Vertical Distribution of Aerosols during Deep-Convective Event in the Himalaya Using WRF-Chem Model at Convection Permitting Scale

The Himalayan region is facing frequent cloud bursts and flood events during the summer monsoon season. The Kedarnath flooding of 2013 was one of the most devastating recent events, which claimed thousands of human lives, heavy infrastructure, and economic losses. Previous research reported that the combination of fast-moving monsoon, pre-existing westerlies, and orographic uplifting were the major reasons for the observed cloud burst over Kedarnath. Our study illustrates the vertical distribution of aerosols during this event and its possible role using the Weather Research and Forecasting model coupled with chemistry (WRF-Chem) simulations. Model performance evaluation shows that simulations can capture the spatial and temporal patterns of observed precipitation during this event. Model simulation at 25 km and 4 km horizontal grid resolution, without any changes in physical parameterization, shows a very minimal difference in precipitation. Simulation at convection-permitting scale shows detailed information related to parcel motion compared to coarser resolution. This indicates that the parameterization at different resolutions needs to be further examined for a better outcome. The modeled result shows changes of up to 20–50% in the rainfall over the area near Kedarnath due to the presence of aerosols. Simulation at both resolutions shows the significant vertical transport of natural (increases by 50%+) and anthropogenic aerosols (increases by 200%+) during the convective event, which leads to significant changes in cloud properties, rain concentration, and ice concentration in the presence of these aerosols. Simulations can detect changes in important instability indices such as convective available potential energy (CAPE), convective inhibition energy (CIN), vorticity, etc., near Kedarnath due to aerosol–radiation feedback

A randomized control trial comparing outcome after stented and nonstented Anderson-Hynes dismembered pyeloplasty

Aim: The aim of the study was to compare the efficacy and postoperative complications of stented and nonstented open pediatric dismembered pyeloplasty for ureteropelvic junction (UPJ) obstruction. Settings and Design: A balanced, parallel group, prospective randomized controlled trial comparing stented and nonstented Anderson-Hynes Dismembered Pyeloplasty. Subjects and Methods: It included 42 children who required Anderson-Hynes dismembered pyeloplasty for UPJ obstruction (UPJO). Patients were randomized into stented (double “J” [DJ] stent) and nonstented pyeloplasty groups. The intraoperative and postoperative course was compared. Both groups were analyzed for problems such as dysuria, frequency, pain, hematuria and urinary tract infection, and postoperative renal status. Statistical Analysis: Mann–Whitney U-test, Fisher's exact test, Student's t-tests, and Chi-squared test were used. Results: Surgical duration was significantly shorter for the nonstented group as compared to the stented group (60.4 ± 6.49 min vs. 78.9 ± 8.17 min). The intraoperative negotiation of DJ stent was troublesome in 21.7% patients belonging to the stented group. The hospital stay was comparable in both groups (4.67 ± 1.9 vs. 4.28 ± 0.67 days). Patients in stented group had experienced dysuria, loin pain, lower abdominal spasmodic pain, and frequency significantly higher than nonstented group. However, the other problems such as fever, hematuria, and urinary tract infections were more common in stented group, but the difference was not statistically significant. There was no difference in resolution of hydronephrosis in both groups. Conclusions: There is no statistically significant difference in resolution of hydronephrosis following nonstented or stented dismembered pyeloplasty in children with UPJO. However, the patient is more symptomatic due to stent in the postoperative period