Key hydraulic drivers and patterns of fine sediment accumulation in gravel streambeds: A conceptual framework illustrated with a case study from the Kiewa River, Australia

Fine sediment processes in gravel beds may have significant impacts to overall river ecosystem function. In addition to gravitational deposition, horizontal intragravel transport has been recognized to influence fine sediment accumulation. However, the specific hydraulic mechanisms and origin of fine sediment movement are not clearly identified. The purpose of this study was to investigate key hydraulic drivers and patterns of fine sediment accumulation. Using a conceptual framework to set the scene, we implemented an experimental setup in a gravel lateral bar subject to irregular flow fluctuations in the Kiewa River (Australia). We installed nine sets of sediment collector pairs and piezometers into the gravel. Each pair included one horizontally and one horizontally-vertically perforated collector. Mid-range, rather than peak flows, covering the site in water drove fine sediment deposited in the collectors. We estimated horizontal contribution to final deposition as 59%. Such contribution resulted from shear stresses > 3 N m− 2 promoting streamwise near-bed turbulence at the water-sediment interface during flooded conditions. Despite high subsurface hydraulic gradients, intragravel transport in the lower sediment layers via Darcy flow did not show any influence to fine sediment deposition. Our findings contribute to an improved understanding of fine sediment accumulation processes, key for overall river ecosystem functioning, particularly in regulated rivers

The Micro-Orifice Uniform Deposit Impactor–Droplet Freezing Technique (MOUDI-DFT) for Measuring Concentrations of Ice Nucleating Particles as a Function of Size: Improvements and Initial Validation

The micro-orifice uniform deposit impactor– droplet freezing technique (MOUDI-DFT) combines particle collection by inertial impaction (via the MOUDI) and a microscope-based immersion freezing apparatus (the DFT) to measure atmospheric concentrations of ice nucleating particles (INPs) as a function of size and temperature. In the first part of this study we improved upon this recently introduced technique. Using optical microscopy, we investigated the non-uniformity of MOUDI aerosol deposits at spatial resolutions of 1, 0.25 mm, and for some stages when necessary 0.10 mm. The results from these measurements show that at a spatial resolution of 1mm and less, the concentration of particles along the MOUDI aerosol deposits can vary by an order of magnitude or more. Since the total area of a MOUDI aerosol deposit ranges from 425 to 605mm2 and the area analyzed by the DFT is approximately 1.2mm2, this non-uniformity needs to be taken into account when using the MOUDI-DFT to determine atmospheric concentrations of INPs. Measurements of the non-uniformity of the MOUDI aerosol deposits were used to select positions on the deposits that had relatively small variations in particle concentration and to build substrate holders for the different MOUDI stages. These substrate holders improve reproducibility by holding the substrate in the same location for each measurement and ensure that DFT analysis is only performed on substrate regions with relatively small variations in particle concentration. In addition, the deposit non-uniformity was used to determine correction factors that take the non-uniformity into account when determining atmospheric concentrations of INPs. In the second part of this study, the MOUDI-DFT utilizing the new substrate holders was compared to the continuous flow diffusion chamber (CFDC) technique of Colorado State University. The intercomparison was done using INP concentrations found by the two instruments during ambient measurements of continental aerosols. Results from two sampling periods were compared, and the INP concentrations determined by the two techniques agreed within experimental uncertainty. The agreement observed here is commensurate with the level of agreement found in other studies where CFDC results were compared to INP concentrations measured with other methods

Development and validation of the ACE tool: Assessing medical trainees' competency in evidence based medicine

BACKGROUND: While a variety of instruments have been developed to assess knowledge and skills in evidence based medicine (EBM), few assess all aspects of EBM - including knowledge, skills attitudes and behaviour - or have been psychometrically evaluated. The aim of this study was to develop and validate an instrument that evaluates medical trainees’ competency in EBM across knowledge, skills and attitude. METHODS: The ‘Assessing Competency in EBM’ (ACE) tool was developed by the authors, with content and face validity assessed by expert opinion. A cross-sectional sample of 342 medical trainees representing ‘novice’, ‘intermediate’ and ‘advanced’ EBM trainees were recruited to complete the ACE tool. Construct validity, item difficulty, internal reliability and item discrimination were analysed. RESULTS: We recruited 98 EBM-novice, 108 EBM-intermediate and 136 EBM-advanced participants. A statistically significant difference in the total ACE score was observed and corresponded to the level of training: on a 0-15-point test, the mean ACE scores were 8.6 for EBM-novice; 9.5 for EBM-intermediate; and 10.4 for EBM-advanced (p < 0.0001). Individual item discrimination was excellent (Item Discrimination Index ranging from 0.37 to 0.84), with internal reliability consistent across all but three items (Item Total Correlations were all positive ranging from 0.14 to 0.20). CONCLUSION: The 15-item ACE tool is a reliable and valid instrument to assess medical trainees’ competency in EBM. The ACE tool provides a novel assessment that measures user performance across the four main steps of EBM. To provide a complete suite of instruments to assess EBM competency across various patient scenarios, future refinement of the ACE instrument should include further scenarios across harm, diagnosis and prognosis

