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Managing and living with geohazards is especially challenging in mountain landscapes and requires an understanding of catchment‐scale sediment dynamics and internal system functioning. While sediment budgeting is a valuable framework, challenges remain including partitioning sediment yield by source and grain size and addressing scale issues. This study advances our understanding of bed material dynamics in glacierized mountain catchments by applying a range of complementary techniques to measure sediment transfers in the Fitzsimmons Creek watershed. First, we measured the historical bed material yield using field surveys and historical air photo analysis, revealing an average specific sediment yield of 210 Mg km−2 yr−1, that varied by a factor of 17 over the 76‐year record. Hydro‐meteorological and historical analyses suggest that gravel extraction had the largest impact over the past three decades, while an extreme landslide and flood event produced the highest recorded sediment yield. Second, we constructed a detailed sediment budget along the river system using high‐resolution, multi‐temporal lidar and geomorphic mapping data. Sediment source partitioning indicates that landslide, active channel, and floodplain sources each contributed about one‐third of the total sediment supply. Net degradation occurred along the valley bottom upstream of the fan‐delta, resulting in steadily increasing downstream sediment yield. This trend is punctuated by chronic landsliding near the outlet, driven by postglacial incision through glaciogenic sediments at a hanging valley step. Contemporary glacial and proglacial sources were not measured directly but surprisingly contributed minimally. These findings provide insight into the sediment dynamics of glacierized mountain catchments and their potential controls. Plain Language Summary: Managing and living with geohazards in mountain landscapes can be quite challenging. To manage these risks effectively, it's crucial to understand how sediment moves through these landscapes and how they change over time. Sediment budgeting, which describes how much sediment is added to, stored in, or removed from the landscape, can be used as a practical management tool. In this study, we aimed to refine our understanding of sediment movement in mountain landscapes with glaciers using the Fitzsimmons Creek watershed as an example. To do this, we first looked at how much sediment had accumulated in the river delta over the past 76 years and found that the amount varied by up to 17 times. Gravel removal and a very large landslide and flood event had the most control on the amount of sediment reaching the delta. Next, we used detailed elevation data and field surveys to look at the spatial patterns of erosion, deposition, and transport. Interestingly, we found that landslides, the riverbed, and floodplains each contributed about one‐third of the sediment, while very little sediment came from glaciers. This research provides valuable insights into sediment dynamics in glacierized mountain areas and helps inform better management strategies. Key Points: The 76‐year bed material yield record varied by up to a factor of 17, primarily in response to an extreme event and gravel extractionSediment source partitioning suggests that landslide, active channel, and floodplain sources each contribute one third of the total yieldGlacial landscape configuration was important, while contemporary glacial and proglacial sources supplied little sediment [ABSTRACT FROM AUTHOR]

This paper presents an experimental methodology for tracking trajectories of rockfall-saltation and extracting kinematic parameters from collisions between rockfalls and a slope surface. We conducted a series of experiments, each featuring different initial impact angles. Rockfall trajectories and their three-dimensional angular velocities were measured by a high-speed camera and built-in Inertial Measurement Unit (IMU), respectively. Our experiments demonstrate that rockfall dissipates its total energy as it progresses along the slope, and the dissipation rates are largely determined by the initial impact angle. Following the classification of rockfall-bed collisions into two modes—Mode-1: saltation dominant and Mode-2: rolling and sliding dominant, we examined the correlations between impact angles and the probability density functions of kinetic, linear, and rotational kinetic energy, as well as the coefficients of kinetic friction and restitution in both modes. Our findings highlight the crucial role of three-dimensional angular velocities in rockfall kinematics, displaying a notable divergence of up to 60% when compared with their two-dimensional counterparts. This is particularly evident in Mode-2, where the increase in rotational energy following collisions exceeds that of Mode-1 × 25%. The experimental investigation contributes to a deeper understanding of the fundamental physical processes inherent in successive rockfall-slope collisions, thereby benefitting predictive capabilities for rockfall disasters in mountainous regions. [ABSTRACT FROM AUTHOR]

