Bore collapse and wave run-up on a sandy beach

Wave run-up on beaches and coastal structures is initiated and driven by collapsing incident bores, this process is often considered to define the seaward limit of the swash zone. It is hence a key feature in nearshore wave processes as extreme run-up can lead to structure overtopping and coastal inundation during storm conditions. In addition, the turbulent nature of incident bores and their collapse suspends and advects sediment, resulting in a highly morphologically dynamic swash zone. The cross shore bore collapse location varies from wave to wave and the process is very limited in both spatial and temporal extent, making direct measurement problematic. This paper presents high spatial-temporal resolution LiDAR field measurements of the evolving free-surface in the surf and swash zone which enable the bore collapse detection for 166 waves. These measurements are used to investigate the link between broken wave properties at bore collapse and wave run-up. Incident bores are identified at the seaward boundary of the LiDAR profiles and tracked through the inner surf and swash zones to the run-up limit. It is found that the vertical run-up height exceeds that which would be expected for a perfect conversion of potential to kinetic energy during bore collapse for 24% of the bores measured. By returning to an existing ballistic-type model to describe the run-up of individual waves, we show that wave run-up can be divided into three components: the bore collapse, terminal bore celerity and their non-linear interaction. For the present dataset, the contribution of the bore collapse and terminal bore celerity is 26% and 27% respectively, while non-linear interactions between the two dominates and account for 47% of the measured run-up. By including the terminal bore celerity, the ability to predict run-up is increased by 30% with the determination coefficient r increasing from 0.573 to 0.785. Likewise, the RMS-error for the wave run-up shows an approximately 10% reduction from 0.325 to 0.295 m

On the influence of reflection over a rhythmic swash zone on surf zone dynamics

The reflection of incident gravity waves over an irregular swash zone morphology and the resulting influence on surf zone dynamics remains mostly unexplored. The wave-phase resolving SWASH model is applied to investigate this feedback using realistic low-tide terraced beach morphology with well-developed beach cusps. The rhythmic reflection generates a standing wave that mimics a subharmonic edge wave, from the superimposition of incident and two-dimensional reflected waves. This mechanism is enhanced by shore-normal, narrow-banded waves in both direction and frequency. Our study suggests that wave reflection over steep beaches could be a mechanism for the development of rhythmic morphological features such as beach cusps and rip currents

On the use of the Radon transform to estimate longshore currents from video imagery

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Barred-beach morphological control on infragravity motion

A conceptual analysis of the coupling between bars and infragravity waves is performed combining laboratory experiments and numerical modeling. Experiments are carried out in a wave flume with a barred profile. The Boussinesq fully-nonlinear model SERR1D is validated with the laboratory data and a sensitivity analysis is performed next to study the influence on the infragravity wave dynamics of bar amplitude and location, and swash zone slope. A novel technique of incident and reflected motions separation that conserves temporal characteristics is applied. We observe that changing bar characteristics induces substantial variations in trapped energy. Interestingly, a modification of swash zone slope has a large influence on the reflected component, controlling amplitude and phase time-lag, and consequently on the resonant pattern. Variations of trapped infragravity energy induced by changes of swash zone slope reach 25 %. These changes in infragravity pattern consequently affect short-wave dynamics by modifying the breakpoint location and the breaking intensity. Our conceptual investigation suggests the existence of a morphological feedback through the action of evolving morphology on infragravity structures which modulates the action of short-waves on the morphology itself

Modelling Cross-Shore Shoreline Change on Multiple Timescales and Their Interactions

