (CNS), and paradoxically, this response may also be pathologic. Chemokines are potent proinflammatory molecules whose expression within virally infected tissues is often associated with protection and/or pathology which correlates with migration and accumulation of immune cells. Indeed, studies with a neurotropic murine coronavirus, mouse hepatitis virus (MHV), have provided important insight into the functional roles of chemokines and chemokine receptors in participating in various aspects of host defense as well as disease development within the CNS. This chapter will highlight recent discoveries that have provided insight into the diverse biologic roles of chemokines and their receptors in coordinating immune responses following viral infection of the CNS
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