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Abstract Silent hypoxemia, or "happy hypoxia", is a puzzling phenomenon in which patients who have contracted COVID-19 exhibit very low oxygen saturation ( ${\text{SaO}}_2$< 80%) but do not experience discomfort in breathing. The mechanism by which this blunted response to hypoxia occurs is unknown. We have previously shown that a computational model of the respiratory neural network (Diekman et al. in J Neurophysiol 118(4):2194–2215, 2017) can be used to test hypotheses focused on changes in chemosensory inputs to the central pattern generator (CPG). We hypothesize that altered chemosensory function at the level of the carotid bodies and/or thenucleus tractus solitariiare responsible for the blunted response to hypoxia. Here, we use our model to explore this hypothesis by altering the properties of the gain function representing oxygen sensing inputs to the CPG. We then vary other parameters in the model and show that oxygen carrying capacity is the most salient factor for producing silent hypoxemia. We call for clinicians to measure hematocrit as a clinical index of altered physiology in response to COVID-19 infection. 

Streams and rivers integrate and transport particulate organic carbon (POC) from an array of aquatic and terrestrial sources. Storm events greatly accelerate the transport of POC. The sequences by which individual POC inputs are mobilized and transported are not well-documented but are predicted to be temporally transient and spatially dependent because of changes in forcing functions, such as precipitation, discharge, and watershed morphology. In this study, the 3rd−4th order agricultural stream network, Clear Creek in Iowa, U.S.A., was sampled at a nested series of stations through storm events to determine how suspended POC changes over time and with distance downstream. Carbon and nitrogen stable isotope ratios were used to identify changes in POC. A temporal sequence of inputs was identified: in-channel algal production prior to heavy precipitation, row crop surface soils mobilized during peak precipitation, and material associated with the peak hydrograph that is hypothesized to be an integrated product from upstream. Tile drains delivered relatively 13 C- and 15 N-depleted particulate organic carbon that is a small contribution to the total POC inventory in the return to baseflow. The storm POC signal evolved with passage downstream, the principal transformation being the diminution of the early flush surface soil peak in response to a loss of connectivity between the hillslope and channel. Bank erosion is hypothesized to become increasingly important as the signal propagates downstream. The longitudinal evolution of the POC signal has implications for C-budgets associated with soil erosion and for interpreting the organic geochemical sedimentary record.