In this paper, a new approach to model wave-driven, cross-shore shoreline change incorporating multiple timescales is introduced. As a base, we use the equilibrium shoreline prediction model ShoreFor that accounts for a single timescale only. High-resolution shoreline data collected at three distinctly different study sites is used to train the new data-driven model. In addition to the direct forcing approach used in most models, here two additional terms are introduced: a time-upscaling and a time-downscaling term. The upscaling term accounts for the persistent effect of short-term events, such as storms, on the shoreline position. The downscaling term accounts for the effect of long-term shoreline modulations, caused by, for example, climate variability, on shorter event impacts. The multi-timescale model shows improvement compared to the original ShoreFor model (a normalized mean square error improvement during validation of 18 to 59%) at the three contrasted sandy beaches. Moreover, it gains insight in the various timescales (storms to inter-annual) and reveals their interactions that cause shoreline change. We find that extreme forcing events have a persistent shoreline impact and cause 57–73% of the shoreline variability at the three sites. Moreover, long-term shoreline trends affect short-term forcing event impacts and determine 20–27% of the shoreline variability.</jats:p

Changes in the use of anti-asthmatic medication in an international cohort

To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldThe aim of this study was to describe changes in pharmacotherapy for asthma since the early 1990s in an international cohort of young and middle-aged adults. A total of 28 centres from 14 countries participated in a longitudinal study. The study included 8,829 subjects with a mean follow-up time of 8.7 yrs. Change in the prevalence of use for medication was expressed as absolute net change (95% confidence interval) standardised to a 10-yr period. The use of anti-asthmatics was found to have increased by 3.1% (2.4-3.7%) and the prevalence of symptomatic asthma by 4.0% (3.5-4.5%). In the sample with asthma in both surveys (n=423), the use of inhaled corticosteroids increased by 12.2% (6.6-17.8%). Despite this, only 17.2% were using inhaled corticosteroids on a daily basis at follow-up. Females with continuous asthma were more likely, compared with males, and smokers with asthma, to have started using inhaled corticosteroids since the first survey. The use of anti-asthmatics has increased in a pattern consistent with current consensus on treatment. However, despite increased use of inhaled corticosteroids, a large majority of subjects with symptomatic asthma do not use this treatment on a daily basis, particularly males and smokers with asthma

Brugada syndrome during physical therapy: a case report

This case report describes about a young, male patient with persisting syncope during physical therapy for complex regional pain syndrome type 1 after metatarsal fractures

Treatment challenges in and outside a specialist network setting: Pancreatic neuroendocrine tumours

Pancreatic Neuroendocrine Neoplasms comprise a group of rare tumours with special biology, an often indolent behaviour and particular diagnostic and therapeutic requirements. The specialized biochemical tests and radiological investigations, the complexity of surgical options and the variety of medical treatments that require individual tailoring, mandate a multidisciplinary approach that can be optimally achieved through an organized network. The present study describes currents concepts in the management of these tumours as well as an insight into the challenges of delivering the pathway in and outside a Network

Testicular germ-cell tumours and penile squamous cell carcinoma: Appropriate management makes the difference

Germ-cell tumours (GCT) of the testis and penile squamous cell carcinoma (PeSCC) are a rare and a very rare uro-genital cancers, respectively. Both tumours are well defined entities in terms of management, where specific recommendations - in the form of continuously up-to-dated guide lines-are provided. Impact of these tumour is relevant. Testicular GCT affects young, healthy men at the beginning of their adult life. PeSCC affects older men, but a proportion of these patients are young and the personal consequences of the disease may be devastating. Deviation from recommended management may be a reason of a significant prognostic worsening, as proper treatment favourably impacts on these tumours, dramatically on GCT and significantly on PeSCC. RARECAREnet data may permit to analyse how survivals may vary according to geographical areas, histology and age, leading to assume that non-homogeneous health-care resources may impact the cure and definitive outcomes. In support of this hypothesis, some epidemiologic datasets and clinical findings would indicate that survival may improve when appropriate treatments are delivered, linked to a different accessibility to the best health institutions, as a consequence of geographical, cultural and economic barriers. Finally, strong clues based on epidemiological and clinical data support the hypothesis that treatment delivered at reference centres or under the aegis of a qualified multi-institutional network is associated with a better prognosis of patients with these malignancies. The ERN EURACAN represents the best current European effort to answer this clinical need