In rivers, the addition of finer sediment to a coarser riverbed is known to increase the mobility of the coarser fraction. Two mechanisms have been suggested for this: a geometric mechanism whereby smaller sizes smooth the bed, increasing near-bed velocity and thus mobility of the larger sizes, and a viscous mechanism whereby a transitionally smooth turbulent boundary layer forms, rendering the coarser grains more mobile. Here, we report on experiments using two sediment mixtures to better understand these proposed mechanisms. In Mixture 1, we used 0.5 and 5 mm grains, and in Mixture 2, we used 2 and 20 mm grains. If the entrainment of coarse gravel by finer sediment is a purely geometric effect, then the addition of finer material should produce the same effect on the mobility of the coarser material for both mixtures because they have the same size ratio. We show that addition of finer material has a different effect on the two mixtures. We observed an increase in the mobility of the coarse fraction for both mixtures, but the increase in coarse fraction mobility for Mixture 1 was almost twice that for Mixture 2. Our experiments show that in addition to the geometric effect, enhancement of coarse gravel transport by finer sediment is also driven by a viscous effect. [ABSTRACT FROM AUTHOR]

This study focuses on evaluating the sediment mobility and transport patterns in two Himalayan rivers (Aglar and Paligad Rivers) during monsoon and non‐monsoon flows. The virtual velocity approach involving the measurements of the bed proportional mobility (Y), active layer depth (ds), displacement length and virtual velocity of mobilized grains was employed. Both local (0.5 m subsections) and wetted cross‐sectional average parameters were used. While using local parameters the total annual bed material transport was estimated to be 67 100 (±20 400 t) and 18 400 t (±6000 t) in the Aglar and Paligad Rivers, respectively. Of this, nearly 60% of transport occurred during the monsoon and the overall contribution of partial transport (PT) remained low (<6%). However, based on cross‐section average parameters, total transport was estimated to be 42 300 (±15 800 t) and 12 200 t (±4700 t), in Aglar and Paligad, respectively, with nearly 79% and 68% occurring during the monsoon. Moreover, the contribution of PT increased to nearly 18% and 29% for the Aglar and Paligad Rivers, respectively. Additionally, the dependence of PT on Y and full transport on ds results in an abrupt shift in transport rates at the transition from partial to full transport, causing discontinuity in transport curves. Therefore, a unified function was proposed to represent the extent of transport for both partial and full transport, yielding continuous transport curves. These findings are particularly relevant for efficient river management as the region houses several hydropower plants and is highly vulnerable to climate change. [ABSTRACT FROM AUTHOR]

Riverbeds often fine downstream, with a gravel‐bedded reach, a relatively abrupt gravel‐sand transition (GST), and a sand‐bedded reach. Underlying this behavior, bed grain size distributions are often bimodal, with a relative paucity (gap) around the range 1–5 mm. There is no general morphodynamic model capable of producing the grain size gap and gravel‐sand transition autogenically from a unimodal sediment supply. Here we use a one‐dimensional morphodynamic model including size‐specific bedload and suspended load transport, to show that bimodality readily evolves autogenically even under unimodal sediment feed. A GST forms when we include a floodplain width that abruptly increases at some point. Upstream of the transition, non‐gap gravel ceases to move and gap sediment is preferentially transported. At the transition, non‐gap sand rapidly deposits from suspension, enhancing gap sediment mobility and diluting its presence on the bed. Plain Language Summary: The bed surface layer of many rivers is a mixture of sand and gravel. This mixture is described by the probability distribution of grain sizes, and in particular by the median size. Consider the long profile of such a river. Surface median size commonly becomes finer downstream, but often changes abruptly from a value above 5 mm to a value below 1 mm over a short reach. The range 1–5 mm is termed "gap sediment." Here we explain how this abrupt change evolves, even when there is no deficit of gap sediment supplied to the reach, and even though particle abrasion is not included. The grain size distribution autogenically develops two peaks, one in the sand range and one in the gravel range above 5 mm. When abrupt floodplain widening is included, the gravel peak is stronger in the upper reach and the sand peak is stronger in the lower reach, leading to a relatively abrupt gravel‐sand transition. Gap sediment can be diluted both upstream and downstream by a combination of effects due to bedload and suspended load, so that it dominates nowhere in the grain size distribution. Key Points: Numerical simulations show that bed bimodality evolves autogenically, even with unimodal sediment feed and no abrasionAbrupt floodplain widening can lead to the formation of a distinct gravel‐sand transitionThe behavior can be explained by preferential mobility of 1–5 mm sediment over a sand bed combined with fallout of sand from suspension [ABSTRACT FROM AUTHOR]

