Dynamic hydraulic jump and retrograde sedimentation in an open channel induced by sediment supply: experimental study and SPH simulation

Mountainous torrents often carry large amounts of loose materials into the rivers, thus causing strong sediment transport. Experimentally it was found for the first time that when the intensive sediment motion occurs downstream over a gentle slope, the siltation of the riverbed is induced and the sediment particles can move upstream rapidly in the form of a retrograde sand wave, resulting in a higher water level along the river. To further study the complex mechanisms of this problem, a sediment mass model in the framework of the Smoothed Particle Hydrodynamics (SPH) method was presented to simulate the riverbed evolution, sediment particle motion, and the generation and development of dynamic hydraulic jump under the condition of sufficient sediment supply over a steep slope with varying angles. Because the sediment is not a continuous medium, the marker particle tracking approach was proposed to represent a piece of sediment with a marked sediment particle. The two-phase SPH model realizes the interaction between the sediment and fluid by moving the bed boundary particles up and down, so it can reasonably treat the fluid-sediment interfaces with high CPU efficiency. The critical triggering condition of sediment motion, the propagation of the hydraulic jump and the initial siltation position were all systematically studied. The experimental and numerical results revealed the extra disastrous sediment effect in a mountainous flood. The findings will be useful references to the disaster prevention and mitigation in mountainous rivers

Updated Guidance Regarding The Risk ofAllergic Reactions to COVID-19 Vaccines and Recommended Evaluation and Management: A GRADE Assessment, and International Consensus Approach

This guidance updates 2021 GRADE (Grading of Recommendations Assessment, Development and Evaluation) recommendations regarding immediate allergic reactions following coronavirus disease 2019 (COVID-19) vaccines and addresses revaccinating individuals with first-dose allergic reactions and allergy testing to determine revaccination outcomes. Recent meta-analyses assessed the incidence of severe allergic reactions to initial COVID-19 vaccination, risk of mRNA-COVID-19 revaccination after an initial reaction, and diagnostic accuracy of COVID-19 vaccine and vaccine excipient testing in predicting reactions. GRADE methods informed rating the certainty of evidence and strength of recommendations. A modified Delphi panel consisting of experts in allergy, anaphylaxis, vaccinology, infectious diseases, emergency medicine, and primary care from Australia, Canada, Europe, Japan, South Africa, the United Kingdom, and the United States formed the recommendations. We recommend vaccination for persons without COVID-19 vaccine excipient allergy and revaccination after a prior immediate allergic reaction. We suggest against \u3e 15-minute postvaccination observation. We recommend against mRNA vaccine or excipient skin testing to predict outcomes. We suggest revaccination of persons with an immediate allergic reaction to the mRNA vaccine or excipients be performed by a person with vaccine allergy expertise in a properly equipped setting. We suggest against premedication, split-dosing, or special precautions because of a comorbid allergic history

Effects of Streambed Conductance on Stream Depletion

Stream depletion, which is the reduction in flow rate of a stream or river due to the extraction of groundwater in a hydraulically connected stream-aquifer system, is often estimated using numerical models. The accuracy of these models depends on the appropriate parameterization of aquifer and streambed hydraulic properties. Streambed conductance is a parameter that relates the head difference between the stream and aquifer to flow across the stream channel. It is a function of streambed hydraulic conductivity and streambed geometry. In natural systems, streambed conductance varies spatially throughout the streambed; however, stream depletion modeling studies often ignore this variability. In this work, we use numerical simulations to demonstrate that stream depletion estimates are sensitive to a range of streambed conductance values depending on aquifer properties. We compare the stream depletion estimates from various spatial patterns of streambed conductance to show that modeling streambed conductance as a homogeneous property can lead to errors in stream depletion estimates. We use the results to identify feasible locations for proposed pumping wells such that the stream depletion due to pumping from a well within this feasible region would not exceed a prescribed threshold value, and we show that incorrect assumptions of the magnitude and spatial variability of streambed conductance can affect the size and shape of the feasible region

EVALI: A Mimicker of COVID-19

E-cigarette or vaping product use–associated lung injury (EVALI) is a respiratory illness that has significant overlap with the symptoms of coronavirus disease 2019 (COVID-19). In the current pandemic, diagnosis of EVALI may be delayed because of anchoring bias when patients present with symptoms consistent with COVID-19. We present 3 cases of patients who were hospitalized with a presumed diagnosis of COVID-19 but were later diagnosed with EVALI

Safety and tolerability of Evusheld in patients with CVID: The Mayo Clinic experience

Background: The past 2 years of the COVID-19 pandemic brought with it many unknowns for patients with immunodeficiency. Because of the concern for severe infection in those with immunocompromise, patients have been eager for effective prevention, vaccination, and treatment strategies. Preexposure prophylaxis provides another means of prevention in those with immunocompromise. A combination of tixagevimab and cilgavimab (Evusheld [AstraZeneca Cambridge, United Kingdom]) was granted emergency use authorization for preexposure prophylaxis at the end of 2021, but questions remained regarding how this would be tolerated and the side effects associated with its use. Objectives: Our aim was to evaluate the safety and tolerability of Evusheld in patients with CVID from our tri-site institution. Methods: We performed an institutional review board–approved, retrospective chart review of patients with common variable immunodeficiency (CVID) who received Evusheld before March 26, 2022. Results: Of the 45 patients with CVID who received Evusheld, 41 (91%) received the recommended full dose of 600 mg. The majority of patients (39 of 45 [87%]) tolerated Evusheld without adverse events. The adverse events reported included immediate injection site pain, fatigue and cough, an episode of shingles, and chest pain. Conclusions: This is an initial report on the safety and tolerability of Evusheld injections in patients with CVID. The majority of patients tolerated the injections without adverse events. For patients with reported chest pain, the results of a subsequent cardiac workup were negative. The efficacy of Evusheld could not be evaluated owing to the short median follow-up of this study (19 days)

Sediment transport at the network scale and its link to channel morphology in the braided Vjosa River system

In this article we apply the CASCADE network-scale sediment connectivity model to the Vjosa River in Albania. The Vjosa is one of the last unimpaired braided rivers in Europe and, at the same time, a data scarce environment, which limits our ability to model how this pristine river might respond to future human disturbance. To initialize the model, we use remotely sensed data and modeled hydrology from a regional model. We perform a reach-by-reach optimization of surface grain size distribution (GSD) and bedload transport capacity to ensure equilibrium conditions throughout the network. In order to account for the various sources of uncertainty in the calculation of transport capacity, we performed a global sensitivity analysis. The modeled GSD distributions generated by the sensitivity analysis generally match the six GSDs measured at different locations within the network. The modeled bedload sediment fluxes increase systematically downstream, and annual fluxes at the outlet of the Vjosa are well within an order of magnitude of fluxes derived from previous estimates of the annual suspended sediment load. We then use the modeled sediment fluxes as input to a set of theoretically derived functions that successfully discriminate between multi-thread and single-thread channel patterns. This finding provides additional validation of the model results by showing a clear connection between modeled sediment concentrations and observed river morphology. Finally, we observe that a reduction in sediment flux of about 50% (e.g., due to dams) would likely cause existing braided reaches to shift toward single thread morphology. The proposed method is widely applicable and opens a new avenue for application of network-scale sediment models that aid in the exploration of river stability to changes in water and sediment fluxes