Extremely low concentrations of ciprofloxacin may select for antimicrobial resistance. A recent global survey found that ciprofloxacin concentrations exceded safe levels at 64 sites. We assessed if national median ciprofloxacin concentrations in rivers were associated with fluoroquinolone resistance in Escherichia coli. Methods Spearman’s regression was used to assess the country-level association between the national prevalence of fluoroquinolone resistance in E. coli and the median ciprofloxacin concentration in the countries rivers. Results The prevalence of fluoroquinolone resistance in E. coli was positively correlated with the concentration of ciprofloxacin in rivers (ρ=0.36; P=0.011; N=48). Conclusions Steps to reducing the concentrations of fluoroquinolones in rivers may help prevent the emergence of resistance in E. coli and other bacterial species.

Longitudinal dispersion coefficient (LDC) plays an essential role in modeling the transport of pollution and sediment in the natural rivers. As a result of transportation processes, the concentration of pollution changes along the river. Different studies have been conducted to provide simple equations for estimating LDC. In this study, Support Vector Regression (SVR), Gaussian Process Regression (GPR), M5P and Random Forest (RF) examined to predict the LDC in the natural streams. The hydraulic and geometric features of different rivers gathered for developing the mentioned models for LDC estimation and various statistical criteria were utilized to scrutinize of the models. Furthermore, the Taylor chart was used to evaluate the models and achieved results showed that among machine learning models, M5P displayed the superior performance with CC of 0.823, SI of 0.812, NS of 0.577 and WI of 0.879. As well, S-D model with CC of 0.795 SI of 0.827, NS of 0.558 and WI of 0.890 had more precise results than other empirical models. The results indicates that the developed M5P model with simple formulations was superior to other machine learning models and empirical models and therefore, it can be used as a proper tool for estimating LDC in natural rivers.

This study used structural equation modelling (SEM) to evaluate the direct effect of sex and age on stroke types and outcomes in Tertiary Health Facilities in Rives State, Nigeria. The study was a cross-sectional retrospective hospital-based research that utilized specific stroke patients’ information between 2015-2019. The study obtained the sex and age, stroke type (ischemic/hemorrhagic), and outcomes (No disability/disability/death) from the records. The retrieved data was Microsoft Excel (2016), then analyzed using SPSS (version 21, Amos) and STATGRAPHICS centurion (Stat Point Tech., Inc.). From the result, out of the recorded 1916 stroke patients, 1229 (64.1%) were female, while 687 (35.9%) were males. The older adults (>55 years) had more recorded cases (n=1289) than young adults (ages 18–35 years; n=77) and middle-aged adults (ages 36–55 years, n=550). The SEM results showed that age was significantly associated with stroke type (P<0.001) and outcomes (P=0.038), while sex was significantly associated with stroke outcomes (P<0.001). The likelihood of death was 1.3 times higher in hemorrhagic stroke than ischemic stroke. In conclusion, age and sex had direct effects on stroke type, while age had a direct effect on stroke outcome. Hemorrhagic stroke was more likely to cause death than ischemic stroke in the studied population.

To date, several different approaches are available to study sediment dynamics at reach or watershed scale, based on very different hypothesis. One of such assumptions, the so-called “morphodynamic equilibrium hypothesis” is becoming little unpopular for its embedded simplifications. The aim of this work is to demonstrate how this approach proves yet effective in modelling landscape morphodynamics at the watershed scale, for what concerns the longitudinal profile of a river and the sedimentary aspects. The application of a 1-D model based on the equilibrium hypothesis has been implemented for several large rivers worldwide. Geomorphological parameters have been analysed, which describe the evolution of longitudinal profile (concavity) and sediments characteristics (aggrading and fining), and the results show a reasonably good correspondence with qualitative estimation of the same parameters. At the scale of analysis and for the chosen systems, which show high inertia to geomorphological changes likely owing to their longitudinal extension, the model can detect where the present conditions reflect a big disturbance to the “natural equilibrium” thus allowing water managers to identify present issues to be addressed.

River regulations ultimately degrade fluvial forms and morphodynamics and simplify riparian and aquatic habitats. For several decades, river restoration actions have been performed to recover geomorphic processes and diversify these habitats to enhance both river biodiversity and ecosystem services. The objective of this study is to provide quantitative feedback on the experimental restoration of a large regulated and by-passed river (the Upper Rhine downstream of the Kembs Dam, France/Germany). This restoration consisted of the construction of two transverse groynes and the removal of bank protection. A monitoring framework composed of topo-bathymetric surveys as well as flow velocity and grain size measurements was established to assess the channel morphodynamic responses and evaluate their effects on habitat suitability for five native fish species using habitat models. A riverscape approach was used to evaluate the landscape changes in terms of both the configuration and the composition, which cannot be considered with classic approaches (e.g., WUA). Our results show that the two transverse groynes and, to a lesser extent, bank erosion, which was locally enhanced by the two groynes, increased habitat diversity due to the creation of new macroforms (e.g., pools and mid-bars) and fining of the bed grain size. Using a riverscape approach, our findings highlight that the restoration improved lentic fish habitats (eel and juvenile nase species) due to slowing of the local current and the deposition of fine sediments downstream of both groynes. As a consequence, the restoration improved the habitat suitability of the studied reach for more fish species compared with the pre-restoration conditions. This study also demonstrates that the salmon habitats downstream of the restored reach were improved due to fining of the bed grain size. This finding highlights that for restorations aimed at fish habitats, the grain size conditions must be taken into consideration along with the flow conditions. Furthermore, the implementation of groynes, while not a panacea, can be a strategy for improving fish habitats on highly regulated rivers, but only when more functional and natural options are impossible due to major constraints.