Key Clinical Message: Contraceptive implant migration is a rare complication associated with contraceptive implants: migration to the ulnar nerve, emphasizing the importance of accurate diagnosis, imaging, and a multidisciplinary approach to mitigate neurovascular risks during insertion and removal procedures. The case report demonstrates the necessity for careful removal techniques and thorough patient follow‐up to ensure positive outcomes and prevent long‐term nerve damage. There are some potential risks and complications associated with contraceptive implants, including neurovascular injury. The aim of this case report is to report a rare complication associated with contraceptive implants. A 32‐year‐old female, right‐hand dominant, presented to the orthopedic clinic for the extraction of a contraceptive implant (Implanon) from her left arm. She reported intermittent numbness in the ring and little fingers. Upon examination, the Implanon was not palpable. Both Phalen's test and Tinel signs were negative. An x‐ray of the arm revealed the implant's position. Under local anesthesia through a longitudinal incision, the Implanon was found within the perineurium of the ulnar nerve. Two weeks after the operation, the patient returned to the clinic. Upon examination, there were no indications of ulnar nerve neuropathy. If a patient undergoes subdermal implant‐associated pain or is at risk of neurovascular damage during removal, it is advisable to refer the patient to a family planning specialist experienced in handling challenging implant removals, and subsequently to a peripheral nerve surgeon, to optimize outcomes. The migration of a contraceptive implant to the ulnar nerve is an exceedingly rare but possible complication. [ABSTRACT FROM AUTHOR]

River channels are maintained by coordination between flow hydraulics, sediment supply, riparian vegetation, and sediment transport. This coordination is challenging to understand in natural flow regimes, where climatic and environmental drivers produce episodic flood and sediment supply events. To better understand the response of channels to flood sequences, we have undertaken laboratory flume experiments on sediment storage and export across a sequence of alternating hydrographs. Our experiments indicate that accumulated sediment storage before floods predicts sediment transport during floods, with sediment storage depletion during floods causing a nonlinear variation of sediment‐transport rates through time. Likewise, sediment storage between floods follows a growth‐to‐saturation pattern, whereby the sediment transport gradually increases toward the sediment feed rate depending on the occupation of available sediment storage zones. To describe these non‐linear variations, we developed a mathematical model which represents sediment transport and storage as a coupled dynamical system. This work highlights the crucial role that within‐channel sediment storage and its history play in determining sediment export in rivers. Plain Language Summary: The amount of sediment moving in a river channel largely determines its stability during floods; therefore, numerous ecological and engineering applications utilize predictions of sediment‐transport rates in rivers. Most prediction models assume that the force of the water and the size of sediment are the main variables needed to predict sediment‐transport rates. This implies that no information about the historical patterns of sedimentation in the channel is required to predict the amount of moving sediment. To test this implication, we conducted laboratory experiments on sediment transport across a sequence of floods. In contrast to existing prediction methods, we determined that the amount of sediment accumulated in a channel is a leading predictor of sediment transport both between and during floods. We characterized this dependence of sediment transport on the history of sediment storage and described it with a mathematical model. This work helps us better understand how floods affect the stability of river channels. Key Points: Sediment‐transport rates across flood sequences are largely predicted by the sediment storage accumulated in periods between floodsCoupling between sediment transport and storage generates non‐linear temporal variations of mean sediment‐transport ratesHistorical sediment transport and supply trends therefore control channel stability in conjunction with present‐time flow and sediment characteristics [ABSTRACT FROM AUTHOR]

Follicular thyroid carcinoma (FTC) is a well-differentiated malignancy, while insular thyroid carcinoma (ITC) is a very rare and poorly differentiated tumor. The present study reports a case of ITC arising within the background of FTC. A 52-year-old housewife presented with an anterior neck swelling for a duration of 6 months. An ultrasound examination revealed a well-defined solid nodule measuring ~58x37x28 mm in the mid-lower third of the right thyroid lobe, and two small nodules of <3 mm in size in the left lobe. Fine needle aspiration cytology of the lesion led to the suspicion of follicular neoplasm. A right thyroid lobectomy was performed, and the histopathological examination revealed poorly differentiated insular carcinoma arising in the background of FTC. As a result of this diagnosis, a completion thyroidectomy was performed. ITC is a rare and highly aggressive thyroid malignancy that is morphologically and biologically regarded as an intermediate between fully differentiated and undifferentiated/anaplastic thyroid carcinomas. In comparison to patients solely with follicular carcinoma, patients with insular carcinoma are older, more often male, have larger tumor sizes, are at greater risk of metastasis, and have a lower survival rate. Poorly differentiated ITC with follicular carcinoma is a very rare and aggressive condition that could be managed by thyroidectomy followed by radioiodine therapy. [ABSTRACT FROM AUTHOR]