Early careers on ecohydraulics:Challenges, opportunities and future directions

Early career researchers (ECRs) play a critical role in our knowledge-based society, yet they are the most vulnerable group in the scientific community. As a young, interdisciplinary science, ecohydraulics is particularly reliant on ECRs for future progress. In 2014, the Early Careers on Ecohydraulics Network (ECoENet) was created to help the development of young researchers in this field. In this paper, we synthesize the outcomes of a workshop for ECRs organized by ECoENet in February 2016. We aim to show how the potential of ECRs can be maximized to drive progress in ecohydraulics. According to the most recent entrants to the field, major challenges lie in becoming more integrated as a discipline, developing a common vocabulary and a collective vision, engaging effectively with policy-makers, and encouraging public participation. ECRs need to develop their careers on an international scale in a way that crosses traditional disciplinary boundaries, including the social sciences, and allows them time to work at fundamental levels rather than focusing solely on individual applications. We propose a strategy to facilitate this by providing: a platform for disseminating research; an international support network; and a set of services for enhancing ECR training and experience. Early career researchers; interdisciplinary science; ecohydraulics; society; ecology; hydraulicsacceptedVersio

The temporal relationship between local school closure and increased incidence of pediatric diabetic ketoacidosis

IMPORTANCE: The incidence of pediatric diabetic ketoacidosis (DKA) increased early in the COVID-19 pandemic, but the relative contribution of behavioral changes and viral-related pathophysiology are unknown. OBJECTIVE: To evaluate the relationship between school closure date and onset of increased DKA to help clarify the etiology of the increased incidence. DESIGN: A multi-center, quality-controlled Pediatric Intensive Care Unit (PICU) database was used to identify the number of admissions to a participating PICU with DKA on each calendar day from 60 days before local school closure to 90 days after, and compared to baseline data from the same periods in 2018-2019. Interrupted time series and multiple linear regression analyses were used to identify admission rates that differed significantly between 2020 and baseline. SETTING: Eighty-one PICUs in the United StatesParticipants: Children ages 29 days to 17 years admitted to a PICU with DKAExposures: Statewide school closureMain outcome/measure: Rate of admission to the PICU for DKA. RESULTS: There were 1936 admissions for children with DKA in 2020 and 1795 admissions/year to those same PICUs in 2018-2019. Demographics and clinical outcomes did not differ before school closure, but pandemic-era patients were less often white and had longer hospital length of stay in the post-school closure period. The difference between 2020 admissions and 2018-2019 admissions was not different than zero before school closure, and significantly higher than zero after school closure, but was significantly increased in 2020 at \u3e30 days after school closure ( CONCLUSIONS/RELEVANCE: An increase in pediatric DKA admissions began one month after school closures. Given that behavioral changes started near school closure dates and viral activity peaked weeks after, this suggests that behavioral factors may not be the primary etiology and it is possible that SARS-CoV-2 infection may have direct effects on pediatric DKA

A prototype personal aerosol sampler based on electrostatic precipitation and electrowetting-on-dielectric actuation of droplets