This study reports multivariate statistical techniques applied including cluster analysis to evaluate and classify the river pollution level in Taiwan, and principal component analysis-multiple linear regression (PCA-MLR) to identify the possible pollution source. Water quality and heavy metal monitoring data from Taiwan Environmental Protection Administration (EPA) was evaluated for 14 rivers in the four regions of Taiwan. The Erren River was classified as the most polluted River in Taiwan. Biochemical oxygen demand, ammonia, and total phosphate concentration in this river were the highest of the 14 rivers evaluated. In addition, heavy metal levels of the following rivers exceeded the Taiwan EPA standard limit: lead - in the Dongshan, Jhuoshuei, and Xinhuwei Rivers; copper - in the Dahan, Laojie, and Erren Rivers; and manganese - in all rivers. Water pollution in the Erren River was estimated to originate 72% from industrial sources, 16% from domestic black water, and 12% from natural sources and runoff from other tributaries. Our research showed that PCA-MLR and the cluster analysis model accomplished our study objectives and will be helpful tools to evaluate water quality in rivers and we suggest that the continuous monitoring should be conducted to monitor water pollution from anthropogenic activities.

Nitrogen and phosphorous support the ecosystem by supplying nutrients to algae and aquatic plants. Having them in excess results in the eutrophication of waters creating quality problems. In the past, nitrogen has been widely investigated for wells in the context of groundwater flow. However, a national-scale nitrogen assessment in rivers and streams has not received enough attention. In this research, the Wilcoxon rank sum test, as a non-parametric hypothesis testing method, has been applied to nitrogen concentration in the form of nitrate-nitrogen and nitrite-nitrogen in rivers and streams of the Contiguous United States. This approach was particularly selected because of the non-normal and positively skewed nitrogen levels occurring in the surface flow. This method was able to identify the impaired body of waters as well as quantify the confidence, significance, and errors involved. The Northern Appalachians (NAP), Northern Plains (NPL), and Xeric (XER) ecoregions were worsening in the nitrogen-nitrate condition with NAP, and XER needed immediate actions. The nitrite-nitrogen condition did not pose an immediate threat, so mitigation plans should focus more on nitrate-nitrogen remediation. It was shown that the method was superior to the two-sample t-test by yielding lower type II errors.

Natural rivers in urban areas bear significant potential to provide ecosystem services for the surrounding inhabitants. However, surface sealing by houses and street networks, urban drainage, disposal of waste and wastewater resulting from advancing urbanization usually lead to the deterioration of urban rivers and their riparian areas. This ultimately damages their ability to provide ecosystem services. This paper presents an innovative methodology for a rapid and low-cost assessment of the ecological status of urban rivers and riparian areas in developing countries under data scarce conditions. The methodology uses a combination of field data and freely available high-resolution satellite images to assess three ecological status categories: river hydromorphology, water quality, and riparian land cover. The focus here is on the assessment of proxies for biophysical structures and processes representing ecological functioning that enable urban rivers and riparian areas to provide ecosystem services. These proxies represent a combination of remote sensing land cover- and field-based indicators. Finally, the three ecological status categories are combined to quantify the potential of different river sections to provide regulating ecosystem services. The development and application of the methodology is demonstrated and visualized for each 100 m section of the Pochote River in the City of León, Nicaragua. This spatially distributed information of the ecosystem service potential of individual sections of the urban river and riparian areas can serve as important information for decision making regarding the protection, future use, and city development of these areas, as well as the targeted and tailor-made development of nature-based solutions such as green infrastructure.

Experimental evidence showed how various complex systems, characterized by a fluctuation scaling, satisfy the well-known Taylor's law. The present work aims to apply for the first time Taylor's law, given its general treatment, for a flow field at $Re$ around $10^4$, since activity of each fluid particle is highly fluctuating, especially in the context of vortex shedding. In addition, the further element of innovation is the use of an innovative thin-films based device consisting of an elastic piezoelectric flapping flag that is proposed as a measuring instrument of the flow field. The oscillations of the flapping flag, due to the vortexes release downstream to an obstacle of cylindrical shape, generate an alternating piezoelectric voltage whose time history is similar to the chaotic components of the fully developed turbulent speed. Preliminary experimental results about the use of thin-films based device in a flume channel are reported together with a second order analysis on the voltage difference and a scaling law of the exponent scale.

Cumulative effects of landscape disturbance in forested source water regions can alter the storage of fine sediment and associated phosphorus in riverbeds, shift nutrient dynamics and degrade water quality. Here, we examine longitudinal changes in major element chemistry and particulate phosphorus (PP) fractions of river-bed sediment in an oligotrophic river during environmentally sensitive low flow conditions. Study sites along 50 km of the Crowsnest River were located below tributary inflows from sub-watersheds and represent a gradient of increasing cumulative sedi-ment pressures across a range of land disturbance types (harvesting, wildfire, and municipal wastewater discharges). Major elements (Si2O, Al2O3, Fe2O3, MnO, CaO, MgO, Na2O, K2O, Ti2O, V2O5, P2O5), loss on ignition (LOI), PP fractions (NH4CI-RP, BD-RP, NaOH-RP, HCI-RP and NaOH(85)-RP) and absolute particle size were evaluated for sediments collected in 2016 and 2017. While total PP concentrations were similar across all sites, bioavailable PP fractions (BD-RP, NaOH-RP) increased downstream with increased concentrations of Al2O3 and MnO and levels of landscape disturbance. This study highlights the longitudinal water quality impacts of increasing landscape disturbance on bioavailable PP in fine riverbed sediments and shows how the convergence of climate (wildfire) and anthropogenic (sewage effluent, harvesting, agriculture) drivers can produce legacy effects on nutrients.