This study examines the spatial pattern of fractional sediment mobility and assesses the influence of morphologic units on bedload transport in a small pool‐riffle reach with limited supply. Using a 2D hydraulic model and a subsurface‐based sediment transport model, shear stresses, fractional sediment mobility, and bedload transport were examined for flow events ranging in magnitude between 0.2Qbf and 1.5Qbf. Results reveal that while spatial variations in shear stress decrease as discharge increases, only a small proportion of the bed experiences high transport rates. At the reach scale, riffles are the primary morphological unit contributing to fully mobile sediment for all size fractions. However, at a subunit scale, there is evidence of sediment transport reversal for grains >32 mm at flows near or exceeding bankfull discharge in association with shear stress reversal. These transport reversals are important for maintaining pools despite their infrequent occurrence in the study reach. Sediment transport maps indicate that bed morphology considerably influences sediment transport at low to moderate flows. During these events, the shear stress is sensitive to local bed topography and partial mobility is the dominant transport process. In contrast, variations in bedload transport rates decrease during high flows when the flow is less sensitive to variations in bed topography and the bed becomes fully mobile. Key Points: A scaled version of a subsurface‐based model was utilized to evaluate the impact of morphologic units on fractional sediment mobilityRiffles were found to be the main source of fully mobile sediment of all sizes, with local transport reversal observed for grains >32 mmThe impact of morphologic units on bedload transport is more pronounced during low and moderate flows and diminishes during high flows [ABSTRACT FROM AUTHOR]

The choice between nodulectomy and lobectomy for managing thyroid nodules is a subject of debate in the field of thyroid surgery. The present study aims to share the experience of a single center in managing solitary thyroid nodules through nodulectomy from January 2023 to October 2023. The inclusion criteria encompassed symptomatic or suspicious solitary nodules and medically necessitated cases. The extracted data included patient demographics, medical history, symptoms, diagnostic details, surgery indication, procedure outcome and histopathological findings. The follow-up included clinic visits and phone calls. The mean age of the patients was 36.64±11.63 years, with 85.0% females and 15.0% males. Predominantly, patients were housewives (58.5%). Neck swelling (62.3%) was the most common presentation. Ultrasound examination revealed mixed nodules in more than half of the cases (54.7%). Right nodulectomy was performed in 26 cases (49.1%) and left nodulectomy in 23 (43.4%), and four cases (7.5%) underwent isthmusectomy. The mean operation time was 36.04±9.37 min and no drainage tube was used in any of the cases. One case (1.9%) of seroma was the only observed complication during the observational period. Nodulectomy may be a suitable choice for managing benign, large, solitary thyroid nodules, small suspicious nodules or microcarcinomas. [ABSTRACT FROM AUTHOR]

Abstract: Prolonged air leak (PAL) represents the most commonly encountered complication following pulmonary resection. This review aims to show the role of autologous blood pleurodesis (ABPP) in the management of PAL. A search was conducted on the Web of Science, PubMed, MEDLINE, and Google Scholar for English-language articles until September 15, 2023, with titles containing the related phrase "autologous blood patch pleurodesis (ABPP), and prolonged air leaks." Included studies comprised four randomised controlled trials, ten cohort studies, a case series, and nine case reports from various countries. Patients undergoing ABPP had a mean age of 52.7 years. Autologous blood volumes for pleurodesis varied (50 mL to 250 mL). Approximately 73.8% of cases responded to ABPP in 1 to 30 days (mean 3.75 days), and in-hospital complications were infrequent (3.9%). Follow-up durations post pleurodesis were up to 20 months. The evidence presented in this systematic review supports the role of ABPP as an effective and safe intervention for managing PAL, particularly after pulmonary resection., (Copyright © 2024 Copyright: © 2024 Indian Chest Society.)