Myringotomy children, while local anesthesia suffices for adults. The ear is washed and a small incision made in the eardrum. Any fluid that is present is then aspirated, the tube of choice inserted, and the ear packed with cotton to control any slight bleeding that might occur. This is known as conventional (or "cold knife") myringotomy and usually heals in one to two days. A new variation (called "tympanolaserostomy" or "laser-assisted tympanostomy") uses CO laser, and is performed with a computer-driven laser and a video monitor to pinpoint a precise location for the hole. The laser takes one tenth of a
River incision and dyked for flood control and to plant crops in the floodplain (Doyle, et al.). Normally, floods are allowed to spread out across the floodplain, allowing deposition of sediment and slowing water speeds, reducing the erosive potential of the water (Heiler, et. al. 1995). Channelization concentrates flood flows down the active channel, increasing erosion. River incision due to agriculture is well-documented throughout the agricultural regions of the world, such as the Central Valley of California (Florsheim, et. al. 2011). In-stream gravel mining is also well documented as a cause of river incision. Stable material on the river bed mitigate erosion