This is an Open Access article, distributed under the terms of the Open Government Licence. http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/ Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved. The version of record (T. G. Foat, et al, 'A prototype personal aerosol sampler based on electrostatic precipitation and electrowetting-on-dielectric actuation of droplets', Journal of Aerosol Science, Vol. 95, pp. 43-53, May 2016) is available online at doi: https://doi.org/10.1016/j.jaerosci.2016.01.007.An electrostatic precipitator (ESP) based personal sampler with a laboratory based electrowetting-on-dielectric (EWOD) concentrator could provide a high concentration rate personal aerosol sampler system. A prototype system has been developed based on the concept of a lightweight personal ESP collecting aerosol particles onto a hydrophobic surface followed by the use of an EWOD actuated droplet system to transfer the deposited sample into a microlitre size water droplet.A personal sampler system could provide military or civilian personnel with a wide area biological monitoring capability supplying information on who has been infected, what they have been infected with, how much material they were exposed to and possibly where and when they were infected. Current commercial-off-the-shelf (COTS) personal sampler solutions can be bulky and use volumes of water to extract the sample that are typically a thousand times greater than the proposed method.Testing of the prototype ESP at a sample flow rate of 5Lmin-1 demonstrated collection efficiencies greater than 80% for sodium fluorescein particles larger than 4μm diameter and of approximately 50% at 1.5μm. The ESP-EWOD system collection efficiency measured for Bacillus atrophaeus (BG) spores with an air sample flow rate of 20L min-1 was 2.7% with a concentration rate of 1.9×105 min-1. This was lower than expected due to the corona ions from the ESP affecting the hydrophobicity of the collection surface and hence the EWOD efficiency. However, even with this low efficiency the concentration rate is more than an order of magnitude higher than the theoretical maximum of the best current COTS personal sampler. For an optimised system, ESP-EWOD system efficiency should be higher than 32% with a comparable increase in concentration rate.Peer reviewe

Ice-nucleating particle emissions from biomass combustion and the potential importance of soot aerosol

Ice-nucleating particles (INPs) are required for initial ice crystal formation in clouds at temperatures warmer than about -36°C and thus play a crucial role in cloud and precipitation formation. Biomass burning has been found to be a source of INPs in previous studies and is also a major contributor to atmospheric black carbon (BC) concentrations. This study focuses on isolating the BC contribution to the INP population associated with biomass combustion. Emissions of condensation mode INPs from a number of globally relevant biomass fuels were measured at -30°C and above water saturation as fires progressed from ignition to extinguishment in a laboratory setting. Number emissions of INPs were found to be highest during intense flaming combustion (modified combustion efficiency\u3e0.95). Overall, combustion emissions from 13 of 22 different biomass fuel types produced measurable INP concentrations for at least one replicate experiment. On average, all burns that produced measureable INPs had higher combustion efficiency, which is associated with higher BC emissions, than those that did not produce measureable INPs. Across all burns that produced measureable INPs, concentrations ranged from 0.1 to 10 cm-3, and the median emission factor was about 2 × 107 INPs per kilogram of fuel burned. For a subset of the burns, the contribution of refractory black carbon (rBC) to INP concentrations was determined by removing rBC via laser-induced incandescence. Reductions in INPs of 0-70% were observed, indicating an important contribution of rBC particles to INP concentrations for some burns, especially marsh grasses

Validation of the modified Fresno Test: assessing physical therapists' evidence based practice knowledge and skills

<p>Abstract</p> <p>Background</p> <p>Health care educators need valid and reliable tools to assess evidence based practice (EBP) knowledge and skills. Such instruments have yet to be developed for use among physical therapists. The Fresno Test (FT) has been validated only among general practitioners and occupational therapists and does not assess integration of research evidence with patient perspectives and clinical expertise. The purpose of this study was to develop and validate a modified FT to assess EBP knowledge and skills relevant to physical therapist (PT) practice.</p> <p>Methods</p> <p>The FT was modified to include PT-specific content and two new questions to assess integration of patient perspectives and clinical expertise with research evidence. An expert panel reviewed the test for content validity. A cross-sectional cohort representing three training levels (EBP-novice students, EBP-trained students, EBP-expert faculty) completed the test. Two blinded raters, not involved in test development, independently scored each test. Construct validity was assessed through analysis of variance for linear trends among known groups. Inter and intra-rater reliability, internal consistency, item discrimination index, item total correlation, and difficulty were analyzed.</p> <p>Results</p> <p>Among 108 participants (31 EBP-novice students, 50 EBP-trained students, and 27 EBP-expert faculty), there was a statistically significant (p < 0.0001) difference in total score corresponding to training level. Total score reliability and psychometric properties of items modified for discipline-specific content were excellent [inter-rater (ICC (2,1)] = 0.91); intra-rater (ICC (2,1)] = 0.95, 0.96)]. Cronbach's α was 0.78. Of the two new items, only one had strong psychometric properties.</p> <p>Conclusions</p> <p>The 13-item modified FT presented here is a valid, reliable assessment of physical therapists' EBP knowledge and skills. One new item assesses integration of patient perspective as part of the EBP model. Educators and researchers may use the 13-item modified FT to evaluate PT EBP curricula and physical therapists' EBP knowledge and skills.</p